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¶ … SWOT analysis focuses on identifying the internal strengths and weaknesses, along with the external opportunities and threats, for an organization. In this case, the SWOT analysis will be done on a specific situation, with a large number of items under each. The initial SWOT analysis for the situation presented is as follows
Strengths
Weaknesses
Opportunities
Threats
The problem has been identified
Overburdened nurses
Restructure nursing management
Poor customer perceptions/negative publicity
Experienced staff
Financing issues
Gain more funding
Board could deny financing
New leaders (Dr. M and Chief of Staff
Union constrains solutions
Build more individual accountability
Unions/culture could present roadblocks to change
A new CEO can accelerate this process
Nurses lack independence
New leaders = new culture
Capacity issues make it tough to change how things are done
Dr. M is a pro
Modest level of education in the department
Increase the level of education
Physicians are another potential roadblock
Obviously, there are more weaknesses than strengths, as this organization if foundering. The weaknesses are myriad, but most seem to relate to the organizational culture and the systems for doing things....
The time to move patients is excessive. One shift has the burden of most of the paperwork. Customer satisfaction is decreasing, to the point where the news media is getting involved, which only creates a further downward spiral. Internally, the organization is beset by people defending their ways of doing things, or their turf. A lot of the old guard in the institution has been there for decades and seems completely resistant to change, despite the obvious struggles. Further, there may or may not be funding available to address some of the critical capacity issues.
The strengths seem to be with the newer managers, such as Dr. M and the new Chief of Staff. There should be a new CEO on the way, too. With a change at the highest levels of leadership, new life has been breathed into the organization. Problems are beginning to be identified, which will help in finding the best solutions. As much as the organizational culture is a problem, the staff are experienced and competent, which is definitely better than the alternative.
The real opportunity here is to leverage new leadership and negative publicity to change the systems and processes within the facility. New leaders can bring about new culture. Organizational change typically requires motivators -- not only are new leaders motivators but negative publicity in the press is as well. This creates impetus for change because it highlights the reality that the problems are not subject to Dr. M's misinterpretation -- they…
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