Comprehensive Solutions for Excessive Nurse Attrition in UK Hospitals

This report addresses the critical issue of nurse attrition within the UK healthcare system, proposing multifaceted solutions to mitigate the problem across five hospitals. The report highlights the importance of implementing cultural fit and comprehensive orientation during recruitment, along with high incentive schemes, particularly for overtime, to retain nursing staff. It emphasizes the need for professional counseling services and awareness programs to support nurses, fostering positive relationships between nurses and employers to create a supportive work environment. The report identifies both internal and external stakeholders involved in decision-making processes, including employees, physicians, customers, and government officials, and outlines the procedures these stakeholders employ. It also analyzes the impact of stakeholders on acquiring a CT unit, demonstrating how various factors affect the organization's financial and operational decisions. Furthermore, the report explores internal factors like leadership, communication, and organizational mission/vision, as well as external factors influencing decision-making within healthcare settings, providing a comprehensive overview of the challenges and opportunities in managing nurse attrition.

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Principles of Healthcare Administration
Name
Institution
Author’s Note

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Solutions for excessive nurse attrition at 5 hospitals within the boundaries of the United
Kingdom
Coming up with appropriate relevant solutions that aims towards addressing a wide variety of
fundamental issues regarding nurse attrition at different hospitals that are known to be operating
within the UK appears to be one of the best options that is geared towards creating a wide range
of development within the entire health sector(Biswas Pramanik & Giri, 2016). Moreover, these
solutions are capable of providing appropriate recommendations on some of the operations that
should be implemented. The following are some of the major solutions that are capable of
addressing excessive nurse attrition;
(1) Implementation of both cultural fit together with conducting an extensive form of
orientation when carrying out the selection techniques during the recruitment of various
nurse. This will ensure that adequate and reliable information is passed to the personnel
thus highlighting them on some various situations.
(2) Implementation of high incentive schemes- the implementation of high incentive schemes
appears to be another form of solution most so when it is specifically implemented for
working overtime since it is fully concerned with providing a wide variety of nursing
personnel who are well versed with counseling sessions together with several other forms
of stress management and self-care support that will be able to address some of the
fundamental issues without encountering any barriers.
(3) Implementation of reliable professional in the counseling departments- Coming up with a
reliable set of professionals who will be working in the counseling department will act as

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one of the biggest steps to be made by the whole organization. These individuals will be
able to come up with reliable guideline programs for the nurses thus highlighting them on
so some of the things that they should do together with the ones that they are required to
avoid as much as possible in order to meet a specific set of objectives within the
stipulated time frame.
(4) Appropriate creation of awareness among the nurses- Creation of awareness among the
nurses clearly involves taking them to certain sessions of training that are associated with
what is being done within the nursing boundaries as far as the organizations are
concerned. These further acts as an eye opener to them thus going as far as eradicating
the emergence of excessive nurse attrition within the organizations since they will have
developed a diverse thinking capability from the entire creation of awareness in relation
to various issues and decision making process.
(5) Creation of positive relationships between the nurses and the employers- A positive
environment is capable of coming up with one of the most reliable environmental
conditions where different operations can be carried out without any disturbances.
Coming up with a positive relationship that exists between the nurses and the
management officials of the organization will enable the employees to understand one
another in an adequate manner. As a result of this, positive relationships have been able
to provide some of the most relevant solutions towards excessive nurse attrition that is
being encountered by the healthcare organizations. This further makes them to attain all
their desired goals and objectives within the stipulated time frame without coming across
any form of barrier related situation.

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Internal and external stakeholders involved in the decision making
There are a wide variety of both the internal and external stakeholders who are known to be fully
involved in the decision making processes where they tend to come up with some of the
appropriate decisions that are attached to the goals and objectives of the organizations.
Moreover, these stakeholders have developed the sense of implementing a wide range of ethical
considerations in most of their operations thus making it much easier for them to know exactly
what they should do. (Rao & Tilt, 2016). To come up with some of the most appropriate
decisions, both the internal and external stakeholders are required to come together with an
intention of sharing their ideas pertaining what they are capable of thinking regarding various
scenarios thus making sure that the whole organization takes the right path. When making
decisions, it requires an individual to come up with a wide range of options by adequately
identifying a particular set of decisions, gathering appropriate and reliable information together
with carrying out an alternative assessment associated with various resolutions.
Employees form one of the major examples of internal stakeholders. They have been given the
mandate to fully take part in specific types of decision making processes most so the ones that
revolve around various issues involving the performance of the employees. By coming up with
appropriate and reliable decisions, they tend to provide on one of the easiest time to the top
management officials for them for them to fulfill these needs in order to increase the employee
performance at various levels. Moreover, the physicians also play an essential role of acting as a
major internal stakeholder where they are capable of coming up with a wide range of decisions.
(Fried, 2016). Appropriate and reliable physicians have always been able to provide some of the
most efficient decisions that have brought on board a wide range of benefits therefore

