Exploring the Key Elements in Health Care Leadership

This report explores the key elements in health care leadership and focuses on the clinical skills of neonatal care for junior nurses. It discusses the importance of these skills, the role of junior nurses in neonatal care, and ways to enhance their clinical skills. The report also covers topics such as budgeting, project risk, leadership and change management models, and provides recommendations for promoting better clinical skills in neonatal care.

EXPLORING THE KEY ELEMENTS
IN HEALTH CARE LEADERSHIP

TABLE OF CONTENTS
SUMMARY....................................................................................................................................1
INTRODUCTION...........................................................................................................................1
Title..............................................................................................................................................1
Overview of the topic and its need..............................................................................................1
BACKGROUND.............................................................................................................................1
JUSTIFICATION............................................................................................................................2
Aim..............................................................................................................................................2
Objectives....................................................................................................................................2
Project Questions.........................................................................................................................3
LITERATURE REVIEW................................................................................................................3
BUDGET AND PDSA....................................................................................................................3
Budget..........................................................................................................................................3
PDSA (plan, do, study and act)...................................................................................................4
GANTT CHART.............................................................................................................................4
PROJECT RISK..............................................................................................................................6
EVALUATION OF SUCCES.........................................................................................................6
LEADERSHIP AND CHANGE MANAGEMENT MODEL........................................................6
RECOMMENDATION...................................................................................................................6
CONCLUSION................................................................................................................................6
REREFENCES................................................................................................................................7

SUMMARY
As per the report has covered the topic which is “Clinical skills of Neonatal care for
junior nurse” Clinical skill fro the Neonatal care for the junior nurse is important because A
Neonatal nurse provide the care for the newborn babies during the first four weeks foe their
life which needs proper care and the babies in this stage are very sensitive and their born are
also not that strong, so they should know how to hold the baby, the times of feeding and other
important things. Their are some of the skills which makes the Neonatal Junior Nurse a skilful
like they should be well-educated, communication skills are also important for them, they
should have proper training of the baby caring and their proper facilities. Basic medical
Nursing skills which is necessary for the baby care. It has analysed in this report that this all
skills plays essential roles for the Neonatal Junior Nurse and this whole report has been
discussed about leadership. This report has covered the theories , evidence, Pdsa, Gantt Chart
of 8 weeks and also discussion about some leadership theories like democratic leadership and
change management approaches like Kurt Lewis change management , moving change etc.
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INTRODUCTION
Title
A report to promote better clinical skills of Neonatal care for junior nurse
Overview of the topic and its need
Neonatal care is a type of care which majorly deals with care of baby born who are either
sick or premature who receives proper care within Neonatal care (Afulani and et. al., 2020).
Neonatal care I one of those department of the healthcare settings which requires a greater
number of advance clinical skills especially with nurses and doctors who take care of such kind
of babies. This is majorly because nurses in this care unit are the one who take care of most
vulnerable and little members of the society who require crucial and top level of care so because
of this it becomes extremity important for nurses to enhance their clinical skills so that they can
take care of such babies in a more proper and appropriate manner (Shao and et. al., 2018). This
is one of the main reasons because of which it becomes extremely important for junior nurses to
develop clinical skills so that they can fulfil their roles and responsibilities towards baby care in
Neonatal care. This is the main reason which helps in developing and identifying need of this
study i.e. to promote better clinical skills of Neonatal care for junior nurse. This project will help
in explaining project topic in a clear manner, aim and objectives of the research, background of
the project, brief of the project study, evidence and proof of the study, overall budget in which
this project will be completed, Gannt chart which will help in explaining overall schedule of the
project and activity bifurcation. Other than this in this project leadership and change
management model will be explained, success evaluation criteria will be explained,
recommendation and conclusion in a proper manner.
BACKGROUND
Neonatal care are specialized nurseries that are basically designed as an intensive care
unit for taking care of babies who are either sick or premature (Marc-Aurele and English, 2017).
