Principle of Practice in Health and Social Care

Task 1

Explanation of the local policies as well as procedures, codes of practice in accordance with national and policy requirements

Introduction

The current study helps in understanding the policies as well as procedures of healthcare services at the regional level, cycle of policy along with development of procedure. In addition to this, the current study also aims to compare services delivered by healthcare service providers towards people with disabilities and services for vulnerable people. Moving further, the current study elucidates in detail the consequences of working together both inside as well as outside the workplace. The present segment also expounds inn detail the ethical dilemmas along with conflicts that might arise and obstruct the partnerships from operating. Finally, the study helps in self-reflection and illustrates in detail the roles, responsibilities, accountabilities as well as duties one might have as a healthcare professional.

Aras Attracta that is essentially a HSE functioned residential centre located in Swimford, a small countryside in Co.Mayo. The organization has approximately 96 men as well as women who suffer from intellectual disability and thus resides in Aras Attracta. Principally, the Aras Attracta Swimgroup Review Group consists of professionals functioning in intellectual incapacity field, engaged in fortification of diverse vulnerable group accompanied by management of modification. The primary objectives of Aras Attracta is to participate in the course of revising the program of work for setting up the effectiveness of procedures.

As rightly put forward by Lupton (2013), it is important for health and social care service providers deliver appropriate as well as receptive care for service providers. Health care as well as social care services in Ireland started during the 18th century. There are essentially a large number of regulatory bodies that operate in the health as well as social care segment in Ireland that is responsible for maintenance of regulation of areas that include professional practice, quality of service, and availability of medicines in addition to other healthcare products.

The “Healthcare and Social Care Regulatory Forum” was instituted during the period 2008 to deliver a proper mechanism for exploring diverse opportunities that can aid the process of harmonizing processes of business, share best practices of business and facilitate the business coordination (Niassembly.gov.uk 2017). The policies primarily aims at sharing different knowledge as well as know-how on matters of shared interest with the intention of augmenting the overall activities of health as well as individual social services guidelines particularly in Ireland. This in turn can benefit the entire public health. In itself, policies for augmented health might also be found by generic national strategy development documents developed by the National Economic and Social Council (NESC) as well as the National Economic and Social Forum (NESF). Larkin et al. (2014) opines that the Irish Health Policy is influenced by constant improvement particularly at the international level, especially, the European Union as well as the United Nations Organizations.

The government has also directed the development of different primary care service that is reflected as (Primary Care – a new direction during the year 2001). The policy framework for implementation of the national health strategies include executing certain activities. This includes shaping a healthier future, establishing quality as well as fairness (“a health service for you during 2001) and planning for the upcoming period. The other health strategies and policies include “Cancer Services in Ireland that is a national strategy established during the year 1996 (Hse.ie 2017). This also includes appropriate plan for maintenance of health of women’s (during 1997), maintaining healthier hearts as per the policy established during 1999, and determining National Health Promotion. In addition to this, the organization operating in the health as well as social care area needs to abide by government commitments (Hse.ie 2017). It is important to implement policies, legislations, regulations as well as codes of practice that are pertinent to the work in health and social care.

Task 2

Identification of services available for individuals

As per the reports declared by the HSE, different disciplinary procedures stem from the Prime Time program along with management of changes at Aras Attracta for the purpose of management of independent existing. Again, different members of Review Group of Aras Attracta feel disappointed and angered by different reports that highlighted diverse incidents of abuse together with undignified treatment towards the residents suffering from diverse intellectual disability. However, in most of the cases, it can be witnessed that individuals are let down as they were vulnerable and needed urgent assistance (Rohde et al. 2014). So, this is the reason behind establishment of the Independent Review Group that can help in delivering assurance regarding meeting up the requirements of the standards and needs of different residents of particularly Aras Atrracta (Inclusionireland.ie 2017).