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minimizing the occurrence of any negative impact that is likely to take place either at the current
situation or even in the coming future (Peng et al., 2016).
External stakeholders
Some of the major external stakeholders include the customers together with the senior
government officials who are known to have the potential of taking part in a wide range of
decision making processes (Garg, 2016). The customers have been able to have the capability of
determining the kind of services that are provided to them whenever they are in need. Most of
the customers normally give their first priority to quality services that should be delivered to
them within the minimum time possible. On the other hand, government officials also play an
essential role under this category of stakeholders (Peng & Yang, 2016). They have the capability
of coming up with a wide range of policies that aims towards governing the entire sector thus
controlling the way various operations are being carried out within the healthcare organizations
(Wei, 2016). At the same time, these senior government officials are also known to take part in
coming up with a wide range of rules and objectives most so when they combine ideas. Various
rules and regulations that are capable of emerging as a result of the decisions attached to various
personalities normally ensure that adequate and reliable operations are well implemented without
any assumptions being made (Kon et al., 2016).
Both the internal and external stakeholders who are normally involved in the decision making
processes normally implement certain procedures to ensure that a more reliable outcome is met.
The following are some of the decisions making procedures that are normally being implemented
by the stakeholders;

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 Identification of the procedures-Through this process, the stakeholders normally come on
board to clearly define the nature of all the decisions that they need to take. Thus
obtaining on of the most appropriate guidelines that will take them towards the required
direction.
 Gathering of relevant information- During the decision making processes, both the
internal and external stakeholders normally tend to obtain some of the relevant
information before making up the decisions. It is a step that fully involves both the
internal and external analysis pertaining various situations together with the use of
different parameters (Kou, Ergu, Lin & Chen, 2016).
 Identification of alternatives- This normally appears to be one of the most fundamental
steps that these stakeholders normally implement when it comes to making various
decisions associated with the entire organization (Hargraves, LeBlanc, Shah & Montori,
2016). During the collection of various set of information, they always tend to involve the
identification of several possible paths of action together with various forms of possible
alternatives. On the other hand, they also tend to implement the use if their own
imaginations together with several other forms of additional information with an
intention of coming up with several forms of new alternatives (Marsh et al., 2016).
 Weighing of the evidence- In order to ensure that an appropriate decision is made, both
the internal and external stake holders normally try as much as they can to weigh the
evidence they are capable of coming across. This normally gives them an alternative to
draw their information and a set of emotions for them to imagine what it would actually
be like if they adequately addressed all the alternatives up to the end.

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 Taking action- This is normally the final step that is always taken during various decision
making processes among all the stakeholders. They normally take action in relation to the
appropriate decisions that needs to be fully addressed in order to come up with a
particular set of objectives.
Impact of various stakeholders in acquiring a CT unit
Various stakeholders tend to have a wide range of impacts when it comes to acquiring Ct unit
thus impacting on the organizations in different ways (Şahin & Liu, 2016). One of the major
impact of the stakeholders in relation to the acquisition of the CT unit is that they have the
capability of determining the exact price that should be used for the entire purchase process
thus driving the decisions of the whole organization regarding which unit to be acquired in
order to ensure that a wide range of objective are adequately attained (Walter, Alsaadi, Hayat
& Alsaedi, 2016). This clearly indicates that they have the capability of determining the
financial impacts that are going to be used in order to obtain the resource that is geared
towards performing a variety of functions. Moreover, the stakeholders are capable of
determining the exact time in which the whole unit should be acquired. This normally comes
on board as a result of the decisions that they are capable of making under various
circumstances (Zavadskas et al., 2016). Customers being one of the major stakeholders have
the capability of determining which type of unit is best for them together with the entire
organization thus providing the top management officials with a task of coming up with the
right things as per the decision of the customers in order to fulfill all their respective needs
without any delays being encountered (Diakopoulos, 2016).

