Protocol Handbooks (Guideline On How to Address Problem in A Workplace/ Dermal Clinic)
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TABLE OF CONTENTS Introduction ..................................................................................................................................... 3 Issue 1 ............................................................................................................................................. 3 Problems in the workplace .......................................................................................................... 3 Issue 2 ............................................................................................................................................. 6 Problems with clients .................................................................................................................. 6 Conclusion ...................................................................................................................................... 9 References ..................................................................................................................................... 10
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INTRODUCTION In an organization like dermal clinic, there are various aspects that needs proper consideration; hence appropriate procedures are required to be developed for the same. Thus, relating to that the study has been describing workplace procedures and policies which are used for the purpose of managing organizational dimensions in appropriate manner. Along with this, researcher has also stated the guidelines which needs to be adopted to manage issues prevailing among the patients. Henceforth, in this context the study is divided into two issues.
ISSUE 1 Problems in the workplace Background of the issue Workplace bullying Workplace bullying is a situation in which a person gets threatened from several factors which also affects the existing work practices. In this respect, workplace bullying includes issues such as discrimination, harassment and torturing people. Hence, according to general context it is seen as acts wherein people give verbal comments to a person in terms of hurting that person mentally (Workplace bullying: Violence, Harassment and Bullying Fact sheet, 2017). Thus, a result, the person becomes isolated from the workplace (dermal clinic) which affects the overall performance of the business entity. It also involves repeated incidents which are always intended to intimidate, humiliate and degrade a person. Thus, according to the general context it can be described as the assertion of power through aggression. Bullying is a major issue at workplace which usually changes the behaviour of person and as a result, it impacts the overall organisational performance (Kaptein, Fischer & Scharloo, 2014). For instance- intimidating a person, isolating someone socially, spreading malicious rumours and physically abusing a person from any ground. These are the most common forms of bullying which happen in contemporary organizations (dermal clinic) and which affects the interest of employees. Latest research and findings
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According to the study done by Tommelein, Mehuys & Brusselle (2014), workplace bullying is verbal, physical and psychological abuse by the employer towards any specific person at work. It can happen in any type of workplace; however, some types of workplace bullying are criminal offences. Bullying in the workplace look like repeated harmful remarks or attacks because of sexuality, race, culture and economic difference. Thus, supporting the fact it can be said that bullying and harassment is a sensitive issue at dermal clinic which sometimes also leads to financial, physical and emotional abuse. Apart from this, mistreating any of the employee at workplace seems to be a criminal activity and at the same time it also shows that the workplace is violating the legal acts and framework. Thus, in such respect it can be said that physical abuse impacts the overall dermal clinic and it hampers organizational productivity facets. Signs to watch Such issue usually happens at the workplace; hence prominent attention is required to be given for the same. While having any problem in the organization (dermal clinic), it is essential for the employers to ensure that prominent actions are being taken so that employee interest can be maintained. In order to identity such issue in the organisation, it is required for the workplace to conduct direct monitoring and controlling (Tumbarello, De Pascale & Antonelli, 2013). At the same time, performance of the employees should be suitably monitored so that their way of working can be changed accordingly. Organization can also develop checklist in all the aspects of the work processes can be managed suitably. Employers as well as employees both needs to ensure that the issues related to workplace bullying can be avoided. Sometimes, workplace bullying affects the morale of employees and it also changes the behavioural aspects. Hence, suitable actions are required to be undertaken to manage the issue of workplace bullying. Activities of every employee needs to be suitably monitored so that the issues raising can be resolved suitably (Miloyan & Eaton, 2016). Workplace bullying is a serious issue which causes increased feelings of stress and tension in the body and most often it also leads to several clinical issues. From several research studies, it is analysed that nearly half of all American
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workers have been abused at work and as a result they always switch to different job profiles. Thus, considering the same issue, several policies are being implemented in the workplace (dermal clinic) which aims to reduce issues related to workplace bullying. Response plan
Workplace issues are apparent and they appear in the organization (dermal clinic) because of several issues; hence it is the duty of the employers to ensure that suitable environment is being developed in the organization. When any such issue appears in the organization, employers have to ensure that the problem is being solved in the best way so that it may hamper the overall work standards. At the same time, employers should directly engage themselves in organizational practices to enhance the work standards (Back, Park & Temel, 2014). In terms of response plan, it can be said that dermal clinic needs to ensure that all the standard practices are being followed in
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the organization to encourage the value and beliefs. Moreover, in this context it can also be said that dermal clinic should undertake suitable measures which sternly should be adhered by the employees in all prospects. Appropriate attention is also required to be given towards organizational auditing and screening for finding out the efficiency of the worm processes. Hence, there should be suitable association of organizational practices as per the legal standards (LĂłpezCampos, Hartl & Roberts, 2014).
