Forgeries

Speaking of centers of excellence, without talking of centers of cost, does not have any particular value, particularly in the current economic situation; mentioning some of the "pseudo interim leadership", without making a clear distinction between good and bad leadership. does not have any particular value as well.
A perfect organization does not exist; it keeps a shaky balance between opposing forces that drive changes, seeking to give credibility to the subtle and hidden forms of exploitation of employees, who prefer to legitimize classes and control, rather than evolutionary intelligence.
What hits you is just a bad winking leadership, with no ethics, made of ineffectiveness, incompetence, rigidity, intemperance and insensibility, which is capable to minimize the health and welfare of others to its advantage.
They continue to propose the "best practices" rather than analyze the variables of the "worst practices" for the necessary corrections, without taking into account the costs that such negative practices entail and the domino effect that might have on other structures that really are of "excellence."
Rather than bothering to measure the “customer satisfaction” it seems that everyone is anxious to secure an open door for the future by putting low interest in the development of human resources that almost always result far below the real work needs, and that consist of limited processes to fill gaps in shifts with acts of voluntarism.
The activity of the doctor is totally based on individual relations, emotional involvements, and relational issues, and tends to underestimate team work. This makes it impossible to properly assess costs and benefits, to understand the benefits deriving from the proposed knowledge as the achievement of objectives by maintaining the contents active.
Of all the literature on the subject (we live in a era where it is necessary to prove what one says) we remember, as noted by Hamlin (2002), that the organizational effectiveness of a leader needs to have, among other things, a genuine concern for others, and the ability to enhance the work of others developing the potential of coworkers; it also needs to be accessible and available, to keep others informed and involve them in decisions, and encourage critical and strategic thinki.
Also, as we have already been saying on several occasions, we have a leadership victim of apostasies, detached from the context that should live from within to finalize the achievement of objectives.
Both situations hereby presented intersect constantly and cause problems for colleagues who are true professionals and, more importantly, are not subjects “bought” through occasional favors by barons, directors and pseudo-unionists.
In this scenario it is necessary to define “Excellence” that cannot be the buying and selling of favors, but the realization of a culture "of the best", that is creating a situation of stability for the chance to optimize the product you offer.
The self-proclamation, without contents, has the same devastating effects of a thermal shock.
Although in our society we live in a contradiction where, from one side we attempt to lengthen an impossible life, and from the other we continue to support euthanasia, we should not turn away from our true path that can only be a continuous interest in the quality of life.
Nursing can be done with the mind or with the heart, but the nurse (with a capital N) is the one who manages to find the right alchemy between the two, by creating a new identity fed by a cognitive soul.
We cannot allow that this historical, cultural, social, human and professional regression permits those who violate the budget constraints to justify a bad management without encouraging results, to speak of Excellence.
In the history of economic thinking is not enough to say, paraphrasing Pirandello, that appearances are deceptive and everything that surrounds us ... "is so, if you think it is".