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NURS 6053 Assignment: Developing Organizational Policies and Practices

NURS 6053 Assignment Developing Organizational Policies and Practices

 

The delivery of hospital care to patients is complex and involves the intervention of many health care practitioners, including licensed nurses, specialized nurses, doctors, and other specialists. In these groups, hospital administrators are responsible for developing patterns for troubleshooting, identification, and communication in order to ensure the efficiency of the hospital (Marc, Bartosiewicz, & Burzyńska, 2018). Inferior treatment shortages contribute to overwork by certain patients. An overworked nurse is endangering care quality. The lack of sufficient staff, such as nurses, is a key factor in health facilities. The scarcity of nurses in hospitals is known as a regional concern, and since 1998, many medical services have struggled from a scarcity of nurses. Medical practitioners also already have heavier workloads, a significant issue in the health sector. The problem can be tied up with four major causes, rising nursing demand, inadequate availability of staff, under personality and excessive overtime, and patient reduction.

            The backbone of healthcare is patient safety. Forgiveness, but true: medical mistakes are reported to be the third leading cause of death. For more patients seeking medical services under the “Affordable Care Act” and a growing pressure on the program from the ageing population, patient protection is a key competency pursued by workers across a variety of health care organizations. Patients receiving wrong medications, the wrong dose or a mixture of drugs interacting poorly include drug errors. Slips in documentation or other types of human error could cause these mistakes (Gaffney, Hatcher, & Milligan, 2016). The “Food and Drug Administration” reports that since 1992, it has received over 30,000 reporting medication errors, which is voluntary, so that the actual number of medication errors is probably much larger. Work in a hospital can be dangerous. Provider was frequently met with accidents as bulky objects was removed, medical tools are trapped, slipped or dropped or broken by patients or guests out of sight. There is a growing chance of contamination.

Relevant policy

            From a country-level policy perspective, a lack of nurses is normally identified and measured against the historical levels of staffing, resources and estimates of health services demand in that country. It is the difference between the reality that the healthcare practitioners are accessible at present and the demand for higher supplies but this is described as “shortage.” It is also not readily quantifiable and a term that is utilized by various groups, even sometimes in the same county sense, with specific meanings. One

important point to be taken into consideration is that no ‘magic bullet’ policy will address nursing deficiencies. Two critical considerations are highlighted from research on the performance of human resources management behaviour. First of all, “contingency” needs to be taken into account – that the implemented HR policies must “fit” the features, contexts and priorities of the organization or system in which these are being implemented. Second, the so-called ‘bundles’ of related and coordinated HR policy interventions are more likely than single or uncoordinated interventions to achieve lasting improvement in organizational performance. This is a significant message for the sometimes politically-politicized health sector, which sometimes focuses on short-term policymaking and in which cycles of scarcity can endanger program stability. It can also be remembered that one point is to recognize the ‘best standards’ in proof on the basis in shortcomings, yet to render the correct set of HR policy measures a broad and consistent implementation. Evidence suggests that HR’s good practice is somewhat lacking: even as checked through empirical reports, it is not often visible in everyday action of many organizations. NURS 6053 Assignment Developing Organizational Policies and Practices

NURS 6053 Assignment Developing Organizational Policies and Practices

NURS 6053 Assignment Developing Organizational Policies and Practices

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Policy for ethical considerations

As part of health system efforts strengthening globally, Health policy and system research (HPSR) are increasingly funded and undertaken. The philosophy of HPSR is still a fairly new area in research with several theoretical and concise problems that still have not been taken into account. The guiding principles and values of HPSR are included in the normative questions. What ethical concerns arise in the conduct of HPSR are descriptive issues. The various ethical issues in HPSR are characterized by a small but growing number of academic work. Ethics HPSR is also an evolving and fairly new area. Ethics, too, has components for software and hardware that are articulated at various rates (international, regional, local, and institutional). Ethical rules and procedures, ethical boards, ethical staff, ethics preparation programs, etc. can be part of the equipment. Equipment Includes the ethical principles and values and processes agreed on in order to respect and maintain those values, such as informed consent and community participation (Pratt & Ali, 2017). Ideally, the elements of ethics applications would be expressed in their hardware. Through meaningful extract analysis of formal and informal literature, ethical issues in four main categories were identified: free support, risks and advantages identified and balanced, justice, and the identification and evaluation of ethical requirements. There is a lack of clarity regarding the risks and benefits of which in the HPSR risk/benefit evaluations should be assessed (Marc, Bartosiewicz, & Burzyńska, 2018). HPSR experiments also include multiple ‘participants’ stages of study, several of whom are not persons per se. Because HPSR may generate costs and benefits for people, communities or organizations, and health systems and ethics analysis will need to consider these potential dangers and profit levels into consideration.

