Self-Resilience Practice For Emergency Nurses Essay

1.      Organisational description

The healthcare organization (XYZ, anonymous) is generally busy due to an increased workload and a greater number of patient visits. It is quite challenging for the nurses to prioritize patient care within the ward and provide appropriate support at the right time. The emergency department nurses face extreme challenges within the organization including overcrowding which lowers nurse satisfaction in providing proper care and also impacts performance by increasing treatment errors. Occupational stress and burnout are also related to the challenges while working in the emergency department which is noted within the organization (Durand et al., 2019). Overcrowding of patients and lack of proper nurse-to-patient ratio within the organization create challenges in delivering accurate care and impact the satisfaction level of the emergency nurses. It is important to address the stress, anxiety, burnout, and extreme trauma experience that is faced by the emergency nurses within the organization. Hence in this case, implementing a proper training program for the nurses, enhancing critical thinking, and managing the workload will help lower stress and improve the quality of care (Dekeseredy et al., 2019). Self-Resilience Practice For Emergency Nurses Essay

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2.      Proposed change

The change that needs to be implemented within the organization to address the excessive workload, high work pressure, and emotional exhaustion and improve job satisfaction in lowering stress will be done by modified self-resilience practice training. The proposed change program such as the implementation of the self-resilience training program will help in focusing on increasing the nursing skills and knowledge in managing the emergency situation by improving the strategies for emergency preparedness within the healthcare organization (Allen & Palk, 2018). The implementation of resilience training will act as a proactive tool for maintaining the mental health of the nurses within this stressful environment and it will also help in managing the critical situation through effective learning and coping strategies which will address the issue of job dissatisfaction. Han et al., (2021) stated that it is important to understand how the emergency nurse develops regions within the workplace in the context of violence. The result of the study highlighted that there exist three stages such as release of emotion after the incident, interpretation of action and conflict, and establishment of proper strategy for coping with workplace violence in the future.  The training will help in motivating the nurses and improving their commitment to providing proper emergency patient treatment.  The development of proper support by the organization for enhancing the resilience training will help in altering the management and coping skills of the emergency nurses within the health care organization (Phillips et al., 2022). Self-Resilience Practice For Emergency Nurses Essay

3.      Change model

The change model that will be considered in this case includes the health, safety, and environment model. The model consists of four main parts or pillars, financial service, structural service, health, and well-being. The HSE Change model is implemented within the healthcare organization to enhance the organization structure, improve the resources for human development, improve sustainability, and prevent the chance of developing hazards by proper implementation of strategy within the healthcare organization. The main aim of the change which will be implemented within the organization is to improve the decision-making ability of the nurse under challenging situations or pressure which will be done by providing proper resources and training (Romao et al., 2023). The organizational approach in improving the skills will help in improving the structure while providing care as it will help in lowering the overcrowding within the emergency department which will help in improving patient safety. Another change model that can be considered as a reference is Kurt Lewin’s change model. The model consists of three stages such as unfreezing, changing, and refreezing. In the first stage, the team must unfreeze the current perception or process while preparing for changes. In the second stage, once the team is prepared for change, the plan of resilience strategy and skill training can be implemented. In the third stage, the refreezing stage, the change is accepted by the nurses, and a change in behavior is observed. Burke et al., (2021) stated that the shocking experience of COVID-19 highlighted the importance of implementing a greater resilience strategy for managing the crisis. The implementation of the change through resilience training might help in enabling policy development for long-term healthcare transformation. Self-Resilience Practice For Emergency Nurses Essay

4.     Aim and Objective

Aim- The aim of the change program is to introduce a self-resilience practice program for emergency nurses

Objectives

1. To provide nurses with proper knowledge and skills in order to cope with adversity, cope and challenges within the emergency department.
2. Providing the nurses with tools and strategies for building self-resilience and enhancing the ability to respond to the challenging environment.
3. To implement a proper supportive environment for the nurses through proper feedback. Self-Resilience Practice For Emergency Nurses Essay

4.     Rationale

The nurse appointed in the emergency department faces extreme challenges due to workload which often results in job dissatisfaction and affects the patient care by increasing error in the treatment. Afaya et al., (2021) stated that there has been an increasing burden in the emergency ward within the hospital which needs proper quality management.  The study results highlighted that the major issue which is faced by the nurses within the emergency department includes overcrowding in the area, understaffing at the emergency unit, inadequate managerial support, and lack of proper emergency equipment which needs to be considered by the healthcare organization in order to promote quality emergency nursing care. Reshidi et al., (2020) stated that emergency room nurses face extreme challenges which are related to complex environments and practice.  The result of the study clearly determines the fact that the majority of the nurses face challenges due to a lack of proper environment, lack of proper cleanliness and there exist poor nursing assistants, and an increase in work which affects the quality of care. Self-Resilience Practice For Emergency Nurses Essay

