Feb 23, 2024 NR 500 Week 5: Systems Theory and Practice Issues
Sample Answer for NR 500 Week 5: Systems Theory and Practice Issues Included After Question Preparing the Assignment Introduction This graded discussion will explore the impact of systems theory on a practice problem or issue. Please provide an initial response to the discussion question by Wednesday at 11:59pm MT and two interactive dialogue responses no later than Sunday 11:59 PM MT at the end of WEEK 5. The discussion is worth 75 points. Please refer to the discussion grading rubric for additional criteria. Discussion Question: Many of you have experience in complex adaptive systems whether you realize it or not. Thinking about your current or future practice area, identify an issue or concern. In your initial response, please describe the concern. Does the concern primarily occur at the micro, meso, or macro level? How would you address this issue? What impact might your solution have on the other levels of the system? In what ways could interprofessional collaboration be used to resolve the issue? A Sample Answer For the Assignment: NR 500 Week 5: Systems Theory and Practice Issues Title: NR 500 Week 5: Systems Theory and Practice Issues Health organizations function in highly challenging environments. As a result, they have grown to be complex and adaptive in nature. The complexity arises from the unpredictability of the healthcare environment, which demand responsive and adaptive interventions (Chesnay & Anderson, 2019). Several issues are likely to affect my practice as a nurse practitioner in the future. One of them explored in this paper is nursing shortage. Therefore, the paper examines the issue of nursing shortage, addressing it, impact on other system levels, and use of interprofessional collaboration to solve it. Issue or Concern The selected issue that will affect my future practice is nursing shortage. Statistics shows that America will experience an acute shortage of nurses by 2030. The American Association of Colleges of Nursing (AACN) notes that about 1 million nurses will be retiring by 2030, creating a sharp demand for nurses in the county. The county will require an average of 175900 nurses yearly to meet its demand for nurses by 2030 (Graystone, 2018). The implications of the shortage to my practice are the increased workload for nurses. There will also be an increased risk of poor quality of life for nurses because of work-related challenges such as burnout and low job dissatisfaction. The impacts of nurses’ shortage on the quality, safety, and efficiency of care are evident. For example, nursing shortage has been associated with errors in the care process, missed or delays in service provision (Alexander & Johnson, 2021). Therefore, the issue should be addressed to promote the health and wellbeing of the nurses in the future as well as the quality, safety, and efficiency of patient care. The issue of nursing shortage is a meso-system problem. It arises from factors that are beyond the healthcare system. Retirement is an external factor that that the hospitals cannot influence. Struggling to Meet Your Deadline? Get your assignment on NR 500 Week 5: Systems Theory and Practice Issues done on time by medical experts. Don’t wait – ORDER NOW! Meet my deadline Addressing the Issue Some interventions can be adopted to address the anticipated nursing shortage. One of them is advocating for an increased enrollment of nurses into the bachelor’s program. The number of students joining nursing education has been low as compared to the anticipated population of retiring nurses. Advocating for increased training of nurses would offset the anticipated nursing shortage (Chesnay & Anderson, 2019). The other solution is advocating for government support for nursing training institutions. Often, nursing institutions turn away students interested in training to become nurses because of the lack of adequate resources to train a high number of learners. As a result, it is essential for the government to increase financing for nursing training institutions, as an approach to addressing the issue of nursing shortage (Rosseter, 2019). The last strategy is ensuring organizations strive to retain their existing nursing staff. Strategies such as promoting their continuous professional development, rewarding performance, and offering safe working conditions minimize the risk of poor retention in healthcare organizations (Feyereisen et al., 2021). Impact on other Levels of the System The proposed solutions will affect the other system levels. For example, it will lower the workload that NR 500 Week 5 Systems Theory and Practice Issues other healthcare providers experience in their respective workplaces. The solution will also affect meso-system by enhancing care coordination and interprofessional collaboration among care teams. It will also enhance the care given in healthcare organization, hence, effective community-health organization interactions at the macrosystem level (Kennedy, 2019). Interprofessional collaboration could be used to address the issue of nursing shortage. Accordingly, nurses and other healthcare providers could collaborate in identifying effective strategies that can be adopted to enhance employee retention in their organizations. They can also advocate the adoption of policies that address the factors that contribute to nursing shortage (Feyereisen et al., 2021). Conclusion In summary, nursing shortage will affect my future nursing practice. Strategies such as organizations striving to maintain their existing workforce and governments supporting nursing training institutions can address the issue of nursing shortage. Interprofessional collaboration also helps organization embrace best practices for employee retention. Therefore, I would explore these strategies to mitigate the effects of nursing shortage on my future practice. