Assignment Leadership; Systems Theory

Assignment Leadership; Systems Theory


Assignment Leadership SystemsTheory

NursingDepartment Stressful issues by Pediatric nurses


Systemstheory postulates that it is possible to discover patterns of issuesor feedbacks based on inputs. Systems are regarded as self-regulatingor self-correcting under the system theory organizations departmentsare conceptualized as open systems that self-transform, are dynamicand correct feedbacks to improve or make adjustments based on issuesfaced.

Problemencountered by Pediatric nurses in hospitals

Pediatricnurses deal with varying stressful issues in their line of duty. Inpart, pediatric nurses have to risk contacting infectious diseases,stress of dealing with death of children, lack of adequateinformation and lack of effective clinical experience. Whenchildren’s die, it becomes a stressing problem for nursesespecially for pediatric Oncology nurses who encounter childrendeaths regularly. In the same note, pediatric nurses have to dealwith parental stress for parents whose kids are sick or die in theprocess of treatment. Pediatric nurses also have to cope with stressoccasioned with inflicting pain on children during treatment and thatof stressed parents. Things becomes stressing when Pediatric nursesare not remunerated well or provided with adequate facilities foroptimal care provision.

UsingTable 1 in the Meyer article as a guide to analyze the PediatricNurses Stress

Accordingto the open system theory, any problem in organization department canbe conceptualized as having inputs, throughput, output, cycles ofevents and negative feedbacks (Meyer and O’Brien-Pallas, 2010). Inthe case of Pediatric stress the following is a description of theinputs, throughput, cycle of events and negative feedback.

Inputs:Inputsin the Pediatric nurse departments include feedback from carerecipients, availability of resources, labor, information andexperience.

ThroughputNursinginterventions through treating sick children, supporting stressedparents and providing advice.

OutputOutputsin the Pediatric department includehighernumber of sick children treated, providing emotional support tostressed parents.

Cyclesof events Eventsin the pediatric department involves dealing with sick children,stressed parents, health care administration and interaction betweenstaffs. The administration and support staffs help in exchanging andtransforming activities. The administration provides and staffsprovide the required materials and support to treat children.

Negativefeedbacks: Pediatricnurses’ performance is influenced by stressful working environmentpediatric nurses do not perform optimally due to lack of effectivesupport from the administration, few nurses, lack of adequateinformation, experience and overwhelming tasks(Meyer and O’Brien-Pallas, 2010).

Descriptionof the problem Pediatric Nurses’ Stress

Accordingto the open system theory, departments work as relational structureswith different subsystems that contribute to effective delivery ofservices or good outputs. In this open system theory, inputs,throughputs, cycle of events and negative feedback helps in modelinga system towards the desired objectives(Gittell, 2002).The problem of pediatric stress is related to inputs, cycle of eventand throughput. Pediatrics lack enough information and experience todeal with complex issues found in the pediatric department(Carter and Chochinov, 2007).Pediatric nurses deal with complex stressing aspects when dealingparents and children. Pediatric nurses experience challenges in theirthroughput intervention practice. Most administrations in hospitalsdo not provide pediatric nurses with adequate resources (informationand training) that are needed to address the stress encountered inthe Pediatric department(Kimberly, 1976).To this end therefore, the problem encountered by pediatric nurses isbased on input, throughput and cycle of event.

Howto address the problem


Thedesired outcome is addressing the problem of Pediatric nurse stressis addressing the problem of compassion fatigue stress, work settingimprovement and enhancing communication and support from the hospitalmanagement and staffs. Often, pediatric nurses’ experiences burnouts, trauma and ethical stress and this must be addressed byreducing this compassion stress.

Goalsand Objectives

Themain objective of addressing the problem of pediatric stress amongnurses is to improve care delivery services, enhance morecollaboration with hospital management (cycle of events) and outputs.Another objective is applying the right human resource managementpractices and policies that allow for work/life balance. Improvingthe expertise, experience and education is another objective aimed inreducing pediatric stress among nurses. In this case, the overallobjective will be using the negative feedback to make adjustments oninputs, throughput, output and feedback(Meyer, 2010).

Policiesand Procedures

Onof the policy that should be applied in realizing the objectivesstated above are having effective human resource managementpractices. Human resource managers should allow pediatric nurses tohave ample work/life balance. The hospital management should haveeffective human resource management policies that gives nurses timeto nurture them, provide more training and on-site work counseling toaddress emotional strain encountered by pediatric nurses (Meyer,2010).These procedures and practices enhance throughput and cycle of eventenergies required to improve quality of care delivered to patients(Doran, Harrison, Laschinger, Hirdes, Rukholm, Sidani et al. 2006).Other procedures include setting mandatory training sessions for allpediatric nurses to improve their expertise. Employing more pediatricnurses and support staffs to reduce burn out and stress amongpediatric nurses. Lastly, in order to address the stress of pediatricnurses during their duties, policies that allow counselors to workalongside pediatric nurses should be adopted to provide emotional andpsychological support to nurses and parents.

Relevantprofessional standards

Allnurses are bound by professional standards that demands that theyhave required education and practicing license. Pediatric nurses aswell as other nurses require continuous professional training anddevelopment in order to improve their practice knowledge and clinicalcompetency. Ethically, all nurses are required to uphold good nursingethics that protects and promotes patients confidentiality,provisions of quality care without discrimination and accountability.Pediatric nurses should enhance their accountability competency bysharing information. In addition, nurses should be responsible in alltheir undertakings for enhancing societal and healthcare needs forthe general community.


Theproposed approach on addressing the pediatric problems are in linewith the health organization’s mission and value of providingquality and holistic care to all patients. By addressing thestressors that inhibit the realization of the full potential bypediatric nurses, the suggested solution will help improve servicedelivered by nurses. Furthermore, the suggested solutions will helpenhance health organization’s communication and interaction culturebetween the management and the staffs.


KimberlyJR. (1976). “Organizational size and the structuralist perspective:a review, critique, and proposal.” AdministrativeScience Quarterly.21:571–597.

DoranD, Harrison MB, Laschinger H, Hirdes J, Rukholm E, Sidani S, McGillisHall L, Tourangeau AE, Cranley L. (2006). “Relationship betweennursing interventions and outcome achievement in acute care settings.Researchin Nursing &amp Health.29(1):61–70.

CarterAJE, Chochinov AH. (2007). “ A systematic review of the impact ofnurse practitioners on cost, quality of care, satisfaction and waittimes in the emergency department.” CanadianJournal of Emergency Medicine.9(4):286–295.

GittellJH. (2002). “Coordinating mechanisms in care provider groups:relational coordination as a mediator and input uncertainty as amoderator of performance effects. ManagementScience.48(11):1408–1426.

MeyerRM. (2010). “RelationshipsAmong Span, Time Allocation, and Leadership of First-Line Managersand Nurse and Team Outcomes.Toronto, ON: Doctor of Philosophy, Graduate Department of NursingScience, University of Toronto.

MeyerRaquel M, O’Brien-Pallas, L Linda, (2010). “Nursing ServicesDelivery Theory: An Open System Approach.” JAdv Nurs. 66(12): 2828–2838.