Application: Systems Theory


Application: Systems Theory

Theories are relevant and beneficial channels in scrutinizing challenges facing healthcare institutions. Theories help to unravel background facts regarding the system and its components. These facts build a basis for pointing out the underlying challenges of a system or organization. However, in examining the challenges, it is essential to evaluate system components. Some components may be in a good shape while others may be dragging the health organization behind (Marquis & Huston, 2012).

The American Association of Hospitals illustrates the systems theory. It is an organization that represents and serves hospitals, healthcare networks, patients and communities to improve the standards of healthcare. The governance unit oversees the administration of the organization. This ensures that it meets its mandate. The unit consists of a board of trustees, constituency section councils, community leadership, regional policy boards and a calendar of governance events. The inputs of the unit include people, policies, and funds. The unit consists of professionals that run the administration of the association. The throughput of the unit consists of the administrative interventions such as managerial decisions and governance events. The output of the unit includes administrative deliverables that ensure the management of the organization is in accordance with the stipulations. The cycles of events are the administrative calendar of activities of the American hospital societies and delivery of high quality healthcare to communities and patients. The negative feedback for the unity is to improve patient healthcare by 40 percent and readmissions by 20 percent by the end of 2013. This will be the organizational development indicator (AHA, 2013).

The problem staff encounters within the department is inadequate policy to support the realization of healthy communities. There are no adequate policies to enhance the provision of health where all individuals reach the highest potential for health according to the association’s mission. Policies act as a supportive framework for anchoring the vision of the association. However, there is fragmentation of policies to support the realization of the association’s vision of realizing the high healthy potential for American patients and communities. This problem is at the input stage. Policies in the input stage affect the managerial decisions in the throughput stage because policies influence governance decisions the unit makes. In turn, this affects the administrative deliverables in the output stage. The governance decisions that result from the policies agreed in the input stage determine whether the unit can meet its targets or not. In addition, it affects the cycle of events in the association. Policies and decisions provide the guideline on the calendar of events in the governance unit. They also affect the ability of the unit to realize its objective. This affects the negative feedback that is the parameter of gauging the performance of the unit. Therefore, policies as part of the input component have an association with the other components of the system in the governance unit. Appropriate policies are part of the ingredients to reaching high standard of healthcare and can affect the entire system of the healthcare organization (Encyclopedia of Management, 2006).

I would formulate a solution to the problem on the basis of the analysis of the administrative department using the systems theory. The desired outcome I can formulate is the provision of high quality healthcare for patients and communities in America. The American association of hospitals should offer a platform for the interaction of hospitals, patients, government and other stakeholders in the healthcare sector. This can offer an opportunity of improving the management of the health sector, information flow and improving an access to healthcare.

The goals that would facilitate that outcome is increasing the membership of the Association, increasing the sensitization programs on healthcare to Americans and promoting an access to health information for patients around America. The objectives that would facilitate the outcomes are transforming healthcare through policies that support information flow and interaction of healthcare organizations. The other objective is to ensure the provision of healthcare to all classes of individuals in America regardless of social status or age. In addition, the association can improve healthcare through the support of research programs, and adoption of electronic and modern techniques for healthcare purposes in American hospitals.

The goal and objectives can be translated into policies and procedures for the governance unit of the American Association of Hospitals. The goal of increasing sensitization programs on healthcare will translate into the policy of registration of all hospitals and healthcare organization in America to the association. This will increase the coverage of the association to all parts of America. The objective of promoting access to health information will translate into procedures advocating for the improvement of healthcare information flow in the association, and access of healthcare for all in America (Holden, 2005). The procedures for the governance unit can focus on the provision of an enabling environment where interaction of a healthcare organization and exchange of health information can thrive. The objective of ensuring the provision of healthcare to all classes of individuals in America regardless of social status or age will translate into the policy of funding the healthcare sector to deliver the expected outputs (O’Brien-Pallas & Meyer, 2010).

The relevant professional standards for the unit should be the presence of an oversight body for community health monitoring, realization of partnerships in healthcare, planning and strategy formulation, and utilization of appropriate technology in governance of healthcare organizations (Cho, 2001).

My proposed resolution would uphold the organization’s mission and values and improve the culture and climate. The vision of the Association is to ensure a society of healthy communities, where all individuals can realize their highest prospect of health and wellbeing (Hartley & Ellis, 2007). The values of the American Hospital Association include pursuing of the excellent healthcare for communities, timely delivery, efficiency, reliability and orderliness in promoting healthcare. The association’s mission is to promote healthcare of individuals and societies (LaSala & Bjarnason, 2010). The American Hospital Association takes the initiative to lead, serve and represent health systems, hospitals and other health organizations. The Association ensures that these health providing institutions deliver quality healthcare services to the society and remain committed to enhancing healthcare. My policies will improve the general quality of healthcare for American communities (Cho, et. al., 2006). In addition, the resolution will improve the association’s culture of promoting advocacy activities and enhancing health in all frameworks to ensure excellence in health of communities. The Association’s climate is of ensuring that Americans realize the highest level of health will also come into a reality (Johnson, et. al).

Finally, there should be a theory that connects nurses, employees, job backgrounds and results in different environments. This is necessary to inform management decisions and assess the viability of nursing organizations. Healthcare organizations can use theories to find out the strengths, opportunities, weaknesses and threats of their systems and components. This can then inform their decisions on various aspects such as the allocation of nurse staffing resources. Healthcare organizations should have a coherent theoretical framework that combines financial, clinical, organizational, and outcome parameters from the nursing outlook.



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Cho, S. (2001). Nurse Staffing and adverse patient outcomes: a systems approach. Journal of Nursing outlook Vol19 no. 3, 43-60.

Encyclopedia of Management (2006). Open and closed systems. Retrieved from

Hartley, R. E. (2007). Nursing in Today’s World: Trends, Issues, & Management. London: Lippincott Williams & Wilkins

Holden, L. M. (2005). Multifaceted adaptive systems: framework exploration. Journal of Advanced Nursing, 651–657.

Cho, H. L. (2006). Office liberation, job assignation and structural obligation to graduate nurses. Journal of Nursing Leadership in Canada Vol 19 No. 3, 43-60.

Johnson, K., Miller, S., and Horowitz, S. D. (n.d.). Systems-based practice: Improving safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from Johnson_90.pdf

LaSala, C. A., and Bjarnason, D. (2010). Creating workplace environments to support moral courage. Journal of Issues in Nursing, 15(3), 1.

Marquis, B. L., and Huston, C. J. (2012). Leadership roles and management functions in nursing: Theory and application. Philadelphia, PA.

Meyer, R., and O’Brien-Pallas, L. (2010). A nursing work theory in an open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.

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