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NR 500 Week 5: Systems Theory and Practice Issues

NR 500 Week 5: Systems Theory and Practice Issues

Chamberlain University NR 500 Week 5: Systems Theory and Practice Issues– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University   NR 500 Week 5: Systems Theory and Practice Issues  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  NR 500 Week 5: Systems Theory and Practice Issues                                

Whether one passes or fails an academic assignment such as the Chamberlain University   NR 500 Week 5: Systems Theory and Practice Issues    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  NR 500 Week 5: Systems Theory and Practice Issues                                

The introduction for the Chamberlain University   NR 500 Week 5: Systems Theory and Practice Issues    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  NR 500 Week 5: Systems Theory and Practice Issues                                

After the introduction, move into the main part of the  NR 500 Week 5: Systems Theory and Practice Issues  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  NR 500 Week 5: Systems Theory and Practice Issues                                

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  NR 500 Week 5: Systems Theory and Practice Issues                                

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 NR 500 Week 5: Systems Theory and Practice Issues

Health organizations function in highly challenging environments. As a result, they have grown to be complex and adaptive in nature. The complexity arises from the unpredictability of the healthcare environment, which demand responsive and adaptive interventions (Chesnay & Anderson, 2019). Several issues are likely to affect my practice as a nurse practitioner in the future. One of them explored in this paper is nursing shortage. Therefore, the paper examines the issue of nursing shortage, addressing it, impact on other system levels, and use of interprofessional collaboration to solve it.

Issue or Concern

The selected issue that will affect my future practice is nursing shortage. Statistics shows that America will experience an acute shortage of nurses by 2030. The American Association of Colleges of Nursing (AACN) notes that about 1 million nurses will be retiring by 2030, creating a sharp demand for nurses in the county. The county will require an average of 175900 nurses yearly to meet its demand for nurses by 2030 (Graystone, 2018). The implications of the shortage to my practice are the increased workload for nurses. There will also be an increased risk of poor quality of life for nurses because of work-related challenges such as burnout and low job dissatisfaction. The impacts of nurses’ shortage on the quality, safety, and efficiency of care are evident. For example, nursing shortage has been associated with errors in the care process, missed or delays in service provision (Alexander & Johnson, 2021). Therefore, the issue should be addressed to promote the health and wellbeing of the nurses in the future as well as the quality, safety, and efficiency of patient care. The issue of nursing shortage is a meso-system problem. It arises from factors that are beyond the healthcare system. Retirement is an external factor that that the hospitals cannot influence.

Addressing the Issue

Some interventions can be adopted to address the anticipated nursing shortage. One of them is advocating for an increased enrollment of nurses into the bachelor’s program. The number of students joining nursing education has been low as compared to the anticipated population of retiring nurses. Advocating for increased training of nurses would offset the anticipated nursing shortage (Chesnay & Anderson, 2019). The other solution is advocating for government support for nursing training institutions. Often, nursing institutions turn away students interested in training to become nurses because of the lack of adequate resources to train a high number of learners. As a result, it is essential for the government to increase financing for nursing training institutions, as an approach to addressing the issue of nursing shortage (Rosseter, 2019). The last strategy is ensuring organizations strive to retain their existing nursing staff. Strategies such as promoting their continuous professional development, rewarding performance, and offering safe working conditions minimize the risk of poor retention in healthcare organizations (Feyereisen et al., 2021).

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Impact on other Levels of the System

The proposed solutions will affect the other system levels. For example, it will lower the workload that other healthcare providers experience in their respective workplaces. The solution will also affect meso-system by enhancing care coordination and interprofessional collaboration among care teams. It will also enhance the care given in healthcare o

NR 500 Week 5 Systems Theory and Practice Issues
NR 500 Week 5 Systems Theory and Practice Issues

rganization, hence, effective community-health organization interactions at the macrosystem level (Kennedy, 2019). Interprofessional collaboration could be used to address the issue of nursing shortage. Accordingly, nurses and other healthcare providers could collaborate in identifying effective strategies that can be adopted to enhance employee retention in their organizations. They can also advocate the adoption of policies that address the factors that contribute to nursing shortage (Feyereisen et al., 2021).

