Aim of this assessment
Aquaflo Nursing and Domiciary Care is a health care organization that is mainly concerned with the promotion of equality paying much attention to the enhancement of the independence and choices of each and every patient who are facing issues with their health. They in turn help them to engage themselves in participation in the plan designed by the carers and the healthcare staffs for them so that their dignity always remain their first priority.
I have been honored to become a part of the organization and am able to serve the humanity with the skills that I have learnt. I joined as a carer in their organization. The organization had provided me a training of about 4 days which was followed by an on spot training session in the practical field. Then I was placed into a team of twenty individual carers who came from different backgrounds and from different part of not only United Kingdom but also of different races and other nations. We were held under two managers who were responsible for allocation of the different orders that came to us and were also instructed about the activities we needed to conduct for each of the clients. We were mainly allocated for the service requests that came from the region named Bexley in London. Our team mainly handled the patient from this area only. They offered wonderful work shift timings which were highly flexible and helped each and every carer to provide service according to their suitable schedule.
I am assigned with the responsibility of handling patients from Bexley with a number of tasks that I had to perform. My main duty was to enhance the lives of those patients who have lost confidence on themselves to live independently and had been suffering from diseases which had resulted in a terrible impact on the quality of life on the patient. I had been fortunate enough to get very enthusiastic patients who had a high level of excitement to make themselves independent. They coordinated with me so that they can experience happiness with good health which they knew can be achieved by properly helping me to in turn help them to live well.
My main duties that I conducted when I visited the home for such patients mainly involved a variety of works like washing and dressing of the patients and also assisting and enabling them to perform different tasks by themselves so that they can gain freedom. I helped them to take food by themselves and being careful enough at the same time so that they do not cause any sort of accidents. Besides, enhancing their courage while walking or trying to perform their activities, I also helped them in toileting as well. I prepared their beds also. I tried my best to monitor the condition of each of the individual by measuring their vital signs thrice a day in order to check whether the patient’s health conditions are stable or not. I tried my best to maintain a detailed record of the various medicines I provided to the patient so that my fellow carer would be able to understand the tasks that she needs to conduct according to my medication procedure. I have applied a large number of techniques that not only helped the development of the interests of the patients but also helped in assisting activities which helped in stimulating and engaging the clients in the treatment and overall grooming so that they can develop lives which can help them live independently and also cheerfully experiencing utmost quality.
Organization
The CQC which is mainly known as the Care Quality Commission and conducted a survey of the health system of the Aquaflo Care Bexley and had published their report on 22nd February 2017 after the date of inspection on 6th February 2017. They had provided a satisfactory review of the service provided by the organization. They had been happy with the service that our organization provides and marked the service as safe, effective, caring, responsive and also well led. The service was safe with sufficient staffing, proper recruitment, proper administration of medicines, correct procedures followed and others (cqc.org.uk, 2017). The service was marked effective by the council as the staffs were trained and also included regular supervision, better appraisal, proper checking of dietary needs, good understanding of mental health capacity and others. Service is also caring with maintainance of patient’s dignity and privacy with proper inclusion of families. The service is also responsive where people’s needs were properly looked after. Service is also well laid with the proper monitoring system, management services, support from the authority and others (cqc.org.uk, 2017). However in spite of the result provided by CQC, complaints were still pouring in not only from the patients but also from the nursing staffs that required proper monitoring and researches to find out the cause in spite of getting good reviews from the CQC.
While working in the organization, one can identify several interconnected issue that have often been seen to hamper the conditions of the service provided to the clients (Abdrbo 2017). The issue that can be described here is the lack of effective communication of not only the managers with the carer but also amongst the carers. This lack of communication has often been found to create several issues regarding the treatment of the patients. There was lack of proper communication because the management system was not skilled enough to conduct proper communication among the carers. Several examples can be provided in order to shed more light on the issues. The organization usually sends two carers for attaining each client but however many of the cases have risen where presence of even two carers are not enough to handle the condition of the patient at their residences. There was a situation where a lady booked for service from the organization for her mother who was suffering from obesity and had experienced pelvic girdle fracture for which she was mostly bed ridden. While conducting the case to the management team for the allocation of the carers, entire case study was not communicated. The client needed the presence of two carers but was sent only one carer. This carer could not provide the best service that was demanded by the patient as handling her and performing her ADL was not possible for a particular carer. Moreover her fracture in the pelvic girdle made situations more tensed. This lack of proper communication therefore created huge disappointment for the client.
