NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
Walden University NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices– Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices 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 NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
Whether one passes or fails an academic assignment such as the Walden University NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices 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 NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
The introduction for the Walden University NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices 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 NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
After the introduction, move into the main part of the NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices 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 NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
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 NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
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.
Stuck? Let Us Help You
Completing assignments can sometimes be overwhelming, especially with the multitude of academic and personal responsibilities you may have. If you find yourself stuck or unsure at any point in the process, don’t hesitate to reach out for professional assistance. Our assignment writing services are designed to help you achieve your academic goals with ease.
Our team of experienced writers is well-versed in academic writing and familiar with the specific requirements of the NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices assignment. We can provide you with personalized support, ensuring your assignment is well-researched, properly formatted, and thoroughly edited. Get a feel of the quality we guarantee – ORDER NOW.
Sample Answer for NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
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 of 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 institutions 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 exists.
Relevant Policy Practice
The healthcare organization introduced a mandatory overtime policy as a way of dealing with increasing demand for 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 personnel 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 lead 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 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 to 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 so as to 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, an 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
Developing Organizational Policies and Practices
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
To Prepare:
Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
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.
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.
Also Check Out: NURS 6053- Week 6 Assignment Personal Leadership Philosophies
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.
Sample Answer 2 for NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
Competing needs in healthcare organizations affect their abilities to deal with national health issues or stressors that compromise the quality of care delivery. Employees and leaders compete in healthcare settings based on the need to attain better quality provision and ensure that patients get value for their money, particularly through implementing evidence-based models like value-based care. Nurse burnout is a national health issue because of the adverse effects on nurses, patients, and the entire health care system (Chen et al., 2021). As such, healthcare organizations should evaluate their policies and practices to address nurse burnout while maintaining quality care and ethical standards. The purpose of this assignment is to discuss nurse burnout as a national health issue and the competing needs that hinder organizations from overcoming it. The paper critiques organizational policies on tackling the issue and recommends strategies to balance the competing needs while addressing ethical weaknesses of the current policy.
Competing Needs Leading to Nurse Burnout
Nurses encounter demanding workloads because of low nurse-to-patient ratios, high patient acuity, limited resources and time that reduces charting shorts or breaks, and increased patient needs and assignments. The two critical competing needs identified in this situation include the attainment of proper or appropriate staffing ratios and the need to offer quality care (Chen et al., 2021). Staffing ratios allow organizations to increase their bottom line since private health facilities focus on profit maximization. However, meeting these needs is a challenge for the health care organization that I work for because of the existing nursing shortage. Nurse turnover contributes to a substantial shortage, with figures showing that it will reach close to 400,000 by 2025 (Brown, 2018). Due to the shortage, burnout is bound to surge, exacerbated by the increasing demand for care and the emergence of infectious diseases like the current COVID-19 pandemic. As such, the organization’s leadership needs to develop interventions to address and manage these competing needs of adequate staffing ratio and patient quality care.
Policies/ Practices to Impact Nurse Burnout
The organization has not instituted sufficient policies to address the current issue. However, practices like innovative approaches through staff scheduling exist, but these are standard interventions that do not substantially affect the issue. Having sufficient staffing numbers can reduce stress among employees, lower the prevalence of burnout associated with overburdened working, and create a better work-life balance for nurses. In their study, Kelly and Poor (2018) observed that enhancing employee well-being and ensuring improved patient care requires organizations to have an effective work-life balance. Through this approach, nurses become more engaged, compassionate, healthier, and well-positioned to offer quality care since they are well-rested.
Lowering the nurse-to-patient ratios is one of the most effective ways to address the problem of nurse burnout. The approach allows nurses to have more time for patients and provide holistic care. The organization also implements hourly rounding, enhancing the patient perception of nurses’ responsiveness in units where such may be a challenge. Hourly rounding also reduces patient falls, uses call lights, and enhances patient satisfaction levels and scores (Garcia; Brosinski & Riddell, 2020). Implementing an hourly rounding program is essential for identifying the “most cost-effectiv eapproach.” The implication is that if a facility integrates these strategies and enhances the quality of care without necessarily raising the cost of care or doing budget cuts, it can address the issue of nurse burnout.
