Question

You are required to use "Person-Machine system" to answer the following question: You are going to set up a new elderly home. The new elderly home will have 200 beds and provide non-stop intensive care to the elders who live in the elderly home. How could you design the elderly home and assign the duty roster for your staff in order to enhance the work efficiency? Concrete examples should be needed to explain your knowledge application.

Answer 1

Designing lederly home and staff duty roster need to be designed effecicitly. collaboration of nursing staff with other staffs, high identification, proper work process and workspace ensure patient safety and efficiency, especially for elders. Person machine system design will work better using objective as possible. it includes person, source and technique and environment. Nurse duty roster for 200beds elderly home nursing staff have worked should be for 8 hours.it can be extended with compensation. In intensive care unit it needed on-call regularly scheduled shift. patient care unit should be grouped by elderly people age group, diagnosis, critical clinical condition, etc. The patient unit, nurse unit with core species and hall way designs with storage room for equipment, patient room with privacy and more supplies materials, technology for the procedure, medication administration, and monitoring to provide immediate emergency attention for their critical needs. open ward system improves staff observation for patients and enhances the nurse-patient relationship. But the patient may lose their privacy. the work design includes all resources ane elements, nature of environment and tasks to perform. Example Physical environment should be spacious, well ventilated with lighting, less harm., less disturbance, and interruption. Organizational culture and condition should include staff communication but it should not disturb the patient with their talk. work design should include all this. principles of work design should identify the errors and make efforts to eliminate errors.
Using technology for expected benefit will improve elderly homes' workflow.
Example: Bar code technology for medication administration and it prevents the patient from misidentification and possible errors. avoid the new technology that cause errors, new demands, complicate the work process. provide ongoing monitoring, feedback, and redesign for effective change in the work process. interprofessional team collaboration, nurse relationship, and available resources reduce the errors and enhance the effective work process. home hygiene and medication administration and patient safety resources as initiative and following law, policies and procedures, principles and strategy for safety reduce errors and malpractice among elderly homes in the intensive care unit and it nursing working roster should reduce the nurses work burden and associated risk.