NUR 6053 Week1 Discussion: Review of Current Healthcare Issues
NUR 6053 Week1 Discussion: Review of Current Healthcare Issues
Review of Current Healthcare Issues
The selected national issue for analysis is nursing shortage. Statistics nursing shortage in a crucial problem in the United States, with projections showing that more than 275000 nurses will be needed between 2020 and 2030(Ladden & Hassmiller, 2023). Nursing shortage affects my setting in several ways. Firstly, it increases the workload for the remaining staff. The shortage places immense burden to the existing staff due to high patient to nurse ratio. High workload predisposes nurses to negative health outcomes such as burnout, occupational stress, and decreased productivity. Nursing shortage also affects the quality of care offered in the setting. The risk of errors and delays in the delivery of healthcare services increases with nursing shortage. There is also the issue of high operational costs in the organization(Buerhaus, 2021). The high costs arise from the increased need to hire, train, and retain new nurses costs incurred from nurses who leave their jobs.
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Social determinants contribute to nursing shortage. They include the changes in population dynamics that result in increased demand of nursing services, large number of retiring nurses, population growth, and an imbalance in nurses exiting and joining the workforce. The practice site has responded to the issue of nursing shortage by implementing measures to retain its nursing workforce. It provides nurses with flexible work schedules, opportunities for professional development, and better remuneration. The hospital also strives to reduce the workload for its staff by hiring additional nurses to mitigate the potential of high workload and burnout among them(Drennan & Ross, 2019). The hospital also has reward scheme for nurses for their performance. For example, best performing nurses from each department receive rewards, as a way of motivating the staff to improve its performance.
References
Buerhaus, P. I. (2021). Current Nursing Shortages Could Have Long-Lasting Consequences: Time to Change Our Present Course. Nursing Economic, 39(5).
Drennan, V. M., & Ross, F. (2019). Global nurse shortages—The facts, the impact and action for change. British Medical Bulletin, 130(1), 25–37. https://doi.org/10.1093/bmb/ldz014
Ladden, M. D., & Hassmiller, S. B. (2023). The Robert Wood Johnson Foundation Future of Nursing Scholars Program. Nursing Outlook, 71(1). https://doi.org/10.1016/j.outlook.2022.07.001
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If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? Social Determinant such as environment/community, education, access/quality to healthcare?
These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.
In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.
Topic- National Healthcare Issue: Nursing Shortage Resulting in High Nursing Workload and Burnout
To Prepare:
Review the Resources and select one current national healthcare issue/stressor to focus on.
Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.
Learning Resources
Required Readings
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
Chapter 2, “Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 34–62)
Chapter 3, “Current Challenges in Complex Health Care Organizations and the Quadruple Aim” (pp. 66–97)
Read any TWO of the following (plus TWO additional readings on your selected issue):
Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360.
Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45.
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.
Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256.
Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404.
Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604.
Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from
https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3
Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360.
Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880.