Improper communication also created a number of issues like long waiting times by the patients which makes them agitated and also irritated that in turn results in bad reputation of the care agency. Long waiting times mainly arise when proper communications are not conducted between the management and patients. It may also arise with the patients, when the management fails to provide proper information to the carer so that she can perform it responsibly and on time (Doherty et al. 2016). There were many complaints received from the clients over a larger period of time, which stated that carers did not reach houses on time. They also complained of the organization, making them wait for long time without proper communication with them.
Placement
Carers need proper communication among them to provide the best service to patients. However, this was not seen among the carers of this organization. It has been seen that often disagreements and differences in opinion rises among the carers who are sent to a client to perform their service. This kind of disagreement often arises mainly because of their lack of proper skills of communication (Mead 2015). According to Muellar et al. (2015), besides the cause of ineffective communication, lack of proper relationship building among the carers also act as one of the main reason for poor service delivery . Many of the time the carers try to avoid communication among them thinking that it will just go away but this avoidance only make the matter worse. This leads to misunderstanding among the fellow carers that often leads not only to ego clashes but also to poor service delivery. Proper communication often helps in resolving such misunderstanding. When the carers fail to undertake a collaborative approach and proceed without formation of planned approach among the team members, they often lead to disorganized treatment of the patient. Burnard and Gill (2014) have remarked that it in turn hampers health of clients when such situations occur.
Sometime lack of proper communication results in poor decision making by the carers which are also result in poor service delivery. Decision making process always requires a clear vision of the organization’s goals, mission and also values along with proper critical thinking ability. Many researchers like Kourkouta and Papathanasiou (2014) are of the opinion that poor decision making are also the result of not having all the information altogether which are needed to make a sound decision and plan the interventions accordingly. In such a case, the management plays a huge role and therefore they should be specific enough while providing information to the carer about the patient so that the patient’s health is not compromised. The management itself is not only responsible for improper decision making. However, proper communication among the carers and other staffs are also important, so that a decision must be made only after identifying every issue effectively.
Ineffective communication may lead to the development of tensions and stress as it leads to the development of unnecessary worry and also concern of the various issues in the workplace which are not only real but can also be perceived. Moreover ineffective communication among the managers and also among the different carers initiates many workplace conflicts which creates a negative feeling among the carers on the organization. This kind of stress is also believed to hamper proper care to their clients. Ineffective communication and lack of creation of proper bonds are sometimes resulting in the increased stresses among the carers which have a very negative impact on the practices that they make (Riley 2015). These conflicts not only hamper the relationships that the carers share with the organization but also create a state of confusion where the lives of patients get compromised. Moreover, Arnold and Boggs (2015) has stated that stresses may be experienced by the carers due to the inability to anticipate outcomes that result mainly due to poor communication. Ineffective communication gives rise to improper and poor coordination along with the lack of unknown expectations and also lack of directions. Thereby this kind of stress has negative effect on the service delivery of the carers which ultimately hampers the treatment of the patient.
My duties
Strength:
It is one of the most renowned healthcare organizations situated in Bexley in United Kingdom with the sole aim of providing best care to their clients. Their strength lies in the varieties of service that they provide. It not only provides nursing services but also appoint carers and domiciliary workers. Moreover, they also allow workers to have flexile shifts so that they can chose shifts according to their necessity. They also provide part time and full time shifts. This results in higher number of workers joining the organization every year (Van Durme et al. 2014). Moreover, the Care Quality commission had also praised of their services as the services they provide are designated to be safe, effective, responsive, caring and are well led. Sufficient staffing, proper recruitment technique, presence of trained healthcare professionals and others act as the strength of the organization. They have gained a huge fame and therefore it acts strength of the organization.
Weakness:
While analyzing the different situations of the organization, it was found that the communication mediums and the different techniques adopted by them are not efficient enough. Because of these, complaints have poured not only from the patients but also from the fellow workers. Due to improper communication, service delivery has been hampered in many cases. Moreover, absence of proper relations among the carers is also found among the carers that often create commotion in the organization with every carer playing the blame game. Therefore, the ineffective communication is one of the weaknesses that the organization needs to overcome (Visconti 2016). Moreover, the training period for the new joinees is also found to be inefficient, as it does not provide enough education about the organizational culture they need to maintain and lack in proper communication training.
