Leadership And Healthcare in A Prison Setting

Leadership And Healthcare in A Prison Setting

Description

1 Leadership And Healthcare in A Prison Setting DeAmbra Thompson Division of Nursing, Thomas University NSG476 – Leadership in Nursing Dr. Corker November 13, 2022 2 Leadership and HealthcareHealthcare in a prison setting. Introduction Prisoners have the right to access quality nursing care services like any other patient in a medical setup (Barnert, Ahalt & Williams, 2020). Dealing with nursing issues in a prison setup requires a good leadership program, fundamental approaches to the solutions, and working to establish the proper measures through focus and emphasis on the significant deliverables as recommended (Akiyama et al., 2021). Leadership and HealthcareHealthcare in a prison setting is a good topic worth investigative strategy, and addressing the significant needs is through a right and functional protocol to improve things through advocacy and to work on quality and functionality as recommended. Significance of the Problem Healthcare is a problem in prisons, and most challenges are related to neglect or mistreatment of convicts. The level of fairness in handling prisoners in matters of health is a key challenge, especially on the crucial focus on the major deliverables and applicable protocol in making and enhancing the solution-based entities to make and work on precise matters as they happen (Forrester et al., 2018). The real solutions and functional protocols should be addressed promptly to make significant moves and address the essential solutions as they happen in the primary applicable ways (Pont et al., 2018). Strategically, HealthcareHealthcare and leadership should go in sync, especially when trying to enhance equality and equity to make and address the significant challenges and critical problems related to the concepts and focus on the meaningful solutions equally essential as per the deliverables in the best ways possible. 3 Review of Literature Researchers have documented significant health implications and challenges associated with poor leadership in prison settings. Increment in acute illnesses among prisoners is alarming, with the challenge growing and most people having difficulty addressing the threats (Burton, Morris & Hirschtritt, 2021). For the true purpose, addressing the significant moves, enhancing an available protocol, and retrieving the right processes are major solutions to the problems and critical issues worth noting. Successfully, the only way to address and accomplish the mission is to work on the challenges, weaknesses, and gaps in healthcare leadership. The mortality rates in the prison setting are worth looking into, especially with a deep consideration of how things happen in most reprimand centers. Some recent findings also linked the prison centers to septic techniques whereby healthcare leadership does not respond to the modern trends and technology to make HealthcareHealthcare safe and sound (Burton, Morris & Hirschtritt, 2021). The significant issues that arise result in problems whereby conditions advance and the problems equally become worse following the key aspects and specific approaches to enhance the focused protocols as they happen. Essentially, some of the critical deliverables entail working on the betterment of the programs, addressing the core competencies of the healthcare workers, as well as issues associated with how things get implemented to accomplish the major deliverables in the quality and precise ways possible. Approximately 57% of the prisoners complain of poor healthcare services and administrative ignorance related to their situations (Burton, Morris & Hirschtritt, 2021). The main applications, competitive measures, and strategic focus on the major deliverables matter. With significant moves to address the situations to solve health complications, administrations still need to 4 address critical health problems and similar issues with comprehensive strategies to make reliable solutions on matters worth exploration (Burton, Morris & Hirschtritt, 2021). Good riddance on health perspectives matters for the solutions to be qualitatively implemented, addressed, and focused on the significant problems per the protocols and substantial processes as needed. Expected Outcomes/Objectives The project’s main objective is to address the leadership and healthcare problems in prisons to help them overcome the various challenges and threats. Addressing the core competencies, strategic measures, and critical issues is worth enhancing a focused approach to solve and work on competitive strategies, among other recommended standards (Burton, Morris & Hirschtritt, 2021). The right solutions, competitive approaches, and critical issues matter in making HealthcareHealthcare great and addressing the competitive measures significantly to enhance the effective and focused solutions about the matters worth addressing. The leadership issues and expectations in prison entail addressing the major solutions while enhancing a functional protocol to work on the challenges as a matter of solving and making significant moves (Akiyama et al., 2021). Addressing the fundamental problems is a prerequisite for working on a functionally appropriate aspect and enhancing the