Conclusion

In summary, nursing shortage will affect my future nursing practice. Strategies such as organizations striving to maintain their existing workforce and governments supporting nursing training institutions can address the issue of nursing shortage. Interprofessional collaboration also helps organization embrace best practices for employee retention. Therefore, I would explore these strategies to mitigate the effects of nursing shortage on my future practice.

 

References

Alexander, G. R., & Johnson, J. H. J. (2021). Disruptive Demographics: Their Effects on Nursing Demand, Supply and Academic Preparation. Nursing Administration Quarterly, 45(1), 58–64. https://doi.org/10.1097/NAQ.0000000000000449

Chesnay, M. de, & Anderson, B. (2019). Caring for the Vulnerable. Jones & Bartlett Learning.

Feyereisen, S. L., Puro, N., & McConnell, W. (2021). Addressing Provider Shortages in Rural America: The Role of State Opt-Out Policy Adoptions in Promoting Hospital Anesthesia Provision. The Journal of Rural Health, 37(4), 684–691. https://doi.org/10.1111/jrh.12487

Graystone, R. (2018). How Magnet® Designation Helps Hospitals Tackle the Nursing Shortage. JONA: The Journal of Nursing Administration, 48(9), 415–416. https://doi.org/10.1097/NNA.0000000000000640

Kennedy, A. (2019). Nurse Preceptors and Preceptor Education: Implications for Preceptor Programs, Retention Strategies, and Managerial Support. Medsurg Nursing, 28(2).

Rosseter, R. (2019). Fact sheet: Nursing faculty shortage. Washington, DC: American Association of Colleges of Nursing.

Sample Answer 2 for NR 500 Week 5: Systems Theory and Practice Issues

I agree that the nursing shortage is a major challenge frequently encountered in many healthcare organizations. I also concur that it is associated with many detrimental effects such as burnout and dissatisfaction and thus sustainable solutions to this longstanding issue are warranted. Some of the factors that contribute to inadequate nursing staff include high demand from the increasing aging population, an aging nursing workforce, high turnover, and inadequate recruitment and supply of nursing professionals (Haddad et al., 2022). The onset of the COVID-19 pandemic exacerbated this issue due to the reassignment of nurses to COVID-19-related departments and job abandonment from fear of associated risks.

The nursing shortage is associated with various negative effects. These include high patient-to-nurse ratios, increased workload, long working hours, workplace stress and psychological distress, job dissatisfaction, and burnout (Tamata et al., 2021). These effects undermine the quality of care and patient safety through the increased incidence of medical errors, mortality, and morbidity. Job dissatisfaction and reduced motivation lead to low retention rates since most nurses are forced to leave the profession further worsening the shortage. Sustainable solutions are thus required by the management and leadership of healthcare facilities.

I believe the nursing shortage can be effectively addressed through lasting innovative approaches. This will necessitate the adoption of effective strategies such as implementing acceptable patient-to-nurse ratios, fostering an empowering and motivating workplace environment, and recruiting more nurses (Haddad et al., 2022). The incorporation of technology in the delivery of healthcare will also reduce the high workload (Marć et al., 2019). Motivation should be improved through the promotion of flexible working schedules, professional development, management support, and incentives. This will require involvement in appropriate committees, advocacy, and legislative processes to develop tailored policies to address the nursing shortage. Engagement and collaboration of all stakeholders are integral throughout this process to ensure adequate nursing staff, satisfactory patient care, and successful implementation of devised strategic policies to address the nursing shortage crisis.

 

References

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing Shortage. In StatPearls. StatPearls Publishing.

Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage – a prospect of global and local policies. International nursing review, 66(1), 9–16. https://doi.org/10.1111/inr.12473

Tamata, A. T., Mohammadnezhad, M., & Tamani, L. (2021). Registered nurses’ perceptions on the factors affecting nursing shortage in the Republic of Vanuatu Hospitals: A qualitative study. Plos One, 16(5). https://doi.org/10.1371/journal.pone.0251890 

Sample Answer 3 for NR 500 Week 5: Systems Theory and Practice Issues

My experience as a RN is in the ED and ICU. The ED in itself can be considered as a complex adaptive system, because of the constantly changing dynamics and boundaries set by the staff as well as coordinating with the outside units and integrating the best plan of care for the patients. I have worked beside many great FNPs in the ED that assist doctors and lighten their patient load as well as make the turnover more efficient and smoother.  Many of the patients that come through ED are not always as simple as just writing a prescription and seeing them on their way.  Many patients have adaptive challenges in place that can pose as barriers to the Nurse Practitioners and doctors.  Lateef et al. (2022) stated that, “adaptive challenges, on the other hand, are less obvious and, thus, not so easy to identify”. “An example would be, attempting to change a negative behavior in a patient who presents with frequent giddiness and has not been taking his antihypertensive medication” (Lateef et al., 2022).  Let’s also say this patient is a frequent flyer and continues to show up in the ED with noncompliance of taking meds causing hypertensive issues and is uninsured.  The first step in the care for this patient would be at the micro- level.  The micro- level focuses on the subjective and objective data obtained from the NP and doctor to better help them make clinical decisions about this patient’s care such as treatment, goals of care, and or supportive services needed after discharge (Sawatzky et al., 2021).  Sawatzky et al. (2021) mentions that at the meso-level, “healthcare managers and leaders of quality improvement, performance monitoring, and accreditation of different healthcare services and organizations” monitor data for better patient outcomes.  This patient’s noncompliance and frequency of visits to ED, has now integrated the meso- level of care to intervene.  For example, at the meso-level the managers and the leaders of the ED will find ways of quality improvement and performance monitoring, as to why the frequency of visits are occurring.  As a NP I could coordinate with these managers to find and try to resolve what can we do to better educate this patient or what services can we offer to help with the noncompliance and frequency of visits.  Because of all of this the macro- level of the hospital is now affected in this patient’s care.  Related to the patient being noninsured and the resources used to help this patient now affects the overall healthcare system and reimbursement of healthcare services that the hospital won’t receive because he is unfunded.

References:

Lateef, Kiat, K., Yunus, M., Rahman, M., Galwankar, S., Al Thani, H., & Agrawal, A. (2022). BRAVE: A point of care adaptive leadership approach to providing patient-centric care in the emergency department. Journal of Emergencies, Trauma and Shock15(1), 47–52. https://doi.org/10.4103/jets.jets_138_21Links to an external site.

Sawatzky, Kwon, J.-Y., Barclay, R., Chauhan, C., Frank, L., van den Hout, W. B., Nielsen, L. K., Nolte, S., & Sprangers, M. A. G. (2021). Implications of response shift for micro-, meso-, and macro-level healthcare decision-making using results of patient-reported outcome measures. Quality of Life Research30(12), 3343–3357. https://doi.org/10.1007/s11136-021-02766-9Links to an external site.

Sample Answer 4 for NR 500 Week 5: Systems Theory and Practice Issues

Community education can effect what comes into the ED, for instance if people are aware what qualifies as an emergency and what doesn’t then they can have more awareness of where they need to go while seeking help.  For example a chest pain complaint or sudden loss of consciousness, should go to the ED.  “I have flu like symptoms for 5 days now, and want to know if I have the flu”. This should go to a family practice or possibly an urgent care.  As a ANP in the ED we can educate with DC instructions as to whether a reoccurring chief complaint continues to show up in the ED,  and what this patient should do if the symptoms were to return.