Health Promotion Proposal Research Proposal

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Nursing Home Proposal

Proposal for Improving of Nursing in an Extended Care Context

The purpose of this proposal is to explore opportunities for currently raising productivity in three areas of a private Nursing Home, with the recommendations reached here intended to guide a program for refining nursing care in the extended care facility. The options discussed here are intended to assist the facility in finding ways to improve nursing productivity, which in this context is tantamount to the capacity to better the quality of life or safe the life of a greater number of extended care, elderly or enfeebled patients.

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The first proposal for the improvement of productivity would be a systems map designed to help streamline and monitor admissions into the home. The process would initially develop to gain insight into the process that supports the patient pathway into the nursing home, from a patient and a healthcare provider's perspective. Many delayed admissions into nursing home care result from poor co-ordination between health and social care agencies. There are complex reasons for this lack of co-ordination, including incompatible administrative systems, a lack of common geographical boundaries and different funding and accountability arrangements. Effective admissions processes are dependent on successful multidisciplinary team-working between health and social care professionals using a systems approach which recognizes the contribution that all partners make to the delivery of high quality care.

A system working will put the patient at the centre of the service provision. (Cho & Park, 304). The various professionals and services involved in a patients care will have as their unifying concern the aim of providing the right care in the right place at the right time. To the course of our proposal, the crucial first step of fitting the patient with the appropriate care setting is of absolute necessity.

Research Proposal on Health Promotion Proposal Assignment

In order to effect this outcome, strong leadership from the nursing home manager is required to support the admission process, with a common respect for each person's role in facilitating this transition becoming a crucial attribute. Taking administrative responsibility and working in partnership with the patient and their family as well as the multidisciplinary team will be features of the admission - related system approach. (Cho & Park, 304) There will be a need to understand the high level processes that support the patient's journey through the stages of admission, how these processors interact, areas of concern and where improvements could be made. This aspect of improving the processes for the nursing home will be based on the improvement of process efficiency, significantly improving the individual reach and impact of staff nurse.

The second aspect of a proposal for improving nursing orientation and productivity is a recommendation to emerge from an issuance of the new Standards approved by the Department of Health with a process that attempts relating more closely to the production of Quality Improvement documentation. (DoH, 1) Closer compliance with these demands will serve to ensure that the Nursing Home will have their quality documentation ready for presentation within the demanded time frame. This is, of course, in line with changes in the rest of society which demand more accurate, efficient and technologically expedient information availability.

Quality outcomes in the healthcare environment can have an essential impact on the quality of standards perceived by patients. This is important as quality outcomes are now seen to relate as much to patients' own perceptions and well being as to genuine changes in clinical status. (Miller, 1) Importantly, we can also see that individual patients and society as a whole are partners in the improvement process. This is not simply a question of bowing to societal pressure in order to ensure that a proper healthcare standard is maintained. Beyond that, healthcare is among the few industries in which 'customers' may have such insight into the way services are organised or such a stake in the outcome as is espoused by legal Quality Standardization. The coalescence of legislative and patient-based perspectives points to an important nexus in achieving an overall improvement in basic quality standards. Therefore, as a nursing home in continuing practice, we cannot afford for the coalescence of that insight and commitment to be wasted. It is also beneficial for us to understand at this stage, that due to the evolution of patient participation in defining quality standards and observing quality outcomes, some patients or more still, patients' families and friends, are need of stewardship toward realistic expectations of that which can be provided by available healthcare professionals. It will fall to the overarching quality standards to help shape such realistic expectations.

The new demands placed upon healthcare contexts by these standards has created a socially responsible form of entrepreneurship. A nursing home may uniquely benefit from the development of a business which consciously and structurally acknowledges its role in society by transcending that to which it is legally instructed in order to provide the greatest extent and value of services which can be achieved according to the needs of both the business and society. (Cooymans and Hintzen 67). This involves a careful balancing of business and social interests which are, of course, largely intertwined within care organizations. The social environment may also be quite varied and will place huge costs on the owners of nursing homes, who will be forced to bring their homes up to these new standards. Based on definably social values, this should be deduced as a positive pressure currently placed upon nursing home owners and administrators. This will translate as a positive organizational culture where nurses are trained, educated and given sensitivity training to the highest standards.

Assurance of this training will have a significant impact on the ability of nurses to navigate the daily challenges of the occupation. There are some nursing theories which play a significant part in our understanding here. Given the opportunity to decide the best course of action for contending with any number of scenarios, a nursing professional may find that possessing an awareness of the above noted standards, practices and even the philosophies informing a variety of theoretical frameworks will enable him to approach a treatment dilemma with a compass that is dually empirical and humanistic in its nature.

In such theories as Margaret Newman's "Health as Expanding Consciousness" model, it is clear that the decisions which a nurse must make regarding which information to apply and which to disregard will be founded on the intercession between a complete understanding of the bases for such theories and the particulars of a patient in question. Conjecturing that a nurse will provide a specific emotional connection and psychic closeness to "people facing the uncertainty, debilitation, loss and eventual death associated with chronic illness," Newman's model illustrates that in such cases of intractable affliction, the theoretical approach taken by the nurse will bear as instrumental an impact as will the proficiency of medical attention offered. (Newman, 1) Here, it can be evidenced that the empathy accorded by the theoretical framework will provide an ideological umbrella for how best to address one's condition while simultaneously abiding the regulatory medical requirements common to most forms of modern treatment. Thus, as a nurse determines which information to be utilized and which to be disregarded, this umbrella may serve as a needed constant.

The long-term care setting offers an example of how the endless spectrum of ailments can be dealt with under this theoretical framework, suggesting that it is this very consistency which helps to elucidate the different ailments facing different patients. Reiterating the importance of genuine bedside attentiveness, it can be denoted that "nurses who form relationships with elderly nursing home residents can help their clients identify problematic patterns." (Weingourt, 1) This illuminates the centricity of a well-developed theoretical approach in isolating the important information pertaining to a specific medical problem.

Though implementing effective and current procedure is central to the patient's health, this is a task which is enabled by a working knowledge of the theoretical bases for the ways in which decisions may best be made and individual medical conditions can be properly identified.

Beyond systems improvement and addressing federal standards for treatment, a third aspect of this proposal is, in the context of this set of recommendations, the one of greatest importance, based as it is on the maximum opportunity for an increase in production, would be introducing professional development pathways for practicing nurses. This would be an attempt to meet the professional, academic and personal career development needs of nurses and healthcare providers, while also addressing service requirements of primary interest to patients and legislators. (Burgess, 2).

By educating the staff effectively, the nursing home can ensure that its front line employees will possess the knowledge and skills required to assist in the proper administration of the admission process discussed earlier. A facility will also thereby increase the standard of care, improving the concurrence with quality standards which are now part of the basic requirements to administrating a nursing home. Education toward effective compliance will therefore have the optimum effect of increasing… [END OF PREVIEW] . . . READ MORE

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