Report on Analyzing the Caring Culture within your Speciality

Prepare a report analysing the caring culture within your speciality area of practice.


According to World Health Organization, nursing is considered to encompass both collaborative and autonomous care of the individuals from different ages, groups, families, communities, sick or better and in all types of environment.  It also includes prevention of illness, promotion of a better health care system and helping the disables and the dying people ( 2018). The responsibilities of a nurse can range from taking acute treatment decisions to providing vaccinations to the students. Therefore, it is the drive and the skill of every individual that helps her to take nursing as her career. An individual can become a better nurse through long term and better monitoring of the behaviour of the patients and thus providing the desired treatment according to his/her expertise. It can be said that the nurses must try to complete the different programs of extensive education and thus learn to deal directly with the patients, communities as well as their families in different environmental setting. The categories and the roles and responsibility of the nurse in United States is divided into three broad categories: registered nurses, advanced practice registered nurse and licensed practical nurse. The roles and responsibilities of these three broad categories differ and thus they are to perform according to their desired role in different environmental setting (Parikh et al.2013). This paper will highlight an speciality area of practice that have helped in influencing nursing care, the evidence of this analysis based on stories and the different enabling factors and consequences of a better workplace. Further, it will also develop recommendations for the improvements of a better caring culture.

Overview of the speciality area of nursing practice that highlights practice changes from the perspective of compassionate care

According to the Affordable Care Act (2010), it has been found that the demand on the health care professionals have provided them different types of opportunity to create a system in such a way that is patient centric. This has helped in shifting the focus of the health care system away from speciality and acute health care processes. This shift is considered to be urgent in case of the health care system in U.S. and thus it has helped in serving the patients with chronic and acute diseases such as providing better access to primary health care system, prevention and well-being, proper care and co-ordination in case of transnational processes. There has been increase in the insured population and the rapid rice in the minority and the racial group will help in removing the obstacles for accessing better health care and this is designed for socioeconomic and diverse population based on varied culture. 
Evans (2002) has stated that the advanced practice registered nurses must hold a master’s degree along with proper nursing education and thus it is necessary to provide license. The responsibilities of these types of nurses are limited and thus it is necessary to provide preventative and primary health care access to the public. On the other hand, the APRN’s will also help in diagnosis and treatment of different types of diseases, manage chronic disease as well as other health issues and remain engaged in continuous education so as to remain at the forefront of any methodological, technological or other such related fields. They also prefer to practice different types of medication and help in the treatment and diagnosis of the major types of illness and other such related injuries (Edwards et al. 2004). 
    According to McCance et al (2002), it can be said that the changing landscape of the different health care processes and systems are considered to be changing along with the desired profile as well as it has helped in shifting the attention for the delivery of patient centred care and help all the health care professionals in the better and the full practice of competencies, training and education so as to fulfil the desired competencies. On the other hand, it is the responsibility of the nurses to be well poised so as to address the different needs by the virtue of scientific knowledge and better health care systems and thus it will help in reconceptualising and enhancing the role in a better way. Moreover, it can be said that nursing is considered to be one of the most versatile occupation within the entire health care system that has helped in delivery of better treatment to the workforce. The versatility of the profession and the adaptive capacity as well as the pathways and the careers for success are considered to attract a large number of talented pools from different dimensions. 
According to Chang et al.(2009), there must be development of better compassion practices that will help in providing treatment to the patients as well as treating them according to the feedbacks received.  The nurses are considered to be the better individuals who are experienced in their career as well as providing better care and treatment to the patients by solving the different problems in the health care. Further, this can also be changed through the changes in the culture, behaviour and other operating practices. It can be said that compassion can be showed in different ways such as through proper co-ordination as well as helping the people with different kinds of disabilities and making them to enjoy and lead the life in a better way. It is also necessary to focus on the strategies as well as the values of the individuals and this will help in adjusting to the values as well as the behaviours of the patients. This can be done in co-ordination and co-operation with the national and the local bodies. It also helps in reinforcing the value set as well as helping the individuals who are involved in this particular profession to make a difference in the life of the people and take adequate measures for provision of quality care. On the other hand, it also helps in articulating the value sets and to ensure that there will be no such failings in the quality care system. There must also be compassion in values and beliefs and thus it will help in fulfilling the needs of the individual and thus help in raising awareness among the patients (Hamric and Blackhall 2007).

