ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Walden University ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053 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: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Whether one passes or fails an academic assignment such as the Walden University ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053 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: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
The introduction for the Walden University ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053 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.
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How to Write the Body for ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
After the introduction, move into the main part of the ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053 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: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
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: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
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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ASSIGNMENT: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
ASSIGNMENT ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Nurses should always work in safe and adequately-resourced healthcare settings. Failure to meet these fundamental requirements makes healthcare organizations stressful and threatens nurses’ comfort and ability to provide quality care. Although healthcare organizations strive to provide safe workplaces for healthcare professionals while supporting them in various ways, workplace stressors widespread in the United States are a huge setback. One such stressors is the nursing shortage, which has crippled patient care in many organizations. The purpose of this paper is to inform the management how the nursing shortage affects the work setting and appropriate intervention strategies as applied in other organizations.
Stressor’s Description and Impacts
The nursing shortage is a multidimensional problem in the United States affecting how and when patient care is offered. Its defining element is a supply that cannot match the current demand for nurses. Worse, the national demand for nurses is projected to rise progressively up to 2024, when the demand for registered nurses will rise by 16% (Weaver et al., 2018). Potential causes for this inevitable increment include an aging workforce, workplace stress triggering turnover, and nurses continuously leaving the practice to join other professions.
The impacts are sweeping and regrettable since the quality of care is inversely proportional to the nurse-to-patient ratio. A high nurse-patient ratio increases the nurse workload leading to burnout. The same problem is witnessed in the current setting since burnout stemming from the nursing shortage triggers as high as 30% of turnover in the facility. Other impacts include increased susceptibility to committing medical errors, unhealthy workplace relationships, and lack of time for self-care.
Research Addressing the Nursing Shortage
The criticality of the nursing shortage in the United States has attracted a lot of attention from researchers, healthcare stakeholders, and policymakers. One of the articles from outside resources that have explored the nursing shortage in-depth is by Shah et al. (2018) on the prevalence and factors associated with nurse burnout in the United States. In this article, Shah et al. (2018) analyzed the damaging effects of nurse burnout as a leading consequence of the nursing shortage hampers patient care and professional relationships. The authors further outline the various interventions magnet hospitals use to cope with workplace stressors that can be applied in the current organization.
The second article is by Ten Hoeve et al. (2020) on nurse turnover prevention. The article’s primary theme is that a nursing shortage hampers professional commitment and collegial support is instrumental in enabling nurses to cope with the detrimental effects of a nursing shortage in healthcare organizations. Generally, the articles underscore the importance of transformational leadership in nursing, whose role is changing culture to achieve better patient outcomes (Broome & Marshall, 2021). They demonstrate the need to embrace change and engage the workforce in transforming health practices to optimize patient outcomes.
Summary of the Strategies Used to Address the Nursing Shortage
The articles provide various strategies for addressing the nursing shortage in magnet hospitals and other organizations. Shah et al. (2018) underlined the importance of adequate nurse staffing and reducing workload by limiting the length of shifts. Since hiring adequate staff is usually an enormous administrative and financial challenge, magnet hospitals should maximally focus should be limiting the number of hours per shift. Doing so would give nurses ample time to engage in self-care and other activities that increase commitment.
This approach coincides with the suggestion that improving employee well-being, as witnessed in Anne Arundel Medical Center, increases employee engagement hence reducing turnover (Jacobs et al., 2018). Collegial support helps nurses to overcome negative experiences in the workplace. It is achieved by leaders and supervisors increasing their commitment to improving the work environment to ensure that it is free from adverse events. Nurses should also be supported through professional growth opportunities and a work routine that promotes a positive work-life balance.
Impact on the Organization
The strategies suggested in the research articles may impact the organization both positively and negatively. From a positive dimension, reducing the lengths of shifts, promoting employee well-being, and providing growth opportunities have the potential to increase commitment to work. A highly committed workforce is less susceptible to nurse burnout hence low turnover. However, most of these alternatives require employee training and continuous support with educational resources. As a result, they would be financially burdening. Hiring new staff is equally a huge burden. However, healthcare leaders should increase their reliance of non-physician clinicians since the quality of care does not differ with what physicians provide (Auerbach et al., 2018). The only thing needed is supervision and continuous support.
