Dynamic and Complex Healthcare System Industry Order instruction: Introduction
Healthcare industry is a very complex healthcare system. This is because of the increased diversity of the stakeholders and the reduced homogeneity of the workforce. The increased new trends in technology make the system even more complex and even more dynamic. Additionally, the healthcare system expectations from the community are high, which causes the establishment of new standards to ensure that healthcare quality is sustained. To do this, the healthcare professionals are expected to continue learning to keep themselves abreast with the emerging trends in the healthcare. This continued learning improves the professional skills, competencies as well as behaviors, especially when interacting with the various healthcare stakeholders (Ledlow & Coppola, 2011).
Task 1.1 Personal values and principles vs workplace values and principles
Personal values and principles are powerful instruments as they shape their professional thinking and their interaction within the organization. The personal values and principles form individual culture, as they impact on the contributions of the healthcare providers. Personal values and beliefs are influenced by various factors including social values, instrumental, religious and political values (Healey, 2013). The instrumental values include a person’s acts such as empathy, honesty, courageousness, and politeness. Through these values, patient dignity and autonomy are respected. These instrumental values promote the implementation of nursing principles of justice, maleficence, beneficence, and autonomy, thus improving delivery of care at the Regent Ward. These personal values ensure that healthcare providers are competent and embrace cultural competencies (Ledlow & Coppola, 2011).
The healthcare provider motivation and commitment shape their personal values and principles. These are also influenced by the economic values within the healthcare facility. For instance, implementation of standards that will ensure quality delivery of services such as automated system will require a large amount of money. Additionally, well-paid employees are well motivated if they are well paid than the overworked and underpaid employees (Crow, 2008).
The social factors that influence personal values at the Regent wards include equality, justice, and freedom. These values ensure that the concepts of teamwork are attained, improving the levels of trustworthiness, professionalism, reliability, and competitiveness with other healthcare providers in the neighborhoods. Other factors that influence employees include religious values because spirituality is a core factor in healthcare. Respecting a patient’s cultural diversity and their religious beliefs improve their relationship with healthcare, improving the delivery of care (Ledlow & Coppola, 2011).
Task 1.2 Influence of personal culture on the delivery of care and Dynamic and Complex Healthcare System Industry
The healthcare system consists of from different cultural background. Respecting and valuing other people’s culture and the traditional background is the key to the effective delivery of services. At the Regent’s Ward, the healthcare respects their diversity and do not enforce their cultures or values to other healthcare providers or the service users. This ensures that patients are treated equally without discrimination. Cultural competence within the healthcare organization ensures that the service users are protected from abuse, patient information is held confidentially, privacy and dignity are sustained (Fatoki, 2014).
I come from a community that really uphold their culture, the Hispanic culture. Originally, this culture influenced my productivity. To begin with, I felt awkward when assigned to take care for patient of the opposite gender, especially the elderly. This is because it is a taboo to see your seniors naked. Previously, I found myself interacting with people from my ethnic background because we tend to share values and believe. However, from nursing education and experience, I understand the importance of the professional relationship with the various stakeholders including the workmates and the service users. I have learned to interact with people from different background, and have learned to respect and value other cultures beliefs and tradition (Rogers et al., 2013).
Additionally, my culture emphasizes respect, empathy, honesty, and integrity. These backgrounds have enabled me to foster positive interactions that are used to foster quality care to all clients without discrimination. However, the journey has not been easy as in this industry involves interaction with people who have varying views and values. In some cases, the patients make it difficult, especially if their values conflict with professional values. However, through effective interactions with the nurses, an awareness is established which improves the delivery of quality care, reducing healthcare disparities (Putnam, 2014).
Task 1.3 New Changes in healthcare that improve the delivery of care for Dynamic and Complex Healthcare System Industry
The developments and new changes are achieved through learning during professional studies. These are aimed at broadening students way of thinking and solving the problems. Most of the healthcare changes are enhanced through information technology. The healthcare educators, supervisors, managers and mentors improve healthcare developments and changes through the use of refresher training programs and using content from the evidence-based practice. Student learning opportunities are also improved as they interact in formal and informal learning activities such as voluntary services and professional development courses (Melville-Wiseman, 2011).
