Assignment: Developing Organizational Policies And Practices on Nursing Shortage

Assignment: Developing Organizational Policies And Practices on Nursing Shortage

Walden University Assignment: Developing Organizational Policies And Practices on Nursing Shortage– Step-By-Step Guide

 

This guide will demonstrate how to complete the Walden University  Assignment: Developing Organizational Policies And Practices on Nursing Shortage  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

 

How to Research and Prepare for Assignment: Developing Organizational Policies And Practices on Nursing Shortage  

 

Whether one passes or fails an academic assignment such as the Walden University  Assignment: Developing Organizational Policies And Practices on Nursing Shortage depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

 

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

 

How to Write the Introduction for  Assignment: Developing Organizational Policies And Practices on Nursing Shortage   

 

The introduction for the Walden University  Assignment: Developing Organizational Policies And Practices on Nursing Shortage is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

 

How to Write the Body for  Assignment: Developing Organizational Policies And Practices on Nursing Shortage   

 

After the introduction, move into the main part of the  Assignment: Developing Organizational Policies And Practices on Nursing Shortage  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

 

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

 

How to Write the Conclusion for  Assignment: Developing Organizational Policies And Practices on Nursing Shortage   

 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

 

How to Format the References List for  Assignment: Developing Organizational Policies And Practices on Nursing Shortage  

 

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for Assignment: Developing Organizational Policies And Practices on Nursing Shortage

As nurses we’re faced with ethical dilemmas daily. We must not confuse ethics and the actual laws surrounding this profession. Although ethics and the law are very similar and paths overlap, they are not the same. Ethical dilemmas occur quite frequently in the healthcare field, which makes healthcare professionals more aware of how to respond to such events. Ethical issues put all healthcare professionals in the mindset of doing what is best for the patient. A national healthcare issue that is currently on a higher trend seems to be the nursing shortage in the work field. Overwhelming patient assignments ultimately lead to disgruntled staff affecting the overall working environment. The shortage in nursing many organizations are facing seem to have multiple effects on quality improvement or indicators such as customer service scores, increased amount of workloads and a decrease in the quality of care rendered (Buerhaus, Skinner, Auerbach, & Staiger, 2017).

As safety is the number one goal inpatient care, polices over time have been revamped to ensure safer working environments for the shortage of nurses ultimately reducing medication errors as well as nurse burnout. Moreover, whereas patient needs dictate that hospitals shpuld hire more nurses, the financial performances of these hospitals is also a factor. Thus, nurisng shorateg is being affected by the need to provide quality healtt care services vis-à-vis the need to maintain heallty financial performances by health care facilities. Evidence suggests that hospitals have chosen the latter need hence the existence of nursing shortage.

Policies and Practices to Address Nursing Shortage

At a leadership level, leaders must find the common balance to retain nurses by any means necessary while also understanding the demands placed on staff with unbearable patient acuities. Finding such balances demand strict policies to be put in place even if they are state-regulated. Within my organizations, we have strict policies for the different levels of care to determine the patient/nurse ratio (Abhicharttibutra et al., 2017). With the higher demands of needs for the care the patient may require they are put on different units, which also sets the bar for the nurse-patient ratio. A patient at a medical-surgical level of care does not and may not require the same care as a patient at an intensive care unit.

For each level, there are guidelines our hospital follows, which will tell providers, managers, and patient flow coordinators the needs of the patient and the appropriate floors. This is done to ensure the acuity levels are not too intense for that unit, especially for the nurse-patient ratio on that unit. Along with setting limits regarding the units and patient level of care, there are also patient acuity tools utilized. Patient acuity tools have been proven useful with the formulation of proper nurse to patient ratios as well dispersing workloads. The purposes for nursing tools as such “increase nurse satisfaction with their patient assignment.”

Composing policies is done at many organizations and is forever changing. With established policies, the healthcare field is able to have standards in place to protect staff. Furrther, by enforcing these policies, nurses are protected from things such as assuming care of patients in what may be unsafe working environments. The American Nurses Association (ANA) is the safeguard for nurses and guides the policymakers within organizations for safe conditions. According to the ANA, federal regulations have been in placed to support nursing staff for safer working environments implying that facilities have an adequate amount of staff for patient care. The goal of policies and laws as such are necessary for the ensuring safety of the patient as well as safe workloads (Ferrer et al., 2014).