For instance, Aras Attracta that is a HSE operated residential centre situated in Swimford that is essentially a small countryside in the Co.Mayo. Analysis of their operations reveal the fact that there are approximately 96 men and women suffering from intellectual disability who resides in Aras Attracta. Particularly, the Aras Attracta Swimgroup Review Group comprises of experts operating in the field of intellectual incapacity, protection of different vulnerable group along with management of change as well as group that were backed by people. However, one of the main objectives of Aras Attracta is to engage in the process of reviewing the program of work for instituting the overall effectiveness of operations. Thus, this helps in identification of gaps and rectification of errors. Analysis of the case reflects the fact that there are several people who find it difficult to communicate with others. These people require assistance of diverse types of equipment referred to as assistive technology that can help in accomplishment of their tasks. In itself, the assistive technology is suitable for helping individuals suffering from age or else any other types of disabilities to stay independent as well as function effortlessly. Thus, the utilization of technology assistance devices can bringing about a transformation in different individual lives as they operate independently in an effectual manner. Thus, it can be said that the care technology instruments or devices can be used by different people having disability for completing activities. Essentially, this technologically advanced devices can help in reduction of the overall cost of the healthcare for particularly the disabled along with older people.

The important technological advancements in healthcare sector particularly in the Aras Attracta can include introduction of e-health, electronic medical records, healthcare information systems, evidence based health, health informatics, virtual learning in addition to tele-health. In addition to this, the advancements in technology and augmentation in demand as well as costs of treatment can lead to augmentation in quality, aversion of economic difficulties particularly in Aras Attracta. Furthermore, the information technology in can be conceived as a modern context of computers, but the cautious collection and gathering of information associated to the observation of conditions of patients, efficacies of diverse treatments as well as designs of novel treatments. As rightly indicated by Hesse et al.  (2015), the entire healthcare sector is considerably affected by the advancements in technology since technology shapes as well as alters different systems of health both nationally as well as internationally.

Particularly, the developments, difficulties as well as advancements affects the healthcare and helps in bridging the gaps between the findings of the empirical research and different practice of research. As such, present technological assimilations, potential usage of technology in healthcare in addition to both positive and negative implications of well-being informatics also affects the health care sector. It can be witnessed that technological advancements in healthcare can enhance the overall efficiency, augment accessibility to the register of records regarding patients, improve process of professional communication, and generate worldwide health networking. In addition to this, this also intensifies the overall access to the segment of healthcare. Hudson (2012) opines that current developments as well as challenges in the process of assimilation of particularly Information Communication Technology (ICT) particularly in the health system affects healthcare sector.

The healthcare facilities can be regarded as an important form of advancements in technology. Particularly, the growth and development of medical technology can enhance the innovative practices in the healthcare system. For instance, there are different devices of the Pervasive Healthcare Technology help in undergoing experimental trials in diverse hospitals in addition to homes of patients. In the recent times, the pervasive healthcare technology have undergone developments that helps in concentrating on different automated as well as un-disruptive Pervasive Technology without the limitations of specifically time along with location (Hughes and Lane 2016).

Diagnostic and operational processes

Advanced diagnostic as well as healthcare solutions such as the electronic personal health record solution can be used for the residents of Aras Attracta in the process of recording as well as selectively sharing different healthcare information in a much secured manner. The statement declaring purposes as well as functions specifies that individualized statements can help in covering the overall philosophy of care along with support, all-embracing objectives, mission as well as ethos. Particularly, the statement of accountability is essentially utilized for the enhancement of accountability for both professional together with operational issues for reporting procedures in which information are necessarily demonstrated on notice board (Larkin et al. 2014).

Interaction of service providers with users of service as well as diverse healthcare professionals

Innovation in the healthcare segment of Aras Attracta can lead to usage of electronic clinician system of health record solution that can help physicians along with other healthcare service providers to steadily access significant healthcare information that can be collated from different sources. The implementation of different technological aspects in the healthcare sector mainly includes adoption of the digital revolution. This primarily comprises of the use of the smartphone, effective apps, hubs for refined diagnostic along with treatment technologies, portable diagnostics, and diagnostics at home level, smart or else implantable mechanism for delivery of drug, digital therapeutics and genome sequencing process (Lin and Atkin 2014). In addition to this, advancements in technology can also be witnessed in the implementation of block chain and process of machine learning. However, it can be hereby witnessed that implementation of new technologies in the system of Aras Attracta can also help in the process of introduction of new procedures for the entire health as well as system of care. Thus, this helps in the improvement of the accuracy and usefulness of different significant information.