At the legislative level, the healthcare providers improve the quality of care by integrating new changes and developments by reforming the existing ones and additions of new standards and policies. These include acts such as Children Act 2000 and the Equal Opportunities Act that is used to ensure that people’s preferences and dignity are protected and maintained. Other legislative that are important in shaping the healthcare include the Children Act 2004, National Health Service Act 2006, Health and Safety Act 2012. These legislations improve partnership and interagency collaborations, minimizing increased fragmentation in the healthcare department, which led to the death of baby Peter. This ensures that the NHS embrace the proposed concepts, increased allocation of resources and ensures that there is pooled of efforts and resources within the healthcare system (Rogers et al., 2013).
2.1 Assessment of the current skills as well as learning and Dynamic and Complex Healthcare System Industry
The learning styles were introduced during my first year. Initially, they did not make any sense as I was not conscious enough. The learning styles are important as they determine the development of skills, abilities and core competencies. The learning styles include the aural, solitary, logical and visual learning style. These learning styles have influenced by nursing understanding in a positive way (Melville-Wiseman, 2011). For example, the solitary learning style has improved my ability for critical thinking and analyses of context in a holistic manner. This learning style has improved my ability to explore evidence-based practice, and the ability to convert challenges in the healthcare into opportunities. The social learning has enabled to strengthen the interpersonal skills and improving the cultural competencies. These improved my ability to value and respect other people’s cultures as well as their preferences. The audiovisual has been beneficial to me, especially when learning on theories that need to be incorporated into clinical practice (Ledlow & Coppola, 2011).
These learning styles have improved my understanding of core principles and code of ethics expected during the delivery of care. The use of case studies and case scenarios places me in a situation that improves my critical thinking in a situation that is a simulation of reality. This has improved my ability to interact with the peers and the service users. The benefits of integrating all this learning system are that disadvantages of one type of learning styles are complemented by the advantage of the other, which stimulates my memory cells with ease (McSheehy, 2010).
2.2 Personal Long, medium and short-term goals as well as holistic goals for Dynamic and Complex Healthcare System Industry
The development plan described below is based on my career objectives, competencies, abilities and the areas that need to be improved. Findings from my personal evaluation programs, my strengths include effective communication skills, rapid response, critical thinking abilities and improved positivity and commitment to my career. This has enabled me to improve and grow effectively (Melville-Wiseman, 2011).
The main weakness includes poor leadership skills which are attributable to low self-confidence. This has made me relax and fail to navigate the extra talents that lie within me. Additionally, my mentor keeps on saying that I am not assertive and often lack initiative. This implies that I have the tendency to initiate a program and will hardly see to its completion. Additionally, I sometimes feel overwhelmed and increased anxiety, especially when confronted with ethical dilemmas of increased workloads that need to be addressed. In a summary, the issues that need to be improved in my career include courage, self-confidence, improve assertiveness and enhance my leadership skills (Yalli & Albrithen, 2011).
My aim is to improve the ability to undertake tasks with authority and increased confidentiality. This implies that I need to develop an intervention that will help me believe in my decision making, ideas and opinions, and explore other opportunities that will improve my self-confidence. The short and medium-term goals include finishing a leadership program that will help boost my confidence through the application of the principles taught. To improve my decision-making process, I will increase article reading practices by enrolling in journal databases, which will enable me to keep abreast with the study findings. The long-term goal is to ensure that I have the command and leadership skills. I also want to learn to remain calm even during challenging situations (Ledlow & Coppola, 2011). The timeline of achieving these activities is shown in the table below.
|Focus area 1
Start date: 11/11/2015
Short term goal: 10/12/2015
Long term goal: 18/1/2016
|Focus area 2
Start date: 13/11/2015
Short term goal: 21/12/2015
Long term goal: 28/1/2016
|Focus area 3
Start date 20/11/2016
Short term goal: 21/12/2015
Long term goal: 18/1/2016
2.3 Monitoring personal development against personal competencies according to the standards of health and social care
In order to remain relevant in this complex industry, it is important to ensure that there is personal development is sustained. Monitoring personal development facilitates the evaluation of whether the personal goals are in line with standards of the healthcare and the core values of the Regent ward. Research indicates that personal development based on external reasons such as pleasing of the bosses reduced the chance for commitment and career fulfilment because they lack emotional satisfaction (Guru, 2009).