Conclusion
Healthcare delivery faces many challenges that impede patient outcomes. The nursing shortage is a significant nursing stressor that hampers patients’ outcomes, workplace productivity, and relationships. The problem is prevalent in the current organization, and leaders should implement creative and lasting measures to mitigate its damage. Some of the most effective strategies, as proposed in the explored articles, include manageable workloads, promoting well-being, and providing growth and development opportunities. As highlighted, these practices have both positive and negative consequences, and leaders should adequately analyze them before making a choice.
References
Auerbach, D. I., Straiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians-implications for the physician workforce. The New England Journal of Medicine, 378(25), 2358-2360. doi: 10.1056/NEJMp1801869
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer.
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, 42(3), 231-245. https://doi.org/10.1097/naq.0000000000000303
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469.
Ten Hoeve, Y., Brouwer, J., & Kunnen, S. (2020). Turnover prevention: The direct and indirect association between organizational job stressors, negative emotions and professional commitment in novice nurses. Journal of Advanced Nursing, 76(3), 836–845. https://doi.org/10.1111/jan.14281 Weaver, M. S., Wichman, B., Bace, S., Schroeder, D., Vail, C., Wichman, C., & Macfadyen, A. (2018). Measuring the Impact of the home health nursing shortage on family caregivers of children receiving palliative care. Journal of Hospice and Palliative Nursing: JHPN : The Official Journal of the Hospice and Palliative Nurses Association, 20(3), 260–265. https://doi.org/10.1097/NJH.0000000000000436
This paper is determined to analyze Obesity and its impacts as a pertinent national issue in the United States. It will also explain how the health issue is being addressed in other organizations. Obesity is a treatable health disease that is a worldwide concern, associated with excess fat in the body. It is genetically and environmentally caused. It is diagnosed by a healthcare provider and is classified as having a body mass index (BMI) of 30 or greater (Fryar et al, 2018).
Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). Moreover, Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of deaths in the United States. (Chiao et al., 2015). Obesity is a nutritional disorder that is related to unhealthy eating.
There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. Among the most concerning chronic health conditions is Obesity. Irrespective of whether an adult or a child experiences the condition, Obesity has been connected to poor life quality and various numerous killer comorbid conditions such as some types of cancer, stroke, heart disease, and diabetes (Chiao et al., 2015).
Even though the disease has devastating effects on the population, it remains a complex health concern caused by a combination of individual factors like genetics and behavior and various other causes like physical activity, environment, food, skills, and education. Multiple factors such as exposures, medication use, dietary pattern, and lack of physical activity have also been shown to contribute (Werneck et al., 2018). Even though various interventions have been used to prevent and manage Obesity, the condition seems to be increasing among the population. (Fryar et al, 2018).
The Impact of Obesity on the Nursing Professionals.
Nursing professionals face different problems in the healthcare system. These problems may be associated with the work environment as well as the treatment issues. Obesity has both mental and physical health complications for people of all ages. The complications related to Obesity range from medical conditions such as hypertension, diabetes, some types of cancer, stroke, and heart disease. Also, Obesity is associated with reduced self-esteem, social isolation, as well as depression.
The dominance of Obesity was 42.4% in 2017-2018. Moreover, from 1999–2000 through 2017–2018, the bulk of Obesity increased from 30.5% to 42.4%, and the prevalence of severe Obesity risen from 4.7% to 9.2%. Its related conditions include heart disease, stroke, type 2 diabetes, and certain types of cancer that are leading causes of preventable, premature death. Similarly, the estimated annual medical cost of Obesity in the United States was $147 billion in 2008 U.S. dollars; the medical cost for people who have Obesity was $1,429 higher than those of normal weight. (NCHS 2017-2018). The working adults of non-Hispanic blacks (49.6%) had the highest age-adjusted higher number of Obesity. Similarly, working-age of Hispanic (44.8%) and non-Hispanic White adults (42.2%) (Fryar et al, 2018).
The age-adjusted dominance of Obesity among U.S. adults was 42.4% in 2017–2018. The prevalence was 40.0% among younger adults aged 20–39, 44.8% among middle-aged adults aged 40–59, and 42.8% among older adults aged 60 and over. There were no significant differences in prevalence by age group (Fryar et al, 2018).Among men, the prevalence of Obesity was 40.3% among those aged 20–39, 46.4% among those aged 40–59, and 42.2% among those aged 60 and over. Among women, the prevalence of Obesity was 39.7% among those aged 20–39, 43.3% among those aged 40–59, and 43.3% among those aged 60 and over. None of the differences by age were significant. There was no significant difference in the prevalence of Obesity between men and women overall or by age group (Fryar et al, 2018).
