Organizational Policies and Practices to Support Healthcare Issues 2025

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. Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. The main discussion will need at least 3 references and also in APA 7 format The two discussions below will need at least three references all in APA 7 format each Thomas discussion Competing needs in the world of healthcare exist on a number of levels including the national level and also at the most local levels. I normally work on a COVID free orthopedic unit that focuses mostly on diabetic amputations, elective joint replacements and surgeries following orthopedic trauma. Initially during the pandemic, we halted our elective surgeries which was consistent with national guidelines (Diaz et al., 2020). As numbers stabilized, we began elective surgeries again, but recently we have seen numbers of COVID cases increase locally. In the past few weeks, we have started taking on more medical/surgical patients in order to make room for COVID patients on other medical surgical floors. The competing needs in this situation include the needs of the hospital in terms of freeing up beds for COVID patients, staffing needs on my unit as we are taking on more patients, and also resources that we need in order to care for this new group of patients. The competing needs of the hospital in this case with regard to caring for COVID patients and also caring for other medical surgical patients resulted in a policy change on my unit. The policy change in this case was our switch from a unit that cared for orthopedic patients only to one that was more inclusive of other medical/surgical patients. The stressor that I selected for the previous discussion was care of the elderly. One area of conflict that I constantly see is the desire of family members to provide care for patients in the home when they are unable to fully meet the needs of the patient. Some patients require 24 hour care and unfortunately many families are not able to fully provide that care. Caring for the frail elderly in the home is often preferred. However, informal care providers are often presented with the challenges of self-care, educating themselves about how to provide care, finding additional support, and a lack of societal recognition for the role that they play in healthcare (Plöthner et al., 2019). Despite the best efforts of family members and assistance from home care services, the level of care is still lacking, which places the patient at risk for declining health status. The competing need in this instance is the medical needs of the patient, competing with the ability of the family to provide those services or at least set up home care. A review by Hirschman and Hodgson (2018) identified several evidence-based approaches that may help to delay transition of care to skilled nursing facilities among patients with dementia. Programs such as the New York University Care Giver Intervention, Goals of Care intervention, MIND at home and Partners in Dementia Care help families to obtain the skills and resources required to provide adequate care to the dementia population in the home setting. The overarching theme is that while competing needs do exist in this area, education can help to reduce the burden on families and possibly help them to achieve the goal of home care for their loved ones. Fortunately, policies are in place that prevent elderly patients from living at home when they are unable to receive adequate care. Recently I worked with at patient that suffered from severe dementia and his wife and children were working very hard to get approval to have him stay at home as opposed to being discharged to a skilled nursing facility. The patient is still on our unit, but it is questionable how the scenario will play out. At this point, a hearing is pending to determine if the patient requires a conservator. In the state of Connecticut, a conservator of the person is assigned to individuals determined to be unable to competently care for themselves. The conservator of the person is responsible for all matters including those related to finances and healthcare (“Conservatorships,” n.d.). Policy in this case will overrule the desires of the family to keep the patient at home and ultimately, the patient will be placed in the appropriate care environment. Conservatorships. (n.d.). Retrieved from https://www.ctprobate.gov/Pages/Conservatorships.aspx. Diaz, A., Sarac, B. A., Schoenbrunner, A. R., Janis, J. E., & Pawlik, T. M. (2020). Elective surgery in the time of COVID-19. The American Journal of Surgery, 220(2), 300-302. Retrieved from https://www.americanjournalofsurgery.com/article/S0002-9610(20)30218-X/pdf. Hirschman, K. B., & Hodgson, N. A. (2018). Evidence-based interventions for transitions in care for individuals living with dementia. The Gerontologist, 58(suppl_1), S129-S140. https://doi.org/10.1093/geront/gnx152. Plöthner, M., Schmidt, K., De Jong, L., Zeidler, J., & Damm, K. (2019). Needs and preferences of informal caregivers regarding outpatient care for the elderly: A systematic literature review. BMC geriatrics, 19(1), 82. https://doi.org/10.1186/s12877-019-1068-4. Bill’s discussion Organizational Policies and Practices to Support Healthcare Issues Competing Needs Competing needs can have a significant impact on the development of policy. This is mainly because the policy’s primary objective is to align with the needs (Tinetti et al. 2019). Therefore, in cases where there are competing needs, such as the needs of the patients, workforce, and resources, policy development can be challenging. For example, a policy to ensure the efficiency of service needs to consider the issue of nurses’ workload, stress, and burnout. Therefore, the policy would be required to address burnout, anxiety, and workload before proposing efficient health care strategies. Specific Competing Need Quality is a specific competing need in health care that affects nurse burnout. In health care organizations, nurses are expected to provide high-quality service that ensures the client’s safety and satisfaction (Saban et al. 2019). However, the issue of nurse burnouts in different health organizations affects this need. Thus, despite being expected to deliver high-quality services, the nurses could be limited to various problems such as stress and lack of motivation due to burnout. The significant impacts of the competing needs include medical errors, nurse turnover, depletion of organization resources, and patient dissatisfaction. A high nurse turnover would require the organization to invest in new hires, which often require comprehensive training before adapting to the organization’s culture. Due to the stress and exhaustion associated with burnouts, the nurses will deliver lo quality services, which can result in increased errors and patient dissatisfaction. How Policy Address the Issue A policy can address these issues by ensuring that the nurses and the patient’s needs are addressed. In most cases, the nurses’ needs are a prerequisite to meeting patients’ needs. Nurses satisfied with their work will often be motivated, thus delivering high-quality work as observed by De Simone et al. (2018). In this case, the policy should address the nurse’s issues, such as reduced workload and shift hours to reduce burnout cases. This will, in turn, reduce the turnover rates as well as improve patient satisfaction rates. References De Simone, S., Planta, A., & Cicotto, G. (2018). The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction. Applied Nursing Research , 39 , 130-140. Saban, M., Dagan, E., & Drach-Zahavy, A. (2019). The relationship between mindfulness, triage accuracy, and patient satisfaction in the emergency department: A moderation-mediation model. Journal of Emergency Nursing , 45 (6), 644-660. Tinetti, M. E., Naik, A. D., Dindo, L., Costello, D. M., Esterson, J., Geda, M., … & Kang, G. (2019). Association of patient priorities–aligned decision-making with patient outcomes and ambulatory health care burden among older adults with multiple chronic conditions: a nonrandomized clinical trial. JAMA Internal Medicine , 179 (12), 1688-1697.

