Developing autonomous practise in mental health nursing Essay

Developing autonomous practise in mental health nursing - Essay Example In addition, I will explore the therapeutic efficacy of the current clinical environment or the services provided to service user and also discuss the appropriate alternative service options available to the service user by analysing the pros and cons of the alternatives to the user. George, 41 year old Irish man, had been diagnosed with schizophrenia and past depression. His first contact with mental health services was when his mother expressed concerns about him having the potential to harm someone. He was born by vacuum extraction and unlike other normal children he had experienced retarded mental health development accompanied with slow speech. At 6 years of age, he was admitted to a special needs school in London for two years. Joining at mainstream school, he was bullied and had difficulties in forming friendships with other children. At age 15, he was expelled from the school for fighting with other children in the school and since then he never turned back to school. At the age of 25, he started working with his father but again he was unable to build cordial relationships due to his aggressive behaviour. He began to consume drugs and alcohol that further acted as a source of conflict between the father and the son that often culminated in a physical al tercation. As a result of this event, he had to leave his family house. During the assessment, George describes that he hears a voice inside his head that others do not telling him to harm other people. It was reported that similar voice provoked him to harm local councillor and a person who worked in his borough housing department. On his observation by psychiatric doctor, it was reported that George’s presentation was unusual and believed he did experience regular psychotic symptoms. It was reported that he was suffering from schizophrenia disorder with the risk of violent and

Total Quality Management Case Study (Welz Business Machines) Essay

Total Quality Management Case Study (Welz Business Machines) - Essay Example Welz Business Machines collected data for a 2 week period in order to know why some customers have to wait. Through this process data was collected on all the four reasons given above for customers having to wait. According to the information collected by the characters mentioned in the case the primary reason of the problem being faced by the company is short-staffed operators. The next two causes being receiving party not being present and operator not being able to understand the problem of the customer. Customer being dominant in the conversation and some other causes has also been mentioned in the case. The analysis is shown below with the help of a Pareto analysis and cause and effect diagram. Pareto analysis is a technique which can be used to prioritize the different types or sources of a problem. It can be used to identify the reasons for majority of the problem being caused. It uses the Pareto principal – 80% of the problems are caused by 20% of the causes. (Pyzdek, 2003).The Pareto analysis of the case is shown below – We can see from the above analysis that 90% of the problems are being caused by three reasons – operator short staff(51%) ,Receiving party not present(22%) and lack of operator understanding(18%).These are the areas to focus on. It is also known as the fishbone diagram or the Ishikawa diagram, named after the Japanese quality expert who made it famous. (Dale, 2007) It is basically a graphical representation of an outline that presents a chain of cause and effects. (Ishikawa & Loftus), 1990). With the analysis of the case given, various causes have been analysed because of which problems occur leading to the inability to answer customer calls effectively. These have been shown above in the form of a fish bone diagram. As we can see from the Pareto analysis done above; shortage of staff is the root cause of the problem and accounts for 51% of the causes. Increasing the