The health problem has had profound financial implications. It has a substantial economic burden on the USA economy and other world’s governments and States. The resulting poorer health outcomes for obese individuals means that such people have to use the health care services more frequently, implying a notable increase in health care costs and burn out of nurses. As of the year 2016, close to two billion adults were overweight. Over six hundred and fifty million were classified as obese globally—implying that close to forty percent of the adult population were overweight, with thirteen percent among them obese. As of 2019, the statistics for children under five were not better as thirty-eight million of this population were classified as obese or overweight.
Strategies Used in the Mitigation of Obesity
The management of Obesity often requires evidence-based practices that aim at increasing safety measures. Currently, there are training processes that aim at reducing the increasing rates of mortalities associated with Obesity. The training processes include management of eating habits, engagement in physical activities, and other healthy behaviors. Educational processes on eating patterns are also undertaken to reduce the cases of Obesity (Cipriani et al., 2016). Besides, the proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.
Conclusion
Obesity is a serious healthcare issue associated with reduced quality of life and lower mental health conditions. Moreover, it is related to an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018).
The main problem is the increasing cases of Obesity among the population. And this has negatively impacted nursing professionals. The proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.
Reference
Cipriani, G., Lucetti, C., Danti, S., Carlesi, C., & Nuti, A. (2016). Violent and criminal manifestations in dementia patients. Geriatrics & gerontology international, 16(5), 541-549. doi.10.1111/ggi.12608
Chiao, C. Y., Wu, H. S., & Hsiao, C. Y. (2015). Caregiver burden for informal caregivers of patients with dementia: A systematic review. International Nursing Review, 62(3), 340-350.doi.10.1111/inr.12194
Fryar, C. D., Carroll, M. D., & Ogden, C. L. (2018). Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2015–2016. http://www.publicnow.com/view/57BFCB292A6D12A9A3EE633921C052DED8F0D94B
Werneck, A. O., Oyeyemi, A. L., Gerage, A. M., Cyrino, E. S., Szwarcwald, C. L., Sardinha, L. B., & Silva, D. R. (2018). Does leisure‐time physical activity attenuate or eliminate the positive association between Obesity and high blood pressure? The Journal of Clinical Hypertension, 20(5), 959-966. doi.10.1111/jch.13292
This paper is determined to analyze Obesity and its impacts as a pertinent national issue in the United States. It will also explain how the health issue is being addressed in other organizations. Obesity is a treatable health disease that is a worldwide concern, associated with excess fat in the body. It is genetically and environmentally caused. It is diagnosed by a healthcare provider and is classified as having a body mass index (BMI) of 30 or greater (Fryar et al, 2018).
Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). Moreover, Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of deaths in the United States. (Chiao et al., 2015). Obesity is a nutritional disorder that is related to unhealthy eating.
There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. Among the most concerning chronic health conditions is Obesity. Irrespective of whether an adult or a child experiences the condition, Obesity has been connected to poor life quality and various numerous killer comorbid conditions such as some types of cancer, stroke, heart disease, and diabetes (Chiao et al., 2015).
Even though the disease has devastating effects on the population, it remains a complex health concern caused by a combination of individual factors like genetics and behavior and various other causes like physical activity, environment, food, skills, and education. Multiple factors such as exposures, medication use, dietary pattern, and lack of physical activity have also been shown to contribute (Werneck et al., 2018). Even though various interventions have been used to prevent and manage Obesity, the condition seems to be increasing among the population. (Fryar et al, 2018).
The Impact of Obesity on the Nursing Professionals.
Nursing professionals face different problems in the healthcare system. These problems may be associated with the work environment as well as the treatment issues. Obesity has both mental and physical health complications for people of all ages. The complications related to Obesity range from medical conditions such as hypertension, diabetes, some types of cancer, stroke, and heart disease. Also, Obesity is associated with reduced self-esteem, social isolation, as well as depression.
The dominance of Obesity was 42.4% in 2017-2018. Moreover, from 1999–2000 through 2017–2018, the bulk of Obesity increased from 30.5% to 42.4%, and the prevalence of severe Obesity risen from 4.7% to 9.2%. Its related conditions include heart disease, stroke, type 2 diabetes, and certain types of cancer that are leading causes of preventable, premature death. Similarly, the estimated annual medical cost of Obesity in the United States was $147 billion in 2008 U.S. dollars; the medical cost for people who have Obesity was $1,429 higher than those of normal weight. (NCHS 2017-2018). The working adults of non-Hispanic blacks (49.6%) had the highest age-adjusted higher number of Obesity. Similarly, working-age of Hispanic (44.8%) and non-Hispanic White adults (42.2%) (Fryar et al, 2018).