Currently, there are a few states with staffing laws which is remarkable because by law that nurse is protected. The main strengths of staffing laws are that they help in enhancing the number of nurses employed annually in the healthcare sector, hence reducing patient-nurse ration in addition to protecting the rights of nurses for better healthcare (Yang, Hung, & Chen, 2015). However, the main obstacle towards this policy is that some states have failed to implement staffing laws, which makes it very hard to track down the hiring frequency and the total number of nurses in that state. As a result, the quality of healthcare tends to be affected negatively. Within such states, items such as patient acuity tools are used to help with facilitating fair-shared assignments amongst staff.

Sample Answer 2 for Assignment: Developing Organizational Policies And Practices on Nursing Shortage

Hello Ayeshia, Great post! Thank you for your insight into this discussion; very informative. The first case of Covid-19 was reported in Wuhan, China. As of April 4th, 2020, more than 1 million infected patients were reported, and the disease spread over more than 60 countries worldwide (Talaee et al., 2022). According to Huang et al. (2020), COVID-19 is an acutely fatal disease that causes millions worldwide due to progressive respiratory complications.

At the beginning of the pandemic, a lack of available treatment forced healthcare professionals to optimize only symptomatic treatments, isolate patients and provide supportive care. It was a stressful experience for many healthcare workers. The authors state that gender or age can influence the stress level at work and thus represent a risk factor; among nurses, women are more stressed than men (Couarraze et al., 2021). Covid was a pandemic that affected the whole healthcare system.

During the COVID-19 pandemic, the working conditions were overwhelming; healthcare professionals experienced high work-related stress. I worked as a progressive care unit (PCU) and Intensive care unit charge nurse. This pandemic was the most challenging experience I have been through in my life. There were days that I witnessed nurses and doctors crying, frustrated because there was no chance to save the patient despite performing all the possible interventions and following all the policies. Sometimes, doctors and nurses coded patients for as long as an hour because we refused to lose the battle; calling families to notify them that we lost their 20-year-old child, husband, wife, mother, father, siblings, or loved one was hard to do.

References

Couarraze, S., Delamarre, L., Marhar, F., Quach, B., Jiao, J., Avilés Dorlhiac, R., … & Dutheil, F. (2021). The major worldwide stress of healthcare professionals during the first wave of the COVID-19 pandemic–the international COVISTRESS survey. PloS one, 16(10), e0257840.

Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., … & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet, 395(10223), 497-506.

Talaee, N., Varahram, M., Jamaati, H., Salimi, A., Attarchi, M., Sadr, M., … & Seyedmehdi, S. M. (2020). Stress and burnout in health care workers during COVID-19 pandemic: validation of a questionnaire. Journal of Public Health, 1-6.

Sample Answer 3 for Assignment: Developing Organizational Policies And Practices on Nursing Shortage

Ethical Considerations

One ethical issue when dealing with policies aimed at solving nursing shortage the laws on aging nurses and retirement. Healthcare facilities are faced with the hard decision of how to reduce the nursing shortage when the majority of nurses will be retiring in a few years. Many healthcare organizations have come up with strategies to work with nursing schools in the country where students will get absorbed after studying. It is however difficult for health institutions as they want to retain experienced nurses (Ferrer et al., 2014). Some of the policies that should address the nursing shortage should look at how the nurses are hired and the intervals of hiring to prevent the massive exit of nurses due to retirement such as the staffing laws. Aging nurses have the experience and expertise to provide quality health services. Experience in nursing will help in observing the principle of doing no harm. Experienced nurses will do little or no harm to patients. It is therefore important to consider the nursing principle of nonmaleficence when addressing the issue of nursing shortage in the country. Additionally, offering subsidized funds for students and nursing faculties will also help in solving the nursing shortage (Abhicharttibutra et al., 2017). This will help in increasing the enrollment of more students into nursing. Loan programs with no interest will also be initiated in nursing schools for registered nurses who want to enroll in advanced nursing courses. Consequently, increasing using wages will also attract more students to nursing school, which will, in turn, increase the number of nurses in the entire state

