NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay
NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay
The perennial nursing shortage is a national healthcare issue of concern. Statistics at national and international levels show that the shortage of healthcare worker (HCWs) is profound and affects effective and quality service delivery. The World Health Organization (WHO) projects that the nursing shortage could hit 12.9 million by 2035 (Marc et al., 2018). Nursing shortage creates unsafe working environment and increases fatigue, high turnover rates, and make nurses susceptible to medication administration errors. The ongoing COVID-19 pandemic has exacerbated the situation as the demand for healthcare services has increased, leading to more strain and burden on nurses, especially those working in critical care settings and others with elderly patient populations with chronic and terminal conditions.
Nursing shortage has impacted my work setting negatively as we enhance efforts to provide care to a patient diversity coming to the facility. Low staff retention, reduced levels of patient’s satisfaction, and a rise in hospital acquired infections are some of the negative effects of nursing shortage in our facility. When patient workload exceeds the available shift nurses, patients experience low levels of satisfaction. Unsafe staffing ratios contribute to burnout and high turnover rates (Alenezi et al., 2018). Further, increased length of stay happens due to higher nurse-to-patient ratios lead to more complications and a rise of hospital acquired infections.
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Many healthcare settings are struggling in responding to nursing shortage because of the few options available (Marshall & Broome, 2017). Our facility is now leveraging technologies like telehealth to enhance access and quality for patients with chronic conditions like diabetes and hypertension who require constant monitoring. While studies show that nursing supply may exceed demand in the near future, using technologies and innovative models like increased training and flexibility can help organizations mitigate the adverse effects of nursing shortage.
References
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Alenezi, A. M., Aboshaiqah, A., & Baker, O. (2018). Work‐related stress among nursing staff
working in government hospitals and primary health care centers. International Journal of Nursing Practice, 24(5). https://doi.org/10.1111/ijn.12676
Marc, M., Bartosiewicz, A., Burzynska, J., Chmiel, Z., & Januszewicz, P. (2018). A
nursing shortage – a prospect of global and local policies. International Nursing Review, 66(1), 9-16. https://doi.org/10.1111/inr.12473.
Marshall, E. S., & Broome, M. E. (2017). Transformational leadership in nursing: From expert
clinician to influential leader (2nd ed.). New York, NY: Springer
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Organizational Policies and Practices to Support Healthcare Issues
Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
To Prepare:
Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in ueshealthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
By Day 3 of Week 3
Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.