The age-adjusted dominance of Obesity among U.S. adults was 42.4% in 2017–2018. The prevalence was 40.0% among younger adults aged 20–39, 44.8% among middle-aged adults aged 40–59, and 42.8% among older adults aged 60 and over. There were no significant differences in prevalence by age group (Fryar et al, 2018).Among men, the prevalence of Obesity was 40.3% among those aged 20–39, 46.4% among those aged 40–59, and 42.2% among those aged 60 and over. Among women, the prevalence of Obesity was 39.7% among those aged 20–39, 43.3% among those aged 40–59, and 43.3% among those aged 60 and over. None of the differences by age were significant. There was no significant difference in the prevalence of Obesity between men and women overall or by age group (Fryar et al, 2018).
The health problem has had profound financial implications. It has a substantial economic burden on the USA economy and other world’s governments and States. The resulting poorer health outcomes for obese individuals means that such people have to use the health care services more frequently, implying a notable increase in health care costs and burn out of nurses. As of the year 2016, close to two billion adults were overweight. Over six hundred and fifty million were classified as obese globally—implying that close to forty percent of the adult population were overweight, with thirteen percent among them obese. As of 2019, the statistics for children under five were not better as thirty-eight million of this population were classified as obese or overweight.
Strategies Used in the Mitigation of Obesity
The management of Obesity often requires evidence-based practices that aim at increasing safety measures. Currently, there are training processes that aim at reducing the increasing rates of mortalities associated with Obesity. The training processes include management of eating habits, engagement in physical activities, and other healthy behaviors. Educational processes on eating patterns are also undertaken to reduce the cases of Obesity (Cipriani et al., 2016). Besides, the proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.
Conclusion
Obesity is a serious healthcare issue associated with reduced quality of life and lower mental health conditions. Moreover, it is related to an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. And this has negatively impacted nursing professionals. The proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.
Reference
Cipriani, G., Lucetti, C., Danti, S., Carlesi, C., & Nuti, A. (2016). Violent and criminal manifestations in dementia patients. Geriatrics & gerontology international, 16(5), 541-549. doi.10.1111/ggi.12608
Chiao, C. Y., Wu, H. S., & Hsiao, C. Y. (2015). Caregiver burden for informal caregivers of patients with dementia: A systematic review. International Nursing Review, 62(3), 340-350.doi.10.1111/inr.12194
Fryar, C. D., Carroll, M. D., & Ogden, C. L. (2018). Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2015–2016. http://www.publicnow.com/view/57BFCB292A6D12A9A3EE633921C052DED8F0D94B
Werneck, A. O., Oyeyemi, A. L., Gerage, A. M., Cyrino, E. S., Szwarcwald, C. L., Sardinha, L. B., & Silva, D. R. (2018). Does leisure‐time physical activity attenuate or eliminate the positive association between Obesity and high blood pressure? The Journal of Clinical Hypertension, 20(5), 959-966. doi.10.1111/jch.13292
Nurses should always work in safe and adequately-resourced healthcare settings. Failure to meet these fundamental requirements makes healthcare organizations stressful and threatens nurses’ comfort and ability to provide quality care. Although healthcare organizations strive to provide safe workplaces for healthcare professionals while supporting them in various ways, workplace stressors widespread in the United States are a huge setback. One such stressors is the nursing shortage, which has crippled patient care in many organizations. The purpose of this paper is to inform the management how the nursing shortage affects the work setting and appropriate intervention strategies as applied in other organizations.
Stressor’s Description and Impacts
The nursing shortage is a multidimensional problem in the United States affecting how and when patient care is offered. Its defining element is a supply that cannot match the current demand for nurses. Worse, the national demand for nurses is projected to rise progressively up to 2024, when the demand for registered nurses will rise by 16% (Weaver et al., 2018). Potential causes for this inevitable increment include an aging workforce, workplace stress triggering turnover, and nurses continuously leaving the practice to join other professions. The impacts are sweeping and regrettable since the quality of care is inversely proportional to the nurse-to-patient ratio. A high nurse-patient ratio increases the nurse workload leading to burnout. The same problem is witnessed in the current setting since burnout stemming from the nursing shortage triggers as high as 30% of turnover in the facility. Other impacts include increased susceptibility to committing medical errors, unhealthy workplace relationships, and lack of time for self-care.