Opportunities:
The organization has received a very good certificate from the Care Quality Council who has provided very good marks for each of the attributes that the organization possess. They have stated that the care provided by the carer is safe, effective, caring, well led and is also responsive. This has created a new opportunity for the organization, as this will attract more clients to their organization. This will in turn increase their income (Uhrenfeidt et al. 2014).
Threats:
The growing industry of healthcare will always pose a threat to the income of the organization. Moreover, growing issue in communication procedures will ultimately hamper the service delivery of the carer and in turn harm the reputation of the organization. This will lower their profit margin, which will harm the allocation of resources, and it will affect the organization accordingly (Rao et al. 2016).
Political:
With the rapid growth of healthcare industry, it has become difficult for an organization to upgrade itself accordingly. However, there arises many situations where the government force the private organization to reduce their healthcare costs in order to bring patients of different socio economic background under healthcare (Rachet 2014). Often this poses a threat on the organization, which requires resources not only for maintaining the workforce but also to keep up with the increasing cost of different resources required in healthcare. Therefore, the organization has to handle such political pressure with strategic management so that they do not lose the reputation.
CQC review
Economical:
Inflation and increase in interest rates had greatly impacted the healthcare industries. There have been a large number of cases where employees have left their jobs due to salary inconsistencies, which have impacted economic growth. Such situation needs to be strategically managed (Metzger 2014). This organization shows sufficient staffing and therefore the revenue bought to the organization is high. Proper management of the staffs would ensure the economic stability, which will decrease the risk of economic burden on the organization.
Social:
Research analysis shows that due to advancement in healthcare studies, there has been steady rise in the old population and hence there has been increasing demand of carers as well. A large number of diseases have become the common names in every household like obesity, osteoarthritis and many others. Due to the growing number of health issues, each society is in dire need of organization that would provide them with trained carers (Grunig and Kuhn 2014). Therefore, the organization can earn huge revenues if they maintain the quality of the service they provide and can make huge profit in the present generation.
Technical:
In the present era of technology, healthcare systems have also upgraded themselves. Many new aspects as in application based technologies, remote access to patients and many others have come into trends. The organization has initiated the use of technology in their system as well. The organization has to keep up with the ever-changing demands of the clients and technology will help them largely for this.
Legal:
Each healthcare legislation is properly followed by the organization. This is evident from the lesser cases of legal obligations that had been reported against the organization. As they are recruiting a large number of individuals, they need to be sure that every one of the fresher is aware of the different legal procedures and legislations that she has to follow. This will help them to get involved in different legal obligations (Hamdan 2017).
Environmental:
The organization has been responsible enough to maintain different environmental policies that have been published by the Government. It maintains important rules by properly disposing any biological wastes, disposable syringes, and others. This organization is very careful in conserving the nature and does not perform any practices that destroy the environment.
From the entire analysis of the issues that have been noted, it can be seen that improper communication behind different stakeholders is the main source. Communication procedure in the organization is not properly conducted. Hence, it resulted in several complaints from both carers and patients. The first improvement that is required here is the introduction of proper communication procedures between the management and the carers working under their guidance. Researches shows that often two-way communication is found to be very effective rather than engaging in a one-way communication. One-way communication has a number of disadvantages. In one way communication procedures like dropping emails, dropping messages on calls, fixing schedules of carers over apps and many others can be cited as examples which often creates confusion to the listener or the opposite person. It often results in loss of input from the managers as their expectation and demand gets restricted within few words. This might not have been the case if the manager had prepared a detailed discussion with the carers. This one-way communication is also responsible for loss of feedback from the carers (Brownell 2015). This may be because, the carer may have certain confusions, concerns or problems which could not be clarified by them due to this one-way communication. They cannot provide effective feedback to the managers and therefore they go through several confusions and stresses, which might not have risen if they were allowed to share their feedback. In turn, this one-way communication also harms the carer morale where the carer may feel that their emotions and requests are not respected. They also feel pressurized which in turn have negative effects on their service provided to clients and may harm the reputation of the organization (Shortliffe and Cimino 2013). Therefore, the managers should initiate different methods of two-way communication procedures, which will help to overcome the above mentioned issues. Two-way communication will involve both the manager and the carers in an effective conversation where they will be able to interact directly (Walker, Jackson and Maxwell 2016). This will ensure not only in the elimination of vagueness but will also ensure the clarity of the information. Moreover, it will also help the carers to express their concerns and different problems they are facing in their practices. They can discuss particular barriers and issues that they may face while carrying out the orders. This process will also enhance the carer morale and provide them with job satisfaction. Carers may also engage themselves in providing effective suggestion, which can help the manager or the organization to work and communicate more effectively. Creation of a democratic environment and building effective relationship between the managers and the carers is very necessary to establish an uninterrupted quality service. The manager can establish a two way communication process by organizing morning meetings which will help in discussing the allocation of clients to carer and point out any issues that the carers face. They should also be entertained to have detailed discussion of any suggestions or issues in telephonic conversations rather than dropping messages in complain boxes, dropping mails, which get never checked, dropping messages over calls, or sending information through third persons or others (Yoderwise 2014). Those proper methods of achieving feedback from the carers should be encouraged so that they feel more inclusion into the organization. This will help them the carers to align with the mission and vision of the organization and be more successful.
