NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
Walden University NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
Whether one passes or fails an academic assignment such as the Walden University NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
The introduction for the Walden University NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
After the introduction, move into the main part of the NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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A Sample Answer For the Assignment: NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
Title: NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
NURS 6053- Week 3 Discussion Organizational Policies and Practices to Support Healthcare Issues
Healthcare organizations develop policies to guide the daily activities and meet their expected treatment outcomes and standards. The operation of a healthcare institution depends on both internal and external structures. The internal components include the staffing, the working hours, and schedule policies, and collaboration structures (Laureate Education (Producer), 2018). On the other hand, the external factors include the government policies such as the Medicaid and Medicare programs and the 30 days-readmission policy among others. Therefore, healthcare institutions have to work to meet both external and internal needs. Though, in most cases, the competing needs presented by the policies could affect operational efficiency. The current discussion focuses on the rising cost of the medication issue and the need to improve the patients’ experiences.
The patient’s experience depends on various factors including their interactions with the healthcare providers and the quality of medications they receive. Healthcare institutions may be required to recruit enough healthcare staff to meet the desired healthcare provider patients ratio. Also, the institution may have to stock high-quality drugs to achieve the best therapeutic outcomes in the patients as per the bioethical requirements (Milliken, 2018). The fact is that improved patient experiences result in a lower cost of medication because the patients will have few cases of complications and the number of days they spent in hospitals (Kelly & Porr, 2018).
However, the healthcare personnel may be required to engage intensive care approach including taking more time to understand the patients’ needs and developing the right diagnosis. Furthermore, they will have to explore other socio-cultural issues that could be affecting the treatment outcomes for the patients. In such as case, the healthcare institution will have to invest heavily in the resources needed for proper diagnosis and ensure that healthcare staff adequately meet the patients’ needs.
The illustration indicates that the healthcare institutions will struggle between meeting the patients’ needs and keeping the medication costs low (Hardin et al., 2017). Investing in the resources needed to offer the best care will mean that the costs for the healthcare services will increase. Healthcare institutions operate to make a profit and so must balance between their expenses and income. It will be unrealistic to have high-standard healthcare services at a low cost (Paterick et al., 2017).
Policies such as mandatory patient education and promoting self-care practices can help address the issue. Educating the patients means that they will have the required knowledge to promote healthy behavioural practices. Adopting the policy will reduce the risk of poor treatment outcomes and complications likely to emerge due to the patient’s non-adherence and unhealthy behaviours (Toukhsati et al., 2019). In addition, the patients will understand what they have to do to better their quality of life and so reduce their level of dependence on the healthcare providers (Figueroa et al., 2019). The number of patients seeking healthcare services continues to rise; therefore, adopting the policy will ensure that the healthcare institution serves a large population without straining the resources and this will reduce the cost of treatment.
Finally, competing needs are common in healthcare systems. However, healthcare providers must always develop new measures and policies for addressing health issues. Adopting the policy on patient education on self-care skills will reduce the burden presented on the healthcare institutions by the increasing number of patients and the rising cost of medication. Furthermore, the healthcare institution will be able to manage their staff without exposing them to any health harm and so achieve the quadruple aim.
References
Figueroa, C. A., Harrison, R., Chauhan, A., & Meyer, L. (2019). Priorities and challenges for health leadership and workforce management globally: A rapid review. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4080-7
Hardin, L., Kilian, A., & Spykerman, K. (2017). Competing health care systems and complex patients: An inter-professional collaboration to improve outcomes and reduce health care costs. Journal of Interprofessional Education & Practice, 7, 5-10. https://doi.org/10.1016/j.xjep.2017.01.002
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.Vol23No01Man06.
Laureate Education (Producer). (2018). Moral Leadership [Video file]. Baltimore, MD: Author.
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.Vol23No01Man01.
