Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Strengths and weaknesses of creating a budget
The processes involved in budgeting
Strengths and weaknesses of creating a budget
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Strengths and weaknesses of creating a budget
Budget Development Strategies: A Key Concept to Improve Financial Management
Budget development is a key element that involves nurses at all levels in the organization to identify strategic planning model in formulating staffing level even with limited resources on hand. Budget development helps in forecasting and planning nurse-staffing requirements based on patient care needs in real time.
The purpose of the term paper is to determine key concepts of budget development strategies for the cardiac unit at Saint Louis Medical Center (SLMC). The term paper will provide analysis on the proposed budget development on staffing level for the cardiac unit at SLMC.
Proposed Budget Development for Cardiac Unit at Saint Louis Medical Center
The following
…show more content…
The implementation of budget development by hospital leaders can improve budgetary planning practices, and improve staffing plan based on patients’ needs thus, provide safe and effective care. The nurse leaders and staff play important role in identifying requirements needed to create, assess, evaluate, implement, and improve the budget development process.
References
Bryant, M. (2015). Improving the budget process. Retrieved from http://www.gfoa.org/sites/default/files/GFR101542.pdf
Robinson, C.H., & Annis, A.M. (2016). Factors that affect implementation of a nurse staffing directive: Results from a qualitative multi-case evaluation. Journal of Advanced Nursing, 72(8), 1886-1898. doi:10.1111/jan.12961
Rundio, A. (2016). Budget development for nurse managers. Reflections on Nursing Leadership, 42(3), 1-8. Retrieved from http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119422546&site=ehost-live
Torbet, J.L., Mulkeen, M., Stringer, L., & Fitzpatrick, K. (2015). Development of a nurse staffing model to accurately reflect complexity and intensity of patient care needs in an urban academic medical center… proceedings of the 2015 AWHONN Convention. Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(Supplement 1), S4O.
I attended the Saturday Lab 1 session discussing the Denison Specialty Hospital case study. In our session, we had a through discussion into the different budget terminology. I learned about the difference between accrual and cash accounting methods, which is based on the timing of when the revenue and expenses are recognized. I also learned about responsibility centers as an organizational unit under the supervision of a manager, who is responsible for its activities and results. In addition, the manager is accountable for the budget of the department that they head. Therefore, a centralized form of management in developing the budget because it makes easier to because the information for the department budget is located
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
Roussel, L. (2013). Budgeting Principles for Nurse Managers. Management and Leadership for Nurse Administrators, (6th Ed., p. 340). Burlington: MA: Jones & Bartlett.
A nurse manager plays an important role on a hospital unit. Evans defines the role of a nurse manager as one who makes sure all the needs required on a daily basis are accomplished (Evans, 2011). Evans goes on to say that one primary responsibility of a nurse manager acting in the position of a leader is to “raise the level of expectation and help employees reach their highest level of potential excellence” (Evans, 2011). With this said, it is important to identify potential barriers and problems that a nurse manager would face on a given unit and create or adopt evidence-based interventions to eliminate these problems. When this is accomplished, it will help to foster a work environment that maintains safety to patients as well as staff.
To contribute patient safety and excellent care, nurses in all levels must have strong leadership skills. Nurses should have a voice in health policy decision making and should be an active part of advisory committee, commissions and board of nursing where policy decisions are made to improve patient care (IOM, 2010). This transformation will bring forth a more positive work environment for professionals as well as progress all aspects of patient centered
Clinical Nurse Leaders’ responsibility scope includes all nurse and patient management details except for administrative duties. They are important resources in United States medical intuitions. CNL candidates must have a master’s degree to fulfill this position. This knowledge gives them the needed skill set to manage the daily operation of the hospital’s entire nursing pool. They also observe and regulate the patient care setting. Ultimately, the Clinical Nurse Leaders’ role will continue to gain importance as healthcare caseloads increase in
Nurse staffing ratios have been a topic of debate for many years. Inadequate staffing ratios can lead to patient, and staff endangerment, a decrease in patient and staff satisfaction, and a high turnover rate, along with employee burnout. Thus, sever staffing models have been implemented to aid with staffing rations, and federal and state requirements have been implemented. Although, nursing managers and leaders my approach nurse staffing differently, a professional approach should always be used to ensure satisfaction and safety.
