Interpretation in the healthcare sector has been the focus that has shed light on the complex role of a healthcare interpreter. My roles as a health care interpreter are divided into the four conventional roles of healthcare interpretation that are to act as a conduit, manager of cross cultural/cross language mediated encounters within my institution, incremental intervention and being part of the cultural-linguistic community. As a conduit, the basic role is to ensure that the proper transmission of the message based on culturally appropriate equivalencies of concepts based on the knowledge of the cultural context and patient background including the medical culture. As a manager of cross cultural/cross language mediated encounters is to facilitate the process of communication between two parties that speak different languages to actualize the goal of the meeting for the well-being of the patient.  This involves the active assistance of the parties when required to overcome communication barriers contained cultures, class, religion, and other sociological differences.

Moreover, in incremental intervention, the role is promoting understanding and communication between parties within the healthcare setting that communicate in different languages. The main objective is to make the communication clear that is attained through the provision of linguistic clarity, cultural brokering, and limited advocacy. This is done while respecting the participants’ goals and the community hence the context of the institution should is considered including the cultural and political context of the community of the patient. Other interventions shall also be provided by the interpreter as needed.  Finally, as being part of the cultural-linguistic community, the roles are considered to be enacted in a web of social relations hence the roles are embedded with the interpreter, the patient, the interpreter-patient relationship, and the historical and political context.

 

 

Stage 1. (LO1 AC 1.1 develop a set of own responsibilities)

My Responsibilities as a Nurse Practitioner)
Supervise and monitor the children’s safety.
Assist the children in maintaining proper hygiene
Meal preparation and the organization of the times for taking meals and snacks for the children
Maintain the proper records of the progress of children, their daily routines, and interests
Change the infants and toddlers’ diapers
Scheduling and routines development to ensure sufficient physical activity, playtime, and rest for the children
Organization of activities and/or implementation of curriculum that allow children to about the world and explore interests
Watch signs for possible emotional or developmental problems among the children and inform the parents
Provide a safe and stimulating environment for the children through various creative ad productive activities.
Gain an understanding of the perspective of children and the relationships formed between the children, their families, and workers
Deliver the EYFS effectively to ensure that the interests and individual needs of the children are met within the setting
Support all the staff in the nursery care and engage in proper staff team work.
To develop and maintain strong partnerships and communication with parents/careers to facilitate day-to-day caring and early learning needs.
Provide a high-quality environment that meets the needs of individual children that takes into consideration any disabilities, family cultures, and medical histories.
To advise the manager/deputy manager of any concerns regarding the child
Working alongside the manager and staff team to ensure that the institution’s philosophy  is fulfilled
Reading, understanding and adhering to all policies and procedures relevant to the role and the safe running of the institution.
Developing my role within the institution’s team, especially with regard to being an important person
Ensure full confidentiality of all information related to the children, their families or other staff acquired as part of the job.
Supporting nursery assistants, students, and volunteers

 

Task 2: Report on Problem Solving within a Team

 Safety in Maternity and Gynecology and Services of Children and Young People

Introduction

            One of the main problems identified in the trust is a lack of safety in the maternity and gynecological services and also those services provided to children and young people. The findings reveal that the emergency department had environments that acted as ligature points hence risk to the safety of any patient in the institution. In addition, the institution contravened the Royal College of Pediatrics and Child Health guidance requirements that made it mandatory for such health establishments should have secure pediatric areas that are absent in the children’s department posing a significant risk to the patients. Furthermore, there is negligence by the staff in following the required trust policy for patients receiving support from Child and Adolescent Mental Health Services and/or social services.

Moreover, maternity incidents were high at the trust that presented an insufficient in-depth analysis or learning hence practical improvements could not be gauged; therefore, there is no system for assessing, monitoring, and mitigating health, safety, and welfare of the patients. Further findings show that the observations made by the pediatric early warning score (PEWS) tool were incomplete hence posing a risk to the children in regards to treatment. Finally, the pediatric unit’s nurse staffing arrangement was insufficient to meet the trust’s demand meaning all the children’s needs were not fully met. This, therefore, means that the trust requires significant improvements to promote safety in maternity and gynecology and services of children and young people.

