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NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden

NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden

The global pandemic spawned a slew of competing issues affecting organizations in the United States and throughout the world. This stressor resulted in increased unemployment, equipment shortages, and bankruptcy. Over 30 million adults in the United States have applied for unemployment benefits, implying a national unemployment rate only surpassed by the Great Depression. Additionally, economists forecast an impending global recession, which will significantly weaken the economies of numerous countries and jeopardize numerous industries (Crayne, 2020, p.1).

Without a doubt, competing needs influence policies in a variety of ways, as they are frequently used to de-escalate a situation in which an organization finds itself. The most recent competing need that affected the entire country was a lack of personal protective equipment during the COVID-19 pandemic. Lack of access to supplies such as gloves, medical masks, respirators, goggles, face shields, gowns, and aprons puts doctors, nurses, and other frontline workers at risk of infection with COVID-19 and other diseases (World health organization, 98(4), p. 235).

These shortages necessitated a slew of policy changes to meet the critical demand for personal protective equipment. Personal protective equipment was revised to be single-use, allowing nurses to wear the same gown for all confirmed COVID-19 positive cases and only wash their hands and change their gloves between patients. The plastic gowns were replaced with a washable and disinfectable reusable soft fabric gown. NURS 6053 Organizational Policies and Practices in Support of Healthcare Issues Walden

Furthermore, the organization changed the N95 mask policy from a single-use to a multiple-use citing; it follows the Center for disease control guidelines. The management team implemented a means to clean the mask up to 10 times via ultraviolet light disinfectant and sterilization process. Disinfected masks could only be discarded if visibly soiled. The CAVI wipes and other disinfectants were essential commodities and locked in a room accessible to the charge nurse only. Surgical masks, N-95 masks, gowns, were counted by charge nurses at the beginning of a shift and shift change. Hydroxychloroquine was added to the list of medications to be counted as though it was a narcotic.

NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden

Moreover, family visitation was limited to just one person in the case of an actively dying patient, while others could say goodbye via video calls or facetime. It was a strict no visitation policy, with a rationale that it helps prevent the spread of COVID 19, whereby limiting the amount of personal protective equipment used by visitors. This stands as one of the most challenging experiences associated with the end of life most of us will ever encounter in our nursing career. NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden

Additionally, demand for critical care nurses skyrocketed, while medical-surgical nurses, PACU nurses, cardiac catheterization lab nurses, operating room nurses could not get work hours due to a rapid decline in surgeries and admissions during the peak of the COVID 19 pandemic. The organization was proactive and recognized the pandemic was short-term and felt compelled to rationalize hours amongst floor nurses so that they could have income. The policy was revised to accommodate the Center for disease control (CDC), guidelines recommendation to “dedicate a trained observer to watch closely and provide coaching for each donning and each doffing procedure to ensure adherence to donning and doffing protocols (Guidance on personal protective equipment (PPE) | Personal protective equipment (PPE) | Public health planners | Ebola (Ebola virus disease) | CDC, 2019).” This policy kept floor nurses at float as they checked-off every staff donning and doffing of personal protective equipment before entering a formal COVID-19 room.

Lastly, managers and leadership were mandated to work from home and agree to a pay cut. Nursing overtime was put on hold and

assessed on a need basis as hospitals struggle to pay staff and meet overhead expenditure at the same time. The money-making procedures such as aneurysm repairs, transplant, and elective surgeries were put on hold, leading to a rapid decline in profits.

In conclusion, the COVID-19 pandemic is unprecedented, and the full impact is yet to come as we practice constant use of surgical masks in communities and social distancing. An adjustment to the new norm of virtual dependence in educational institutions, healthcare, marketing, politics, and practicing faith in religion will be a challenge for most organization.

