MANAGMENT,LEADERSHIP Essay Example | Topics and Well Written Essays - 1000 words

MANAGMENT,LEADERSHIP - Essay Example nt which affects the quality of services and patient care (as a rule, patient satisfaction level is inversely proportional to reliance on temporary staff); c) it causes difficulties for planning recruitment and off duty. The reasons of sick leaves were different, respiratory, digestive and musculoskeletal disorders being the major named, but the causes were unclear all the same. However, it is evident that such factors as stress, high work load and physical nature of the job are a part of the picture. Work place injuries such as needle stick injuries and severe back strain are usual reasons of sick leaves (BBC News, 2005). Proper medication management and special programs should reduce the level of sickness and absence. In 2002 NHS undertook a number of initiatives to provide the staff with flexible and family friendly working that were supposed to lessen the rate of sickness absence, reduce the level of stress. Some of them were: flexible working hours, including flexible part-time and job share; corporate childcare voucher scheme, when a part of salary is exchanged for childcare voucher; discount and emergency childcare scheme – agreement with a number of nurseries; holiday club – holiday childcare for small children, and family leave – up to ten days unpaid leave for family crises (York Hospital NHS Trust). However, the later figures proved that the program didn’t resolve the problem. Audit Scotland (2007, pp. 4-5) recommend that when planning the off duty for NHS nursing staff it is necessary to build an additional time into the staffing requirements to cover annual and study leave, sickness absence and maternity leave, and the protected time for the nursing staff with team leadership responsibilities. The sufficient staff should be contained to allow for these kinds of predictable absence (predictable absence allowances). Insufficient PAAs cause pressure on the contracted staff, budgets (when temporary or overtime staffing is needed) and affect the

Prenatal and Post-Partum Scenario Essay Example | Topics and Well Written Essays - 500 words

Prenatal and Post-Partum Scenario - Essay Example Anxiety, fear and other intense emotions which are a part of stress cause exaggerated production of adrenaline which causes restriction of blood flow to the uterine area causing deprivation of adequate oxygen to the fetus. Thus stress can lead to premature delivery and its consequences. Stress in pregnancy also have long-term consequences like behavioural problems in childhood (Santrock, 2004). 3. The pregnant woman must undergo ultrasound examination for fetal anomalies between 18- 20 weeks of gestation. At this point of time, all organs are developed and it becomes easier to detect any obvious congenital anomalies through ultrasound at this stage. According to ecological theory, several biological and environmental factors affect the growth of the fetus and the child (Santrock, 2004). Thus a normal nutrition and a stress-free environment is essential for normal development of the fetus. 1. The child must be breast fed as much as possible. According to Freuds theory of development, infants are in the oral stage of development and derive gratification from sucking (Santrock, 2004). Derivation of such pleasure at this stage allows them to have satisfaction and facilitates growth and development. 2. The mother should shower affection on the child and not do any thing to harm the child. According to Eriksons first psychosocial stage, trust is developed at this stage and the infant sets stage for expectation that the world is a pleasant and goof place to live. the expectation which begins at this stage lasts life long. 3. The mother should allow the child to touch, feel and explore various things on his/her own. According to Pigets cognitive developmental theory, the first stage is the stage of sensorimotor stage during which time the infant develops and understanding of the world through coordination of various sensory experiences through various physical actions (Santrock,