Discuss About The Contemporary Literature Healthcare Indicates?
Contemporary literature on healthcare indicates the significance of consumer engagement in healthcare service delivery. Consumers have been found to play an important role in shaping up how care services are delivered. They are the key stakeholders in patient-driven care. Complex approaches and concepts come up in this regard that aims to define the different ways by which consumers can actively participate in shaping health service delivery (Smith et al., 2014). The work by Shay & Lafata (2015) points out two methods by which consumer participation in health services can be achieved. Firstly, consumers are to be involved in strategic planning for resource allocation. This would be a Financial step since a more detailed understanding of the values of consumers would provide information supporting better decision making for health services planning. Resource allocation plays a major role in shaping up how care is delivered, mainly human resource allocation. Feedback from patients regarding their level of satisfaction with the health care workforce is valuable. Secondly, consumers can be engaged in the treatment planning on the individual basis that would help in enabling a comprehensive care plan. Social and cultural aspects come into the limelight in this respect as consumers can put forward such concerns in relation to their treatment.
As a registered nurse I acknowledge the value of patient engagement and participation in clinical decision making and the impact it has on care quality. As opined by Tobiano et al., (2015) patients are to be permitted to have an active involvement in a decision making the process as they are to be consulted while their care process continues. While delivery care to a patient with colostomy and type 2 Diabetes Mellitus, and of Hispanic origin, I developed the opinion that the patient needs to be consulted for his culturally values and beliefs that were to be included in her treatment plan. From my nursing knowledge, I had the idea that for Hispanic patients the greater concern was being ill rather than dying. Since the patient believed that a suitable lifestyle is a key to better health, the care plan for the patient was outlined with a special focus on lifestyle modifications. The ongoing care plan and discharge plan for the patient were based on the input provided by the patient. The outcome was a fast patient recovery and high level of patient satisfaction with the service provided. This is aligned with the notion that increased patient engagement in healthcare planning leads to better health outcomes for the patient (Brom et al., 2014).
Quality and Safety
The Australian Commission on Safety and Quality in Health Care (ACSQHC) has come up with the National Safety and Quality Health Service (NSQHS) Standards that has the objective of upholding the protection of the health care consumers from potential harm and enhancing the quality of healthcare services. There are in total ten such standards, each looking into distinct aspects of healthcare. The standard selected at present is Standard 3 “Preventing and Controlling Healthcare Associated Infections”. This particular standard describes the set of strategies and systems that are to be adhered to for preventing incidences of patient infections within the healthcare setting and managing any occurring infection for minimizing the consequences at the earliest (safety and quality.go.au, 2012). The potential outcome that might be faced if best practice is not adhered to is an increased rate of healthcare associated infections, leading to high patient morbidity and modality. A healthcare-associated infection (HAI) is defined as the infection occurring due to a health care intervention. HAIs are one of the most significant and avertible patient safety issues in Australia at present. Research points out that around 180,000 patients in Australia develop HAIs (Paitoonpong et al., 2013). Suffering HAIs implies that their stay at the healthcare unit is prolonged. 2 million hospital bed days are consumed as a result of this.The influence of HAIs is a reduced quality of life for the patient.
During my nursing practice, I have adhered to strategies for minimizing the risk of patients getting infected by HAIs. Observing proper hand hygiene has been of key importance to me. According to Loveday et al., (2014) hands are regarded as the most vital vehicle that is responsible for transmission of pathogenic organisms. It is advisable to wash hands regularly before and after handling patients. I wash hands with water and a disinfectant soap before and after coming in contact with patients. The washing procedure covers all my fingers and the full palm, after which I make it a point to pat them dry with a disposable towel. At times, as per the need, I consider using an alcohol-based hand rub such as chlorohexidine for washing my hands. This is more effective than an ordinary soap (Ellingson et al., 2014). Secondly, prudent personal preventive measures are of prime importance. Sterile gloves are worn when coming in contact with the non-intact skin of the patients and their mucous membrane. Gloves are also worn while a sterile procedure is being done such as insertion of the catheter. Clean gloves are useful while coming in contact with body fluids and other items that are contaminated with infectious materials (Yokoe et al., 2014).
Leadership and Management
Leadership, as applied to the healthcare sector, refers to the process by which a healthcare professional exerts a positive influence on the individuals working in the same setting so as to accomplish a set of common goals and achieve particular objectives. Registered nurses are to exhibit suitable leadership skills for directing the fellow professionals in a way that fosters care delivery in a cohesive manner (Gopee & Galloway, 2017). Two leadership skills that registered nurses must bring to their role are time management and relationship management. Nurses might find difficulty in handling all responsibilities entitled to them within the clinical setting. Since patient care is the top priority, it might be difficult to complete the assigned care tasks within the stipulated time frame. For being a leader in the field of nursing, one must learn to effectively manage the time for delivering care when required. When a nurse has a clear vision of how to prioritize tasks as per the individual needs of the patient and eliminate chances of mistakes, he is able to lead other in delivering flawless care services (Grohar-Murray et al., 2016). Leaders in the nursing profession must have suitable relationship management skills for inspiring others and changing their behaviours. The positive change brought about is a development of the potential others hold in managing nursing projects and conflicts. It is imperative that a nurse is able to maintain a healthy relationship with the team members in a setting that a collaborative and comprehensive care is delivered (West et al., 2015).