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Given the community gap in understanding the nursing profession, improving the image of nursing in the country, by encouraging nurses to frequently communicate with the press on positive nursing aspects will help to attract more students to take up nursing courses hence curbing the nursing shortage. Consequently, nurses should be encouraged to mentor students and lure the younger generation into taking up nurses courses. It is also necessary to launch nursing professionals’ advertising campaigns through social media platform, which will support the profession. It is also important for the supervisors in health care facilities to be encouraged to offer physical and psychological support to the workers. The supervisors should also be trained frequently to improve their supervisory skills. The knowledge imparted to them during the training will include treatment of the staff favorably, being friendly to the staff and encouraging team building (Nantsupawat et al., 2017).

Positive impacts of nurses will be acknowledged through recognition. A chance for the nurses to voice their view and take part in policy-making activity will be in cooperated in all healthcare facilities. As such, the nursing working environment will be friendly hence retaining most nurses in their jobs and attracting young students towards joining the profession in future. A good example is a work that has been accomplished by the America Nursing Association in protecting the rights of nurses and enhancing ethical observation in the nursing profession which has greatly led to an increase in the number of nurses in the country (Abhicharttibutra et al., 2017). The organization has also initiated several training programs and scholarships which has attracted more young generation to study nursing which will completely abolish the issue of nursing shortage in future.

Assignment: Developing Organizational Policies And Practices on Nursing Shortage

Assignment: Developing Organizational Policies and Practices

By Day 7 of Week 3

Submission and Grading Information

Sample Answer 4 for Assignment: Developing Organizational Policies And Practices on Nursing Shortage

Cost of medication determines whether the patients will be willing to seek healthcare services from an institution or not. The goal of the quadruple Aim is to reduce the cost of education and increase the access to healthcare services by the population. The cost of medication depends on various factors including the changing economic times and the need to increase the number of healthcare providers in an organization. From the business perspective, institutions operate with the aim of making profits. Therefore, in the call for improving the quality of the healthcare services the patients receive, the healthcare institutions may require to increase their staffs and other equipment necessary for efficient operations. Addition of the resources result in the increased cost which must be transferred to the patients who are the consumers. Therefore, the current study explores the conflicting perspective of the mandatory overtime as a way of meeting the needs of the patients without increasing the cost of medication.

Competing Needs

The increasing number of patients in the healthcare institution requires an additional human resource. However, conventionally, the ratio of healthcare providers to the patients have remained low because of the limited resources. Healthcare providers are forced to attend to many patients beyond the standard requirements. Alternatively, the healthcare institution may opt to recruit more staff and this will result in additional costs which may be transferred to what patients pay. Some leaders may opt make full of their current staffing in responding to the rising costs and change in the payment policies by the federal government.

The introduction of the pay-for-value compensation method meant that healthcare institution would improve the quality of healthcare services to the patients (Kominski et al., 2017). Besides, the policy aimed at eliminating all the unnecessary health interventions that could otherwise increase the cost of medication. Furthermore, the hospital institutions are forced to utilize their existing staff accordingly to improve both the quality of care and minimize the treatment costs. Nurses and other healthcare providers may be forced to work for long hours since they have to spend lots of time understanding the need of their patients to meet the quality threshold (Bernstrøm et al., 2019). On the other hand, the increasing number of patients also force them to work overtime. Therefore, the need to lower the cost of medication and at the same time maintain the quality.

Relevant Policy Practice

The healthcare organization introduced the mandatory overtime as a way of dealing with increasing demand for the quality healthcare services as well as maintain the cost low. Eliminating the mandatory overtime means that the institution may have to employ more staff and this will result in additional cost of medication. The nursing staffs are expected to work for about 2 hours extra per day to meet the demand for healthcare delivery. The policy was introduced after recognizing that the nurses and clinicians spent little time with the patients and so did not identify all their needs. As a result, the healthcare providers were required to spend enough time and so they would have to work overtime depending on the patients’ flow. Therefore, all the employees recruited in the organization were made aware of the mandatory overtime requirement whenever requested.

