Culture and Level of Readiness of an Acute Care Hospital

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The Organizational Culture
The acute care hospital's culture profoundly emphasizes addressing nurse burnout, cultivating an environment of inclusivity, and active nurse participation in decision-making. It strongly supports change, actively adapting its policies and practices to proactively address nurse burnout, creating a responsive and dynamic setting for its staff.
Organizational and Leadership Structure
The hospital's decentralized, participatory leadership structure empowers nurses to actively engage in decision-making processes, a pivotal component in mitigating nurse burnout.
Mission and Values
Its mission statement unequivocally prioritizes nurse well-being, underlining the organization's dedication to providing necessary resources and support for nurses, thus fostering a culture centered around addressing and preventing nurse burnout.
Interprofessional Collaboration/Team Engagement
Through regular wellness initiatives and interdepartmental support groups, the hospital promotes interprofessional collaboration as an essential strategy to combat nurse burnout, recognizing the importance of mutual support and shared experiences among healthcare professionals.
Communication
Open and transparent communication channels enable nurses to express their concerns and ideas, with the organization actively listening and responding, thereby building a culture of trust and responsiveness to nurses' evolving needs.
Perception of the Organization by Employees
Nurses perceive the hospital as a caring institution that genuinely values their well-being, and this positive perception reinforces a culture of support and resilience, motivating nurses to address nurse burnout actively.
Organizational Tool
The Survey of Organizational Research Climate (SCORE) survey, an organizational evaluation tool, encompasses scales to assess different facets of the organizational context, including work-life atmosphere, teamwork dynamics, safety culture, burnout climate, personal burnout experiences, and local leadership effectiveness (Adair et al., 2018).
The survey findings from SCORE paint a troubling picture of the organization. Burnout, at both the organizational and individual levels, stands out as a significant concern, reflecting insufficient support and resources for staff well-being. The "Improvement Readiness" sub-scale suggests a general unwillingness to embrace change or initiatives for improvement, underscoring a prevalent resistance within the organization.
Strategies to Facilitate Readiness in the Organization