Jordan University of Science and Technology
Jordan University of Science and Technology
Faculty of Nursing
Faculty of Nursing
NUR 707: Management of Nursing Services II
NUR 707: Management of Nursing Services II
SWOT analysis
SWOT analysis
Submitted by:
Submitted by:
Ashraf Smadi. RN, NSA student
Ashraf Smadi. RN, NSA student
[email protected]
[email protected]
Student # 20063040026
Student # 20063040026
Submitted to:
Submitted to:
Dr. Yaseen Hayajneh RN PhD
Dr. Yaseen Hayajneh RN PhD
Dece.2007
Dece.2007
AL-yarmouk hospital
AL-yarmouk hospital
Proposed SWOT analysis 2007 / 2008
Proposed SWOT analysis 2007 / 2008
This SWOT analysis proposed for Al-Y
This SWOT analysis proposed for Al-Yarmouk hospital, during my armouk hospital, during my training astraining as required for Nursing Service Administration Practicum II (NUR 707) course. I will required for Nursing Service Administration Practicum II (NUR 707) course. I will work in partnership with Chief
work in partnership with Chief Nursing Officer to propose this SWOT analysis inNursing Officer to propose this SWOT analysis in order to achieve one of the most important managerial tools used for strategic order to achieve one of the most important managerial tools used for strategic
planning of healthcare systems, because this assignment requires some extraordinary planning of healthcare systems, because this assignment requires some extraordinary
skills to achieve it in success way, such as Brainstorming skill to generate as many skills to achieve it in success way, such as Brainstorming skill to generate as many novel ideas to help an hospital understand or recognize how it relates to it is internal novel ideas to help an hospital understand or recognize how it relates to it is internal (strength & weaknesses) and external environment (opportunities & threats).
(strength & weaknesses) and external environment (opportunities & threats). I hope that this analysis will fruitfully assists hospital administrators to do I hope that this analysis will fruitfully assists hospital administrators to do something toward better achievements, if the hospital is not appear make straight with something toward better achievements, if the hospital is not appear make straight with the world going on around it. And to complete t
the world going on around it. And to complete their mission as possible as in heir mission as possible as in successsuccess way and keep it congruent with hospital strategic goals.
way and keep it congruent with hospital strategic goals.
Structure of the hospital Structure of the hospital
Al-Y
Al-Yarmouk hospital is located armouk hospital is located in north of Jordan, specifically in north of Jordan, specifically in the Baniin the Bani Kananah, relates with the province of Irbid. Follow the Jordanian Ministry of Health, Kananah, relates with the province of Irbid. Follow the Jordanian Ministry of Health,
provides health care
provides health care services for about 100.000 Bani Kananah patieservices for about 100.000 Bani Kananah patients especiallynts especially, in, in addition of all Jordanian patients.
addition of all Jordanian patients.
AL-yarmouk hospital was opened in 2003, consists of three
AL-yarmouk hospital was opened in 2003, consists of three buildings,buildings, outpatients' clinic, emergency, and inpatients area. The total hospital ca
outpatients' clinic, emergency, and inpatients area. The total hospital ca pacities bedspacities beds are one hundred beds but are only sixteen beds available and about 30-35 physicians, are one hundred beds but are only sixteen beds available and about 30-35 physicians, and 150 nurses working in the hospital and the bed occupancy rate between 65-70%. and 150 nurses working in the hospital and the bed occupancy rate between 65-70%.
Inpatients building in
Inpatients building in the Ythe Yarmouk hospital consist of armouk hospital consist of male-female male-female surgicalsurgical department, male-female medical department, pediatric department, neonatal
department, male-female medical department, pediatric department, neonatal department, maternal department, intensive care unit, Hemodialysis unit and four department, maternal department, intensive care unit, Hemodialysis unit and four operation theaters.
operation theaters.
