Management and Leadership (ML) Reflection in Nursing

Management and Leadership (ML) Reflection in Nursing Description of the incident /near miss The incident occurred in a care centre that provides nursing care and support for 20 young people with a physical disability (YPD) and 65 older people. The settlement consists of four individual units; two â€Å"dementia†, one â€Å"residential† and one â€Å"YPD† providing care for people with many different conditions. Staff work allocated to individual units but is expected to help out in other than allocated units when necessary. One member of staff had a terrible attitude towards working/helping out in one of the dementia units and refused to do so when delegated to work there. This led to a challenging situation that could cause risks related to short staffing issues. The analysis relates to the key elements of competence: Management and Leadership (ML) The situation was critical to me because it undermined safeguarding practice, affected teamwork concept and disorganised work causing workload difficulties. It was linked with factors that could affect safety and pose risks to clients ( ML 1.13) and therefore as a leading member of staff I had to take action by organising work and co-ordinating duties by prioritising needs (ML 1.1). According to the company regulations both dementia units should have daily minimum 5 care and 1 trained staff and 4 +1 in the other two on duty. When all staff present at work on the incident’s day had been checked; the â€Å"residential unit† turned out to be overstaffed (5+1staff). I have decided to take advantage of this opportunity and utilise available human resources in order to provide care for the clients in my unit (ML 1.5; 1.6) and delegated a member from the â€Å"over staffed† unit to help us. It was obvious to me that I had to act non-judgementally to ensure equality and fairness towards all clients (ML 1.6) by allocating adequate number of staff for each unit. The refusal to help in dementia unit was motivated by â€Å"fear to work in an unknown environment†. However the members of staff on duty working in the unit that was short were experienced and well organised workers. The delegated member of staff who denied to help was explained that she could benefit from joining the experienced team and encouraged to learn more about dementia affected clients’ needs and how influence the clients outcomes (ML 1.3; 1.15). Feelings Knowing the group of clients in dementia units from my own experience; their needs and limited abilities to act for themselves, I felt obligated to act for them. As a leading, trained staff I had the duty to ensure the patient’s right to be cared appropriately was met and the power to organise and co-ordinate work. It was a good opportunity to point out questionable behaviours that had potential advantages for the improvement of quality of care in the Home. Also the incident gave me the chance to show recognition to the experienced members of the team by asking to guide the new (in the unit) colleague. Evaluation The ability to re-organise work in one unit, so that we could attempt to manage to work in the short staffed unit without calling agency or bank staff was a positive aspect. Awareness of the workload and the â€Å"routine† of work in the dementia units allowed me to think about what to do and how to do it. My main aim was to ensure â€Å"our† clients were safe and looked after appropriately. As soon as I have noticed that one unit was â€Å"overstaffed† I have decided to delegate one of their members to work with us. This might have been good in relation to co-ordinating work and the use of available resources but on the other hand it could have as well caused the incident. I planned the delegation effectively but the implications of the delegation of duties could have been explained first. Before co-ordinating and delegating I could have taken 5-10 minutes to explain to the delegated member of staff that she will work with an experienced team where support will be provided and that she could gain new experience and knowledge that she may well benefit from in the future. Nevertheless, I simply presumed that the perception of the situation was the same for everyone. I did not consider the feelings or experiences of the member of staff that was meant to be transferred to our unit for her shift. Once the situation was explained and an informal verbal warning was given to the â€Å"non-cooperative carer† she changed her mind and came to work with us. Analysis Key system policies for Scottish Social Care (Quality Compliance Systems, 2014) include amongst others ‘Safeguarding Arrangements’ and their reports, for example State of care 2013/14 (Care Quality Commission, 2013/14), demonstrate that ‘lack of staff’ is one of the most common reasons for safety issues. Reporting of Injuries Diseases and Dangerous Occurrences Regulations (RIDDOR) state what types of incidents/accidents have to be reported for further investigations (Health and Safety Executive, 2013). Although the described incident was classed as non RIDDOR reportable it had to be managed immediately in relation to Patient Safety and Quality Improvement Act of 2005 (The Agency for Healthcare Research and Quality, 2008) Cartey and Clark (2010) claim that bearing in mind the patient’s right to be cared appropriately in a safe environment by adequate number of qualified and or purposely trained staff is enshrined within the constitution needs to go along with an understanding that care workers face many challenging situations that can affect their performance and at the same time the patient’s safety. Care staff deliver the majority of hands-on nursing care but all too often they are perceived by superiors as †numbers† and therefore it can be difficult for them to feel motivated, maintain high morale and values and play a good role in a team. It is expected that they are responsible (the service user needs to feel secure in the knowledge that they will be responsibly looked after), supportive, compassionate, respectful towards each other and the service users, sensitive, understanding and having good people- skills. However for this to be achieved they need to be led by good examples (Bertucci, 2006). The ideal example should according to Storey and Holti (2013) use a concept that is no exclusive to or within leadership. Therefore, mixing management styles e.g. autocratic command and control based to delegate duties effectively, organise and co-ordinate work with the ability to motivate and bring out the best in staff by communicating and sharing the mission and building partnerships within organisation ( democratic) is critical (Schein, 2010). Sims (2002) underlines the need for change in commitment to teams and teamwork where client centred and willing to focus on the customer needs attitude is seen as the key element. Teams are perceived as combined and unceasing efforts of everyone participating in care including not only healthcare givers and receivers but also planners (Walburg and Bevan, 2005). Alas, teams that are cohesive, productive do not happen by accident. The Care Quality Commission (2013/14) reports show that appropriate use of available human resources is a longstanding concern that affects the quality of care in nursing causing many issues. Therefore staff should be encouraged to work together even if they disagree or have different opinions in order to work out ways to resolve conflicts (Mickan, 2005). Explaining the idea of working in â€Å"the unknown† unit changed the attitude of the â€Å"uncooperative carer†. The mixed approach might have been more time consuming compared to a straight commanding but proved to work well. The approach used on that day helped to identify the cause of the problem, avoid risks related to it and motivate the team which had a positive effect on personal development. Should there be a just one style e.g. traditional management used, where the management is known to exercise power, fear and follow without question attitudes (Colins, 2001), the incident could have turned out from a near miss to a serious safety issue. Conclusion If the Manager would have paid more attention to developing and leading teams that work well together for the home as a whole prior to the incident, there would be no issue with working in other units and work could be co-ordinated and prioritised on the day of the incident in a different way. However, the incident made me realise that without my initiative to seek help from other units â€Å"our† clients would be put at risk and treated unfairly. This gave me the strength to use all my powers to mitigate the risks related to staffing challenges and manage the problem as effectively as possible. I knew I had to be strict but at the same time I wanted to act in a sensitive manner to avoid over emotional response that could have caused unwanted effects. What I have learned was to use mixed styles approach in practice. Action plan If a similar situation arose in the future I would start the day with a flash meeting; explaining the risks and consequences of leaving a unit short of staff to the whole team (all units). I would allow some extra time to make sure we all understand our role as caregivers to be flexible and accommodating that enables us to deal with different types of patients with greater ease. Then I would re-organise staff in units depending on the teams and needs of each unit; choose one inexperienced or new member of staff to work in the unit that would be short and explain that this is â€Å"learning by doing† day and offer my personal support to that member of staff.

