Catherine Coffey triangulates subsequent studies to conclude that due to the multi-dimensional challenges in the nursing environments, professionals, and the human support capital are predominantly resistant to change. In the past, health care reforms have focused on maintaining low inpatient index in the attempts to cut costs and treatment logistics. Coffey identifies that due to the changes projected by the new reforms, the traditional training on nursing are ineffective, as most practitioners and caregivers are resistant to the new treatment structures. Following the inefficacy, the author identifies the need to for the pediatric nurses and the social educator to train students on the inpatient procedures rather than the traditional inpatient settings. The model to increase the number of outpatients in the treatment facilities also follows the economic models that seek to reduce the cost of running local health care delivery systems(Coffey, 2011).
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- Change of the teaching models- The author of the article proposes that for the USA health sector to maintain its primary efficacy, there is the need to come up with new training models. The models will seek to increase effectiveness despite the paradigm shift.
- Integrate Communities and the Institutions- Catherine suggests that the current opposition to the proposed changes and the low efficacy is a factor of poor integration of the institutions and the nursing training models. In the traditional training, most nurses focused on hospital conditions. The paradigm shift in the industry and the need to consider the economic models disorients most of the nurses. Therefore, a current alteration of the training model might increase the efficacy of the future practitioners.
- Community-Based Internships- Catherine proposes that the educators spend more time teaching the nurses on the importance of having positive interactions with the base communication. She points out that, if the programs support hands-on experience even before graduation, then the nurses internationalize their role in the society. For instance, a nurse brought up in marginalized communities is likely to rely on intrinsic motivation, which increases his or her empathy and social integrations.
Application to Nursing
The researcher proposes multi-perceptive approaches to minimize the resistance to change. Due to the confounding variables that determine the success rate in the nursing field the approach is applicable for various advantages. Firstly, the plan will increase nurses’ motivational level while working in the communities. The integrated training programs will improve their social attachment, which is necessary for nursing. The multidisciplinary method of reducing resistance is also applicable in situations where one change might lead to a ripple effect(Coffey, 2011). Therefore, the implementing team uses the most appropriate approach in ensuring a successful transition.
Coffey, C. (2011). Faculty and Student Resistance to Change the Need for Home Health and
Other Nursing Community Leaders to Partner with Nurse Educators to Change Nursing Education. Home Health Care Management & Practice, 23(5), 381-382.
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