Decision Making

Decision Making Based on Mission and Vision of an Organization This case study deals with leadership, decision making, and effective communication. Also, how important it is for a President and the staff to work together in a team to solve a problem. Not every decision is the correct resolution, but there are better decisions made when there is a group effort. This discussion will be completed through an analysis of the case study on decision making based on Mission and Vision of an Organization.
This discussion will determine the best decision making method, the final decision by the President, and how the decision will be communicated to the staff and the public. Community Medical Center is a medical facility dedicated to providing quality patient care with unrelenting attention to clinical excellence, patient safety and an unparalleled passion and commitment to assure the very best healthcare for those we serve. The decision for the President to decide about the case of an operating room nurse, who may have HIV/AIDS, would definitely be a difficult decision.
The President needs to provide a news release in 24 hours, and this will put more pressure on making a quick resolution. This would be a difficult task and there is not much time to make a decision. The best solution would be to review the mission statement that the President has utilized, and review the decision making models that will help influence the best decision. Also, a meeting would need to take place with the staff to help decide the best way in figuring out a solution in 24 hours.

The decision making models that will help the President in this situation are the Willful Choice Decision-Making Model and the Garbage Can Model. These models will help identify the issue and determine potential solutions. The Willful Choice Decision-Making Model is the first recommendation to help the President and the staff in determining the best solution. According to Johnson (2009) here are the six steps of the willful choice model. 1. Identify the problem 2. Collect data 3. List all possible solutions 4. Text possible solutions 5. Select the best course of action . Implement the solution based on the decision made (Johnson, 2009, p. 215). This is a very systematic approach that can help the President focus on the key issues in the decision making process. The problem is the nurse who contracted HIV/AIDS and how the hospital is at risk of losing the staff, and patients who will be transported to Community Medical Center’s local rival hospital. The President could gather the data and determine the outcome from each solution. The options are to remove the nurse from his position by relocating the employee to a non-patient area.
Although, the nurse refused this offer and wants to continue working the same position. This appears to be an acceptable offer and the employee would continue working and receiving the same pay. The President and the staff would need to select the best course of action, and implement the solution within 24 hours. Another problem is the concern of national media exposure by a main local newspaper. This would cause a major concern by patients and families and hurt the strong reputation of the hospital and the quality of the medical care (Johnson, 2009).
The President and the staff have a dilemma where it appears that either option will affect the hospital, staff, and patients. In addition, there is only 24 hours to come up with a decision. Next, the members of the organization need to determine the best course of action, and to implement the best solution. There are four basic principles that are made by choice. They are unambiguous, probability and knowledge of consequences, a rational and consistent priority system for alternative ordering, and heuristics or decision rules to choose an alternative (Johnson, 2009, p. 15). The President and the staff need to look at what the consequences will be for each scenario. They can make a decision by analyzing both situations and determine the probability for each consequence. The President needs to communicate effectively with the staff and this individual needs to be an active listener when deciding how to resolve this problem. The team needs to be able to voice their opinion, and everyone needs to agree with their final decision. If the President needs to provide a news release, He would need to have the ability to communicate effectively.
The team needs to do crisis communication planning before the crisis occurs, and be prepared to deal with the world reporting on this crisis (Anonymous, 2010). The decision will be a collectivistic assumption. Since, the decision will be made by a group, and everyone in the staff will have a chance to voice their opinion (Johnson, 2009). The objective is a group consensus, and each person has the ability to communicate and make a difference in the organization.
Teams that have more functional interaction, such as problem-solving interaction and action planning, were significantly more satisfied with their meetings (Kauffeld, Lehmann-Willenbrock, 2012). The President is not making the decision alone, and a team that has the ability to problem solve will make better choices. The decision made by the President is based on what the team has expressed, and the resolution would not cause any layoffs. The hospital has a great reputation providing quality care to the patients, and they want to continue providing the same service, and the hospital does not want to lose millions of dollars.
The President and the members have decided to continue with the offer by relocating the nurse to a non-patient area. The employee would still have a position in the hospital and receive the same pay and working hours. This is a better decision than terminating the nurse. After reviewing the options, this was the best solution for Community Medical Center in continuing their reputation for the patients and residents in the area. This decision could have a downfall, but I think with that the team made a best decision for this issue.
If the members decided to not make any changes with the nurse, the hospital would have lost millions of dollars, many effective employees who made a difference in the community. The President and the members made a decision and not every decision is the most desirable, but a group decision is better than one decision. It takes effective communication, problem solving, and working in a team to come up with the best resolution. This case study showed how to have effective communication within an organization. It takes a team to work together and utilize the decision making models.
The staff needs to problem solve effectively, even if there is only a limited amount of time. The President needs to have clear communication, and have the ability in being an active listener. The decisions that are made by team may not always be correct, but there are better resolutions as a group than making decisions just from the President. When a President has a vision and a mission statement, a company has a clear path and the employees will have a better understanding of the direction for the organization. A mission statement is a great way to clarify the intentions of a company.
References Johnson, J. (2009). Health organizations: Theories, behavior, and development. Boston: Jones and Bartlett. Kauffeld S, Lehmann-Willenbrock N. Meetings Matter: Effects of Team Meetings on Team and Organizational Success. Small Group Research [serial online]. April 2012;43(2):130-158. Available from: Business Source Elite, Ipswich, MA. Accessed April 2, 2013. What’s your advice for communicating in a crisis? (2010). Communication World, 27(4), 13-13. Retrieved from http://search. proquest. com/docview/519657390? accountid=32521