Nursing Implementation – Health System Example

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"Nursing Implementation" is a wonderful example of a paper on the health system. Positive interaction is an interpersonal situation which is reflected through the actions of being kind, caring, respectful, and trustworthy between the persons. In the health field, positive interaction between health practitioners and patients has been proposed as the solution to the challenges that concern the two parties.                       Positive interaction can be implemented by holding an interview between health practitioners and patients. This involves tasks like collection of information on the true nature of the problem and promoting a therapeutic relationship (Lipkin et al. , 2006).

These functions are integrated into that a patient who trusts his practitioner gives relevant and quality information that is necessary for both of them. The interview also includes some structural elements such as detecting and overcoming communication barriers, the establishment of the patient’ s life context, and the establishment of a safety net with the patient. Proper use of these elements, gives the patient a feeling that they are respected, cared for, held with regard, and this results in self-disclosure. Practitioners should ensure that there is a continuity which promotes trust and advocacy with the patients (McKinley & Roberts, 2001).

It is also important to encourage the patients to explain their own illness as well as letting them participate in making the treatment plan.                       In order to achieve effective positive interaction between a patient and a practitioner, resources have to be input in the process. There should be enough practitioner staff covering in the hospital to create security for the patients. This enables timely and effective service delivery thus making the patients feel important. Computerized systems enable efficiency in attending to the patients and thus promoting the relationship between patients and practitioners.

Educational detailing is very crucial in enabling practitioners to learn further on how to enhance their relationships with the patients. The patients should also be taught how to ask questions, have a positive attitude to care, discuss feelings, and to negotiate on payments. A culture centered on the patient should be promoted as well as protecting the patient’ s confidentiality.                       Quality health care is the overall achievement in the whole process of a positive doctor-patient relationship.

The role of the practitioners, administrators, and even the patients is indispensable in monitoring a positive interaction. The health practitioner should follow certain principles to retain professional values as well as the trust of the public in practitioners – patient relationships. First, there should be an effort to control the attitude of the practitioners as well as that of the patient. Secondly, the practitioners should be observed closely as they attend to the patients especially when breaking bad news or in disagreement. The practitioners should also ensure that patient care is not compromised and their interests should not surpass those of the patients.

Finally, the administrators should exercise their stewardship role by ensuring that compassion, competence, and individualized caretake the front-line (Wensing et al. , 2006)                       The planned change theory advocates for knowledge-based transfer ideas by putting into action a series of planned actions. In this case, according to this theory, the health p practitioners value interactive decision making in which the patient participates in making the treatment plan, a collaborative mechanism supported by Shaw et al. (2005). It is hard to reason with patients but the practitioners try all means to curb the resistance.

Once the patient and the practitioner agree, a good relationship is achieved.                       An effort to achieve a positive interaction between the patient and the practitioner is a feasible idea since it is the way to a good practitioner-patient relationship. An effective relationship leads to quality health care and satisfaction for both patients and health practitioners.


Lipkin, M., Putnam, S.& Lazare, A.(2005). The Medical Interview: Clinical Care,Education, and Research. New York, NY: Springer-Verlag.

McKinley RK and Roberts C. (2001). Patient satisfaction with out of hours primary medical care. Qual Health Care, 10:23-8.

Shaw, B, Cheater, F,& Gillies, C. (2005).Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. The Cochrane Database of Systematic Reviews, 33 (9): 119-130.

Wensing, M., Wollersheim, H,& Grol, R. (2006).Organizational interventions to implement improvements in patient care: a structured review of reviews. Implementation Science, 21 (3):1-2.

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