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS NR 500 Week 5: Systems Theory and Practice Issues: References Alexander, G. R., & Johnson, J. H. J. (2021). Disruptive Demographics: Their Effects on Nursing Demand, Supply and Academic Preparation. Nursing Administration Quarterly, 45(1), 58–64. https://doi.org/10.1097/NAQ.0000000000000449 Chesnay, M. de, & Anderson, B. (2019). Caring for the Vulnerable. Jones & Bartlett Learning. Feyereisen, S. L., Puro, N., & McConnell, W. (2021). Addressing Provider Shortages in Rural America: The Role of State Opt-Out Policy Adoptions in Promoting Hospital Anesthesia Provision. The Journal of Rural Health, 37(4), 684–691. https://doi.org/10.1111/jrh.12487 Graystone, R. (2018). How Magnet® Designation Helps Hospitals Tackle the Nursing Shortage. JONA: The Journal of Nursing Administration, 48(9), 415–416. https://doi.org/10.1097/NNA.0000000000000640 Kennedy, A. (2019). Nurse Preceptors and Preceptor Education: Implications for Preceptor Programs, Retention Strategies, and Managerial Support. Medsurg Nursing, 28(2). Rosseter, R. (2019). Fact sheet: Nursing faculty shortage. Washington, DC: American Association of Colleges of Nursing. Systems Theory and Practice Issues Health organizations function in highly challenging environments. As a result, they have grown to be complex and adaptive in nature. The complexity arises from the unpredictability of the healthcare environment, which demand responsive and adaptive interventions (Chandler et al., 2016). Several issues are likely to affect my practice as a nurse practitioner in the future. One of them explored in this paper is nursing shortage. Therefore, the paper examines the issue of nursing shortage, addressing it, impact on other system levels, and use of interprofessional collaboration to solve it. Issue or Concern The selected issue that will affect my future practice is nursing shortage. Statistics shows that America will experience an acute shortage of nurses by 2030. The American Association of Colleges of Nursing (AACN) notes that about 1 million nurses will be retiring by 2030, creating a sharp demand for nurses in the county. The county will require an average of 175900 nurses yearly to meet its demand for nurses by 2030 (Graystone, 2018). The implications of the shortage to my practice are the increased workload for nurses. There will also be an increased risk of poor quality of life for nurses because of work-related challenges such as burnout and low job dissatisfaction. The impacts of nurses’ shortage on the quality, safety, and efficiency of care are evident. For example, nursing shortage has been associated with errors in the care process, missed or delays in service provision (Alexander & Johnson, 2021). Therefore, the issue should be addressed to promote the health and wellbeing of the nurses in the future as well as the quality, safety, and efficiency of patient care. The issue of nursing shortage is a meso-system problem. It arises from factors that are beyond the healthcare system. Retirement is an external factor that that the hospitals cannot influence. Addressing the Issue Some interventions can be adopted to address the anticipated nursing shortage. One of them is advocating for an increased enrollment of nurses into the bachelor’s program. The number of students joining nursing education has been low as compared to the anticipated population of retiring nurses. Advocating for increased training of nurses would offset the anticipated nursing shortage (Marć et al., 2019). The other solution is advocating for government support for nursing training institutions. Often, nursing institutions turn away students interested in training to become nurses because of the lack of adequate resources to train a high number of learners. As a result, it is essential for the government to increase financing for nursing training institutions, as an approach to addressing the issue of nursing shortage. The last strategy is ensuring organizations strive to retain their existing nursing staff. Strategies such as promoting their continuous professional development, rewarding performance, and offering safe working conditions minimize the risk of poor retention in healthcare organizations (Feyereisen et al., 2021). Impact on other Levels of the System The proposed solutions will affect the other system levels. For example, it will lower the workload