Innovative Approaches in Solving Nursing Services Problems- Latest
description
Transcript of Innovative Approaches in Solving Nursing Services Problems- Latest
![Page 1: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/1.jpg)
Innovative approaches in solving nursing services problems
byP.K a r t h i k e y a p r a s a t h
![Page 2: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/2.jpg)
Introduction
• Nursing is the oldest of arts and the youngest of professions.
• Fundamental responsibility of the nurse is four fold:
1. To promote health, 2. To prevent illness,3. To restore health and4. To alleviate suffering.
![Page 3: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/3.jpg)
Modern nursing involves :Introduction Contd……
1 • Basic sciences
2 • social sciences
3 • Growth and development
![Page 4: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/4.jpg)
Committees :
1. Bhore committee (1946)2. Shetty Committee (1966),3. Kartarsingh committee (1973).4. Bajaj Committee (1986) and5. High power committee on nursing and
nursing profession (1989)
Introduction Contd……
![Page 5: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/5.jpg)
Definition
• To innovate means to introduce something new, to be creative. An administrator must be innovative, an agent of change. If there is no change the organization/institution /country stagnates and goes down.
![Page 6: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/6.jpg)
Classification:
1. Nursing services 2. Nursing education 3. Nursing administration
![Page 7: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/7.jpg)
1. Nursing services:
1. Poor working conditions:2. Recruitment3. Job description 4. Lengthy hours of duty and split duty5. Less salary, Allowances and other Incentives6. Less Promotional opportunities7. Harassment of Nurses by others8. Improper supplies9. Improper supplies
![Page 8: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/8.jpg)
1.Poor working conditions: I. Nursing Services Contd….
• To improper job descriptions, long hours of work and spilt duty. Less pay and allowances as compare to other equal cadre in government services. Less promotional opportunities, no special incentives, occupation risk. Harassment of nursing personnel by some office staff and medical personal and annoyance of group, ect.
![Page 9: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/9.jpg)
2. Recruitment: I. Nursing Services Contd….
• Recruitment of trained nurses should be made by selecting candidates who are settled and trained in their respective states.
• For which earlier procedure for recruitment of staff nurses by the state Directorate of Health services was good. It is always better to withdraw the selection of nurses by the public services commissions immediately as it was badly experienced by the locally trained nurses’ candidates in recent selection procedure.
![Page 10: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/10.jpg)
3. Job description I.Nursing Services Contd….
• Previously the job descriptions of nurses were made by the non-nursing persons. so it will not suit the present working pattern of nurses. The clear cut job descriptions of nurses of all categories need to be drafted and enforced in to practice.
![Page 11: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/11.jpg)
4. Lengthy hours of duty and split duty: I. Nursing Services Contd
• In most of the states and union territories the duty schedule is “on duty”, “off duty” and night duty.
![Page 12: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/12.jpg)
*on duty: I. Nursing Services Contd…..
• 7.30a.m to 1.00p.m• 1.00p.m to 4.00p.m
• 4.00p.m to 8.00p.m
• Total
• 5 1/2 hours duty• rest• 4 hours duty
• 9 1/2 hours duty
![Page 13: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/13.jpg)
*off duty: I. Nursing Services Contd……
• 7.30a.m to 12.00 noon• 12.00 noon to 1.00p.m• 1.00p.m to 4.00p.m
• Total
*Night Duty: 7.30p.m. to 7.30a.m
• 4 1/2 hours duty• Break• 4 hours duty• 8 1/2 hours duty
12 hours duty
![Page 14: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/14.jpg)
5. Less salary, Allowances and other Incentives: I. Nursing Services Contd……
• The pay scale of staff nurses has been recommended by the Tukol Pay Commission and implemented by the Karnataka Government. The Government to implement the pay scales of nurses of all categories.
• And also there is disparity in uniform allowance, washing allowance, risk allowance and compensatory allowance. It has been suggested to IV pay commission. ie., uniform and washing allowance and additional increment for nurses possessing additional diplomas and degrees in nursing should be given on the lines of central Government.
![Page 15: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/15.jpg)
6. Less Promotional opportunities: I. Nursing Services Contd……
• These rules should be made flexible according to needs and as soon as vacancy arised, immediately it should be filled. In cases of stagnation, selection grade and running scale may be given.
• And also should take steps to increase promotional avenues for nurses to increase efficiency and also to prevent ‘brain drain’.
![Page 16: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/16.jpg)
7. Harassment of Nurses by others: I. Nursing Services Contd……
• There are some instances occurred in various circumstances in different places, harassment of nurses by clerical staff, while taking their salaries and claiming other arrears, leave of their own credit and sometimes by the administrators of the institution.
• Legal security and protection also should be provided to nurses in the form of acts, eg ‘nurse’s protection act’ on the lines of ‘civil rights protection act.’
![Page 17: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/17.jpg)
8. Improper supplies I. Nursing Services Contd……
• In most of the hospital and other health institutions, no standard has been followed in supply of drugs, equipment and linen etc.
![Page 18: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/18.jpg)
2. Nursing education:
Government institutions Private Institutions
![Page 19: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/19.jpg)
1.Government institutions:
1. No independent building for schools,
2. No independent principal for school,
3. Inadequate hostel facilities for students,
4. Acute shortage of qualified teachers in nursing,
5. Underutilization of clinical facilities
6. Inadequate library facilities
7. No transport facilities,
![Page 20: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/20.jpg)
Contd…
8. No UGS status for college teachers in nursing .
9. Less stipend for nursing students.
10. Less supply of AV Aids.
11. Less promotional opportunity for teachers of both schools and colleges.
12. No separate budget for schools.
13. Msc Nursing course not started in the some government college.
![Page 21: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/21.jpg)
2.Private Institutions:
• Just like medical, engineering and dental education, the nursing education is also in the hands of private bodies and encouraging commercialization of education.