Confidentiality

The implementation of the healthcare informatics helps in storage as well as accessibility of data through particularly ePHR as well as eCHR solutions. This advanced systems can help maintenance of confidentiality of data. Again, the members of the staff of the corporation essentially try to make it certain that different confidential information is exchanged properly between different members of the team (Lupton 2013). As such, members of the staff also make use of different initials instead of names for preservation of confidentiality whilst exchanging important information. Members of the staff acquire accessibility to different offices and obtain sensitive information from different residents.

Training of staff

In addition to this, the introduction of different technologically advanced process of extending health care for the residents of Aras Attracta requires conduction of training programs for the members of the staff of the organization. The staffs need to have proper know-how that is Professional Development regarding the processes of handling different technologically advanced devices that can assist the patients and reduce the efforts of the staff (Sujan et al. 2015).

Workload of the staff providing service

The implementation of technology induced systems along with proper training of staff can therefore help in reduction of workloads of different service provider members of the staff. This in turn can diminish the number of cases registered for ill treatment towards the residents as reported by the Health Information and Quality Assurance (Hiqa). However, analysis of operations of Aras Attracta reveals the fact that it has profusely invested for training as well as development of the members of the staff of the institution (Sujan et al. 2015).

Financial Cost

The training of members of the staff is obligatory for the purpose of safeguarding, managing, preventing fire, keeping trust in care and following social care models on specific care training along with person-centred scheduling as well as kid’s first training. Aras Atrracta also emphasizes management of training of behaviours of all the residents. Substantial investment refers to the financial cost that Aras Attracta bears for training of nurses along with different healthcare assistance in Aras Attracta in areas (The Irish Times 2017).

Task 3

Services for the vulnerable people

It can be witnessed that there are self-governing several members of the staff advocates can make certain that residents remain involved in business decisions. Particularly, the business decisions affect the residents adversely. There is rising awareness regarding the considerable importance of different residents engaged in the process of decision making founded on regular activities such as food along with timing of meals together with personal hygiene (Moorhead et al. 2014). Analysis of the case replicates the fact that there exists a combination of factors that essentially contribute towards mistreatment or else abuse of all specifically the residents. This necessarily refers to the fact that the absence of management and their lack of supervision over then residents gets noticed by the members of the staff.

The members of the staff encounters high level of stress that in turn directs towards inadequate levels of staffing. The process of management of performance by the senior management refers to proper handling of addressing abusive behaviour (McCaughey et al. 2014). As such, different members of the staff of the organization indicate towards the need for improvement of the overall time of specifically the Prime Time Program in addition to augmentation of the overall process of utilization of available resources (Hse.ie 2017). The ethical considerations in the execution of the daily activities can help in the process of better staffing, adoption of different preventive measures that can help in effectual operations (Zingg et al. 2015). However, the training of members of the staff might help in the process of creation of awareness regarding diverse possibility of peer abuse and among different residents. Again, the members of the staff can register different complaints in addition to allegations. Respondents are essentially of the view that there is need for leaders who can patiently listen to all the innovative ideas as well as suggestions for the purpose of improvement (Weaver et al. 2016).

Importance of collaborative working

Collaborative working can help in the process of sharing of significant information as well as ideas, proper methodology, integrated analysis of the cases that helps in better detection of the problems. In addition to this, the collaborative working can assist in identification of particular barriers, reviewing diverse health as well as safety regulations. In addition to this, functioning collaboratively can help providers to ensure a common understanding of the overall application of different health as well as safety measures, detect evidence along with integrated resources for supporting positive risk. In addition to this, the process also helps in identification of solutions and get all the significant information regarding outcomes of the general practices together with the changes that are in practice (Carayon et al. 2014). Thus. The lack of collaborative working can hinder the process of understanding the baseline indicators of different current practices. Lack of integrated functioning can lead to misunderstanding of different areas that requires improvement, inadequate examination of all the evidence base associated to the specific area of practice, inadequate resources and allocation of resources and finally non-achievement of desired outcomes.