In this context, there will be monthly personal reviews of the proposed areas of the development with the aim of identifying the extent of progress. Additionally, every week, I will fill in a journal to reflect on my achievements and failures. This will facilitate when tracking the progress and in identifying the areas that need improvement. Additionally, there will be a periodic assessment with my mentor. My mentor will give pastoral support and encourage me as I work towards improving my areas of weaknesses. I will also attend developmental programs with the aim of having guidance from the experts in these fields (Ledlow & Coppola, 2011).
2.4 Effectiveness of the PPD
The main reason for PPD was developed is to ensure those professional skills and the core competencies. This aims at ensuring that the professional goals and objectives of an individual are promoted and ensure that there is safe delivery of care. Therefore, if the positive professional attributes are achieved, the quality of care and professional improvements are obtained automatically (McLaughlin & Scholar, 2014).
The evaluation process indicates that my self-confidence has improved considerably. This is evidenced by my ability to implement strategies that are evidence-based and those that address the ethical dilemmas. I have become assertive and have managed to finish two interventions into completion. The leadership skills have not yet been developed completely. The issue of anxiety is also not fully covered. I have enrolled in psychosocial programs as the anxiety behavior has been traced from my childhood. This is important as it is indicated that in the healthcare profession, the professional interactions with people from the diverse background. In summation, I have established that 75% of the target objectives have been achieved (Ledlow & Coppola, 2011).
The PPD has enriched me with the ways to explore new areas with confidence. It has improved my critical thinking ability. This has helped me identify new opportunities in the healthcare that needs improvement and has facilitated the ability to use research, interact with my superiors and respond according to my mentor’s feedback. This activity has improved my organization skills, improved my commitment and responsibilities through continual learning and professional development (Melville-Wiseman, 2011).
3.1 Various professional relationships in Regents Ward for Dynamic and Complex Healthcare System Industry
The professional relationship involves the interaction between various stakeholders within the healthcare facility. The first type of interaction reckoned at the Regent ward is that of service user and health care providers. Effective interaction between the two improves the trust and cohesion, which improves the livery of care (McSheehy, 2010). The healthcare provider must inform the service user about the health complication, its management, prevention and alternative medicine that is available. The healthcare provider must respect patient preferences and choices must be respected. Other patient rights including privacy, dignity, and justice must be observed. This improves the nature of the relationship and the ultimate delivery of care (Ledlow & Coppola, 2011).
The second type of interaction is that between the healthcare staff within the organization. Evidence based research indicates that healthcare facilities that work as a team improve the productivity of the facility. Therefore, the staff must learn to work in partnership, respecting one another choices in order to improve the delivery of care. This cohesion in healthcare enables the staff to share their experiences and to brainstorm on issues that are of ethical concern. To sustain cohesion between the staff, the organization must promote cultural competency. Disciplinary actions must be undertaken for people who bully, discriminate or even harass other staff members (McSheehy, 2010).
Lastly, there is the relationship between the various external organizations. This includes the regulatory bodies and another healthcare facility. Positive relationship improves the healthcare facility competitiveness within the region. Increasing trust between the various stakeholders involved improves collaboration, and consequently, improved patient satisfaction through effective delivery of care (Ledlow & Coppola, 2011).
3.2 promoting and supporting patient rights at the Regents Ward
My main responsibility is to ensure that I offer support to the patient in all ways possible to improve their health. My first responsibility is that of caregiving. This entails ensuring that the patient needs and wants are met holistically. To effectively meet these demands, I will use Maslow’s hierarchy of need, so as to ensure that patient health and quality of care is sustained (Yalli & Albrithen, 2011).
My responsibility as an educator includes ensuring that people’s health literacy and knowledge is improved. The patient will be taught on ways to manage their health, lifestyle modification and other aspects of alternative care for health complications. As an advocate, I will ensure that patient’s preferences are protected at the Regent Ward. I will also ensure that patients are respected, dignity upheld and that there is no discrimination based on their socioeconomic status, gender or ethnic background. Additionally, I will ensure that the patient confidentiality, privacy and person’s wishes as well as views are maintained. This is will facilitate in ensuring that disparities within the healthcare are reduced through the promotion of cultural competency (McSheehy, 2010).