Research Addressing the Nursing Shortage
The criticality of the nursing shortage in the United States has attracted a lot of attention from researchers, healthcare stakeholders, and policymakers. One of the articles from outside resources that have explored the nursing shortage in-depth is by Shah et al. (2018) on the prevalence and factors associated with nurse burnout in the United States. In this article, Shah et al. (2018) analyzed the damaging effects of nurse burnout as a leading consequence of the nursing shortage hampers patient care and professional relationships. The authors further outline the various interventions magnet hospitals use to cope with workplace stressors that can be applied in the current organization.
The second article is by Ten Hoeve et al. (2020) on nurse turnover prevention. The article’s primary theme is that a nursing shortage hampers professional commitment and collegial support is instrumental in enabling nurses to cope with the detrimental effects of a nursing shortage in healthcare organizations. Generally, the articles underscore the importance of transformational leadership in nursing, whose role is changing culture to achieve better patient outcomes (Broome & Marshall, 2021). They demonstrate the need to embrace change and engage the workforce in transforming health practices to optimize patient outcomes.
Summary of the Strategies Used to Address the Nursing Shortage
The articles provide various strategies for addressing the nursing shortage in magnet hospitals and other organizations. Shah et al. (2018) underlined the importance of adequate nurse staffing and reducing workload by limiting the length of shifts. Since hiring adequate staff is usually an enormous administrative and financial challenge, magnet hospitals should maximally focus should be limiting the number of hours per shift. Doing so would give nurses ample time to engage in self-care and other activities that increase commitment. This approach coincides with the suggestion that improving employee well-being, as witnessed in Anne Arundel Medical Center, increases employee engagement hence reducing turnover (Jacobs et al., 2018). Collegial support helps nurses to overcome negative experiences in the workplace. It is achieved by leaders and supervisors increasing their commitment to improving the work environment to ensure that it is free from adverse events. Nurses should also be supported through professional growth opportunities and a work routine that promotes a positive work-life balance.
Impact on the Organization
The strategies suggested in the research articles may impact the organization both positively and negatively. From a positive dimension, reducing the lengths of shifts, promoting employee well-being, and providing growth opportunities have the potential to increase commitment to work. A highly committed workforce is less susceptible to nurse burnout hence low turnover. However, most of these alternatives require employee training and continuous support with educational resources. As a result, they would be financially burdening. Hiring new staff is equally a huge burden. However, healthcare leaders should increase their reliance of non-physician clinicians since the quality of care does not differ with what physicians provide (Auerbach et al., 2018). The only thing needed is supervision and continuous support.
Conclusion
Healthcare delivery faces many challenges that impede patient outcomes. The nursing shortage is a significant nursing stressor that hampers patients’ outcomes, workplace productivity, and relationships. The problem is prevalent in the current organization, and leaders should implement creative and lasting measures to mitigate its damage. Some of the most effective strategies, as proposed in the explored articles, include manageable workloads, promoting well-being, and providing growth and development opportunities. As highlighted, these practices have both positive and negative consequences, and leaders should adequately analyze them before making a choice.
References
Auerbach, D. I., Straiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians-implications for the physician workforce. The New England Journal of Medicine, 378(25), 2358-2360. doi: 10.1056/NEJMp1801869
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer.
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, 42(3), 231-245. https://doi.org/10.1097/naq.0000000000000303
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469.
Ten Hoeve, Y., Brouwer, J., & Kunnen, S. (2020). Turnover prevention: The direct and indirect association between organizational job stressors, negative emotions and professional commitment in novice nurses. Journal of Advanced Nursing, 76(3), 836–845. https://doi.org/10.1111/jan.14281
Weaver, M. S., Wichman, B., Bace, S., Schroeder, D., Vail, C., Wichman, C., & Macfadyen, A. (2018). Measuring the Impact of the home health nursing shortage on family caregivers of children receiving palliative care. Journal of Hospice and Palliative Nursing: JHPN : The Official Journal of the Hospice and Palliative Nurses Association, 20(3), 260–265. https://doi.org/10.1097/NJH.0000000000000436
Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
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 issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
- Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
- Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (2-3 Pages): Analysis of a Pertinent Healthcare Issue
Develop a 2 to 3 page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
- Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
- Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
- Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Looking Ahead
The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.