So, for the first 28 days of the life cycle they are take care of in intensive care which is
specifically developed for their care known as Neonatal care. This project will basically focus on
promotion of clinical skills within junior nurses working in Neonatal care units. This project will
also help in explaining reason because of which it becomes important for junior nurses to learn
and develop clinical skills for Neonatal care, not only his, this project will also helps in
explaining role of junior nurses within Neonatal care unit and what are their main roles and
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responsibilities within this department or care unit. The major purpose of this project to make
readers understand role of junior nurses in Neonatal care, different types of clinical skills that
should be known and understood by junior nurses and different ways in which healthcare setting
can develop or enhance required clinical skills so that they can effectively fulfil their roles and
responsibilities in Neonatal care unit in an effective and appropriate manner (Lejeune and et. al.,
2019). For fulfilment of this main, this project will also help in explaining challengers faced by
healthcare organization in promoting clinical skills and ways or methods that can be used for
promotion of clinical skills of Neonatal care can be promoted for junior nurse in such a manner
that junior nurses can skills themselves in this field.
JUSTIFICATION
The researcher in this research will focus upon explaining types of clinical skills of
Neonatal care are required and importance of these skills in a much better and appropriate
manner. These clinical skills and their importance will be explained by evaluating role of junior
nurses in this field. It is a qualitative type of study in which both primary and secondary data
will be collected and evaluated for analysis of ways to promote clinical skills of Neonatal care.
For primary data a sample population of 50 children has been selected of Neonatal care unit in
children’s hospital. All the collected data will be analysed for answering the main research
question and fulfilling basic need and requirement of the project. This project will be completed
within a time period of 8 weeks. At the end of this project researcher will identify and explain
different methods for promotion of skills and ways in which those skills will increase efficiency
and overall performance of junior nurses in a proper and appropriate manner. Completion of this
project will further help in creating more opportunities for other researcher who want to carry out
research in this field further (Sawyer, Loren and Halamek, 2016). Not only this, with the help of
this project researcher will be able to enhance their leadership and management qualities with the
help of a specific model or approach.
Aim
The main aim of this report is “To Analyse ways in which better clinical skills of
Neonatal care can be promoted for junior nurse.”
Objectives
Main objectives of this report are:
 To analyse need of clinical skills for Neonatal care
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 To evaluate role of junior nurse in Neonatal care.
 To analyses ways in which clinical skills Neonatal care within junior nurse can be enhanced.
 To identify major challenges that can be faced by healthcare organizations in development or
promotion of clinical skills of Neonatal care within junior nurses.
 To recommend ways to promote better clinical skills of Neonatal care for junior nurse.
Project Questions
Main project questions of this report are:
 Why clinical skills are required in Neonatal care?
 What is the main role of junior nurse in Neonatal care?
 What are the main ways with the help of which clinical skills of junior nurse can be
enhanced?
 What are the major challenges that can be faced by healthcare organizations in development
or promotion of clinical skills of Neonatal care within junior nurses?
 Recommend some ways to promote better clinical skills of Neonatal care for junior nurse?
LITERATURE REVIEW
Theme 1 The need of the clinical skills for Neonatal
As per the view of the Tsiachristas and et.al., (2019), the neonatal nurses are considered to be
registered nurse which have the looking out new born and infants in the first crucial 28 days of
the life. They have the need o meet the basic level of qualifications for becoming ye RN along
with a carding the reprices of working with infants and the earning the advanced level of
certification. On the other hand, the hand, the Higgins, and et.al., (2020) have contradicted the
statement stating that’s these nurses are teds to have the working with most high-risk patient in
their hospital. There nurse have the need to be prepared in order to have the proving the
cardiopulmonary resuscitation and IV therapy and must be able to work with specialized
equipment such as ventilators and incubators. The author also supported the statements to have
the in-depth analysis for understanding the medication which have been used for the treating the
infants and new born in respective manner.
