Paediatric and Neonate Care Plans in Western Australia

The study highlights the effectiveness of paediatric and neonate care plans in Western Australia with a focus on South Western Sydney Local Health District (SWS LHD) strategies. Demographic analysis, determinants of health, morbidity and mortality rates, service profiles, situational analysis, and recommendations are discussed in detail.

PAEDIATRIC AND NEONATE CARE
PLANS

Executive summary
The study has highlighted the effectiveness of the paediatric and neonate care plans in
Western Australia. In order to analyse the fact, the care plan and strategies of South Western
Sydney Local Health District (SWS LHD) has been discussed in the study in a précised
manner. The demographical analysis has been done to locate the number of children would
get the care plans of SWS LHD. The demographical analysis has shown the fact that the
demand for effective child healthcare is increasing in Western Australia over the years. The
trend of increase in the demand for child healthcare is opening the opportunities for SWS
LHD to open their child healthcare units in various places around Western Australia. Several
healthcare determinants have been discussed in the study along with the intervention
procedures. Morbidity rate and mortality rate of the neonates have been discussed in the
study with an effective discussion on situational analysis. The rates of healthcare assessments
have signified the fact that the newborn babies require breastfeeding of their mother to stay
away from the various child infections. Moreover, the timespan of breastfeeding must be
assessed by the healthcare professionals of SWS LHD to analyse the potential outcome of
their strategic plan. Additionally, the need for a growing number of service activity plans
must be analysed with effective techniques. The adaptation of various child healthcare
models can be beneficial for SWS LHD to analyse the types of neonate disease and the
possible way for effective intervention techniques. Various healthcare strategies of SWS
LHD have been discussed and outlined recommendations for the strategic loopholes.
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Table of Contents
Introduction................................................................................................................................3
Analysis......................................................................................................................................3
Demographic analysis............................................................................................................3
Determinants of health...........................................................................................................4
Morbidity and mortality.........................................................................................................5
Need assessment.....................................................................................................................6
Service profiles and partners..................................................................................................6
Service activity.......................................................................................................................6
Situational analysis.................................................................................................................7
Service delivery care model...................................................................................................8
Future service delivery and care model.................................................................................8
Key Goals Objective and strategies.......................................................................................8
Recommendation..................................................................................................................11
Conclusion................................................................................................................................11
Reference list............................................................................................................................12
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Introduction
The study of Paediatric and neonatology denotes the healthcare of newborn babies and
young adults. They require quality care to stay safe from various diseases. The study on child
health care has been evolving in South Western Sydney over the years. The South Western
Sydney Local Health District (SWS LHD) has helped the treatment and care process of the
newborn children. It is notable that newborn child health can be affected by some uncommon
diseases which are generally different from normal children disease. Efficient care must be
provided by the healthcare staffs of SWS LHD. The care must be provided under well-
developed childcare infrastructure (Kim, 2014). Hence, this study will unfold the initiative
taken by SWS LHD to develop the healthcare plans for the children. The effective health care
plans for children can be framed with essential childcare coordination and activities. The
framework for the neonates' can be useful to provide quality and safety care to the newborn
babies(Watling, 2015). The initial process of developing healthcare framework for the
neonates will be started by analyzing the demography and health care determinants. The
morbidity and mortality rate of the newborn children in Western Australia will also be
discussed with related data and examples. The service profiles and activities of the healthcare
professionals of SWS LHD will also be discussed to demonstrate the clinical service planning
for the neonates. The care delivery models will also be discussed in the context of the
situational analysis. This will unfold the type of treatment that will be provided to the
newborn babies whenever they fall ill. The core strategies are discussed to identify the gaps
in reviewing the authenticity of the treatment procedure. Recommendations will be provided
based on the existing childcare loopholes of SWS LHD. The conclusion will state all the
discussion within a single nutshell and will outline an overall recommendation for the
neonate healthcare development.
Analysis
Demographic analysis
The demographic analysis is helpful to find out the number of the population under the child
healthcare plans of SWS LHD. The population for child health services of SWS LHD has
been growing over the years (Akdemir & Özkan, 2018). The demographical healthcare status
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under the project communities of SWS LHD can be cleared through a data analysis of the
child healthcare.
Data analysis of child healthcare under SWS LHD
The present childcare trend signifies the facts that the paediatric population would increase
by 19% in 2036 as compared to 2011. Hence, the projected growth of SWS LHD would
attain a 49% growth in 2036(Watling, 2015). It is notable that around 262,921 children of
Western Australia are under the child healthcare skim of SWS LHD which could be 309,062
in next ten years and 392,719 in the next twenty-five years.
Figure: Percentage of paediatric population in southwestern Sydney (growth from 2011
to 2036)
Source: https://www.swslhd.health.nsw.gov.au
The growth of population is showing the trend of additional demand. The demand for more
paediatric care organisations will be increased.