Critique of the Policy

The policy was developed to respond to the need to improve the quality of healthcare services to the patients. The introduction of the pay-for-performance means that the healthcare institutions would be compensated based on the patients outcome and not the services offered. As a result, the institution had to develop an approach of responding to the need without increasing the costs of medication to the patients. Nurses and clinicians would spend more time with their patients and understand all understand the underlying factors that could impact their treatment outcomes and this would lead to better outcomes.

However, exposing the healthcare providers to long-working hours could leads to injuries and emotional exhaustion. Studies have indicated that burnout among the employees in healthcare sector is attributed to the long working hours (Kowalczuk et al., 2020). It is ethically wrong to expose the healthcare providers to health risks with the intention of reducing the medication costs (Moon et al., 2020). The quadruple Aim advocate for both the better outcomes for the patients and improved quality of life for the healthcare providers. Mandatory overtime for the healthcare providers does not improve their quality of life but instead increases their risk of developing burnout.

Furthermore, studies show that fatigued employees are prone of making errors and this means that the patients could suffer more from the medication errors (Salen & Norman, 2018). The policy in the institution is only suitable for short-term goal but destructive in the long-run. All healthcare providers must be treated with dignity and be given enough time for rest. Therefore, while the goal of the policy was to address the issue of rising costs, it could increase the costs because of the frequent recruitment requirement due to high employees’ turnover in the organization. High turnover rates could compromise the quality of the healthcare delivery to the patients farther.

Recommendation

The healthcare organization can use other policies to improve the quality of healthcare services in the organization other than the mandatory overtime. The healthcare institution can introduce the electronic health system that will allow the healthcare providers to interact with their patients virtually and so reduce their need to go to the hospitals. The electronic health system will increase interaction between the healthcare providers and their patients as well as improve the level of patients’ commitment in managing their health (Sprivulis, 2020). Eventually, the pressure to attend to many patients in the hospital will reduce as the quality of treatment improves. In addition, the cost of medication ill improve significantly (Sanyal et al., 2018).

The healthcare providers will work with the community health volunteers in offering the healthcare services to the patients at home. The policy will promote better treatment outcomes which will improve the quality of life for the healthcare providers. Furthermore, the healthcare providers will be motivated to offer their best in interacting with the patients.

Conclusion

The rising cost of medication following the Medicaid and Medicare programs present a significant challenge to the healthcare delivery process. The introduction of pay-for-value compensation aimed at making the medication costs affordable. However, the increase in the number of patients seeking healthcare services exerts a significant pressure on the limited number of healthcare staff. The introduction of the mandatory overtime is one of the ways of ensuring the healthcare providers offer quality services to all patients. However, the policy presents more harm to the healthcare providers’ health. The electronic health systems can be deployed by healthcare institutions to minimize the need for the patients to visit the hospital and improve the treatment outcomes.

References

Bernstrøm, V. H., Alves, D. E., Ellingsen, D., & Ingelsrud, M. H. (2019). Healthy working time arrangements for healthcare personnel and patients: A systematic literature review. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-3993-5

Kominski, G. F., Nonzee, N. J., & Sorensen, A. (2017). The Affordable Care Act’s impacts on access to insurance and health care for low-income populations. Annual Review of Public Health, 38(1), 489-505. https://doi.org/10.1146/annurev-publhealth-031816-044555

Kowalczuk, K., Krajewska-Kułak, E., & Sobolewski, M. (2020). Working excessively and burnout among nurses in the context of sick leaves. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00285

Moon, S., Mariat, S., Kamae, I., & Pedersen, H. B. (2020). Defining the concept of fair pricing for medicines. BMJ, l4726. https://doi.org/10.1136/bmj.l4726

Salen, P., & Norman, K. (2018). The impact of fatigue on medical error and clinician wellness: A vignette-based discussion. Vignettes in Patient Safety – Volume 2. https://doi.org/10.5772/intechopen.70712

