Development in Nursing

This article discusses the development in nursing and its impact on patient care. It explores the effective workplace culture framework and analyzes its attributes. The article also provides recommendations for improving the work environment in the pediatric ward.

Running Head: DEVELOPMENT IN NURSING
DEVELOPMENT IN NURSING
Name of the Student
Name of the University
Author Note

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Table of Contents
Introduction....................................................................................................................3
Effective Workplace Culture Framework..................................................................3
Analysis of the framework.........................................................................................5
Recommendation............................................................................................................8
Conclusion......................................................................................................................8
References......................................................................................................................9

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Introduction
Nursing is a profession which involves caring of patient and scope of healthcare
practice. Nurses develop a plan of care along with the physicians for the improvement of the
quality of life. Neonates in the paediatric wards of the hospital are the most sensitive
population as they are not able to vocal their needs and pain. Neonatal care needs a well-
developed strategic care that will be provided by the nurses (Weilenga et al., 2015). The
involvement of nurses in care planning is thus, very important for the positive patient
outcome. The way in which the nurses work is greatly influenced by the work environment of
the hospitals and clinics. Hence, working culture should be as effective as possible and for
that the team work should be emphasized (Nancarrow et al., 2013). The nurses in the
paediatric ward can provide better care for the neonates by interdisciplinary team work in
which the a variety of staff work that enable the share of knowledge, expertise and skills that
can be used to impart quality care towards the infants. The work environment can be made
much more employee friendly by the regular assessments of working practices as well as the
working environments (nibusinessinfo.co.uk, 2019).
Discussion
Effective Workplace Culture Framework
According to Manley et al., (2011), as the working culture of the healthcare sector is
very integral in delivering care it should be person centric and continuously evolving in order
to cope up with the changing work conditions. There are certainly some bad consequences of
ineffective work culture. The need of the hour is to develop a framework that will help in
improving the communication between the client and the nurse and will also help in getting
positive outcomes not just from the patients but also from the users and staff. The framework
of the effective workplace culture comprises of certain attributes. Thus, out of the five

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attributes the one that is necessary for any organisation to work effectively includes sharing
of specific values in the work place. These specific core values should include person
centredness. Person centredness includes not only the well-being of the patient but also that
of the staff. It enables the entire healthcare system to value their staff along with their cultural
diversity. Person centred care helps in encompassing the skills that are necessary to develop a
mutual relationship, trust and respect in the minds of the nurses towards their patients and
also in the patients’ mind towards the nurses. The other values are the ability of working with
others and effective care. The aspect of working with others include open communication
between the nurses and the clients (Komal et al., 2015; Renzaho et al., 2013). This will
enable the clients to advocate about their health issues more freely with the nurse and on the
other hand, the nurses will also get to know about the needs of the patients. The nurses in the
paediatric ward might also face critically ill infants and thus, might need high support from
the colleagues at that time. This is one of the most important aspect in the development of
effective work culture in the health sector. The hospitals and clinics should ensure quality
work culture for the nurses so that the nurses in turn provide better care to the patients. This
is enabled by having better leadership style which is again a core value in the framework of
effective work culture (Ali et al., 2015). Another, important aspect of the framework is
effective care in which the need is to develop the habit of using evidences or collecting cues
from the patient is very important. However, in the paediatric region it becomes very
challenging for the nurses to collect information as the infants are not able to speak out about
their need very clearly (Hesselink et al., 2013). The other aspect of effective care is learning
new skills throughout the work life. This helps the nurses to sharpen their skills and lifelong
learning enables a positive environment and working atmosphere. These practices help the
nurses to increase their effectiveness as well to increase the effectiveness of others. There
should be a positive outlook towards any change during the process of development. In an

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effective work place changes should be embraced actively and ideas should be welcomed.
The most important core value in any work place is safety. Effective work place culture
should work towards safety driven staff management irrespective of their gender and cultural
diversity. This also reflects the seriousness of the institute in providing the patients a safe and
secure atmosphere even at the time of adverse events. Now, the second attribute should be the
sharing of these core values collectively. The individual nurses should maintain a consistency
with these values. These values should also be realized in real life practices not only by the
nurses but also the patients. The third attribute is the continuous adaption, innovation as well
as creativity that help in maintaining the work place effectiveness. It is only possible to
maintain adaptability when there is a positive reaction towards the change. The use of new
technology drives innovation and becomes a key factor for the patients, nurses and other
staffs to use the available resources more creatively. This ultimately leads to the effective
development of work plate culture. In order to generate new ideas and innovations, creativity
is thus, needed in an effective work place. The fourth attribute believes that the right amount
of change in any work place can only be brought by the patients and the specific communities
that live by the organization. The drive to change is always effected by the needs and
requirements of the patients. Finally, there should be a very formal management system that
helps the nurses to evaluate, learn and polish their skills. This will enable the nurses to talk
freely with persons in the authority. This will also help in flourishing the core values in a
more structured manner to ensure maximum effectiveness in the work place (Manley et al.,
2011; Sikka, Morath & Leape, 2015).
Analysis of the framework
The themes that are identified with the paediatric region are self-satisfaction and
practice development. The self- satisfaction theme is analogous to the patient satisfaction. In
the paediatric ward there is lack of communication between the patients and the nurses as the

