Assignment: Developing Organizational Policies and Practices
Assignment: Developing Organizational Policies and Practices
Assignment: Developing Organizational Policies and Practices
Question Description
I don’t know how to handle this Nursing question and need guidance.
Assignment: Developing Organizational Policies and Practices
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
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Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
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 (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
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.
Resources:
https://www.nursingworld.org/coe-view-only
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html
***(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.)***
This is the national healthcare issues/ stressors we examined in my assignment for Module 1
Current Healthcare Issues
According to Gerardi, Farmer, & Hoffman (2018), “the American Organization of Nurse Executives has been made to increase the proportion of nurses with a bachelor of science in nursing or higher degree to 80% by 2020.” Given this, hospitals across the nation are accepting the responsibilities of identifying and developing efficient strategies towards training and providing help for nurses to achieve a higher education in their workforce. Over the last few years, the hospital facility that I work in has practiced hiring higher educated nursing staff to attend patients as opposed to those who only obtain a high school diploma. There are flyers on many of the bulletins for those who have already been employed to be encouraged to achieve a higher degree program. For those who apply for the bachelor’s program, the facility reimburses nurses for some of their tuition costs so that they wouldn’t be discouraged to attend or drop out because of finances.
There are also programs that nurses can attend if they have already graduated with an Associates degree, which is called the fast-track diploma. This program is offered for a 15-month term and has options for both RN and BSN programs. Given that patient population is becoming more diverse, it is imperative that nurses are knowledgeable on the topics concerning their patients outside of health. For instance, to gain a standard knowledge of cultural backgrounds, religious affiliations as it relates to health options, and ethnicity differences (Marzuki, Hassan, Wichaikhum, & Nantsupawat, 2012). Nurses must possess more skills, knowledge, and competencies to deal with the challenges that arise in their field because of how the way our world changes so quickly.
Having incompetent nurses in the field can become detrimental to the healthcare facility as well as the patients who are being looked after (Marshall, E., & Broome, 2017). This is due to the poor quality of services given to patients, miscommunication, misguidance, and misunderstandings because the nurses aren’t caught up with the nursing world as it is today that a higher degree program can help them achieve. Having a demoted workforce and nurses not understanding the patient population as what it is today can prevent patients from receiving quality care, safety measures may be at stake, and untrained staff members means more likely mistakes could occur with medications, equipment operations, and so forth.
References
Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45.
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Marzuki, M. A., Hassan, H., Wichaikhum, O., & Nantsupawat, R. (2012). Continuing nursing education: best-practice initiative in nursing practice environment. Procedia-Social and Behavioral Sciences, 60, 450-455.
**Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs**
This is the feedback I received from one of my colleagues. You do not have to respond to this.
Detrice Flake
RE: Discussion – Week 3
Lenick, great post. I agree that more adequate training and education should be given to nurses to help address the nurse shortage. According to Haegdorens, Bogaert, De Meester, & Monsieurs, 2017, improved nurse staffing and a higher proportion of nurses with bachelor degrees reduced the likelihood of hospitalized patients dying within 30 days of admission. With more nurses obtaining advanced degrees, healthcare facilities should offer incentives for nurses to stay after graduation. A competing need is that healthcare facilities are unable to hire adequate staff and offer competitive salaries due to financial restraints. With abundant job opportunities for nurses in this era of workforce shortages and rising demand, nurse retention and turnover are big problems. The US Bureau of Labor Statistics Employment Projections survey estimates there will be 204,000 job openings per year for registered nurses from 2016 to 2026. High numbers of job opening for registered nurses means employment opportunities will be plentiful (Faller & Gogek, 2018). To retain nurses, healthcare facilities should address workload issues, provide training and development, and involve nurses in decision making.
Reference
Faller, M., & Gogek, J. (2018). Troubling Trend: Fewer Nurses May Be Seeking Higher
Education. Nurse Leader, 16(3), 186–189. https://doi-org.ezp.waldenulibrary.org/10.1016/j.m…
Haegdorens, F., Van Bogaert, P., De Meester, K., & Monsieurs, K. G. (2019). The impact of
nurse staffing levels and nurse’s education on patient mortality in medical and surgical wards: an observational multicenter study. BMC Health Services Research, 19(1), 864. https://doi-org.ezp.waldenulibrary.org/10.1186/s12…
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Hello S…,
I enjoyed reading your post. You mentioned several concepts in your initial post that are true to my heart. I completely agree with you that nowadays, the holistic patient care model shifted to business-minded or business level care. Especially now, during the Coronavirus pandemic, we observe how financial aspects of sustaining the life of industry seem to manage our organizations. The delivery of care focuses more on the cost and financial condition of facilities, not on patient-centeredness and best patient outcomes (Kelly & Porr, 2018). It is sad, but unfortunately true.
