Developing Organizational Policies and Practices Essay

Developing Organizational Policies and Practices Essay

Developing Organizational Policies and Practices Essay

Developing Organizational Policies and Practices Sample Essay

Competing needs in health care system affect how organizations develop policies and interventions to remain sustainable and offer quality patient care outcomes. Nursing shortage is a serious national health care stressor and competing needs exacerbate the issue due to organizations prioritizing certain aspects at the expense of others (Spurlock Jr, 2020). Nursing shortage occurs due to different factors in retaining and hiring of nurses and thus attaining a balance between resources like tight budgets, enhancing patients’ health and wellbeing of nurses is challenging for many health organizations and their managers.

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The two competing needs related to nursing shortage include equitable allocation of resources and reducing the overall cost containment of operations to attain expected profits or return on investment. Nurses encounter increased workload daily due to a host of factors like high patient-to-nurse ratio, increased levels of acuity and patient assignments that may be out of their comfort zones. Nurses are overwhelmed and have limited time for themselves. Conversely, healthcare entities and their management are keen on cutting costs to remain sustainable leading to limited human resources to help nurses reduce their workload (Thomas et al., 2019). The implication is a nursing shortage as nurses leave due to fatigue and burnout. Nurses also experience increased levels of stress because of staffing requirements, understaffing and due to limited administrative support.

Relevant Policy & Practices to Address the Issue

Optimal allocation of resources and efforts to attain relevant nursing staff levels are essential consideration in developing policies and practices to address nursing shortage. In this case, the best policy is to increase retention of nurses, from currently 60% to 90% within two months to address the problem of nursing shortage. Retention policy that focuses on improving practices like orientation, offering training to new nurses, having incentives in financial form to improve personal growth, and sufficient support from the organizational leadership and management will help address the current issue. The organization should invest in these areas to motivate nurses so that they do not leave the facility. Again, such a policy would ensure that nurses have sufficient time for other activities like research and collaboration with other stakeholders to improve patient care delivery.

Ethical Considerations: Strengths & Challenges

Organizations, especially in healthcare, establish policies to protect nursing staff and ensure patient safety while addressing the arising competing needs. According to Milliken (2018), nurses should have ethical awareness to offer safe care to patient in the best way. Ethical awareness is essential for nursing staff and nurse leaders to address any issues while developing policies to tackle nursing shortage. For instance, the above policy may provoke mixed reactions from nurses with some feeling that it does little to protect them from exposure to more workload.

Ethical considerations in this case would entail involving nurses to understand the importance of the policy and allowing them to voice concerns about the benefits and challenges of the proposed intervention (Kelly et al., 2018). The proposed policy will allow nurses to enhance their skills and knowledge, improve their ability to handle patients, and reduce adverse events. However, it requires increased support from the organizational leaders and managers. More fundamentally, it requires resources which remain a challenge for many organizations.

Recommended Practice Change

Collaborative approach to the issue and increased leveraging of technology will help the organization attain a balance among the competing needs of resources, employees, and patients. Collaboration will ensure that all stakeholders work based on a common purpose while leveraging the advantages provided by technologies like telehealth and telemedicine. These technologies will ensure that patients can access care at remote locations and reduce the need to make physical visits to hospitals. The current policies are not well designed to consider the ethical aspects of care provision for patients and nurses. These policies do not address ethical harm associated with increased workload for nurses and patient safety.

References

Kelly, P., & Porr, C. (2018). Ethical Nursing Care Versus Cost Containment: Considerations to

Enhance RN Practice. Online Journal of Issues in Nursing, 23(1), 3. https://doi-org.ezp.waldenulibrary.org/10.3912/OJIN.Vol23No01Man06

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.

Spurlock Jr, D. (2020). The nursing shortage and the future of nursing education is in our hands.

Journal of Nursing Education, 59(6), 303-304. https://doi.org/10.3928/01484834-20200520-01

Thomas, C. M., Bantz, D. L., & McIntosh, C. E. (2019). Nurse faculty burnout and strategies to

avoid it. Teaching and Learning in Nursing, 14(2), 111-116. https://doi.org/10.1016/j.teln.2018.12.005

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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.
• Part one of the assignment is linked and the 2-course 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.
• Part one of the assignment is linked and the 2-course resources.