One leadership skill that I would like to develop further for my professional development is time management. Based on a self-assessment of my leadership skills I conclude that my time management skills are not up to the mark. This can be done by following a set of simple yet effective strategies. The key steps for developing the leadership skill would be organizing, planning, prioritizing and scheduling. One can save time if the work area is organized and clean. Tidying up the environment is crucial. One needs to plan a working day in time and understand the list of duties that are to be performed within the shift hours. Planning helps in saving time for ultimate unforeseen challenges. Prioritizing tasks enables a nurse to perform the tasks that hold more importance than others in an effective and accurate manner. Once the list of task is made on a priority basis, one must create a schedule accordingly (Grohar-Murray et al., 2016).
Registered nurses are accountable for a continual learning process that leads to their professional development in future. Learning is successful under conditions when nurses uphold good practice and are ready to share the acquired knowledge through discussions and open and transparent conversations. Leadership, partnerships and supervision are fundamental for creating and maintaining learning environments that are positive (Cherry & Jacob, 2016). There is an enhanced demand for educating nurses on a continuous basis across the globe. Practice settings have been encouraging learning at the time of care delivery episodes so that they can simultaneously educate nursing students as well as present nursing workforce, both of which have equal importance. Safe and proficient healthcare delivery is solely dependent on effective educational practices. A learning culture in an organization gives the opportunity to nurses to carry out an integration of their wide range of theoretical knowledge with the regular nursing practice. In this manner, nurses are helped and guided to be abreast of current knowledge in nursing. Clinical settings known to inspire nursing students to acquire vast knowledge by its application and reflection on the practice can support nurses in the path of exploring their practices. Lastly learning culture is advantageous in modifying defiance and behaviours of professionals (Black, 2016).
There are different ways by which I as a registered nurse might contribute to a culture of learning within my organization. The first method would be to take part in nursing research for facilitation of learning. Research undertaken on strong evidence on nursing practices would help in developing the nursing practice. The research might be qualitative or quantitative, depending on the paradigm required for the addressing the research questions. Nursing research would help me learn about novice and advanced techniques by which I can bring improvement in my daily practice and deliver best quality patient care. The second method would be reflective practice. Reflective practice would enable me to make a critical analysis of my previous experience and draw logical implications that when applied in future would help in professional development. Reflective practice is denoted as the art of thinking about an incidence or activity that would allow me to consider the challenging and positive aspects of the activity or action and outline a plan of development so that such activities can be improved further (Howatson-Jones, 2016).
As pointed out by Fong (2016) role conflict is defined as the state of conflict emerging under circumstances where competing demands arise involving an individual who is to fulfil multiple roles. It is a condition wherein it is expected the individual would need to play two roles that are incompatible. Role conflict is inevitable and common in clinical settings. The nature of role conflict determines the prevention and prediction of adverse impacts on the clinical practice. As highlighted by Kang and Lim (2016) role conflict has been found to result in stress in the clinical workplace among nurses. Cases of role conflict arise when a nurse has multiple role requirements wherein these needs are against each other. In organizations where the staffing structure is complex, role conflict is common. Tourigny et al., (2016) in this regard state that if in a clinical setting there are continuous interactions between humans, role conflict would arise. A nurse plays multiple roles such as educator, manager and care provider. These roles make interactions among professionals unavoidable, increasing the chances of conflict. Role conflict has the power to rightfully induce weakened organizational efficiency, enhanced occupational stress and decreased professional performance. In addition, there are higher chances that there would be more emotional exhaustion together with depersonalization. It is to be mentioned that role conflict is significantly more for the nurses in contrast to physicians.
Since nurses are prone to suffer burnout and stress, they must consider applying self–care strategies for facilitating an emotionally and physically fit work life. The nurses must learn how to say no when the requirement is there for it. Self-care does not only involve meeting the physiological needs of the individual. Rather, it involves taking time out for resting and unwinding. Though compassion is expected from every nurse, one does not need to say yes to every request. There is no scope for feeling remorseful or guilty when a favour is denied. It helps in staying comfortable in own role and completing essential tasks as per the set schedule on the long run. Secondly, one must take breaks between long shift hours. Neglecting own self would lead to disorders such as chronic pain and depression. It is pivotal that a nurse takes a break from a monotonous and straining work life for relaxing and rejuvenating own self. Taking breaks would not hamper care delivery, rather it would enhance it. Such form of self-care would ensure that no ill effect is imposed while rendering care to the patients under any circumstances (Fong, 2016).
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