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Evidence of analysis of the findings and observations of the people receiving care

The nurses have begun practicing the different roles in the remote and the rural areas of different countries and this was seen to be increasing with the passage of time. There was chronic shortage of physicians in certain areas and thus this has created a demand for nurses in those areas where there was no provision of underserviced areas. With the rapid and the gradual passage of time, the nurses have tried to expand their roles in the different provinces and thus it was seen that it was difficult to provide treatment and care in those areas where there was no facilities of hospitalisation or other services. The nurses has to take on different roles such as reading and suturing of the X-rays as well as doing the other works related to the provisions of providing adequate acre and treatment facilities. It can be seen that the major practice of the nurses has begun to take an expanding role when there was shortage of physicians in different areas.  The nurses with the unique set of skills and other such provisions were transferred from one place to another and thus this has increased the delegation of their tasks by assisting the other physicians to help the other nurses in carrying out their job in a better way.  This also helps in highlighting the interdependent nature of the role played by the nurses as well as the physicians and thus it has increased the responsibilities of the nurses for better health care maintenance (Sabo 2011). 
On the other hand, the provincial nursing groups also had a wide range of initiatives and thus it has led to the development of the Nurses Practitioners Association and the expanded role of better provisions in the health care systems. With the development of advanced practice in the nursing roles, there was educational requirement and the different entry to practice with the provisions of providing better recommendations as well as the growth and the integration of different practices into the system in an adequate way. In different isolated settings, the primary role and the responsibility of the nurses were to solve the common problems of the people and thus provide proper assistance to them in different environmental setting. The role and the implementation of the different work processes also varied and thus it was necessary to provide them with better and other requirements from time-to-time. There has been restrictions on the scope of practices that were imposed on the nursing practitioners and thus the nurses did not have the full authority to prescribe drugs to the patients and thus this has restricted in providing better access to health care systems. There has been state based scope of practice restrictions that has been imposed on the nurses across different states and thus they lacked full authority to prescribe the drugs and prevent in providing better access to health care systems. It has also expanded the scope of practice across different boundaries and thus limited progress has been made in removing the hurdle as well as widening the scope of practice restrictions. There must be expansion of the proposed practice authority and thus the policies related to the public as well as the private players varied in degree and there were restrictions in providing insurance as well as other access to health care systems (McSHERRY et al. 2012). 
Parker  et al. (2014) has stated that the development of advanced nursing practices has contributed to the service model and thus it has aimed in reducing flexibility according to the ever changing needs of the patients. There have been systematic reviews on the safety and the effectiveness and thus it laid positive impact on delivering better care and services. There was heterogeneity on the non-nursing providers and this system has to be taken care by the nurses and thus it was difficult to keep a track of the different processes and to assess the true effect in the intensive care setting. The emergency setting has also contributed to the provisions of providing better health care access and thus it has reduced the emergency time and the other cost associated with it in providing those services. The cost effectiveness structure was considered to be inconclusive in different environmental setting and thus the practices carried out by the advanced registered nurses were found to be different. It was necessary to elucidate the advanced nursing practices in the critical care and the emergency setting and thus help in the development of better working force.

Analysis of the current caring culture in terms of attributes and factors using the effective workplace cultural framework