AI-Ghabeeshe et al., (2023) stated that the emergency department staff faces lots of challenges that negatively influence the ability to provide high-quality patient care.  The result of the study clearly addresses the factor that there exists a lack of proper preventive measurement, poor possible solutions, and a lack of proper understanding in managing the challenges which requires proper training and education for the nurses in order to deal with challenging situations within the emergency department. Shahmari et al., (2022) stated that the challenges faced by the nurses within the emergency department are due to organizational factors such as poor human resources, issues with workforce protection, and educational challenges.  Quick (2022) highlighted the importance of providing resilience training within the emergency department for nurses. The study highlighted that it is important to enhance the resilience strategy of the nurses appointed in the emergency department as poor resilience might lead to the development of burnout which enhances the risk of developing anxiety and depression which is higher among the emergency department nurses. The implementation of proper training such as cognitive behavioural techniques along with mindfulness activity will be essential for improving resilience and utilizing the skills for managing the critical situation. Self-Resilience Practice For Emergency Nurses Essay

5.     Impact of the change

The organizational impact or the change that is needed within healthcare includes changes in dealing with the emergency departments such as managing overcrowding. The change will help in improving the critical thinking skills among the nurses. The change will help in providing workforce protection and the educational program will help in managing the complex situation (Harrou et al., 2020). The change will help transform the experience of the nurses as the source of leading learning which will help in dealing with future crises.

6.     Potential threats

The major threat or barrier that might be faced during the implementation of proper resilience strategy within the healthcare unit includes lack of proper control of the emotional wellbeing of the nurse, lack of proper participation due to increased job dissatisfaction, and poor management or lack of proper feedback (Iflaifel et al., 2020).  The psychological well-being of each of the nurses will be different and, in this case, implementing a proper common resilience base strategy for improving psychological health will be challenging for the organization.  It is important to consider the workload of the nurses prior to providing the change within the setting as the emergency department is found to be busy and managing the program along with proper care might be challenging and create barriers for the nurse. The major benefits will include protecting against the emotional and negative impact of stressors, implementing a proper release strategy, and developing critical thinking ability among the nurses in order to cope with the challenging situation (Sanchez-Zaballos et al., 2021). Self-Resilience Practice For Emergency Nurses Essay

7.     Ethical consideration

The project needs proper approval as it involves human subjects such as the nurses within the emergency department. Privacy and confidentiality will be maintained as several questions related to self-resilience practice will be monitored which needs accurate data collection in order to consider the safety of the nurses. The interview will be conducted in a safe environment which will help in reducing stress and collecting proper information. No conflict of interest will be acknowledged by the researcher or the healthcare organization and the data will be stored securely through proper authorization techniques to ensure confidentiality and privacy of the information (Xu et al., 2020). Self-Resilience Practice For Emergency Nurses Essay

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8.     Evaluation

The evaluation can be done with the help of a mixed method study for both the qualitative and quantitative data will be collected in order to determine the effectiveness of the change that is implemented within the organization. The qualitative interview method can be considered in this case for gaining a proper understanding of the effect of the project on the nurses in the emergency department.  The interview will help in sharing personal experiences, perceptions, and inside related to stress management and workplace dynamics (Brown et al., 2018). The quantitative study can be done by considering the pre-and post-experiment design where surveys will be conducted in order to understand the changes in managing the situation and providing proper care to the patient in the emergency department both before and after the implementation of the program. The data will be analyzed for qualitative study with the help of thematic analysis where different codes will be assigned to similar responses. The quantitative study and the value related to pre-and post-experiment will be statistically analyzed in order to determine the efficacy of the program in managing stressful situations (Henshall et al., 2020).

9.       Role in the organisation

As part of the healthcare team’s quality improvement plan as a nurse, it is my responsibility to understand the challenges that are faced by the nurses through personal experience and it will help in shaping and implementing strategy within the healthcare for providing proper support.  As a nurse, it is my responsibility to involve the emergency department nurses within the resilience training program which will help in improving the quality of practice.  I will be able to analyze and collect data by conducting the interview which will help in ensuring a proper trust between the researcher and the participant (Manomenidis et al., 2019). Self-Resilience Practice For Emergency Nurses Essay

actually, this is my research project, I worked on it as a proposal and I got feedback on the proposal, but now I want help with guidance on how I can work on it, like tips. For example: what is my first step? and if surveys or interviews what are the questions? you can read my proposal attached here and the first draft with guidelines and share with me the requirements. now am working on draft 1 following the guidelines attached here. if need any adjustments please to review and link the theory to nurses practice please Self-Resilience Practice For Emergency Nurses Essay