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The feedback has been received from the patient and the patient's family members. There was no personal relationship between the participant and me. However, I also collected feedback from the experienced healthcare manager and the leaders. In these cases, the healthcare manager was my guide and the leaders were my seniors. In this feedback collection, no personal information of the patient has been taken and the participant has been treated professionally. Before taking feedback from the different participants, the entire data introduction about the study was provided to them.
All the feedback has been taken from the participant using the verbal method. In this study, no data has been collected using the written method. In this study, to collect feedback from the participants, an "open-ended" interview has been organized. This "open-ended" question was structured in a structured form. All the questions were decided from the previous. In this study to collect feedback from the participants, all the participants were instructed properly about the interview, and an introduction to the study was also provided to the participants. In this study, proper comfort has been provided to all participants.
In this study, I have learned from the feedback that there is no proper connection between the management body and the healthcare team leader. It has been also observed that there is a communication gap between the patient and the professional. In this study, based on the feedback, it can also be observed that all healthcare employees need proper training to improve productivity and to make a proper, effective supply chain. It also has been seen that the health care service is extremely costly. So, the management of a health care institute needs to decrease the service cost and also provide proper quality health care service.
In this study, it has been observed that improving the service of the health care institute. All the employees of the health care institutions need to have proper knowledge about the health service. The management of the health care service needs to provide proper training to all employees. The management can arrange some events to identify the extraordinary skills of the employees and encourage them as well. The institute can increase all the resources, which are extremely important for an effective service chain. An effective service chain needs proper infrastructure and modern technology also. So, the institute adopts a proper business strategy to achieve all these needs.
There are different types of themes that help healthcare institutions identify all the issues and also resolve all the issues through a proper work strategy. Like in the "practice effectively" theme, one professional needs to keep all the information. A professional should share skills with others. According to this code, proper treatment should be provided to all patients without any delay. In this practice, there are 6 to 12 codes. In these codes, different guidelines have been written. Like in Code 6.2, it is written that knowledge and skills need to be maintained properly.
Here, the information has been collected in a written manner. In this study, to collect data from the participant, a proper template has been given to the participant. Some questions have been written about it that are related to the study. The patient needs to answer all those questions in written form. There was no personal relationship with the participant. All the participants were patients and family members of the patient. In this study, no personal data of the participant has been taken. Before taking the feedback from the participants, all the participants were introduced to the study.
In this study, all the feedback has been collected in writing. A fully structured interview has been conducted to collect feedback from the participant. In this study, only educated participants have taken part. After taking answers from the participant, all the collected information was kept in a safe. A proper primary data collection method has been followed to collect feedback from the participant. A proper exclusion-inclusion method has been followed to choose participants. The educated participant has been taken through the inclusion criteria, and all the non-educated participants have been eliminated by applying the exclusion criteria.
In this study, from the feedback, I learned that for a professional, it is extremely important to follow the guideline which are recommended by the NMC. All the health care service providers need to give priority to the patient. Professionalism should take care of the patient. All healthcare service providers should maintain proper professional behavior. A healthcare service provider should be extremely polite and honest. All patients should get proper respect and rights. In this study, it has also been seen that, due to lack of proper training and not maintaining proper practice, the quality of the health care service is decreasing every day.
All the employees of the health care institutions should maintain proper professional behavior. All the employees should provide proper priorities to the patients. Professionalism needs to provide all the rights to the patient and also take care of the patient's safety. In this study, based on the feedback of the participant, it has also been seen that assumption can affect the quality of the health care service. It is also observed in this study that proper professional practice is extremely important to increase the quality of the health care service.
In this study, the theme "Priorities People" has been" taken to complete the study. It has been seen that to make a proper, effective healthcare service chain, all the professionals need to give the patient priority. According to code 1.1, all healthcare employees should behave politely with patients. All the patients should get proper respect. All healthcare providers should behave kindly with the patient. where Code 2.2, it is mentioned that all patients need to contribute to the development of the health service. However, in MNC Code 3.1, it is written that special attention needs to be given to the patient to improve health care wellbeing.
In this study, all the feedback has been collected from the different communities, the patientsand the common people. The survey was open to all. Every person who were interested in the study has taken part in the survey. There was no personal relationship between the participant of the study and me. In this study, all the participants from whom all the feedback has been collected were unknown. No personal data of the participants has been taken in this study. All the participants were randomly selected. Only interested people have taken part in the survey with their concerns.