Paterick, T. E., Patel, N., Tajik, A. J., & Chandrasekaran, K. (2017). Improving health outcomes through patient education and partnerships with patients. Baylor University Medical Center Proceedings, 30(1), 112-113. https://doi.org/10.1080/08998280.2017.11929552
Toukhsati, S., Jaarsma, T., Babu, A., Driscoll, A., & Hare, D. (2019). Self-care interventions that reduce hospital readmissions in patients with heart failure; Towards the identification of change agents. Clinical Medicine Insights: Cardiology, 13, 117954681985685. https://doi.org/10.1177/1179546819856855
Healthcare systems, networks, and providers focus on offering quality care using innovative
delivery models that reduces the overall cost while increasing accessibility. Imperatively, they develop sound and targeted policies to attain these goals but face competing needs like the needs of the healthcare workforce, patients, and limited resources (Griffiths et al., 2020). For example, healthcare organizations can address the workforce needs and those of patients using policies aimed at having optimal nurse staffing levels to reduce nurse shortage, improve quality, and prevent burnout syndrome that leads to nurse turnover. However, these competing needs may mean that the organization increases its costs and reduce their profit margins. The use of sufficient workforce in healthcare organizations ensures that the facility offers quality care to diverse patient population. The increasing demand for care emanating from an aging population and reforms in healthcare that lead to increased access mean that organizations should employ more nurses to bridge the gap.
Specific Competing Needs that Impacts Nurse Shortage
Nurse shortage is a significant problem that requires organizations to develop effective policies because of their competing needs. Nurse shortage leads to high turnover rates and is associated with quality care outcomes. Nurse shortage leads to increased workload and burnout syndrome which implies that organizations should develop policies to ensure that they have optimal nurse levels or staffing levels to address the issue (Kelly & Porr, 2018). As a national health stressor, nursing shortage emanates from the competing needs between patients’ need for quality care and organization’s focus on becoming sustainability while navigating the delicate obligation to have sufficient workforce in their operations.
High costs of healthcare emerge in different areas like cost of drugs, provider reimbursement and even running nursing home care facilities and high costs of better medical equipment that impact the ability of facilities to hire sufficient levels of staff. The employment of more nurses alongside these expenses with the aim of delivering quality care compete with the need to offer quality patient care (Lucchini et al., 2020). The implication is that such facilities should develop policies that will lead to better staff levels and ensure quality care in different areas of care delivery. Policies to emphasize innovative solutions are essential in this case to help the organization address the competing needs of ensuring a happy and satisfied workforce, management of scarce or limited resources that include financial resources, and offering quality care.
Impact of Policy on Competing Needs
The use of new staff scheduling systems by developing a staffing pool can help address the staffing needs. Healthcare providers can use their staff more efficiently in attempts to reduce the overall labor costs and deliver quality care (Kelly & Porr, 2018). For example, hospital organizations can reduce the need to use nurses in moving patients to and from emergency units and instead use other health providers like nurse assistants. Such policies can save the organizations from increased cost of paying the nurses hourly wages for the services which they can plough back and compensate the nursing staff through benefits.
Further, the organization will reduce nurse workload and employee turnover (Milliken, 2018). Training new nurses and employees in general is costly. Having competitive package and benefits and maintenance of the current staff as well as recognition of their efforts is essential to address nursing shortage and improving quality of care for patients in different areas of care provision. Policies are intended to improve the quality of care and reduce the competing needs in healthcare organizations. Nurses’ needs can compete with the need of offering quality care as it implies that organizations must have sufficient levels of staff while this requires additional resources.
References
Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., Monks, T., & Safer Nursing Care Study
Group. (2020). Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion. International Journal of Nursing Studies, 103, 103487. DOI: 10.1016/j.ijnurstu.2019.103487.
Kelly, P., & Porr, C. (2018). Ethical Nursing Care Versus Cost Containment: Considerations to
Enhance RN Practice. OJIN: The Online Journal of Issues in Nursing, 23(1).
DOI: 10.3912/OJIN.Vol23No01Man06
Lucchini, A., Iozzo, P., & Bambi, S. (2020). Nursing workload in the COVID-19 era. Intensive
& critical care nursing, 61, 102929. DOI: 10.1016/j.iccn.2020.102929
Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: The Online Journal
of Issues in Nursing, 23(1). DOI:10.3912/OJIN.Vol23No01Man01
RE: Discussion – Week 3
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 healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
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 healthcare 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.
