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SWOT analysis

This SWOT analysis proposed for Al-Yarmouk hospital, during my training as required for Nursing Service Administration Practicum II (NUR 707) course. I will work in partnership with Chief Nursing Officer to propose this SWOT analysis in order to achieve one of the most important managerial tools used for strategic planning of healthcare systems, because this assignment requires some extraordinary skills to achieve it in success way, such as Brainstorming skill to generate as many novel ideas to help an hospital understand or recognize how it relates to it is internal (strength & weaknesses) and external environment (opportunities & threats). I hope that this analysis will fruitfully assists hospital administrators to do something toward better achievements, if the hospital is not appear make straight with the world going on around it. And to complete their mission as possible as in success way and keep it congruent with hospital strategic goals. Structure of the hospital Al-Yarmouk hospital is located in north of Jordan, specifically in the Bani Kananah, relates with the province of Irbid. Follow the Jordanian Ministry of Health, provides health care services for about 100.000 Bani Kananah patients especially, in addition of all Jordanian patients.
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SWOT analysis

AL-yarmouk hospital was opened in 2003, consists of three buildings, outpatients' clinic, emergency, and inpatients area. The total hospital capacities beds are one hundred beds but are only sixteen beds available and about 30-35 physicians, and 150 nurses working in the hospital and the bed occupancy rate between 65-70%. Inpatients building in the Yarmouk hospital consist of male-female surgical department, male-female medical department, pediatric department, neonatal department, maternal department, intensive care unit, Hemodialysis unit and four operation theaters. Qualifications of Nursing Department The objectives of nursing department are providing nursing health care in satisfactory level, develop competency of staff team, be familiar with patient needs, and collaboration with other hospital departments in effective way to improve nursing care services. Nursing department is managed by CNO who have diploma degree and 24 years of experience. Al-Yarmouk hospital has nursing staff mix. It contains 42 registered nurses (10 M; 32 F), and 28 midwife (22 are have diploma degree and 6 have bachelor's degree) also a 28 assistant nurses (22 M, 6 F), and 30 Aid nurses, whom exposure to nursing training programs about 6-18 months. Most of the register nurses were graduated from Jordan University of science and technology and other Jordanian universities.
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SWOT analysis

The Al-Yarmouk hospital classified as a basic hospital, the total capacity of hospital beds is one hundred bed, they are only 60 beds are available. Nursing shift schedule divided into two shifts (A shift & BC shifts). The A shift time duration 8 hours from 7:00 am to 3:00 pm of work for each A shift, and BC shift with 16 hours from 3:00 pm to 7:00 am. Nurses provide patient care upon assignment sheet, in which each nurse is responsible for delivering his/her assignment never mind the nurse educational level.

Al-yarmouk hospital as a system According to system theory; it is enable health care administrators to structure, organize, understand, interpret, communicate, and measure changes or result of a whole or parts of health care system, here we can applied it to understand the nature of Alyarmouk hospital, and the challenges of managing hospital in internal and external environment, also it will assist hospital managers to identifying hospital strengths weaknesses, threats, and opportunities. Al-yarmouk hospital, classified as an open system, is composed of interrelated subsystems and suprasystems, which process input, throughput, and output of services, energy and information. Alyarmouk hospital boundary is permeable, as it is
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SWOT analysis

fully interacting with their environment (internal & external). It is composed of inputs which include human resources, financial, information, materials, and time. And process components such as planning, controlling, staffing, directing, organizing, decision-making, sorting, sharing information, and discussing .And outputs such as all health care services that result from the hospital throughput or processing of human inputs, technical, financial, and social. All hospital departments such as nursing, radiology, medical staff, lab, pharmacy, and security have fully interaction between them and other external departments, and have interdependent or interconnections, additionally hospital and environment affect each others to be survive, it is interchange with the environments, either input from the environment or output into environment. Finally it is having equifinality and purposefulness features which mean that the hospital can deliver all healthcare services to patients from various routes or ways. Al-yarmouk hospital also maintains their dynamic existence by continuously exchanging energy and information with their environments. Threats are external factors that can effect negatively on hospital services when the managers failed to minimize the impact of disruptive forces from external environment, opportunities are also an external factors but effect positively when hospital managers effectively mobilized the resources and facilities
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SWOT analysis

from the external environment. Therefore, hospital mangers must always keep the homeostatic situation among their system as possible as they can. Consequently, Strengths and weakness are internal factors which that effect directly on hospital healthcare services positively or negatively. Therefore healthcare administrators must do periodically feedback about all aspects of hospital information and processing that can be used to evaluate and monitor the hospital processes and to guide it to more effective performance and make control over it to be surviving. HOSPITAL MISSION: To improve, restore, and provide health care services to the patients, and to being a training hospital for health science students. Strengths of the hospital Availability of expertise nursing staff ( more than five years), in spite of the problem of nursing shortage. Availability of job description for all nursing levels. Compliance code of ethics of hospital health care providers. Periodically evaluation for nurses staffs. Availability of in-service education programs. Health care provider's development (physicians, nurses, multi-disciplinary team).
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SWOT analysis

Different program development through continues education department and training courses. Good interdisciplinary working place social support. Availability of the hospital infrastructures. Availability of computer tempography- CT scan device . Strong informal communication channels among hospital departments. Weakness of the hospital Low commitments of hospital polices and regulations. Lack of resources support (time, money, and support) for development. Few numbers of RN's comparing with practical nurses. No competition especially among nurses themselves and other health care providers. Lack of work innovations and creativity work atmospheres. Understaffed departments and high workload on hospital staffs. Too much of trial and error toward problem solving. Inability of some nurse department's managers to empower their followers. Miscommunication about role of other hospital departments or units within staff expectations about potential levels of collaboration and support.
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SWOT analysis

Too much duplication of and not up to date inservices education department courses, each course doesnt always need, it already presented previously. Overlapping duties of nursing staffs. Insufficient rewards and recognition for nurse's staff. Centralized structure of hospital administration. Lack of visibility and transparency regarding to inappropriate behaviors. Lack of practices that depend on evidence-based practice. Lack of conducted statistical studies about the hospital health indicators. Unsatisfied of Chief Nursing Officer educational level. Insufficient accountability regarding medical errors. High level of job stress among hospital nurses related to understaffed. Unavailable of ideal standards that required protecting patient's confidentiality and privacy such as exceeded the ideal number of patients' bed in a given room. High nurse-patient ratio. Weak of guard protection security hospital system, that could increase the chance of workplace Violence. Inability to create professional practice environment. High conflicts rate among hospital employees. Absents of qualified persons capable of leading quality improvement programs.
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SWOT analysis

High rate of job dissatisfaction and burnout among nurse's staff. Opportunities of the hospital Strong relationships and form of collaboration with other governmental hospitals and health departments. Location of hospital serves large population, more available connections, and resources. Easy of the public transportation to the hospital. Ability to expand in hospital departments and health care services. Opportunity to Create training program and courses in health by collaboration with the health faculties that trainee their students in the hospital. Threats of hospital Low staff income in comparison with other private hospital sector. Unavailable good community outreach initiatives. Lack of technology advancement and updated devices. The inability to attract and retain nursing staff due to lower salaries. Nurses' staff recruitment process derived from Ministry Of Health. Insufficient of central funding resources.
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SWOT analysis

Lack of external fund resources for development of nurses and other hospital employees. High nurse salaries in other countries. Nursing shortage. Lack of information technology system. Lack of Internet resources (i.e., search engines, online journals).

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