The feedback from the participant has been taken through a Google survey. In this study, to collect feedback from the participants, a proper set of questions has been made in the Google form. Then the link to the Google form was sent to the general public. After the completion of the survey, all the responses have been recorded for further analysis. In this process, no interview has been taken personally. There is no personal information of the people who have taken part in the survey. In this survey, all the feedback was recorded properly and has been stored safely.
Through this study, it has been seen that, in the healthcare profession, a practitioner needs to provide proper safety to the patient. A patient should get proper mental and physical support at the health care institute. In this study, it has been also seen that a smooth healthcare service chain needs to maintain the MNC code. Proper security needs to be given to the patient. It has also been observed that all the employees of health care institutions need to have proper knowledge about patient safety. The management body for the health care institute needs to provide proper training to the employees before giving them any role.
Proper training can improve the service chain of the health care service. The healthcare institute needs to provide proper knowledge to all employees about the MNC code. The leaders of the health care institutions should provide proper safety to the patient. Proper safety for the patient increases customer safety and also helps a healthcare institute grow more. All the leaders of the healthcare institutions need to identify the requirement of the patient and also provide proper, quality health care service to the patient. These procedures will help the institute create a smooth healthcare service chain.
In the "Preserve safety" MNC code, it is mentioned that all patients should get proper safety. Through the proper Google survey, it was also identified that common people need safety. In MNC code 13.4, it is mentioned that a patient who is under treatment should get proper safety. In MNC code 13.5, it has been mentioned that healthcare institutions should provide proper training to all employees before assigning them to any new role. By following these strategies, the health care institute can improve the service chain to provide proper service.
Change management grasps the different types of barriers to ultimate success. When change management has been done properly, it begins the gradual process of identifying the challenges, making different changes, and applying them successfully. The environment of health care is dynamic and complex; it experiences different problems with unique characteristics in addition to those best-setting organizations in another sector. The problems indulge additional pressure arising from increased transparency demands and accountability, gradually increasing impact on different stakeholders like social and political groups. This essay in Element 1 studies the requirements for change and improvement and the application of the changes to the enhanced care of patients. Element 2 gives the model for the management of change and the theory of the management of change. Element 3 studies the supervision and support of others in implementing improvement and change and also discusses the theories of leadership connecting and relating to the change in the practice of clinical.
I think Change management grasps the different types of barriers to ultimate success. When change management has been done properly, it begins the gradual process of identifying the challenges, making different changes, and applying them successfully. I think the environment of health care is very dynamic and complex; that's why it faces different problems with unique characteristics in addition to those best-setting organizations in another sector. It plays a very significant role in the management of projects, due to which the request for change must be analyzed for its effect on organizations (Nieuwboer et al., 2019). I think that the managers of the project must take control of the “change management” and must be evaluated by the managers of the project The area changes in the organization must pay attention to the scope of which the requests for the changes must be analyzed in determining how it will impact the scope of the project related to effective leadership in the Department of Healthcare.
The schedule for the request for changes must be applied in determining how it will change the schedule of the organization. The change of the request for costs must be analyzed to determining how it will impact the costs of the project (Harris and Jones, 2020). Labor is almost the greatest outlay on the project, so coverage on the completion of the change management in the project must be quickly navigated to accommodate changes in the costs of the project. The quality of the requests for the changes must be analyzed in determining how it will impact the standard of the projects that are completed (Matheny et al., 2019). A speeding change in the schedule of the project in significant terms will affect the quality of the work. As opined by Kaul et al. (2020), the request for the communications changes should be approved in a way that it should be communicated to very appropriate stakeholders at a time that is very appropriate.
The model for the management of change and justifying my rationale for the selection of the model is Kotter’s model for change management, the ineffective leader inside healthcare and the process step for the leading changes in the Department of Healthcare (Nilsen et al. 2020).