Definition of ethics

As rightly indicated by Oleske (2014), ethics can defined as necessarily different moral principles that can administer specific behaviour of different individuals during the period of undertaking a specific action. Therefore, ethics can be referred to as a particular brand of knowledge that necessarily deals with different moral norms (Carayon et al. 2014). However, from the present case on Aras Attracta, it can be said that there are different ethical issues that are existent during the Prime Time Investigation Program (Hse.ie 2017). This consists of violation of privacy in which researcher can access different public material as well as evidence.

Factors that can lead to ethical dilemmas and conflicts

Analysis of operations can help in identification of four different ethical issues that the service care dispensing organization encounters. The ethical issues faced by these organizations essentially include maintenance of confidentiality, development of associations, detection of different malpractice, and acquirement of consent (Yorio et al.  2015). In addition to this, ethical issues can be hereby illustrated one by one below:

Maintenance of confidentiality:

 Maintenance of confidentiality can be considered to be one of the most issues that is essentially encountered by different health care service institutions since they face immense pressure for keeping significant information of different residents hat is the patients confidential (Fridkin et al. 2014). However, maintenance of confidentiality can be regarded as the manner in which different health care service corporations express their reverence and respect towards a particular individual’s independence since they are aware of the information that can damage the entire life of the residents.

Development of associations:

The institution of physical associations with the patients are necessarily forbidden that can be considered to be under medical along with ethical code of conduct of nursing. However, there are several activities that can be considered to be serious misconduct that again can lead to expulsion of healthcare professionals and rejection of their license of practice (Urden et al. 2017). However, establishment of sexual associations implies abuse of power particularly from the standpoint of physician since the patients are essentially dependent as well as susceptible.

Detection of different malpractices

Analysis of healthcare service organizations reflects the fact that diverse healthcare service professionals essentially assume risk of getting sued for different malpractices. Nevertheless, a single lawsuit can lead to an injury associated to surgery, use of different medical products along with utilization of different defective instruments (Reese 2015). In addition to this, patients need to acquire the consent for examining the overall condition of different issues associated to healthcare concerns encountered by different health care professionals. Furthermore, Aras Attracta also need to determine suitable alternative usage of the campus at the time of vacation of site (Hse.ie 2017). Again, it needs to be marketed at the place where specifically land or else property is undertaken and realized transactional costs. However, this can be reinvested particularly in the capital program that can necessarily uphold the entire move to the entire social community and assist in the transactional costs (Ulrich and Kear 2014). However, the headman of QPS essentially visits Aras Attracta often for the purpose of supporting along with guiding the process of improvement of overall framework of QPS. Thus, this helps in the process of detection of significant costs that involves maintenance of compliance, different supplementary funding that has been apportioned to the HSE during the year 2016 for essentially the services of disability residential (Hse.ie 2017).

Consent

During the time of investigation of the fitness of the patients, it is important to acquire the consent of the patients for examining different problems encountered by the patients by the healthcare professionals (Hollnagel 2014).

Discussion of the effect of ethical conflicts as well as ethical dilemmas on service provider organization

Different service providers treat the residents of the Aras Attracta with high self-esteem. However, the Outcomes Network of Ireland along with the Delivering Outcomes to People Project circulates the National Survey of the Quality of life on individuals suffering from different disabilities and residing in Ireland. As such, the service providers engaged in the process of survey and selected around 300 samples that comprises of eligible adults. However, the current survey reflected the fact that a methodology was adopted for particularly the Aras Attracta service. However, in case of assembled setting, it can be hereby witnessed that community setting can be regarded as one of the major difficulties for the providers of the service that need to elucidate the new realism of actions in a simple as well as explicit manner (Wang et al. 2014). The ethical requirements also calls for the need for treating the patients and their families with utmost care. Therefore, the healthcare professionals of the service providers need to take into consideration the factors of treating the residents correctly. Thus, ethical considerations also calls for the need of identification of the gaps that are present in the behaviour and treatment of the service providers towards the residents and making recommendations for further improvements of service. In addition to this, the ethical consideration also require introduction of considerable training program. During the year 2015, Aras Attracta also undertook training program that was based on protection of adults along with management of transformation of behaviour. In addition to this, the training programs are also directed towards extensive training for augmented independence for management of money, arriving at choices, maintenance of confidentiality, and safety along with management of relationships (Drummond et al. 2015). Furthermore, the members of the staff of the service provider organization are accountable for taking care of all the residents and treating them right. Thus, they need to share the entire workload of all other members of the group along with other specialist consultants.

