Management for an Integrative Health and Social Care Workforce

Learn about the strategic approach taken in managing an integrative health and social care workforce during the COVID-19 pandemic using Kotter's 8 stage process. Read about establishing urgency, creating a guiding coalition, developing a vision and strategy, communicating the change vision, empowering broad-based action, generating short-term wins, consolidating gains and producing more change, and anchoring new approaches in the culture.

Management for an Integrative Health
and Social Care Workforce

Table of Contents
INTRODUCTION...........................................................................................................................3
Main Body.......................................................................................................................................3
Kotter’s 8 stage process..........................................................................................................3
Establish urgency....................................................................................................................3
Creating a guiding coalition...................................................................................................4
Developing a Vision and a strategy........................................................................................4
Communicating the change vision.........................................................................................5
Empowering Broad-based action ..........................................................................................5
Generating Short-term wins...................................................................................................6
Consolidating gains and producing more change...................................................................6
Anchoring new approaches in the culture..............................................................................7
Conclusion.......................................................................................................................................7
REFERENCES................................................................................................................................9

INTRODUCTION
The COVID-19 virus has rapidly triggered a global health emergency. As the cases are
increasing in the Umited Kingdom and also globally,, Hospitals are in need to quickly implement
the screening, isolating and treating COVID-19 inbfectyed patients. There is requirement of
changing the protocols which required the continious awareness of infection control and local
health department, progressively communicating new visions, achoring certain workflow which
is neccsary for the ongoing changes. This unque challenges required a strategic approach to adapt
the rapidly changing COVID-19 landscape. The strategic approch taken in this is Kotter’s 8
stage process which structure this changes in a clear process.
Main Body
Pendemic come with little or no warning thus planning may be limited. In response to
pendemic the leader must respond to calm and orderly approach. In present senario, the number
of Covid-19 patients are dropping continiously and the world is returning to its normal
functioning. This normal functioning is also leading to give rise to more severe covid cases. As
the people are neglecting the precautions willing or unwillingly and the recovered patients or the
person suffering from cardiovascular disease, obesity, respiratory diseases are still at higher risk.
Thus the hospitals needs to be prepare for the upcoming cases with normal functioning along
with impatients patients. By using Kotter's 8 stage process, it is easy tto maintain the balance
(Nardo and et. al., 2020) .
Kotter’s 8 stage process
this include 8 stages to overall change , In contextr to present scenario these are disccused
below:-
Establish urgency
Leading Life with Covid-19 pendemic, It is important to always be prepared with the
requasites. Senior board members are approched actively to function as an advocate to guide the
important chages in the hospital management along with the health workers ( Raut and Huy,
2021) . These member ha s gathered information on curent surgical situation and evaluated that,
At presents time, 0-20 Admitted covid patient are there and 0-5 covid ITU patient which will be
increased to 40 and above admitted covid pateints and more than 15 covid ITU patients. The
elective surgies are going at normal pace but for future there is a chance of elective surgeries of

the patient that are admitted on the same day. So a decision matrix is used to decide which
surgery needs to proceed first due to wait time and impact on patients health. Decision matrix are
listed below:-
URGENT NOT URGENT
IMPORTANT Urgent need of medical
assistance due to accident and
patient in emergency which
need immediate treatment.
Non-emergency surgery like
plastic surgery which can put
on waiting list.
NOT IMPORTANT Delegate patients to some
other nearby hospitals when
there is no experts and
capacities available.
Tasks such as conducting
satisfactory survey can wait for
longer time.
Creating a guiding coalition
Senior mangement team will manage all the team which focus on critical health teams
(ICU + HDU), Head of surgery and medicine, Social Care Liase, Occupational therapy leads, A
representative for human resources. All the member in the team shared their understanding of
why change is important. They maintain a close communication between this team. They all have
shared understanding of goals anbd objectives thus have clear picture of their roles and
responsibilites,they also have clear understanding of the risk and challenges they are facing and
also to those that may arise (Alotaibi and Subahi, 2021) . This management ensure that the work
should be done with clear system and processes thus it will be easy to track progress, monitor
issues, resolve the disagreements and make the decision wisely.
Developing a Vision and a strategy
Senior mangement team have decided to safely return on the pre-covid level with six
months or less. For these they have decided that with the help of decision matrix reduce the
number of elective surgery and reduces chances of health damage to patients (Zhou and et. al.,
2021) . They ensure the trigger point and evalute them and also add as new information
regarding the trigger points. With the help of virtual assessments, tele health, supported living
reduce the number of Inpatients and ,ave the care outside (Marks and et. al., 2021). And form