measurable outcomes to make the necessary moves as recommended. Plan/Process The plan is to address the weaknesses in health leadership for the prisons and work comprehensively to enhance the significant moves to address the gap and reduce prison vulnerabilities to illnesses. Conditions to happen, and the worst aspect is dealing with the challenges as they come. Adversity and key issues entail worse states of the prisons and the 5 major deliverables that do not count in the proper and accurate management as required. The plan is to work on a training plan to make adjustments and address the critical gaps and deficiencies related to quality issues and practical solutions in HealthcareHealthcare and leadership (Burton, Morris & Hirschtritt, 2021). A working approach and strategic protocol to make the relevant information and skilled processes implies addressing the main aspects, comprehensive plans, and working to make and enhance the relevant skills as they matter in significant and applicable ways. 6 References Akiyama, M. J., Kronfli, N., Cabezas, J., Sheehan, Y., Thurairajah, P. H., Lines, R., … & on Health, I. N. (2021). Hepatitis C elimination among people incarcerated in prisons: challenges and recommendations for action within a health systems framework. The Lancet Gastroenterology & Hepatology, 6(5), 391–400. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118192/ Barnert, E., Ahalt, C., & Williams, B. (2020). Prisons: amplifiers of the COVID-19 pandemic hiding in plain sight. American Journal of Public Health, 110(7), 964–966. https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2020.305713 Burton, P. R., Morris, N. P., & Hirschtritt, M. E. (2021). Mental health services in a US prison during the COVID-19 pandemic. Psychiatric services, 72(4), 458-460. https://ps.psychiatryonline.org/doi/full/10.1176/appi.ps.202000476 Forrester, A., Till, A., Simpson, A., & Shaw, J. (2018). Mental illness and the provision of mental health services in prisons. British Medical Bulletin, 127(1). https://www.researchgate.net/profile/Andrew-Forrester2/publication/327019277_Mental_illness_and_the_provision_of_mental_health_services_i n_prisons/links/6149d50c3c6cb3106982173b/Mental-illness-and-the-provision-of-mentalhealth-services-in-prisons.pdf Pont, J., Enggist, S., Stöver, H., Williams, B., Greifinger, R., & Wolff, H. (2018). Prison health care governance: guaranteeing clinical independence. American journal of public health, 108(4), 472-476. https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2017.304248?download=true NSG 476 Leadership Final Paper Student: Final Paper Topic: Introduction—Definition of the Problem Date: Provides clear description of problem as to causes, effects, impact, significance to work area / department / nursing profession / patient care / quality / satisfaction / cost; Materials used to implement plan are relevant, appropriate for proposed project Review of Literature A review of literature that describes how other authors/facilities addressed a similar problem with attention to possible solutions and outcomes. One of Possible 2.0 4.0 these references must be a research study The Review of Literature must demonstrate application of a minimum of 6 current peer reviewed references (within the last 5 years). Outcomes Clear, measurable outcome statements realistic for time frame. Implementation Plan Detailed presentation of the project steps according to a selected change theory with explanation of obstacles throughout the implementation phase. Provides an analysis of the change process and student role as a change agent. Evaluation Outcomes Process An evaluation of the process and outcomes with data to support resolution and/or achievement of expected outcome/standards. Philosophy of Leadership A reflective self-analysis of the student’s personal philosophy of nursing leadership based on project process and application of course content. Writing Skills Provide a scholarly paper (8-10 pages) that support appropriate grammar, spelling, sentence structure, flow of content and coherence. The paper format, reference list, and in text citations comply with APA guidelines. Only one scholarly websites and one quotation are permissible. Responsive to Proposal Feedback Feedback from Part 1 of the paper is evident in Part 2 Turnitin originality score Total point value for paper with all sections 7/28/20 TTC 1.0 4.0 1.0 1.0 5.0 2.0 20.0 Actual Score Comments . NSG 476: Leadership in Nursing Leadership Project Topic Details Fall 2022 Please submit the following information via specific weekly assignment by October 26, 2022 detailing information on your proposed Leadership project. I need to have evidence of the following information to be able to adequately support you in meeting the course objectives and giving final approval for your topic/project. You may use this form and complete as many items as possible. You will, however, need to attach a word document with more detailed information for #2, #3, and #8 (if applicable). You must complete this form and provide attachments as necessary. I will send back this form with my comments or suggestions, as well as, final authorization for you to proceed with your leadership project. When submitting the assignment, you must submit a word document (not a PDF) since I need to be able to write on your form to provide constructive feedback. 