Another healthcare stressor you mentioned is a role confusion between Nurse Practitioners and Physicians. I understand that physicians may have a higher knowledge based on years of experience, hence provide more discerning care. However, I also happen to know brilliant Nurse Practitioners who are passionate about not only the diagnostic part of the care but are usually more patient-centered and willing to listen and treat patients holistically. Given the growing roles on NPs, based on data from the 2014 Association of American Medical Colleges’ (AAMC) Consumer Survey of Health Care Access, 21% of people choose NPs and PAs as their primary providers versus physicians 19% (Leach et al., 2018). It shows improvement in NPs and Pas knowledge. It proves that Nurse Practitioners and Physician Assistants can be independent providers who can offer the same level of expertise while contributing distinct empathetic approach.
Reference:
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. https://doi.org/10.3912/OJIN.Vol23No01Man06.
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-
Containment.html
Leach, B., Gradison, M., Morgan, P., Everett, C., Dill, M. J., & de Oliveira, J. S. (2018). Patient preference in primary care provider type. Healthcare (Amsterdam,
Netherlands), 6(1), 13–16. https://doi.org/10.1016/j.hjdsi.2017.01.001
Name: NURS_6053_Module02_Week03_Assignment_Rubric
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Add a section to the paper you submitted in Module 1. In 4–5 pages, address the following:
· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
Points Range: 23 (23%) – 25 (25%)
The response accurately and clearly identifies at least two competing needs impacting the healthcare issue/stressor selected.
Points Range: 20 (20%) – 22 (22%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected.
Points Range: 18 (18%) – 19 (19%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected that is vague or inaccurate.
Points Range: 0 (0%) – 17 (17%)
The response describes at least two competing needs impacting the healthcare issue/stressor selected that is vague and inaccurate, or is missing.
· 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.
Points Range: 27 (27%) – 30 (30%)
The response accurately and thoroughly describes in detail a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.
The response accurately and thoroughly critiques in detail the policy for ethical considerations and explains in detail the policy’s strengths and challenges in promoting ethics.
Points Range: 24 (24%) – 26 (26%)
The response accurately describes a relevant policy or practice in an 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.
Points Range: 21 (21%) – 23 (23%)
The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague or inaccurate.
The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague or inaccurate.
Points Range: 0 (0%) – 20 (20%)
The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague and inaccurate, or is missing.
The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague and inaccurate, or is missing.
· 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.
Points Range: 27 (27%) – 30 (30%)
The response provide 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.
Accurate and detailed evidence is cited that informs the healthcare issue/stressor selected and a specific synthesis of at least two outside scholarly resources in full support of the policy or practice recommendations is provided. The response integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the healthcare issue/stressor selected.
Points Range: 24 (24%) – 26 (26%)
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 may be provided.
Evidence is cited that informs the healthcare issue/stressor selected and a synthesis of at least one outside scholarly resource that may support the policy or practice recommendations is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the healthcare issue/stressor selected.
Points Range: 21 (21%) – 23 (23%)
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 that is vague or inaccurate.
Examples may be provided.
Vague or inaccurate evidence is cited from 2 or 3 resources that informs the healthcare issue/stressor selected and may support the policy or practice recommendations provided.
Points Range: 0 (0%) – 20 (20%)
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 that is vague and inaccurate, or is missing.
Examples are missing.
Vague and inaccurate evidence is cited that informs the healthcare issue/stressor and may include at least 1 scholarly resource that vaguely and inaccurately supports the policy practice recommendations is provided, or is missing.
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.
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs 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.
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation Points Range: 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. Points Range: 4 (4%) – 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors. Points Range: 3.5 (3.5%) – 3.5 (3.5%) Contains several (3 or 4) grammar, spelling, and punctuation errors. Points Range: 0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. Points Range: 5 (5%) – 5 (5%) Uses correct APA format with no errors. Points Range: 4 (4%) – 4 (4%) Contains a few (1 or 2) APA format errors. Points Range: 3.5 (3.5%) – 3.5 (3.5%) Contains several (3 or 4) APA format errors. Points Range: 0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors. Total Points: 100 Name: NURS_6053_Module02_Week03_Assignment_Rubric Get a 10 % discount on an order above $ 50 Use the following coupon code : SAVE15 Order Now
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