According to the view of the Ahsan and et.al., (2018), It is important for the junior nurse to
understand the role in Neonatal care, different types of clinical skills that should be known and
understood by junior nurses and different ways in which healthcare setting can develop or
enhance required clinical skills so that they can effectively fulfil their roles and responsibilities in
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Neonatal care unit in an effective and appropriate manner. On the other hand, the Ahsan and
et.al., (2018) constricted that stating stating that continuing the educational requirement for he
neonatal nurse have the varying the states in the nursing board to have the determining the
many hours practices which must have he completion of the two to three years of the
maintenance in the nursing license. In addition the situation after the gaining of the nursing
experience, it is about the nurse to have the degree for masking the proper specialisations of the
graduate degree in the specialising the neonatal care. hence the author has stated the statement
have the requirement in the master degree in the programme for the neonatal nurse practitioners
and requires candidates have at least one year of full-time experience working in a neonatal
intensive care unit before beginning the clinical courses.
Hence the Das, Gore and Mahapatra, (2019) have the concluding to the statement as there
training in the neonatal intensive care have been in the short supply as this is the position
which is offering the limited carer options regarding the proper level of menaissance of current
standards and nurse actioner to have the increasing the providence of the neonatal cares. New
technology implementation at the workplace of the company also bring the change in the
company this helps to increase the production but this can also demotivate employees so
company have to teach their employees how technology work.
Theme 2 The role of junior nurse in Neonatal care.
According to the view of Malarvizhi and et.al., (2017), the neonatal nurse has the working in the
respective nurseries that is the provide at the different level of the care which is required by
baby’s range of conditions in the hospitals. The author supported the statement as the nursing
infants are considered to be different for the nursing adults as the infants can have the
communication verbal regarding there pains in their bodies along with responding to the
different medications and threats which is helpful in the protecting them from potential danger.
On the other hand, the Singh. and et.al., (2017) contradicted the statement stating that as the
boundaries of there nursing neonatal cares have the respective level of interface between the
work of nursing and medical staff for the delivering care which have the enhancing. The author
supported the statement palliative care have been the integral parts of their neonatal cares as
there this is considered to the key integration of family for improving the communications for the
development of health care system in perfect manner. In addition to that’s their neonatal cares
should provide the education and permeative level of support to the parents of the infants which
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are feeling of being stressed and freighted to the deceptive level. According to the view of
Mildenberger, Ellis and Lee,( 2017), the nurse should have there the development of excellent
level of interpersonal skills in order to have the establishments of the rapport and the providing
the of the complete level of compassion which have the specifically making the major impacts
on the new-borns such as the change in temperature or the excess level of oxygen. Nurses have
the major obligation a as one who take care of most vulnerable and little members of the society
who require crucial and top level of care so because of this it becomes extremity important for
nurses to enhance their clinical skills so that they can take care of such babies in a more proper
and appropriate manner. On the other hand, the (Mohammed and Ahmed,, 2016.) contradicted
the statement stating that it had become extremely important for junior nurses to develop clinical
skills so that they can fulfil their roles and responsibilities towards baby care in Neonatal care.
Senior Neonatal nurse who is an leader of the Junior Nurse can use this approaches to lead the
Other nurses to gain some outcome and they will give their best to achieve the goals and
objectives of their work. Here is the leadership approach which can be used by the nurse to
control the activities of the Junior nurse, and they will lead them to give their best through their
leadership. This is the main reason which helps in developing and identifying need of this study
i.e. to promote better clinical skills of Neonatal care for junior nurse.
Theme 3 Ways in which clinical skills Neonatal care within junior nurse van be enhanced.
According to the view of Joshi, and et.al., (2018), in the recent studied it have bene already
stated as there the is the level of considerable improvements in the care and outcome of the new
born babies or infants which have the need of the complex level of health care needs. This have
the addition to the respective level of the physicians and nurses by having the increasing number
of health care professionals, including respiratory therapists, physiotherapists, pharmacists,
dietitians, occupational therapists and others, have become important members of the neonatal
health care team. On the other hand, the Ribeiro and Kase, (2017) contradicted the statement
stating that there is the intended way of needs in order to have the providence of information and
guidance and support in order to have the enchasing the other level of health professionals and
the careers of the new born babies. This will be extending to have their skill level of the
knowledge in order to have the particular level of specification for the performance of the
clinical services in the neonatal unit and education. In addition, the nurse and the respiratory
therapist have the performance of there such level of delegated cats as arterial puncture or
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intubation following a process of certification. In addition to that stage superiors spread the
awareness among the employees through communicating with them and make them understand
why the change is necessary and what will be the benefits from the change to their business.
nurse tends to have people struggle during the change because task and structure of the company
also get change and this can make them uncomfortable so it is important for the companies
leaders to provide them, training and development of the new skills.