future prospective the staffs which are returned during pendemic will remain on mandatory
training schemes or should be move to bank system. The managers are also allowed to retain the
returning staff by extending their temporary contracts as .
Communicating the change vision
The aim of this step is to communicate the vision and plan of action that will encouarge
the mangement and team members to accept and support the change initiative. For this, the
management team by the help of social media post and emails develops a relevant message of the
vision to staff, patients and for the general public. The social distancing benefits and
requirements advertising posters are to arranged in each department. For the communication of
vision and progress open staff meeting should be organaized. Redeployment stories are to be told
of positive staff experiencing of redeployments (Curioso, Peña-Ayudante and Oscuvilca-Tapia,
2021).
Empowering Broad-based action
Change agent during the Covid were the one that has convey the effective deviation in the
cases is avoiding touching the face regularly, stay home as much as possible to avoid the spread
of the disease. Maintain the social distancing effectively within the staffs and try to avoid the
crowds and whenever engaged always wear the PPE campaigns as the are designed fr preventing
the spread of the virus to the front-line workers. During the deployment their was shortage of the
testing samples or the beds for the patients so now the for redeployment as there is chance of
increment in cases. There should be the massive resources for the better testing equipments and
improved patient waiting time for the test reports so as to start the treatment as soon as possible
(Hoffart, Johnson and Ebrahimi, 2022).
While taking the front-line supporters feedback then make sure about appreciating their
performance and the worth they have given for the organisation. Appreciation should be done in
front of other so as other might feel motivated and get inspire, ask them the changes need to be
done according to them while setting protocols for new wave. All the individuals should be
aware get vaccinated before hand and use the double mask when contacting anyone. They might
feel low then take at-least the rating from the oximeter and if found adulteration then go for the
test. Managers of the department must have to make the proper analyse report of the employs
while including their capabilities and the skills which will help the organisation to charge the

duties according to the need of skills during the up-gradation of cases (Quintero, Simeonova and
Akee, 2021).
Generating Short-term wins
Healthcare organisation must incorporate the effective training sessions for the health
care provider for the manual handling of patients as minimise the risk of cross-contamination in
the providers. It is also done to reduce the risk of infection and to decrease the overload faced by
the provider. For their must be proper sanitation effectively in the high-loaded patient wards in
every 1 hour. Provider can only interact the patients while wearing the PPE kit. healthcare
provider were provided with the proper protocols they need to follow after visiting the patients
are need to clean the hands with the alcohol based hand rub while avoiding touching their face
regularly. Were also provide the protocol to how to discard the respiratory etiquette, PPE
disposal or the bio-waste. All the staff are provided with the appreciation on the contribution they
have done to safeguard the life's as to encourage their working. It provides the nurse the potential
to face the challenge in more prudent manner. It will make her feel belong to the organisation
and giver her the sense of confidence for the delivery of better patient care services (Amram and
et. al., 2021).
Consolidating gains and producing more change
One of the most effective preventive method of covid 19 pandemic which can reduce the
patient number in the hospital includes practising more social distancing and the precaution
adopted by the healthcare provider and patient. Maintaining the health safety by using the
disinfectant solution for cleaning the ventilated are in which patient are admitted. Appropriate
health treatment and implementing the guidelines of corona virus in the hospital helps in
reducing the number of covid-19 patient. Separation of patient according to their disease level
helps in reducing the patient and they does not affect the other patient. Hospital should have to
differentiate the patient by analysing their condition into covid ward with more safety and
precaution. Healthcare should be focused on patient in every minute and also take care about
their health condition. Doctors and other medical staff alert about the medicines doses and their
treatment because singe step can harm the patient in covid situation (Martínez-García and et. al.,
2022). The most important thing is to innovate the changes in the hospital which can improves
the quality care of the patient. All the medical equipment is available for individual patient
during the covid because distancing is the main thing of the covid crisis. The patient should be