Fatmata, the opioid crisis affects healthcare locations everywhere. In the emergency department, we feel the crisis when patients come in for intentional and unintentional overdoses. We also have patients who frequently come in simply for pain control when they already take opioids at home. I find these situations particularly difficult because, frequently, only having chronic pain is not enough of a chief complaint to be admitted.
We are forced to tell patients that we cannot fix their pain here and that they must be discharged with a follow-up to a pain management specialist. Furthermore, almost 200 Americans die daily from a drug overdose, and the number of overdoses that do not result in deaths is even higher (Salmond & Allread, 2019). Continuing with your specialty of patients in orthopedics, this literature has shown that 50% of patients who take opioids for non-cancer pain become addicted. The incidence of persistent opioid use after surgeries did not differ between patients who had major and minor surgeries. Included in the same research was an approach to this epidemic that focuses on the downstream population health.
This approach recognizes the difficulties of trying to make human beings stop something so addictive and a regular part of their life; it focuses on gradually reducing consumption and promoting physical and mental health at each step in the process. While it may seem unproductive to shift the focus away from a preventative method, it must be recognized how deep into this issue the country is. Focusing on prevention is great, but far too many people are already struggling with addiction. These people should be the greatest focus at the current point the country is in the epidemic.
Focusing on evidence-based education and harm reduction in the addicted population is a newer approach that may have more benefits because it meets people where they are and focuses on the nature of humans having difficulty stopping an addictive substance (Salmond & Allread, 2019). Areas that may be at the greatest risk are in rural America due to fewer amounts of providers and longer travel distances to hospitals and specialists (Jenkins, 2021). Some legislation has been proposed in an attempt to confront the epidemic, but most did not move past the introduction stage (Bowen & Irish, 2019). This research showed that few amounts of legislation focused on long-term care, safer consumption routes, or stigma control. The populations focused on most were youth and veterans; the populations focused on least were racial/ethnic minorities, low-income areas, and sexual minorities. The country has a long way to go in properly treating this crisis. Thank you for bringing it up and for the work you do each day to promote health and wellness in our country.
References
Bowen, E. A., & Irish, A. (2019). A policy mapping analysis of goals, target populations, and punitive notions in the U.S. congressional response to the opioid epidemic. International Journal of Drug Policy, 74, 90–97. https://doi.org/10.1016/j.drugpo.2019.09.014Links to an external site.
Jenkins, R. A. (2021). The fourth wave of the US opioid epidemic and its implications for the rural US: A federal perspective. Preventive Medicine, 152, 106541. https://doi.org/10.1016/j.ypmed.2021.106541Links to an external site.
Salmond, S., & Allread, V. (2019). A Population Health Approach to America’s Opioid Epidemic. Orthopaedic Nursing, 38(2), 95–108. https://doi.org/10.1097/nor.0000000000000521Links to an external site.
By Day 7 of Week 2
Submit your paper.
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Patient safety and quality care delivery are essential in improving patient outcomes and meeting regulatory requirements advanced by policies like the Affordable Care Act and value-based purchases (Slonim, 2023). However, organizations grapple with different health issues, key among them hospital-acquired infections (HAIs) like catheter-associated urinary tract infections (CAUTIs) (Caparro et al., 2020). The purpose of this paper is to discuss HAIs as a pertinent healthcare issue that impacts healthcare organizations and providers.
Hospital or Healthcare Associated Infections (HAIs)
The Agency for Healthcare Research and Quality (AHRQ) asserts that healthcare-associated infections (HAIs) are among the most prevalent complications in healthcare facilities. On its part, the Centers for Disease Control and Prevention (CDC) (2019) says that one in every 31 hospitalized patients gets HAI implying that close to 633,000 get infected each year in the U.S. healthcare system. These infections cause morbidities and, in some cases, mortality that can be mitigated. The implication is that over a million infections occur in the U.S. leading to the loss of billions of dollars, lives, and other resources that could be channeled elsewhere.
In our organization, the rate of infections, especially CAUTIs and ventilator-associated ones has been rising with the recent data showing that close to 100 infections occurred over the last year. This is an increase from 60 infections recorded over the same period two years back. As such, the organization asserts that it is critical to address the rising rate of infections to ensure patient safety and quality of care as well as get reimbursed by the Centers for Medicare and Medicaid Services (CDC, 2019). These infections should be contained in both the short and long term to attain value-based care for the patients and their families.