Blue Nile Essay

The spreadsheet I did presents a summary of Blue Nile financial results from 2005 to 2009. From 2005 to 2007 revenues and net income both increased. The deep recession which began in late 2007 seriously affected the revenue in 2008. And then in 2009 the revenue recovered and increased slightly. I am going to analysis the financial performance in three parts. First, profitability ratios. Blue Nile had steady return on asset ratios around . 1. The company utilized its assets very efficiently and outperformed their competitors. By doing research on Yahoo Finance, we know the industry return on equity is 0. 18. Blue Nile’s return on equity ratio was much higher. It created better return to investors. Net profit margins were mostly lower than the industry average level. For example in 2009, Blue Nile only had net income of 4 cents for each dollar sale. Its low margins can be explained by its low pricing of products. As Rita said, Blue Nile had a much lower markup than Tiffany. Blue Nile’s number for liquidity ratios are impressive. Such high ratios from 2005 through 2009 show the company’s great ability to pay short-term debt. One of the company’s strategies is that suppliers finance Blue Nile’s sales growth. ( ) The business model contributed to higher sales volumes with minimal additional capital investment. With respect to leverage ratios, Blue Nile had really low long-term debt to equity ratios compared to the industry. Tiffany’s long-term debt to equity was as high as . 39. Because Blue Nile offered a balance between the debt to equity range and firm’s cost of capital, its capital structure was optimal. The company had low capital investment financed by creditors and bondholders. Its debt to assets ratios are over . 5, which means it, had a lot of debt obligations. However, most of the company’s debt was current and it was able to pay off creditors in a timely manner. Creditors did not need to worry about getting paid. Blue Nile’s strong financial performance intuitively indicated the company’s strategies were pretty well-conceived and well-executed.