Policy Critique
Ethical considerations are essential for effective care delivery, especially in healthcare organizations when dealing with employee issues like nurse burnout. Leaders in organizations need to balance profits and welfare of healthcare workers to alleviate other issues like nursing shortage which increases the susceptibility to adverse conditions like medication errors (Melnyk & Fineout-Overholt, 2018). Ethical awareness implores organizational leaders to consider the overall good of these practices to nurses and their welfare against profits (Milliken, 2018). Purposeful and systematic hourly rounding offers several benefits that include improved patient satisfaction, patient safety, and quality of care. Nurses can recognize any adverse patient event fast and employ corrective interventions (Hutchinson et al., 2018). Patient safety is a core aspect of human dignity, and providers should take all measures to protect patients. Implementation of hourly rounding is based on ethical principles related to the professional code of conduct as advanced by the American Nurses Association (ANA). Ethical considerations implore nurses and the facility administration to embed hourly rounding to enhance patient dignity through harm reduction and attending to all their needs timely.
Recommendation
The need to address nurse burnout and the competing aspects of quality and appropriate nursing ratios implores the organization to adopt evidence-based practice policies. Among these is the Quadruple Aim framework. The model focuses on enhancing patient experience, lowering the cost of care, improving the health of populations, and enhancing the welfare of healthcare workers, especially nurses. The framework allows organizations to focus on patients, nurses, and even the management (Jacobs et al., 2018). Therefore, implementing this approach would offer a host of benefits to tackling the issue of nurse burnout in the facility by addressing nursing ratios and quality of care.
The facility can implement the model through a systematic approach by focusing on current operations and processes to ascertain that they lead to enhanced efficiency. The approach entails evaluating areas where the organization is not performing well (Melnyk & Fineout-Overholt, 2018). The facility can use change models like Lewin’s change process to identify salient aspects to transform in the current practice of hourly rounding. The facility should integrate these components by identifying and using employees as change agents to make the case of enhanced effectiveness. The Quadruple Aim will help the organization enhance quality, address nurse burnout and improve nurses’ welfare.
Conclusion
Competing needs impact the ability of organizations to deliver quality care. Needs like the quality of care and attainment of appropriate patient ratios compete. They require healthcare facilities and their leadership to use effective interventions that result in quality care provision. The use of hourly rounding has ethical considerations based on its benefits and rationale. Implementing the Quadruple Aim framework will enable the facility to address the issue of nurse burnout while tackling the two competing needs of nurse staffing ratios and quality of care.
References
Brown, S. (2018). The Impact of Resiliency on Nurse Burnout: An Integrative Literature
Review. MEDSURG Nursing, 27(6), 349–378.doi:10.1097/JTN.000000
Brosinski, C., & Riddell, A. (2020). Incorporating hourly rounding to increase emergency
department patient satisfaction: A quality improvement approach. Journal of emergency nursing, 46(4), 511-517.DOI: 10.1016/j.jen.2019.08.004.
Chen, R., Sun, C., Chen, J. J., Jen, H. J., Kang, X. L., Kao, C. C., & Chou, K. R. (2021). A
large‐scale survey on trauma, burnout, and posttraumatic growth among nurses during the COVID‐19 pandemic. International Journal of Mental Health Nursing, 30(1), 102-116.DOI: 10.1111/inm.12796.
Garcia, M. G., Dutton, H., Samuel, K., & Marusich, J. (2021). Purposeful hourly rounding to
decrease peripheral intravenous infiltrations and extravasations in pediatrics. Journal of Pediatric Nursing, 61, 59-66.DOI: 10.1016/j.pedn.2021.03.009.
Hutchinson, M., Jackson, D., & Wilson, S. (2018). Technical rationality and the decentering of
patients and care delivery: A critique of ‘unavoidable’ in the context of patient harm. Nursing Inquiry, 25(2), e12225.DOI: 10.1111/nin.12225.
Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging Employees in Well-
Being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly,(3), 231.DOI: 10.1097/NAQ.0000000000000303.
Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A. (2017). Ethical
and legal aspects of patient’s safety: a clinical case report. Journal of Medical Ethics & Historyof Medicine, 10(15), 1–5.
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.Vol23No01-Man06
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing &healthcare:
A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry”(pp. 7–32).
