Organisational Aspects Of Care Analysis

Person centred care could be defined as focusing on a person’s individual needs, wants, wishes and where they see their target goal. Person centred care also takes into account delivering person centred care to the patients family and carers, as well as the multidisciplinary team that is working together to provide care. The service user is the most important person in decision making for their health care and the nursing process. (Draper et al 2013). Person centred care reminds nurses and care staff that they are caring for the service user, their families and care staff providing the care, this allows the patient power in decision making towards their health and wellbeing. (Pope, 2011)

As a nurse, it’s crucial for our jobs to be a priority due to the needs of others. We must always be safe because not only are we liable, we are also trusted in the public’s eye as being

For example, a nurse with the same six patients as mentioned earlier has the same duties and responsibilities however this nurse handles the stress differently. In order to keep up with all patients’ needs the nurse communicates with patients proactively and communicates with staff as a team. Since job stress is everywhere in nursing, purposeful communication, especially in the hospital setting is key to decreasing stress (How to Cope with Stress on the Job, 2014). Aside from open communication another important factor to decrease stress is controlling personal emotions as well as helping others deescalated their emotions (Karimi, Leggat, Donohue, Farrell and Couper, 2013, p.178). This type of emotional control is called emotional intelligence (EI) according to Karimi et al (2013). “A series of studies have shown that individuals with high EI more successfully handle work demands” (Karimi et al, 2013, p.178). Nurses who have open communication and handle emotions appropriately can have less stress upon themselves leading to a healthier work environment. There would be less psychological and physical deterioration in health among nurses at the various

In this report I will be investigating how care services meet the needs of individuals by firstly analysing the needs of an individual using care services. Then I will go on to explain the roles of the care planning process in identifying needs, and explain the features of a positive care practise. After explaining that, I will analysis positive care environments and evaluate how they meet needs before finally explaining the role of legislation in promoting a positive care environment.

Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).

Registered nurses have many important roles and responsibilities when involved with the care of a patient. The main roles in nursing care do not change, regardless of whether they work in a small town clinic, a community centre or a large scale hospital. One of the main responsibilities all registered nurses have is to consistently provide high quality, safe and evidence based holistic health care to every one of their patients and to cause no harm. Providing high levels of attention and care on a daily basis for long shifts at a time can be stressful and both physically and emotionally demanding. This can cause nurses to ‘burn out; which has a negative effect on the nurse’s wellbeing and potentially on the care and outcomes of their patients.

Working in health care is connected with a higher degree of stress than working in other professions. Nursing includes both non-specific stress and specific factors. Many hospital are experiencing increase patient workload. Changing Registered Nurse (RN) to patient ratios are affecting both nurses' job satisfaction and patient satisfaction alike. As healthcare reform pressures hospitals to cut costs and nursing shortage continues, increased patient loads are becoming a stressor in the acute care setting. RNs suffer as they feel the stress of needing to be in multiple places at one time, an unrealistic goal, while patients suffer as they see their primary nurse less often as desired, usually during times of medication or treatment administration.

Stressful work environments, long work hours and inadequate sleep all contribute to an increase in physical and mental exhaustion amongst nurses. Typically, people choose nursing as a career to help others and to make a difference in their lives, without realizing the number of duties this career demands. Nurses may suffer in silence when they are experiencing stress. The effects can impact safe and reliable care by decreasing job satisfaction, decreasing productivity, causing poor personal health, and compromising patient care. Many facilities would benefit from implementing evidence-based strategies to address nurse fatigue and burnout.

Nurses are advocates for not only the patient but the nursing profession as a whole. Although nurses strive to provide optimal high quality care, it does not come without high cost to the healthcare team. “The concept of work ability is related to a worker’s capacity to perform his or her work tasks, given the work demands, his or her health status, and physical mental abilities” (Fischer and Martinez, 2013). High quality care and treatment relies on nursing professionals being able to complete their daily tasks with effective time management and without injury. The demands of the healthcare system are continuously evolving in relation to their being a shortage of nurses and an increase in patient load

While providing safe care, nurses are also taught to be an advocate for their patients. To be an

Dyrbye et al. have identified that burnout among nurses has probably worsened than before and the average workload has multiplied by the last 10 years (2017). Additionally, these days, increasing in workload is accounted to technological advancements in the shape of electronic health records and added responsibilities such as patient management plans and patient counseling etc. (Dyrbye et al., 2017). Also, the long working hours creates a family-work conflict among nurses, which become a source of additional stress for them (Boamah & Laschinger, 2016). The current clinical evidence of job stress and burnout among nurses indicates that the issue is negatively associated with job dissatisfaction and patients’ outcomes (Helfrich et al., 2014). As IOM reports, there is a strong relationship between patients' safety and the working environment (Koy et al., 2017). The negative patients’ outcome due to nurses’ burnout results in patient dissatisfaction and a decrease in the quality of nursing services (McHugh, Kutney-Lee, Cimiotti, Sloane, & Aiken, 2011). The high rates of hospital infections, mortality rates, and preventable falls are other consequences of the nursing shortage which add more expenses to the healthcare system (Moss et al., 2016). The importance of balancing both work and family spheres

Violence towards nurses can often be done by aggression or physical assault, threatening behaviors and behavior that causes emotional or physical harm. The violence will not stop, but it could be reduced by passing laws and more security programs towards the nurses. Reglaments in hospitals are now used to protect the life of nurses that are affected by patients and their families during the workplace. In the nursing field there is no perfect way to handle violence because there will always be one angry patient. Nursing is possibly the hardest workplace to handle violence. Patients will always refuse to get

There are numerous elements that contribute to stress in the healthcare setting. Nurses’ days are full of physical, mental and emotional demands. There are societal demands and workplace demands created by the shortage. These stressors can become increasingly overwhelming and if there is no stress relief, job performance can and will be hindered. When fatigue and stress combine there is potential for “performance decrements”. This can include diminished capacity to manage a specific level of workload resulting in errors in the delivery of nursing care. This can produce damaging effects on the safety and advantageous outcomes for both the nurses and patients. (Reese, 2011). Therefore, finding a balance between lowering stress levels of

Nurses are especially vulnerable to several related effects of stress, such as burnout, job dissatisfaction, increased interpersonal problems, increased health complaints, disturbances in sleep patterns, as well as clinical depression and anxiety (Villani, Grassi, Cognetta, Toniolo, Cipresso, & Riva, 2013). The potential for stress can be reduced by resolving difficulties in the workplace promptly, addressing staff shortages, turnover and absenteeism, and developing clear objectives and plans (McIntosh, & Sheppy, 2013). Learning to manage and reduce stress by developing insight and coping strategies will help to maintain and promote nursing integrity and consistent patient care (McIntosh, & Sheppy, 2013).

An increased workload for nurses can negatively affect them, their patients and the organizations they work for. Mojgan Khademi, Easa Mohammadi,