Additionally, I have the responsibility to ensure that the patient undergoes a smooth transition from the healthcare facility to home. This will be done by establishing trust between the healthcare user and the healthcare providers. Ethical attributes and principles such as dependency, trustworthiness, reliability, and honesty will be highly promoted. This will help to respect other people views, value, and self-esteem, which will improve interaction and quality of care (Ledlow & Coppola, 2011).
3.3 Emerging issues of professional relationship on Dynamic and Complex Healthcare System Industry
One of the common issues that affect professional relationship is the ethical dilemma from the established relationship. This is because establishing too much trust between a nurse and a patient could lead to vulnerability, especially if there is an overreliance on the healthcare provider. This especially affects patients who have longer hospitalization days. The peaceful interaction between the healthcare provider and the patient interferes once the patient is discharged. In this context, it is the responsibility of the healthcare providers to ensure that the professional boundaries are not surpassed. Additionally, they should ensure that the patient is self-reliant and all psychological issues that could arise in the future are addressed accordingly (Ledlow & Coppola, 2011).
Other issues that arise include the conflicts between the cultural values and principles with that of the healthcare. This includes issues such as behavioral risks and confidentiality.
For instance, if a child has to be vaccinated to prevent them from acquiring communicable infection can be difficult if the patient religion and culture do not believe in vaccination. In this content, who should the healthcare provider follow, the law that insists that all children welfare must be protected, or the patient wishes? In this context, it is important to seek solutions from higher authorities to describe if they can refer the client other alternative care medicine of same religion and one that will accord quality care (Yalli & Albrithen, 2011).
The issue of confidentiality and disclosure is also common in the healthcare industry. If the patient discloses to a healthcare provider of a deep secret about their health condition or mistreatment at their homes or healthcare facility, should the healthcare provider report the matter to the authorities, or should they respect patient confidentiality? In my views, if the information disclosed affects the healthcare user, it must be reported to avoid more harm to the patient (Ledlow & Coppola, 2011).
4.1 healthcare contributions in delivering care at the Regents and Dynamic and Complex Healthcare System Industry
At the Regent ward, my responsibility is to ensure that quality care is delivered. This is achieved by developing a patient centered care plan, identifying the most effective interventions, and implementation of the interventions. In order this to occur. There is a need to ensure that there is effective communication between the various stakeholders, in order to ensure that patient needs as indicated by Maslow are met. This also includes an in-depth analysis of the evidence-based research with the aim of determining the new strategies in healthcare that can be integrated at Regent healthcare facility (Ledlow & Coppola, 2011).
For example, I have been actively involved in the installation of an automated system that involves issuing of a patient tag that has a barcode. This barcode is used to retrieve patient information at all healthcare departments the patient will visit within Regent healthcare facility. This aims at reducing patient identification errors that have been the key issue of concern at the Regent ward (Fatoki, 2014).
4.2 healthcare providers limits effects at the Regents ward
Every healthcare staff is giving responsibilities based on their experiences, qualifications, and talent. As a trainee, my ability of participation within the clinical matter is limited. For example, I am not allowed to perform any clinical activity unless I am supervised. In all decisions made on tasks assigned must be in agreement with the mentor and supervisor. This includes the processes of administering medication or giving clinical advice to the patients (Healey, 2013).
In some situations, my opinion has been disregarded by my peers, which has taken a toll on my confidence level. I feel that these limitations at the Regent ward affect the organization in a negative way. This is because they insist on standards and procedures, and have zero tolerance for new ideas. This is a barrier to innovative thinking and continual improvement of the healthcare facility (Rogers et al., 2013).
4.3 minimizing barriers in in Regents ward
Effective teamwork is the key factor in minimizing barriers at the healthcare facility.
Effective teamwork is very vital in the delivery of quality care. Teamwork is faced by various barriers such as poor communication, interpersonal interaction, and leadership. This often leads to distrust and reduces employee’s motivation, especially if the healthcare facility does not promote innovative thinking. This is the key challenge at the Regent Ward facility (Guru, 2009).
