Friday, December 6, 2019

Sturt Health Service And Analyzes The Challenges †Free Samples

Question: Discuss about the Sturt Health Service And Analyzes The Challenges. Answer: Introduction: The transition from being a student nurse to a registered nurse is associated with many challenges for a newly graduate nurse. Some of the challenges include handling complex condition of patients, anxiety and heavy workload, lack of access to good mentors and generational diversity in the work place. Communicative problem is also a common problem for newly graduate nurses, which affects their ability to work as a team and engage in collaborative practice (Hofler Thomas, 2016). This report describes the experience of a newly graduate nurse with 6 months registration experience while implementing a quality improvement initiative at Sturt Health service and analyzes the challenges that may experience while leading a team as a newly graduate registered nurse. It also discusses about the strategies to manage the challenge with evidence from literature. Quality improvement activity: As the Sturt Health Service is going for accreditation next year, one quality improvement initiative that needs to be implemented in the hospital includes implementation of hand hygiene protocol to prevent health care associated infection in patient. Implementing clear hand hygiene protocol along with the use of personal protective equipment (PPE) is considered necessary because poor hand hygiene practices among health care staff is one of the reason for health care associated infection and poor health outcome in patient (McLaws, 2015). Hence, developing a clear guideline for hand hygiene along with availability of PPE is a necessary step to control infection and promote safety of patient. This quality improvement initiative has the ability to block transmission of contaminants and protect patients from risk of infection during hospital stay. This is also necessary because many variations in hand hygiene practice is seen due to individual and institutional barrier (Ellingson et al., 2014). Some of the barriers to hand hygiene practice among nurses includes giving priority to patient needs than hand hygiene, forgetfulness lack of time for hand hygiene and lack of attitude towards hand hygiene (Sadule-Rios Aguilera, 2017). Hence, the focus is to implement a hand hygiene protocol that is easy for staffs to follow. This will help to achieve the goal of high quality and safe care for patients. Role in leading a team to work on the project: As I, a newly graduate registered nurse with 6 months experience has been asked to lead the team on the quality improvement initiative, I have the crucial role of orienting team members, explaining them the goal of project and allocating task to each team members. This will pave the way for systematically implementing the infection control initiative and making all resources available for the success of the project. As a team leader, creating a culture where inter-professional team members contribute towards the adherence to the hand hygiene practice protocol is considered important. Apart from role allocation and staff management, I will also have the role of developing training plans and budgets for the success of quality improvement initiative. As a leader of the project, my role will be crucial in proper collaboration between team members, inspiring and motivating the team towards the change process and providing the right resource and support to them to achieve the core goal of the project (Regan, Laschinger Wong, 2016). I will inculcate in team members about the values of mutual respect, trust and shared responsibility for client safety to ensure no conflict occurs in the process of implementing hand hygiene protocol. Study on role of leaders in preventing health care associated infection has revealed that successful clinical leaders are able to cultivate a culture of clinical excellence and overcome barriers that impede prevention of health care associated infection (Saint et al., 2010). Challenges in leading the team as a newly registered nurse: As a newly registered leading a team, I may face various challenges in achieving team collaboration and convincing the team regarding the need for change. As a novice nurse, I do not have good management attributes. Hence, managerial challenges will be huge for me. This may act as a major hurdle for me while making team members understand the need for change. Resistance from staffs may arise due to preference for traditional method of infection control. Hence, such issues may delay the process of implementing hand hygiene protocol. At this stage, lack of management qualities will be a major drawback for me. I may also face challenges during negotiation with key stakeholders regarding use of hand sanitizers and PPE by health care professionals. Due to lack of experience as a leader, problem may also occur in delegating task and coordinating different plans as per the protocol directive (Hezaveh, Rafii Seyedfatemi, 2014). Experiencing such issues may also lead to transition shock. Thi s is common for newly graduate nurse when making transition to professional practice. Feelings of frustration, incompetence and dissociating oneself from leadership can hamper my performance as a leader (Ekstrm Idvall, 2015). I need to get over these deficiencies to ensure that the trust that the Nurse Manager has put in me does not go in vain. Strategies to manage the challenges: While implementing the hand hygiene protocol, I am aware that staff resistance will be a major hurdle for me to overcome as a leader. I aim to overcome this issue by properly communicating with staffs regarding the problems they experience in adhering to hand hygiene protocol. After listing down these challenges, the hand hygiene protocol will be made in such a way that all problems or barrier faced by staff in implementing hygiene practice is minimized. For example, health