Determinants of health
The healthcare determinants determine the diseases through which effective care plans can be
identified.
Healthcare-associated infection: The newborn babies are easily affected by infections due to
change of atmosphere. This is considered neonate infections. This is generally transmitted
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from mother womb. The healthcare staffs accept the infections as the healthcare determinants
and use to take suitable intervention for the neonatal infection(Hamzelou, 2016). Thus, this
can be considered as health care determinants as per SWS LHD.
Morbidity and mortality
The paediatric and neonatal problem is the growing problems of Australia. According to the
Australian Government report, the mortality rate is 6.8% due to the paediatric and neonatal
problem. The rate of child mortality is 1.3% more in the regional parts than the metropolitan
parts of the country. The tendency of developing paediatric and neonatal problems are
slightly greater in the aboriginal population compared to the non-indigenous population of the
country(Kim, 2014)It is essential to perform demographic analysis in a proper way. It enables
the rate of morbidity and mortality due to paediatric problems in the newborn population. An
appropriate health care service plan should be developed in a manner that helps to mitigate
the rate of morbidity and mortality in the newborn population (Miguel & Miguel, 2018). A
proper health care service plan will enable to stem the flow of morbidity and mortality and
result in the holistic development of the paediatric health(Jae-eun Seok, 2014). According to
the below figure, it is clear that there is steady growth in the newborn population.
Fig1: Demographic profile of newborn
Source: https://www.swslhd.health.nsw.gov.au
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Need assessment
It is essential to perform the need assessment before preparation of the health service plan. It
is clear that there is a rising of the newborn population in the country(Klotz, Dooley-Hash,
House & Andreatta, 2014). The mortality rate of the newborn due to the neonatal problem is
almost 6.8%. It is quite relevant from the statistics that need of a proper health care service
plan for the paediatrics and neonatal patients are essential. The healthcare plan must address
the service activities and action plan that will be delivered efficiently to the mothers and the
newborn child(Suzuki, 2016). The healthcare service plan helps in delivering efficient service
according to the need of the mothers and the newborn child in nursing care settings.
Service profiles and partners
It is very much important to build the health service plan for the paediatric and neonatal care
keeping in mind all the service profiles. There should be a proper liaison with the government
and the private institutes to determine the action plan(Lloyd et al., 2017). Proper coordination
will help to implement the health service plan in a proper way. The service profiles will
include community health. The community health service should include the children
protection early, childhood care(Redkar, 2017). Children out the home can be established for
early childhood care. There should be a liaison with the government and private nursing care
settings. In the Western Sydney Health facility may be established close to the university to
coordinate care with the Campbell town Hospital(Bradd, Travaglia & Hayen, 2017). It will
help in developing proper service to the paediatric and neonatal cases in the locality.
A strong childcare service network may include in the plan. The strong childcare service
network may form a relationship between south-western Sydney and the New South Wales
child health network. It will help in the enhancement of the service and efficiency of the
service provider. The morbidity and mortality rate can be decreased with help of this kind of
plan(Hinkley, Carson & Hesketh, 2014). Another service profile is the development of the
paediatric education programme with the help of the local people of south-western Sydney.
Service activity
The plan must include a different kind of services essential for the paediatric and neonatal
services. There should be inpatient paediatric care for acute emergency situations(Weiss &
Vora, 2018). Proper infrastructure should be developed to give the emergency patient of
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paediatric and neonatal babies with proper acute care management. The children under the
age of 16 should be taken to the paediatric ward. There must be the presence of a paediatric
specialist in the nursing care setting so that the emergency patient can be delivered with
proper nursing care (Rezaimehr & Bhargava, 2013). The action plan should include
implementation of proper neonatal care unit. The neonatal intensive care helps in taking
proper nursing care of the high-risk neonates. The infrastructure of the neonatal intensive care
should be planned in a proper way (Williams, 2017). Proper funding is required for the
establishment of the neonatal intensive care unit.
The health service plan must include the establishment of special care nursery beds for the
paediatric ward. The special care nursery units may be built as a step-down unit for the
neonatal intensive care for babies (Weiss & Vora, 2018). After steady recovery, the babies
can be transferred to special care nursery cots. Another important service should be
considered in the health service plan that is the ambulance service. During an emergency
case, the ambulance service must be available to bridge the gap between the hospital care
setting and the community or home (Williams, 2017). The health service plan should include
the outpatient clinic which is one of the most essential components for the regional
population. Installation of an outpatient clinic with Paediatric doctors will help in case of an
emergency situation (Rezaimehr & Bhargava, 2013). After the primary treatment of the
patient is conducted in the clinic through proper ambulance care the child can be moved into
nursing care setting in the hospital. There might be the installation of the subspecialty clinic
that may bring the care for the children closer within the district.
Situational analysis
The situational analysis is very much important in the nursing care settings. The paediatric
and the neonatal health care are very much important and should be prominently analysed.
