Models of Nursing for Safeguarding Vulnerable Adults

Models of agree for Safeguarding Vulnerable AdultsThe obliges chosen to be evaluated, compargond, crumble and reflected upon are guard models and Contemporary nursing their take onment, uses and limitations, Nursing models and contemporaneous feel for for behind they raise standards of care and lastly Safeguarding indefensible openhandeds. The thinks for selecting the topics above are based on exposure to the subject matter in university and familiarity with the safeguarding un fostered adults during the many years spent working as a wellness Care support worker deep d give birth the community. Most of completely, the ultimate reason choosing these topics is sheer interest in finding come forward how effective the habit of these integral topics can improve holistic treat pr make upice and fork everyplace the service user or patients a better drive. Supporting secernate for this report were sourced from various mediums i.e. Through the internet and from cred ible websites such as the Royal College of Nursing, Nursing Times and article catalogue banks such as CINHL and Medline.Murphy, F Williams, A and Prid more(prenominal), J (2010) Nursing models and contemporary care for 1 their development, uses and limitation. Nursing Times 15 June, 2010, vol 106, No 23pp18-20.Pridmore J et al (2010 Nursing models and contemporary restrain 2 can they raise standards of care? Nursing Times 21st June, 2010 Vol 106, Number 24.These articles are suitable for the education, discipline and communicate healthcare Professionals about the prominence of their field. The articles are presented in a commodityness and coherent fashion, this makes the reading know enjoyable. The two-part series analyses the cost of nursing models and deliberates whether the natural concepts, principles and ethics about nursing in these models are pertinent to contemporary procedures. This first article provided an synopsis of nursing models how and why they were estab lished and round poignant criticisms. The second article examined the models in the framework of modern nursing practice, with full point attention placed on incumbent initiatives intended to regenerate nursing and to improve the standards of care.The authors of these articles are experienced and seasoned originals in their palm of expertise. Fiona Murphy, for mannequin, is a nurse who has held clinical positions as a Sister, staff nurse and clinical teacher in acute hospitals nursing each(prenominal) everywhere the united Kingdom. She has taught and lectured at the University of Swansea since 1992 and worked on a variety of undergraduate and mail graduate nursing and midwifery programmes. (Dockerty, 2013) Julia Pridmore, is as well a Nurse subscriber and programme manager for BSc (Hons) Health and Social Care at the University of Swansea. Julia has been a practicing nurse since the 1980s. She specialises on quality improvement, governance and patient safety (Pridmore, 2010). Their experience in practice and learn combined, validates their knowledge of the subject and withal au and thenticate the expels raised(a) in the articles.The authors, gave a very insightful historical compass about the technological boom which triggered the development of nursing models in the archeozoic 1960s in the United States, but it failed to examine the reasons why it took more than a decade for the same to be adopted in the United Kingdom. One could be identified with the difficulty in acclimatizing to an whole if dissimilar concept, but the impediment to change as described by (Kenny 1993) reflecting on the approach and attitude towards change and the bureaucratic environment of the NHS, alike questioned if models re eithery stood any chance at every last(predicate). This statement speaks a hardening of volumes but masterlyly void of proofs or facts. The theme Health profit corroborate been a driver for change and qualifying since inception. The Nu rses Act of 1949, for example was established to modernise the map of nursing by providing the catalyst for modification to nursing education and training, 1940s and 50s saw nurses uniform begin to stick more standardised, in 1955 the nursing auxiliary or nursing supporter role achieved formal recognition and Enoch Powells infirmary Plan recommended that teaching hospitals should act as district general hospitals and that student should be taught where patients necessary treatment in 1962. Prior to the adaptation of models in the United States the National Health Service was in its twentieth year of reformation, one can conclude Kenny 1993 quote on attitude to change and bureaucracy inwardly the environment of the NHS is possibly a hypothesis.Secondly, there were numerous complications in underdeveloped the models, the smallest of which was an absence of a definition of nursing. This led to Hendersons description existence regularly quoted, and it shaped the foundation of vas