care workers often state that due to heavy workload, they forget to employ hand hygiene practice. In case of this problem, I can suggest the solution of applying visual cues and technology to create a change in culture and behavior towards hand hygiene (Chassin, Mayer Nether, 2015). Hence, when health care staffs will get adequate resource, culture and process to effectively adhere to the protocol, the problem of resistance to the change will be addressed. In addition, to overcome challenges related to poor management skills and delegating with team members, my strategy is not to panic but take support from other experienced staffs. I will talk with my mentor to decide the best steps that can be taken when faced with challenges in implementing the project. To minimize gaps in communication, I aim to use strategies like making eye contact and repetition message to ensure that each team member is clear about their role in the project (Silva et al., 2010). To cope with transition shock, my plan is to stay motivated by engaging in opportunities for leadership development and having the courage to deal confidently with the challenges (Duchscher, 2009). Instead of looking for familiar protective environment, I want to embrace the challenge and learn from it too. Evidence to support strategies to lead team and manage transition shock: To overcome managerial issues in leading the team, I had mentioned about communication strategies and learning about leadership to effectively lead a team. I also mentioned about taking advice from mentors regarding leadership issue. Evidence by Edwards et al., (2015) also suggests that nurses who engage in mentorship programs are able to overcome transition challenges and achieve individual outcome of confidence, competence and stress. I planned to embrace the challenge and take solution oriented steps while leading the team. Daly et al., (2014) also explained that for nurse leaders, having positive leadership quality is necessary. They must be prepared to challenge the status quo and act as effective communicators to develop clinical leaders attributes. Hence, this evidence based strategies will help newly graduate nurse to effectively adapt to new role of leading a team for change. Conclusion: The report discussed about the role of newly graduate registered nurse in leading a team and preparing them for quality improvement initiative of implementing hand hygiene practice at the Sturt Health service. The report gave an insight into challenges faced by newly graduate nurse in leading a team due to lack of exposure to leadership opportunities. Based on identification of several challenges due to lack of leadership skills and transition shock, many strategies were also suggested to overcome these issues. This report gives the lesson that all newly placed registered nurse must focus on embracing challenges and engaging in mentorship program to easily adopt new and responsible role in practice. References: Chassin, M. R., Mayer, C., Nether, K. (2015). Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance.Joint Commission journal on quality and patient safety,41(1), 4-12, Available at: https://www.centerfortransforminghealthcare.org/assets/4/6/JQPS_Jan2015_Chassin.pdf Daly, J., Jackson, D., Mannix, J., Davidson, P., Hutchinson, M. (2014). The importance of clinical leadership in the hospital setting.Journal of Healthcare Leadership, DOI: https://doi.org/10.2147/JHL.S46161 Duchscher, J. E. B. (2009). Transition shock: the initial stage of role adaptation for newly graduated registered nurses.Journal of advanced nursing,65(5), 1103-1113, doi: 10.1111/j.1365-2648.2008.04898.x Edwards, D., Hawker, C., Carrier, J., Rees, C. (2015). A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse.International Journal ofNursing Studies,52(7), 1254-1268, DOI:https://doi.org/10.1016/j.ijnurstu.2015.03.007 Ekstrm, L., Idvall, E. (2015). Being a team leader: newly registered nurses relate their experiences.Journal of nursing management,23(1), 75-86, DOI:10.1111/jonm.12085 Ellingson, K., Haas, J. P., Aiello, A. E., Kusek, L., Maragakis, L. L., Olmsted, R. N., ... VanAmringe, M. (2014). Strategies to prevent healthcare-associated infections through hand hygiene.Infection Control Hospital Epidemiology,35(8), 937-960, DOI: 10.1086/677145 Hezaveh, M. S., Rafii, F., Seyedfatemi, N. (2014). Novice nurses' experiences of unpreparedness at the beginning of the work.Global journal of health science,6(1), 215, doi:10.5539/gjhs.v6n1p215 Hofler, L., Thomas, K. (2016). Transition of new graduate nurses to the workforce challenges and solutions in the changing health care environment.North Carolina medical journal,77(2), 133-136, doi:10.18043/ncm.77.2.133 McLaws, M. L. (2015). The relationship between hand hygiene and health care-associated infection: its complicated.Infection and drug resistance,8, 7, doi:10.2147/IDR.S62704 Regan, S., Laschinger, H. K., Wong, C. A. (2016). The influence of empowerment, authentic leadership, and professional practice environments on nurses perceived interprofessional collaboration.Journal of nursing management,24(1), DOI: 10.1111/jonm.12288 Sadule-Rios, N., Aguilera, G. (2017). Nurses perceptions of reasons for persistent low rates in hand hygiene compliance.Intensive and Critical Care Nursing,42, 17-21, DOI:https://doi.org/10.1016/j.iccn.2017.02.005 Saint, S., Kowalski, C. P., Banaszak-Holl, J., Forman, J., Damschroder, L., Krein, S. L. (2010). The importance of leadership in preventing healthcare-associated infection: results of a multisite qualitative study.Infection Control Hospital Epidemiology,31(9), 901-907, DOI: 10.1086/655459 Silva, D. G. V. D., Souza, S. D. S. D., Trentini, M., Bonetti, A., Mattosinho, M. M. S. (2010). The challenges coped by the novice in nursing practice.Revista da Escola de Enfermagem da USP,44(2), 511-516, Doi: https://dx.doi.org/10.1590/S0080-62342010000200038

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.