Collaborative working within the area of adult nursing

Collaborative working within the area of adult nursing For the focus of this essay I will be discussing the concept of collaborative working within the professional area of adult nursing. This essay will examine the definition and rationale of collaborative working, a small introduction to nursing and how collaboration is applied in this area of care. It will conclude by examining the influencing factors and outcomes of collaborative working in nursing practice. McCray,( 2007) defined collaboration as a respect for other professionals, service users and their skills and from this starting point, an agreed sharing of authority, responsibility and resources for specific outcomes or actions gained through cooperation and consensus (Hornby, Atkins, 2000). Collaboration may similarly be seen as a procedure by which associates of different disciplines distribute their skills and expertise to provide a better quality service to patients, clients and the service user. (Hughes, Hemingway Smith, 2005). As stated in the Nursing and Midwifery Council nurses must allow the people in your care must be able to trust you with their health and wellbeing NMC (2008). The role of a nurse is ever evolving, extensive and highly complex. To implement the position of a nurse in a hospital environment you must also retain a dynamic contact between your working environments and accompanying healthcare professionals. A nurse is not merely an onlooker but an activist who believes their active participation is required to generate an improved delivery of healthcare to each patient, whilst functioning as part of a team (Baillie et al, 1989). The Nurse-patient relationship has been referred to as the centre of all healthcare, as well a critical link between patients and other healthcare professionals (Berger Brinkman-Williams, 1999) A nurse plays an significant part in patient care, and is often the primary care giver and accountable for the admission, care planning and assessment of the patient. Their role is vital, and their communication is often a fundamental link amongst other members of the multidisciplinary team. Working collaboratively in nursing involves interaction of various group or organisations to achieve a common goal, which normally in the health care setting is the well being of the patient. As a consequence of problem solving, open, flexible approach to the roles and tasks of individual team members provide a more patient focused healthcare. Mutual respect and trust is crucial in relationship building (Kenny, 2002). In nursing it is essential to remember that the delivery of holistic care often involves the collaboration of other health care professionals, therefore this concept should be encouraged in order to facilitate the delivery of positive patient care. The Government recognises this and In 2001 The Department of Health (GB DOH) published a strategic framework for lifelong learning for the NHS, Working together, Learning Together Learning and development are key to delivering the Governments vision of patient centred care in the NHS. The plan of Lifelong learning is ensuring that the workforce, and organisations they relay to, and work in, can attain more knowledge and skills, equally to appreciate their potential and to assist changing things for the better. Lifelong learning is ultimately related to supporting the NHS workforce for the future and collaboration could play a major part in making this framework successful. DOH ( 2001) Collaborative working in health care is often referred to as interprofessional working (IPW). Rationale identified for collaborative working is the ability to cope with the problems that often exceed the capacity of any one profession (Hughes, Hemingway Smith, 2005). Barr (2000) suggests the success of interprofessional working rests upon each professional developing their individual identity and skills, then auctioning them. Positive collaborative practice, sharing valuable experience and expertise could improve levels of job satisfaction (Kenny 2002) It is not probable for each person to be successful at everything, however if professionals can distribute their knowledge, experience and expertise in the subject that they are most excellent in, this will in turn convey a multiple of skills combined together whilst assisting in confidence building and problem solving. Ultimately the consequence should allow the patient to contribute in producing a comprehensive and extensive care plan that will meet their every need. Laidler (1991) addressed this issue by recognising a professional will need to feel confident in their own specific role in order to share their knowledge and expertise amongst a multiprofessional team. Standards have been set by the NMC to safeguard the welfare of both the patient and the nurse. These standards recognise that the nurse must work with others to protect and promote the health and wellbeing of those in your care, their families and carers, and the wider community (NMC 2008). It has been said that to fully explore the place of the nurse in the multi professional team you must first understand the role of the nurse (McCray 2009). As the health care system expands and changes rapidly, the role of the nurse also changes, however the well being of the patient must at all times remain the main focus. A dedicated nurse will strive to develop good relationships with other professionals, especially when the care of a patient is the core focus. Collaborating effectively is often vital in the achieving a holistic healing process, this involves nurturing the patients biological psychological and social needs. Patient centred care (PCC) is a widely used model in the modern health care system; it places the patient at the centre of all care. PCC improves continuity of care and integration of health care professionals collaborating on behalf of their patient. (Pence, 1997) To be able to give a patient the best possible care it is imperative to work alongside other health care professionals, always respect skills, expertise and contributes of your colleagues. (NMC 2008) To employ this it is believed