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children or infants are not very vocal about their situation. Thus, there is a need to develop
frequent and effective communication between the nurses and the parents to lower the levels
of stress and also to make sure that the parents understand their child’s condition (Vijver &
Evans, 2015). According to Melo et al. (2013) a descriptive research shows that the nurses
used both the verbal and non-verbal mode of communication to speak to the new-borns at the
beginning and end of any painful procedures. This kind of behaviour promotes a very holistic
approach and a touch of humane care in the acute hospital condition. The prenatal care is one
of the very important attribute of the paediatric ward in any clinic or hospital. The nurses play
a very vital role in assisting the new mothers at the time of feeding the baby. These roles of
the nurses are much more enhanced by their ability to collect cues from the mother and in
taking efforts to make them understand about their baby’s needs (Hesselink et al., 2013; Kieft
et al., 2014). The quality of the care is also an attribute to develop effectiveness in the work
place that in turn helps in positive outcomes from the patients (Braithwaith et al., 2017;
Platis, Reklitis & Zimeras, 2015).
The other theme identified with paediatric ward is that of practice development. It
forms one of the important aspect of the work place. It depends on the technological
interventions and the knowledge of the nursing staff. Neonatal Intensive Care Unit or NICU
involves infants who are critically ill and involves nurses that are highly specialized to
achieve multiple goals at the time of adverse conditions (Lake et al., 2015; Ulrich et al.,
2014). This set up can be changed by the addition of some creativity and interventions by the
nurses. There should be transition from the intensive environment to the home setup so get
positive outcomes from the families of the patients and also from the babies who are much
more comfortable in their homes (Lake et al., 2016; Manley et al., 2011; Chochinov, 2014;
Henys, Botma & Van Rensburg, 2017). As the core values of effective workplace culture
focus is the communication between the various staff or team members, it helps to explore

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and examine the roles of the interdependent work. Association between the different
healthcare personnel helps to measures the benefit of the professional development in the
healthcare sector. The increased interaction is a safe method to learn as well as practice
technical skills and non-technical skills. This helps in communication based learning along
with helps in the development of leadership qualities (Batalden et al., 2015; Boet et al.,
2014; Korner et al., 2015). The most important attribute of the effective workplace culture
framework is safety of the staff and patients in serious situations. The most holistic approach
in providing safety to the patient and to each other will develop in the process of gaining
mutual respect, trust and understanding (Weller, Boyd, Cumin, 2014; Weaver et al., 2013).
Recommendation
In order to make the work place effective in the paediatric ward there should be
development of mutual trust and understanding between the members of the team. However,
there are certain factors that negate the core values of the effective workplace culture
framework. These factors mostly interfere with the person centredness of the organization.
Research shows that workplace bullying is an important factor that drives the work place
environment. These scenarios at the workplace affect the psychological ability of the workers
(Escarti n et al., 2016; LaMontage et al., 2014). The violence at the workplace is often related
to the patient outcomes. The stigmas related to psychological problems should be avoided at
the workplace and encouraging the nurses for physical exercise will also help in preventing
the deterioration of their working ability (Hansich et al., 2016; Jakobsen et al., 2015).
As the nurses in the paediatric ward associate with much more sensitive patients so
this kind of violence interferes with their ability to serve the infants and thus, the positive
patient outcome also decreases (Chang & Cho, 2016). It acts as a barrier towards the

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development of increased effectiveness in any workplace. The build-up of depression among
the nurses working with the neonates in the paediatric region should be reduced by
interventions at the workplace. Research reveals that the female nurses who are bullied have
a direct patient contact that affect their ability to impart quality care towards the newborns.
This aspect in turn hampers another value of the workplace that involves the management
system of the organization. As the system lacks accountability they fail to ensure safety
towards the nurses and that affects the patient satisfaction (Blando et al., 2015; Tan et al.,
2014).
It will also help in elevating positive patient outcomes as the nurses are directly
related to the patients (Hibbard & Greene, 2017). The next step that is recommended towards
the development of effective workplace is the interprofessional teaching that involves various
nurses and healthcare personnel. This also increases the scope of communication among them
along with exchange of knowledge and skills (Klaver, 2016). The improvement in the
working conditions of the nurses will also help in reducing the stress among the nurses and
also reduces the dissatisfaction or burnout among the nurses (Linzer et al., 2015).
Conclusion
Thus, it is concluded that the certain effective measures can be taken in order to
maintain the work place of the staff in the paediatric ward. This involves the analysis of
patient satisfaction and introduction of technology and creativity at the work place. This way
both the nurses at the paediatric ward can be able to handle the neonates and the patients will
also give positive outcome.

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