1.1.
Mind Map

In
the workplace stress is a major issue. The stress can occur due to different
reasons such as the behaviour of the top management, the behaviour of the
colleagues, the huge amount of work and emotional disturbances. Working in a
healthcare organization is quite tough because there are many activities which
the healthcare professionals have to perform. If health care professionals are
not going to focus on their activities than serious issues can arise which can
affect the health of their patients. The nature of health care job requires its
employees to work with full dedication and stay alert in their working hours.
Such a hectic routine can cause stress in the employees.
According to the research findings of
Friganovic, Selic, Ilic, and Sedic (2019), stress is a common outcome of workplace
issues and conflicts. Burnout associated with chronic diseases and interpersonal
stressor is critical for the mental health and physical health conditions of nurses
and other medical staff. In the work context, burnout and stress are also
linked with job satisfaction at the health care centres. According to the
research study, the high rate of job dissatisfaction in the nurses directly
indicates the chances of burnout and stress issues in the near future.
Although, employees working in healthcare organizations having higher job
satisfaction level mostly have low emotional exhaustion. Emotional exhaustion
level represents the job satisfaction level and future chances of work life
stress and burnouts (Friganovic, Selic, Ilic, & Sedic, 2019).
Additionally, research studies conclude
that perception of nurses about care and benefits given to them in return of
services at healthcare center also influence the chances of burnout. Nurses
working in the critical care units and highly demanding wards project more
exposure to working life stress and job dissatisfaction because of excessive
work load. For instance, researchers have concluded that nurse working in the dialysis
wards and orthopaedic wards mostly have more chances of occupational burnout as
compared to the nurses who work in the skincare and other simple healthcare
units (Selamu, Hanlon, Medhin,
Thornicroft, & Fekadu, 2019).
In
the above mind map diagram, the work stress among nurses is depicted. The mind
map diagram is showing the types of stress, its symptoms, sources and the
stressors that cause stress. Through the mind map diagram, a complete scenario
of the stress can be understood. In other words, through the above diagram, it
can be known which things cause stress and how stress can be mitigated. If the
person knows that these are the symptoms of stress than the person can control
it on time. If the person does not know about the symptoms of stress than
mitigating stress accurately is not possible.
The central point of the diagram (mind
map) is workplace stress which represents the stress and burnout faced by
nurses working in healthcare organizations. Stress leads to four major
dimensions which are presented as the source, types, stressors, and symptoms.
Types represent major types of stress that are acute stress and chronic stress
in nurses. Although, sources of stress are also two which are presented by real
sources and perceived sources. Real sources are those sources which are proved
by the research findings regarding influence on stress. While on the other
hand, perceived sources are an assumption based which are mainly assumed as
influencing factors for stress but not proved yet by the research findings. Symptoms
of research are muscular and emotional. Emotional symptoms can be clearly identified
in the emotional behavior of a nurse or worker working at healthcare center.
Instability in the mood, dismal, and aggressiveness are the indicators of
abnormal emotions caused by work life stress and job dissatisfaction. And stressors
are external and internal factors such as culture and job responsibilities at
the workplace are internal stressors. In the mind map, possible types, sources,
symptoms, and stressors are presented to provide a big picture behind stress at
healthcare centers.
Healthcare organizations provide
several services at different levels. Services vary from situation to situation
and client to client however, some similarities remain unchanged. For instance,
services offered by the nurses would change with change in the wards but their
prime duty of following the instructions of doctors and providing care to the
patients will remain the same and unchanged.
Some services at healthcare organization include patients actions, on
stage employee contact, back stage employees contact, and support processes.

In
the above diagram, the service blueprint of the hospital is provided. The
diagram depicts the services which healthcare organizations provide to their
customers or patients. Different activities in the diagram can be seen and the
employees who provide these services.
The presented below diagram will
specifically elaborate on the doctor visit service blueprint. According to this
diagram, patient call a doctor or arrive at doctor’s office, doctor check
patient details to confirm the appointment, check the insurance of patient,
diagnoses a health issue, suggest medicine, get payment, and provide details
about next appointment. In the whole process, doctor's interaction and contact
with patients can be presented under different categories such as the line of
visibility, invisible contact, visual contact, and line of internal
interaction.

