In the contemporary health care setting, the registered nurses play a pivotal role not only in terms of the services that they render to the patients but also in the formulation of the policies (Head and Alford 2015). Lee et al. (2014) have stated that the nurses because of the virtue of the job role that they perform posses an insight regarding the policies that can actually improve the quality of the services which are being provided to the patients. More importantly, the registered nurses can influence the policies of a healthcare organization through advocacy, the insight which posses regarding the pitfalls of the policies that are currently followed and others (Kitson et al. 2013). According to Arabi et al. (2014), the notion of advocacy is important since it enables the registered nurses to raise awareness and also change the existing policies which are being followed within a particular health care organization. As opined by Waddell, Adams and Fawcett (2017), the nurse ward leaders, through a thorough analysis of the existing policies which are being followed within a particular ward can recommend new policies. It is seen that these policies can actually help in the improvement of the current health care services offered to the patients and also help them in the process of ward governance (Lee et al. 2014).
The primary lacuna of the services offered by the nurses is to ensure the fact that the health related problems that the patients are suffering from is being addressed and for this it is important for them to have a say in the formulation of the policies. One such policy is the Hand Hygiene policy which I as a registered nurse in our ward would certainly like to modify. The use of this policy requires the nurses to take effective hygiene measures related to their hands before and after the handling of the patients (Jimmieson et al. 2016). According to Gould et al. (2017), this is important since it not only ensures that the safety of the patients but also the safety of the nurses as well. However, it is seen that in our ward this policy is not only followed in an effective manner and thus I would like to implement this policy within our ward so that the nurses are being able to effectively follow it.
The healthcare organizations for not only for the formulation of the policies but also for the effective implementation of them face various kinds of challenges as well as issues. The challenges become even more apparent when they are analyzed at an organizational, state and national level. Grant, Parry and Guerin (2013) are of the viewpoint that one of the major challenges that the health care organizations face for the implementation of the policies is related to the resistance that they face from the registered nurses and other healthcare professionals. According to Hall (2013), it is seen that the registered nurses often get comfortable with a particular routine pattern of work and thus to embrace a new policy for the completion of their job role is a challenge for them. This becomes especially more challenge for them when the amount of workload that they need to handle within their ward is taken into consideration (Srigley et al. 2015). Another challenge that the healthcare organizations are likely to encounter is on the basis of the different educational as well as social background of the nurses. Sadule-Rios and Aguilera (2017) have stated that not all the registered nurses within a ward have the same educational knowledge because of the changing landscape of health system and this often creates a rift as regard the policy that they need to follow.
Head and Alford (2015) are of the viewpoint that the effectiveness and also the efficiency of a healthcare policy depend to a large extent on the strategies which are being followed for the implementation of the same. As opined by Gould et al. (2017), for the implementation of the Hand Hygiene policy, the nurse leaders would have to take into consideration two sets of nurses, namely, the ones who have newly joined and the tenured registered nurses. As regards the tenured registered nurses, the nurse leader can go about educating them about the importance of the use of the Hand Hygiene policy and the benefits that it would yield not only to them but also to the patients (Srigley et al. 2015). Furthermore, for the new nurses, the nurse leaders can conduct various workshops and seminar to cascade the benefits of the use of this policy (Sadule-Rios and Aguilera 2017). In addition to these two strategies, the nurse leader can at the same time create various perks or rewards for the effective utilization of this policy (Jimmieson et al. 2016). For example, every month rewards or awards can be given to the registered nurses who had utilized the policy in the best possible manner. These in short are some of the strategies through which the policy can not only be implemented but also the nurse leaders can overcome the challenges associated with the use of the same.
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