Qualifications of Nursing Department Qualifications of Nursing Department
The objectives of nursing department are providing nursing health care in The objectives of nursing department are providing nursing health care in satisfactory level, develop competency of staff team, be familiar with patient needs, satisfactory level, develop competency of staff team, be familiar with patient needs, and collaboration with other hospital departments in effective way to improve nursing and collaboration with other hospital departments in effective way to improve nursing care services. Nursing department is managed by CNO who have diploma degree and care services. Nursing department is managed by CNO who have diploma degree and 24 years of
24 years of experience. Al-Yexperience. Al-Yarmouk hospital has nursing armouk hospital has nursing staff mix. It staff mix. It contains 42contains 42 registered nurses (10 M; 32 F), and 28 midwife (22 are have diploma degree and 6 registered nurses (10 M; 32 F), and 28 midwife (22 are have diploma degree and 6 have bachelor's degree) al
have bachelor's degree) also a 28 assistant nurses (22 M, so a 28 assistant nurses (22 M, 6 F), and 30 Aid nurses,6 F), and 30 Aid nurses, whom exposure to nursing training programs about 6-18 months. Most of
whom exposure to nursing training programs about 6-18 months. Most of the register the register nurses were graduated from Jordan University of science and technology and other nurses were graduated from Jordan University of science and technology and other Jordanian universities.
Jordanian universities. The Al-Y
The Al-Yarmouk hospital classified as a armouk hospital classified as a basic hospital, the total basic hospital, the total capacity of capacity of hospital beds is one hundred bed, they are only 60 beds are available. Nursing shift hospital beds is one hundred bed, they are only 60 beds are available. Nursing shift schedule divided into two shifts
schedule divided into two shifts (A shift & BC shifts). The A (A shift & BC shifts). The A shift time duration 8shift time duration 8 hours from 7:00 am to
from 3:00 pm to 7:00 am. Nurses provide patient care upon assignment sheet, in from 3:00 pm to 7:00 am. Nurses provide patient care upon assignment sheet, in which each nurse is responsible for delivering his/her assignment never mind the which each nurse is responsible for delivering his/her assignment never mind the nurse educational level.
nurse educational level.
Al-yarmouk hospital as a system Al-yarmouk hospital as a system
According to system theory; it is enable health care administrators to structure, According to system theory; it is enable health care administrators to structure, organize, understand, interpret, communicate, and measure changes or result of a organize, understand, interpret, communicate, and measure changes or result of a whole or parts of health care system, here we can applied it to understand the nature whole or parts of health care system, here we can applied it to understand the nature of Al-yarmouk hospital, and the challenges of managing hospital in
of Al-yarmouk hospital, and the challenges of managing hospital in internal andinternal and external environment, also it will assist hospital managers to identifying hospital external environment, also it will assist hospital managers to identifying hospital strengths weaknesses, threats, and opportunities.
strengths weaknesses, threats, and opportunities.
Al-yarmouk hospital, classified as an open system, is composed of interrelated Al-yarmouk hospital, classified as an open system, is composed of interrelated subsystems and suprasystems, which process input, throughput, and output of
subsystems and suprasystems, which process input, throughput, and output of
services, energy and information. Al-yarmouk hospital boundary is permeable, as it services, energy and information. Al-yarmouk hospital boundary is permeable, as it isis fully interacting with their environment (internal & external). It is composed of inputs fully interacting with their environment (internal & external). It is composed of inputs which include human resources, financial
which include human resources, financial, information, materials, and , information, materials, and time. Andtime. And process components such as planning, controlling, staffing, directing, organizing, process components such as planning, controlling, staffing, directing, organizing,
decision-making, sorting, sharing information, and discussing .And outputs such as all decision-making, sorting, sharing information, and discussing .And outputs such as all health care services that result from the hospital throughput or processing of human health care services that result from the hospital throughput or processing of human inputs, technical, financial,
inputs, technical, financial, and social. All hospital departments such as nursing,and social. All hospital departments such as nursing, radiology
radiology, medical staff, , medical staff, lab, pharmacylab, pharmacy, and security have , and security have fully interaction betweenfully interaction between them and other external departments, and have interdependent or interconnections, them and other external departments, and have interdependent or interconnections, additionally hospital and environment affect each others to be survive, it is
interchange with the environments, either input from the environment or output into interchange with the environments, either input from the environment or output into environment. Finally it is having equifinality and purposefulness features which mean environment. Finally it is having equifinality and purposefulness features which mean that the hospital can deliver all healthcare services to patients from various routes or that the hospital can deliver all healthcare services to patients from various routes or ways.
ways.
