Nursing7011 Leadership & Management In Assessment Answer

The primary lacuna of the services offered by the nurses is to ensure the fact that the health related problems that the patients are suffering from is being addressed and for this it is important for them to have a say in the formulation of the policies. One such policy is the Hand Hygiene policy which I as a registered nurse in our ward would certainly like to modify. The use of this policy requires the nurses to take effective hygiene measures related to their hands before and after the handling of the patients (Jimmieson et al. 2016). According to Gould et al. (2017), this is important since it not only ensures that the safety of the patients but also the safety of the nurses as well. However, it is seen that in our ward this policy is not only followed in an effective manner and thus I would like to implement this policy within our ward so that the nurses are being able to effectively follow it.

2.

The healthcare organizations for not only for the formulation of the policies but also for the effective implementation of them face various kinds of challenges as well as issues. The challenges become even more apparent when they are analyzed at an organizational, state and national level. Grant, Parry and Guerin (2013) are of the viewpoint that one of the major challenges that the health care organizations face for the implementation of the policies is related to the resistance that they face from the registered nurses and other healthcare professionals. According to Hall (2013), it is seen that the registered nurses often get comfortable with a particular routine pattern of work and thus to embrace a new policy for the completion of their job role is a challenge for them. This becomes especially more challenge for them when the amount of workload that they need to handle within their ward is taken into consideration (Srigley et al. 2015). Another challenge that the healthcare organizations are likely to encounter is on the basis of the different educational as well as social background of the nurses. Sadule-Rios and Aguilera (2017) have stated that not all the registered nurses within a ward have the same educational knowledge because of the changing landscape of health system and this often creates a rift as regard the policy that they need to follow.       

3.

Head and Alford (2015) are of the viewpoint that the effectiveness and also the efficiency of a healthcare policy depend to a large extent on the strategies which are being followed for the implementation of the same. As opined by Gould et al. (2017), for the implementation of the Hand Hygiene policy, the nurse leaders would have to take into consideration two sets of nurses, namely, the ones who have newly joined and the tenured registered nurses. As regards the tenured registered nurses, the nurse leader can go about educating them about the importance of the use of the Hand Hygiene policy and the benefits that it would yield not only to them but also to the patients (Srigley et al. 2015). Furthermore, for the new nurses, the nurse leaders can conduct various workshops and seminar to cascade the benefits of the use of this policy (Sadule-Rios and Aguilera 2017). In addition to these two strategies, the nurse leader can at the same time create various perks or rewards for the effective utilization of this policy (Jimmieson et al. 2016). For example, every month rewards or awards can be given to the registered nurses who had utilized the policy in the best possible manner. These in short are some of the strategies through which the policy can not only be implemented but also the nurse leaders can overcome the challenges associated with the use of the same.   

References

Arabi, A., Rafii, F., Cheraghi, M.A. and Ghiyasvandian, S., 2014. Nurses’ policy influence: A concept analysis. Iranian journal of nursing and midwifery research, 19(3), p.315.

Gould, D.J., Moralejo, D., Drey, N., Chudleigh, J.H. and Taljaard, M., 2017. Interventions to improve hand hygiene compliance in patient care. Cochrane database of systematic reviews, (9).

Grant, J., Parry, Y. and Guerin, P., 2013. An investigation of culturally competent terminology in healthcare policy finds ambiguity and lack of definition. Australian and New Zealand journal of public health, 37(3), pp.250-256.

Hall, J., 2013. The development of health economics in Australia and its contribution to policy. Australian Economic Review, 46(2), pp.196-201.

Head, B.W. and Alford, J., 2015. Wicked problems: Implications for public policy and management. Administration & Society, 47(6), pp.711-739..

Jimmieson, N.L., Tucker, M.K., White, K.M., Liao, J., Campbell, M., Brain, D., Page, K., Barnett, A.G. and Graves, N., 2016. The role of time pressure and different psychological safety climate referents in the prediction of nurses’ hand hygiene compliance. Safety Science, 82, pp.29-43.

Kitson, A., Marshall, A., Bassett, K. and Zeitz, K., 2013. What are the core elements of patient?centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of advanced nursing, 69(1), pp.4-15.

Lee, T., Kang, K. H., Ko, Y. K., Cho, S. H., and Kim, E. Y. 2014. Issues and challenges of nurse workforce policy: a critical review and implication. Journal of Korean Academy of Nursing Administration, 20(1), 106-116.

Sadule-Rios, N. and Aguilera, G., 2017. Nurses’ perceptions of reasons for persistent low rates in hand hygiene compliance. Intensive and Critical Care Nursing, 42, pp.17-21.

Srigley, J.A., Corace, K., Hargadon, D.P., Yu, D., MacDonald, T., Fabrigar, L. and Garber, G., 2015. Applying psychological frameworks of behaviour change to improve healthcare worker hand hygiene: a systematic review. Journal of Hospital Infection, 91(3), pp.202-210.

Waddell, A., Adams, J.M. and Fawcett, J., 2017. Exploring Nurse Leaders' Policy Participation Within the Context of a Nursing Conceptual Framework. Policy, Politics, & Nursing Practice, p.1527154418762578.