that other healthcare providers experience in their respective workplaces. The solution will also affect meso-system by enhancing care coordination and interprofessional collaboration among care teams. It will also enhance the care given in healthcare organization, hence, effective community-health organization interactions at the macrosystem level (Kennedy, 2019). Interprofessional collaboration could be used to address the issue of nursing shortage. Accordingly, nurses and other healthcare providers could collaborate in identifying effective strategies that can be adopted to enhance employee retention in their organizations. They can also advocate the adoption of policies that address the factors that contribute to nursing shortage (Feyereisen et al., 2021). Conclusion In summary, nursing shortage will affect my future nursing practice. Strategies such as organizations striving to maintain their existing workforce and governments supporting nursing training institutions can address the issue of nursing shortage. Interprofessional collaboration also helps organization embrace best practices for employee retention. Therefore, I would explore these strategies to mitigate the effects of nursing shortage on my future practice. References Alexander, G. R., & Johnson, J. H. J. (2021). Disruptive demographics: Their effects on nursing demand, supply and academic preparation. Nursing Administration Quarterly, 45(1), 58–64. https://doi.org/10.1097/NAQ.0000000000000449 Chandler, J., Rycroft-Malone, J., Hawkes, C., & Noyes, J. (2016). Application of simplified Complexity Theory concepts for healthcare social systems to explain the implementation of evidence into practice. Journal of Advanced Nursing, 72(2), 461–480. https://doi.org/10.1111/jan.12815 Feyereisen, S. L., Puro, N., & McConnell, W. (2021). Addressing provider Shortages in rural America: The role of state opt-out policy adoptions in promoting hospital anesthesia provision. The Journal of Rural Health, 37(4), 684–691. https://doi.org/10.1111/jrh.12487 Graystone, R. (2018). How magnet® designation helps hospitals tackle the nursing shortage. JONA: The Journal of Nursing Administration, 48(9), 415–416. https://doi.org/10.1097/NNA.0000000000000640 Kennedy, A. (2019). Nurse preceptors and preceptor education: Implications for preceptor programs, retention strategies, and managerial support. Medsurg Nursing, 28(2). Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage – a prospect of global and local policies. International Nursing Review, 66(1), 9–16. https://doi.org/10.1111/inr.12473 PEER REPLY This is an outstanding post. Nursing is an extremely rewarding career to everyone. However, securing employment as a registered nurse and remaining relevant in the nursing profession requires all the pertinent certifications. ACLS/PALS certifications are crucial for nurses. However, the precise certification needed depends on various factors including the facility and state of work, the environment of work, and the type of nursing specialization. There are various benefits associated with ACLS/PALS certifications. They help in raising the standards of nurses in the nursing practice. Patients tend to entrust their lives to the most qualified and certified professionals. Having ACLS/PALS certifications enhances the confidence and trust in the ability of the nurse to properly address any kind of medical issues or emergencies that may come up (Powers & Reeve, 2020). Also, the training that nurses undergo to obtain such certifications is vigorous and provides nurses with skills and understanding critical in informing critical decision-making during an emergency. Obtaining ACLS/PALS certifications is also crucial for nurses to save lives as first responders. The certifications enable nurses to evaluate all types of situations and assist in saving at-risk lives. The training nurses get gives them the skills and competencies needed to address medical emergencies (Conoscenti et al., 2021). Nurses learn how to identify emergencies and provide first-aid and CPR. The courses are covering various topics including pharmacology, ECGs, and life support. Indeed, every second matters when it comes to life-saving situations. Possessing ACLS/PALS certifications is critical in giving nurses confidence and the ability to address any type of medical emergency. Emergencies are often terrifying, but with appropriate training, nurses are prepared to address any emergency that crosses their way. References Conoscenti, E., Martucci, G., Piazza, M., Tuzzolino, F., Ragonese, B., Burgio, G., … & Chiaramonte, G. (2021). Post-Crisis debriefing: A tool for improving quality in the medical emergency team system. Intensive and Critical Care Nursing, 63, 102977. https://doi.org/10.1016/j.iccn.2020.102977 Powers, K., & Reeve, C. L. (2020). Family Presence During Resuscitation: Medical–Surgical Nurses’ Perceptions, Self-Confidence, and Use of Invitations. AJN The American Journal of Nursing, 120(11), 28-38. Doi: 10.1097/01.NAJ.0000721244.16344.ee Ethical and legal issues are likely to impact my current practice in Rehab and medical-surgical nursing and my future practice area