According to the view of (Tsiachristas and et.al., (2019), there s the minimal level advisability so
the trained personal in order to have the providence of h on call services is always the major
concern in the hospital. Senior Neonatal nurse who is an leader of the Junior Nurse can use this
approaches to lead the Other nurses to gain some outcome and they will give their best to
achieve the goals and objectives of their work. Hence the Higgins, and et.al., (2020) have the
concluding to the statement as there training in the neonatal intensive care have been in the short
supply as this is the position which is offering the limited carer options regarding the proper
level of menaissance of current standards and nurse actioner to have the increasing the
providence of the neonatal cares.
This have the job level of description to have the proper level of clearly identifications with
responsibilities along with reporting structure. There is the need to have the document which
make the certain level of inclusions of function documents, occupational level of profiles clinical
practice guidelines; administrative activities; practice privileges; prescriptive authority or
protocols for ordering medications; medical directives; and mechanisms for demonstrating initial
and ongoing competencies. The effort should be made to the guarantee the change in the
company is not get failed. They have to maintain and control the activities of the employees for
the better change process, They have to monitor the activities are working properly or not and
they also have to analyse the improvement after the change management as compere to the
previous task of the company.
Theme 4 Major challenges faced by healthcare organizations in development of clinical skills of
Neonatal care
According to the view of Ahsan and et.al., (2018), Neonatal care is a type of care which majorly
deals with care of baby born who are either sick or premature who receives proper care within
Neonatal care. these are those department of the healthcare settings which requires a greater
7

number of advance clinical skills especially with nurses and doctors who take care of such kind
of babies. In addition to this it have been sated as nurses in this care unit are the one who take
care of most vulnerable and little members of the society who require crucial and top level of
care so because of this it becomes extremity important for nurses to enhance their clinical skills
so that they can take care of such babies in a more proper and appropriate manner. On the other
hand, the Ahsan and et.al., (2018) contradicted the statement stating that health acre is going
through there significant level of changes in terms for growth which have the foreseeable future.
As there is more level of importance to have the looking out in their forefront transformations in
order to have the responsibility in responding the challenges and the integrating the new level of
locations to be efficient and the supportive the level of outcome. The major level of challenges
are such as the nursing workforce spans withing the inclusion of several generations as they have
the belonginess ti the different attitude work habits, and communication styles. Nurse
administrators have to learn how to identify generational differences, make sure nurses of
different generations are able to communicate clearly about expectations and habits, and
minimize conflicts. On the other hand, the Das, Gore and Mahapatra, (2019) contradicted the
statement stating that different types of clinical skills that should be known and understood by
junior nurses and different ways in which healthcare setting can develop or enhance required
clinical skills so that they can effectively fulfil their roles and responsibilities in Neonatal care
unit in an effective and appropriate manner. in addition to that’s the business in the health cares
have the increasing there coos for the corporatization of the health care which have the
significantly make the prier level of transformation with positive outcome within the limited
resources and winding budgets. In addition to that’s the nurse administrative have need to make
the proper level of creation of the realistic strategies along with planning the effective patients’
cares maximising the resources viable both the equipment’s and employee.
According to the view of Malarvizhi and et.al., (2017) the medicine and the technological
advancement have the contended the ethical implications by understanding the vivacity of
resources and bee more level of awre in their terms of availability resources which ethics along
with communicating the nursing staff, patients, and patients’ families. The author supported the
statement as the communication information’s and experiencing which is practicing the side by
the restating there proper level of finding there thecal policies and communication which
change testing becomes important sone of them are: to make decisions of what type of changes
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will lead to desired movement, level of improvement that can be expected from these changes.
This model can also be used to evaluate combination of changes that can bring improvement
within overall project and desired results.