![Page 22: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/22.jpg)
3.Nursing Administration:1. Non-involvement of nursing administrators in planning and decision
making in the governmental hospital administration.
2. No specific power has been assigned to nursing superintendents but he /she has been made in charge of all inventories and linen of hospital.
3. Nursing superintendent will have no authorities to sanction leave to their subordinates.
4. Lack of knowledge in management of hospital among medical/nursing administrators.
5. Administrator, always dependent on the advice of clerical staff in all matters including technical aspects.
![Page 23: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/23.jpg)
Contd….. 3.Nursing Administration
6. Prevalence of role ambiguity, among administration
administrators.
7. Unnecessary interference of non nursing personnel
(Medical/clerical) in nursing administration.
8. No written nursing policies and manuals.
9. No proper job description for various nursing cadres.
10. No organized staff development programs me which
includes orientation, in-services education, continuing
education etc.
![Page 24: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/24.jpg)
Contd….. 3.Nursing Administration
11.No special incentive like, Rajyotsava Award, Republic day awards,
teachers awards, as government itself honors with these awards
other government servants like teachers, police persons etc.
12.Inefficiency of nursing councils of state and union to maintain
standards in nursing.
13.No efforts at higher level for implementation of separate directorate
of nursing sanctioned by the Karnataka government.
![Page 25: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/25.jpg)
solution :
Present DesignationA. Medical wing:• Staff Nurse• Senior staff Nurse• Nursing Superintendent
Grade II• Nursing Superintendent
Grade I• Sr. Nursing Superintendent
Grade I(All seniors of this grade)
Suggested Designation
• Staff Nurse• Assistant Nursing Officer• Deputy Nursing Officer
• Nursing Officers• Chief Nursing Officer(To be
created)
![Page 26: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/26.jpg)
Contd…
Present DesignationB. Public Health Wing• ANM/Jr.HAF• LHV/Sr.HAF• Asst. Nursing
Superintendent (PH)• Nursing Superintendent
(PH)• District Nursing Supervisor
(PH)
Suggested Designation
• Primary Health Nursing• Community Health Nursing • Asst. Nursing officer
(Community Health)• Deputy Nursing Officer (CH)
• District Nursing officer(CH)
![Page 27: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/27.jpg)
SOLVING NURSING PROBLEMS
• Identifies opportunities for improvement or overcoming major problems.
• Has a readiness to accept change.• Creates and sustains the change effort.• Evaluates, reviews and modifies activities
appropriately for effective change and • Continues the effort till the desired goal is
achieved.
![Page 28: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/28.jpg)
1.Grouping Problems:
I. Working Problems occurring in the field or settinga) Mistakes in the nature of omitting or forgetting
the important works that should be done.b) Failure to produce works according to job
specialization.c) Carelessness in workmanship-poor workd) Wastage of manpower, money and material
because of lack of knowledge.e) Grouping Problems
![Page 29: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/29.jpg)
Contd…
II. Problems related to policies proceduresa) The issues of inadequate records and
appreciationb) Carelessness in the care and maintenance of
institutional and patients propertyc) Lack of knowledge regarding the procedure
and policies.
![Page 30: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/30.jpg)
Contd…
III. Problems involving attitude and appreciation
a) Conservative attitude towards the acceptance of new and progressive ideas.
b) Lack or team spiritc) Lack of cooperation among the health
professional
![Page 31: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/31.jpg)
Contd…
IV. Disciplinary problemsa) Leaving the patients who require constant
attention.b) Taking off duty without prior notification.c) Abuse of sick leave privilegesd) Negligence of Dutye) Lack of interest f) Quarrelsome.
![Page 32: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/32.jpg)
Contd…
V. Nursing services Vs Nursing education problema) Lack of knowledge and unwillingness to make assignments,
which provides teaching opportunities.b) Failure on the part of staff nurses and head nurses to realize
their role and responsibility in terms of supervision and follow up.
c) Inadequate orientations programme with subsequent dissatisfaction with rotation, promotion and salary requirement.
d) Failure to provide in-service education programme and continuing education.
e) Failure to issue personal evaluation records.
![Page 33: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/33.jpg)
Contd…
VI. Intangible and unpredictable problems of personal
a) Illness, death and accidents to members in the family causing emotional, social and economic pressures apart from work.
b) Personal health problems.
![Page 34: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/34.jpg)
Ways to resolve problems:
Cost Containment
Economic
status of
nurses
Ethical
Creativity and innovat
ion
![Page 35: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/35.jpg)
Nurse manages can plan to nourish creativity in nursing personnel by:
1. Noting creative abilities of those persons who develop new methods and techniques.
2. Providing time and opportunity for people to do creative work.
3. Recognizing those who are experts in clinical practice, teaching research and management.
4. Encouraging risk taking and acceptance of personnel responsibility.
![Page 36: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/36.jpg)
Conclusion:
• Innovative means to introduce something new
on the creative various problems are occurring
in nursing profession, so it is the duty of an
administrator. To be innovative, an agent of
change.
![Page 37: Innovative Approaches in Solving Nursing Services Problems- Latest](https://reader036.fdocuments.us/reader036/viewer/2022062614/54663964b4af9f7f588b47de/html5/thumbnails/37.jpg)
Thank you