Analysis: Facilitating Change Among Nursing Assistants

In the nursing profession, provision of services to patients in long term care facilities is important for the overall quality of services provided. Such nursing services are a result of many individual systems that are distinct from the environment in which it exists. Nursing services might involve health promotion, disease prevention, and medical management. However, it cannot be denied that there are barriers encountered among the systems by the nurse practitioner during the provision of long term care. Using the GST in this thesis, barriers can be identified by means of a quantitative analysis. For example, participants involved will be nurse practitioners employed at various healthcare settings in Southwest Virginia (SWVA), and they

“High rates of staff turnover in nursing homes is not a recent phenomenon. As far back as the mid-1970s studies have documented average turnover rates for registered nurses (RNs), licensed vocational nurses (LVNs) and certified nurse’s aides (CNAs) ranging between 55% and 75%” (Mor,V., Mukamel, D.B., & Spector,W. D. 2009, 1). Long term care facilities (LTC) have staffing issues related to the high turnover of licensed staff. The effect can have a heavy financial burden and also affect the care given to residents. Many ask the question why is it hard to attract and keep nurses at a long term facility. The International

with a 4% decrease in the risk of patient death”. Study concluded that staffing nurses from

Nursing Home Administration is an area which specialized in medical and health services management. Nursing home administrators specialize to supervise clinical and administrative affairs of nursing homes and related facilities. They also have a working knowledge of the physical and psychological effects of the aging process. An administrator’s duties includes overseeing staff and personnel, financial matters, medical care, medical supplies, facilities, and other duties as specific positions demand. This paper will discuss different aspects of nursing home administrator and I will follow up with an interview by Kathy Kondolf, an administrator at Heartland of Zephyrhills.

In a profession where others' health and well-being are priority, there leaves room for neglect of those who are delegated to care for these people. As a professional nurse, there are many obstacles that arise and affect the care provided to a patient, as well as the livelihood of the nurse. The current deteriorating and unsafe staffing conditions in hospitals and other institutions prompts workplace advocacy as the universally appropriate concept for maintaining professional nursing practice.  Common

In examination of the issues that contributed to the healthcare team’s failure to comply with the standardized plan, it became evident that the issue was complex. The causative factors were interdependent, and each failure created a cascade of future failures that contributed to a more negative patient outcome. Nursing care is the fulcrum from which all other healthcare is coordinated. In this particular situation, the initial failures were attributed to nursing care; failing to administer antibiotics and obtaining blood cultures within the stipulated timeframe. There were also failures within numerous other healthcare disciplines; however, standardized care plans affect nurses in particular because initiation of care plan protocols, especially for

In today’s healthcare system, effective leadership is essential to improving and reaching organizational outcomes. A leader is someone with the ability to influence others but, an effective leader uses positive strategies to inspire employees to work towards the same goal. Leadership in nursing requires a constant effort to motivate others to become part of the organizational transformation. This can be achieved using a transformational leadership style with a focus on communication, motivation, and empowerment.

Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.

Implementing a change in practice within these environments can produce anxiety or fear of failure in nurses, leading to a resistance to change. Several studies (Bozak, 2003; Lehman, 2008; Spetz, Burgess & Phibbs, 2012) expounded the need for a concise plan and clear communication between nurses and management when implementing a change of this nature. The use of Lewin’s Change Management theory can support nurses through the transitions and identify areas of strengths and resistances prior to implementing change. Without a framework for guidance, it can be difficult to keep on track.

Nursing is the powerhouse in the delivery of safe, quality patient-centered care in the healthcare industry. To ensure continued safety of the patient and nursing staff, the issue of inadequate staffing must be addressed. Consequently, patient’s mortality rate has been linked to the level of nursing staff utilized in ensuring an utmost outcome (Aiken, 2011). This paper will outline the issue associated with inadequate nurse to patient staffing ratios in the hospital setting; essential factors such as economic, social, ethical and political and legal affecting the issue will be established; current legislature and stakeholders will be ascertained and policy option, evaluation of bill and the results of analysis will be reviewed.

The facility my change project has potential impact upon is a teaching hospital which is known for promoting, supporting, and encouraging clinical research and implementing latest evidence-based practice. Erlanger serves as the region's only academic teaching hospital and strives to employ healthcare professionals who are knowledgeable in the latest skill, technique, and evidence based practice (EBP) (Erlanger Health System, 2017). This serves as both a strength and opportunity for the facility. A major strength for the hospital is the support that is has for research and implementation of all change processes. In 2013 the Institute for Clinical Research (EICR), was developed to solidify unity of two objectives, providing patients’ access

Implementing a change project is a challenging step of the Capstone Change Project. This paper focuses on steps that must be taken to implement a change, strategies to ensure the success, involved stakeholders and their roles, educational requirements, safety issues, ethical considerations, and external or internal regulations’ effects on the process. It also include the change theory, nursing theory, and evidence based practice influences on the implementation process.

Neither staff member identified the downward trending of the patients available vital signs and did not evaluate consciousness of the patient. Failure to assess appropriately and recognize deterioration of the patient resulted in a prolonged period of time in which the patient was not adequately oxygenated. Research has shown that short staffing, with decreased nurse to patient ratio, has been found to be associated with increased mortality (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Joint Commission on Accreditation of Healthcare Organizations, 2005; Needleman, Buerhaus, PKankratz, Leibson, Stevens, & Harris, 2011). This reinforces the need to match staffing with patient census, acuity, and need for nursing care.

The impact of the Affordable Care Act has had a direct effect on tackling barriers that are deterring quality of care. Healthcare providers are now looking at the existing ways of delivering care and improve the system. Nurses, being the largest group of healthcare providers, has begun to assess and change how care is delivered. This change has begun to alter the methods of teaching and curriculum development. Transformation is a complex process that includes redesigning of the current clinical education model that provides nursing students with learning experiences in a patient-centered environment (Halstead, 2012).

The medical personnel numbers is the very big issue that faces the medical field. The number of medical individuals ranging from EMTs to physicians is so low that it makes their job very difficult. They are stretched almost beyond the limit to be realistic. Studies have shown over and over again that the less the number of nurses, the more likely the chances of mistakes in the treatment process. A patient’s chance of dying increase by a factor of 7% within 30 day of admission to a hospital due to each additional patient that a nurse may care for (Keenan, 3). In some instance, the longer waiting time to be seen by a medical professional also increase the out of hospital mortality rates. The courses of this kind of easy to fix problem solely lies within the governing authorities. The policies put in place and the financial allocation by the legislator makes this issue still stays