Restructuring even a fraction of an organization is no easy task; but, with the influx of advancements in the systems of health care delivery, this has posed a great challenge to all nursing service administrators to initiate reforms in their organization. This has created an inevitable change to keep up with the new developments and the need to adapt to these changes. But accompanying this growth is the predicament on whether or not these health care services are made available to all and affordable to the less privileged.
Being the Director of Nursing Services does not give you the full governance of the organization to make final decisions; thus, posing a degree of difficulty when instituting organizational reforms to accommodate the needs for change at the same time making it accessible to all clients. Presuming I have been afforded the chance to become Director of Nursing Service, it all comes down first to assessment – of the situation or pressing concerns of the organization that directly affect the delivery of health services. Scheduling a regular meeting can be an avenue for the staff to raise their concerns/issues and suggestions. Likewise, during this period, the factors that have an effect on the problem can be identified as well. This is also the best time to discuss possible programs on health promotion that can be incorporated in the plan of care for every client who comes to the facility.
The cost of health care has increased along with every development; in consequence, the difficulty of access to appropriate care among the poor has increased as well. As a leader of the nursing services, it would be of aid if the organization can launch programs on health promotion and tap partnership with the local health units and other health organizations. Every program entails the need for resources, and the involvement of the