Discussion of the impact of ethical issues on the service provider workers

Analytical assessment of service provider workers reveals the fact that the services of Aras Attracta are highly criticized in specially the drafted report published by the HSE. However, there are several ethical issues that can be associated to the threat to care centre residents during the period of inspection. However, the employment of a body for supervising different disability homes along at Aras Attracta can help in detection of different ethical misconduct. This body can help in viewing the low level of moral of the staff that is existent in the extensive institutional habituation and help in controlling of over and above 96 residents that can again limit the freedom (Weller et al.  2014). It is essentially the responsibility of the members of the staff of service providers to take care of the residents (McLain 2014). The members of the staff having inadequate values, knowledge as well as competence are not eligible for taking care and supporting them in an appropriate manner.

Critical reflection:

As per the case study, it can be hereby ascertained that Aras Attracta used incorrect model of care for all the adults suffering from different intellectual disabilities in specifically CoMayo. After going through the reports of Swinford Review Group, I could understand that this report compelled for making an appeal for altering the model of care. However, I could understand the numerous issues that could be detected from the Prime Time Investigation Program that was declared during the year 2015. However, the reports helped me to understand the gaps and the ways to overcome the failure. I could understand the importance of listening to the patients and residents by taking into consideration the future of the individuals suffering from different intellectual disabilities (Murdoch and Detsky 2013). The study also helps in gaining an overview regarding the requisite control that are required for the convenience of different members of the staff along with the management for driving the alteration in the service model. In addition to this, the current case also helps in understanding the structure that can meet the requirements of the patients at the healthcare centres.

Evaluation of the study reflects the fact that services at Aras Attracta are severely criticized in the reports published by HSE. Again, ethical issues also involve different threats faced by different care centres at the time of scrutiny. Furthermore, there is lack of strong leadership that can guide Aras Attracta to detect the low levels of morale of the staff (Hse.ie 2017). 

Task 4

Role as a healthcare professional

As a care healthcare professional, it is important to demonstrate safeguarding leadership, proficiency and pledge at different levels of organisation. In addition to this, it is also important to remain fully engaged and upkeep local accountability along with assurance structures. As a healthcare professional, I need to have adequate training for safeguarding adults as well as children at risks. In addition to this, I need to deliver the non-judgemental care to the affected people in order to lessen the risk of harm as kind treatment along with compassion can save them from both harm and might probably help many to flounder. Furthermore, as a professional engaged in the healthcare service it is also important for me to contribute towards inter-professional education or else practice, review particular challenges encountered during delivering the service, and highlight upcoming opportunities for expansion of the provision of the service. Therefore, it is important for me to be a well-trained and prevention and population health professional outside the purview of the traditional public health field as prevention as well as population health care activities happen in all the healthcare arrangements. Furthermore, I also have to actively participate in the team work of different inter-professional teams particularly for developing clinical arrangement, training as well as educating all health professionals within definite inter-professional models.

Responsibility as a health care professional

As a healthcare professional, it is important for me to participate in the process of expansion of the overall service, arrange reimbursement for different promotion counselling, provide of preventive medication and deliver disease management assistance requirements. Thus, as a health care professional my prime responsibility is to promote proper professional practice within the corporation, support local safeguarding system as well as procedures, provide advice along with expertise for all the associated professionals, and ensure that safeguarding and training is in place.

Accountability

Being a designated professional, I am accountable to all the governing and statutory bodies, trusts, different clinical commission groups. In addition to this, I will also be accountable to the local health service authorities and the safeguarding managers.

Duties as designation healthcare professional

As a qualified healthcare professional, I will be accountable for engaging in inter-professional collaboration that have the need of proper communication between professionals, common establishment of goal, requisite problem solving competence, clear understanding of the role of the entire team. In addition to this, it is also significant to clarify the roles as overlapping roles of the professionals can lead to potential clashes. My duty as a designated service professional also includes comprehending the overall scope of definite practice, understand clearly the roles, competency requisites and have a comprehensive understanding of the patient population as well as setting.

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