Managing Organisations in Nursing: NHS Adaptation to COVID-19 Effects

This report provides a comprehensive analysis of the National Health Service (NHS) organizational adaptations in response to the COVID-19 pandemic. It begins with an introduction to the NHS and its role in the UK healthcare system, emphasizing the need for adaptation in a changing environment. The report details specific adaptations, including medical student training, the Contain, Delay, Research, and Mitigate (CDRM) approach, new interventions, cutting long hospital stays, and containment measures. It then evaluates the strengths and weaknesses of these adaptations, providing evidence and publications to support the findings. The report concludes with recommendations for improvement, such as enhanced motivation and emotional support for staff, increased research and development, greater financial investment in facilities, and more effective healthcare policies. The report highlights the importance of continuous adaptation and improvement in the face of evolving challenges within the healthcare sector.

Managing Organisations in
Nursing

Table of Contents
INTRODUCTION...........................................................................................................................3
PASRT 1..........................................................................................................................................3
Adaptation...................................................................................................................................3
Evidenced or publication ...........................................................................................................5
PASRT 2..........................................................................................................................................5
Strengths and weaknesses of these adaptations..........................................................................5
Recommendations on how these could be improved .................................................................8
CONCLUSION...............................................................................................................................9
REFERENCES .............................................................................................................................10
REFERENCES .............................................................................................................................11

INTRODUCTION
Managing health care or other public organisation is the biggest function comprises of
the multiple activities or task in context to the changing environment (Huber, E., 2020).
Organisation have to take appropriate modification and adaptation action in order to run smooth
with in the changing environment (Darzi, A., and et. al., 2017). This is imported due to
accomplish the changes and modification, due to the risk of worst impact of changing
environment, on organisation function and public care. NHS (National health service)
organisation is one of the most important public organisation which provide free health care
services to the public and legal residents of the UK. This is founded by the public, taxation as an
national health care system in United kingdom. In this report Different adaptation and managing
action of the NHS is going to be evaluate in context to the COVID-19 effects and changing
force. Strength and weaknesses of the adaptation is going to be analyses along with the
development of some recommendations for its improvement.
PASRT 1
Description of organisation
NHS, National health service organisation is one of the best public health care
organisation provide the all possible support and facilities for the public of united kingdom
related to the health care needs and requirement (Hofmeyer, A. and Taylor, R., 2021). This
organisation offers the medication, prescriptions may be free when situation is warrant. Polices
of this organisation vary among the Wales,northern Ireland, Scotland and England.
Reason for selection
NHS organisation has selected for assessment due to its higher value in country as a best
public service organisation. Which has to adopt appropriate changes with in the organisation for
effective management of public care and research. This organisation has adapted various
changes and improvement with in the organisation, which is explain below.
Adaptation
Medical student appropriate training-
COVID-19 developed the worst situation of higher number of the patient illness cases,
due to which need for the care s staff is increased, for which NSH have adopted the action of fast
and effective training for medical student (Kackin, O., and et. al., 2020). In order to develop

more nursing and professional care staff (Lin, C.T., and et. al., 2020). Organisation have planed
to change the training and recruitment process with some specific selection guidelines in order to
develop effective team with in the right time.
CDRM- NHS have adopted the CDRM approach which is known as the Contain, Delay,
Research and Mitigate effects of the virus. In context to this various actions have been taken or
selected to manage the effects of virus such as the management of staff with enough training
related to the new unknown virus of COVID 19. number of medical student was invited to
manage the situation, along with this various research has been done to develop the appropriate
prevention and management strategies (Yıldırım, N., Aydoğan, A. and Bulut, M., 2021).
New Interventions-
In England different range of the intervention has been implemented by the NHS. In
order to improve or increase the hospital capacity and facilities in response to the pandemic.
Such as organisation have developed the intervention for procurement of equipment,
implementation of new and additional hospital assets or facilities. Along with the recruitment of
more nursing and professional staff. On of the essentials intervention was plan to freeing up the
beds in order to prevent the transmission of SARS-CoV-2 (Webb, L., 2021).
Cutting the long hospital stay-
NHS have adopted very important action in context to the prevention of transmission
and to provide the best care to every patient (Tirachini, A. and Cats, O., 2020). In order to
provide the best care services for each and every patient there is need of the enough treatment
equipments, staff and facility's, in context to which organisation has taken the action for cutting
the long stay of patient and their supportive in hospital. Professional have decided to prescribe
for the home care once the patient conditions improve enough to get manage with in the home
(Ramos-Morcillo, A.J., and et. al., 2020).
Containment measures-
The most important adaptation which is done from the starting of the COVID-19 to till
now is containment measurement, that is implemented globally in response to the risk or threat
causes by the COVID-19. NSH has developed different containment measures and following
that with in the organisation, suggesting the public to follow that. Such as the prohibiting the
social gatherings, physical distending, travel bans, inhibit, organisation have developed the
different contamination zone for the patient and improved the organisation sanitization