Issues that have been identified
Another issue that is also noticed is improper communication among the carers. Moreover, several complexes are also found among the carers like sever ego clashes, inferiority complexes, insecurity complexes, superiority complexes and others. These result in improper service delivery to the patients due to the pressure they feel while carrying out their service with another colleague. It affects shared decision making which is indeed one of the very important aspects in healthcare services (Ward-Griffin 2016). Presence of a fragile relationship among the fellow carers also prevents them from sharing their opinions, concerns, stress and feelings with each other. Due to inability to share human emotions, they feel burdened and this negatively affects their services to the carer. It is often stated by researchers that having long discussions about emotions and feelings with fellow carers reduce their feeling of burning out as their stresses are distributed when they express their feelings (Huber 2013). Therefore, presence of an effective relationship is indeed very necessary for the carer team to provide best service to the clients. Therefore, it is advised to the authority to take active steps that will ensure proper building of relationships among the carers. Workshops need to be conducted in order to make carer understand the advantages that may receive maintain a strong bond with another colleague. By the building up of effective relationship among themselves, carer can avoid miscommunications and medical error. They will not have to compromise with safety and care of the patient when they are unable to provide the service due to urgency I their personal lives and can depend upon their colleague for delegation. Nursing leaders can ensure it with properly educating the carers with benefits of effective communication. Leaders should influence the concept of openness among carers. This can be achieved by maintaining policies that encourage shared decision making among the carers. They can arrange for meetings where the carers can debrief their experiences marking then positive sides of their fellow carers, which can ensure regular communication among the carers. Conflict management is yet another arena where the leaders should take an active step if any sort of conflict arises among the carers (Constand et al. 2014). Therefore, besides the leader trying her best to establish relationship among the carers and maintenance of smooth service delivery to the patients, the carer should also try to align with each other, as their main aim is to provide the best care service to the carers.
Besides the initiatives of the managers to introduce two-way communication modes into the health care system and proper relationship, building by the leaders of the carers it is also very important for each member of the Aquaflo care to practice effective communication skills individually so that it helps in smoother flow of every task in the healthcare sectors. In order to make every individuals well trained in communication skills, a number of steps need to be taken. The goals and the contents of the training programs should be decided in such a way so that it can be linked with expected outcomes that will help to meet the main aim of the initiatives. The training programs will provide an overview of all the communication models that had been provided by eminent researchers. These age-old models are not only easier to understand but are also effective to follow in regular practice. These models have a systematic flow of important components of communication, which will help every individual to understand the core principles of communication (Kurtz, Silverman and Draper 2016). Another important training that is important here is developing habits of active listening. Active listening will not only help the managers and the carers to understand issues of each other effectively but will also help to understand the issues and symptoms faced by every patients effectively. Thirdly, it also becomes extremely important for managers and carers to evaluate the feelings of the opposite person with the body movements they exhibit (Silverman, Kurtz and Draper 2016). Moreover, they also need to maintain a body language. The body language should be such that it should be professionally acceptable. Often inappropriate hand movements , exhibition of blank face, smiling at wrong moments, tilting head back while talking, parting lips while, lip compression are certain gestures that often tend to offend the opposite persons and may result in a situation filled with discomfort and dissatisfaction. Hence, the training program should also pay importance to the correct exhibition of the body language, so that feuds can be avoided. The training program should be also consisting of tips about how to work in association with others in the form of a team where effective communication would be the main backbone of the training. The training should also include the importance of working towards the common goals and values of the organization so that they share the common motives and vision (Moore et al. 2013). They should be clear about their individual roles and the expectations that the employer as well as the clients have from them. Besides the training program should help them in providing views about how empowerment can help them to overcome different complexes and the ego clashes that they harbor in themselves. These will help them to overcome such feelings and come out being more confident and self-independent. The training should also ensure that the individual healthcare staff is able to understand the importance of feedback in their profession. It would also make sure that the individuals have understood the effective ways of providing feedback. Positive feedback by the managers to the carers and by a carer to a fellow carer will help to develop bonding of professional relationships affecting their service in a better way (Fujimori et al. 2014) Correct procedure of providing negative feedback will prevent any sort of hard feeling and help to encourage others to work better for the organization. The training periods will ensure that each of the members have developed a sense of positive reinforcement. This attribute will help each of the individuals in encouraging each other’s work and praising them more to do well. Thanking each other for their contributions both on the level of one or one or on the level of a team as a whole will help in creating stronger bonds. As a result, a training session is very necessary which would cover all the important aspects of developing proper communication skills. It will also ensure that a proper grooming of all the carers are conducted or not so the service provided by them would be of the best quality.