that nurses should have a mutual respect for all team members and that their significance is deemed equal, when contributing in team practice. Professional relationships can be classified as special created on trust and interdependency (Atwal, 1999) However, this may at times prove difficult as research has suggested that one of the barriers in collaborative working is differences in status, hierarchy a common term used. Surgeons and doctors have been described in certain circumstances as being unapproachable which frequently inhibits other professions expressing their opinions (Atwal, 1999). An example of effective collaborative working may be a patient who is to be discharged following an admission to hospital having suffered a severe stroke. The stroke affected his right side, leaving him with severe expressive and perceptive dysphasia. The Nurse in charge of the care and wellbeing of the patient would collaborate with other health care professionals, such as doctors, occupational therapists, physiotherapists and speech therapists In order to fully assess the level of care he may require on discharge, and provide a gradual return home. This would prove beneficial, since the patient has mobility and communication problems, so prior to discharge the patient will require physiotherapy, speech therapy and possible adaptations to the family home. Maintaining good professional relationships is imperative amongst not only other health care professionals, but also the patient and family members. (Molyneux 2001) In this example effective collaborating ultimately had a positive impact on the successful outcome, offering a good service to the patient involved. However, the ideal concept of effective collaboration is not always recognised. There is a vast array of literature which suggests that collaboration may not always have positive effects, and often Interpersonal conflict can sometimes occur, for a number of various reasons, some being old team members replaced by new team members, power issues, time management, funding and poor communication skills. Effective communication is a crucial ingredient in working collaboratively, and evidence suggests that poor patient care is often the result of lack of communication, and often results in the failure of high-quality services offered to patients (Stickley freshwater, 2006). To be able to demonstrate collaborative working, it is at times essential to be open minded and co-operate with changes in policies. So often the process of change is viewed as something which is negative and fearful. In practice, some changes are very welcomed, some are unavoidable, some must be endured and still othe rs are used to propel the individual towards something better. (Newson 2007) A difference of opinion might occur for example: in the case of lung cancer patient, doctors may perhaps wish to treat a lung cancer patient, regardless of the treatment being a success, and the course of action producing debilitating side effects whilst, nurses on the other hand may perhaps, consider the results of treatment to be so unbearable they far outweigh any benefit; this may perhaps result in situations becoming complicated. West and Slater (1996) expressed that a difference in priorities, between healthcare professionals could occasionally cause barriers in effective collaboration. It is believed that a nurse adopts a holistic approach to patient care, whereas a doctors approach towards a patient may be predominately medically (West and Slater, 1996). Over the year many strategies devised to overcome the problems presented in collaborative working have been suggested, yet they still have not obtained a solution to the continuing difficulties identified by the members experiencing them (Molyneux, 2001). In some cases the simple lack of clarifying responsibility, role expectations, accountability and poor communication can have a detrimental effect on patient care (Taylor, 1996). In order to construct a successful collaborative relationship it will require excellent communications skills. This allows the development of trust which in turn may benefit the patient in the holistic care they receive. As previously discussed there will always be factors which influence the outcome of working collaboratively in nursing, whether they are positive or adverse as long as the patients health remains the focus then in nursing we will progress. If however, communication is blurred then collaborative working may not be performed and this may reflect on the care the patient may receive. (Goodman Clemow, 2008). In conclusion despite the increased focus and determination of professional organisations and Governments the persistent difficulties in collaborative working is still extremely apparent and continuing DOH (2003). It is suggested that power inequalities, ideological differences and the recognition of the value of each team member are identified obstacles; the qualities required are apparent and widely discussed yet over the years collaboration still remains extremely problematic throughout the healthcare sector (Kenny 2005). The claim that collaboration is crucial to success is one that is echoed in the proverb that `two heads are better than one conversely it is also said that three is a crowd, however, in the instance of collaborative working, many professionals working collectively can generate new abilities, extensive knowledge and understanding. (Hughes, Hemmingway Smith, 2005). While collaboration is a popular method, and is being increasingly used in professional education, it seemingly uncontroversial concept it often is difficult to implement. Â  How does one successfully collaborate with individuals in other departments within the same organisation? Why it may be examined after all these years are the professionals not getting it right, it has been recognised by Department of Health that collaboration plays a critical part for individuals working within an organisation and government policies are increasingly aiming at improving current practices to the advantage of the patient (DOH, 2003). Alone we can do so little; together we can do so much. (Helen Keller in Jason Harvey 2010)

