Reflective Essay Example | Topics and Well Written Essays - 1000 words

Reflective - Essay ExampleThe familiar is comfortable, flush if it is not the best arrangement for either parties involved. In the field, for instance, the nurses were initially hesitant about being part of the training, and had many questions and private qualms that they shared with me. This was the reality, even as they allowed me to explain the protocol in broad strokes. The doctors, meanwhile, while generally quiet, had a stance of dwell and see, and leaned on the skeptical side. The formation of the hospital too, even when they agreed to the change render, also obviously valued to make sure that the change would result in positive changes in the unit in general, and like that the scope of the change was limited and very specific to ankle injuries. There had to be interventions and explanations prepared for the patients as well. Underneath some of these concerns is a need to take charge and be control of the situation. The change was to displace them from their cozy and s afe positions. The conflicts that are to come from the change in the balance of power between nurses and doctors when it comes to closing fashioning are weighed down, even if they are limited to just ankle and foot injuries in the fatality setting. ... These are seemingly benign issues, but from the perspective of who takes responsibility for patient well-being these are profound conflicts that the change project needed to properly evaluate, negotiate and resolve (Institute of Medicine, 2006). In the above evaluation conflicts it is derive too that there are dependencies in the actions and the outcomes of the actions of the various stakeholders to the change project. For instance, nurses can become empowered exclusively with the trust and confidence given to them by the doctors, with whom the triage nurses have to work in tandem in victorious care of patients with ankle injuries, making use of the Ottawa ankle rules. If doctors fail at trusting the competence of the nurses d ecisions tied to these rules, then the whole process and change project falters. Doctors will make their own decisions unheeding of the nurse recommendations. On the other hand, if the nurses persist with making use of the protocol even without the cooperation of the doctors, the dependencies also sound down and nurses and doctors can duplicate each others work. Taking a step back, the decision of the hospital administration to allow the change project to push through also cascades down the line into making all of the involved parties cooperate and see to it that their actions at least give the project a find to make it to completion. This is so they can see whether the protocol improves their work and the patient outcomes. In the change project even the nurses were hesitant at first to make use of their new power to make recommendations on x-rays, because they knew too that the patients and the doctors depended on the accuracy of their diagnoses. On the other hand, the