SWOT analysis
Jordan University of Science and Technology Faculty of Nursing NUR 707: Management of Nursing Services II
SWOT analysis Submitted by:
Ashraf Smadi. RN, NSA student
[email protected] Student # 20063040026
Submitted to:
Dr. Yaseen Hayajneh RN PhD Dece.2007 1|Page
SWOT analysis
AL-yarmouk hospital Proposed SWOT analysis 2007 / 2008
This SWOT analysis proposed for Al-Yarmouk Al-Yarmouk hospital, during my training as required for Nursing Service Administration Practicum II (NUR 707) course. I will work in partnership with Chief Nursing Officer to propose this SWOT analysis in order to achieve one of the most important managerial tools used for strategic 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 novel ideas to help an hospital understand or recognize how it relates to it is internal (strength & weaknesses) and external environment (opportunities & threats). 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 the world going on around it. And to complete t heir mission as possible as in success way and keep it congruent with hospital strategic goals.
Structure of the hospital Al-Yarmouk Al-Yarmouk hospital is located in north of Jordan, specifically in the Bani Kananah, relates with the province of Irbid. Follow the Jordanian Ministry of Health,
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SWOT analysis provides health care services for about 100.000 Bani Kananah patients patie nts especially, especially, in addition of all Jordanian patients. AL-yarmouk hospital was opened in 2003, consists of three buildings, outpatients' clinic, emergency, and inpatients area. The total hospital ca pacities beds 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%. Inpatients building in the Yarmouk Yarmouk hospital consist of male-female surgical department, male-female medical department, pediatric department, neonatal department, maternal department, intensive care unit, Hemodialysis unit and four operation theaters.
Qualifications of Nursing Department The objectives of nursing department are providing nursing health care in satisfactory level, develop competency of staff team, be familiar with patient needs, 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 24 years of experience. Al-Yarmouk Al-Yarmouk hospital has nursing staff mix. It contains 42 registered nurses (10 M; 32 F), and 28 midwife (22 are have diploma degree and 6 have bachelor's degree) also al so a 28 assistant nurses (22 M, 6 F), and 30 Aid nurses, whom exposure to nursing training programs about 6-18 months. Most of the register nurses were graduated from Jordan University of science and technology and other Jordanian universities. The Al-Yarmouk Al-Yarmouk hospital classified as a basic hospital, the total capacity of hospital beds is one hundred bed, they are only 60 beds are available. Nursing shift schedule divided into two shifts (A shift & BC shifts). The A shift time duration 8 hours from 7:00 am to 3:00 pm of work for each ea ch A shift, and BC shift with 16 hours 3|Page
SWOT analysis 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 nurse educational level.
Al-yarmouk hospital as a system According to system theory; it is enable health care administrators to structure, 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 of Al-yarmouk hospital, and the challenges of managing hospital in internal and external environment, also it will assist hospital managers to identifying hospital strengths weaknesses, threats, and opportunities. Al-yarmouk hospital, classified as an open system, is composed of interrelated subsystems and suprasystems, which process input, throughput, and output of services, energy and information. Al-yarmouk hospital boundary is permeable, as it is fully interacting with their environment (internal & external). It is composed of inputs which include human resources, financial, financial , information, materials, and time. And process components such as planning, controlling, staffing, directing, organizing, 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 inputs, technical, financial, and social. All hospital departments such as nursing, radiology, radiology, medical staff, lab, pharmacy, pharmacy, and security have fully interaction between them and other external departments, and have interdependent or interconnections, additionally hospital and environment affect each others to be survive, it is 4|Page
SWOT analysis interchange with the environments, either input from the environment or output into 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 ways. Al-yarmouk hospital also maintains their dynamic existence by continuously exchanging energy and information with their environments. Threats are external factors that can effect negatively on hospital services when the managers failed to minimize the impact of disruptive forces from external environment, opportunities are also an external factors but effect positively when hospital managers effectively mobilized the resources and facilities from the external environment. Therefore, hospital mangers must always keep the homeostatic situation among their system as possible as they can. Consequently, Strengths and weakness are internal fac tors which that effect directly on hospital healthcare services positively or negatively. Therefore healthcare administrators must do periodically feedback about all aspects of 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 surviving.
