Prince George’s Hospital is a general medical and surgical hospital founded in 1944 as an acute care teaching and referral hospital. It is a member of the Dimensions Health care System not-for-profit health care provider, accredited to offer health care services by the Joint commission. The hospital performs exceptionally well in the United States in adult specialities offering services such as prenatal care, nursing care and patient treatment. 

Organizational Chart Prince Georges Hospital in Maryland

Prince Georges Hospital in Maryland organizational chart is hierarchical headed board of directors and the DHS president who is also the chief executive officer. Organizational president manages the hospital by liaising with tactical managers such as vice presidents. The organization has vice presidents who help the president in managing the organization. They include VP medical affairs, VP DHA, ambulatory care and ancillary services, VP materials management, VP chief nursing officer, VP support services and VP human resources. The chief nurse is assisted by medical and surgical services, patient transport, behavioral health services, infection control, diabetes centre, nursing excellence, education and training and two associate vice presidents. One VP is in charge of the surgical services while the other is in charge of the cardiac services, critical care services, maternal child health, customer service and volunteers (Brien, 2011).

Types of Health Services Provided by Prince George’s Hospital in Maryland

Prince George’s Hospital offers comprehensive inpatient and outpatient surgical and medical services. The services include behavioral health, cardiac rehabilitation, emergency services, medical imaging, surgical services and critical care. Other services include domestic violence and sexual assault, diabetes, maternal and child health, physical rehabilitation and arthritis and joints care. Outpatient care includes medicine, dental care, gynecology, family practice and senior programs. Inpatient psychiatric care for adults and adolescents helps those with mental problems. The facility also has a graduate medical education program to train health care professionals on procedures and processes (Dimensions Healthcare, 2012).

Health Care Delivery System in the US

Health care delivery system is the organization of people, resources and institutions to deliver health care services. This aims at meeting target populations’ health care concerns as a common goal. The United States has formulated health care delivery system such that there is consideration of costs, consistency, coverage, chronic illness and complexity. They form the five C’s, which promote quality, acceptability, efficiency and equity. Health care systems aim at delivering health care, in addition to achieving other objectives, such as resource generation, health stewardship and health care financing (Jonas, Kovner, & Knickman, 2008). According to Rouse (2004), US has the largest healthcare industry, approximately 14% of the gross Domestic Product. A revolutionary information technology plays a significant role in informing patients, consumers, clinicians and organizations that provide healthcare services. Informed publics show high consumerism with a stronger demand for information and convenience.

In America, there has been the absence of a universal healthcare program that ensures affordable medical attention to all citizens. Policy makers have for a long time promised a system which takes into consideration all available means of alleviating a healthcare regime that does not enable uninsured and unemployed individuals to access the proper attention they deserve from medical physicians. According to Trouth and Barrow (2010), an American citizen who is not employed and under some private insurance cover cannot access adequate medical attention unless they come from a well-off family which can pay for the same without digging too deep into their pockets.

Next, even those under an insurance cover through their employers also face some limitations in terms of healthcare. Usually, the employee only has the option to take the cover that the employer offers, having entered into such arrangements with the private insurance providers. According to Williams (2011), this limits the free choice of the employee to decide what insurance program best suits his or her needs, and the pre-selected cover may have the effect of excluding a vital aspect of the employee’s healthcare requirements.

Furthermore, the use of traditional methods to record patient information is an unnecessary hindrance to fast healthcare provision. The use of handwritten notebooks to document the patients’ medical situation before analyzing their needs makes it more difficult for doctors to provide services more efficiently to the patients. The result is explained by Williams (2011) that the patients end up waiting for longer periods in hospitals and other healthcare facilities, with the long-term effect being that the overall cost of healthcare is unnecessarily increased.

A fourth problem, which is really an extension of the third problem, is that there is no workable existing policy on how to maintain a national record of the progress of healthcare provision. If technology is properly utilized to record patient information directly as the physician is inspecting the patient, the information can be used in the long run to assess the progress of the patient and the general healthcare condition nationwide. The final issue surrounding the American healthcare system is that of funding. The amount of money required to implement a universal healthcare system is basically a significant chunk of the economy’s budget. It has been estimated that $ 88.6 billion would be required in order to ensure that the currently uninsured are place under some insurance cover.

Shared Governance and Its Use in Nursing

Shared governance is a structure that supports nurses in determining procedures, practices, standards and quality of health care services. It empowers nurses to use their skills and expertise to develop professional practice. The ideology allows nurses to interact and network with colleagues for sustainable work relations. Shared governance is a magnetic model that sustains professional nursing practice. The professional journey embeds in implementation of autonomous practices propagated by staff members.

Sources of Personal and Professional Power

Power is the ability to perform or the capacity to act effectively.  It is the inner force; thus, one does not require money to exercise it. It can be developed at will by expanding ability at any time through concentration of the body, the spirit or the mind. Personal power is the capability to influence others’ actions while professional power is an individual’s power from skills or expertise.  According to Bacon (2010), sources of personal power may include attraction, history, expensiveness, character and knowledge. The limit of professional power is to an area in which an expert is trained. An example of professional power is an engineer specializing in electronics while an example of personal power is the referent power which attracts others to build loyalty. The basis of personal power is on the holder’s charisma and interpersonal skills.

Stakeholders

A stakeholder is an individual, a group or an institution with interest in an assignment or an enterprise. According to Friedman & Miles (2006), stakeholders can affect or be affected by organization’s operations. In my work place as a nurse, stakeholders include patients, suppliers, creditors, the government, community and staff members.

The Difference between Politics and Policy

Politics is a consultative process through which governments pass policies on the basis of majority. It is the administration and organization of the state and regulation of relations with other states (Tansey & Jackson, 2008). Holding debates about pressing issues, and voting to determine the ideology favored by the majority forms the democratic process of politics. A policy is a framework developed and agreed upon by the management or the governing body on how to carryout organizational activities. It is the totality of principles and procedures aimed at achieving nursing goals. An example of a policy is the public health policy while an example of politics may be debate on whether to construct an airport.

Position of Staff Nurses on Organizational Chart

Staff nurses are the nurses involved in attending patients in hospitals. They deal directly with patients in instances such as admission, discharge, wound dressing and general nursing care. This is the lowest level in the organizational chart as they are not responsible over other nurses or workers. For example, in the surgical department, the lowest rank is the staff nurses in charge of surgical nursing care.

Nursing Functions to Be Added or Removed to Achieve Efficiency

Nursing functions that can be removed from nursing practice include patients’ independent care, in cases where patients are able to provide self care. The rationale for this is that nurses have to prioritize nursing care according to patient needs. Prioritization enables nurses to offer quality care to all patients without concentration on few patients. For example, patients who can be able to make their beds should be allowed to make their beds for nurses to concentrate on specialized nursing care, such as dressing wounds and administration of medication.

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