References

NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden

NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS:NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden

Crayne, M. P. (2020). The traumatic impact of job loss and job search in the aftermath of

COVID-19. Psychological Trauma: Theory, Research, Practice, and Policyhttps://doi-

org.ezp.waldenulibrary.org/10.1037/tra0000852

Guidance on personal protective equipment (PPE) | Personal protective equipment (PPE) | 

          Public health planners | Ebola (Ebola virus disease) | CDC. (2019, April 15). Centers for

Disease Control and Prevention.

https://www.cdc.gov/vhf/ebola/healthcare-us/ppe/guidance.html

Shortage of personal protective equipment endangers health workers. (2020). Bulletin of the 

        World Health Organization98(4), 235.

https://doiorg.ezp.waldenulibrary.org/10.2471/BLT.20.010420

RE: Discussion – Week 3

Do you think some of the future changes as a result of the pandemic will be positive?
Absolutely! Some of the changes that occurred during the pandemic will be positive, while some would be unsustainable. The leadership team adhered to all good leadership criteria to manage the crisis, such as; visibility especially during non-administrative hours, available 24/7, gratitude for the responsiveness of staff, admiration for the ability of staff to function under significant stress, competence to communicate quickly, positivity and calmness in the face of a

bewildering environment and transparency to establish trust (Caroselli, 2020, p.170).
More so, believe it or not, the COVID 19 pandemic has changed our way of life. Most changes yet to come will be positive, while some might infringe on personal believes or religion. This will include mandatory vaccination, early isolation of suspected cases, testing for COVID as part of onboarding requirements and signing of waivers if infected while working for the organization.

Lastly, the handling of the pandemic crisis was a disaster from the get-go. The entire healthcare system was in chaos, as the CDC struggled to relay information that fosters a safe work environment. Healthcare leaders must prepare staff for the future by building stronger organizations based on lessons learned, a reaffirmation of values fundamental to health care, and a commitment to creativity in patient care and staff advocacy (Caroselli, 2020, p.170).

                                                          NURS 6053 Discussion Organizational Policies and Practices to Support Healthcare Issues Walden References

Caroselli, C. (2020). Lessons Learned. A Journey Through Unchartered Territory: A Nurse

Executive’s Frontline Pandemic Response. Nursing Economic$38(3), 164–171.

(Response #1) I absolutely concur with your stand that COVID-19, which has been declared a global pandemic, is a current stressor that has given the whole world sleepless nights. In the real sense, this pandemic has contributed to more competing needs like a high unemployment rate, shortage of PPEs (personal protective equipment), shortage of health care facilities, inadequate number of health care workers, and bankruptcy, as stated in your discussion post. The world is currently in great recession as many organizations continue to shut down, GDP continues to decline as an employment rate continues to escalate. According to Duffin (2020), major economies in the world are expected to lose at least 2.4% of their GDP by the end of 2020 alone.

The competing needs have impacted policy formulation is all countries worldwide. According to Weible et al. (2020), many countries have established strict policies like closing their borders, restriction of movement, launching of mass testing, and enforcement of WHO guidelines (social distance, wearing of recommended masks, and regular washing or sanitizing of hands). Besides, health care organizations also imposed policies such as reuse of PPEs (gown and N95 mask) as per CDC guidelines to address the issue of inadequate personal protective equipment and limiting visitation to curb the spread of the virus, as outlined in your discussion. Since the competing needs caused by the pandemic are countless, the best cure is to follow CDC and WHO guidelines strictly to contain the spread of the virus so that normalcy can resume as soon as possible.

References

Duffin, E. (2020). Impact of the coronavirus pandemic on the global economy – Statistics & Facts. Retrieved from https://www.statista.com/topics/6139/covid-19-impact-on-the-global-economy/

Weible, C., Nohrstedt, D., Cairney, P., Carter, D., Crow, D., & Durnová, A. et al. (2020). COVID-19 and the policy sciences: initial reactions and perspectives. Retrieved from https://link.springer.com/article/10.1007/s11077-020-09381-4

Discussion: Organizational Policies and Practices to Support Healthcare Issues

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.

By Day 3 of Week 3

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.

By Day 6 of Week 3

Respond to at least two of your colleagues on two different days by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.

NURS_6053_Module02_Week03_Discussion_Rubric

Excellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

Points Range: 0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

Points Range: 15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response
Points Range: 16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

Points Range: 14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100
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