Summary of Reviewed Articles
The first article is by Caparro et al. (2020) who propose effective interventions to reduce HAI rates in healthcare settings. Through their focus on adult geriatric patients, the authors assert that infection control practices like strategic methodologies to lower the risk of HAIs are essential. The authors suggest having an effective reporting system and evidence-based practice interventions that include a non-blame culture but focus on the root cause of such incidences as the best way to lower such events.
The sentiments shared in the above article are supported by Bearman et al. (2019) who assert that HAIs are preventable when providers and organizations focus on the tenet of “no harm”, which will allow them to develop prevention programs and interventions that are not only reliable but also sustainable and practical. The article also implores providers and organizations to develop and use evidence-based practice strategies that focus on creating a patient safety environment as the primary tool for excellent care delivery. These articles demonstrate that effective strategies must emanate from providers and organizational safety and quality care policies to reduce the rates of infections.
Organizations across the healthcare industry are addressing infections through effective strategies founded on evidence-based practices and need to meet the value-based purchase requirements by the CMS. As such, these organizations have safety and quality policies and organizational cultures that focus on reporting systems and collaborative efforts to reduce infections and other adverse events like medication errors (AHRQ, 2019). These entities prioritize nurse-led interventions like reporting, feedback, better shift handover as well an organizational safety culture that holistically focuses on patients and providers.
Summary of Strategies and Impact on Organization
Addressing healthcare-associated infections (HAIs) entails using evidence-based approaches as demonstrated by the resources used in this paper. These include having a safety culture and reporting policy, using EBP interventions focused on developing prevention programs to meet patient and health population needs, and increased adherence to regulatory requirements based on the Quadruple Aim framework (Puro et al., 2022). Further, providers must work collaboratively to implement strategies that align with the overall quality expectations in the organization for nurses and patients as well as their families.
These strategies may affect our organization positively as they will lead to better care delivery increased patient satisfaction and improved experience. On the flip side, these policies require increased investment in surveillance and resources as well as not pinpointing anyone which may not be practical in any setting (Bearman et al., 2022). As such, the strategies focus on the positive aspects but ignore the possible and critical unintended consequences that may arise from their implementation.
Conclusion
National health stressors like hospital-acquired or associated infections are safety concerns that require effective interventions. As demonstrated, organizations continue devising strategies to help them deal with this stressor and reduce its overall negative effects. As such, implementing evidence-based best practices will help healthcare entities to deal with the stressor in both the short and long-term.
References
Agency for Healthcare Research and Quality (AHRQ) (2019). Health Care – Associated
Infections. https://psnet.ahrq.gov/primer/health-care-associated-infections
Bearman, G., Doll, M., Cooper, K., & Stevens, M. P. (2019). Hospital infection prevention: how
much can we prevent and how hard should we try? Current Infectious Disease Reports, 21, 1-7. DOI: https://doi.org/10.1007/s11908-019-0660-2
Caparros, A. C., & Wyckoff, M. (2020). Infection Control Interventions to Improve Hospital-
Acquired Infection Rates in Adult-Geriatric Patients. Journal Of Prevention and Infection Control, 6(2). DOI: 10.36648/2471-9668.6.1.01
Centers for Disease Control and Prevention (CDC) (2019). Healthcare-Associated Infections
(HAIs). https://www.cdc.gov/hai/patientsafety/patient-safety.html
Puro, V., Coppola, N., Frasca, A., Gentile, I., Luzzaro, F., Peghetti, A., & Sganga, G. (2022).
Pillars for prevention and control of healthcare-associated infections: an Italian expert opinion statement. Antimicrobial Resistance & Infection Control, 11(1), 1-13.