The main recommendation that should be proposed for the betterment of the service in the healthcare organization is maintenance of a collaborative approach between fellow carers. The main essence of the collaboration would be to engage employees working together in a prescribed role having a common shared goal to achieve. The main goal should be clearer among the carers. This goal should be attaining the best care for the patients and delivering best quality service (Galleta et al. 2013). A number of guidelines when followed properly can achieve the collaborative practice for the carers. On following these guidelines, one can ensure of an environment within the healthcare organization where no complexes and ego clashes will prevail. Rather, an environment of friendliness, helping each other, encouraging each other and providing the best service to patients in a collaborative way can be assured (Bailley, Doody and Lyons 2016).
The first step in the initiation of a collaborative approach would be the establishment of the basic elements human interaction called effective communication. In cases of high intensity environment such as healthcare, communication does not simply signify the exchange and the transaction of words; rather it involves the understanding of the underlying context of different situations, understanding the emotion of the conversation and appreciation of the tone of it and accurate information. When successfully followed in every day practice, it can help every individual with overcoming the barriers of communication and thereby ensuring a reliable as well as dynamic means of conveying information as well as feedback. The effective principles that should be followed in order to achieve this is the engagement of each individual in effective listening so that the individual can completely understand and thereby contemplate about everything that is being relayed (Dawson et al. 2014). The second principle would be to foster an environment in the workplace, which would be open and safe. The third principle would be to have a proper knowledge of the main intent of the message and thereby understand the purpose and expectations of that particular message. Another principle would be to evaluate the accuracy of the information that is either given or received. The last guideline would be to ensure that the communication is been carried out with the right person. This would ensure that the right person would get the right information (Mitchell 2013).
Another very crucial part would be the proper formation of authentic relationships among the fellow carers. Carer provides their utmost capability and time for their patients. Often such intensive practice drains them physically and they tend to develop mental illness as well (Riley 2015). Researchers have shown that in such cases, a development of an authentic relationship among coworkers comes as a boon to them. Such a kind of bonding makes the carers gather strength, as they feel less pressurized and can share their work among themselves. They can share their feelings and feel that they also have someone who would care for them and to whom they can rush for solace. A number of principles need to be followed by the carers in order to so that they can form authentic relationships with each other. These principles would mainly act as guidelines, which will help in developing different types of interactions with one another that will help in development of bonds. This will help in cultivating the carers’ sense of being cared for by their fellow workers, which will in turn help them to be physically and mentally well and provide the best care service to their clients (Wu et al. 2015). The important principles that could be adopted in their practice so that they can create good bonding with fellow workers are first being true to oneself. By this it means that the action of an individual should match his words so that the surrounding co workers are confident about that individual in the sense that whatever they are witnessing of the individual is true and there are no other faces of him. The second principle would mainly involve the concept of empowering others so that they express the ideas they have kept within themselves (Sorensen et al. 2013). According to Wu et al. (2015) an individual should encourage her fellow workers to share those ideas and take initiatives that those ideas get noticed by the authorities. An individual should also ensure that they get enough chances to participate in the projects and thereby enact the ideas. These might help in better service delivery for the clients and make the individual feel included within a collaborative practice and cared for by the colleagues. Proper recognition of the strengths of the fellow workers and enhancing their skills by encouragement will help the fellow workers confident and will in turn perform well. This encouragement will make them feel that their fellow workers are supportive and are indeed happy with their success. This development of feelings will create a harmony in the workplace and will reduce the blame games that have become a common scenario of the Aqualflo care. Another principle would be the maintenance of honesty. Honesty is respected everywhere in every profession and it should be practiced as one of the main foundations in a particular profession (Murdoch, Bottorf and Mccullough 2014). Therefore being honest with oneself and