The presented below process map is
developed for a healthcare process known as Patient Discharge Process The
process starts with a question about patient’s discharge and ends at the
discharge action. In this process, all activities and steps are integrated with
each other that makes a connection and flow for the completion of the process.

There
are many healthcare procedures that occur on a daily basis in healthcare
organizations. The healthcare professionals admit new patients’ in the
hospitals and discharge those patients who become healthy after treatment. In
the above process map, the patient discharge process is described in detail.
The first thing which the doctor did first is to decide whether the patient
should be discharged or not. Such
decisions will be taken in light of the patient's condition at the time of
discharge decision. In case doctor's find that the patient does not need
further medication then they can make a decision to discharge that patient.
After the healthcare professionals decide to discharge the patient than a plan
is prepared for the post-treatment of the patients (Mahadevan, 2009).
The
plan will guide the patient about its treatment after discharging from the
hospital. The healthcare professionals than will guide their family members or
caregivers about the current health situation of the patient so that the family
members will take good care of the patient. If the patients agree regarding the
discharge decision than the healthcare providers will make the arrangements for
the discharge of the patients (Brown & Bessant, 2013).
Conclusively, the whole process of
patient discharge is consist of 7 major steps for the patients who would accept
to get discharged after getting approval from doctors. While on the other hand,
doctors again repeat the same processes for the patients who refused to get
discharge from hospital and healthcare centers after the suggestion of doctors.
Hospital and healthcare administration make arrangements for new discharge date
for the patients who refuse to discharges after getting their response about
the doctor’s decision to discharge them.
Question No. 2
2.1. Compare Single Factor
Productivity Ratio
The
productivity ratio can be described as the fraction of output above input. The
amount of input is those things that are put into the process to get output.
The formula of productivity ratio is mentioned as follows:
There
are different ways of evaluating productivity. The types of productivity ratios
include single factor productivity, multifactor productivity, and total
multifactor productivity. The single
factor of productivity is also known as partial productivity (GUPTA, 2017).
In single-factor productivity, the output is divided by one input factor
instead of more than one factor. The single factor productivity of the two
departments of hospitals is calculated below:
Nutrition Department
Radiology Department
If
the single factor productivity ratio nutrition department and Radiology
department is compared with each other than it can be said that the
productivity of the Nutrition department is lower than the productivity of
Radiology department (Morris & Pinto, 2010).
2.2. Compare multifactor Factor
Productivity Ratio
Nutrition Department
Radiology Department
If
the multifactor factor productivity ratio nutrition department and Radiology
department is compared with each other than it can be said that the
productivity of Nutrition department is lower than the productivity of the Radiology
department (Kerzner, 2009).
References
Project Management in Healthcare Organization
Brown, S., & Bessant, J. (2013). Strategic
Operations Management. Routledge.
Friganovic, A., Selic, P., Ilic, B., & Sedic, B. (2019).
STRESS AND BURNOUT SYNDROME AND THEIR ASSOCIATIONS WITH COPING AND JOB
SATISFACTION IN CRITICAL CARE NURSES: A LITERATURE REVIEW. Psychiatria
Danubina, 31(1), 21-31.
GUPTA, A. (2017). PROJECT
APPRAISAL AND FINANCING (illustrated ed.). PHI Learning Pvt. Ltd.
Kerzner, H. (2009). Project
Management: A Systems Approach to Planning, Scheduling, and Controlling (10
ed.). John Wiley & Sons.
Mahadevan, B. (2009). Operation
Management: Theory and Practice. Pearson Education India.
Morris, P., & Pinto,
J. K. (Eds.). (2010). The Wiley Guide to Project Organization and Project
Management Competencies. John Wiley & Sons.
Selamu, M., Hanlon, C., Medhin, G., Thornicroft, G., &
Fekadu, A. (2019). Burnout among primary healthcare workers during
implementation of integrated mental healthcare in rural Ethiopia: a cohort
study. Human Resources for Health, 17(1), 58