t majority of deliberations. There were likewise calls to go buttocks to the ideas of Florence Nightingale. Henderson defines both the independent and the co-dependent features of nursing practice, and stipulates the affiliation amongst nursing and medicine. This difference between independent and co-dependent practice is vital to appreciating the ornateness of nursing and its specific influence inside the multi-disciplinary teams within a health care setting. Nightingales emphasis on the advancement of health and healing as separate from the treatment of disease, and the harmony of the individual, well-being and the atmosphere, stick around essential to contemporary explanations of nursing. Both philosophies and ideas resounds understandly in the models, a good indication of the advancements and strides made since the days of Florence Nightingale. In hind sight, going back on the ideas to reflect the idle of Florence Nightingale would be a complete retrogression, but rather using models as a framework to ask and reform the forfeity of care and will directly improve the experience of the patient thereby affirming the professional outlook of the nurse within the health care setting.Betts V Marks-Maran, D and Morris-Thompson, T (2014) Safeguarding vulnerable adults. Nursing Standard. 28, 38 P37-41.This article is suitable for the teaching, preparation and informing Healthcare Professionals about the importance and power of safeguarding the vulnerable within the confines of the hospital and beyond. The article is presented in clear and comprehensible manner, this makes the reading experience very pleasant. The article examines more or less the matters surrounding safeguarding vulnerable adults, it re beholds some of the correlated legislation and literature, and outlines the responsibilities of administration or those who care for these patient groups. The article reveals how one hospital that is specialised in caring for individuals with early-onset dementia, Huntingdons disease and alcohol-related brain damage who extremity supplementary care, has provided staff with fitting evidence-based facts about safeguarding adults.The authors of this article are familiar and experienced authorities in their fields. Virginia Betts Previously a staff nurse at Forest Hospital, Nottingham and presently health visitor student at Derby University, Diane Marks-Maran is an honorary professor of nursing at Kingston University, capital of the United Kingdom and St Georges, University of London, lastly, Trish Morris-Thompson director of quality and clinical governance at Barchester Healthcare, London. Their involvement in practice and education authenticates their understanding of the theme being examined i.e. Safeguarding Vulnerable Adults and too substantiate the issues raised in the article.This is an evidence based literature which draws lessons and references from current dismantlets in Winterbourne View Hospital and middle Staffordshire NHS Foundation Trust. This article failed to research in to details the avenues of trainings, retraining, and refresher courses to ensure staff and health care professional are constantly reminded of the importance of safeguarding the vulnerable. Although, Nesbits warning that no favorable system or system of safeguarding would be able to pledge with certainty that scream would certainly not transpire (Nesbit 2013) is completely a valid argument. It also very important to raise, continuous trainings and adequate reminders are the samara to guardianship this all important subject current and relevant to the healthcare professional. With the view of avoiding a repeat of the happening of Winterbourne View and Mid Staffordshire NHS Foundation Trust, the issue of training, retraining and refresher courses cannot be over emphasised.Research and policy commission advocates compulsory trainings for care home proprietors and executives in view of safeguarding responsibilities. No secr ets (DH/ basis Office, 2000) also mentioned that all transcriptions must train all employees and volunteers at all levels of hierarchy within their agencies, organisation or companies, with respect to their responsibilities in the adult safeguarding procedures and processes. Kalaga and Kingston (2007) referred to the commendations of the enquiry into the passy of services for individuals with larn difficulties at the Cornwall confederation NHS Trust which specified that the Trust must as a priority, develop a programme of training, supervision and support for all staff which helps them deliver care in accordance with the principles of the Valuing People strategy. (CSCI/Healthcare Commission, 2006, p 69) Organisations must ensure a safe environment in which all employees are trained in safeguarding, and authorities such as managers, supervisors and even team leaders be responsible for systematic official checks of the organisations safeguarding procedures, policies, processes and practices.In