maintaining honesty with fellow workers can increase the chances of developing authentic relationships, which will help in achieving better results in patient care. Another important principle that also needs to be followed in this regard is maintaining the dignity and respect of colleagues. A particular individual working as a carer should develop the character of free-minded person who not only respect the coworkers’ personalities but can also look over the needs and wants of their colleagues. Often caring for other needs and trying best to make an individual achieve his needs is a principle that should be followed by any human having emotions for the mankind. Applying such principle will help in developing a social circle where each and every co workers would respect each other needs and come forward with the best initiatives that would help the opposite person to meet his needs. According to Fujimori et al. (2014) maintaining a symbiotic relationship will therefore, not only benefit each of the individual but will also help them to achieve the company’s goal with less pressure. Other principles would mainly contain clearly asking for the one’s own wants but this would not be in any unprofessional way that may harm the sentiments or self-respect of any colleague (Tang et al. 2013). This should be done in a way, which will help the opposite person understand the rationale of the wants raised by an individual. One should not be rigid in decisions and should always be considerate about different situation that may act as barriers in his needs. He should stay open to negotiation of the differences and try to solve issues that might have negative impact on the carer’s health. The individual should also follow the basic humane principles that include assuming good intent of the colleague’s words and their actions and assume that they are doing their best keeping aside negativity and integrating positivity in the work environment (Phillips et al. 2014). These principles would ensure the building up of authentic relationship among the co-workers, which will in turn ensure the establishment of a collaborative work output.
In order to establish a collaborative relationship among the fellow carers, it becomes extremely important for the foundation of a learning environment and culture. According to Tang et al. (2013), an environment, which is well developed and at the same time provides opportunities for the carers to practice their skills effectively should be developed. This will contribute to the development of strong bonds. When the carers feel satisfied because they know that their work is meaningful and valuable, a feeling of job satisfaction will develop. This will in turn help them in aligning them with the organizations’ missions and achieve their goals in a collaborative association with other carers. Therefore, carers at all levels should contribute to an environment of learning and culture by exhibiting support, trust and representation. Such a learning environment helps the nurses to go through experiences where they learn to thrive and be successful at their work and develop different bonds among themselves (Ignativitacus and Workman 2015). Some of the principles that will help in creating a learning environment for the carers where they can not only practice their skills efficiently but also create strong bonds are provided. These are achieved by inspiring innovative and different creative thinking among the nurses. This would help them to learn different ways of applying their skills and develop bonds among different colleagues and with the managerial level. Such a learning environment would also help the carers to commit to a cycle of learning the ways of proper evaluation, improvement and celebration of the values about the good aspects of the organization and of the practices that are performed. Another principle for the establishment of the learning environment would be the proper creation of a culture of safety that would cover both physically and psychosocially. In this learning environment, one should be open enough to share every knowledge in order to help the fellow workers and at the same time learn from the mistakes.
The next discussion would mainly involve the various factors that either act as facilitators and barriers in the establishment of the principles that have been recommended for establishment of the collaborative care by the carers. The main facilitator for achieving the principle required for collaborative practice would be the shared goal for providing the best care to the clients. The ideal of beneficence would help the carers to achieve the collaborative practice and in turn help in the development of the service quality. As healthcare sector is rapidly transforming and the professions of the carers are being elevated, management of time had become extremely important for the enhancement of the collaborative practice between the co-workers. According to Kidd, Kenny and Mckinstry (2015), the main barriers that would prevent the approach of collaborative approach are cost concerns, insufficient time, resistance to changes, structural improvement programs, horizontal or vertical distrust, fatigue and many others. Therefore, the governing bodies and the carers try to promote the facilitators and overcome the barriers so that they can establish a collaborative practice, which will ensure better service delivery for the patients.