It has been found that the culture in the healthcare is influenced by the delivery of proper care and this will help in the development of continuous responses and thus it will be easier to highlight the response in accordance to the changing context. This will help in the development of ineffective culture in the workplace and the organisations as well as the professionals will be willing to take proper care of the systems in different contexts. It will also help in the development of complex methodological framework and thus the clinical practitioners might be willing to transform the culture and help in the client interface to focus and critique the different strategies that will lay impact on the patients directly (McCormack et al. 2010). 
It is also necessary to assess the different framework and thus help the teams to assess the cultural workplace and take the proper actions in determining the values and the other processes. The clinical leaders and the nurses also take the responsibility to assess their own skills and knowledge and this is possible in terms of their own clarity and the desired skill sets in terms of transformational leaders and the other types of facilitators for carrying out the job in a better way.  Although culture in a health care environment is considered as a tangible factor, the consequences and the characteristics are expected to vary in different circumstances and thus it will help in the realistic evaluation of the development processes for proper examination of the development projects. This will help in reviewing and taking caring of the other draft processes and structures and thus it will ensure trustworthiness and transparency in different cultural setting in the field of research and other workplace setting. The values and the beliefs of the individuals are also considered to change according to the effective cultural identity and it is necessary to carry out the analysis and the interpretation in a better way. The presence of different characteristics in an effective workplace and the cultural development practices will be analysed in the context of different frameworks and processes. This can be done with the help of different collaboration as well as the impact and the outcomes must be assessed in a better way in the organisational setting (Polit and Beck 2004). 
The concept of patient centred care might be referred to as the container concept and thus it helps in enveloping the different attributes and the factors. This also helps in acknowledging the different behaviours and the attributes and thus it helps in the development of patient centeredness as well as development of different types of practice model to support the experiences of the patients in such a setting. On the other hand, it can be said that patient centeredness is considered to ensure better quality by encountering the other fragile aspects and thus helping in the development of better home setting. It has also helped in identifying the different attributes of patient centred care and thus has helped in addressing the different attributes and the integrated culture of care in a proper setting. The other organised dimensions must also be considered to be applicable in different dimensions and thus the attributes are considered to be actionable in such setting (Berwick 2009). 
There must be mutual trust and respect among the health care professionals and the patients and this will help in the provision of better environmental setting in proper culture. There must be more than one dimensions involved in this particular aspect and thus it will help in the further development of quality as well as other processes in the health care setting. The other inter-personal dimensions will help in the development of better health care setting. There must be provisions of effective communication setting and this is necessary in order to achieve the clinical gaols and the other outcomes and processes in a better way. It is also necessary to involve the family, friends as well as the other caregivers in order to reduce the stress of the patients and thus help in the achievement of clinical gaols in a proper way. Moreover, it is also necessary to enrich the physicians and the nurses in providing adequate training so as to focus on a wide range of interpersonal communication among the patients and the other clinical providers. This will help in the provision of better opportunity as well as it will help to tap the other ancillary systems and practices within the clinical department. On the other hand, it is also necessary to carry out proper surveys and thus bring further improvement in the work processes involved within the particular systems (West, Griffith and Iphofen 2007).

Recommendations for bringing improvements in the caring culture

It is necessary to develop more efforts in order to bring improvements in the quality systems and processes and thus it will help in bringing changes in the provision of primary health care services. This will help in the better development of beliefs and other systems and processes and thus it will help in improving quality care and other provisions in the organisational setting.  It is also necessary to bring further improvements in the complexity of the health care systems and processes and thus help in development of the unpredictable nature of the health care system. 
On the other hand, it is also necessary to measure the attributes that are involved in the health care setting are associated with higher degree of cognitive reasoning and thus it helps in the differentiation of attributes that are involved in such systems and processes. There must also be development of reliable measures to find out ways in improving the provisions of safety and quality care and this is possible with the help of a better framework and other systems involved in such framework. It also helps in the determination of best quality services and measures and thus makes the necessary adjustments in the risks involved in such systems and processes. This will help in carrying out the appropriate testing measures and defining better benchmarks in the health quality and the other disciplines involved in such particular systems and processes. 
The process of benchmarking is related to internal as well as external benchmarking and thus the nurses must try to identify the best practices and develop appropriate control and actions over the passage of time in the organisation. There might be provisions related to external benchmarking and thus it will help in comparing and bringing improvements in the processes and systems and this will help the nurses to be successful in the long run. Moreover, there must be continuous quality improvements and this is considered as an important measure in the clinical practices and the other cultural setting that is possible through reviewing the work processes.


Therefore, it can be said that it is necessary to bring quality improvements and thus help in proper guidance and design of the different activities and processes. This will help in the further development of taxonomy and there will be deployment of different tools and strategies that can be accessed within the desired time frame. On the other hand, adequate care must be taken for quality improvements and this will help in bringing change in further practices as well as ensuring that the work carried out is in consistence with the patients and thus provides scientific value. 


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Edwards, H., Smith, S., Courtney, M., Finlayson, K. and Chapman, H., 2004. The impact of clinical placement location on nursing students’ competence and preparedness for practice. Nurse education today, 24(4), pp.248-255.
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Parikh, R.B., Kirch, R.A., Smith, T.J. and Temel, J.S., 2013. Early specialty palliative care—translating data in oncology into practice.
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