ISSUE 2 Problems with clients Background of the issue Anxiety disorders – Specific phobias Anxiety disorders is regarded as a group of mental disorders wherein a person has feeling of anxiety and fear. Typically, anxiety is a situation of worry in which a person thinks about future events and that impacts the current events. Anxiety usually leads to stress; hence it brings major symptoms such as fast heart rate and shakiness in the body. There are number of anxiety of disorders; however, the current research study has been focusing on specific phobia such as Zoophobia (Ila & et.al., 2017). Phobia is regarded as a state of fear from any object or situation. It usually remains for more than 6 months and the affected person often try to avoid the situation even if it does not pose danger. However, in this situation if the affected person does not find any situation to deal with the issue, then it brings the state of distress. Specific phobia includes phobia from certain animals, natural environment situations and fear from heights. Eventually, they are activated by a negative experience associated with the situation or object (Tommelein, Mehuys & Brusselle, 2014). Latest research and findings Specifically, anxiety is a normal part of life which may occur anywhere and which highly affects the decision making aspects of the affected person. In specific phobia (Zoophobia) such as phobia from snakes, the person becomes unable to sleep and the images of snake usually comes in
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that person’s thoughts which develops the feeling of fear. Irritation, muscle tension, difficulty in controlling the worry and sleep problems are the major symptoms that occurs in specific phobia. According to Rossi, Fantin & Zamboni, (2014), specific phobia (Zoophobia) is an unreasonable fear that is associated with avoidance of something. There are several techniques that are being used for the purpose of dealing with specific phobia; however, no such technique has yet been developed to analyse the preventive method for phobia. In the subsequent study, literature review was conducted through electronic database and majorly 38 articles were selected for the same purpose. The research work also states that specific phobias affect women more as compared to men and it usually appears from childhood to adulthood. Thus, in such situation avoidance may interfere with everyday life at home or work and as a result, it leads to other issues in the person (Rossi, Fantin & Zamboni, 2014). Thus, in the research work importance of psychotherapy is being discussed that helps in assisting people to deal with phobias. However, on the other hand study done by Kaptein, Fischer & Scharloo (2014), contends that it is difficult to differentiate among specific phobias and normal childhood fears. For instance90% children between the age of 2-14 have at least one specific fear; however, it do not affect daily functioning; but still it requires psychological treatment. The research work also defines etiology of specific phobia which denotes many constraints in the regular work dimensions (Specific Phobias, 2017). In the same way, anticipatory anxiety involves nervousness about the current situation wherein a person becomes more cautious about the situation. Since, the phobia affects the mental status; therefore, in this respect the person avoids to come in contact with the situation of phobia. For instance – a person who has phobia from dogs gets more anxious at the time of walking on streets. However, children with specific phobia can express their anxiousness through crying, through showing tantrum and by clinging to parents. Signs to watch
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On the basis of above discussion, it can be said that proper attention is required to be given at the time when any of the patient has specific phobia. For instance- a patient who is having issues related to depression needs to get prominent support in all domains so that health aspects can be managed suitably. Henceforth, in this respect nurses at dermal clinic are required to consider the importance of psychological treatment as then only specific phobia can be treated suitably. Apart from this, it is also crucial for the nurses to ensure that the patient is not getting impacted due to the specific phobia (Rossi, Fantin & Zamboni, 2014). There are several signs to watch which to consider from nurse’s end as that is essential from may affect the health conditions of the patient in severe manner. Apart from this, nurses are also required to emphasize on several symptoms like chest pain, upset stomach, dizziness and trembling. For instance – if a person has phobia from lizard, then it is essential for the nurses to monitor the cleanliness aspects so that patient may not get stressed. Along with the same, nurses are also required to conduct suitable monitoring so that current status of patient can be ascertained accordingly (Matthew & et.al., 2013). Apparently, dermal clinic is required to consider the interest of patient; hence they must comprehend all the things which could create problems for patients. Therefore, in this context, health care entities must emphasize on patient safety and security dimensions. Appropriate protocols are also required to be developed in the same manner for protecting the patient in best possible way. Response plan The issue related to specific phobia (Zoophobia) needs to be prominently managed so that value of health care organization could be encouraged. In the same dimension, while having any such issue in the hospitals, nurses and other care practitioners are required to ensure that suitable environment is being generated to eradicate issues related to specific phobia. Thus, dermal clinic need to develop suitable guidelines so that to deal with workplace issue. •
There must be proper analysis of all the reasons that leads to phobia in a patient.