HOSPITAL MISSION: To improve, restore, and provide health care services to the patients, and to being a training hospital for health science students.
Strengths of the hospital 1. Availability of expertise nursing nursing staff ( more than five years), in spite of the problem of nursing shortage. 2. Availability of of job description description for for all nursing nursing levels. levels. 5|Page
SWOT analysis 3. Compliance code of ethics of hospital health care providers. providers. 4. Periodically evaluation evaluation for nurses staffs. 5. Availability of in-service education education programs. 6. Health care provider's provider's development development (physicians, (physicians, nurses, multi-disciplinary multi-disciplinary team). 7. Different program program developme development nt through continues education education department department and training courses. 8. Good interdisciplinary working place social support. 9. Availability of the hospital infrastructures. 10. Availability of computer tempography- CT scan device . 11. Strong informal communication channels among hospital departments.
Weakness of the hospital
1. Low commitments of hospital hospital polices and regulations. regulations. 2. Lack of resources resources support support (time, money, money, and support) support) for development. development. 3. Few numbers of RN's comparing with practical nurses. nurses. 4. No competition competition especially especially among among nurses themselv themselves es and other health care care providers. 5. Lack of work innovations innovations and creativity work work atmospheres. atmospheres. 6. Understaffed Understaffed departments departments and high high workload workload on hospital staffs. staffs.
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SWOT analysis 7. Too much of trial and error toward toward problem solving. solving. 8. Inability of some nurse department's department's managers to empower empower their follow followers. ers. 9. Miscommunication about role of other hospital hospital departments or units within staff expectations about potential levels of collaboration and support. 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. 11. Overlapping duties of nursing staffs. 12. Insufficient rewards and recognition for nurse's staff. 13. Centralized structure structure of hospital hospital administration. administration. 14. Lack of visibility and transparency transparency regarding regarding to inappropriate behaviors. behaviors. 15. Lack of practices that depend depend on evidence-based evidence-based practice. 16. Lack of conducted statistical studies about the hospital health indicators. 17. Unsatisfied of Chief Nursing Officer educational level. level. 18. Insufficient accountability regarding medical errors. 19. 19. High level level of job stress among hospital hospital nurses related to understaffed. understaffed. 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 room. 21. High nurse-patient ratio. 22. Weak of guard protection security hospital system, that could increase the chance of workplace Violence. 7|Page
SWOT analysis 23. Inability to create professional practice environment. 24. High conflicts rate among hospital employees. 25. Absents of qualified persons capable of leading quality improvement programs. 26. High rate of job dissatisfaction dissatisfaction and burnout among nurse's staff.
Opportunities of the hospital
1. Strong relationships and and form form of collaboration with other gov governmental ernmental hospitals and health departments. 2. Location of hospital hospital serves large population, more available available connections, connections, and resources. 3. Easy of the public transportation to the hospital. hospital. 4. Ability to expand expand in hospital hospital departments and health health care services. services. 5. Opportunity to Create Create training program and courses in health by collaboration with the health faculties that trainee their students in the hospital.
Threats of hospital
1. Low staff income in comparison with other private private hospital sector. sector. 2. Unavailable Unavailable good community outreach outreach initiatives. 3. Lack of technology technology advancement advancement and updated updated devices. devices. 8|Page
SWOT analysis 4. The inability to to attract and retain nursing staff due to lower lower salaries. 5. Nurses' staff recruitment process derived from Ministry Ministry Of Health. Health. 6. Insufficient of central funding resources. 7. Lack of external external fund resources resources for developmen developmentt of nurses and other other hospital employees. 8. High nurse salaries salaries in other other countrie countries. s. 9. Nursing Nursing shortage. shortage. 10. Lack of information technology system. 11. Lack of Internet resources (i.e., search engines, online journals).
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