1. Topic/Title of project: Leadership and Healthcare in a Prison Setting 2. Brief outline or description of why you want to do this particular leadership project. Why is this project or the problem significant to nursing? How does this problem impact the work area/department/nursing profession/patient care/quality/satisfaction/cost? This is the significance section of your proposal. Correctional institutions can be challenging workplaces for the provision of healthcare services. The healthcare professionals face competing tensions between providing quality care and strict security measures to remain safe. In other instances, there are higher chances of emotional exhaustion and burnout when providing health services in the prison settings (Almost et al., 2020). This paper focuses on advancing knowledge about the role of nursing leadership in ensuring healthy and safe workforce and provision of optimal services for the prisoners in prisons 3. Who are the key stakeholders impacted by the problem, how are the stakeholders presently impacted by the problem/issue and how to you see that impact (per stakeholder) changing if you successfully resolve the clinical issue or concern? This is the introduction or significance section of your proposal Presently, the key stakeholders impacted by the problem are as follows. Firstly, the nurses are impacted by emotional exhaustion and burnout (Almost et al., 2020). The leaders of the healthcare service providers are having a tough time coming up with the right strategies to deal with the problem facing both the nurses and other health service providers and the prisoners (Bellass et al., 2022). Also, the prisoners are having their healthcare needs not being attended to appropriately (Bellass et al., 2022) 4. Provide the specific goal and measurable outcome to successful evaluate your project. This is critical to the success of the change process, final write up, and evaluation of success. You must give a number or statistic that you want to achieve to evaluate success in resolving the issue/problem/concern. This project would want to achieve safety for prisoners and the healthcare service providers such as nurses. It would focus on ward policy guidelines in the construction and updating of staff and prisoner patients safety hazards. 5. Indicate if the project is being conducted a. at your work setting Yes No Specific location: _____________________________________________________ b. location other than work setting Yes No Specific location: Any prison within Georgia qualifies to host the project. 6. Identify the specific change theory you will use to implement the change you want to occur. You will need to reference the book to determine the specific change theory (Chapter 8, p 186-193). Kurt Lewin’s Change Theory would be used to implement the change I would like to see. According to Marquis and Huston, Kurt Lewin’s Change Theory comprises of critical stages such as unfreezing, movement and refreezing. However, the rules guiding this change are change implementation for good reasons, change to be gradual, change to be planned and involving all the individuals affected by the change (Marquis & Huston). 7. Provide a brief summary of how you plan on doing your project. Provide the steps according to your selected change theory that you will take to achieve your goal. Be specific and detailed in what you will do per step. Provide an additional word document if you cannot fit all the information in this space. This is part of your implementation section of the proposal. The change involves the following steps: • • • 8. Unfreezing: The change agent would convince members of the group to change or guilt, anxiety, or concern are elicited. Movement: The change agent would identify, plan, and implement appropriate strategies, ensuring that driving forces exceed restraining forces. Refreezing: The change agent would in stabilizing the system change so that it becomes integrated into the status quo. Indicate if you will need to do a survey, questionnaire, or involve something that implies the need for IRB approval. Please attach a copy of the survey, interview form, or questionnaire if you have one in mind. You will also need to provide the completed Guidelines for Nursing Project form located in the IRB section of TU website. Completing this form will identify if there is a need for an IRB review (expedited or formal). Authorized to continue as stated above: Yes Authorized to continue with the following recommendations: Not authorized to continue due to the following concerns: 10/22 TTC No References Almost, J., Gifford, W., Ogilvie, L., & Miller, C. (2020). The Role of Nursing Leadership in Ensuring a Healthy Workforce in Corrections. Nursing Leadership (Toronto, Ont.), 33(1), 59-70. https://europepmc.org/article/med/32437322 Marquis and Huston: Leadership Roles and Management Functions in Nursing, 9th edition. Bellass, S., Canvin, K., McLintock, K., Wright, N., Farragher, T., Foy, R., & Sheard, L. (2022). Quality indicators and performance measures for prison healthcare: a scoping review. Health & Justice, 10(1), 1-19. https://healthandjusticejournal.biomedcentral.com/articles/10.1186/s40352-022-00175-9/tables/5