Sanyal, C., Stolee, P., Juzwishin, D., & Husereau, D. (2018). Economic evaluations of eHealth technologies: A systematic review. PLOS ONE, 13(6), e0198112. https://doi.org/10.1371/journal.pone.0198112

Sprivulis, P. (2020). Connecting health care through information technology. Patient Safety First, 299-317. https://doi.org/10.4324/9781003116677-14

Sample Answer 5 for Assignment: Developing Organizational Policies And Practices on Nursing Shortage

The healthcare systems have to provide the best quality of care to meet the rising demand for such services. The population growth, increasing percentage of the geriatric populations, and the emergence of many chronic illnesses contribute to the high demand for healthcare services. On the other hand, the rising costs of living make life unbearable for many and influence the many cases of mental health issues among the populations. The impact of the high cost of living is also evident in healthcare institutions. The U.S government introduced the Medicare and Medicaid program to increase access to healthcare services by people from low-income families. Such an initiative would increase their access to healthcare services. Besides, government policies on the Medicaid and Medicare programs require healthcare institutions to minimize unnecessary interventions and offer quality healthcare services to their patients. Healthcare institutions are always caught in the competing need to offer high-quality care which may require additional resources and reducing the cost of medication.

Description of the Competing Needs

The healthcare institution where I work is committed to offering the best healthcare services to patients. The institution services many people with more of them being from poor backgrounds. The access to healthcare services to the poor families increased courtesy of the Medicaid program. The increasing number of patients visiting the hospital meant that the institution had to recruit more staff. The healthcare institution adopted the patient-centered care delivery approach and this means that they would give adequate time to the patients’ interactions to obtain relevant data for better patient management. Spending more time on a patient was necessary for offering the best quality of care, making the right diagnoses, and minimizing undesirable outcomes in their patients. On the other hand, the approach would require that the hospital recruits more healthcare staff to meet the demand for healthcare services. Therefore, the need to have more staff to offer high-quality services and the need to reduce the cost of the medication will be competing.

Relevant Policy or Practice

In responding to the competing need, the healthcare institution developed a policy that would require the healthcare providers to have mandatory overtime. Though the policy would increase the cost of a treatment since the nurses for the overtime; the cost incurred will be less compared to that needed for recruiting other full-time staff. The nurses and healthcare providers are required to attend to all the booked patients in a day. The number of extra hours spent on the work will depend on the patients in the queue. The healthcare providers are compensated based on the number of extra hours worked. The healthcare institution developed the policy as the cheap available alternative for addressing the need to meet the growing number of patients. The policy means that the healthcare institution will still be able to attend to their patients without any going unattended. Besides, the healthcare providers will commit themselves to offer a patient-centered care approach.

Critique of the Policy

The mandatory overtime policy in the healthcare institution aims at benefiting the patients and ensuring their needs are addressed accordingly. The patients will benefit because they will have adequate time to interact with the healthcare providers. Furthermore, the healthcare providers will have additional money from the overtime compensation and this may motivate some of them. Employees derive motivation from different things with some having more value on the monetary rewards and this constitutes a major strength to the policy.

The Healthcare system is highly sensitive because a slight error can even lead to a patient’s death. According to Zaree et al. (2018), the psychological well-being of the healthcare providers influences the quality of the care they deliver to the patients. Healthcare providers experiencing burnout are less likely to offer the best care to their patients. Furthermore, they will lack the moral to interact with their patients in a friendly manner. The healthcare organization must aim at creating a suitable environment that will promote high productivity among the patients. Both patients and healthcare providers are important stakeholders that influence the sustainability of the health organization’s operation. There must be a proper balance between the protection for the patients and the protection for the healthcare providers. The best way for the healthcare institution to promote the healthcare providers’ wellbeing is by ensuring they have a good working environment with all the resources and have adequate time for rest.

On the other hand, there are significant concerns related to the policy, especially on the healthcare providers’ part. The first concern is that employees should not be forced to work beyond the set working hours. Employees should be allowed to participate in the overtime program voluntarily because some value their families while others require personal time. Forcing all the healthcare providers into the mandatory overtime program means that some will be emotionally and psychologically drained. The emotional and psychological draining reduces the effectiveness of the healthcare providers in their duty delivery. Besides, there could be many cases of burnout and absenteeism arising from the employees who feel fatigued and exploited in their professional practice.