Recommended Policy

            In the majority of the services proposed, financial assistance will be related to the ability of nursing students to operate in regions of regional and professional issues. Ideally, the federal government and nurse unions must have support for these services. Leaders of the committee were rightly concerned by the current downward decline in nursing school enrolments, but it might be early for the committee to call for supply-side subsidies. As mentioned above, historical data show that any reactions in wages appear to lead to increases in the supply of new nurses. Although tuition subsidies are a market-friendly gesture for school students, they may be wasteful and even harmful in certain cases — particularly if the government finances the grant. If employers finance the subsidy (e.g., through back pay loans for services), the direct flow of funds from the supplier’s request shall remain intact.

Evidence that informs the healthcare issue

The first evidence is this (Marć, Bartosiewicz, & Burzyńska, 2018) article that presenting much information about the selected healthcare issue. Nursing and nurses still face major obstacles related to global structural trends and the aging of the nation. In the world, the number of people aged 60 and over will rise to 1.3 billion by 2031 from 900 million in 2015, an increase of 55 percent, whereas the number of older people worldwide will more than double to almost 2.0 billion by 2050. The unfinished health care examination, the poor economic condition of most hospitals and medical facilities, poor accessibility to medical care services, disproportionate site position of specialist clinics, dissolution of school medical care system, increasing costs of and restricting modern medical procedure are additional factors which contribute to Poland’s poor performance amongst other countries.

The other evidence is the article composed by Christian M. Rochefort, David L. Buckeridge, and Michal Abrahamowicz. According to this evidence, in general, in a particular hospital, infants’ level varies shift by shift from one unit to one unit and within a given Unit, depending on the fluctuations of the patient’s care requirements and unforeseen absenteeism (Rochefort, Buckeridge, & Abrahamowicz, 2015). Many characteristics for nursing workers, including levels of expertise and qualifications, can theoretically be correlated with EA incidence. For each transition in a specified hospitalization, time-variable access to healthcare workers may be assessed.

References

Gaffney, T. A., Hatcher, B. J., & Milligan, R. (2016). Enhancing Patient Safety: Factors Influencing Medical Error Recovery Among Medical-Surgical Nurses. OJIN: The Online Journal of Issues in Nursing.

Marc, M., Bartosiewicz, A., & Burzyńska, J. (2018). A nursing shortage – a prospect of global and local policies. International Nursing Review.

Marć, M., Bartosiewicz, A., & Burzyńska, J. (2018). A nursing shortage – a prospect of global and local policies. International Journal Review.

Pratt, B., & Ali, J. (2017). Ethics of health policy and systems research: a scoping review of the literature. Health Policy and Planning.

Rochefort, C. M., Buckeridge, D. L., & Abrahamowicz, M. (2015). Improving patient safety by optimizing the use of nursing human resources. Implementation Science.

RE: Discussion – Week 3

First I want to touch on two subjects, one being the example that is given about nurse’s working 12 hour shifts. I was always told that this policy came about for the continuity of care and that’s patients actually feel better when they know their nurses and when they feel their nurse’s know them better because having them for several hours and for several days. I know my family always jokes around that I “only work three days a week” but not many people understand the physical and mental struggles that come with working twelve hour days. As nurses we are at work for more than 12 hours, sometimes report runs over, sometimes something happens at shift change that requires someone to stay over and help; for the most part a nurse is away from their home and family way longer than the 12 hours of work. I know there’s sometimes at work when it gets to be 5pm or 5am (depending on which shift I am on for that week) when I am mentally done and feel that I can not keep giving my patients the care they need and deserve and I still have another two hours of the shift left, its scary to think of any mistakes that could possibly happen due to a nurse’s tiredness or mentality decline.  NURS 6053 Assignment Developing Organizational Policies and Practices