The situational analysis helps in the formulation of an efficient strategy according to the
needs of the patients (Watling, 2015). According to the situational analysis different kind of
strategies for proper care centred approach can be taken.
Role Delineation: After performing the situational analysis in an effective manner the role
delineation should be done according to the strength of the employees. The paediatric words
nurses should have patience and capability to handle the complex situation. The delegation of
role should be done according to these parameters. The paediatric specialist should be
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appointed and given the role of effective treatment of the patients. Maintenance staffs should
delegate with the role of efficient maintenance of the nursing care set up.
Service delivery care model
The service delivery care model can be achieved through an integrated healthcare system
model. A holistic approach to the health service action plan is required. It helps the
inappropriate implementation of the model care in the nursing care settings to paediatric
settings (Redkar, 2017). The core characteristics of the model include the following
components:
 Prominent establishment and expansion of the ambulatory care services at each
facility.
 There should be a provision for health care services in close proximity to the home of
the children.
 There should be efficient out outreach capacity model plane.
Future service delivery and care model
The service delivery and the model of care can be achieved through an integrated healthcare
system model. A holistic approach to the health service action plan is required. This helps in
implementing proper care model to provide quality care to the paediatric setting(Klotz,
Dooley-Hash, House & Andreatta, 2014). The core characteristics of the model include the
following components.
 Effective establishment and expansion of the ambulatory care services at each facility.
 There should be a provision for health care services in close proximity to the home of
the children.
 There should be proper out outreach capacity model plane.
 Further development ensuring neonatal and paediatric units are sufficiently large.
Cost efficient treatment plan should be installed in a proper way.
 The care model should take care of the paediatric centre for the surgery.
 Paediatric assessment should be done in a proper way that will help in the holistic
development of the program.
Key Goals Objective and strategies
There are some key goals, objectives and strategies that should be included in the health
service plan the strategies are mentioned below:
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Goals Objectives Strategies
 Providing High-
quality service to the
patient
 monitoring the
paediatric and
neonatology IIMs and
KPI dashboard bi-
monthly basis is the
most prominent tasks
for the effectiveness
child health care plan
for SWS LHD
. Active participation in quality
improvement and the capacity
building programme should be
done with the highest priority
(Akdemir & Özkan, 2018). The
breastfeeding rates must be
improved through efficient
initiatives of a neonatal and
postnatal strategic plan.
To increase the efficiency of the
service provider
 To maintain the
efficiency with the
national stands of the
health.
 Capacity building
programme is
required to develop
the staffs is a
prominent way. The
capacity building
training programme
should be included
with innovative
techniques
(Hamzelou, 2016). It
is essential to
building the capacity
of service providers
by using innovative
techniques. The
promotion of uniform
clinical practice is an
essential guide for
nursing (Miguel &
Miguel, 2018). The
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effective succession
planning must be
programmed.
Effective infrastructure
development
 To maintain an
upgraded and
effective service to
deliver the paediatric
patient with the
highest quality of
service.
The holistic development of
paediatric care depends on the
implementation of the strategic
development plan. If new
modern technologies including
the neonatal intensive care
service, paediatrics wards
clinics should be done in an
efficient manner (Suzuki, 2016).
Sustainability of the service.  To provide the
patients of paediatrics
with sustainable and
efficient service.
 Sustainability is one
of the most important
parameters that
should be analysed in
the child healthcare
setting. Development
of effective paediatric
care should be
installed in the
nursing care settings.
Funding and funding
plan implementation
is required to develop
the child healthcare
strategic plan more
prominently. (Lloyd
et al., 2017). The
efficiency of the
service can be
increased through
proper
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implementation of the
health action plan.
Partnership with the
community-based
organization must be
developed to help in
the sustainability of
the organization.
Recommendation
The recommendation for the health action plan is as below:
 An infrastructure development plan must be presented with immediate concern.
Infrastructure development is considered to be a key component to health action plan.
It should be implemented in an efficient manner. It will enhance the efficiency of
service to serve the acute care patient. Infrastructure development of the healthcare
should be done in a perfect way for the sustainability of the neonatal and paediatric
health care programme.
 A capacity building training and infrastructural development should be included in the
Health action plan. It may involve a different kind of capacity building programme.
Conclusion
The health care service plan is one of the most essential components to be implemented in the
child healthcare setting. According to the reports it is seen that there are mortality and
morbidity due to the paediatric and neonatal problem. Effective health care can be helpful to
implement all the healthcare strategies in an efficient manner. The neonatal and paediatric
health action plan includes different component like the infrastructural development and
implementation of care by following various rational child healthcare models. It is essential
to develop a plan according to the needs of the patient. A proper paediatric and neonatal
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health care plan will help in the holistic development of the condition of the patient. This will
help in decreasing the rate of mortality and morbidity in the country.
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