Nursing Case Study Question

[6jmackin]

Please help! I am a graduate student in a nursing management class, i have been assigned a case study and I need some help answering it. Here is the scenario: You are a CEO, you have a small hospital with 4 ICU beds. You want to expand your ICU. What steps do you take to plan this? What other members of the hospital staff should you include? identify external resources to be inventoried. I need a few idea if anyone knows any answers please help!

Thanks

[Jen2002]

I am taking an organizational change class right now so I can offer some ideas. There are a few change process theories. Kurt Lewin's has 3 phases, unfreeze, change, and refreeze. Kotter has 8 steps: 1) Establish a sense of urgency; 2) Create a powerful guiding coalition.3) Develop a vision 4) Communicate the vision 5) Empower others to act on the vision.6) Plan for and create short-term wins 7) Consolidate improvements and produce more change.8) Institutionalize new approaches. Deciding the need is always a first step. If the need has been decided then finances is the next step. I suck at the business aspects, but falilities always have a budget and monies may be available from this budget to fund the expansion. There may also be funds available through the Centers for Medicare and Medicaid, or other public healthcare agencies. Feedback from mnagement, staff and the consumers can be used to determine the need or their opinions as to what the best approaches would be to implement this expansion. I hope this helps a little, then again you maybe familiar with all of this already. Goodluck!