The next topic, which also touches on competing needs is the use of rotating shifts for staffing the hospital. I have been a bedside nurse for almost six years now and I have been rotating from night shift to day shift and vice versa, depending on the needs of my unit. There’s been a multitude of times when I have had to work a Friday day shift and work night shift that Saturday, being exhausted from working all day I have to try and force myself to stay awake so that I can sleep in, or sleep most of the day so I can work and provide good quality care to my patients during night shift, it is extremely difficult but that is not even the worst of it. There has been many times that I have to work a night shift, go home that day and be back on days the next day, there have also been times when I have got as little as 1.5 hours of sleep due to trying to get myself off of night shift back to days, and no one can provide good quality care working on 1.5 hours of sleep. When I bring this up to my manager it’s always the needs of the floor outweighs the needs of the nurse and that it is policy to rotate. Nurses who work rotating shifts tend to experience work‐related stress, but their stress levels improved if they had at least 2 days off after their most recent night shift (Lin, et al., 2015). Last thing, one of my coworkers had to call off because she was unable to sleep at all prior to her shift (due to having to rotate between nights and days) and in calling off she was not able to be paid “sick time” because she was in fact not sick, she expressed her disappointment that had she come in to work with no sleep she was putting the lives of her patients at risk, but that did not matter to the nursing supervisors, because the competing needs outweighed the needs of the individual nurse and it was policy, to call off sick you have to say “I’m sick”.

The healthcare issue/stressor that I chose was the health insurance; that being the affordability and lack of and the need for universal health insurance. When health insurance is provided by an employer, it comes out of the employees pay, decreasing their oveerall pay and potentially causing financial heardship on the employee and their family. The costs of healthcare are affecting the federal budget deficit; and because health insurance for working Americans is mainly provided by employers, the increased costs are contributing to stagnating wages. (Buchan, et al., 2015). My healthcare institution will take any person, regardless of their health insurance, or lack of and treat them all the same. MetroHealth is a federally-funded medical institution and is also a level 1 trauma center. Metro is not the only health care institution located in northeast Ohio, there is also University Hospitals and The Cleveland Clinic; the difference of these three is the other two institutions do not accept patients with no health insurance. Metro, being constantly in a competition with these two other healthcare institutions created a policy that no patient would ever be turned away, for any reason, even when the hospital is at max capacity. Metro being the only number 1 trauma center of the three main healthcare institutions and accepting all patients regardless of their health insurance is already providing care to large amount of patients, but our CEO wanted to compete more; so he created the “no patient gets turned away” policy. Due to no patient being turned away there has been times when we have had patient’s in the Emergency Room sleeping in the hallways, because there are no more rooms available, and sleeping on gurneys, because there are no more beds available. With that many patients it creates stressful situations for all healthcare workers working in that area, patients get upset when they are just out in the open and do not get their privacy in their own room, and they get highly irritable when they do not have a “comfy” hospital mattress to sleep on. Being on the floor it is always our first job to apologize for their stay in the ER and to listen to their complaints and attempt to calm them down; patient satisfaction is usually measured by the waiting time (Dellaert, Cayiroglu, Jeunet, 2016). With this many patients, and family members for each patient, there comes a point where HIPAA is unable to be enforced, as patients, and their family members, are overhearing doctors and nurses treat other patients and discuss their care either to the patient or each other. It always seems like those that create and enforce the policies are so far removed from the bedside that they truly do not understand how this impacts the quality of care. NURS 6053 Assignment Developing Organizational Policies and Practices

Buchan, J., Twigg, D., Dussault, G., Duffield, C., & Stone, P. W. (2015). Policies to sustain the nursing workforce: an international perspective. International Nursing Review, 62(2), 162-170.

Dellaert, N., Cayiroglu, E., & Jeunet, J. (2016). Assessing and controlling the impact of hospital capacity planning on the waiting time. International Journal of Production Research, 54(8), 2203-2214.