Captains of Industry Vs. Robber Barons

John Davidson Rockefeller was once the world's richest person. He made his money in the oil business and later became a famous philanthropist. Rockefeller was born in Richford, N. Y. When he was 14 years old, his family moved to Cleveland. Rockefeller started work as a clerk at a small produce firm. He then formed a partnership in a grain commission house. He used the profits from that to enter the oil business at 23. At that time, the production of oil and refining was a little organization. Rockefeller set out to make the industry orderly and efficient.Fifteen years later, he achieved his goal of having oil products flow from producer to consumer controlled by one company–The Standard Oil Company. Standard Oil, which was established in 1870, grew out of several oil companies owned by Rockefeller, his younger brother William, and some associates. Rockefeller also concentrated on transportation. He built tank cars and distribution systems. In 1882, Rockefeller organized the St andard Oil Trust. He then controlled almost all U. S. oil refining and distribution and much of the world's oil trade.The immensity of Rockefellers holdings and public criticism of his business methods caused the Ohio Supreme Court to dissolve the Standard Oil Trust in 1892. From 1895 to 1897, Rockefeller gradually retired from active business. By that time, he had started charitable activities. He helped found the University of Chicago in 1890, and by 1910 his gifts to that organization totaled $35 million. Rockefeller spent the rest of his life establishing the foundations through which he gave his money to the public.

