Health care leadership issues staff proposal guide
As manager of an ancillary service department in a large hospital, choose two issues from the supplied list, then write a 750-1,200 word proposal addressed to your staff informing them of the issues, describing the impact on the department, and showing how communication, collaboration and teamwork improve conditions.
Editorial process
Last reviewed · August 12, 2026
Who is this document actually for?
The audience instruction is the whole assignment and it is the thing most often ignored. This is a proposal directed toward your staff, not an essay about your staff written for a professor, and the difference shows up in every sentence. Staff who are about to hear about layoffs or a merger do not want to read an academic discussion of organizational challenges; they want to know what is happening, what it means for them, and what is being asked of them. Write in the second person, be direct about the bad news, and do not open with a literature review. The academic references still have to be there, but they belong woven in as support for the techniques you propose rather than as the frame of the document. A useful test before submitting: could you send this to a real department without embarrassment? If the opening paragraph would make staff stop reading, rewrite it.
Choose the two issues from the supplied list deliberately, because they interact. Staff shortage and an influx of registry, part-time and temporary contract staff are two halves of the same story and pair naturally; layoffs following declining revenue and poor job satisfaction leading to turnover reinforce each other in a way you can describe honestly; reorganization after a merger and reduced Medicare reimbursement following poor performance outcomes both create uncertainty about the department's future. Pairs that interact let you write one coherent account of the situation; two unrelated issues force two disconnected sections that never add up to a proposal. The interaction is also what makes the impact section worth reading, because a compounding effect is a real finding while two separate effects are just two lists. Say explicitly how the second issue makes the first worse, and the document gains an argument rather than a structure.
The impact and solution sections need to stay inside your actual context: an ancillary service department in a 500-plus bed hospital. That means naming the operational consequences you would really see — turnaround times, on-call and overtime load, orientation burden falling on remaining experienced staff, error risk when unfamiliar staff rotate through, and the effect on other departments that depend on your service. Then the communication and collaboration section has to propose mechanisms rather than values. Two techniques are required and they must come from the readings, so identify them there and name the source. Structured shift huddles, standardised handoff tools, interdisciplinary rounds, structured debriefs after incidents, and formal channels for staff to raise concerns are all documented and all specific enough to be implemented next month rather than admired. Say who runs each one and when.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Write to staff in the second person rather than about staff in the third.
- 02Choose two issues from the list that interact rather than two unrelated ones.
- 03Describe impact in the operational terms of an ancillary department.
- 04Propose communication mechanisms rather than communication values.
- 05Draw the two required techniques from the readings and name the source.
Read the full question
Review every instruction before using the planning guidance that follows.
Course-wide instructions that accompany this question
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Turn the brief into deliverables
- 01A 750-1,200 word proposal addressed to departmental staff.
- 02Both issues named, drawn from the supplied topic list.
- 03The impact of the two issues on your department.
- 04How communication, collaboration and teamwork would improve conditions.
- 05At least two named techniques from the readings, with a minimum of three academic references.
Which two issues pair well?
What is happening
Open by telling staff plainly which two issues the organization faces, without softening or burying them.
What it means here
Describe the operational impact on this department: turnaround times, overtime and on-call load, orientation burden, error risk, and knock-on effects for dependent departments.
What will change
Propose named mechanisms — structured huddles, standardised handoff, interdisciplinary rounds, debriefs, formal escalation channels — and say what each is meant to fix.
Where the techniques come from
Attribute at least two techniques to the required or recommended readings and cite them, alongside the three academic references.
Where are the collaboration techniques?
Recommended databases
- AHRQ Patient Safety Network
- NCBI Bookshelf
- Required and recommended course readings
Search sequence
- 1.Pick the two issues first and check that they interact.
- 2.List the operational effects you would actually see in an ancillary department.
- 3.Go to the required readings for the two techniques, and note where each appears.
- 4.Draft in the register you would use to send this to your own team.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Culture of Safety
AHRQ Patient Safety Network · 2024
The documented team communication mechanisms — huddles, structured handoff, debriefs — that the proposal section should draw on.
- 02
The Nursing Workforce - The Future of Nursing 2020-2030
National Academies of Sciences, Engineering, and Medicine, NCBI Bookshelf · 2021
The evidence on shortage, turnover and temporary staffing that supports the impact section.
- 03
LEADERSHIP AND MANAGEMENT - Nursing Management and Professional Concepts
Open RN, NCBI Bookshelf · 2022
The management framing for communicating difficult organizational change to a team.
Review before submission
Common mistakes
- Writing an academic essay instead of a document addressed to staff.
- Opening with a literature review rather than with the situation.
- Choosing two unrelated issues that produce two disconnected halves.
- Describing impact in general health care terms rather than departmental ones.
- Proposing better communication as a value with no mechanism.
- Sourcing the two techniques from anywhere other than the required readings.
Submission checklist
- Addressed to staff, in the second person, from the manager's position.
- Two issues taken from the supplied list and named early.
- Impact stated in ancillary-department operational terms.
- At least two named techniques, each attributed to a reading.
- Three or more academic references, APA formatted.
- 750-1,200 words; no abstract.
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.