Introduction
Psychiatric patients form one of the most delicate victims in a health facility. They suffer from mental health, which may lead to abnormal behaviors, including property destruction and harming themselves or the people around them. The enhancement of security guards in these facilities is a crucial role that the nursing management should consider to provide them with safety and protection as they undergo medication. Psychiatric nursing is a critical profession that requires special skills and knowledge to handle patients. Using evidence-based change, Lewin’s Theory and the principles in nursing leadership are paramount in successfully implementing the required transformation.
Identified Problem
One of the problems identified in a psychiatric hospital that arouses the need for security guards includes protecting staff and patients from eloping out of the facility and ensuring the safekeeping of the property. The security officers should patrol the buildings in the compound, monitor all activities around the area, and prevent vandalism, fire, theft, and other disturbances.
Nurses should primarily provide services to people with mental health issues, emotional imbalances, developmental problems, severe disorders, and tenacious disabilities (Freeman et al., 2020). The nursing sector is committed to maintaining, restoring, and promoting optimal mental sanity for individuals and society through therapeutic interventions. The psychological complexity of care needed in the psychogenic field puts additional demands on the leaders to ensure that the facility is a haven for the patients as they heal.
Evidence-Based Solution
An evidence-based solution for mental health includes providing a calm environment for nurses and patients. Cognitive-behavioral therapy (CBT) has been proven to be effective in reducing depression and anxiety symptoms that are associated with psychological problems (Kim et al., 2019). Psychoanalysis plays a role in changing patterns of the patient’s behaviors that result in maladaptive feelings. One way of ensuring a successful therapeutical process for the victims involves the safety of the premises, whereby a security department should be introduced to take care of that.
Steps of Planned the Change
The psychiatric hospital facility should plan a change to ensure the environment’s safety. A successful transformation requires the nursing leadership to follow the steps of planned change. It should recognize the need for security guards, develop new goals, select a modification agent, understand the current situation, choose an implementation method, develop a plan, implement the strategy, and follow and evaluate it (Saleem et al., 2019). The process involves activities that require management to participate and make them effective. They should value the necessity for change, motivate it, create a vision, manage the transition since it is a challenging period, and sustain momentum during the alteration.
Applicability to Nursing Practice
Nurses in the psychiatric field experience various challenges related to their work that might sometimes hinder them from performing their duties effectively. Physical security is vital for both patients and nurses to ensure that optimal care is given to the patients. The facility should be well guarded to keep away outsiders who might get into the offices and manipulate the system used to diagnose patients. There is a risk of mishandling clients if patient information is interfered with.
Nurses may end up administering the wrong drugs to the sufferers or losing the medical history of individuals, thus providing ineffective services. For instance, they face the unavailability of medicines due to scarcity or mismanagement, and staff shortages result in an extreme workload, poor facilities, limited resources, and insecurity (Galura, 2020). Other related encounters involve a lack of support from government bodies, slow response to matters arising, and faulty management systems, which might be due to national leadership’s political conflicts.
Some caregivers work far from their villages; traveling to work might jeopardize their safety and expose them to various security threats. Managing psychiatric symptoms is an arduous task that needs concentration and proper follow-up of patients. Lack of enough support training and scarcity of resources affect the sufferers’ treatment plans, resulting in increased relapse issues (Galura, 2020). However, evidence-based practice, Lewin’s theory of change, and nursing leadership principles were developed to guide nurses in performing their tasks professionally.
Nursing Process
The nursing process involves critical thinking, problem-solving skills, creativity, and the ability to make decisions. Quality nursing care provides increased patient satisfaction, thus guaranteeing a healthy society and minimizing the loss of lives. The procedure entails five stages: assessment, diagnosis, planning, implementation, and evaluation as a systematic guide to patient care (Vaismoradi et al., 2020). Nurses reassess the client, determine the need for their assistance, implement the nursing interventions, supervise the delegated care, and document treatment activities (Vaismoradi et al., 2020). Nurses need assured security to effectively and efficiently perform these duties and have a successful outcome. The leadership must ensure that safety is guaranteed for the best results.
Nursing leadership principles are guidelines that help the organization reduce medical-related errors, improve patient satisfaction, and enhance employee retention. Nurses are required to uphold quality standards when performing their tasks. They are expected to develop emotional intelligence since their working environment involves sensitive and high-stress situations that call for calmness and professional demonstration in medical emergencies (González‐García et al., 2021). Every nurse leader must have communication, critical thinking, and problem-solving abilities. Improving employee satisfaction, including appreciating hardworking individuals, is also a key role since it motivates and helps them perform their duties excellently.
Comparing Evidence-Based Sources
In clinical practices, an evidence-based method is recommended to improve the quality of patients’ care and outcomes. Proper research provides the best solutions since once the exact problem has been identified, information on how to resolve it is guaranteed (Sarawad, 2023). The process is done to quickly incorporate the research available with medical experience and patient favorites into nursing practice, enabling nurses to make informed decisions regarding their clients. The approach ensures that the caregivers apply the most current investigation to develop their clients’ health, safety, and welfare. The nursing leadership focuses on delivering the best care with reduced healthcare costs (Sarawad, 2023). In addition, the method boosts patient recovery efficiency, provides a better understanding of certain treatment method risks, and makes patients actively play a role in planning their care. A safe environment allows workers to execute their duties well without fear of being attacked by outsiders or patients while nursing them.