Hero Myth †Achilles Essay

The concept of the hero is as old as myth itself. Throughout history both concepts have evolved together. Myths tell tales of the adventures of man, frequently the son of a god or goddess and a human, who is endowed with great promise and destined to perform great feats. Often these feats involve acts of rescue, war or protection. This heroic myth is rooted in the ideal of familial romance. Particularly during adolescence it sustains and expresses the identification of the ego with idealized imagery. The hero myths have been used for centuries to educate and train youths as parts of institutions and groups. One example of a hero is Achilles, made famous through Homer’s epic Illiad. While we may not look at myths today in the same ways as our ancient forebears, the hero myth is still alive and well in our culture today. Achilles was the hero of the Trojan war as related by Homer in the Illiad. He was the mightiest of the Trojan warriors. He began life as a demigod, the son of Peleus, the king of the Myrmidons and a mortal, and Thetis who was a Nereid. The Myrmidons were legendary warriors, very skilled and brave. Nereids are sea nymphs being the daughters of Nereus and Doris. Thetis was very concerned that her son was a mortal. Therefore she attempted to make him immortal. There are two stories of how she wet about this. The lesser-known story is that she burned him in a fire nightly and then healed his wounds with a magical ambrosia. The more well-known story is that she held him tightly by the heel and submersed him in the river Styx. This made his entire body invulnerable except for the spot on his heel where she held him while he was in the river. During Achilles’ boyhood, a seer named Calchas prophesied that Troy would not fall without help from Achilles. Knowing that he would die if he went to Troy, Thetis sent Achilles to the court of Lycomedes in Scyros. He was hidden there in the guise of a young girl. While at the court he had a romance with Deidameia who was the daughter of Lycomedes. The result was a son who was named Pyrrhus. The disguise finally came to an end when Odysseus exposed Achilles by placing arms and armor amongst a display of female garments and picked Achilles out when he was the only â€Å"female† to be interested in the war equipment. Achilles then willingly joined Odysseus on the journey to Troy. He led a host of his father’s Myrmidon troops in addition to his utor Phoenix and his friend Patroclus. Once in Troy, Achilles quickly gained the reputation as an undefeatable warrior. One of his most notable feats was the capture of 23 Trojan towns. One of these was Lyrnessos where he took a war prize in the form of a woman named Briseis. The central action of the Illiad was sparked when Agamemnon, the leader of the Greeks, was forced to give up his war-prize woman, Chryseis, by an oracle of Apollo. As compensation for the loss of Chryseis, Agamemnon took Briseis from Achilles. Thus enraged, Achilles refused to continue fighting for the Greeks. With Achilles’ withdrawal from the action, the war started to go badly for the Greeks and they offered large reparations to try to lure back their greatest warrior. Achilles continued to refuse to rejoin the war, however, he did agree to allow his close friend Patroclus to don his arms and armor and fight in his place. The next day Hector, a Trojan hero, mistook Patroclus for Achilles and killed Patroclus. Achilles was engulfed with rage at Hector and consumed by grief for his friend’s death. Thetis went to Hephaestus and obtained fabulous new armor for Achilles. Achilles recommenced fighting and killed Hector. Not satisfied with Hector’s death, Achilles used his chariot to drag the body before the walls of Troy and refused the corpse funeral rites. Hector’s father Priam, the king of Troy, went secretly to the Greek camp to beg the return of the body. Finally, Achilles relented and allowed Priam to take Hector’s remains. After Hector’s death time started to run out for Achilles. He continued to fight heroically and killed many Trojans as well as their allies. Eventually, Paris, who was another of Priam’s sons, enlisted the aid of Apollo and wounded Achilles in his weak spot – the heel – with an arrow. This caused Achilles death. The enduring legend from the story of Achilles has to do with the concept of the Achilles’ heel. An Achilles’ heel has come to mean that despite overall strength, there is a mortal weakness that can lead to one’s downfall. While the original myth refers to a physical weakness, in modern times it has come to reference other types of character flaws or qualities that can cause ruination. The concept of the hero has changed somewhat in our modern culture. Instead of daring people who buck trends and traditions in order to help their families, nations or cultures, today we tend to revere people like sports figures and actors. While we have the occasional government or political leader such as Winston Churchill, Martin Luther King or Nelson Mandela, most of what you hear about is who is making the most money due to their sports or acting ability. The concept of the sports figure hero can have some validity as these figures do occasionally overcome great odds and perform daring feats on the modern â€Å"battlefield†, i. e. , the sports arena. However, this is nothing compared to the feats of the ancient heros. Hero myths are powerful stories from ancient times. So powerful are they that they cross cultures and ages, continuing to influence us today. Achilles was one of the great heros of ancient times as the mightiest warrior of the Trojan war. While who we classify as a hero has changed in our modern societies, we still look to the concept today. We teach young people about heros as a method to inspire them. We look to our heros as adults to give us guidance and to give us something to guide our hopes and dreams. While modern heros may not be of Achilles’ status, they remain an integral part of our cultures.

The Marketing Plan For Fiat Chrysler And Launching Of The...

Analysis of Product Introduction The market introduction project of a new product is as important as its design project. When a company is budgeting for a new product project, it is fundamental to include the marketing expenses in the initial budget, thus, the company will not have future surprises. Dr. Levoy, in his article, The difference between efficiency and effectiveness, he explains that it may be a waste of time if a company has an entirely efficient manufacturing process, however, at the end is not effective, or does not achieve its objective, such as bringing more clients or selling a new product, (Levoy, B., 2011). This is the importance of a marketing project, the marketing professionals can sell ideas, products, services, anything that is marketable, and if a company is launching a product I believe that the goal is to reach the customers. Therefore, to understand well our plan for Fiat Chrysler and the launching of the new Jeep Wrangler Pickup Truck, we design the following schema to explain the plan details: 1. A fast explanation of the actual market and some challenges; 2. Explanation of the nature of the new product to be launched and its industry; 3. The marketing project to introduce the new product to the customers; 4. Explanation of how we will use the Total Quality Management - TQM tools to measure and control the marketing plan execution; 5. How FCA already applies TQM philosophy to achieve client satisfaction and how we can expand the use of TQMShow MoreRelatedRisk And Financial Impact And Draft Of Management Strategies2423 Words   |  10 Pageswill be recovered only with the sales of the cars, (Fiat Chrysler Automobiles - Base Prospectus, 2016, p. 18). In this research paper we will explore: 1. The risks that Fiat Chrysler Automobiles takes; 2. How FCA changed their opportunities managing the main risks; 3. Developing market strategies to increase sales; 4. Using TQM to delineate the market strategies. In the following paragraphs, we will go over each topic to expla in the main risks of a new car project and how to use the Total Quality Management