Gaining Approval from Organizational Leaders - Research Paper Example

? Developing An Implementation Plan Preservation of health is the basic right of every human. Applying this axiom on the surface of earth is essential to attain international peace and security. The health of prisoners is quite a complex issue that needs immense thought and consideration. Research in the past decade has explored the various facets of this issue, and the possible solutions to resolve this Gordian knot. In the light of the reported implication, this paper provides an implementation plan to hedge the causal factors of this problem, so as to have a better humane world. Gaining Approval from Organizational Leaders So as to have a sound start to the problem analysis, the entire organization is to be working en masse aiming at elimination of the roots of the problem. Hence, for effectiveness of such a huge step, the Managing directors of the hospital are to be addressed through paper draft of the problem followed by detailed meetings that present the need to address this problem on humane level, and gaining their approval to make initiative for the change. Current Problem- A Comprehensive Insight A group of related concepts that are used to propose action that guide practice in any field including nursing is referred as a theory. A practical theory that can be applied in this concept is the Jean Watson’s Theory of Caring. This theory is based on four main concepts which are identification of human beings, health, environment /society and nursing (Daniels, 2004). According to this theory the main concern of nursing is the promotion of health, prevention of illness, caring for the sick and restoration of health to the patients regardless of their status in the society. As such even inmates are entitled to such a treatment as envisaged in this theory. The rationale for choosing this theory is based on the order of needs by Watson into biophysical needs, psychophysical needs and psychosocial needs even among prisoners. According to Kim & Kollak (2006) the Watson’s theory of caring strives to depict, predict and explain nursing phenomenon based on relativity in providing appropriate care to patients. The foundations of nursing practice are provided by this theory through the recognition of the need rankings. This is in regard to the health care quality available for inmates while in incarceration. This shows the endeavour by the nurses to maintain professional borders and thereby enhance the quality and standards of health care to inmates. A good example is the requirement by the American Nurses Credentialing Centre (ANCC) for all nurse managers and leaders in facilities seeking accreditation have at the very least, a baccalaureate degree (ACCN, 2013). Endorsement of good health among prisoner population as for the general population is the prime objective of nursing. Perry J, et al., reported that prisoners have greater health needs owing to higher incidence of chronic disease. Generally, a prisoner possesses a vulnerable mindset due to myriad possible reasons such as unemployment, family disputes and abuse (physical, mental or sexual). The Offender Health and Social Care Strategy (DH2009a) set standards for offender health care stating that prisoners along with their families shall receive effective care and treatment equivalent to the general public. (Powell et al., 2010) comprehensively reviewed the dilemma of the prisoners from the eyes of the nursing staff. Various aspects were discussed and conclusions drawn from the results of the survey are that that a stable association between healthcare managers and local National Health Service is required. The infrastructure of prisons and their security measures need strong collaboration with health care unit. (Powell, 2010) On the other hand, the education of the nurses has a very high impact on patient health and safety and is a major determining factor of nurse’s attitudes and actions. (Altmann et al., 2012) recently surveyed on the aforementioned line and found that nurse’s attitude towards formal education needs to be enhanced. (Altmann, 2012) Proposed Solution – An Overview The solution to the problem has wide dimensions, which are summarised as follows: An Education and Training Framework for Staff providing HealthCare In Prisons (DH 2005a) highlight the job expectations of nurses expected in prison environment as well as skills, roles and qualifications required. Training programmes need to be revised and structured in such a way that increases their awareness and potency for senior and challenging roles. Planning personal development of nurses and effective staff appraisal plans will boost motivation level of nurses and thus guarantee their performance. The Holistic and Spiritual element is a vital ingredient that will catalyse the morale of nurses and an effectual impetus (Shelton, 2009). Incorporation of healthcare assistants (HCA) in the care & nursing hierarchy. Healthcare assistants can be defined as non-registered staff member functioning under the supervision of a nurse. HCAs have access to registered nurse training. (Campbell et al 2007) Rationale behind Proposed Solution: In relation to proving my solution, Jean Watson’s theory of caring idealizes on the need to form a humanistic-altruistic system of values even among inmates by the nurses, cultivation of sensitivity to one’s self and others by encouraging nurses to feel for their patients, and interact with them just like those in the hospitals. Consequently, this theory recognizes that a helping-trust relationship should be established between the nurses and the inmates through enhanced communication so that the feelings of both can be expressed openly (Kim & Kollak, 2006). Perry J et al discussed the afore-mentioned elements (check Proposed Solution). He emphasised that sound knowledge and training of the employees is basic essential to prepare them for every type of challenges in prison environment. In the light of Royal College of Nursing (RCN) , Perry J et al analysed that Clinical supervision is a major area for nurse training and development. Implementation Logistics For a solution to be executed, it’s imperative that numerous steps be taken in such a way that ensures successful incorporation into the system, along with constant monitoring of the execution so that the desired changes are met sufficiently. Jones