BUDGET AND PDSA
Budget
Budget is one of the most important factors which is required to be focused upon within a
project. Overall budget of the project also helps in defining scope of the project. This budget of
the project includes achievement and completion of major task of the project, risk management
or mitigation plan, resource requirement and management (including human resource). Budget of
the project also helps in defining successful completion of the project. It is first and the foremost
priority of the project to estimate overall budget of the project which includes cost associated
with initiation of the project till closure of the project (Shirley, 2020). All the project within
healthcare sector need proper and specific defining of project budget because projects in this
sector require more monitoring and control as compared to other sectors. Not only this, resources
required in this sector are also much more that are required to be taken care off. The overall
budget of this project is £500. This budget all kinds of identified project risk that are likely to
occur within the project such as: communication gap, mis management, loss of leadership
control, sudden rise in budget and many more.
PDSA (plan, do, study and act)
PDSA is a testing change cycle which is used for testing all kinds of changes that are
required to be brought within the organization. This cycle can be used within healthcare sector
for testing the change and helps in increasing effectiveness of the result. This cycle includes four
stages: planning, trying or doing, studying or observing the results and last stage is acting upon
things that have been learnt during this cycle (Christoff, 2018). There are various reasons
because of which change testing becomes important sone of them are: to make decisions of what
type of changes will lead to desired movement, level of improvement that can be expected from
these changes. This model can also be used to evaluate combination of changes that can bring
improvement within overall project and desired results.
PDSA cycle for promoting better clinical skills of Neonatal care for junior nurse has been
explained below:
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Plan: At this stage planning of the change objective is done other than this prediction of what
will happen is also explained. Other than this at this what data or resources required is also
checked. The main objective of this to bring improvement within clinical skills of junior
nurses for Neonatal care will be focused. Data required or this project is identification of
need and requirement of required clinical skills for Neonatal care, ways in which these skills
within junior nurses can be promoted or enhanced is required to be known.
Do: At this stage, testing is done, documentation and analysis of the data is done (Christoff,
2018). Promoting better clinical skills of Neonatal care for junior nurses, all the theoretical
perspective and data collected will be analysed and evaluated.
Study: At this stage study of analysed data or results will be done so that data prediction and
actual results can be compared.
Act: At this stage all the changes are refined on the basis of learning from previous stages. If
there is any kind of modification which is required to be done then it is done at this stage so
that plan for next stage can be developed.
GANTT CHART
Gantt chart is a kind of bar graph or chart which is majorly used within projects so that
complete schedule and milestones for all the sub- task of the project can be illustrated in a proper
manner. With the help of this chart dependencies between sub- task or activities can be checked.
This Gantt chart helps in understand current status of the project, milestones achieved till now
and time duration within which whole project will be completed.
Activity 1st
week
2nd
week
3rd
week
4th
week
5th
week
6th
week
7th
week
8th week
Identify research
topic
Review of Literature
Budget and PDSA
Leadership and
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change management
model
Project risk and
evaluation of success
Conclusion
Recommendations
Submission
PROJECT RISK
Risk Category Management
Communication gap Coordination risk It is necessary to have proper
coordination between doctors and the
nurses as every process before and after
the birth of premature child is critical
and risky measure. Premature infants
needs more critical care than usual
babies. This is why it is necessary to
maintain the coordination between the
doctors and it needs to be ensured that
every task given by doctors is fulfilled
by the nurses in a proper manner so that
chances of errors and risk involved in
the task can be ruled out.
Miss management Technical risk There are many cases in which
management was not appropriate to
deliver the baby or affect the after stages
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of the process. Babies who are born
mature needs special treatment such as
critical care and hospitals needs to be
assured that mothers do not have any
disease because it can be transmitted
through the breast milk fed to the baby.
There are many cases in which the fault
of management has affected both child
and the infant. This can turn on the
hospital and they would have to pay a
lot of money as a fine to settle the case,
it can also take away their license to
practice. Other than this there is also a
risk of changing of breast milk as
premature babies need to be fed milk at
a certain temperature and in the neonatal
care there are many bottles which
changes sometimes and this way babies
end up with milk of different woman
which is also a risky measure as if the
women has some disease it will be
transmitted to the infant.
