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high turnover rate
short staffed
unhappy/unengaged employees
lack of resources/support from management
lack of comradery among employees on the unit

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Toxic environment
Employees don't trust each other, hold each other accountable.
Budget causing strain on staffing
Responsibilities based on favoritism

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Short staffed
No team work, talking behind people's backs
Favoritism
Admin work instead of focusing on patient care
Cutting of overtime cost
No recognition

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-Hiring freeze
- Annual process was unclear
- More focus on administration
- No collaboration
- Lack of respect

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They have a ton of problems

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But they all stem from a few core issues that have trickled down into a large number of smaller problems

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A ton of problems

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A LOT OF PROBLEMS

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She took good steps, found out lots of problems.

Still more work to go

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Barbara is putting an effort by holding a meeting to find out what the core issues are, and she is working on a feasible plan to assess the problems. She also had plans to speak with the director.

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She has done well. She is making the right steps to addressing the staff concerns. She has provoked engagement.

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Issue with general knowledge transfer - senior nurses weren't taking time to mentor others
Short-staffed
Overall communication issues
Patient Care assistants not trained properly by RNs
Team members didn't have each others backs
Pointing fingers at each other rather than taking responsibility
Not having opportunities to provide team feedback

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-There is a lack of trust
-They have issues with nurse turnover
-They can't hire more nurses do to a hiring freeze
-There is a shortage of money and can no longer offer overtime to employees

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She is trying...We think she is doing a good job of showing her team she is in it with them by working late alongside her team BUT she is not producing results and she didn't necessarily prepare or execute well on the retreat she hosted with the team offsite.

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Lot of problems.
Ton of problems.

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Yes, she is a problem-solver, takes initiative. Ready to take on the challenge.

Experience with the teams, gives her an advantage on knowing what to do to move forward.

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She has done a good job.
She received feedback from team to talk about issues.
She wants to fix the issues rather than just go with the flow.
Proactive approach than a reactive approach

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A LOT

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She was a good hire. Has a fearless spirit and good motivation to improve. However, someone with more experience may have known what to expect.

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Barbara has tried to have a positive impact but has not been successful thus far

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She's trying to include the employees in her decisions. They are the ones that are doing the job and their input is important. Makes the employees feel heard.

Improve employee environment as a whole

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It's too early to tell. Although she's dedicated and working towards improving the work environment, and addressing key issues.

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Yes, had the right attitude towards the team - would have been very easy to not take the position but wanted to take on the challenge

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They probably should have hired someone with more managerial experience. Barbara was a strong individual performer as a nurse but does not have as much management experience. First time management is hard as it is, and coupled with the dynamics on this unit it seems like she is being set up to fail.

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She wants to bring the team together and work through the many issues. She knows that a more cohesive team is a happier and more efficient team.

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Regular meetings, improve work culture, remove hiring freeze, recognize employees.

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Trying to share leadership responsibility and garner more investment in the unit's performance

Create a culture of constructive feedback and peer to peer support

Create a more transparent review process

Try to convince leadership to lift the hiring freeze

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Fostering collaborative environment between the members of the team.
Hearing out opinions and concerns of the team members.
Empathy towards the team members.

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We do think Barbara was a good choice for the position due to her effective leadership approach

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Barbara is trying to improve the culture and quality of life of the employees as well as increase communication among team members