techniques, differentiated the staff into the different health care management group. Organisation
has implemented the on-phone service system in order to prevent contamination and
transmission. Organisation have developed huge numbers of the sanitization and contamination
management measurer for hospitals such as the hand hygiene, safe handling and disposal of
sharps and chemical waste, decontamination of equipments by sterilization and cleaning (Kruse-
Diehr, A.J., and et. al., 2021).
Evidenced or publication
In context to the adaptation of cutting long stay in hospital, publication was done by the
NSH. It has been announced that in order to improve patient care organisation have planed to cut
the long stay in hospital, this was announced in the annual NHS confederation conference at
Manchester centre, by chief executive simon and by Lan Dalton (Kashima, Y., and et. al., 2021).
Objective behind this adaptation is to free up thousands of hospital beds and ease pressure. On
3rd march, UK government evidenced or publishes the UK national strategies which has to
adapted by the NHS, in order to adders COVID issues by the aid of CDRM approach, in order to
assure that standers s of patient safety and staff training are not compromised (Schroeder, R.A.,
2020). NHS pressurised to increase and ensure the appropriate trained staff should be developed
in order to strengthen the workforce services. In order to meet this objective organisation have
supported approximately 600 medical student in UK have undertake through their final
examination and training, between the year 2019 and 2020. According to the research report of
the (Department of health & social care ) NHS have adopted various changes and modification
such as acceptance of its role for test and trace, PHE and Las management in order become able
for swift and decisive action. NHS have developed COVID 19 app this helps to provide the
continues information of COVID-19 to public along with the facility of communication, through
which people can report their symptom's and know about the health issues (Ryan, J.M. ed.,
2020).
PASRT 2
Strengths and weaknesses of these adaptations
Adaptation Strengths Weaknesses
Medical student training In context to the NHS medical This action has effect the

student training and staff
development, the most
effective strength is student
empathy to support public
care. Due to which student get
ready for the training and
COVID-19 patient care. This
is the best action in context to
the improvement of
organisation facilities through
which various number of cases
and care practises is can be
manage with in the right
period of time. It helps to
reduce the stress of
organisation in relation to staff
requirement for different care
process. As COVID-19 has
changed the situation and
developed the needs of more
health care awareness, due to
which training of medical staff
is can be beneficial for
effective management. Such as
from 2019, 33 medical student
are conducting the daily
telephone conversation with
vulnerable patients on the
basis of NHS published list.
mental health of staff due to
the stress of continuous
training and work along with
the fear of COVID-19.
Due to the sudden need for the
staff and student training,
student lost the opportunities
of learning other medical care
practices (Hu, X., and et. al.,
2021). They just have learned
the common health care and
specific COVID related health
care practices.
CDRM This is the best COVID-19
effects management approach
The CDRM actions and
practises are not sufficient to

which involves the four steps
of virus effects management
such as the Containment-
which is beneficial in terms of
improvement and cure, this
involves the analysis of
infected person to provide
quick care and separation.
Delay is the net process which
helps to prevent the further
more outbacker of the disease
by inhibiting the action of
spread. Then research is net
step which is important and
helps to develop new
prevention and treatment.
Final step is Mitigate which
involves the implementation of
to prevent the spread of
disease.
control and manage the
COVID-19 spared and effects.
New Interventions NHS have taken the multiple
interventions for the
management of COVID-19
situations, which is very
effective helped and helping in
the various health care
practises accomplishment
(Alsafi, Z., and et. al., 2020).
There is further more
requirement of the updated
intervention, because of
changing effects of COVID-
19. The current interventions
are not sufficient to manage all
problems.
Cutting the long hospital By taking the action to stop In some cases of home care,

stay long stay hospital care and
facilitating the home care
prescription for normal patient
is very supportive and
beneficial in context to the
effective management of
patient who is in the serious
stage.
due to the sudden changing
symptom's of COVID-19 and
inappropriate facilitates,
organisation faced the further
more cases of chronic patient
condition.
Containment measures NHS containment measure is
very helpful in the prevention
of disease transmission, and
helps to control the health
condition of patients. Such as
containment zone, sanitization
regulations, staff separation.
There is the need of more
improvement and betterment
of containment measures due
to continuous developing cases
of the COVID-19 which
illustrate that measures are not
sufficient for prevision and
control (Chalfant, J.S., and et.
al., 2021).
Recommendations on how these could be improved
Motivation and emotional support
One of the most effective and helpful method for medical student and health care staff
stress management is can be motivation and emotional support which has to be provided by the
organisation to their employees. Along with the staff they have support patient who are at home
care intervention, by the on-call services and motivation. Organisation have to develop some
more motivational strategies and plan for patient and staff (Golin, R., and et. al., 2020).
Research for further more techniques
intervention, contaminant measures and student training is can be further improve by the
research and development of new intervention techniques and technology and equipments. NHS
have to focus on the development new training techniques, medication and vaccine of COVID-
19, techniques of sanitization and containment (Sobowale, K., and et. al., 2020).

Increasing the more financial investment and Patient bed facilitates
In the place of strategy which focus on the cutting of long term hospital care,
organisation have to chose another options which can helps to treat every type of patient
effectively. Such as organisation have to make more investment of hospital development and
facilities improvement, professional have to focus on developing more containment zone and
area of care with all assets of health care practises (Kuguyo, O., 2020).
More effective health care polices and regulation
In context to the prevention and control of COVID-19 effects organisation have to
develop and more effective and result oriented police and health care awareness. Through which
CDRM is can be easily implementation to manage and prevent the COVID cases. There is need
of improvement in safety and regulatory actions and polices which should involve the
understandable rules and regulation for public in context to the activities they done on Daly basis
which can contribute to the spared of disease (Richardson, C.G., and et. al., 2020).
CONCLUSION
From the above study it has been concluded that external environmental factors are
continuously changing and it can effects the organisation management strategies and practises by
its adverse effects in context to which organisation have to plan effective and modify their
strategies in context to external factor through which bad effects of external factors is can be
manage. Such in the case of public organisation, in health care organisation COVID-19 is one of
the most effective environmental factor which have influenced the NHS to make some specific
adaptation to manage its effects. Such as medical student appropriate training, CDRM, New
Interventions, Cutting the long hospital stay, Containment measures. Actions and adaptation
has to be further updated or improved with in the evaluation of effectiveness and effects of
changes.

REFERENCES
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