Communication issues faced by migrant health care workers
The aim of this paper is to discuss overview of the migrant health care workers in Aged Residential Care facilities of New Zealand. It has been observed by Wong, & Breheny (2021), migrant & seasonal farmworkers have nationalities of different countries however, they reside within the concerned nation. The government of New Zealand provides subsidies for the national heath care system, which means that each immigrant or migrant worker present in the New Zealand will gain access to the citizenship benefits from low-cost health care or free health care service throughout the country. However, New Zealanders might also gain benefit as a migrant if they have a valid residence visa. The migrant workers can also enjoy the benefits if they hold a valid work visa for minimum of two years.
Another study published by Broad et al., (2020) showed that migrant workers are faced with major issues due to lack of effective communication approach and strategies. In addition to that, the workers might also witness drawbacks due to communication issues due to which the migrant health care workers are unable to understand or interact with each other. As a result, it can lead to workplace conflicts and create a negative impact on the organization in long run. Hence, it is recommended that the organization should conduct an employee training facility where they will be able to learn the local language in order to understand their customers or the local workers.
The objective of this paper is to gain an overview of the migrant health care sector with the help of PESTLE framework. In addition to that, Grant resource view models and vision & values of the firm is discussed to understand long term goals of this industry. Furthermore, an overview of the internal business environment will also be discussed with the help of SWOT framework. The overview of this sector is discussed with the help of stakeholder analysis, value chain analysis as well.
The government of New Zealand focussed on supporting the elders of this nation by providing them with appropriate health care and other facilities. In addition to that, the eligibility for gaining access to the Residential health care of New Zealand is determined with the help of Needs Assessment (MacDonell et al., 2021). Hence, it is assumed that the residential care for aged people or citizens in New Zealand is highly influenced by the District Health Board to a huge extent. The employees working in this organization is highly concerned about customer safety and well being hence, the workers are provided with effective training and development approaches.
Nature of aged health care industry in New Zealand is observed to be 49 percent for all New Zealand ARC facilities, which is operated as major group for health care facilities (nzaca.org.nz., 2020). On the other hand, dual service beds are considered as the largest beds category with 36% (nzaca.org.nz., 2020). Dedicated rest home beds are comprised of 24 percent for their supply whereas ORA beds of 9 percent (nzaca.org.nz., 2020).
Overview of the aged health care industry in New Zealand
Difference between big and large aged care facilities is that the big organization provide a greater number of dual service beds as compared to other organizations. Aged care sector is faced with regulations under ARC, which ensures quality service for the people. Jobs or workforce within the age care industry is rising due to increase in customer demand. Structure of this sector is broad as it encompasses all individuals above the age of 60 residing in New Zealand. Profile of the workforce in New Zealand’s aged care industry shows that average occupancy is more than 87.1 percent (nzaca.org.nz., 2020). However, during March of 2020, the sector witnessed a decrease of 0.7 percent in their occupancy rate (nzaca.org.nz., 2020).
Public hospitals are required for conducting patient experience surveys of randomly selected patients from 2014 (Broad et al., 2020). In addition to that, health quality & safety commission published that many public hospitals in New Zealand are highly concerned towards wellbeing of the citizen or patients. Registration authorities might even supervise the individual professionals when appropriate (jll.nz., 2021). There are more than 36000 retirement village units developed in New Zealand along with 69 percentage of existing retirement villages that commenced development whereas 14.3 percent is an estimated national penetration rate (jll.nz., 2021).
Some of the components followed by workers and managers of Residential care for aged people in New Zealand are as follows:
- Happiness and wellbeing of the residents (Loraine & Chen, 2021).
- How the residents are treated by the workers or staff.
- Communication of the staff with each other in the workplace.
- Communication with the visitors (MacDonell et al., 2021).
- Are the staff sensitive towards the residents and types of facilities are provided to the residents.
Different types of activity programmes provided by the staff to improve communication or interaction with the workers and residents. This involves outings and management of associated costs (MacDonell et al., 2021). Analysing the interest of each resident present within the residential care for aged people in New Zealand. It includes gardening, woodwork as well as visiting to any club among many others.
The organization is highly concerned with safety hence, it implemented systems or procedures. Appropriate infrastructure is present in order to ensure safe medicine management for each resident. This organization also provides loan for their resident where they can apply for Residential care subsidy.
Health care sector of New Zealand undergone different changes over the years due to constant changes in technology and customer demand (grantthornton.co.nz., 2021). The government of New Zealand enacted Social Security Act of 1938 through which the nation was introduced to market as well as health insurance elements since the 1980 (nzaca.org.nz., 2021). As a result, it helped to create a mixed public-private system to deliver healthcare.
Accident compensation corporation is analysed to cover overall cost of treatment for cases assumed to be ‘accidents’ for all people of different age groups located in New Zealand (that even involve the tourists) (nzaca.org.nz., 2021). However, the costs are recovered through different levies over employees, vehicle registration, employers or contributions from tax pool. New Zealand is observed to achieve universal health coverage with the help of most publicly funded and regionally administered delivery system (nzaca.org.nz., 2021). On the other hand, patients are provided with appropriate or premium health care services that can help them to overcome any major health related issues in big aged care as compared to the large care facilities (nzaca.org.nz., 2021). It is also observed by various authors that one-third of New Zealand population holds a private health insurance, which can help them to compensate for the noncovered services as well as co-payments (MacDonell et al., 2021).
