Assignment; Developing Organizational Policies and Practices Essay
Assignment; Developing Organizational Policies and Practices Essay
Developing organizational policies and practices presents a dilemma for healthcare providers and facilities because of the competing needs. While it is essential to offer patients high quality medical care and attain satisfactory care, it is essential for organizations to manage operational costs. Imperatively, creating a balance between patient safety and quality of and operating costs is essential to meet and comply with regulatory requirements (Challinor et al., 2020). In this case, nursing shortage is a national health stressor that impacts quality of care and optimal resource utilization by organizations. These situations may affect ethical considerations necessitating appropriate policies and practices.
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Competing Needs on Nursing Shortage
Nursing shortage is a critical healthcare stressor caused by different organizational factors. The intent to cover costs and expenditure, get profits, and offer high quality care services may lead to nursing shortage. As such, organizations may not have sufficient levels of nurses to meet patients’ needs due to efforts to reduce costs and maintain operations in an optimal manner. Competing needs like profitability and nurses’ overall welfare and wellbeing may require organizations to develop responsive policies to address nursing shortage (Drennan et al., 2019). Nurses suffer when there is a shortage as they have to overwork and experience burnout as well as fatigue. These lead to high turnover that eventually affects delivery of quality patient care and quality outcomes. Consequently, the healthcare organization faces challenges meeting its operational budgets and targets in the long-term.
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Relevant Policy to Influence the Issue
The need to retain nurses and ensure that they attain highest levels of satisfaction is essential in any organization keen on addressing the nursing shortage issue. Consequently, having sufficient nurse levels to meet care demands allows organizations to offer quality care. The core policy in the organization is about retaining nurses so that they do not leave for greener pastures (Janatolmakan et al., 2022). The policy advocates and implements training and professional development through diverse incentives that encourage nurses to take courses and develop requisite skills required in the performance of their duties to improve productivity and delivery of patient care. The policy also focuses on developing leadership and investing in cultural competent care as a means of meeting diversity and different patient needs.
Analysis of the Policy: Critique
The present policy concerning nurses and their interests allows the organization to attain the Quadruple Aim of health framework as it ensures that nurses nurture and acquire leadership skills as well and interact with patients to improve their outcomes and help them understand different components of the care delivery plan or approach (Livanos, 2018). Through training, nurses also realize their potential. The implication is that patients attain benefits and increased quality of care because of motivated nurses. Despite this benefit, the policy needs some review and enhancements, especially the need to address issues associated with workload like burnout and stress (Milliken, 2018). The policy should consider an individualized approach that allows nurses to develop better interventions to address the increased care demand while also remaining well protected and satisfied.
Practice Changes and Addressing Ethical Shortcomings
Effective scheduling that integrates better shift allocation and use of temporary nurses is a practice change that would lead to better patient outcomes because it will reduce overload, overworking and dissatisfaction. These practice changes would be critical in ensuring that nurses have sufficient time to attend to personal matters in their roles and activities away from work. Again, the organization should also have a transition program and support for newly hired nurses to help them familiarize with their roles and avoid being overwhelmed which leads to high turnover rates (Manz et al., 2021). These approaches are ethical and well-positioned to address different issues based on the Quadruple Aim framework.
Conclusion
Operational costs and the need to provide better patient care services are competing needs impact nursing shortage at all levels of healthcare provision. This leads to burnout and nurse turnover. Ethical issues like fatigue and dissatisfaction arise when nurses fail to meet their needs and are overworked to meet patient care demands. However, using better interventions like effective scheduling and temporary nurses can help address these issues and lead to better healthcare delivery.
References
Challinor, J. M., Alqudimat, M. R., Teixeira, T. O., & Oldenmenger, W. H. (2020). Oncology
nursing workforce: challenges, solutions, and future strategies. The Lancet Oncology, 21(12), e564-e574. DOI: 10.1016/S1470-2045(20)30605-7.
Drennan, V. M., & Ross, F. (2019). Global nurse shortages – the facts, the impact and action for
change. British Medical Bulletin, 130(1), 25-37. DOI: 10.1093/bmb/ldz014.
Janatolmakan, M., & Khatony, A. (2022). Explaining the experience of nurses on missed nursing
care: A qualitative descriptive study in Iran. Applied Nursing Research, 63, 151542.
DOI: 10.1016/j.apnr.2021.151542.
Livanos, N. (2018). A Broadening Coalition: Patient Safety Enters the Nurse-To-Patient Ration
Debate. Journal of Nursing Regulation, 9(1), 68-70.
DOI:10.1016/S2155-8256(18)30056-5
Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: The Online Journal
of Issues in Nursing, 23(1). DOI: 10.1177/0969733015615172.
Manz, J., Williams, K., Jessen, J., & Kirkpatrick, A. (2021). Addressing the perioperative
nursing shortage via a perioperative nursing preceptorship for baccalaureate nursing students. AORN journal, 113(1), 52-63. DOI: 10.1097/NOR.0000000000000535
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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.
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.
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Rubric
| Criteria | Ratings | Pts | ||||
|---|---|---|---|---|---|---|
| This criterion is linked to a Learning OutcomeAdd 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. |
|
25 pts | ||||
| This criterion is linked to a Learning Outcome· 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. |
|
30 pts | ||||
| This criterion is linked to a Learning Outcome· 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. |
|
25 pts | ||||
| This criterion is linked to a Learning OutcomeResource Synthesis |
|
5 pts | ||||
| This criterion is linked to a Learning OutcomeWritten 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. |
|
5 pts | ||||
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation. |
|
5 pts | ||||
| This criterion is linked to a Learning OutcomeWritten 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. |
|
5 pts | ||||
| Total Points: 100 | ||||||
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