DOI: https://doi.org/10.1186/s13756-022-01125-8
Slonim, A. (2023). Top challenges facing healthcare: Back to basics. Physician Leadership
Journal, 10(2), 12–14. https://doi.org/10.55834/plj.2064149664
Rubric
NURS_6053_Module01_Week02_Assignment_Rubric
| Criteria | Ratings | Pts | |
|---|---|---|---|
| This criterion is linked to a Learning Outcome Develop a 2-3 page paper, written to your organization’s leadership team, addressing the selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: · Describe the national healthcare issue/stressor you selected and its impact on your organization. · Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). | 25 to >22.0 pts ExcellentThe response accurately and thoroughly describes the national healthcare issue/stressor selected and its impact on an organization. …The response includes accurate, clear, and detailed evidence/data to quantify the impact of the national healthcare issue/stressor selected. 22 to >19.0 pts GoodThe response describes the national healthcare issue/stressor selected and its impact on an organization. …The response includes accurate data to quantify the impact of the national healthcare issue/stressor selected. 19 to >17.0 pts FairThe response inaccurately or vaguely describes the national healthcare issue/stressor selected and its impact on an organization. …The response includes vague or inaccurate data to quantify the impact of the national healthcare issue/stressor selected. 17 to >0 pts PoorThe response inaccurately and vaguely describes the national healthcare issue/stressor selected and its impact on an organization or is missing. …The response includes vague and inaccurate data to quantify the impact of the national healthcare issue/stressor selected or is missing. | 25 pts | |
| This criterion is linked to a Learning Outcome · Provide a summary of the two articles you reviewed from outside resources, on the national healthcare issue/stressor. · Explain how the healthcare issue/stressor is being addressed in other organizations. | 30 to >26.0 pts ExcellentResponse includes a complete, detailed, and specific summary of two outside resources (articles) reviewed on the national healthcare issue/stressor selected. …The response accurately and thoroughly explains in detail how the healthcare issue/stressor is being addressed in other organizations. 26 to >23.0 pts GoodResponse includes an accurate summary of two outside resources (articles) reviewed on the national healthcare issue/stressor selected. …The response explains how the healthcare issue/stressor is being addressed in other organizations. 23 to >20.0 pts FairResponse includes a vague or inaccurate or incomplete summary of outside resources (articles) reviewed on the national healthcare issue/stressor selected. …The response vaguely or inaccurately explains how the healthcare issue/stressor is being addressed in other organizations. 20 to >0 pts PoorResponse provides a vague and inaccurate summary of outside resources (articles) reviewed on the national healthcare issue/stressor selected or summary is missing. …The response vaguely and inaccurately explains how the healthcare issue/stressor is being addressed in other organizations or explanation is missing. | 30 pts | |
| This criterion is linked to a Learning Outcome · Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. · Explain how the strategies may impact your organization both positively and negatively. Be specific and provide examples. | 25 to >22.0 pts ExcellentResponse includes a complete, detailed, and accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor. …Response accurately and thoroughly explains how the strategies may impact an organization both positively and negatively, with specific and accurate examples for each. 22 to >19.0 pts GoodResponse includes an accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor. …Response explains how the strategies may impact an organization both positively and negatively with at least one specific example for each. 19 to >17.0 pts FairResponse includes a vague or inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor. …Response vaguely or inaccurately explains how the strategies may impact an organization both positively and negatively. …Response may include some vague or inaccurate examples. 17 to >0 pts PoorResponse provides a vague and inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor or summary is missing. …Response vaguely and inaccurately explains how the strategies may impact an organization both positively and negatively or explanation is missing. …Response does not include any examples. | 25 pts | |
| This criterion is linked to a Learning Outcome Resource Synthesis | 5 to >4.0 pts ExcellentUsing proper in-text citations, the response fully integrates at least 2 outside resources and 2 or 3 course-specific resources. 4 to >3.0 pts GoodUsing proper in-text citations, the response fully integrates at least 2 outside resources and 1 course-specific resource. 3 to >2.0 pts FairUsing proper in-text citations, the response minimally integrates outside and course-specific resources. 2 to >0 pts PoorThe response does not integrate outside and course-specific resources or no in-text citations are used. | 5 pts | |
| This criterion is linked to a Learning Outcome 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. | 5 to >4.0 pts ExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity. …A clear and comprehensive purpose statement, introduction, and conclusion are provided, which delineates all required criteria. 4 to >3.0 pts GoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …Purpose, introduction, and conclusion of the assignment are stated but are brief and not descriptive. 3 to >2.0 pts FairParagraphs 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. 2 to >0 pts PoorParagraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. …No purpose statement, introduction, or conclusion is provided. | 5 pts | |
| This criterion is linked to a Learning Outcome Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation. | 5 to >4.0 pts ExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 pts GoodContains a few (one or two) grammar, spelling, and punctuation errors. 3 to >2.0 pts FairContains several (three or four) grammar, spelling, and punctuation errors. 2 to >0 pts PoorContains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts | |
| This criterion is linked to a Learning Outcome 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. | 5 to >4.0 pts ExcellentUses correct APA format with no errors. 4 to >3.0 pts GoodContains a few (one or two) APA format errors. 3 to >2.0 pts FairContains several (three or four) APA format errors. 2 to >0 pts PoorContains many (five or more) APA format errors. | 5 pts | |
| Total Points: 100 | |||
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