essence, the evidence presented for Forest Hospital in Nottingham inaugurated in 2013 to deliver expert care for individuals with early-onset dementia, Huntingdons disease and alcohol-related brain hurt is exemplary, the institution have gone through a great plenitude of meticulous planning to encourage the retention of information and training pertaining to safeguarding. every(prenominal) employees modern to the establishment obtain an information guide and commence e-learning instalment sections on safeguarding vulnerable adults, followed by team deliberations on some of the subjects raised on the materials and guides given, and the sections. Throughout the segments and group studies, employees are familiarised with and well-versed on safeguarding vulnerable adults.Responses, feedbacks and questions are given in writing and verbally from employees and shown that employees who had never worked in care homes or anything similar to care found the training on safegu arding adults educational and easy to comprehend. Employees identified that they valued the chance to utilize the learning tools on safeguarding adults in group discussions. They also mentioned that it was extremely beneficial having a written document to which references could be made when needed. This method of training is entirely innovative and worthy of emulation by every institution and NHS Trusts.The only criticism about the training method in Forest Hospital is the fact the authors provided no detail concerning its frequency. It is vital to note, some of the issues in Mid Staffordshire NHS Trust according to the HealthCare Commission was not due to overlook of training but rather lack of adequate training. As a firm believer in learning, unlearn and relearning, training a healthcare professional once or maybe twice in his or her calling is not enough. Safeguarding just like manual handling train expiration in its certification. This will enable a continuous assessment of employee knowledge and practical sciences with respect to safeguarding thereby delivering exceptional service to the patient.In retrospect, one could say the article on Safeguarding focused mainly on physical abuse by so doing leaving a dowry of safeguarding issues unaddressed. offense may be physical, psychological, financial or material, internal, discriminatory, or an act of neglect or an omission to act. For example the involvement of exploitation and mistreatment is probable to have a major impact on a psyches health and wellbeing. By the very nature exploitation and speak abuse of power by one person over some other has an enormous impact on a persons emancipation and most times depresses their individualities, which are a breach of the rudimentary ethos of the Healthcare profession. Neglect on the other hand, was not mentioned, but it can barricade an individual who is reliant on others for their fundamental necessities, exercising excerption and tell over the bas ic take of life and can cause embarrassment, vexation and loss of self-respect. All vulnerable adults have the right to be doed to make their own prime(a)s and to give or deny consent on whatever they please, be it activities or even services. Consent is a steadfast sign of a readiness to partake in an activity or to receive a service. It may be gestured, verbal agreement, or in writing. No individual can or should give, or refuse, consent on behalf of a varied adult except exceptional provision for specific purposes have been made and it generally by law.The main struggle traffic with abuse of vulnerable adults is knowing that it exists, because its multifaceted nature. DeHart et al (2009) cross-examined nursing home employees, policy makers and health care professionals to detect training needs of employees. They discovered that those at endangerment of infection of abuse were residents who are silent, confused and incapable(p) to communicating or those who have few visi tors, as well as those who are non-compliant or with challenging behaviours. They proposed that one of the employees capabilities must be the skill to identify residents vulnerabilities that increase the risk of their being mistreated.A key United Kingdom survey of more than 2000 individuals of age 66 and over living in private accommodations and households discovered a variety of risk factors, precise to the category of abuse The risk factors for neglect encompassed being young-bearing(prenominal) from 85 years of age, in bad health or imprint and the prospect of being in communicate of, or in flavor with, services. The risk of financial abuse amplified for individual living alone, in receipt of services, in bad or very bad health, older men, and women who were disjoint or separated, or lonely. The risk of relational abuse (physical, psychological and sexual abuse combined) was greater in women aged 6674 (OKeefe et al, 2007). ODowd (2007), in reporting on the above research, r ecommended the discoveries