Nursing Assignment Help 2025

Assessment 2: 2025

Create a 5–7 slide presentation (with detailed speaker’s notes) on how you would select, foster collaboration among, and educate a team dedicated to solving a diversity issue. Assessments 1 and 2 are scenario-based, so you must complete them in the order in which they are presented. Finding, organizing, and motivating teams is a key leadership skill as is the ability to communicate and present information. SHOW LESS By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Apply qualities, skills and practices used by effective healthcare leaders. Outline goals and initial priorities that reasonably reflect the project. Competency 2: Apply practices that facilitate effective interprofessional collaboration. Outline a plan that effectively fosters interprofessional group collaboration. Competency 3: Apply ethical codes and diversity best practices in health care organizations. Define the composition of a team with characteristics that could effectively address a diversity issue. Describe the basic characteristics of a diverse and inclusive workplace. Explain the benefits of promoting and supporting diversity within an organization using scholarly resources. Competency 4: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards. Create an organized presentation that clearly communicates all specified content. Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The NHS-FP5004 – Collaboration, Communication, and Case Analysis for Health Care Master’s Learners Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Assessment Example Assessment 2 Example [PPTX] . Diversity and Cultural Competence Diversity, inclusion, cultural competence must be a focus of all health care professionals. The following resources discuss the importance of diversity and the role of a leader. Dreachslin, J. L., Weech-Maldonado, R., Gail, J., Epané, J. P., & Wainio, J. A. (2017). Blueprint for sustainable change in diversity management and cultural competence: Lessons from the National Center for Healthcare Leadership diversity demonstration project . Journal of Healthcare Management , 62 (3), 171–183. Gotsis, G., & Grimani, K. (2016). Diversity as an aspect of effective leadership: Integrating and moving forward . Leadership & Organization Development Journal , 37 (2), 241–264. Downey, S. N., Werff, L., Thomas, K. M., & Plaut, V. C. (2015). The role of diversity practices and inclusion in promoting trust and employee engagement . Journal of Applied Social Psychology , 45 (1), 35–44. Debiasi, L. B., & Selleck, C. S. (2017). Cultural competency training for primary care nurse practitioners: An intervention to increase culturally competent care . Journal of Cultural Diversity , 24 (2), 39–45. Holck, L., Muhr, S. L., & Villesèche, F. (2016). Identity, diversity and diversity management: On theoretical connections, assumptions and implications for practice . Equality, Diversity and Inclusion: An International Journal, 35 (1), 48–64. Lawton, D. S., & Carlos Tasso, E. D. A. (2016). Diversity in the workplace and the impact of work values on the effectiveness of multi-generational teams . I-Manager’s Journal on Management, 10 (3), 20–28. Culture, Diversity, and Out-Groups in Leadership . Complete this survey to help identify your attitudes toward out-group members and to explore how you, as a leader, respond to members of the out-group. Leadership and Teambuilding The textbook references below provide information on team-building and collaboration. Rubino, L. G., Esparza, S. J., & Reid Chassiakos, Y. S. (2020). New leadership for today’s health care professionals: Concepts and cases (2nd ed.). Burlington, MA: Jones & Bartlett Learning. Available in the courseroom via the VitalSource Bookshelf link. Chapter 7, “Building a Successful Team.” Chapter 9, “Collaborative Leadership.” PowerPoint Review the following PowerPoint template if you need practice in creating presentations. PowerPoint Presentation Template and Instructions . Assessment Instructions Overview In this assessment you will continue your work on the project by creating a 5–7 slide PowerPoint presentation for the diversity project kickoff meeting. Preparation View the PowerPoint Presentation Instructions for guidelines and hints for an effective presentation. Download the PowerPoint Template found in the resources and use it to complete this assessment. Scenario Imagine that Lynette follows up with you in an e-mail shortly after reading your views on leadership and collaboration: Hi, Thanks for sending me your thoughts last week on the diversity issue at the clinic. Your next step is to select a team of professionals who can help you in this project and prepare an introduction of the project for a first meeting with them. I want you to prepare a presentation to serve as a brief, but substantive introduction for the first meeting with a