et al conducted a survey and found that Problem-Based learning is an effective means to train students and enables them to apply theoretical knowledge into practice (Jones, 2008).Success during nursing academic tenure can be boosted by nurturing the factors such as personal well-being, rest and nutrition (Rogers, 2010). Effective execution of the following steps is to be carried out: Baccalaureate Nursing Education (BSN): The execution starts with incorporation of various necessary elements of nursing education into the curriculum. This will augment their skills and prepare for them all sorts of challenges expected. Holistic and Spiritual training is a must (Kendall-Galagher, 2011). Clinical Preceptorship: In the light of survey conducted by Rogan et al (2009), clinical preceptor ship in baccalaureate nursing education (BSN) was a splendid technique that developed critical thinking skills of the students and prepared them for challenging real time situations expected in future. Thus, this practice is to implemented for production of qualified capable nurses. The nurses involved in clinical preceptorship are to be well-briefed about the expectations students have from them i.e. nurses need to play multiple roles of a mentor, teacher, supervisor, colleague and senior, so that students gain a good feel about the myriad challenged faced in real-life and thus produce capable nurses for a healthy, happy society. The following provides a good checklist for nurses involved in perception: Broad vision of baccalaureate nursing is to be imparted to the nurses defining their duties and liabilities Preceptor preparation requires nurses to know how to develop a student’s task management and priority setting skills. Decision- making skills is to be consciously refined by the students and preceptor. (Baxter, 2008) Effective evaluation of a student’s performance and build them to set realistic goals during perceptorship. ( Rogan, 2009) Secondly, hiring of Health Care Assistants (HCAs) is required and simultaneous training with nurses so as to integrate the HCAs along with registered nurses such that their joint collaboration prepares them for future challenges. Collaborative training with registered nurses is to be included in the final years of nursing education. Monitoring of the system will be done by Criminal Justice System, who make certain the standard conditions are met, the moment a prisoner comes into police custody. This functional body will also check on-going care of all the prisoners and work in cooperation with the health care unit (doctors, nurses and health care assistants). Required Resources for Implementation Every process requires ample investment of time, money and energy for the betterment of mankind. A concise list of resources is given below: At the root level, curriculum of nursing education needs to be revised time and then so as to meet current needs and produce nurses similitude of Florence Nightingle. (Wolff, 2010) Well-experienced and trained staff is required for sound mentoring of the nurses and health care assistants (HCAs). A comprehensive questionnaire to survey the perceptions of the teaching staff and Board of Directors is required to analyse the picture from a wider angle. Training sessions require powerpoint presentations so as to increase awareness among the nurses about the dire needs of prisoners, with particular importance to the fact that all human beings are to be treated equal. Ferszt et al developed an educational support plan for nurses nurturing pregnant women in prison. This plan highlighted the plight of the pregnant women in prison, and how the support group increased their comfort. One of the suggestions was to incorporate volunteer Doulas i.e. experienced lay women capable of providing support during the early phases of labour. ( (Ferszt, 2008) The latest model to be incorporated is making nurses key providers of basic care in prisons. The aforementioned conclusion needs to be reviewed by the Department of Health Policy reforms occurring in many European countries such as Scotland and Ireland, so as to attain health care on universal level. (Powell,2010) Simulation is an effective means to assess a candidate’s efficacy.( (Gantt, 2010) References Altmann, K. (2012). Nurses’ Attitudes Toward Continuing Formal Education: A Comparison by Level of Education and Geography. Nur s ing Educ a t ion Pe r spe c t i v e s , 80- 86. Baxter, E. &. (2008). Decision Making by Baccalaureate Nursing Students in the Clinical Setting. Journal of Nursing Education , 345- 352. Campbell, P. L. (2007). Nursing in General Practice: The toolkit for Nurses and Helath Care Assistants. Oxford: Radcliffe Publishing. Ferszt, G. &.-O. (2008). Development of an educational/support group for pregnant women in prison. Journal of Forensic Nursing , 55- 60 . Gantt, L. (2010). using the Clark Simulation Evaluation Rubric with Associate degree and Baccalaureate nursing Students. T E A C H i n g Wi t H t E C H n o l o g y / E v A l u At i o n R u B R i C , 101- 5. Health, D. o. (2005). An Education and Training Framework for Staff Providing Healthcare in Prisons. London: The Stationery Office. Jones, M. (2008). DEVELOPING Clinically Savvy Nursing Students:An Evaluation of Problem-Based Learning in an Associate Degree Program. NU R S I N G E D U C AT I O N R E S E A R C H , 278- 285. Kendall-Galagher, D. A. (2011). Nurse Specialty Certification, Inpatient Mortality,and Failure to Rescue. Journal of Nursing Scholarship , 43 (2), 188-194. Perry, J. (2010). Education and career opportunities for nurses in offender health care. Nursing Standard , 24 (43), 35-39. Perry, J. (2010). Management of long-term conditions in a prison setting. Nursing Standard , 24 (42), 35-40. Powel, J. H. (2010). Nursing care of prisoners: staff views and experiences. Journal of Advanced Nursing , 1257-37. Rogan, E. (2009). Preparation of Nurses Who Precept Baccalaureate Nursing Students: A Descriptive Study. The Journal of Continuing Education in Nursing , 40, 565- 572. Rogers, T. (2010). Prescription for Success in an Associate Degree Nursing Program. SLACK Incorporated , 96- 102. Shelton, D. (2009). Forensic nursing in secure environments. Journal of Forensic Nursing , 5, 131-142. Wolff, C. R. (2010). Ready for What? An Exploration of the Meaning of New Graduate Nurses’ Readinessfor Practice. The Berkeley Electronic Press , 1- 16. Read More