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COMMUNITY CARE Scenario
Type of Care Provided
Care provided in this capacity is done through clinics such as 24-hour urgent care centers and minute
clinics provided through local pharmacies or community locations. These facilities increase access to
care at affordable rates and in convenient locations.
You are the Director of Human Resources for a small rural care center. Your Care Center Administrator
(CNA) visited your office today with some issues regarding the high turnover of CNAs in all seven nursing
wings. She has been experiencing this phenomenon with her CNAs the past 3 months, thus decreasing
overall patient quality care, along with adversely affecting the labor budget due to numerous call-offs
from the CNAs. When added to the high cost of using registered nurses, this is a serious issue. None
of her nursing supervisors can explain the reasons for the turnover, but only provide feedback that your
organization is hiring the “bad ones.” She is asking for your ideas on how the care center can recruit and
retain more talented and devoted CNAs.
You perform an immediate cursory assessment of the turnover and determine that, at the current rate,
there will be 100% loss/turnover of CNAs this year. This initiates an emergency meeting with the Administrator, Director of Nursing, the Assistant Directors of Nursing, the Staffing Coordinator/Scheduler,
and three charge nurses. The purpose of the meeting is to determine why your facility is losing so many
CNAs, especially when compared to similar care centers in the area.
In your capacity as Director of Human Resources, what steps would you take to determine why the
employees are leaving? How will you be able to identify if this is a management issue, labor market issue,
compensation issue, or a combination of issues? What questions would you ask team members? Are
these questions different for each role? What strategies from the assigned course reading would you
What questions would you ask team members? Are the questions different for each role? What strategies from the assigned course reading would you implement?
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