Loss of leadership
control
Management risk This aspect of loss control in leadership
can lead to many insufficiencies such as
increase the cost of per bed, reduce the
effectiveness and efficiency in work, can
lead to increase in the level of
dissatisfaction among staff and may
affect the health of the patient which is
the most risk and necessary aspect that
the patient needs to take care of. If the
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leaders are not present at the time of
duty then it can be difficult to take
decisions for the junior staff as they do
not have the authority and control of the
situation. Leaders need to take control
and take as many preventable steps
possible so that their is no risk of losses
or liability to the facility. The conditions
in the facility are needed to be maintain
with discipline so that there is no breach
of privacy and other than that no errors
in the middle of operation or surgery.
This is possible when leaders of the
facility take control.
Sudden rise in budget Financial risk In order to rise the budget of the
neonatal care, the facility will charge
more price than usual and it is not cheap
to take the facility of neonatal care. Not
everyone can afford it some find other
ways and goes to the facilities which are
underdeveloped which is a risky
measure as they do not have the skilled
team and advanced equipment which are
needed to make the delivery 100 per
cent successful. This can even take the
lives of the infants which is why it is
necessary that advanced facilities find
ways to keep the prices for
underprivileged people for less so that
even they are able to get their services
and pass the delivery risk free.
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EVALUATION OF SUCCES
The mechanism of the valuation of the goal and objective of the newly developed programmes
have there ensuring the level of opportunity which have the existence in their ongoing level of
education in significant manner. There is need to have the continuous level of evaluations which
have the inclusive of the performance appraisals of the nurses with the immediate level of long
term outcome measurements in distinctive manner.
There is the need to have the critical level of evaluations in the degreed upon the principles
which should have the reaction with established inception of the programme. There is the
mechanism in order to have the proper level of delegation in order make the proper transferring
of functions for developing their roles to meet the specific needs of patients.
Hence the mechanism has the ensuring that’s the existence of opportunities regarding the
development o ongoing education and training should have the future level of educational
initiates which have the inclusive of formal and interdisciplinary model in perfect manner.
There is the evaluation which should have the encompassment s regarding the performance
appraisal with the immediate and long-term level of outcomes programme measurement in the
fictive manner. there will be the establishment of the quality assure programme in order to have
the reviewing the varies level of competencies with the level of professional role and respective
clinical practice in significant manner. There have been the criteria for the formative evolution in
order to have the outlining of various resources helpful in proving the additional information’s
for stabling the avenged level of practicing in significant manner.
There will be the setting up of the advance level of practice ruling and provincial legislations
which will be helpful in the determinations of the legal framework for the practices. This will be
regards to be provinces along with legislation to have the guidance of the nursing practices. This
will be provinces to have the delegations along with transferring their guidelines which slowing
more level of individualized spiritual to have the development of roles. There will be province
regulatory when the implementation of the appropriate programmes for improving the perfect
manner. This will have the incumbent for the practisers to have the employing the facilizing the
legalities, policies governing the field pf practicing. In addition to that’s Data required
identification of need and requirement of required clinical skills for Neonatal care, ways in
which these skills within junior nurses can be promoted or enhanced is required to be known.
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There will more level of promoting the better clinical skills of Neonatal care for junior nurses, all
the theoretical perspective and data collected will be analysed and evaluated. All the changes are
refined on the basis of learning in which there is any kind of modification which is required to
be done then it is done at this stage so that plan for next stage can be developed.
LEADERSHIP AND CHANGE MANAGEMENT MODEL
Leadership Approaches
Leadership plays most important roles in the medical line where Leaders have to Lead
their whole team toward the success which can be possible if the lead have some skills and
they should have leadership qualities to control and leaders the employees who are working
under them.
There are some leadership approaches which can be helpful for the leaders to lead their
team successful and their team members will help to achieve the success in their task (Cameron
and Green., 2019). Senior Neonatal nurse who is an leader of the Junior Nurse can use this
approaches to to lead the Other nurses to gain some outcome and they will give their best to
achieve the goals and objectives of their work. Here is the leadership approach which can be
used by the nurse to control the activities of the Junior nurse, and they will lead them to to
give their best through their leadership.