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Internal and external factors impacting on decision making
There are a wide range of internal factors that are known to have the capability of impacting
differently on decision making (Thokala et al., 2016). These factors tend to change the way
an organization carries out various operations under different circumstances. The following
are some of the internal and external factors that are known to have the capability of
impacting on decision making processes within the organization;
Internal factors
 Leadership- This is one of the major internal factor that is known to have the capability of
impacting on a wide range of decision making processes attached to the whole
organization. Good leaders will ensure that appropriate and reliable decisions are
adequately implemented with an intention of taking the whole organization to the next
level in terms of its performance (Rodríguez, Labella & Martínez, 2016).
 Communication- Communication process taking place between the employees and top
management team of the whole organization is known to have the capability of impacting
on the level of decisions that will be made within the organization. Adequate and reliable
communication processes will lead to the implementation of a more advanced level of
decision making within the organization that will bring a lot of positive outcomes to the
whole organization
 The mission and vision of the organization- The mission and vision of the whole
organization has the potential of fully influencing the nature of decision making process
that is known to be taking place within the organization (Zeng, Chen & Li, 2016). In
most occasions, the decision making will normally be aligned with both the mission and
vision of the organization in order to ensure that a variety of goals and objectives are

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acquired in a reasonable and appropriate manner without any confusions being
encountered.
 Type of employees- The employees within the organization are capable of impacting on
the decision making process depending on the type of outcome that they require in
relation to various decisions that are being made on behalf of the whole organization.
Reasonable employees with good ethical considerations are capable of coming up with
one of the most reasonable decisions that are geared towards the path of development
thus making sure that the whole organization is taken to the next level (Xu & Wang,
2016).
 Financial stability- Financial stability is an internal factor that is capable of making an
organization to come up with various decisions depending on the nature of finance that
the organization has. Adequate finance enables an organization to come up with a wide
range of reasonable decisions whereas inadequate finance is capable of making an
organization to come up with various decisions whose benefits are not capable of lasting
longer (Joshi & Kumar, 2016).
External factors
 Competitors- Competitors are among the major external factors that are capable of
impacting on the decision making process taking place within the organizations (Trianni,
Cagno & Farné, 2016). At this point, the decisions will always be implemented according
to the nature of operation attached to various competitors who are known to be existing
within the market platform
 Customers- At the external level, customers tend to form another set of external factor
where they have the capability of adequately impacting on a wide range of decision

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making issues taking place within the organizational boundaries. At some point, a given
organization might come up with a set of decisions in relation to the needs of the
customers who are found at the external level with an intention of fulfilling all their needs
without any delays.
 Economy- This is an essential external factor that needs to be well addressed. Normally,
various organizations work hard in order to make decisions that are in line with what is
taking place at the economic level. A good economy that aims towards benefiting a wide
range of organizations will always make the same organizations to make some of the
appropriate and reliable decisions with an intention of ensuring that everything is well
placed in order in which it is required.
 Technological factors- The need to keep up with the current technological trends within
the organization is capable of determining the kind of decisions that the entire
organization is capable of coming up with in order to obtain a specific set of objectives
that are capable of making them to run smoothly.
Both the internal and external factors that determine various decisions making are also capable of
determining the way a given organization is capable of performing in the coming future. Coming
up with appropriate and reliable decisions as a result of these factors will ensure that an
organization is adequately scaled up to the next level without any difficulties (Spatz, Krumholz
& Moulton, 2016). Similarly, poor decision making strategies that are likely to be triggered by
these factors will make an organization to underperform in terms of meeting all the needs that are
required by a wide variety of customers.

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Conclusion
Decision making plays one of the most significant roles in nearly each and every
organization. It has the capability of determining the positive outcomes of an organization.
Moreover, it can be used to highlight a wide range of loopholes that are likely to exist within the
organization. (Rodríguez et al., 2016). Additionally, it is the duty of the top management
officials to ensure that appropriate decision making processes are well implemented according to
the available rules and regulations of their respective organizations. At the same time
stakeholders play some of the most crucial roles in an organization, be it the internal stakeholders
or the external stakeholders all of them still form an essential part of any given organization. All
the decisions that are made by both the internal and external stakeholders who are attached to a
particular organization are capable of influencing the way that organization performs its
activities in the coming future. On the other hand, it is also important to include ethical
considerations in most of the operations being carried out by an organization since this is among
the best ways that can offer reliable guidance to the entire organization regarding the path that it
should choose together with some of the practices that involves the employees. This leads to the
emergence of one of the most reasonable boundaries regarding some of the things that should be
done together with the ones that should always be avoided. Al the management officials should
be ready to work together with each and every employee within the organizations thus providing
a perfect environment to analyze some of the areas where the strengths of the organizations
might be existing. On the other hand, nearly all the organizations should be ready to integrate its

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vision and mission with all the decision making processes that involves both the internal and
external stakeholders therefore making it very easy to choose of various decisions that are more
important in terms of bringing on board a wide range of development across various sectors in a
given organization (Waldron et al., 2016).