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Health Care Management Problems

   

Added on  2021-05-30

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Running head: Middle range theory 1Middle Range TheoryStudent’s nameInstitutional affiliation

Middle range theory 2Summary of the problemInsufficient finances, skills and man power has been one the greatest challenges facing several institutions in the world today. In the realm of health care provision, these shortages havecaused associated problems such as management hitches due to lack of skills, incompetency and lowering of the quality of health care. Insufficient provisions at the hospital may also cause medical errors in diagnosis and treatment as nurses and other health care providers improvise methods of using limited resources to approach several problems and situations at the hospital. Inmany circumstances where the health work load is more than a facility can handle, it is difficult to guarantee quality and competent care. Shortages in the hospital has largely influenced the organizational structure, model of care and policies and legislations adopted at the hospital in order to meet the health care requirements without compromising the quality of care (Duffield, etal 2015). Nursing shortages in many hospitals have become a challenge in many hospitals as nurses have very many duties to perform to ensure the smooth running of services in the hospital.Buchan, Duffield, & Jordan, (2015) these duties include dressing of wounds, communication to patients and management of their needs and requirements for treatment, administration of drugs, tubing, infusions, blood flushing and culturing, assessing infections and the risk factors and occlusions among many others. These services require competence and the right numbers of staffto perform these services carefully and under minimal pressure. Shortages in nursing may compromise the quality of these services as nurses may be under pressure to fulfil all these services. Assigning nurses many technical duties may also limit their involvement with patients. Nurses may then fail to administer the role of communication especially to patients with chronic

Middle range theory 3illnesses and lifestyle disorders who need advice on risk factors of their situation and health living advice as well as palliative care (Bawafaa, Wong, & Laschinger, 2015). Patricia Benner’s middle range modelPatricia Benner in her book, from novice to expert; excellence and power in clinical practice, developed a five stages model of classical competence in the nursing profession. The model is based on Dreyful’s model of skill of acquisition. In addition, Benner also advanced seven fields that nursing practice must encompass explains Oshvandi, et al (2016). These includes helping, teaching and mentoring, effective and efficient management for changing circumstances based on leadership and administration among other roles. Benner’s theory is based on the argument that nurses become more competent based on numerous experiences gained from handling several situations, continued learning and mentorship and a good educationfoundation. Benner continues to suggest that experience is important for nurses as they not only need to know what to do but also how to do it. She continues to argue that through experience nurses may be able to eventually make good practices and decisions even without the theoretical background to support such interventions. This would help nurses acquire more skills without even the knowledge. Benner also argues that the model is important in advancing ethics as they develop from a nurse’s interaction with the environment and the society (McEwen, & Wills, 2017). The five stages of clinical competence according to Benner include the novice as the first stage. The novice is a beginner nurse who is inflexible and relies on concrete knowledge attainedfrom class. The novice nurse has little knowledge based on experience. The second stage is the

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