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
Low nurse staffing levels are an issue hospital-wide at St. Vincent Healthcare, particularly observed during my management hours with a House Supervisor. A responsibility of a House Supervisor is to ensure efficient utilization and allocation of nurses among the floors, so I have had the opportunity to thoroughly discuss and personally observe a variety of causes and consequences of low staffing with my preceptor. A primary reason for inadequate staffing appears to be due to finances; along with making patient safety a continuous priority, St. Vincent Healthcare must strive for good financial outcomes as well. There are certainly challenges that arise in maintaining a balance between providing adequate staff to deliver safe patient care and delivering services at lower costs. Other causes of low staffing are employee conflicts, management and/or leadership discrepancies, heavier patient loads/higher acuity patients, floating to other units, or decreased job ...
Quantitative plans are called budgets. Budgets are prepared to impose cost controls on the activities of an organization (Chenhall, 1986).Budgets are then used to evaluate the performance of the management and budget itself is considered as a standard to evaluate the performance Solomon, 1956). The purpose of the budget is also to implement the strategy of the organization and communicate it to the employees of the organization Rickards (2006). The change in the external environment has led to the change in the budgeting approaches from the initial cash based budgets to the zerio based budgets (Bovaird, 2007).
The purpose of this paper is to discuss the steps involved in developing a budget for St. Louis Medical Centers’ (SLMC) new Cardiac Unit. Budget development steps will be identified to help develop a sound budget for the cardiac unit. A financially responsible budget will ensure the ability to provide quality care and distribution of nursing resources. Developing a sound budgeting process provides a solid foundation for organizational growth and development (Seetharaman, Patwa, Jadhav, & Saravanan, 2016). The development of a budget should be lead by what the organization plans to accomplish and how the organization is to go about meeting their goals (White, 2014).
When hospitals are understaffed, healthcare workers experience time pressures and might not be able to give patients adequate care. The quality of attention needs to be greatly increased, which can be done by giving them as much flexibility and input into their work schedules as possible. In order to combat this issue, more focus should be put on nursing workforce development programs so nursing shortages can be dealt with appropriately and recruitment, retention, and advanced education for nurses and other health professionals can be supported adequately. As Director of Healthcare and Workforce Development, you have the power to not only encourage these changes, but implement them as well. Your background has given you a number of cases to study, but imagine, if you were living it firsthand, that you were in need of a doctor or nurse but unable to get the care you need because the hospital is understaffed.
Leaders in healthcare have so many daily obligations that they have to meet and be responsible for. Today’s leaders have to keep up with scheduling, flexing, covering vacation, meetings, their department as a whole, and make sure everything runs smoothly. With the ever changing healthcare nurses have to be up to date on new technology, training, and new education. The department head is not only a supervisor; she is a bedside nurse meeting multiple demands. She takes on tasks that include everything from the bedside nurse, to unit meetings, to charge nurse, and to scheduling, just to name a few. Speaking to leaders and managers in healthcare today the stress is at all time high from the new healthcare reform, nursing shortages, and meeting daily productivity.
The nurse manager is responsible for planning and managing the clinical and operational development of the director of nursing management in harmony with hospital policy .The role of the nurse manager in planning is effective in promoting patient's safety, satisfaction and specificy outcomes. The nurse director has also an important role in positive direction and reassurance to ancillary staff, other departments, and presenting educational program to provide direction of the personal for growth and advancement management services and monitors for quality outcomes in hospital management (Yasir,2003). The primary role for nurse directors and hospital administrators is the planning and implementing effective health policies that will meet the
It requires an adequate and sound organizational structure, that is, there must be a definite assignment of responsibility for each function of the enterprise. Budgeting compels all the members of management, from the top to bottom to participate in the establishment of goals and plans. Budgeting compels departmental managers to make plans in harmony with the other departments and of the entire enterprise. Budgeting helps the management to put down in figures what is necessary for a satisfactory performance. Budgeting helps the management to plan for the most economical use of labor, material and capital. Budgeting tends to remove the cloud of uncertainty that exists in many organizations, especially among lower levels of management, relative to basic policies and objectives. Budgeting promotes an understanding among members of management of their co-workers' problems. Budgeting force management to give adequate attention to the effects of general business conditions. Budgeting aids in obtaining bank credit as banks commonly require a projection of future operations and cash flows to support