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Question 1: New nurses to palliative care who may not be adequately prepared and its impact

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In terms of managing palliative care for patients, nursing staff are required to be prepared with the management of specific skills and activities. This factor includes the use of communication skills in terms of maintaining discussion with the patients along with setting care goals in order to discuss realistic objectives and the process of achieving those while providing a proper care system for the palliative patients (Oncnursingnews, 2023). In addition, providing physical and emotional comfort while maintaining critical care of patients are part of the nursing staff duty while preparing for dealing with deaths in the case of palliative care (Masso et al. 2022). As per the statement of Sandham et al. (2022), it can be stated that nursing staff who are experienced in palliative care are considered components in any type of palliative care system alongside not facing distress while dealing with dying patients. Apart from this, nursing staff with the absence of palliative care training in recent years are considered to face high moral distress while working with palliative patient care due to the lack of educational aspects of inadequate care processes and its adverse impact on their personal and professional lives (Zhang et al. 2022). This also affects the involved nursing staff's psychological health while damaging their well-being. Approximately 38% of nursing staff who do not have proper palliative care education and training are facing psychological damages alongside issues in their personal lives (Ncbi.nlm.nih.gov, 2023b). Therefore, it could be stated that existing working experience of nursing staff in a palliative care system helps them to deal with patients as well as their personal and professional lives without affecting their psychological well-being.

Coping strategies that a nurse may use to manage their grief

In the following situation, the coping strategies for nursing staff are as follows -

The use of proactive coping strategies that involve actions based on the achievement of self-confidence (Baudoin et al. 2022) as well as controlling situation and emotions while dealing with palliative care patients. This strategy is based on the use of a stress managing strategic plan that reflects the effort by nurses to build up resources while facilitating promotion of challenging goals and personal growth (Fernández?Basanta et al. 2022). This strategy also defines the characteristics of the involved person in the form of being motivated to meet challenges. In the case of nursing staff involving palliative care, they are facing severe traumatic stress while providing end of life care (Shi et al. 2022) and affecting their personal and professional lives. However, the use of this specific strategic plan mostly focuses on the planning and preparation in order to provide care processes for the palliative patients and are considered impactful at preventing traumatic stress in the case of end-of-life care system (Chen et al. 2023).

On the other hand, self-based care and coping strategies consist of self-protection as well as self-awareness activities regarding particular situations to improve nursing situations while dealing with end-of-life care systems. This strategy helps nursing staff to manage their stress, improves the ability to demonstrate compassion and empathy alongside reducing the chance of depression among nurses (Nursingprocess.org, 2023).

Question 2 : Using person-centred care by WSNH staff to guide their practice

In the case of person-centred medical homes in Australia, common practices and shared visions are implied as the part of end-of-life care to begin the transitional steps (Wentwest.com.au, 2023). This step is followed by the implementation of person-centred medical care in the nursing home with the aim of managing leadership as well as pace of transformation (Health.vic.gov.au, 2023) alongside support and training process. Leadership helps in managing nursing practices in terms of observing the facilitation of team management among nursing staff along with providence of time and effort to provide a successful end of life care system (Richter et al. 2022). On the other hand, the use of person-centred medical care for patients requires the implementation of information technological support in order to receive and record feedback with the aim of improving activities. This step is followed by the use of a person-centred care system to highlight the need of nursing staff and the requirement of training to improve the overall care system in the same area (Kong et al. 2022). For example, the use of person-centred care in the aged care process refers to the understanding of history, lifestyle, culture alongside treating with dignity and respect for the patients dealing with dementia. Person-centred care has been implied for 69 care homes in the UK which successfully reduced agitation among dementia patients as well as improving their wellbeing by reducing their hospital visits (Ncbi.nlm.nih.gov, 2023a).