Many healthcare organizations have policies that use care that are standardized and cost-effective but do not favor following ethical mandates that nurses must follow (Kelly & Porr, 2018). There also may be policies of an organization that conflicts with nurses’ values (Walden University, 2009b). This interferes with care for the patient. Resources become limited with insufficient equipment, money allocated for it, and nursing shortages. This negatively affects nurses, causing them to become frustrated, powerless, and show displaced aggression (Kelly & Porr, 2018).
It can impact policy if nurses would voice their issues and concerns (Kelly & Porr, 2018). Kelly and Porter (2018) share how nurses understand the best care that is right for their patients but knowledge regarding meeting the needs of their patients is controlled by the policies of organizations that follow clinical pathways that are standardized. For example, these pathways facilitate plans of discharge of a patient but unfortunately, the discharges are premature. The code of ethics emphasizes advocacy for patients, performing research to promote nursing, and addressing policies (American Nurses Association, 2015). It also addresses how nurses must use ethical guidelines when making sound decisions and respect the rights of patients as well as providing safe practices for patients’ well-being (American Nurses Association, 2015).
The impacts of competing needs, such as nursing shortages and limited resources (funding, equipment, etc.) are nurses resigning, and patients becoming sicker, such as having infections and sepsis. Also, mortality rates increase and more falls occur. Patients may be diverted to other hospitals because not enough nurses are available to take care of them and more medication errors will also occur.
A policy can address these competing needs by leaders and people who implement, develop, and revise policies to become emotionally intelligent (Walden University, 2009b). Being emotionally intelligent helps one to become more self-aware, listen to the voices and issues of nurses, and address staffing issues. It is also essential for leaders to address improving nurse-patient ratios and appropriate steps to take when ethical issues arise. After all, if these issues are not addressed, it will only lead to more loss of money through potential lawsuits for injuries patients suffer as a result.
References
American Nurses Association. (2015). Code of ethics for nurses with interpretive statementsLinks to an external site.Links to an external site.. Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only
Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practiceLinks to an external site.Links to an external site.. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html
Walden University, LLC. (Producer). (2009b). Working with Individuals [Video file]. Baltimore, MD: Author.
By Day 6 of Week 3
Respond to at least two of your colleagues on two different days by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.
I agree with your post and find it sad that nurses have such limited time to spend with their patients and family members. The nursing practice is based on giving our patients the best care possible (Walden University, LLC, 2012). When we spend more time charting than with the patients it can feel as though we aren’t giving our patients most of our attention, and this can be frustrating. In the ICU we typically have more quality time with our patients. About a year ago my facility-initiated charting by exception to relieve some of the charting burdens the nurses are faced with. Charting by exception allows the nurse to enter the initial assessment into Epic.
All other assessments that shift are charted by what changed from the initial assessment. So, if the patient was alert and oriented x3 initially at 1900 but by 0400 the patient is sedated the neuro section would need to be entered into Epic. This has saved nurses an immense about of time. This should be put into place for all nurses charting systems to free up their time. It may be challenging to do this for clinic visits but I’m sure it could be done. When this was first rolled out nurses were hesitant due to the “not charted, not done” way of thinking that was engrained into nurses’ heads during nursing school but the legal team at the hospital states that this type of charting would be sufficient if ever taken to court. Here we can see how documenting resources conflicts with the quality of time spent with the patients. Ultimately if the documentation resources are improved the quality time patients and nurses long for will also be improved. Improving clinical documentation is definitely a time-honored vision (Hay, P., Wilton, K., & Cumerlato, M., 2019).
References
Hay, P., Wilton, K., & Cumerlato, M. (2019). Sage Journals. The importance of clinical documentation improvement for Australian hospitals. 49(1) https://doi.org/10.1177/
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| Main Posting |
45 (45%) – 50 (50%)
Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
35 (35%) – 39 (39%)
Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
| Main Post: Timeliness |
10 (10%) – 10 (10%)
Posts main post by day 3.
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
Does not post by day 3.
|
| First Response |
17 (17%) – 18 (18%)
Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. |
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
13 (13%) – 14 (14%)
Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. |
| Second Response |
16 (16%) – 17 (17%)
Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. |
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
12 (12%) – 13 (13%)
Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. |
| Participation |
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
|
| Total Points: 100 |
|---|
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