Figure 1: Kotter’s model for effective leadership as change management
Firstly, “the urgency creation,” which gets the community's attention to the importance of the implementation of the changes,. The step also involves convincing the community to highlight and immediately address the effects of the changes that are not implemented. The next step is the “formation of the guiding coalition,” which involves a team with the important stakeholders in driving the changes forward and also prioritizing accountability. The next step is to “generate a vision” for the strategic initiatives that have been implemented in guiding the coalition, which enables the improvement of the culture of the community and also prioritizes the finding of multidisciplinary, which even potentially opposes the members with the cognitive diversity wealth in ensuring efficacy. Also, in creating a vision, the direction should be in order to save time, streamline the process, motivate people to act properly, and coordinate the attempt for various people to indulge in the initiative of change very efficiently and quickly (Shaw et al., 2021). The next step is “rallying and communicating,” in which the balancing of both the support and barrier in the goal, brings people together all around the shared vision, which allows for resistance, anger, and debate. The other step is “removal of the empowerment and barrier” in getting rid of the obstacles in the management of changes that are identified by the coalition and the information which is shared has risen, taking risks and cross-functionality of the work in helping the moving forward of the coalition.
The next step is “executing and celebrating the wins,” which are short-term in which the goal, which is easily achievable in the mind, can be touted as the efficacy of the goal This has also assisted in rewarding the contributions of the team member and building momentum for any type of actions in the future. The other step in the model is the “condition to not lessen,” which is the moving forward of the coalition with the given recommendations, which make essential changes in the institution (Buheji, 2020). This may include promoting, hiring, implementing training or tools, constructing new projects, and other improvements in the system. And the last step of the model in which the changes “further institutional and cultural in which making the recommendation” is discussed is the organization part. As mentioned by Rosa et al. (2020), the formation of new and unlearning habits can be facilitated by training and a current system of rewards for employees. Monitoring the efficacy and finding many ways the improvement has also been the key point of this step of the model about the change management which is an essential consideration to being an effective leader within healthcare.
In the current settings of clinical, I think effective leadership of clinical makes sure the system of health care continuously provides efficient and safe care. It is very useful for the professionals of health care must be able in “identifying the styles of leadership and the theories” which are relevant to the practice of nursing (Ruben, 2019). Being expert in recognizing the styles of leadership not only allows nurses in developing the skills in becoming the better leaders and also improves the relationship between the employees and the leaders who have formerly been challenged in working with them and different leadership theories in interpreting the scenario which is common in the settings of clinical in a way improving the effectiveness of leadership. I analyzed that the different styles of leadership have been required for different types of situations and leaders must know that which method is most successful in the scenario provided in achieving the goals of the organization. Throughout the whole change management, leaders require in working on growing and refining their skills of management and leadership (Figueroa et al., 2019). The theory of leadership is very focused on the changes that have been made in change management for effective leadership within healthcare.
Firstly, I think the leaders should build trust connections with the followers of the healthcare. The trust connection can be built up by being very fair, open, and honest with the employees and inspiring them to be very independent in the making of the decision. Secondly, I think leaders should utilize communication which is effective in leading the employees in achieving the ultimate feats. Additionally, the leaders must possess high self-confidence and firmly believe in the vision and courage in achieving the goals. According to the theory of the leaders of transformational style, the manager of the nurse in the current scenario must schedule a very appropriate designate and time in the room privately the directly talk with the nurses in reassuring the trust and respect of the leader, to this moment it is very important in mentioning that it exactly a talk which is very similar to the storytelling process.
While communicating with the nurses of the clinical practice, the manager of the nurse must carefully listen to the thoughts of the nurse, as essential in recognizing the need of the nurses and also their concerns. The manager of the nurse must analyze the problem's severity (Toleikien? et al. 2020). Concurrently the director of the unit should present their assumptions for the unit and the nurses, which can inspire the nurses in forwarding towards the development of career and promotion. This signifies that the leadership of transformational, nurses of healthcare will be significantly influenced. Moreover, nurse must improve their commitments related to the organization and is most likely in achieving the goals of the organization.
I think in spite of the recognition which is widespread of the effective importance of leadership related to clinical outcomes of the patient, “the leader's barrier” and the managers in the leadership of clinical are notable. The barriers indulge incentive lack, confidence lack, poor communication, and clinical cynicism (Trullen et al., 2020). The other types of barriers in the setting of clinical indulge poor preparations for the roles of leadership, deficiencies in the curriculum and courses of the health professionals, and inappropriate resourcing of the programs of development. Additionally, the vision lack and the commitment of to a higher level, relationships of poor interdisciplinary, conflict of role, rejection of the role of leader, change respective of the change, and very poor work of the team are significantly important in considering the leadership theories application. In utilizing the theories of leadership effectiveness in practice of clinical, leaders must first identify the barriers to the better management of them (Rakowsky et al. 2020). All over the process, the leaders require in working on growing and refining the skills of their management and leadership. The management of change needs them in toggling very effectively inside the needs of the small and macroscopic requirements of change management very effectively and quickly, without being indecisive or overconfident.