Transformation Leadership Approach
These highly influential leaders serve as role models to inspire others. Defined by leadership
studies scholars Bruce Avolio and Bernard Bass, this leadership style involves improving the
morale and job performance of team members by connecting with their sense of identity and the
collective identity of the organization. The reformative leaders is visionary who I an inspiration
for the others and critical thinking and innovation. The leaders of the Neonatal junior nurse
have to inspire them and motivate them to give their Best in the baby caring. They can be
motivated and inspired if their own leaders is inspiring so the leader also have to connect with
them in the task and do the task which they junior Neonatal nurse are doing. This will help to
create trust among the nurse, and they will also inspire from the leader, and they will be
motivated and inspired by the leader. Inspiration from the leader will lead them toward the
success, and they will put their full effort in the task to become leader of the team one day.
Every team member wants to take the place of their team leader and they want to lead the team
if their leader are inspiring (Doppelt., 2017). The leader have to show their team a vision so
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they will know what are their goals and what they have to achieve to make their task better and
help the company to achieve the goals and their objective.
Change management Approaches
Change management is a systematic approach to dealing with the transition or
transformation of an organization's goals, processes or technologies. The purpose of change
management is to implement strategies for effecting change, controlling change and helping
people to adapt to change. Change is important for the employees because it helps to built new
skills in themselves and they can work in their more reflectivity and efficiently (Hoch,
Bommer, Dulebohn and Wu., 2018). It is important for the alders and managers to implement
change properly otherwise it ca demotivate their employees and it can affect the operational
activities of the company and their efficacy of the workers as well. Here are some approaches
of the change management-
Kurt Lewin's Change Model
Kurt has developed this model in the major 3 stages which are unfreezing, change and
refreezing stages. This can be helpful for the company to implement change easily and make
the change process easier. For the Lewin, the process of the change entails creating the
perception which a change is needed, the moving forward toward the new , desired level of
behavior.
Unfreezing
before implemented the change the process should be go through the unfreezing stage.
Because the employee of the company should know about the changes which will be implement
in the change management process (Mak and Chang., 2019). In this stage superiors of the
company will spread the awareness among the employees through communicating with them
and make them understand why the change is necessary and what will be the benefits from the
change to their business. They have to explain everything clearly and properly.
Changing
Now the people are unfrozen, and they are begin to move forward and they move into
the another step pf this change management process is changing step, In this changes in the
organization take place and company implement the real changes. This is an reality that the
most of the people struggle during the change because task and structure of the company also
get change and this can make them uncomfortable so it is important for the companies leaders
16

to provide them, training and development of the new skills. This will make them understand
the new task of the company, and they will able to run day to day activities properly. To make
the employees familiar with the change they will need the communication, advice, training and
other things which will make them familiar with the change, and they will able to accept the
change with the times and able to work properly at the workplace of the company and help the
company to achieve the goals and their objectives.
Freezing
The another stage of the change management process is Refreezing stage which refers to
symbolize the act of reinforcing, stabilizing and solidifying the new stage after the
implementation of the change within the company. The changes made to organizational
processes, goals, structure, offerings or people are accepted and refrozen as the new norm or
status quo (Tabassi And et.al., 2017). Lewin found the refreezing step to be especially important
to ensure that people do not revert to their old ways of thinking or doing prior to the
implementation of the change. The effort should be made to the guarantee the change in the
company is not get failed. For this company have to took for the culture within the company,
and they have to maintain and control the activities of the employees for the better change
process,. They have to monitor the activities are working properly or not and they also have to
analyze the improvement after the change management as compere to the previous task of the
company.
Force filed analysis
This is an method for listing and evaluating the forces for the and against the situation
within the business. This helps to analyze the all forces which influence on the companies
current situation (Tabassi And et.al., 2017). The human behavior is cause by the forces like
cultural norms, beliefs and expectations etc. but not all the forces are negative some of them
are positive which pushing us forward and some of them are negative , presenting us
achieving a set companies goals. The force field analysis diagram demonstrates these driving
forces on the company and also restraining forces which can create the problems for the
business. There are some process which can bring the changes in the organization are-
Social or organizational changes
trends change with the times and people and this also affect on their behavior and their
lifestyle.