group of 4–5 members who will participate on the committee tasked with addressing the diversity issue. Once I review more information about the proposed team I can help you with the recruitment. The presentation should be 5–7 minutes and use 6–8 slides with detailed speaker’s notes so I can understand your approach. Not a lot of time or space, so keep things pretty high level. Do the following: Briefly outline the project goals and highlight 2–3 of the initial priorities to be addressed by the group. Also, explain why they are important. Explain the composition of the team and why you chose them. Note that you will not know the exact individuals yet, but assume we will recruit the people with the desired qualities and characteristics that you outline in the presentation. Consider the following: Include a group of professionals you believe can help define the problem and ultimately make recommendations on how to address it. Make sure each member is either trained in, sensitive to, or has experience with the concept of workplace diversity. Give some thought to having some members from outside the organization. Provide member profiles: their diversity, qualifications, experience, internal versus external, and so forth. Explain your role and describe how the committee will work together and achieve effective interprofessional collaboration. Describe how the group will communicate. How and when they will meet. Describe how ideas will be shared and decisions made. Describe roles, group function, and structure. Describe the basic characteristics of a diverse workplace. Provide a convincing argument regarding the benefits of a diverse workforce using support from current research. Thanks, Lynette Instructions Create a 5–7 slide presentation in response to the content defined in the above scenario and submit it in the courseroom. Presentation Guidelines Length: 5–7 PowerPoint slides (not including title slide) that would accompany an approximately 5-minute oral presentation. Notes: Prepare detailed speaker’s notes describing items on each slide so that the viewer can accurately interpret the deeper meanings and intentions that would have been conveyed orally. Support your claims, arguments, and conclusions with credible evidence from 2–3 current, scholarly or professional sources. Visuals: Create visuals that are easily read and interpreted. Use colors, fonts, and formatting and other design principles that make the information clear and generally add to the aesthetic of the presentation. Please refer to the scoring guide for details on how your assessment will be evaluated. Note: Your instructor may use the Writing Feedback Tool when grading this assignment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Nursing Assignment Help 2025

pharmacology 2025

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: · Synthroid 100 mcg daily · Nifedipine 30 mg daily · Prednisone 10 mg daily Write a 2-page paper that addresses the following: · Explain your diagnosis for the patient, including your rationale for the diagnosis. · Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. · Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Nursing Assignment Help 2025

Legislation Comparison Grid and Testimony/Advocacy Statement 2025

Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice. Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement) Part 1: Legislation Comparison Grid Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following: Determine the legislative intent of the bill you have reviewed. Identify the proponents/opponents of the bill. Identify the target populations addressed by the bill. Where in the process is the bill currently? Is it in hearings or committees? Is it receiving press coverage? Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following: Advocate a position for the bill you selected and write testimony in support of your position. Describe how you would address the opponent to your position. Be specific and provide examples. Recommend at least one amendment to the bill in support of your position.

Nursing Assignment Help 2025

Critique: Conceptual Nursing Framework 2025

This is a collaborative, group assignment. You will be working within groups of 2-4/group that have been randomly generated by Blackboard. You will be completing the entire assignment as a group. The purpose of this assignment directly relates to the course objectives “explore selected concepts, models, and theories that underlie nursing knowledge” and “critique and evaluate nursing theories/models within a selected framework.Please complete this assignment using the Critique template Instructions for completing the assignment are given in the template. All of your work should be presented within the tables in the template; do not present your answers in a narrative/paper or PowerPoint format.

Nursing Assignment Help 2025