Furthermore, working for long hours could expose healthcare providers to physical injuries and other healthcare issues. According to Son et al. (2019), overtime is associated with inadequate sleep and fatigue. Also, some of the nurses are likely to have lower back pain because they have overworked. Fatigued nurses or other healthcare providers are prone to medical errors and this could cause more harm to the patients and this is ethically wrong (Milliken, 2018). Therefore, the major ethical concern in the policy is whether it is justifiable to expose the healthcare providers to health risks in the process of promoting the patient’s experiences. The harm presented to the healthcare providers is greater than the benefits emerging from the policy and thus making it unethical (Kelly & Porr, 2018).

Best Practices

The need to offer the best healthcare services at an affordable cost cannot be overlooked. The quadruple aim address four issues including promoting the quality of healthcare delivered to the patients, better population health, reduced cost of medication, and better quality of life for the healthcare providers. The increasing number of patients seeking medical services presents a major challenge to achieving the quadruple aim without straining the available resources in the healthcare institutions. However, the use of telehealth can significantly address the challenges because it will reduce the number of patients visiting the healthcare facility. According to Monaghesh & Hajizadeh (2020), the use of telehealth has been effective in managing patients during the Covid-19 pandemic. Adopting the policy will help the healthcare institution serve many patients at a reduced cost.

The policy will require the healthcare providers to intensify the patient education provided to the patients and equipping them with self-care skills. Patient’s education allows them to take control over their lives and so reduce their dependence on the healthcare providers (Tuckson et al., 2017). Furthermore, the patients will be committed to healthy behavioral practices and so there will be reduced cases of adverse treatment outcomes. Healthcare providers derive happiness when they realize that their patients have recovered and have better health status. On the other hand, high incidences of mortality and poor treatment outcomes affect the healthcare providers’ emotions negatively. The telehealth system will be the best solution to addressing the competing needs in the healthcare institution (Salles et al., 2021). There will be no need for mandatory over time and so the healthcare providers will have adequate time for personal life.

Conclusion

Competing needs in healthcare systems are common; therefore, healthcare providers must constantly develop measures to improve the quality of care delivered to the patients and maintain low operational costs. The healthcare institution developed a mandatory overtime policy which is not efficient because of the many adverse outcomes to the healthcare providers. Instead, adopting the telehealth system would be the best policy for addressing the need to reduce costs and improve the quality of care concurrently. The policy will reduce the number of patients visiting the healthcare institutions and so reduce congestion and the pressure exerted on the limited number of healthcare providers. Providing patients’ education will promote independence and this is needed for quality health outcomes.

 

Reference

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06.

Milliken, A. (2018). Ethical Awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01.

Monaghesh, E., & Hajizadeh, A. (2020). The role of Telehealth during COVID-19 outbreak: A systematic review based on current evidence. https://doi.org/10.21203/rs.3.rs-23906/v3

Salles, N., Saillour-Glénisson, F., Sibe, M., Langlois, E., Kret, M., Durrieu, J., Arditi, N., Abraham, M., & Perry, F. (2021). Effectiveness and organizational conditions of effectiveness of telemedicine in nursing homes. A study protocol of a comparative prospective cohort (EFFORT study). DIGITAL HEALTH, 7, 205520762098242. https://doi.org/10.1177/2055207620982422

Son, Y., Lee, E. K., & Ko, Y. (2019). Association of working hours and patient safety competencies with adverse nurse outcomes: A cross-sectional study. International Journal of Environmental Research and Public Health, 16(21), 4083. https://doi.org/10.3390/ijerph16214083

Tuckson, R. V., Edmunds, M., & Hodgkins, M. L. (2017). Telehealth. New England Journal of Medicine, 377(16), 1585-1592. https://doi.org/10.1056/nejmsr1503323

Zaree, T. Y., Nazari, J., Asghary Jafarabadi, M., & Alinia, T. (2018). Impact of psychosocial factors on the occurrence of medication errors among Tehran public hospitals nurses by evaluating the balance between effort and reward. Safety and Health at Work, 9(4), 447-453. https://doi.org/10.1016/j.shaw.2017.12.005

A rubric lists grading criteria that instructors use to evaluate student work. Your instructor linked a rubric to this item and made it available to you. Select Grid View or List View to change the rubric\’s layout.

