Assessing a Current Indirect or Semi-Direct Nursing Situation that Needs Change

There is a significant effort to improve the overall healthcare system in the United States
and other parts of the world. These actions are aimed at increasing the current demands of
patients. Within the healthcare industry, nursing is among the sectors that necessitate significant
changes. Mitchell (2013) defines nursing as a fundamental player within the modern healthcare
system. Hence, an improvement in this sector would reflect on the progress of the whole
healthcare system. Therefore, indirect and semi-direct nursing situations are nursing facets that
do not necessarily relate to nursing duties. However, they are crucial for making nursing and the
entire healthcare system in the United States and the world effective. Electronic healthcare is the
situation that will be considered in this paper, including nursing workload identification to help
identify the required workforce of healthcare professionals. This situation will incorporate
communicating and collaborating with members of the healthcare team to ensure all shifts are
attended to and covered.

Evidence Supporting Change

All nursing environments necessitate smooth operations for handling communication,
workload, and smooth shifts for ensuring patients’ inclusivity (Alanazi, Butler-Henderson, &
Alanazi, 2019). Patients are, however, directly affected by indirect nursing issues. Measuring the
care time average for nursing is crucial for assessing the efficiency and quantity of nursing health
experts in a hospital setting since it evaluates the condition and efficacy of essential human
resources. Establishing the workloads in hospital wards is critical for determining the required
number of professionals and the amount of time taken by the healthcare professionals to take
charge (Yu, 2016). Unsafe healthcare environments usually experience fewer nursing activities
for quantifying the substantial workload and labor required at the expense of the patients.

3
According to Momennasab et al. (2018), the adoption and use of e-healthcare system
instruments enable nursing activity scores to establish the required workload, complexity degree
involved and guarantees the ability of nurses to handle complex situations before their
delegation. While patients are exempted during the introduction and training for electronic
healthcare systems, healthcare scholars argue that this indirect change plays a crucial role in
improving the overall effectiveness of direct care (Momennasab et al., 2018). This is achievable
through easy access of information concerning patients by nurses, legibility, sharing possibilities,
and integration with different healthcare information systems.
Change Theory Implementation

The case scenario concerning the electronic determination of change initiation and
nursing workload applies Lewin’s nursing change theory. The electronic situation change of
indirect nursing will be introduced in three main stages, including unfreezing, moving, and
refreezing (Mitchell, 2013). This scenario’s driving forces are crucial for tracking care effected
by preceding nurses, including the complexity and workload of the situation and any required
external assistance in the execution of care provision. The driving force in changing shifts
encompasses dissatisfaction in available handing over time and efficiency of communication to
off-duty healthcare professionals (Hee et al., 2019). The resistant forces in the implementation of
electronic healthcare include accountability fears concerning the availability of records, lack of
self-confidence in learning the electronic system, and doubt of success.
Timeline for Implementation

The projected timeline for implementing the electronic healthcare system ranges between
60 and 120 days. This duration is crucial for evaluating the plan’s effectiveness in providing

4
healthcare services to patients, appropriate allocation of complex duties to nurses, and smooth
transition of shifts between nurses and other healthcare experts.
Outcomes of Change

Technology experts should create, test, and install the electronic system in the hospital’s
healthcare system. The subsections will encompass the required care, patient information, the
situation’s complexity. The excellent objective and driving forces should overshadow the nurses’
resistant activities and fears upon implementing the change. Implementing this system would
involve creating health design crucial for guiding IT professionals in establishing the platform.
This should be directed by the powerful principles of the nursing fraternity and the hospital.

Implications of Nursing Practice

The benefit of implementing healthcare systems to the nursing fraternity is reduced the
overall time taken to document patient care activities crucial for guiding the next nurse. The
complexity and information concerning a patient’s situation are made available regardless of lack
of explanation by the handling nurse or other healthcare experts (Ndagi et al., 2019). This leads
to a smooth workflow by easing communication and collaboration among the nurses in different
health departments and care units. Additionally, electronic systems that establish the complexity
and workload of nursing care duties are crucial for transforming values into units for easy
statistical treatments and comparison (Alanazi, Butler-Henderson, & Alanazi, 2019). The indirect
and direct care times can be established per patient, and approximated care time will be indicated
for guiding the immediate shift nurse.

Conclusion

Indirect and semi-direct nursing situations represent nursing changes and interventions
executed for the benefit of patients, although they do not unswervingly encompass face-to-face

5
contact. In cohesion contexts, the nursing sector must devise criteria and instruments for digitally
assessing the critical needs and patient records to ease the development of satisfied clients and
cost-effective healthcare systems. Care indicators are, therefore, necessary for identifying
workload, measuring healthcare quality, and creating a smooth collaboration among nurses and
other healthcare experts.

6

References

Alanazi, B. D. F., Butler-Henderson, K., & Alanazi, M. R. (2019). The role of electronic health
records in improving communication between health professionals in primary healthcare
centers in Riyadh: Perception of health professionals. Studies in health technology and
informatics, 264, 499-503. https://eprints.utas.edu.au/31620/1/134935%20-
%20The%20Role%20of%20Electronic%20Health%20Records%20in%20Improving%20
Communication.pdf
Chang, L. Y., & Yu, H. H. (2016). The relationship between nursing workload, quality of care,
and nursing payment in intensive care units. In Nursing Informatics 2016 (pp. 871-872).
IOS Press. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369868/pdf/nrj-27-1i.pdf
Hee, O. C., Cheng, T. Y., Ping, L. L., Kowang, T. O., & Fei, G. C. (2019). Embracing change
management strategies in bedside shift report (BSR): A review. Int. j. acad. res. bus. soc.
sci, 9(1), 469-481.
https://www.researchgate.net/profile/Ong_Hee/publication/331318035_Embracing_Chan
ge_Management_Strategies_in_Bedside_Shift_Report_BSR_A_Review/links/5c7342479
2851c69503e0f4d/Embracing-Change-Management-Strategies-in-Bedside-Shift-Report-
BSR-A-Review.pdf
Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing
Management, 20(1).
Momennasab, M., Karimi, F., Dehghanrad, F., & Zarshenas, L. (2018). Evaluation of nursing
workload and efficiency of staff allocation in a trauma Intensive Care Unit. Trauma
Monthly, 23(1).
http://www.traumamon.com/article_100126_f0c0125ff39f80ed8f8529e33af7adf7.pdf

7
Ndagi, A., Umar, A. A., Hejazi, F., & Jaafar, M. S. (2019, November). Non-destructive
assessment of concrete deterioration by ultrasonic pulse velocity: A review. In IOP
Conference Series: Earth and Environmental Science (Vol. 357, No. 1, p. 012015). IOP
Publishing. https://iopscience.iop.org/article/10.1088/1755-1315/357/1/012015/pdf