Scenario

Miriam is an EN working regularly in a large residential aged care service. The facility is a well-organisedorganisation providing high-quality and safe residential care for the residents. Its goals and objectives areto:

• Provide care services that recognises the rights, dignity, values, and beliefs of residents and theirfamilies;
• Ensureinvolvementandcommitmentofallemployeesina'teamapproach'toqualitycare;
• Maintainamicrobiologicalsafeenvironmentbypreventingtheriskandspreadofinfection;and;
• Continually review care and service delivery as part of Continuous Quality Improvement Plan, andthat all identified problems and feedback are addressed to the satisfaction of staff, residents andtheirrelatives.

Miriam works in the morning shifts (0700-1500 hours) with her workgroup. She is mainly responsible forprovidingnursingcarefor38residents;someofthemneedpercutaneousendoscopicgastrostomy(PEG)feedingtubes.The

nursing activities she undertakes in a shift include handover, medication administration, wound care,physical review, infection control, verbal communication, documentation, print and fax, transit and staffbreak and other (the detailed classification of activities could be found in the Table 1 of journal article titled'Nursingstaffworkpatternsinaresidentialagedcarehome:atime-motionstudy'(Reference2below).

Miriam's shift work schedule is very tight and her common work process in morning shifts normally startsand ends with handovers. Three major tasks that she performs during the shift are medicationadministration, wound care and documentation. Documentation is completed at the point-of-care and aftercare provision. If she has time, she would undertake a physical review; otherwise, this task would beallocated to a personal carer who provides personal care. She takes a break after the morning medicationround and before and after the noon medication round (the detailed work process in morning shifts andime spent on each activity could be found in Figure 1 and Table 2 of the journal article titled 'Nursing staffworkpatternsinaresidentialagedcarehome:atime-motionstudy'(Reference2below).

To organise and prioritise all tasks required in a shift, Miriam decided to create a work plan and shift workschedulewiththeassistanceofhersupervisor(anRN).

Reference:

1. https://www.maci.org.au/about-us/quality-of-care-objectives/
2. Qian,S.,Yu,P.,&Hailey,D.(2016).Nursingstaffworkpatternsinaresidentialagedcarehome:

QUESTIONS

1. Identify workgroup objectives and Miriam's personal responsibilities, actions to fulfill herresponsibilities and barriers to her fulfilment, against the organisation's goals and objectives.
2. Plan a personal shift work schedule for Miriam using the template of 'Shift Work Schedule' providedbelow(morerowsinthetablecanbeaddedforthetaskstodoifneeded).
3. Discuss and seek the feedback on the developed Work Plan and Shift Work Schedule from Miriamsupervisor (your trainer, RN), and update and submit the Work Plan and Shift Work Schedule basedon her/his feedback, using the template of Shift Work Schedule provided below.

ShiftWorkSchedule

StudentName		StudentID
Date		Shift
Time/period	Taskstodo	TimeFrame

Accordingtothedeveloped'WorkPlanagainstOrganisationalGoals'and'ShiftWorkSchedule',Miriamcompletedalltypesofnursingcareactivitiesinhershifts.Intheorganisation'sperformanceappraisal,Miriamreceivedgeneralpositivefeedbackonherperformancefromhersupervisor(RN)and clients. However, the feedback and recommendations on her tasks performed of physicalreviewsandcommunicationwithresidentshavebeenreceived.HersupervisoradvisedMiriamshouldfocusmoreonphysicalreviewstomonitorcloselythehealthstateofresidents;andMiriam'sclientsthoughtshehadnotspentenoughtimetotalktothemandexplaintheprocedureclearly.

Toenhanceherworkperformanceandfulfilthetasksmoreeffectivelyandefficientlyinthefuture,Miriamdecidedtoanalyseandevaluatethefeedbackandmakeanupdateonherpersonalworkplanandschedule.

1. Stateatleastthree(3)methodsthatMiriamcouldusetoanalyseandevaluatethefeedbackfromhersupervisorandclients.
2. IdentifywhatupdateonMiriam'spersonalworkplanandschedulecanbemade,provideatleasttwo(2)examples.