 

 

Developing Strategies for Problems Solving

            To deal with the problem of safety in the two departments of the institution, the stages that are part of the strategies of decision making were engaged in the first being the definition of the problem. In this case, it involved defining the problem of poor levels of safety in maternity and gynecology and services of children and young people. This was done the review by reviewing and documenting the current problems as highlighted above and the existing systems and how they operate and the evaluation of the impact of these problems on the institution. This was followed by a discussion and brainstorming session where alternative solutions and ideas were generated by the group members. This was done exhaustively to ensure as many alternative solutions to the safety problems as possible were suggested during this stage. Finally, after generation of multiple possible solutions, each solution was evaluated and alternatives selected to solve the safety problem without causing other problems and are per the safety requirements.

From the stages discussed above, the DRIVE model of problem-solving was used by the group. DRIVE is where D is defined that is defining the problem; R is review that is reviewing the current status of the problem, understanding is background, and collecting any relevant information; I identify that is identifying any solutions to the current problem; V is verified that is the solutions will be effective; and E is for executing that is implementation of the selected solution.

To improve safety the following strategies should be employed that is the staffing levels should be increased to ensure that there are sufficient members of staff in the institution to attend to the patients in the departments in focus. This will ensure that all processes are completed, and patients sufficiently attended to. Moreover, ensuring the full implementation of policies and following of guidelines of treatment and reporting when complications occur to ensure that these are dealt with in a timely manner. Furthermore, and one of the key elements is staff training where the staff should engage in continuous education, and the institution should train its staff to ensure that they are well trained and have the know how to handle such patients hence eliminate risks. In addition, to eliminate risk, there should be effective teamwork and communication among the staff that will ensure seamless operations and provision of quality care.

Finally, data collection and audit where all the data about a particular patient should be constantly and completely collected and audited to ensure the provision of the most appropriate care. By employing these strategies the staff and treatment processes and procedures will be all geared towards ensuring the healing and health of the patient and reduce any inherent risks associated with the patient’s condition.

The Dynamics of Working with Others

            From the behavior of the group members, Tuckman’s model could best explain the dynamics of working with others. The model comprises of four stages these are first the forming stage and this where the entire group members came together for the first time and attempted to understand each other. They familiarized themselves with one another to understand what roles and responsibilities the group has and the importance of achieving the set goals. Second is the norming stage and here the norms and rules of the group are set out as some form of understanding has been generated. In the group, tasks were allocated and the group norms established with unanimity. The third is the storming stage that was during the discussions that at times were heated with people having strong opinions and hard stances while some became passive. However, despite the arguments and heated discussions ideas were shared as is characteristic in this stage. Finally, is the performing stage where people completed their allocated tasks as discussed during the earlier stages.

In regards to the roles played by the group members, the Beiblim Team theory is effective in its explanation. According to the theory, individuals have nine roles that can be segregated into three. That is the action-oriented role that was played by the group leader who motivated and encouraged the other group members to complete the tasks and once completed he corrected the areas that needed correcting. The other role is the people-oriented role this was played by all the group members as they acted as a team and even did research together apart from the point where the group was in the storming stage. Finally is the thought-oriented role that was also played by all members as they all engaged in discussion to develop the most appropriate strategies for dealing with the existing problem.

Conclusion

From the study above, the roles and responsibilities of an interpreter and nursery practitioner are clear. Moreover, it is evident that safety in maternity and gynecology and services of children and young people is poor. However, increasing the number of staff, staff training, teamwork, and communication, taking appropriate measures during complications, and collecting and auditing all the data can improve the safety. Proper problem-solving procedures, tools (DRIVE), and strategies are vital for improving the trust’s safety. Teamwork is key in such a case and the stages as contained in Tuckman’s model are all part of the teamwork and promotes knowledge and growth and achievement of the team goals.

Recommendations

            To solve the problems more effectively and addition decision-making tool can be employed such as the DECIDE model, in addition, to the problem solving to (DRIVE model). In addition, the proper motivation and encouragement of staff either in monetary and non-monetary terms could be effective in helping promote safety. Finally, dealing with workers burnout can also be an approach of minimization of risk.