The Garling Report, medico-legal expert
So as to provide quality care for the patient, giving efficient care is essential. Most important is putting into consideration the factors that affect patient care. A medico-legal expert, Peter Garling found that regardless of the NSW health receiving twenty-seven percent of the state's budget, there was non-performance between departmental bureaucrats, hospital management and clinicians.
There was so much evidence of bullying, rigid demarcation and work practices that were based on the culture of hierarchy. Moreover, there are fatal errors due to the unsophisticated patient monitoring when it comes to medication. This called for an urgent IT upgrade in the entire health system. Mr Garling took time and came up with the report that has 139 reforms. By highlighting the implications of the Garling report of 2008, it enables to realize the problems that are related to health care system and to have good understanding and abilities to intervene with the problems. Moreover, there are various issues posing as threats to the mental health that need to be looked into. In this paper, the main findings and recommendations highlighted by the Garling report will be discussed and also I will explore the nursing and workforce issues. In addition, abuse of drugs and alcohol and inadequate resources will be discussed, and recommendation for a new registered nurse identified.
The New South Wales public hospitals according to the Garling Report are placed as among the best health care systems globally. There are well trained, dedicated and skilled nurses, clinical staffs and doctors.
[...] Additionally, seeking advice and help from available staffs who can be an educator or experienced staffs are important to provide patient safety and to deliver quality patient care. For respect and encourage each other, the quality of working environment, and productivity will be improved. References GARLING, P. (2008). Special Commission of Inquiry into Acute Care Services in New South Wales Public Hospitals Inquiry into the circumstances of the appointment of Graeme Reeves by the former Southern Area Health Service. Sydney, N.S.W., NSW Dept. of Premier and Cabinet. [...]
[...] Besides, Dixon (1999) indicates that greater risk of alcohol and drug abuse is associated with male gender, young age, and lower educational attainment. Furthermore, young people who abuse drug and alcohol are likely to reinforce the occurrence of mental illnesses (Dixon, 1999; Lacruz and Lacruz, 2010). Saxena et al (2007) describe that social, financial and human resources will be significantly needed in order to access adequately to humane and effective treatment for mental illness victims. Besides, national productivity and individual quality of life can be affected by under-resource associated with mental health care system (Saxena et al, 2007). [...]
[...] (2005). Your care is important to us, but. Australian Nursing Journal: ANJ, The 16-19. Saxena, S., & Sharan, P. (2008). Mental health resources and services. International Encyclopedia of Public Health, 418-430. Cornwell, A., & Cornwell, V. (1993). Drugs, alcohol, and mental health. Cambridge ; New York, Cambridge University Press. National Institute On Drug Abuse, & National Clearinghouse For Alcohol And Drug Information (U.S.). [...]
[...] Notably, hospitals face with understaffing, which lead to increasing the intensity of nursing work and overtime, and becoming burnt out and stressed (Garling Report, 2008). In addition, “skill indicates that nursing becomes too junior, but senior nurses have not enough time to supervise junior nurses (Garling Report, 2008). Accordingly, insufficient times for patient care and for staff lead to job disappointment and dissatisfaction so that a number of senior nurses leave a job (Garling Report, 2008). In order to solve those problems, some enterprising managers can overcome through a motivation to employ all levels of nurses such as endorsed enrolled nurses, trainee enrolled nurses, assistant-in-nursing and nurse practitioners (Garling Report, 2008). [...]
[...] http://www.dpc.nsw.gov.au/publications/news/stories/special_commission_of_in quiry_into_acute_care_services_in_new_south_wales_public_hospitals Thobaben M. (1999). Dual disorders: clients suffering from psychiatric disorders and alcohol or drug abuse disorders. Home Care Provider 52-53. Saxena Thornicroft Knapp & Whiteford H. (2007). Resources for mental health: scarcity, inequity, and inefficiency. Lancet 878- 889. Levy, M. S., & Mann, D. W. (1988). [...]
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