Conclusion:
From the entire analysis of the Aqualon organization, one can easily denote the communication issue as the source of improper service delivery to clients. A large number of instances have taken place in the organization, which has shown that the carers do not share a health bond among themselves. Therefore, they are often seen to blame each other for any adverse situation that occurs. Moreover, communication of the carers with that of the managers is not fluent and a large number of barriers are recognized that affects the free flow of the communication. These if not handled properly, may result in the inappropriate service delivery, which will hamper the reputation of the organization. In order to improve the condition of the present situation, three important things can be adopted by the organization. In order to establish an effective communication procedure between the managers and the carers, a two-way communication procedure should be inititated. This will give both of them ample chances of clarifying feelings and providing effective feedback. The second suggestion was the proper building of an effective relationship among the carers. This will prevent any complexes among the carers and will prevent occurrence of any ego clashes. The third suggestion mainly incorporated an idea of conducting training programs that will groom the nurses in practicing effective communication skills, which will help them to excel in their career in the future. The second suggestion was selected as the main recommendation, which was found to be extremely necessary to achieve stability in the service that was provided. A number of guidelines have been provided in order to establish a collaborative practice among the carers. A successful collaboration among the carers will ensure not only safe interventions for the clients but will also help to maintain a learning environment, which will flourish the skills of each of the carer individually and provide them with job satisfaction.
References:
Abdrbo, A., 2017. Assessment of Nursing Students’ Communication Skills. Nursing Education Perspectives.
Arnold, E.C. and Boggs, K.U., 2015. Interpersonal relationships: Professional communication skills for carers. Elsevier Health Sciences.
Bailey, M., Doody, O. and Lyons, R., 2016. Surveying community nursing support for persons with an intellectual disability and palliative care needs. British Journal of Learning Disabilities, 44(1), pp.24-34.
Brownell, J., 2015. Listening: Attitudes, principles, and skills. Routledge.
Burnard, P. and Gill, P., 2014. Culture, communication and nursing. Routledge.
Constand, M.K., MacDermid, J.C., Dal Bello-Haas, V. and Law, M., 2014. Scoping review of patient-centered care approaches in healthcare. BMC health services research, 14(1), p.271.
cqc.org.uk. (2017). Care Quality Comission – Report on Aquaflo Care Bexley. [online] Available at: https://www.cqc.org.uk/sites/default/files/new_reports/INS2-2452979047.pdf [Accessed 1 Mar. 2017].
Dawson, A., Brodie, P., Copeland, F., Rumsey, M. and Homer, C., 2014. Collaborative approaches towards building midwifery capacity in low income countries: a review of experiences. Midwifery, 30(4), pp.391-402.
Doherty, C., Landry, H., Pate, B. and Reid, H., 2016. Impact of Communication Competency Training on Nursing Students’ Self-advocacy Skills. Carer educator, 41(5), pp.252-255.
Fujimori, M., Shirai, Y., Asai, M., Kubota, K., Katsumata, N. and Uchitomi, Y., 2014. Effect of communication skills training program for oncologists based on patient preferences for communication when receiving bad news: a randomized controlled trial. Journal of clinical oncology, 32(20), pp.2166-2172.
Galletta, M., Portoghese, I., Battistelli, A. and Leiter, M.P., 2013. The roles of unit leadership and nurse–physician collaboration on nursing turnover intention. Journal of Advanced Nursing, 69(8), pp.1771-1784.
Grünig, R. and Kühn, R., 2015. Global Environmental Analysis. In The Strategy Planning Process (pp. 89-96). Springer Berlin Heidelberg.
Hamdan, A.L., 2017. Strategic Framework in a Hospital Settings. In Strategic Thinking in a Hospital Setting (pp. 31-40). Springer International Publishing.
Huber, D., 2013. Leadership and nursing care management. Elsevier Health Sciences.
Ignatavicius, D.D. and Workman, M.L., 2015. Medical-surgical nursing: Patient-centered collaborative care. Elsevier Health Sciences.
Kidd, S., Kenny, A. and McKinstry, C., 2015. The meaning of recovery in a regional mental health service: an action research study. Journal of advanced nursing, 71(1), pp.181-192.
Kourkouta, L. and Papathanasiou, I.V., 2014. Communication in nursing practice. Materia socio-medica, 26(1), p.65.
Kurtz, S., Silverman, J. and Draper, J., 2016. Teaching and learning communication skills in medicine. CRC press.