The leader must require in paying attention very closely to burnout. The members of the coalition in making the changes that are unsuccessful and feel consumed and confidence lost. I think Leadership and management perhaps represent distinct areas of practice and discipline, in differentiation between the concepts in the practice might be difficult. In particular instances, the functions of the management can supply leadership while the activities of the leadership can give out in managing of the contribution. Change management which is good, refers to the identification of the problems which are corrected by the leaders. These are required to be decoded and effectively communicated throughout the whole process (Bergerum et al 2019). Moreover, the leaders and managers who are expected in functioning in various situations have not been limited by the leader’s roles of traditional in reflecting the leader’s view. Additionally, the leaders must possess high self-confidence and firmly believe in the vision and courage in achieving the goals. I analyzed that the various styles of leadership have been required for different types of situations and leaders must know that which method is most successful. I think the distinction between management and leadership which arises from the difference and functions of the role, which changes and appears as the gaps of result that require to be packed in the jobs of the leadership in change management.
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Conclusion
Good management of change refers to identifying the leaders’ correct problem that requires being completed first and encouraging members of the coalition in spite of discouraging them and communicating very effectively during the whole process. And the change in management perhaps brings assistants physical and medical in the common room. Change management grasps the different types of barriers to ultimate success. When the change management has been done properly, it gives the gradual process of identifying the challenges, making different changes, and applying them successfully. The report in Element 1, discussed the requirements for the change and improvement and the application of the changes in the enhanced care of patients. Element 2 discussed the model for the management of change and also the theory of the management of change. Element 3 discussed supervision and support of others in implementing the improvement and change and also discuss the theories of leadership connecting and relating to the change in the practice of clinical.
References
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Begun, J.W. and Jiang, H.J., 2020. Health care management during Covid-19: Insights from complexity science. NEJM Catalyst Innovations in Care Delivery, 1(5).
Bergerum, C., Thor, J., Josefsson, K. and Wolmesjö, M., 2019. How might patient involvement in healthcare quality improvement efforts work—A realist literature review. Health Expectations, 22(5), pp.952-964.
Buheji, M. and Buhaid, N., 2020. Nursing human factor during COVID-19 pandemic. Int J Nurs Sci, 10(1), pp.12-24.
Figueroa, C.A., Harrison, R., Chauhan, A. and Meyer, L., 2019. Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC health services research, 19(1), pp.1-11.
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Harris, A. and Jones, M., 2020. COVID 19–school leadership in disruptive times. School Leadership & Management, 40(4), pp.243-247.
Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H. and Huis, A., 2019. An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of advanced nursing, 75(11), pp.2378-2392.
Kaul, V., Shah, V.H. and El-Serag, H., 2020. Leadership during crisis: lessons and applications from the COVID-19 pandemic. Gastroenterology, 159(3), pp.809-812.
Matheny, M., Israni, S.T., Ahmed, M. and Whicher, D., 2019. Artificial intelligence in health care: The hope, the hype, the promise, the peril. Washington, DC: National Academy of Medicine.
Nieuwboer, M.S., van der Sande, R., van der Marck, M.A., Olde Rikkert, M.G. and Perry, M., 2019. Clinical leadership and integrated primary care: a systematic literature review. European Journal of General Practice, 25(1), pp.7-18.
Nilsen, P., Seing, I., Ericsson, C., Birken, S.A. and Schildmeijer, K., 2020. Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC health services research, 20, pp.1-8.
Rakowsky, S., Flashner, B.M., Doolin, J., Reese, Z., Shpilsky, J., Yang, S., Smith, C.C. and Graham, K., 2020. Five questions for residency leadership in the time of COVID-19: reflections of chief medical residents from an internal medicine program. Academic Medicine.
Rosa, W.E., Schlak, A.E. and Rushton, C.H., 2020. A blueprint for leadership during COVID-19: minimizing burnout and moral distress among the nursing workforce. Nursing management, 51(8), p.28.
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Trullen, J., Bos?Nehles, A. and Valverde, M., 2020. From intended to actual and beyond: A cross?disciplinary view of (human resource management) implementation. International Journal of Management Reviews, 22(2), pp.150-176.
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