System characteristics contributing to dynamic complexity
In the context of Medical Associates, lack of authority mandated to carry out changing assignment for registered nurses, and medical assistants have proved to cause complexities (Pype et al., 2017). The organization has been facing a series of resignations due to the demands of the senior physicians to be reassigned with registered nurses who had been assigned to junior physicians. Such a structure regarding the replacement of registered nurses and medical assistance has led to negative consequences to the organization. Failure to have the authority to perform such activities has led to a series of resignations since one may view that such RN or MA feels the system is not considerate (Mustafee, 2016). Primarily, the Medical Associates, in five recent occasions, have been engaging in requesting to be reassigned registered nurses from junior physicians without consultations. Such issues cause conflicts either directly or within the individuals affected. Healthcare should develop a structure that deals with human resources issue to solve complexities in the system.
Dynamic complexities experienced are also related to insufficient RN and MAs in place (Lipsitz, 2012). The organization has the exact number of registered nurses and medical assistance concerning the ratio required per the physicians in place based on the area they handle. Therefore, issues such as gaps in service delivery are expected in the event where the RN or MA resigns. For example, in the case of reassigning of RN to senior physicians, it renders the junior physicians without an RN or MA to help in patient’s care. Such issues lead to poor delivery or overstraining since the junior or even the senior physicists without an assistant may face rough time balancing between their specializations and performing jobs intended to be done by RN or MA.
References
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Lipsitz, L. A. (2012). Understanding health care as a complex system: The foundation for unintended consequences. Jama – Journal of the American Medical Association, 308, 3, 243-244.
Mustafee, N. (2016). Operational research for emergency planning in healthcare: Volume 2. (OR Essentials series.)
Pype, P., Krystallidou, D., Deveugele, M., Mertens, F., Rubinelli, S., & Devisch, I. (2017). Healthcare teams as complex adaptive systems: Focus on interpersonal interaction. Patient Education and Counseling, 100, 11, 2028-2034.