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.Vol23No01Man0
Also Read:
NURS 6053- Week 4 Discussion Leadership Theories In Practice
NURS 6053 Discussion 1 Leadership Theories in Practice
NURS 6053- Week 5 Discussion Your Leadership Profile
NURS 6053 Discussion 2 Your Leadership Profile
NURS 6053 Assignment Personal Leadership Philosophies Essay
NURS 6053- Week 6 Assignment Personal Leadership Philosophies
NURS 6053 Week 7 Discussion Workplace Environment Assessment
NURS 6053 -Week 9 Assignment Workplace Environment Assessment
NURS 6053 Discussion Workplace Environment Assessment
NURS 6053 Week 11 Assignment Change Implementation and Management Plan
NURS 6053 Alterations in Cellular Processes
NURS 6053 Week 5 Discussion Your Leadership Profile
Assignment: NURS 6053 Planned Change in a Department or Unit
Assignment: NURS 6053 Systems Theory
NURS 6053 Review of current Healthcare Issues
NURS 6053 Module 5 Organizational Change Essay
NURS 6053 Change Implementation and Management Plan Essay
NURS 6053 Module 3 Leadership Essay
NURS 6053 Discussion leadership theories and behaviors
NURS 6053 Reducing the demand on primary healthcare and the strain on the healthcare system
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Developing Organizational Policies and Practices
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
- Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
- Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
- Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (1-2 pages):
Developing Organizational Policies and Practices
Add a section to the 2-3 page paper you submitted in Module 1. The new section should address the following in 1-2 pages:
- Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
- 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.
- 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.
- Due to the nature of this assignment, your instructor may require more than 7 days to provide you with quality feedback.
By Day 7 of Week 3
Submit your revised paper.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
- To submit your completed assignment, save your Assignment as WK3Assgn_LastName_Firstinitial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
Sample Answer 3 for NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
The opioid epidemic is a crisis taking place all across America, claiming countless lives of our nation’s youth. Those families who have suffered loss related to fentanyl overdose are left devastated. In Philadelphia, PA., exist open air drug markets, people there can be seen zombified. This crisis not only causes death and destruction of communities, but also spreads disease like wildfire through needle sharing and illicit sex-work. I have treated wounds related to cellulitis and necrotizing fasciitis, often requiring extensive admissions for IV antibiotic therapy, in some cases fasciotomy with Wound-Vac placement. I have treated young men that required heart valve replacement surgery due to dangerous growth of infective vegetation. Addiction is a product of many factors, unique to each individual. Typically developing slowly; however once developed, it is a separate, often chronic mental illness that will typically not remit simply with opioid discontinuation. Substance use disorder and will carry a high risk of relapse for years without proper treatment (McLellan & Volkow, 2016). Prescribed opioid analgesics are often the precipitating factor for an individual to develop into an IV drug abuser. As opioid analgesics are widely diverted and improperly used the state of New Jersey has enacted specific laws concerning the dispensing of opioids.
In terms of treatment, we as care providers must understand the cooccurrence of substance use disorder and other psychiatric conditions is profound; of 20 million Americans struggling with substance use disorder roughly 8,000,000 are also suffering from a mental illness (Bearnot, et al., 2019). When considering treatment for patients struggling with substance use disorder a new discussion must be had. Treatment planning should involve psychiatry and internal medicine. The provision of addiction services bye internists and primary care physicians allows for the integration of addiction care into general medical care intern engaging patients as they first enter the healthcare system (Bearnot, et al., 2019). This strategy will require greater resources and development. No matter the financial deficit the United States is facing, this topic should be on the forefront of political agendas. This problem is affecting America’s youth which in-turn will be of detriment to our nation’s productivity and sustainability for generations to come.
You have provided in-depth and perceptive analysis of the conflicting needs in the context of opioid addiction in the outpatient setting. However, I would want to go into more detail about a few additional conflicting requirements that might impact the problem and offer suggestions for using policy to mitigate these consequences. Effective pain treatment is a crucial competing necessity to take into account. While combating opiate addiction is essential, some patients need pain relief (Phillips et al., 2018). Therefore, you should work to balance the need for proper pain management with avoiding addiction. This might entail establishing policies and procedures for medical professionals to evaluate patients’ pain levels, look into other pain-management techniques, and closely monitor those needing opioid drugs.
The availability and accessibility of non-opioid addiction treatment options are another competing demand. Although programs to treat opioid use are important, access to evidence-based treatments needs to be expanded (Madras et al., 2020). Alternative therapies, including medication adjuvant therapy (MAT) using non-opioid medications, cognitive behavioral therapy (CBT), and other psychosocial strategies, may be capable of designing programs that encourage research and development encourage the theme. Policy initiatives can address patients’ unique needs and preferences while lowering reliance on opioids by advocating a comprehensive approach to addiction treatment. Furthermore, it is critical to understand that combating opiate addiction necessitates a multidisciplinary approach. Collaboration among healthcare professionals, such as doctors, nurses, pharmacists, psychologists, and social workers, should be encouraged through policies (Schot et al., 2019). Implementing collaborative care models by healthcare institutions could be inspired by policy incentives and interprofessional education and training programs. Treatment outcomes can be enhanced, and the strain on any profession can be lessened by merging other specialties.