in psychiatric-mental health nursing. Ethical issues in nursing practice are increasingly becoming challenging for nurses globally (van Bruchem-Visser et al., 2020). Nurses often find it uncomfortable to address the ethical issues they encounter in patient care. Nurses are expected to make ethical decisions when providing quality and safe care, which sometimes create ethical dilemmas (Ohnishi et al., 2019). An ethical dilemma occurs when moral claims are at odds with one another, especially when there is a choice between equally unsatisfactory options. Besides, making ethical decisions often result in ethical issues and legal consequences to med-surgical and psychiatric nurses. Ethical and legal issues occur at the micro-level of healthcare in delivering direct patient care to patients. It impacts the system since ethical dilemmas cause nurse fatigue and leave them feeling powerless and frustrated when dealing with ethical issues. Furthermore, nurses perceive that there are some ethical issues they have no power over and thus can do nothing about them (Ohnishi et al., 2019). The issue at the micro-level can be addressed by creating a framework for ethical decision-making that comprises a step-by-step strategy, ethical values, and a guide to finding balance. The framework can guide nurses during complex ethical decision-making scenarios and provide moral guidance on what would make up an ethically acceptable decision (van Bruchem-Visser et al., 2020). As a result, this would reduce the fatigue and frustration among nurses and other providers when making clinical decisions. It would also avoid ethical implications such as legal charges and revoke of licences. Interprofessional collaboration can address the issue by having members of the care team make collaborative patient care decisions when employing ethical frameworks. References Ohnishi, K., Kitaoka, K., Nakahara, J., Välimäki, M., Kontio, R., & Anttila, M. (2019). Impact of moral sensitivity on moral distress among psychiatric nurses. Nursing ethics, 26(5), 1473-1483. https://doi.org/10.1177/0969733017751264 van Bruchem-Visser, R. L., van Dijk, G., de Beaufort, I., & Mattace-Raso, F. (2020). Ethical frameworks for complex medical decision making in older patients: A narrative review. Archives of Gerontology and Geriatrics, 90, 104160. https://doi.org/10.1016/j.archger.2020.104160 NR500NP-60450 Week 5: Systems Theory and Practice Issues Manage Discussion This is a graded discussion: 75 points possible Week 5: Systems Theory and Practice Issues No unread replies.No replies. Purpose The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared. Activity Learning Outcomes Through this discussion, the student will demonstrate the ability to: Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care (CO1) Apply concepts of person-centered care to nursing practice situations (CO2) Analyze essential skills needed to lead within the context of complex systems (CO3) Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings (CO4) Due Date A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0 for any portion of the discussion not posted by that time). Week 8 discussion closes on Saturday at 11:59pm MT. NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Saturday. A zero is the lowest score that a student can be assigned. Faculty may submit any collaborative discussion posting to Turnitin in order to verify originality. Total Points Possible: 75 Requirements: Discussion Criteria Application of Course Knowledge: of Course Knowledge: The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question. Engagement in Meaningful Dialogue: I. The student responds to a student peer and course faculty to further dialogue. Peer Response: The student responds substantively to at least one topic-related post by a student peer. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion. A post of “I agree” with a repeat of the other student’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post. The peer response must occur on a separate day from the initial posting. The peer response must occur before Sunday, 11:59 p.m. MT. The peer response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply. Faculty Response: The student responds substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class. A post of “I agree” with a repeat of the faculty’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post. The faculty response must occur on a separate day from the initial posting. Responses to the faculty member must occur by Sunday, 11:59 p.m. MT. This response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply. III. Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week. What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC). Contains references for sources cited Written by a professional or scholar in the field and indicates credentials of the author(s) Is no more than 5 years old for clinical or research article What is not considered a scholarly resource? Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness) Information from Wikipedia or any wiki Textbooks Website homepages
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