Paediatric Care Nurse Response Plan

The change theory is fundamentally a detailed illustration and description of the manner in which desired change is anticipated to occur in a specific context. It delivers crucial approaches of realizing set goals. The approaches or strategies to change include the normative-Re-educative, Power-coercion, and Empirical-rational (Black, 2016). Precisely, the normative-re-educative is an approach that utilizes a cultural strategy where values, norms, and relationships are focussed in a culture. It believes persons participate in their change processes based on cultural re-norming. The progress reinforces the need to establish organizational and individual capacity. Additionally, power-coercion is utilized when an external authority commands a change is viewed as essential for others and accepts it will be compliant. Finally, empirical-rational is an approach that assures individuals are coherent and have interest in positive changes (Black, 2016). Therefore, they will participate in the change process if information is delivered that imply change is sensible.

Response Plan for Paediatric Care Nurse

Change theory – the suitable approach to realize change in this unit is normative-re-educative since the mothers would play a leading role in realizing change. In addition, this approach would be essential because it is affected by community dedication to cultural standards. Paediatric care is subject to conservatism, which is profoundly deep-rooted in the society with mother taking part in nurturing the child (Rudd & Kocisko, 2013).

Dealing with conflict- the nurse will employ strategies of conflict management aiming to facilitate cooperation between the patient and the management on the best practices to take care of the infant.

Leadership style – the nurse will utilize effective leadership, which would promote change with the people. In this regard, consultative and transformational leadership would assist in conveying important information to the mothers on best care of children (Rudd & Kocisko, 2013).

Intervention – the nurse would introduce health education aiming inform mothers on the proper breastfeeding practices. In so doing, the nurse would disseminate informative materials that would enable in achieving nutritional status of the infants

Expected outcomes – the anticipated outcome would be realized on achieving proper nutritional levels and immunization status of the infants. The successful education plan would be instrumental in increasing the level of breastfeeding and compliance to vaccination program (Rudd & Kocisko, 2013).

Possible problems – Resistance is expected where most of the mother reject breastfeeding program because of their work schedule and living standards. The nurse would use different strategies aiming to eliminate resistance through proper communication.

Professional standards – the paediatric nurse would be required to pay close attention to confidentiality of the patient information. Professional standards expect respect of autonomy, confidentiality, and respecting patient rights (Rudd & Kocisko, 2013).

Response Plan for Palliative Care Unit

Change theory – the appropriate approach to utilize in this situation is the normative-re-educative because a person engages in his/her own change process in accordance to cultural re-norming. The nurse would support the necessity to formulate individual capacity (Ferrell, Coyle & Paice (Eds.). 2014). More importantly, the nurses would also apply mutual aid and relationship to minimise opposition

Dealing with conflict – in the caring of patients at the end of life, the nurses would encounter conflicts with the family members. Therefore, it is essential to integrate strategies of conflict management in compromising and confronting so that differences can be eliminated instantly.

Leadership style – Essentially, nurses should concentrate in the establishment of consultative environment when every person feels part of the palliative care. In so doing, it would facilitate satisfaction of the stakeholders, which play a major role in provision of quality and safe care. More importantly, it encourages willingness to change (Ferrell, Coyle & Paice (Eds.). 2014).

Intervention – the nurse should offer multidisciplinary care aiming to meet psychological, emotional, physical needs of the patients who are terminally ill. In this regard, it would help with making decision related to treatment alternative controlling symptoms and offering emotional support.

Expected outcomes- the positive influence of effective leadership in palliative unit would be realized in the ability to meet the spiritual, emotional, and physical desires of families and patients. It also promotes sound decision making in the treatment of the patient and working with other staff.

Possible problems – The conflict between the families of the patient and the nurse may reoccur when the individual does not feel included in the management of care. Similarly, communication breakdown between the patient and the management could be a source of the conflict (Ferrell, Coyle & Paice (Eds.). 2014).

Professional and legal standard – Nurses in the palliative care are obliged to collect essential data that would assist in the management of the patient. Inability to accomplish this role could be in contrary with the set standard of care and risk the life of the patient.

Response Plan for Rehabilitation Unit

Change theory – the suitable process of chance is this type of scenario is rational-empirical strategy because it inspires change through introducing new information and training (Maurer & Smith, 2013).

Dealing with conflict – through collaboration and partnership, the nurse would be in a position to handle emerging conflicts hence facilitating adherence to the routine activities.

Leadership style – engaging in democratic and transformational leadership would be necessary in realizing the goals. It would also assist in promoting change in the lives of the patients (Maurer & Smith, 2013).

Interventions – it is important to introduce a recreational therapy, which would enable attainment of emotional and social well-being and enhance symptoms. In this respect, nurse should introduce games, craft and arts to engage the patients (Maurer & Smith, 2013).

Expected outcome – it is expected that the patient would achieve full recovery. In addition, it is anticipated that they would engage in function of daily living.

Possible problems – the nurse might experience resistance in the attempt to reschedule the programs of the patients (Maurer & Smith, 2013)

Professional and Legal Standards – Legal provisions encourages nurses to avoid discrimination and proper governance. They should also avoid application of incorrect restraints of the patient.

References

Black, B. (2016). Professional Nursing-E-Book: Concepts & Challenges. Elsevier Health Sciences.

Ferrell, B. R., Coyle, N., & Paice, J. (Eds.). (2014). Oxford textbook of palliative nursing. Oxford University Press.

Maurer, F. A., & Smith, C. M. (2013). Community/public health nursing practice: Health for families and populations. Elsevier Health Sciences.

Rudd, K., & Kocisko, D. (2013). Pediatric nursing: the critical components of nursing care. FA Davis.