Harm reduction tactics could be the main emphasis of policy implementation. This entails adopting measures emphasizing abstinence less than minimizing the harmful effects of drug use. For instance, laws should encourage the creation of locations where people can use narcotics safely and under medical supervision, such as supervised injection sites (Finke & Chan, 2022). These websites can offer connections to programs for addiction treatment, access to sterile equipment, and overdose prevention strategies. The socioeconomic determinants of opioid addiction must also be addressed. The policy should consider factors contributing to addiction vulnerability, such as poverty, unemployment, lack of affordable housing, and social isolation (Phillips et al., 2018). The overall impact of opioid abuse can be reduced by policies that address these underlying variables, such as increased access to affordable housing, job training programs that delivery, and increased community support networks
Overall, there are many competing needs related to opioid addiction in the outpatient setting. Policies can be created to address the effects of opioid addiction comprehensively and sustainably by considering additional factors such as effective pain management, expanding treatment options, encouraging interprofessional collaboration, putting harm reduction strategies into practice, and addressing social determinants.
References
Finke, J., & Chan, J. (2022). The Case for Supervised Injection Sites in the United States. American Family Physician, 105(5), 454–455. https://www.aafp.org/pubs/afp/issues/2022/0500/p454.html
Madras, B. K., Ahmad, N. J., Wen, J., & Sharfstein, J. (2020). Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers Within the Treatment System. NAM Perspectives. https://doi.org/10.31478/202004b
Phillips, J. K., Ford, M. A., & Bonnie, R. J. (2018). Evidence on Strategies for Addressing the Opioid Epidemic. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK458653/
Schot, E., Tummers, L., & Noordegraaf, M. (2019). Working on Working together. a Systematic Review on How Healthcare Professionals Contribute to Interprofessional Collaboration. Journal of Interprofessional Care, 34(3), 1–11. https://doi.org/10.1080/13561820.2019.1636007
Sample Answer 5 for NURS 6053 Week 3 Assignment Developing Organizational Policies And Practices
Burnout among nurses compromises the quality of health-care services patients receive. The evidence-based practices require that nurses engage with their patients and create a friendly environment to identify their needs and develop better treatment measures. Besides, they have to take an adequate history of the patients and make accurate diagnoses. On the other hand, nurses experiencing burnout will not have the urgency to interact with the patients because they feel undervalued and insignificance. Various factors contribute to the burnout experiences among the nurses. Some of the factors include a poor working environment and relationship with the leaders. Alternatively, the increasing number of patients with chronic illnesses increases the demand for nursing services. Also, patients with terminal illnesses require palliative care which is dependent on the holistic care approach. Such environments cannot be achieved with the high incidence of burnouts among the nurses. Therefore, addressing the health issue will be important progress to improving the quality of life of the nurses and the quality of healthcare services patients receive.
Two Competing Needs Impacting Your Selected Healthcare Issue/Stressor
The previous analysis focused on improving the healthcare worker’s work-life in the University Of Florida Shands Hospital. The competing needs that could impact the burnout issues in the hospital include the need to improve leadership and management in the organization, the need to develop a collaborative culture that allows healthcare providers to share ideas widely and improve the patients’ management. Also, there is a need to promote nursing informatics in the institution, which will significantly improve the quality of healthcare services the patients receive. The healthcare system is dynamic and this means that the needs will also change from time to time. However, the ability of the healthcare institution to handle the needs as they arise depends on the leadership practices.
Furthermore, poor leadership contributes to a poor working environment, which ultimately contributes to high burnout among the nurses. As a result, there is an urgent need to embrace transformational leadership and a culture of collaboration in the institution. The leadership and cultural system will create a sense of belonging and so reduce the turnout rate as well as burnout incidences among the nurses. Furthermore, nursing informatics needs to aim at linking the patients to the healthcare providers and utilizing the available data to improve the quality of healthcare services the patients receive. It may appear futile to increase the number of nurses or even offer counsel when their working environment is unconducive. Integration of an automated data management system will allow the nurses to access the patients’ data and link with other departments easily and so minimize the time taken to attend to a patient.
Relevant Policy or Practice in Your Organization That May Influence Your Selected Healthcare Issue/Stressor
The policies for addressing the healthcare issue in the organization include the increased use of an outside agency to supply the nurses, offering of counseling programs, shifting the 12 hours of work to 8 hours in a day, and offering preceptors for each new employee during the training. The policies aim to improve the nursing experiences and making them more productive in the duties. The policy on increasing the nurse supply and reducing the ratio of patients to nurses will prevent overload and so allow the nurses to spend adequate time with their patients (Boamah et al., 2016). Inadequate supply of the nurses results in overload and prolonged working hours because of the ever ballooning number of patients.
