NUR 6053 Week 2 Discussion: Organizational Policies and Practices to Support Healthcare Issues

NUR 6053 Week 2 Discussion: Organizational Policies and Practices to Support Healthcare Issues

NUR 6053 Week 2 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Organizational Policies and Practices to Support Healthcare Issues
Competing needs affect the development of policy healthcare. Competing needs might include those related to workforce, resources, and patients. Health organizations must ensure adequate availability of resources for efficient delivery of healthcare services. At the same time, they may be responding to unforeseen needs, as evidenced by the recent Covid19 pandemic. In this case, health organizations were forced to ensure prioritized allocation of scarce resources to promote optimum public health. Health organizations also exist to meet the needs of their workforce. At the same time, they must maintain their profitability in service provision to their diverse populations using the scarce resources(Jarosinski et al., 2022; Taylor & Terhaar, 2023). Such demands affect the policies adopted in health organizations since a focus is placed on the most pressing needs.

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The selected national healthcare issue is nursing shortage. Several competing needs may affect policy development to address nursing shortage. One of them is the increased focus on health promotion and disease prevention, which lowers the need to address nursing shortage. Currently, most states are recovering from the effects of covid19 pandemic. Most of their focus is on ensuring health promotion for the diverse populations. This acts as a competing need since policies to address nursing shortage may not be prioritized over those for health promotion.
The other competing need is scarcity of healthcare resources. Most health organizations experience shortage of the resources that they need. The shortage arises from the complex demands from all areas of service delivery, which may affect the adoption of policies to address nursing shortage. For example, a hospital would prioritize its scarce resources to addressing issues such as the purchase of pharmaceuticals and non-pharmaceuticals over nursing shortage, as they determine their operational success(Pappas et al., 2023). Therefore, scarce organizational resources shift the focus of health organizations policies from nursing shortage to those issues that affect their daily operations.

References
Jarosinski, J. M., Seldomridge, L., Reid, T. P., & Willey, J. (2022). Nurse Faculty Shortage: Voices of Nursing Program Administrators. Nurse Educator, 47(3), 151. https://doi.org/10.1097/NNE.0000000000001139
Pappas, S., Brosius, W., Hayes, R., Lawrence, M., McMichael, B., Zimmermann, D., & McCauley, L. (2023). Maximizing the potential value of the nursing workforce. Nursing Outlook, 102016. https://doi.org/10.1016/j.outlook.2023.102016
Taylor, L. A., & Terhaar, M. F. (2023). Preparing for Doctoral Study in Nursing – E-Book: Preparing for Doctoral Study in Nursing – E-Book. Elsevier Health Sciences.

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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.

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.

Learning Resources

Required Readings

American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from

https://www.nursingworld.org/coe-view-only

Note: Review all, with special attention to “Provision 6” (pp. 23–26).

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. Retrieved from

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html

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. Retrieved from

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html