|You can read about Willard Shaw here!|
He demonstrates how well Home Care
and healthcare can work.
What will it take for us to achieve a new, dynamic wholeness in the healthcare system?
I believe that technology puts us at great risks with errors, but no more so than ignorance, stupidity, or lack of action on the part of Primary Care staff has done presently, or in previous eras.
They claim presenteeism can be a danger, which is, of course, true. The question: how pervasive is it? Yes, mistakes are made, but they are not the norm.
What I believe it will take for the healthcare system to become "whole, dynamic and to respond more to the needs of patients and families", is for front line staff, Primary Care, to respond by working better within the system. They must learn to work well with those who provide care. They must be collegial, accountable, to admit errors and correct them, and to improve the ways in which they care for patients.
The excellent physicians work well with nurse practitioners (NP), the NPs work well with RNs, RPNs work well with the real front-line workers, the personal support workers (PSW) who do the practical work for patients. It has taken 30 years for midwives to become more common, although they are not fully accepted. It will take NPs many years to become accepted by physicians. I don't think we will ever have nurses respected by physicians.
I have long responded to claims that the 'healthcare system is broken', with the conclusion that the system works. There are millions in Canada who receive excellent care. Most of my hospice clients die a peaceful death. Most of my clients have their pain managed, their cases dealt with adequately, if not well, by harried, overworked staff at all levels of the hierarchy. For healthcare to be successful, it must be safe, effective, patient-centred, timely, efficient, and equitable.
What will it take to build a system that is cohesive, flexible, interconnected, cost-effective, orderly and that values the patient voice?
I think we need to ensure that all staff are well-trained, but also receiving in-service, professional development. Keeping on top of evidence-based practices, and looking after patients, and family members, in a client-driven, holistic model is key. Much research has been done in the name of improvements to front-line healthcare, but many in Primary Care ignore much of it, as well.
Physicians must recognize when they need to retire. I've seen too much harm done by those doing a good job badly. Nurses must be able to be the check and balance that doctors need, as they run from patient to patient.
The differences between RPNs, RNs, and NPs, is not well grasped by we civilians. Sometimes, nurses do not understand the complex chronic conditions patients must face. Nurses need to know what they know and what they do not know.