The War Against Middle School Essay Topics

The War Against Middle School Essay Topics To compose a middle school essay outline step one is to recognize the sort of essay you will need to write. America lags behind many nations in education. The introduction will include a thesis statement. Write a narrative essay in which you describe the experience and the way that it made you feel. The process for writing a descriptive essay is quite simple and you ought to don't hesitate to try it upon your own. A timeless format for compositions is the five-paragraph essay it isn't the only format for writing an essay, naturally, but it's a handy model for you to keep in. All persuasive essays are like argumentative essays. In the event that you were given a task to compose an essay, you should first understand what sort of essay you're expected to write. You may write an article in a sort of a persuasive essay if you prefer to influence your readers to believe a specific notion. Before making up a last choice, think about the simple fact your essay is a bit of academic writing, which means it ought to be relevant and rather formal. People in demand of case study research should rush to delight in our assistance. Even in case you have excellent writing skills, you should read a lot as a way to develop your approach and improve specific areas of your writing. Moreover, in as much as you wish to work on any area of interest, it's very good to focus one which is related to your area. Limiting the range of a historical argument enables students to think deeply about the reason why they support a specific answer to the crucial question. Opt for the period of life which you think is best and compose an essay arguing why it's the very best time of life. Afterwards, you should explain the explanations for which you support that side. Additionally, local issues are terrific things to speak about, including events by local libraries and similar things like that. Now write to persuade your parents to buy you a mobile phone or maybe to enable you to keep the cell phone you presently have. Middle School Essay Topics Help! Imagine your school does not own a school newspaper. Additionally, school life is quite different. Think of what you could do in order to make your school more beautiful. Think of one thing you're expected to learn in school that you don't think ought to be included in the curriculum. Once you comprehend the form of essay, it's time to choose a topic. As an example, let's say you decide on the very first topic from our list. Actually a very good controversial topic is likely to make a persuasive essay top ic all more interesting. In addition, there are so many middle school essay topics that are below the technical subject field. Thanks to the correct option of presentation style and a thorough understanding of the goals you need to attain in your essay, there are many categories essay themes may be broken into. It is crucial to keep reading new stuff and essays from experts so you can enhance your understanding and vocabulary. Some hobbies are merely diversions. One of the very first things to think about is what sort of essay you will write. There are a lot of intriguing topics that could be become a persuasive essay if you take the opportunity to consider about doing it. 1 great benefit is that there are lots of topics and questions to be tackled. Directions for Writing Before you start writing, consider which is your favourite holiday and why. The third thing you ought to keep in mind while you pick a theme for your paper is that you want to choose a theme that you may actually research. If you succeed in picking a valid and intriguing topic for your assignment then the remainder of the procedure will be easier. The foundation of your paper is contingent upon the topic. The second thing which you need to not forget when you're attempting to opt for a superior theme for your middle school paper is to settle on a theme which truly interests you. When you're writing an academic paper it's important that you have a great introduction. It is crucial to remember that different kinds of essays need different style and approach. Therefore, if you're granted the chance by your instructor to compose an essay on a subject, which is free selection of your choice, don't forget to think about the possibilities as being endless. In addition, should you decide on a theme that interests you, the standard of your work will most likely be better, too.

Classroom Climate Of The Graph Show Hostility Or Distress...

The last two grids of the graph show hostility or distress regarding the caste identities. The second last grid represents that around 11 percent (frequently and sometimes) students â€Å"felt insulted or threatened because of your (their) caste†. This reflects that caste identities of student are prominent on the campus. The last grid of the graph presents the most sensitive aspect of the campus climate. Around 39 (frequently and sometimes) respondents shared that they â€Å"had tense, somewhat hostile, uncomfortable interactions†. The number is staggeringly high and it also indicates a greater concern about environment on SPPU campus. On the basis of these numbers, it is evident that caste issues are a significant concern of the campus climate and it can be interpreted that the lower caste students are at the receiving end. Discussion: The analysis is centered around students’ perception and experience about various difference and inclusion issues on SPPU campus. However, campus climate of an institution includes much more than students’ perception and experience in an environment. In the paper, few important themes have been explored to represent an overview of SPPU campus climate. Findings of the analysis indicate that student to student connection on and out of the campus is weak. Around more than two-third participants are dissatisfied with transportation, recreational facilities, and food availability on the campus. One respondent shared that â€Å"transportation and food is aShow MoreRelatedStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesCharacteristics of the U.S. Workforce 41 †¢ Levels of Diversity 42 †¢ Discrimination 42 Biographical Characteristics 44 Age 44 †¢ Sex 46 †¢ Race and Ethnicity 48 †¢ Disability 48 †¢ Other Biographical Characteristics: Tenure, Religion, Sexual Orientation, and Gender Identity 50 Ability 52 Intellectual Abilities 52 †¢ Physical Abilities 55 †¢ The Role of Disabilities 56 Implementing Diversity Management Strategies 56 Attracting, Selecting, Developing, and Retaining Diverse Employees 56 †¢ Diversity in Groups 58 †¢ Effective