Mead, M., 2015. Learning to Work Together in Groups. Communication in Nursing, p.244.
Metzger, K., 2014. General Electric. Corporate Strategy Analysis.
Mitchell, G., 2013. Selecting the best theory to implement planned change: Improving the workplace requires staff to be involved and innovations to be maintained. Gary Mitchell discusses the theories that can help achieve this. Nursing Management, 20(1), pp.32-37.
Moore, P.M., Rivera Mercado, S., Grez Artigues, M. and Lawrie, T.A., 2013. Communication skills training for healthcare professionals working with people who have cancer. The Cochrane Library.
Mueller, C.A., Tetzlaff, B., Theile, G., Fleischmann, N., Cavazzini, C., Geister, C., Scherer, M., Weyerer, S., Bussche, H. and Hummers?Pradier, E., 2015. Interprofessional collaboration and communication in nursing homes: a qualitative exploration of problems in medical care for nursing home residents–study protocol. Journal of advanced nursing, 71(2), pp.451-457.
Murdoch, N.L., Bottorff, J.L. and McCullough, D., 2014. Simulation education approaches to enhance collaborative healthcare: a best practices review. International Journal of Nursing Education Scholarship, 10(1), pp.307-321.
Phillips, S.M., Alfano, C.M., Perna, F.M. and Glasgow, R.E., 2014. Accelerating translation of physical activity and cancer survivorship research into practice: recommendations for a more integrated and collaborative approach. Cancer Epidemiology and Prevention Biomarkers.
Rachet, B., 2014. PESTEL analysis and Porters Five Forces For Innocent Drinks Company. Docs. school Publications.
Rao, Y., Zhao, Q., Zhang, X., Yang, H., Lou, Y., & Zhang, X. (2016). Current status and future prospects of the development of clinical Pharmacy in China: A SWOT analysis. Pakistan journal of pharmaceutical sciences, 29(2).
Riley, J.B., 2015. Communication in nursing. Elsevier Health Sciences.
Schulz, P.J. and Nakamoto, K., 2013. Health literacy and patient empowerment in health communication: the importance of separating conjoined twins. Patient education and counseling, 90(1), pp.4-11.
Shortliffe, E.H. and Cimino, J.J. eds., 2013. Biomedical informatics: computer applications in health care and biomedicine. Springer Science & Business Media.
Silverman, J., Kurtz, S. and Draper, J., 2016. Skills for communicating with patients. CRC Press.
Sørensen, D., Frederiksen, K., Groefte, T. and Lomborg, K., 2013. Nurse–patient collaboration: A grounded theory study of patients with chronic obstructive pulmonary disease on non-invasive ventilation. International journal of nursing studies, 50(1), pp.26-33.
Tang, C.J., Chan, S.W., Zhou, W.T. and Liaw, S.Y., 2013. Collaboration between hospital physicians and nurses: an integrated literature review. International Nursing Review, 60(3), pp.291-302.
Uhrenfeldt, L., Lakanmaa, R.L., Flinkman, M., Basto, M.L. and Attree, M., 2014. Collaboration: A SWOT analysis of the process of conducting a review of nursing workforce policies in five European countries. Journal of nursing management, 22(4), pp.485-498.
Van Durme, T., Macq, J., Anthierens, S., Symons, L., Schmitz, O., Paulus, D., Van den Heede, K. and Remmen, R., 2014. Stakeholders’ perception on the organization of chronic care: a SWOT analysis to draft avenues for health care reforms. BMC Health Services Research, 14(1), p.179.
Visconti, R.M., 2016. Healthcare Public-Private Partnerships in Italy: Assessing Risk Sharing and Governance Issues with PESTLE and SWOT Analysis.
Walker, K.K., Jackson, R.D. and Maxwell, L., 2016. The Importance of Developing Communication Skills Perceptions of Dental Hygiene Students. Journal of Dental Hygiene, 90(5).
Ward-Griffin, C., 2016. Negotiating care of frail elders: relationships between community nurses and family caregivers. Canadian Journal of Nursing Research Archive, 33(2).
Wu, X.V., Enskär, K., Lee, C.C.S. and Wang, W., 2015. A systematic review of clinical assessment for undergraduate nursing students. Nurse education today, 35(2), pp.347-359.
Yoder-Wise, P.S., 2014. Leading and managing in nursing. Elsevier Health Sciences.
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