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Criteria	Ratings				Pts
Add a section to the 2-3 page paper you submitted in Module 1. For this assignment, in 1-2 pages, address the following: · Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.	25 to >22.0 pts Excellent The response accurately and thoroughly identifies and describes at least two competing needs impacting the healthcare issue/stressor selected.	22 to >19.0 pts Good The response identifies and describes at least two competing needs impacting the healthcare issue/stressor selected.	19 to >17.0 pts Fair The response vaguely or inaccurately identifies and describes two competing needs impacting the healthcare issue/stressor selected.	17 to >0 pts Poor The response vaguely or inaccurately identifies and describes one competing need impacting the healthcare issue/stressor selected or response is missing.	25 pts
· 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 to >26.0 pts Excellent The response accurately and thoroughly describes a relevant policy or practice in the organization that may influence the healthcare issue/stressor selected….. The response accurately and thoroughly critiques the policy for ethical considerations and explains in detail the policy’s strengths and challenges in promoting ethics.	26 to >23.0 pts Good The response accurately describes a relevant policy or practice in the organization that may influence the healthcare issue/stressor selected….. The response accurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics.	23 to >20.0 pts Fair The response is vague or inaccurate in describing a relevant policy or practice in the organization that may influence the healthcare issue/stressor selected….. The response vaguely or inaccurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics.	20 to >0 pts Poor The response is vague and inaccurate in describing a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected or response is missing….. The response vaguely and inaccurately critiques the policy for ethical considerations and vaguely and inaccurately explains the policy’s strengths and challenges in promoting ethics or response is missing.	30 pts

Criteria	Ratings						Pts
· 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 to >22.0 pts Excellent The response provides one or more accurate, clear, and thorough recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. …Specific and accurate examples are provided.	22 to >19.0 pts Good The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. …Specific examples are provided.		19 to >17.0 pts Fair The response vaguely or inaccurately provides one recommendation for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies….. One example is provided.	17 to >0 pts Poor The response vaguely and inaccurately provides one recommendation for policy or practice changes designed to balance the competing needs of resources, workers, and patients; response vaguely addresses any ethical shortcomings of the existing policies or response is missing. …Examples are missing.		25 pts
Resource Synthesis	5 to >4.0 pts Excellent	4 to >3.0 pts Good		3 to >2.0 pts Fair		2 to >0 pts Poor
	Using proper in- text citations, the response fully integrates at least 2 outside resources and 2 or 3 course- specific resources.	Using proper in- text citations, the response fully integrates at least 2 outside resources and 1 course-specific resource.		Using proper in- text citations, the response minimally integrates outside and course-specific resources.		The response does not integrate outside and course-specific resources or no in-text citations are used.	5 pts
Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that	5 to >4.0 pts Excellent Paragraphs and sentences follow		4 to >3.0 pts Good Paragraphs and sentences follow	3 to >2.0 pts Fair Paragraphs and sentences follow		2 to >0 pts Poor Paragraphs and sentences	5 pts

Criteria	Ratings								Pts
support well-developed	writing standards		writing standards			writing		follow writing
ideas, flow logically, and	for flow, continuity,		for flow,			standards for		standards for
demonstrate continuity	and clarity….. A		continuity, and			flow, continuity,		flow, continuity,
of ideas. Sentences are	clear and		clarity 80% of			and clarity 60–		and clarity less
carefully focused—	comprehensive		the time.			79% of the time.		than 60% of
neither long and	purpose statement,		…Purpose,			…Purpose,		the time….. No
rambling nor short and	introduction, and		introduction, and			introduction, and		purpose
lacking substance. A	conclusion are		conclusion of the			conclusion of		statement,
clear and	provided, which		assignment are			the assignment		introduction, or
comprehensive purpose	delineates all		stated but are			is vague or off		conclusion is
statement and	required criteria.		brief and not			topic.		provided.
introduction is provided,			descriptive.
which delineates all
required criteria.
Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.	5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.	4 to >3.0 pts Good Contains a few (one or two) grammar, spelling, and punctuation errors.		3 to >2.0 pts Fair Contains several (three or four) grammar, spelling, and punctuation errors.			2 to >0 pts Poor Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.		5 pts
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 Excellent Uses correct APA format with no errors.	4 to >3.0 pts Good Contains a few (one or two) APA format errors.			3 to >2.0 pts Fair Contains several (three or four) APA format errors.			2 to >0 pts Poor Contains many (five or more) APA format errors.	5 pts
Total Points: 10