Al-yarmouk hospital also maintains their dynamic existence by continuously Al-yarmouk hospital also maintains their dynamic existence by continuously exchanging energy and information with their environments. Threats are external exchanging energy and information with their environments. Threats are external factors that can effect negatively on hospital services when the managers failed to factors that can effect negatively on hospital services when the managers failed to minimize the impact of disruptive forces from external environment, opportunities are minimize the impact of disruptive forces from external environment, opportunities are also an external factors but effect positively when hospital managers effectively
also an external factors but effect positively when hospital managers effectively mobilized the resources and facilities from the external environment. Therefore, mobilized the resources and facilities from the external environment. Therefore, hospital mangers must always keep the homeostatic situation among their system as hospital mangers must always keep the homeostatic situation among their system as possible as they can. Consequently, Strengths and weakness are internal fac
possible as they can. Consequently, Strengths and weakness are internal fac tors whichtors which that effect directly on hospital healthcare services positively or negatively. Therefore that effect directly on hospital healthcare services positively or negatively. Therefore healthcare administrators must do periodically feedback about all aspects of hospital healthcare administrators must do periodically feedback about all aspects of hospital information and processing that can be used to evaluate and monitor the hospital information and processing that can be used to evaluate and monitor the hospital processes and to guide it to more effective performance and make control over it to be processes and to guide it to more effective performance and make control over it to be
surviving. surviving.
HOSPITAL MISSION: HOSPITAL MISSION:
To improve, restore, and provide health care services to the patients, and to To improve, restore, and provide health care services to the patients, and to being a training hospital for health science students.
being a training hospital for health science students.
Strengths of the hospital Strengths of the hospital
1.
1. AAvailability of vailability of expertise nuexpertise nursing staff ( more rsing staff ( more than five than five years), years), in spite of in spite of thethe problem of nursing shortage.
problem of nursing shortage. 2.
3.
3. Compliance Compliance code of code of ethics of ethics of hospital health hospital health care prcare providers.oviders. 4.
4. Periodically Periodically evevaluation aluation for for nurses nurses staffs.staffs. 5.
5. AAvailability vailability of of in-service ein-service education ducation programs.programs. 6.
6. Health care prHealth care provider's ovider's devdevelopment (phelopment (physicians, ysicians, nurses, multi-disciplinanurses, multi-disciplinaryry team).
team). 7
7. . Different pDifferent program derogram developmevelopment through nt through continues econtinues education deducation department andpartment and training courses.
training courses. 8.
8. Good Good interdisciplinary interdisciplinary working working place place social social support.support. 9.
9. AAvailability vailability of of the the hospital hospital infrastructures.infrastructures.
10. Availability of computer tempography- CT scan device . 10. Availability of computer tempography- CT scan device .
11. Strong informal communication channels among hospital departments. 11. Strong informal communication channels among hospital departments.
Weakness of the hospital Weakness of the hospital
1.
1. Low Low commitments commitments of hospof hospital polices ital polices and regand regulations.ulations. 2.
2. Lack of resLack of resources suppources support (time, moneyort (time, money, and suppo, and support) for devrt) for development.elopment. 3.
3. Few Few numbers numbers of RN's of RN's comparing with comparing with practical nupractical nurses.rses. 4.
4. No compNo competition especiaetition especially amonlly among nurses themg nurses themselvselves and es and other health caother health carere providers.
providers. 5.
5. Lack of Lack of work work innovinnovations and ations and creativity wcreativity work atmospheork atmospheres.res. 6.
7
7. . TToo much oo much of trial and error toof trial and error toward ward problem solproblem solving.ving. 8.
8. Inability of some Inability of some nurse depanurse department's managers rtment's managers to empoto empower their fwer their followollowers.ers. 9.
9. Miscommunication Miscommunication about about role of role of other hoother hospital departments spital departments or units or units withinwithin staff expectations about potential levels of collaboration and support.
staff expectations about potential levels of collaboration and support.