To effectively eradicate these barriers, there is a need to establish effective leadership. This includes a type of leadership that ensures that there is improved communication, trust, and honesty within the organization. The healthcare facility leaders should establish programs that will ensure cohesiveness between the team members including team building activities which will ensure that the colleagues trust each other. Leaders must also empower the staff by ensuring that they deliver care according to the employee’s abilities, focus on their individualized performances and offer criticism that is constructive whenever necessary. The leaders should enroll the staff in professional motivation programs to ensure that the employees remain motivated, have professional development and improve the delivery of services (Ledlow & Coppola, 2011).
4.4 Ways to contribute to a team’s effectiveness in Regents ward
All healthcare staff contribution is very valuable and important. This is because it improves the quality of care. I have contributed significantly at the Regent ward in various activities including sharing my opinion and support to my peers, which improved delivery of care,
Additionally, I have excellent interpersonal skills, which enabled me to solve disputes and conflicts between my colleagues, especially when making decisions on ethical dilemma matters (Crow, 2008).
My main contribution involved conducting research to determine the new EBP strategies in which can be integrated into the Regent ward. For example, I have been actively involved in the installation of an automated system that involves issuing of a patient tag that has a barcode. This barcode is used to retrieve patient information at all healthcare departments the patient will visit within Regent healthcare facility. This aims at reducing patient identification errors that have been the key issue of concern at the Regent ward. The current research that I am undertaking is strategies to minimize surgical sites infections (Yalli & Albrithen, 2011).
Dynamic and Complex Healthcare System Industry Conclusion
In summation, the healthcare system is a dynamic and complex system. To maintain high quality and ethical standards, healthcare professionals are expected to continue learning to keep themselves abreast with the emerging trends in healthcare. This continued learning improves the professional skills, competencies as well as behaviors, especially when interacting with the various healthcare stakeholders
Dynamic and Complex Healthcare System Industry References
Crow, F. (2008). Learning for well€being: personal, social and health education and a changing curriculum. Pastoral Care In Education, 26(1), 43-51. http://dx.doi.org/10.1080/02643940701848612
Fatoki, O. (2014). The Personal Values of University Students in South Africa. MJSS. http://dx.doi.org/10.5901/mjss.2014.v5n23p758
Guru, S. (2009). Islam and Social Work: Debating Values, Transforming Practice. Health & Social Care In The Community, 17(5), 539-540. http://dx.doi.org/10.1111/j.1365-2524.2009.00883_10.x
Healey, C. (2013). Development of a plan for improved recruitment and retention of Hispanic practical nursing students. Nurse Education Today, 33(1), 10-12. http://dx.doi.org/10.1016/j.nedt.2012.05.015
Ledlow, G., & Coppola, M. (2011). Leadership for health professionals. Sudbury, Mass.: Jones and Bartlett.
McLaughlin, H., & Scholar, H. (2014). Advancing Excellence in Social Work Education. Social Work Education, 33(4), 417-419. http://dx.doi.org/10.1080/02615479.2014.903113
McSheehy, L. (2010). The National Skills Academy for Social Care: A values-based model of excellence in training and learning in adult social care. Journal Of Care Services Management, 4(4), 280-285. http://dx.doi.org/10.1179/175016810×12773688140347
Melville-Wiseman, J. (2011). Professional sexual abuse in mental health services. Social Work And Social Sciences Review, 15(3), 26-43. http://dx.doi.org/10.1921/095352212×655320
Putnam, M. (2014). The Importance of Peer Reviewers for Advancing the Field. Journal Of Gerontological Social Work, 58(1), 1-2. http://dx.doi.org/10.1080/01634372.2015.992690
Rogers, A., Gualco, K., Hinckle, C., & Baber, R. (2013). Cultivating Interest and Competency in Gerontological Social Work: Opportunities for Undergraduate Education. Journal Of Gerontological Social Work, 56(4), 335-355.
Yalli, N., & Albrithen, A. (2011). The Perceptions of the Personal and Professional Factors Influencing Social Workers in Hospitals: A Qualitative Analysis. Social Work In Health Care, 50(10), 845-862. http://dx.doi.org/10.1080/00981389.2011.595478