The evidence-based approach prioritizes the needs of patients since it focuses on efficient and effective methods that impact their services. Each client is treated differently depending on their diverse preferences and experiences. The technique facilitates improved decisions that save time for the nurses, thus helping them to cease non-beneficial activities to the patients. For instance, some research revealed that dressings heal faster when left longer than done daily, making them spend more time (Sarawad, 2023). The goal of caregivers is to heal patients, and satisfaction makes nurses feel motivated as they perform their duties and advance their careers.
Lewin’s theory of change is one of the most influential approaches in the nursing field. It was developed by a social psychologist known as Kurt Lewin (Saleem et al., 2019). Lewin stated that the process involved three change stages: unfreezing, change, and refreezing (Saleem et al., 2019). The model indicated that the process should allow them to plan and implement the expected alteration. The unfreezing stage refers to finding a way that restrains people from letting go of their old pattern of doing things (Saleem et al., 2019).
It is critical since it strains individuals as they resist and help in group conformity. The change step is moving to a new level, which entails changing feelings, thoughts, and behavior (Saleem et al., 2019). This stage is more productive than the unfreezing phase, which is counterproductive. The refreezing period establishes the new habit, the standard operating procedure (Saleem et al., 2019). If this stage is not reached, there is a possibility that the patient is likely to relapse and go back to old habits.
Personal Reflection
From my experience, I believe security for health workers is vital due to the challenges they face in their profession. In most cases, psychiatric patients act abnormally, with some being violent. The nurses handling them need protection from harm while performing their nursing processes. The victims need an environment free from disturbance to speed up their healing process. No patient or outsider should access the hospital equipment, including the computers or other materials used to treat the patients. The nursing leadership should ensure enough protection for the facility by introducing the security department. A reasonable budget should accommodate the new workers and facilitate their training, working tools, and salaries (González‐García et al., 2021). The organization must be shown the need for safety and how to accept the progression.
Explaining the Project to Clinical Partner
A clinical partner needs to understand the goals and objectives of a specific project. For instance, a psychiatric hospital requires safety guards to provide security for the whole facility. It is also vital to make them understand the expected stages during the implementation of the change. They should know the process, the needed resources, and the departments involved in completing the task. Regular communication should accompany the activity to ease the process and minimize resistance from participating parties.
Communicating the Research to Peers
The best way of communicating the research project to peers is through a presentation since this would give a clear picture of how the problem has been identified, the need for a solution, and problem-solving methods. One should communicate through the possible means, ensuring every individual is engaged in the movement. The process of introducing the guards should be made known to everyone working in the facility, and clear communication of how it would be done should also be put in place. Regular departmental meetings create awareness of the whole procedure, and when everyone feels involved, a successful change is likely implemented.
Conclusion
Mental issues are delicate, and if left untreated, they may result in suicide, endanger other people’s lives, or cause the loss of valuables. Violence and aggressive behaviors are common symptoms demonstrated by psychogenic victims, thus stipulating the need for security within the premises. Therefore, evidence-based change and Lewin’s Theory are crucial in achieving this transformation.
The nursing leadership must ensure that their workers are well protected and facilitated with all equipment needed to attend to the patients in a facility. Security checks are essential and, therefore, should be prioritized to speed up the healing process of the sufferers. Keeping clients’ information safe and confidential is ethical, whether in hard or soft copy. Health workers in these facilities should be provided with care and maximum safety to offer a safe environment as they nurse psychiatric patients.
References
Freeman, D., Sheaves, B., Waite, F., Harvey, A. G., & Harrison, P. J. (2020). Sleep disturbance and psychiatric disorders. The Lancet Psychiatry, 7(7), 628-637. Web.
Galura, S. (2020). On the frontlines of nursing leadership:Managerial dissonance and the implications for nurse managers and health care organizations. Nurse Leader, 18(5), 476-480. Web.
González‐García, A., Pinto‐Carral, A., Pérez‐González, S., & Marqués‐Sánchez, P. (2021). Nurse managers’ competencies: A scoping review. Journal of Nursing Management, 29(6), 1410-1419. Web.
Kim, J., Jordan, S. S., Franklin, C., & Froerer, A. (2019). Is solution-focused brief therapy evidence-based? An update 10 years later. Families in Society, 100(2), 127-138. Web.
Saleem, S., Sehar, S., Afzal, M., Jamil, A., & Gilani, S. A. (2019). Accreditation: Application of kurt lewin’s theory on private health care organizationanl change. Saudi Journal of Nursing and Health Care, 2, 12. Web.
Sarawad, S. S. (2023). Evidence-based practice in nursing-a review. International Journal of Nursing Education and Research, 11(1), 82-84. Web.
Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. Web.