Critical Discussion Of Management And Leadership Within The Quality Care For Mrs Patel
This paper will be discussing the nurse’s role in the delivery and monitoring of quality care for Mrs Patel using a problem solving approach. It will contain a critical discussion of leadership and management theories and the significance of relevant government policies and documents. Inter-professional working will also be discussed as well as communication and evidence based practice. For the purpose of this assignment, the main theories that will be focused on are Lewin’s 3-stage model of change, Laissez faire, and transformational leadership.

According to the case study given, Mr Patel had complained that his mother had been losing weight since she had been admitted into the ward. According to Hallstrom et al (2000), 50 percent of hospital patients have pre-existing malnutrition that is worsened by hospitalisation. Hallstrom et al also state that malnutrition is a substantial factor, which contributes to delayed discharge. It can be seen that nutrition is an issue within nursing care as the department of Health (DOH 2001) have published 10 benchmarks within ‘The Essence of Care’ concerning nutrition in order for best practice and quality of care to take place. These include screening and assessment to identify patient’s nutritional needs, monitoring, and eating to promote health. Bailey (2006) also suggests that patients who have just been admitted should be nutritionally assessed and weighed so that any weight changes can be noted and any nutritional problems rectified. This screening process should have taken place when Mrs Patel was admitted onto the ward. Bailey (2005) insists that the nutritional requirements of a patient are met through the nurse and the nurse should implement screening and ensure that nutrition is maintained for the patient, although Bailey (2005) also suggests that poor staffing levels is the reason for nutritional screening not taking place....