Components of Residential care for aged people in New Zealand
Health & Disability Commissioner serves advocate for national patient that investigates complaints of the patients and report directly to the New Zealand parliament (nzaca.org.nz., 2021). The government of New Zealand is highly focussed on promoting quality of health care services across the nation. This in turn has helped the nation to retain health care quality and improve their system for accident compensation. In addition to that, culture of transparency and openness is supported by the no-fault medical malpractice law as well as by the accident compensation system (nzaca.org.nz., 2021).
Strength
- Positive brand image of the Aged Health care residents in New Zealand can help to gain a competitive advantage from the external marketplace and enhance various opportunities to expand their customer base in the long run (Marla Burrow et al., 2017).
- Effective financial management of this firm can also be a potential strength that can enable them to retain a strong profit margin and reduce any external threats (Garratt et al., 2020).
- New Zealand holds the rank of number eight with respect to the perceived political stability (Schluter et al., 2017). The political stability of New Zealand is considered to be high, due to effective government approach (Ravenswood & Douglas, 2017). As a result, it might affect their overall business operations of age care sector even in the long term (MacDonell et al., 2021).
- Effective employee training provided by the managers to enhance performance pf their workers and retain safety of the customers can help the concerned organization or Aged Health care residents in New Zealand even in long run (Broad et al., 2020).
Weakness
- Aged Health care residents in New Zealand is faced with major challenges due to lack of communication approach among the workers (Broad et al., 2020). In addition to that, the workers might not be able to interact with the locals due to ineffective communication skills.
- As the organization (Aged Health care residents in New Zealand) is comprised of diverse workforce, hence, it is assumed that the firm might face challenges with the migrant workers due to their lack of knowledge regarding other cultures (Marla Burrow et al., 2017).
Opportunity
- The organization or Aged Health care residents in New Zealand is faced with major benefits due to rising customer demand across New Zealand (Marla Burrow et al., 2017). This will help them to approach a greater number of customers (Marla Burrow et al., 2017).
- Availability of financial resources or stakeholders have helped the organization (Aged Health care residents in New Zealand) to conduct their business operations successfully over the years (Shannon & McKenzie-Green, 2016).
- Due to effective government and political approach, the Aged Health Care sector might be faced with higher social stability that can help the small and medium organizations to foster growth and development (Marla Burrow et al., 2017).
- Effective support from the government of New Zealand has also helped the brand or organization (Aged Health care residents in New Zealand) to achieve both long run goals as well as their short run goals (Marla Burrow et al., 2017).
- Aged Health care residents in New Zealand focussed on creating awareness among the residents regarding environment preservation (Broad et al., 2020).
Threat
- Lack of promotional activities by Aged Health care residents in New Zealand can be a threat to this organization (MacDonell et al., 2016). This is because, most of the customers will not be able to approach this organization.
- Internal weakness can also be a potential threat to this organization or Aged Health care residents in New Zealand as it might create a negative impact over the business.
- In the study published by MacDonell et al., (2021), it is observed that New Zealand is faced with major impacts due to sudden covid pandemic outbreak. In addition to that, the author also explained this firm might witness slowed growth rate of economy due to instability.
- Strict legal rules and regulations as well as different political challenges can be a serious threat to this organization (Aged Health care residents in New Zealand) (Frey et al., 2017). This can impact the organizational profit margin as well as their overall business operations. Change in healthcare policies and employee policies can impact the aged care facilities (govt.nz., 2021). Hence, it is assumed that the organization might be able to expand their customer base to a huge extent.
- Sudden outbreak of coronavirus pandemic might pose a serious threat to Aged Health care residents in New Zealand due to lack of supplies and increase in the price of medicines across New Zealand (MacDonell et al., 2021). As a result, it might even increase overall business expenses of this organization (MacDonell et al., 2021).
The vision of Aged Health care residents in New Zealand is to provide premium quality health care services as well as facilities to all the residents present within the workplace or this organization (Marla Burrow et al., 2017). From the survey, it is observed that the organization is faced with major challenges due to lack of knowledge about other languages or cultures of the migrant workers. As a result, the organization (Aged Health care residents in New Zealand) is faced with long term challenges. In order to overcome these threats, the manager emphasized on implementation of appropriate employee training and development for migrant workers that can help them to develop communication strategies and enhance interaction with the local residents.
The survey also covers their demographics, from which it is realised that the workers belong to age group of 18 to 25 majorly, who works in both part-time and full-time job in Aged Health care residents in New Zealand. Analysing the survey, it is observed that the workers witness various legal challenges for working in this region without any valid residential or work visa. However, the workers are motivated through employee training that further helped them to understand the local culture of New Zealand and enhance their performance to a great extent.