Lin, P. C., Chen, C. H., Pan, S. M., Chen, Y. M., Pan, C. H., Hung, H. C., & Wu, M. T. (2015). The association between rotating shift work and increased occupational stress in nurses. Journal of occupational health, 57(4), 307-315.

Name:  Assignment Rubric

  Excellent Good Fair Poor
Summarize your interpretation of the frequency data provided in the output for respondent’s age, highest school grade completed, and family income from prior month. 32 (32%) – 35 (35%)

The response accurately and clearly explains, in detail, a summary of the frequency distributions for the variables presented.

The response accurately and clearly explains, in detail, the number of times the value occurs in the data.

The response accurately and clearly explains, in detail, the appearance of the data, the range of data values, and an explanation of extreme values in describing intervals that sufficiently provides an analysis that fully supports the categorization of each variable value.

The response includes relevant, specific, and appropriate examples that fully support the explanations provided for each of the areas described.

28 (28%) – 31 (31%)

The response accurately summarizes the frequency distributions for the variables presented.

The response accurately explains the number of times the value occurs in the data.

The response accurately explains the appearance of the data, the range of data values, and explains extreme values in describing intervals that provides an analysis which supports the categorization of each variable value.

The response includes relevant, specific, and accurate examples that support the explanations provided for each of the areas described.

25 (25%) – 27 (27%)

The response inaccurately or vaguely summarizes the frequency distributions for the variables presented.

The response inaccurately or vaguely explains the number of times the value occurs in the data.

The response inaccurately or vaguely explains the appearance of the data, the range of data values, and inaccurately or vaguely explains extreme values.

An analysis that may support the categorization of each variable value is inaccurate or vague.

The response includes inaccurate and irrelevant examples that may support the explanations provided for each of the areas described.

0 (0%) – 24 (24%)

The response inaccurately and vaguely summarizes the frequency distributions for the variables presented, or it is missing.

The response inaccurately and vaguely explains the number of times the value occurs in the data, or it is missing.

The response inaccurately and vaguely explains the appearance of the data, the range of data values, and an explanation of extreme values, or it is missing.

An analysis that does not support the categorization of each variable values is provided, or it is missing.

The response includes inaccurate and vague examples that do not support the explanations provided for each of the areas described, or it is missing.

Summarize your interpretation of the descriptive statistics provided in the output for respondent’s age, highest school grade completed, race and ethnicity, currently employed, and family income from prior month. 45 (45%) – 50 (50%)

The response accurately and clearly summarizes in detail the interpretation of the descriptive statistics provided.

The response accurately and clearly evaluates in detail each of the variables presented, including an accurate and complete description of the sample size, the mean, the median, standard deviation, and the size and spread of the data.

40 (40%) – 44 (44%)

The response accurately summarizes the interpretation of the descriptive statistics provided.

The response accurately explains evaluates each of the variables presented, including an accurate description of the sample size, the mean, the median, standard deviation, and the size and spread of the data.

35 (35%) – 39 (39%)

The response inaccurately or vaguely summarizes the interpretation of the descriptive statistics provided.

The response inaccurately or vaguely evaluates each of the variables presented, including an inaccurate or vague description of the sample size, the mean, the median, the standard deviation, and the size and spread of the data.

0 (0%) – 34 (34%)

The response inaccurately and vaguely summarizes the interpretation of the descriptive statistics provided, or it is missing.

The response inaccurately and vaguely evaluates each of the variables presented, including an inaccurate and vague description of the sample size, the mean, the median, the standard deviation, and the size and spread of the data, or it 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.
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.

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.

3 (3%) – 3 (3%)

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.

0 (0%) – 2 (2%)

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
5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3 (3%) – 3 (3%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

0 (0%) – 2 (2%)

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. 5 (5%) – 5 (5%)

Uses correct APA format with no errors.

4 (4%) – 4 (4%)

Contains a few (1 or 2) APA format errors.

3 (3%) – 3 (3%)

Contains several (3 or 4) APA format errors.

0 (0%) – 2 (2%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Name:  Assignment Rubric

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