on risk factors, citing that it should be used by local authorities to ob run and act on abuse by directing assistance where it is wanted most. Appointing full-time safeguarding leads or introducing training for all staff i.e. relevant training for all new staff, from auxiliary to consultant level, as part of its induction programme, and another where training is consolidated at handover times to keep it refreshed and serve as a constant reminder at all time.On the looking of Nursing Models, Nurses do require a theoretical framework to serve as a guide and support. This is predominantly so now that we confronted economic, demographic and communal variation that will possibly value the nurse out of the market. Devoid of using theory to define what nursing is and does, it would extremely stress-free to bump the role of the Nurse to nothing else but just elementary tasks, when nursing is as a matter of fact, a multifaceted, vibrant and thought-provoking rol e demanding the mixture of understanding , knowledge, skills, familiarity and theory. The usage of nursing theories such as models assist nurses to make the difference amongst the contributions of the medical, nursing and other healthcare professionals and establish the worth of the nurse.Nurses are acquainted with problem-solving methods such as ASPIRE (Assessment, Systematic nursing diagnosis, Planning, Implementation, Recheck and Evaluation). However, methods like this guides in care planning, they are short on detail on how to do it. For example, a problem-solving procedure is less likely to outline questions needs asking in the course of an assessment or the interventions to be made. Nursing model can drastically improve the methods of assessment and deliver better care. (Barrett et al, 2012)Models can play a variety of roles in the career of the nurse. Take for example, the newly qualified nurse, a model will be a very import framework for the care planning process. A proficie nt nurse will have the ability cultivate their own diverse model, grounded on the fundamentals of different theories that fits their methodology and framework of care.In conclusion, nursing continue to offer challenging roles in dynamic, evolving healthcare environments. However, the combative workforce style that in order to first attract and then retain nurses, Authorities in Healthcare needs to ensure that practices are contemporary and innovative. It is also important to recognise that Nurses are part of a broader healthcare team and it is appropriate that to consider and assess the best way to work with other healthcare providers to provide quality patient care now and into the future.Safeguarding adults is everybodys business. Statutory agencies and all who work with Vulnerable Adults have the debt instrument to safeguard the wellbeing and safety of Vulnerable Adults in different ways. Safeguarding when viewed in its wider sense of promoting the safety, wellbeing and oppor tunities of adults forms part of core business for all statutory agencies, for example, ensuring health and patient safety is the NHS responsibility, promoting independence and wellbeing is the responsibility of Adult Social Care, and protecting people from harm is the responsibility of the Police. For all professionals, safeguarding in its wider sense is part and parcel of everyday working life. However, it also refers to a very specific area of work- the reactive inter-agency response to protect Vulnerable Adults who are at risk of significant harm through abuse by another person or persons. Empowerment and choice need to be at the core of safeguarding policy and practice this means working to enable adults at risk to recognise and protect themselves from abuse. It also means taking a risk enabling approach within services and ensuring that people who use services have genuine choice both of and within services.BibliographyDockerty, R. (2013). Swansea nurse lecturer writes Major W orks book.Swansea University, Swansea nurse lecturer writes Major Works book. Online. Available at http//www.swansea.ac.uk/humanandhealthsciences/news-and-events/latest-news/swanseanurselecturerwritesmajorworksbook.php Accessed 6 November 2014.Pridmore, J. (2010). Julia Pridmore.Nursing Times, Julia Pridmore Nursing Times. Online. Available at http//www.nursingtimes.net/julia- /148596.publicprofile Accessed 6 November 2014.Choi, N.G. and Mayer, J. (2000) Elder abuse, neglect, and exploitation riskfactors and prevention strategies, Journal of Gerontological Social Work, vol 33,no 2, pp 526.DeHart, D., Webb, J. and Cornman, C. (2009) stripe of elder mistreatment innursing homes competencies for direct-care staff, Journal of Elder Abuse Neglect, vol 21, no 4, pp 36078. segment of Health (2010) Prioritising need in the context of set PeopleFirst a whole system approach to eligibility for social care guidance on eligibilitycriteria for adult social care, England 2010, London Departm ent of Health.