Aged Health care residents in New Zealand aims to promote healthy living, disability support needs and promote overall health care (Broad et al., 2020). In addition to that, the organization tend to focus on policy & service planning that can further assist to support their health or disabilities (among older people residing across New Zealand). The objective of Aged Health care residents in New Zealand is to implement population-based health initiatives or programmes that can promote overall health or wellbeing of the people in older age group (Balmer et al., 2020).
In case of Aged Health care residents in New Zealand, the organization is comprised of trade associations, government, medical directors, geriatric nursing assistant, academicians, consumers and state survey agencies as their stakeholders (Darvall et al., 2019).
The organization (Aged Health care residents in New Zealand) is funded by the government and public for providing assistance to the older people. Government also encouraged workers from foreign lands to work in this region based on their qualifications and previous work experiences (Kussmaul, Peri & Boyd, 2019). This in turn helped them to retain and improve quality of health care services in Aged Health care residents in New Zealand. On the other hand, employee training is provided to these workers for enhancing their performance and to gain knowledge about local language in New Zealand.
History and changes in the New Zealand healthcare system
Various experts highlighted that good communication plays an important role for boosting teamwork as well as leading them towards a better project collaboration (Garratt et al., 2020). In addition to that, workplace communication is considered as an important factor to streamline internal communication (Garratt et al., 2020). Hence, maintaining effective communication might ensure whether management as well as the overall team within the organization. In this case, authoritative communication theory is an effective strategy for communication where a brand might be able to influence team members to follow the workplace guidelines (Garratt et al., 2020).
From the questionnaire, it is observed that migrant healthcare workers are currently employed within the Aged Residential Care facility hence, if the workers fail to communicate with each other, then it might lead to long term challenges. As the workforce is diverse, hence it can be assumed that implementation of authoritative communication theory might help them to attain a significant advantage within the workplace.
Academicians and Geriatric nursing assistant are mainly comprised of migrant workers, who are highly qualified and showed higher quality of work performance within the organization (Garratt et al., 2020). On the other hand, government and investors provide fund for Aged Health care residents in New Zealand so that the organization can provide effective health care to the consumers. The residents are selected by state survey agencies based on an assessment of their demographics. Due to diversity in the workplace, implementation of authoritative theory can help to describe different forms of communication, which can influence workers to follow leader and reduce threats in the workplace (Garratt et al., 2020). On the other hand, lack of appropriate communication among the workers might create a negative impact over brand image as it can reduce their overall performance.
From Porter’s value chain analysis model, it is observed that Aged Health care residents in New Zealand is comprised of human resource development activities, technology development activities, development of firm infrastructure and procurement as the support activities (Broadbent et al., 2016). On the other hand, inbound logistics, operations, marketing and sales, outbound logistics and services are their primary activities of this firm.
Figure 1: Porter’s value chain model
Source: researchgate.net
The firm infrastructure is shareholders, customers, government and suppliers, whereas human resource development is comprised of employee management and training regarding improvement of communication among the migrant workers
(Frey, & Balmer, 2021). In addition to that, implementation of advanced technology and systems to understand and improve wellbeing or health care facilities of consumers in Aged Health care residents in New Zealand. Lastly, procurement for this firm involves medicinal supplies and other raw materials for the residents.
The inbound logistics for Aged Health care residents in New Zealand is purchasing medicines from the hospitals and serving the consumers or residents (Gauld, 2020). In addition to that, the operations include ensuring safety and wellbeing of the residents of Aged Health care in New Zealand. Marketing and sales are not conducted in this organization, rather state survey agencies or government health care workers approach the target customer base. Outbound logistics involve the older people residing in Aged Health care residents in New Zealand. Services include improvement of the health care and wellbeing of older people residing across different regions in New Zealand (Frey et al., 2016).
Conclusion
Lastly, the paper can be concluded by saying that the government of New Zealand focussed on supporting the elders of this nation by providing them with appropriate health care and other facilities. In addition to that, the eligibility for gaining access to the Residential health care of New Zealand is determined with the help of Needs Assessment. Different types of activity programmes provided by the staff to improve communication or interaction with the workers and residents. This involves outings and management of associated costs. Analysing the interest of each resident present within the residential care for aged people in New Zealand. Accident compensation corporation is analysed to cover overall cost of treatment for cases assumed to be ‘accidents’ for all people of different age groups located in New Zealand (that even involve the tourists). However, the costs are recovered through different levies over employees, vehicle registration, employers or contributions from tax pool. New Zealand is observed to achieve universal health coverage with the help of most publicly funded and regionally administered delivery system. Availability of financial resources or stakeholders have helped the organization (Aged Health care residents in New Zealand) to conduct their business operations successfully over the years. From the survey, it is observed that the organization is faced with major challenges due to lack of knowledge about other languages or cultures of the migrant workers. As a result, the organization (Aged Health care residents in New Zealand) is faced with long term challenges. Academicians and Geriatric nursing assistant are mainly comprised of migrant workers, who are highly qualified and showed higher quality of work performance within the organization. On the other hand, government and investors provide fund for Aged Health care residents in New Zealand so that the organization can provide effective health care to the consumers.
References
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