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Attitude of people
attitude of the people also change when their demand for the product changes, people
want batter ab d improved product which can satisfy their needs and their demand.
New technology
New technology implementation at the workplace of the company also bring the change
in the company this helps to increase the production but this can also demotivate employees
so company have to teach their employees how technology work.
RECOMMENDATION
It is necessary for the administration to hire only those nurses who possess the skills for the job
and are eligible to handle the roles and responsibilities of neonatal care. This is because in this
area of medical aspect nurses have more responsibility than doctors as they are the ones who are
supposed to be taking care of the infant who are premature and the care they need is critical. The
administration of the facility needs to make sure that the skills they possess includes the use of
technological advanced equipment used in the facility nowadays and the traditional methods
which was used earlier because both of them is necessary to reduce the level of risk involved.
Also it is the duty of senior nurses to make junior nurses to make them feel convenient around
work so that they can work with better approach and positive state of mind. Nurse needs to have
skills that can control the outcome of any situation to an extent so even if the doctor is not
present for the moment nurse can take care of the rest of the activities. In order to expect better
performance from them and less errors in work it is necessary that the administration of the
facility needs to treat the junior nurses with fair amount of respect and give them importance
according to their work. Many of times there are cases where seniors do not treat fairly to juniors
and most of the work is imposed on them, this needs to be changed. There are some areas which
needs to be changed which are the internal factors as facilities have to change their way of
working on things so that less errors are made and more preventive actions can be taken and this
in return will satisfy both the patient as well as the nurses. If the budget of the facility increases it
needs to be ensured that prices for the administration does not rise up at a high level. Keeping the
budget high will help the facility to bring new advancements and technical upgrades which are
required but it adds to cost of patients which not everyone can afford. Everyone has a right to get
proper treatment at proper facilities which is why it is better to maintain the stability of these
factors.
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CONCLUSION
From above discussion, it has summarised about the concept of clinical skills of Neonatal
care for junior nurse. It is mainly concerned when increasing the neonatal staffing which become
expressed within the community. As discussion with neonatal nurse staffing and examined the
issues on the basis of experience. It may include the recruit as well as retain nurse from large
variety of background. Therefore, it become easier for ensuring that all people undertaking the
education to develop own qualities in specific status. Furthermore, it is gaining the more
knowledge and skills. The documentation has been recognised the current status of neonatal
nurse which require in pay and enhance their own career.
Furthermore, It has been explaining project topic in a clear manner, aim and objectives of
the research, background of the project, brief of the project study, evidence and proof of the
study, overall budget in which this project will be completed, Gantt chart which helps for
explaining overall schedule of the project and activity bifurcation. In another way, it also
understanding the concept of leadership within project because it has been changed management
model in order to provide the better success evaluation criteria in proper manner. However, it has
recommendations and conclusion in a proper manner.
The project is mainly focused on the promotion of clinical skills within junior nurses
working in Neonatal care units. In order to give better idea and also explaining reason why it is
important for developing skill and knowledge of Neonatal staffing nurse. it is an essential for for
junior nurses to learn and develop clinical skills for Neonatal care, not only his, this project is the
most suitable for analysing the role of junior nurses within Neonatal care unit and what are their
main roles and responsibilities within this department or care unit. As per analysis, it has
identified the important purpose of project to make readers understand role of junior nurses in
Neonatal care, In another way, it has identified the various types of clinical skills that should be
known and understood by junior nurses and different ways. In some situation, this skill plays
important role for setting the healthcare procedures. In order to develop or enhance required
clinical skills so that they can effectively fulfil their roles and responsibilities in Neonatal care
unit in an effective and appropriate manner.
This project has concluded the various challenges faced by healthcare organization in
terms of promotion clinical skills. Therefore, medial professional use an appropriate tool for
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examining the current situation. There are various technique or methods that can be used for
promotion of clinical skills of Neonatal care. As use the various technique by junior nurse in
such a manner that junior nurses can skills themselves in this medical profession. Moreover, in
this project it has been improving the conceptual thing towards the listing method which help for
evaluating the forces against the situation within the business. In order to provide facilities to
medical professional to analyse various forces which always influencing on the healthcare
enterprise current situation.
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