Nursing Management and Strategy

Nursing management and strategy
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Table of Contents
Introduction................................................................................................................................2
1 Description of the orthopaedic unit/ward and introduction to IHFD strategy for
orthopaedic ward........................................................................................................................3
2 IHFD strategy in the orthopaedic unit/ward.......................................................................4
3 IHFD strategy meeting the expectations of stakeholders and in promoting collaboration.6
4 Implementation process of IHFD strategy..........................................................................7
The IHFD measures the major clinical requirements for treating hip fracture patients and
focuses on optimizing the surgery process, medical, nursing rehabilitation and secondary
prevention care (.........................................................................................................................7
5 IHFD strategy proposed for the organization.....................................................................8
6 Two key learning................................................................................................................9
7 Strategic and management approaches to health care in various settings........................10
8 Effective human resource management components in health service delivery..............11
9 Management approaches for organisational change for nurse leaders.............................12
10 A critical discussion of partnership approaches to leading health care........................13
11 Critical evaluation of management issues.....................................................................13
12 Evaluation of health care delivery across open countries.............................................14
Conclusion................................................................................................................................16
References................................................................................................................................17
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Introduction
This assignment discusses the health care system of Ireland. The assignment has been taken
the orthopaedic part of the health care system and provides a relevant description of the
orthopaedic unit. The assignment chooses an Irish Hip Fracture database strategy for the
orthopaedic ward. This Irish hip fracture database strategy is operating across the sixteen
hospitals of Ireland. It measures the care for the people whose age is over than 60 and
admitted into the hospital with a fracture in the hip (Noca, 2019). IHFD data helps to improve
the quality of hip fracture care for the patients over the age of 60 in Ireland. It's the main
objective to provide high-quality surgical and medical management and rehabilitation of the
fracture in hip. It also provides effective prevention of further falls and fractures. It records
the complete data of hip fracture cases in all sixteen hospitals in Ireland. It helps to mobilize
the patient day after or on the day surgery. This assignment describes how the IHFD strategy
is addressing the significance in the orthopaedic ward, how the IHFD strategy promoting
collaboration and meeting the expectations of stakeholders. The assignment critically
analyses the implementation process of the IHFD strategy and how IHFD meets the vision
and mission of the organization. In addition, critically evaluates the management and
strategic approaches of the health care system. The assignment critically evaluates the
management issues and evaluates the health care delivery system considering the strategic
management practices.
1 Description of the orthopaedic unit/ward and introduction to IHFD strategy for
orthopaedic ward
The orthopaedic unit or ward in the medical centre is specialised ward dedicated to the
treatment and prevention of musculoskeletal disorders. Orthopaedic disorders can range from
minor problems like fractures and joint replacements to major chronic disorders like
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decreased bone density and lupus erythematosus. The treatment in the orthopaedic ward is
done by specialised orthopaedic surgeons and patients are taken care of by orthopaedic nurses
who possess specialised skills in neurovascular status monitoring (Gregersen et al., 2012).
Traction, passive motion therapy and casting. The nature of work conducted at the
orthopaedic work generally has two aspects to it. The first aspect is trauma consisting of the
injuries to the musculoskeletal system like fractured and dislocated bones and other
afflictions of the soft tissue. The second aspect is the congenital and degenerative conditions
of the musculoskeletal system and other infections and tumours in bones (Kanis et al., 2012).
The primary aspect is the trauma that directly affects the patient and requires immediate
medical attention whereas the degenerative conditions are generally long-lasting and should
be monitored continuously to prevent it from growing.
The national medical report of Ireland for the year 2008 showed that fall and fracture of
ageing population in Ireland is the major reason of hip fractures and is considered one of the
most serious injuries due to fall which led to long hospital admissions. These lengthy hospital
admissions made it the ongoing care in the high-cost health service and step-down facilities.
With almost 3000 people above the age of 50 sustaining hip fracture every year in Ireland,
the medical board of the country introduced the concept of the Irish Hip Fracture Database
(IHFD). The IHFD was introduced as a strategical solution to deal with the large number of
reported hip fracture cases that the orthopaedic ward was receiving in Ireland. To state the
concept of IHFD briefly, it is an accumulation of past fall and fracture cases reported to the
16 hospitals involved in the project which can be accessed by orthopaedic surgeons to learn
details of those case histories and treat future hip fracture based on the diagnosis (Patel et al.,
2013).
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