On the other hand, the counseling programs seek to deal with the psychological concerns of the patients. Burnout is characterized by emotional and psychological exhaustion with the victims having low energies to deliver in their areas of responsibilities. Therefore, offering counseling services will help in identifying other factors likely to be contributing to burnout and how to address them. Furthermore, reducing the working hours from 12 to 8 hours means that the nurses will have time to rest and engage in social activities. Also, their levels of fatigue will reduce significantly (Liu et al., 2019).
Critique The Policy for Ethical Considerations
The policies and practices support the ethical principles guiding the healthcare practice. The goal of healthcare delivery is to promote healthy living and reduce suffering among patients. On the other hand, it may be impossible to reduce suffering among patients when the healthcare providers are suffering. Therefore, the practices aimed at improving the quality of life for the nurses and giving them the freshness to handle patients’ needs accordingly. Also, the policies support the ethics of justice. On the other hand, some of the policies regarding the promotion of ethics include discrimination in recruitment by external agencies. Furthermore, the counsellors could provide bias information or rather use the nurses’ data against them. The effectiveness of the counselling sessions depends on the transparency and openness between the nurses and their counsellors. There are cases where nurses may outline specific relating to the organization’s management. Lack of confidentiality from the counsellor could lead to exposing the nurses and affecting their working relationships further.
Policy or Practice Changes Designed To Balance The Competing Needs Of Resources, Workers, And Patients
The organization should embrace open forums where both the leaders and nurses can share their ideas and opinions on the work process. The policy will help in balancing the need to address nurse burnout and the leadership approaches in the organization. The forums will promote the transformational relationship between the nurses and the leaders and so facilitate quality healthcare delivery. Recruiting transformation leaders or rather offering training may require additional resources. Similarly, adding the number of nurses in the organization will require more financial input. However, creating open forums and regular meetings will help in devising collaborative methods to address the nurses working conditions and improve leadership experiences. Burnout is not always about inadequate staffing; however, employees’ experiences and interactions with the organization plays an important role.
According to Asif et al. (2019), transformational leaders seek to understand the experiences of the nurses and work with them to overcome the challenges. The regular interaction between the leaders and the nurses allows frequent communication and sharing of ideas that alleviate the burnout experiences among the nurses (Wu et al., 2020).
Conclusion
Finally, burnout is a serious concern in healthcare delivery. Proper policies should be developed to improve the working experiences of the nurses and allow them to offer quality healthcare services to the patients. There is a need to increasing the nursing staff, reduce the working hours and offer counselling services; however, the hallmark approach to burnout incidences is improving the leadership practice and working environment which stimulates passion for work among the nurses.
References
Asif, M., Jameel, A., Hussain, A., Hwang, J., & Sahito, N. (2019). Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: Assessing the role of job satisfaction and structural empowerment. International Journal of Environmental Research and Public Health, 16(13), 2381. https://doi.org/10.3390/ijerph16132381
Boamah, S. A., Read, E. A., & Spence Laschinger, H. K. (2016). Factors influencing new graduate nurse burnout development, job satisfaction, and patient care quality: A time-lagged study. Journal of Advanced Nursing, 73(5), 1182-1195. https://doi.org/10.1111/jan.13215
Liu, C., Liu, S., Yang, S., & Wu, H. (2019). Association between transformational leadership and occupational burnout and the mediating effects of psychological empowerment in this relationship among CDC employees: A cross-sectional study. Psychology Research and Behavior Management, 12, 437-446. https://doi.org/10.2147/prbm.s206636
Wu, X., Hayter, M., Lee, A. J., Yuan, Y., Li, S., Bi, Y., Zhang, L., Cao, C., Gong, W., & Zhang, Y. (2020). A positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave. Journal of Nursing Management, 28(4), 804-813. https://doi.org/10.1111/jonm.12994
Rubric
| Criteria | Ratings | Pts | ||||
|---|---|---|---|---|---|---|
|
Add a section to the 2-3 page paper you submitted in Module 1. For this assignment, in 1-2 pages, address the following: · Identify and describe at least two competing needs impacting your selected healthcare issue/stressor. |
|
|||||
|
· 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. |
|
|||||
|
· 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. |
|
|||||
|
Resource Synthesis |
|
|||||
|
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. |
|
|||||
|
Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation. |
|
|||||
|
Written Expression and Formatting: The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. |
|
|||||
|
Total Points: 100
|
||||||