1.Post a statement describing at least one gap and/or opportunity for enhanced services or approaches within your healthcare organization. For each gap or opportunity, identify one possible solution, applying systems thinking to your approach. Be sure to address financial (including budgetary) impacts of your solutions, consulting as needed with your finance counselor.

2. Using the Healthcare Budget Request Guide for guidance, complete the worksheet tab titled “W1A1 HealthWays Budget”.

  

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.

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.

RUBRIC 

Name: NURS_6053_Module02_Week03_Assignment_Rubric

· Grid View

· List View

   

Excellent

Good

Fair

Poor

 

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.

23 (23%) – 25 (25%)

The response   accurately and clearly identifies at least two competing needs impacting the   healthcare issue/stressor selected.

20 (20%) – 22 (22%)

The response   identifies at least two competing needs impacting the healthcare   issue/stressor selected.

18 (18%) – 19 (19%)

The response   identifies at least two competing needs impacting the healthcare   issue/stressor selected that is vague or inaccurate.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

3.5 (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.

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

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.

3.5 (3.5%) – 3.5 (3.5%)

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

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.

 

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
3. With what people or agencies would you work in facilitating the proposed interventions and why?

Re: Topic 4 DQ 1

It is very important for nurses to understand different cultures and their practices to be able to fully and holistic care for patients. The methods a nurse can use to gather cultural information from patients include using models. One model that can be used is Campinha-Bacote’s model that involves the nurse’s inner reflection and self-journey in providing culturally competent nursing care. This is done by asking culturally appropriate questions that help the nurse identify needs such as when the patient seeks treatment from others when ill? What fears does the patient have about their sickness or becoming ill? And what types of treatments are acceptable? The nurse also assesses the patient’s social, economic, and physical environments that contribute to the patient’s level of risk (Falkner, 2018).

According to Falkner (2018), cultural competence is to be respectful and responsive to the health beliefs and practices as well as the cultural and linguistic needs of diverse population groups (Falkner, 2018). The nurse must take the time to understand their patients’ culture in order for them to be able to relate and help their patients. In order to educate patients effectively and empower them to promote their own health, the nurse must fully engage with them and become acclimated to their specific needs (Falkner, 2018). This will enable nurses to provide holistic care to their patients resulting in better patient outcomes.

Culture is “a pattern of traditions, beliefs, values, norms, symbols, and meaning among a group of people” (Falkner, 2018). Nurses can demonstrate cultural competency in nursing practice by suspending their personal biases and fully respect patients in spite of differences, being aware of differences related to culture and adjusting plans of care accordingly as well as remaining sensitive and respectful of choices patients may make based on their culture, using Campinha Bacote’s theory explained above and Transcultural nursing which is the study of cultural competence and how to apply it to patient care on a daily basis (Falkner, 2018).

References

Falkner, A. (2018). Cultural Awareness. In Grand Canyon University (Ed.), (2018). Health Promotion: Health & Wellness Across the Continuum (Chapter 3). Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/Chapter/3