Identify the sorts of arguments which will be put to you, recommending that the proposal is not a good one and unworkable Apparently, the absence of the Manager in the board meeting is unfortunate especially now that he is expected to deliberate on issues that were put forward in the meeting where he was not involved in the decision making. The decision he has to make include; amalgamating the surgical and medical ward and to change the nursing profile in the entire hospital from an all registered nursing staff to a mix of registered and enrolled nurses at a ratio of 4:1 consistent with states policy (Bergeron 2003). The information about these changes have been leaked to the local branch of the union, a situation that has led to filing of an industrial dispute, claiming lack of consultation, and the hearing in two days time. It is also clear that the Director of Nursing will oppose the direction as she is a firm advocate of the primary nursing model which is based on all registered nurse staffing (Belbin 2010). ...
The local union is likely to argue that decision of merging the surgical and medical ward in order to have one less ward will not bring forth the considerable saving as expected but will instead lead to over working on the part of the nurses, a situation equal to confusion of roles, which may deter the running of hospital and particularly on the surgery issue (Arthur 2006). Besides, the local union and the director of nursing are likely to oppose the recommended issue of changing the nursing profile of the entire hospital from all registered nursing staff to a mix of both registered and enrolled nurses at the ratio of 4:1 that consistent with the states policy. In essence, they will argue that although the hospital want to have a reduction in payment of its staff, the issue of having one enrolled nurse in every four nurses reduce the rate of professionalism that is essential in the facilities as the enrolled nurses are not able to handle situations on their own, and can only work under the supervision of the registered nurses hence a delay in executing the duties mandated to them (Gill 2006). Furthermore, if the recommendation is implemented a number of the nurse who are members of the local union will lose their job. Of most important is that, the director of nursing is a firm advocate of the primary model which is based on all registered nurses staffing (Dalkir 2005). Her advocacy counters the registered state policy that ought to have been accomplished all the facilities including this hospital three years ago. Thus, the two recommendations with regard to the local union and the director of nursing are not good and impracticable. Develop a
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