This also includes a nurse driven model of care by improving communication of nursing staff along with the management of challenging situations regarding the recruitment of proper nursing staff and their retention in the case of end-of-life care system (Baudoin et al. 2022). On the other hand, the outcome attributes from the management of patient centred medical care refer to the improvement of health along with enhancing the patient and care providers satisfaction as well as cost efficiency regarding health system (Nursingprocess.org, 2023). For the nursing staff, it also helps in improving job satisfaction as well as staff upskilling, multitasking and career progression. Therefore, it could be stated that person-centred care has been used in the case of WNHS staff in order to guide their practices in the healthcare system.

Importance of person-centred care in an aged care context

Person-centred care is considered a high priority in aged care as it involves seeking out and understanding the important aspect of patients and their families as well as careless and supporting aged people while fostering trust and establishing mutual respect while providing care processes (Backman et al. 2022). It also promotes the continuation of self and normality and minimising the risk of harmful treatment to the aged recipients of health and social care. In case of addressing Australian aged care providers, approximately 94% of aged patients reported to be accessing the patients-centred care process alongside asking for their treatment goals and experience for 62% (Bmchealthservres.biomedcentral, 2023). This justifies the involvement of patient-centred care among older people while including patient's care preference, enabling them to determine their level of involvement in managing their overall health.

While addressing the WSNH residence in terms of providing person-centred care for the palliative residence, this type of care striving to provide the whole person visible as well as Paradise this satisfaction of spiritual social around side psychological requirements at the same extent as their physical needs and improve the relationship between the recipients and providers (Ncbi.nlm.nih.gov, 2023a).

Besides, for the aged care people with serious illness, the person-centred care process associates them to offer the best chance of maintaining the highest possible quality of life (Pubmed.ncbi.nlm.nih.gov, 2023) for the longest time and facilitating the maximum possible functioning.

Question 3 : Multi-disciplinary staff collaborate at WSNH and the process of working together to ensure high-quality care

At the WSNH the multi-disciplinary collaboration helps in enabling professional from different backgrounds in order to communicate better with each other (Bates et al. 2023), roles, responsibilities as well as resources in order to improve the patients care system. The primary advantage of using this collaborative approach is enabling patients to receive coordinated support as well as care approaches from white range of specialists which contribute to the wellbeing of the patient. The delivery of palliative care imposes different dimensions of care process including expert assessment, management of diagnosis and pharmacological and nonpharmacological strategic plan and delivery of care to the patients and their careers including financial assistance providing practical aids, counselling and ongoing emotional support (Bmj, 2023). These are considered the role of a multidisciplinary team in WSNH with the aim of providing a proper care process for the patients who are suffering from chronic illness. This also helps in providing responsive care along with preferential team performance and treatment process along with maintaining a network with higher authority and communicating with patients (Ncbi.nlm.nih.gov, 2023b). On the other hand, the multidisciplinary team involves taking care of vulnerable populations while assessing characteristics sign for grief and loss are considered significant steps. This impacts the staff by improving their overall communication skills alongside active listening skills with the aim of providing a non-judgemental environment for the patients in the palliative care system (Merker et al. 2023).

Role of collaboration and teamwork in providing care to the palliative residents of WSNH

At the end of the life care system, nursing interventions while collaborating with multidisciplinary teams improve eliciting a patient's objectives for the care system alongside communicating with patients while assisting the interdisciplinary team members to advocate the patient's wishes (Bmj, 2023). However, managing grief is another significant step for staff at the end-of-life care system including acknowledging loss as well as the minimising avoidance activities and controlling emotions while intervening palliative patients. The value of palliative care of patients in the nursing care home is managed with the aim of improving the overall outcome for palliative residence while improving their quality of life and continuing their end-of-life care system (Theaccessgroup, 2023). Apart from that, as the structure and process of the palliative care system includes team work along with staff, data informed practices as well as the management of external stakeholders' communication, it also ignites the benefits of person-centred care for palliative patients with the management of their present health condition and providing comfort (Castro-Kemp & Samuels, 2022). The team of WHNS involves nursing staff, social workers, physiotherapist, pastoral carer along with volunteers and experts in order to ensure the providence of palliative care to support the patients and each of the team members in order to provide the patients with maximum care facilities.

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