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Name: NURS_6053_Module02_Week03_Assignment_Rubric
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Add a section to the paper you submitted in Module 1. In 4–5 pages, address the following:

· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Points Range:23 (23.00%) – 25 (25.00%)
The response accurately and clearly identifies at least two competing needs impacting the healthcare issue/stressor selected.
Points Range:20 (20.00%) – 22 (22.00%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected.
Points Range:18 (18.00%) – 19 (19.00%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected that is vague or inaccurate.
Points Range:0 (0.00%) – 17 (17.00%)
The response describes at least two competing needs impacting the healthcare issue/stressor selected that is vague and inaccurate, or is missing.
· Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

· Critique the policy for ethical considerations and explain the policy\’s strengths and challenges in promoting ethics.
Points Range:27 (27.00%) – 30 (30.00%)
The response accurately and thoroughly describes in detail a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.

The response accurately and thoroughly critiques in detail the policy for ethical considerations and explains in detail the policy\’s strengths and challenges in promoting ethics.
Points Range:24 (24.00%) – 26 (26.00%)
The response accurately describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.

The response accurately critiques the policy for ethical considerations and explains the policy\’s strengths and challenges in promoting ethics.
Points Range:21 (21.00%) – 23 (23.00%)
The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague or inaccurate.

The response critiques the policy for ethical considerations and explains the policy\’s strengths and challenges in promoting ethics that is vague or inaccurate.
Points Range:0 (0.00%) – 20 (20.00%)
The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague and inaccurate, or is missing.

The response critiques the policy for ethical considerations and explains the policy\’s strengths and challenges in promoting ethics that is vague and inaccurate, or is missing.
· Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.

· Cite evidence that informs the healthcare issue/stressor and/or the policies and provide two scholarly resources in support of your policy or practice recommendations.
Points Range:27 (27.00%) – 30 (30.00%)
The response provide one or more accurate, clear, and thorough recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.

Specific and accurate examples are provided.

Accurate and detailed evidence is cited that informs the healthcare issue/stressor selected and a specific synthesis of at least two outside scholarly resources in full support of the policy or practice recommendations is provided. The response integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the healthcare issue/stressor selected.
Points Range:24 (24.00%) – 26 (26.00%)
The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.

Specific examples may be provided.

Evidence is cited that informs the healthcare issue/stressor selected and a synthesis of at least one outside scholarly resource that may support the policy or practice recommendations is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the healthcare issue/stressor selected.
Points Range:21 (21.00%) – 23 (23.00%)
The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague or inaccurate.

Examples may be provided.

Vague or inaccurate evidence is cited from 2 or 3 resources that informs the healthcare issue/stressor selected and may support the policy or practice recommendations provided.
Points Range:0 (0.00%) – 20 (20.00%)
The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague and inaccurate, or is missing.

Examples are missing.

Vague and inaccurate evidence is cited that informs the healthcare issue/stressor and may include at least 1 scholarly resource that vaguely and inaccurately supports the policy practice recommendations is provided, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Points Range:5 (5.00%) – 5 (5.00%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Points Range:4 (4.00%) – 4 (4.00%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
Points Range:3.5 (3.50%) – 3.5 (3.50%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.
Points Range:0 (0.00%) – 3 (3.00%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation
Points Range:5 (5.00%) – 5 (5.00%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range:4 (4.00%) – 4 (4.00%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
Points Range:3.5 (3.50%) – 3.5 (3.50%)
Contains several (3 or 4) grammar, spelling, and punctuation errors.
Points Range:0 (0.00%) – 3 (3.00%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
Points Range:5 (5.00%) – 5 (5.00%)

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