10. Too much duplication of and not up to date in-services education department 10. Too much duplication of and not up to date in-services education department
courses, each course doesn’t always need, it already presented previously. courses, each course doesn’t always need, it already presented previously. 11. Overlapping duties of nursing staffs.
11. Overlapping duties of nursing staffs.
12. Insufficient rewards and recognition for nurse's staff. 12. Insufficient rewards and recognition for nurse's staff. 13.
13. Centralized sCentralized structure of hotructure of hospital adminisspital administration.tration. 1
14. 4. Lack of visibility and transparenLack of visibility and transparency regardcy regarding to inappropriate behaing to inappropriate behaviors.viors. 15.
15. Lack of practices that depenLack of practices that depend on evidencd on evidence-based practice.e-based practice.
16. Lack of conducted statistical studies about the hospital health indicators. 16. Lack of conducted statistical studies about the hospital health indicators. 1
177. . Unsatisfied of Chief Nursing Officer Unsatisfied of Chief Nursing Officer educational leveducational level.el. 18. Insufficient accountability regarding medical errors. 18. Insufficient accountability regarding medical errors. 19
19. . High levHigh level of job stress among hosel of job stress among hospital nurses related to underspital nurses related to understaffed.taffed.
20. Unavailable of ideal standards that required protecting patient's confidentiality 20. Unavailable of ideal standards that required protecting patient's confidentiality
and privacy such as exceeded the ideal number of patients' bed in a given and privacy such as exceeded the ideal number of patients' bed in a given room.
room.
21. High nurse-patient ratio. 21. High nurse-patient ratio.
22. Weak of guard protection security hospital system, that could increase the 22. Weak of guard protection security hospital system, that could increase the
chance of workplace Violence. chance of workplace Violence.
23. Inability to create professional practice environment. 23. Inability to create professional practice environment. 24. High conflicts rate among hospital employees.
24. High conflicts rate among hospital employees.
25. Absents of qualified persons capable of leading quality improvement 25. Absents of qualified persons capable of leading quality improvement
programs. programs. 26.
26. High rate of job dissatisHigh rate of job dissatisfaction and faction and burnout among nurse's burnout among nurse's staff.staff.
Opportunities of the hospital Opportunities of the hospital
1.
1. Strong Strong relationships arelationships and fnd form of collaboration orm of collaboration with other gwith other govovernmentalernmental hospitals and health departments.
hospitals and health departments. 2.
2. Location of hoLocation of hospital serves spital serves large large population, more population, more avavailable conneailable connections, andctions, and resources.
resources. 3.
3. Easy Easy of the of the public public transportation to transportation to the hothe hospital.spital. 4.
4. Ability to Ability to expanexpand in hod in hospital departments spital departments and heaand health care slth care services.ervices. 5.
5. Opportunity to COpportunity to Create training reate training program and program and courses courses in health in health by by collaborationcollaboration with the health faculties that trainee their students in the hospital.
with the health faculties that trainee their students in the hospital.
Threats of hospital Threats of hospital
1.
1. Low Low staff income staff income in comparison in comparison with other pwith other private hospital rivate hospital sectorsector.. 2.
2. UnaUnavailable vailable good good community ocommunity outreach utreach initiatives.initiatives. 3.
4.
4. The inability tThe inability to attract and o attract and retain nursing retain nursing staff due to staff due to lowlower salaries.er salaries. 5.
5. Nurses' Nurses' staff recruitment staff recruitment process process derived derived from Minisfrom Ministry Of Hetry Of Health.alth. 6.
6. Insufficient Insufficient of of central central funding funding resources.resources. 7
7. . Lack of eLack of external fund resourcexternal fund resources for des for developmenvelopment of nurses and ot of nurses and otherther hospital employees.
hospital employees. 8.
8. High High nurse nurse salariesalaries in os in other cther countrieountries.s. 9.
9. NurNursing sing shoshortage.rtage.
10. Lack of information technology system. 10. Lack of information technology system.
11. Lack of Internet resources (i.e., search engines, online journals). 11. Lack of Internet resources (i.e., search engines, online journals).