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Adequate consideration is required towards patient safety and security and the information booklet should be suitably communicated to all the associated practitioners (Darien & Lisa, 2017).
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Furthermore, it is also crucial to define patient fear so as to comprehend the manifestation. Therefore, in this context it can be said that proper attention is required to be given in all contexts (Rossi, Fantin & Zamboni, 2014).
CONCLUSION Summing up the entire research study, it can be said that nurses are required to emphasize on developing proper environment so that safe and secure work dimensions can be developed. The above mentioned guidelines are useful in terms of ensuring that patients are having appropriate benefits at the workplace and such benefits also aids in enhancing organizational competence.
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REFERENCES Back, A. L., Park, E. R. & Temel, J. S. (2014). Clinician roles in early integrated palliative care for patients with advanced cancer: a qualitative study. Journal of palliative medicine. 17(11). 1244-1248. Darien, K., & Lisa, H. (2017). Understanding and managing patient fear in the hospital setting. [Online]
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through:
<https://www.slideshare.net/Innovations2Solutions/understanding-and-managing-patientfear-in-the-hospital-setting>. [Accessed on 30th May 2017]. Ila, M. P. & et.al., (2017). Neuroimaging in specific phobia disorder: a systematic review of the literature. Revista Brasileira de Psiquiatria. 34(1). 1516-4446. Kaptein, A. A., Fischer, M. J., & Scharloo, M. (2014). Self-management in patients with COPD: theoretical context, content, outcomes, and integration into clinical care. International journal of chronic obstructive pulmonary disease. 9. 907. Lรณpez-Campos, J. L., Hartl, S. & Roberts, C. M. (2014). Variability of hospital resources for acute care of COPD patients: the European COPD Audit. European Respiratory Journal. 43(3). 754-762. Matthew, D. & et.al., (2013). Specific Phobias And Social Anxiety Disorder. (Social Phobia). [Online] Available through: https://www.mentalhelp.net/articles/specific-phobias-andsocial-anxiety-disorder-social-phobia/. [Accessed on 30th May 2017]. Miloyan, B., & Eaton, W. W. (2016). Blood-injection-injury phobia in older adults. International Psychogeriatrics. 28(06). 897-902. Rossi, A. P., Fantin, F. & Zamboni, M. (2014). Identifying sarcopenia in acute care setting patients. Journal of the American Medical Directors Association. 15(4). 303-e7. Specific Phobias (2017). [Online] Available through: <http://www.webmd.com/anxietypanic/specific-phobias#1>. [Accessed on 30th May 2017].
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Tommelein, E., Mehuys, E. & Brusselle, G. (2014). Effectiveness of pharmaceutical care for patients with chronic obstructive pulmonary disease (PHARMACOP): a randomized controlled trial. British journal of clinical pharmacology. 77(5). 756-766. Tumbarello, M., De Pascale, G. & Antonelli, M. (2013). Clinical outcomes of Pseudomonas aeruginosa pneumonia in intensive care unit patients. Intensive care medicine. 39(4). 682692. Workplace bullying: Violence, Harassment and Bullying Fact sheet. (2017). [Online] Available through:
<https://www.humanrights.gov.au/workplace-bullying-violence-harassment-
and-bullying-fact-sheet>. [Accessed on 30th May 2017].
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