self caring because each single minute is important for the patient life. Availability of the
resources in the hospital reduce the covid condition of the patient. ICU beds , availability of
oxygen and other equipment which is most important for the covid patient.
Anchoring new approaches in the culture
After implementing the guidelines which can prevent the patient from the covid crisis, for
reaching towards the better level hospital and healthcare professional uses the various equipment
for improving the patient condition. There are various strategies and methods for improving the
patient health condition. After the WHO Guidelines, it is mentioned that individual person uses
the mask and maintaining the social distancing which can reduce the risk coronavirus. In
hospitals healthcare provider, nurses, doctors should use the PPE kit for protecting themselves.
Hospitals expand their bed limit and also sanitized every time the ICU wards in which covid
patient are addressed (Yoshioka‐Maeda, 2021). Hospital should focused on the patient care and
there conditions, all the equipment should be available in the hospital for treating the patient.
Hand sanitizing and masks are the most important for all the people. Healthcare provider should
also motivate their patient and informing them into a positive way they should well and recover
more fast because patient self caring and involvement reducing their mental health condition.
WHO provides the relevant information by which patient can protect them and start self caring
which can improves their condition. Maintaining safe distancing with the family members and
their other people is most important which can reduce the risk of coronavirus (Dinh and
Berendsen Russell, 2021). Healthcare provider should give the hygienic and sanitized item
which is contribute to contact with patient treatment.
Conclusion
Considering the present scenario, it is can be concluded that with decreasing the number
of covid patient and normal functioning of life there is a high risk of covid second wave. For
which the hospitals need to be prepared. For this the hospital can go for kotter's 8 process.
Through which urgency can be established with the help of senior board members. They will
combinely work with the all the team and advertise about the facts and figure associate4d with
the present and future scenario. They will develop a vision and plan of action and effectively
communicate it. They short out the elective surgery with the help of decision matrix so as to get

ready for the future. They will generate short term goals and celebrate the win when accomplish
it.

REFERENCES
Books and Journals
Alotaibi, Y. and Subahi, A.F., 2021. New goal-oriented requirements extraction framework for e-
health services: A case study of diagnostic testing during the COVID-19
outbreak. Business Process Management Journal.
Amram, O., Amiri, S., Panwala, V., Lutz, R., Joudrey, P.J. and Socias, E., 2021. The impact of
relaxation of methadone take-home protocols on treatment outcomes in the COVID-19
era. The American Journal of Drug and Alcohol Abuse, 47(6), pp.722-729.
Curioso, W.H., Peña-Ayudante, W.R. and Oscuvilca-Tapia, E., 2021. COVID-19 reveals the
urgent need to strengthen nursing informatics competencies: a view from
Peru. Informatics for Health and Social Care, 46(3), pp.229-233.
Dinh, M.M. and Berendsen Russell, S., 2021. Overcrowding kills: How COVID‐19 could
reshape emergency department patient flow in the new normal. Emergency Medicine
Australasia, 33(1), pp.175-177.
Hoffart, A., Johnson, S.U. and Ebrahimi, O.V., 2022. Loneliness during the COVID-19
pandemic: change and predictors of change from strict to discontinued social distancing
protocols. Anxiety, Stress, & Coping, 35(1), pp.44-57.
Marks, A., Al-Ali, M., Atassi, R., Elkishk, A.A. and Rezgui, Y., 2021, February. Digital
transformation in higher education: maturity and challenges post COVID-19.
In International Conference on Information Technology & Systems (pp. 53-70).
Springer, Cham.
Martínez-García, M., García-Gutierrez, S., Armañanzas, R., Díaz, A., Inza, I. and Lozano, J.A.,
2022. Learning a Battery of COVID-19 Mortality Prediction Models by Multi-objective
Optimization. In International Conference on Artificial Intelligence in Medicine (pp.
332-342). Springer, Cham.
Nardo, B., Lugaresi, M., Doni, M., Vulcano, I., Piccione, D., Paglione, D. and Stabile, G., 2020.
WhatsApp video call communication between oncological patients and their families
during Covid-19 outbreak. Minerva Chirurgica.
Quintero, L., Simeonova, E. and Akee, R., 2021, May. Pandemic Protocols, Native Nutrition:
Grocery Store Access from American Indian Reservations during COVID-19. In AEA
Papers and Proceedings (Vol. 111, pp. 602-06).
Raut, A. and Huy, N.T., 2021. Rising incidence of mucormycosis in patients with COVID-19:
another challenge for India amidst the second wave?. The Lancet Respiratory
Medicine, 9(8), p.e77.
Yoshioka‐Maeda, K., 2021. Developing sustainable public health care systems for responding to
COVID‐19 in Japan. Public Health Nursing, 38(3), pp.470-472.
Zhou, B., Kojima, S., Kawamoto, A. and Fukushima, M., 2021. COVID‐19 pathogenesis,
prognostic factors, and treatment strategy: Urgent recommendations. Journal of medical
virology, 93(5), pp.2694-2704.