Feb 23, 2024 NURS 6053 Assignment Analysis of a Pertinent Healthcare Issue
NURS 6053 Assignment Analysis of a Pertinent Healthcare Issue
NURS 6053 Assignment Analysis of a Pertinent Healthcare Issue
Nurses work in complex healthcare environments with a high workload and an increasing demand for timely, quality care. In such environments, nurses are vulnerable to mental, physical, and emotional exhaustion, which can hamper their ability to offer competent care (Garcia et al., 2019). As a result, organizational leaders are mandated to design and implement practical and sustainable interventions. Such intervention should be problem-centered to achieve the desired outcomes. Nursing burnout is a prevalent healthcare issue in the current setting. The purpose of this paper is to describe its impacts and evaluate evidence-based strategies that leaders can apply to address the problem.
Nursing Burnout: Description and Impact on the Organization
Nursing burnout is among the most studied healthcare problems. Sun et al. (2022) described nursing burnout as a widespread concern in healthcare settings characterized by exhaustion, low motivation, and a significant reduction in work efficacy. Its leading cause is a nursing shortage since nurses cannot cope with the high workload resulting from a high nurse-patient ratio. Similar and other outcomes are experienced in the current workplace among nurses with burnout. Common signs include constant anxiety, medical errors, lack of job satisfaction, and failure to participate in social activities. Understanding the causes, manifestations, and implications of nurse burnout on patient care is the foundation of effective response.
From a patient care dimension, nurse burnout poses a significant risk to patient safety and care quality. As Garcia et al. (2019) suggested, nurse burnout increases nurses’ vulnerability to medical errors, further exposing them to second victim syndrome. The case is the same in the current workplace since approximately 15% of medical errors are linked to nursing burnout. The other detrimental effect of nurse burnout is nurse turnover. According to Kelly et al. (2021), low motivation, fatigue, and workplace stress force many nurses to leave their current job. The current organization is not immune to such impacts since about 10% of nurse turnover cases stem from nurse burnout. Since these outcomes have severe cost implications due to the constant need for staff replacement, organizational leaders must develop sustainable nurse retention mechanisms.
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Brief Summary of the Articles Addressing Nurse Burnout
The first article relevant to this topic explores the link between nurse burnout and resilience among nurses in two selected hospitals. According to Jamebozorgi et al. (2021), highly resilient nurses are better positioned to cope with work-related psychological problems such as burnout. As a result, they can concentrate on their roles and achieve excellence. The second article explores the association between work engagement and nurse burnout. In this study conducted at a fever and chest hospital, Mohamed et al. (2022) define work engagement as commitment, vitality, and absorption characterized by passion and motivation for work.
Since work engagement enhances job satisfaction, promoting it among nurses can help to avert the damaging effects of burnout. The intervention is primarily a psychological intervention that helps nurses to perceive their job positively despite the pressure stemming from a nursing shortage and other causes of nurse burnout. From these studies, it can be deduced that other organizations implement nurse retention programs and empower them to cope with nursing burnout. The interventions are also specific to the organizational needs since they vary across organizations.
Strategies Used to Address Nursing Burnout and their Potential Impacts
Healthcare facilities need resilient nurses to cope with nurse burnout. To enhance resilience, organizations should implement resilience training programs. Nurses can improve their resilience by practicing mindfulness breathing, meditation, and self-care (Jamebozorgi et al., 2021). Continuous practice of such interventions helps nurses to reduce depression, workplace stress, and anxiety associated with nurse burnout. Positive work engagement is achieved by implementing strategies to improve job satisfaction (Mohamed et al., 2022). Such strategies include leadership support, opportunities for growth and development, and employee motivation.
Implementing these strategies in the current organization would have diverse impacts. Broadly, resilience building and work engagement promote employee retention by preventing nurse burnout (Mohamed et al., 2022; Jamebozorgi et al., 2021). As a result, they are sustainable strategies for preventing nurse turnover. However, their success requires substantial financial investment. For instance, effective resilience training programs would require external trainers. Work engagement strategies such as growth and development would require continuous employee training. Employee motivation through rewards and incentives is also costly.
Conclusion
Healthcare organizations encounter many issues that hamper patient safety and care quality. Nurse burnout is prevalent in the current workplace and has been widely studied in the current and past literature. Consequently, there is sufficient research on how organizations address nurse burnout. As discussed in this paper, implementing resilience programs and promoting work engagement are associated with positive effects as far as nurse burnout reduction is concerned. As a result, organizational leaders should consider such interventions to avert the damaging effects of nurse burnout.
References
Garcia, C. D. L., Abreu, L. C. D., Ramos, J. L. S., Castro, C. F. D. D., Smiderle, F. R. N., Santos, J. A. D., & Bezerra, I. M. P. (2019). Influence of burnout on patient safety: Systematic review and meta-analysis. Medicina, 55(9), 553. https://doi.org/10.3390%2Fmedicina55090553
Jamebozorgi, M. H., Karamoozian, A., Bardsiri, T. I., & Sheikhbardsiri, H. (2021). Nurses burnout, resilience, and its association with socio-demographic factors during COVID-19 pandemic. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.803506
Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96–102. https://doi.org/10.1016/j.outlook.2020.06.008
Mohamed, S. A., Hendy, A., Ezzat Mahmoud, O., & Mohamed Mohamed, S. (2022). Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak. Nursing Open, 9(1), 377-384. https://doi.org/10.1002/nop2.1075
Sun, B., Fu, L., Yan, C., Wang, Y., & Fan, L. (2022). Quality of work life and work engagement among nurses with standardised training: the mediating role of burnout and career identity. Nurse Education in Practice, 58, 103276. https://doi.org/10.1016/j.nepr.2021.103276
From a general perspective, healthcare provision involves identifying health problems affecting the populace and developing practical intervention measures. As this happens, policies are made to streamline care delivery as healthcare providers keep learning to improve outcomes. The overall mandate of care providers is to enhance patient safety while striving to optimize quality always. However, everything does not occur smoothly as envisioned since many healthcare stressors affect care delivery and prevent healthcare providers from meeting the set goals. This paper assesses the impacts of nursing shortage as a pertinent healthcare issue at the organizational level and summarizes evidence-based interventions applied by other organizations.
The Nursing Shortage Problem
In practice, healthcare providers should be kept free from exhaustion. The care providers to patient ratio should be manageable such that healthcare providers are not physically and mentally drained. Nursing shortage occurs when the number of patients is high to the extent that care providers cannot provide satisfactory services. The problem creates an environment where care providers are highly dissatisfied and ready to leave (Chang et al., 2017).
In response, it has been the cause of 25% nurse turnover in the organization, with 10% of the care providers leaving the profession entirely. This data shows a lack of motivation to continue offering healthcare services irrespective of other measures such as rewards the organization applies to inspire employees.
Undeniably, this proportion of turnover is high and implies two things. Firstly, the organization will continue using massive resources to replace the lost workforce. Doing so leads to a scenario where some areas are underserved since resources are used wrongly. Secondly, turnover increases the healthcare burden to the employees left serving. Since the ones left behind are overworked, they are easily frustrated and can quit too. Eventually, a cycle where patients are underserved and dissatisfied ensues. Such instances reduce the overall quality of care and make it challenging to achieve the set objectives.
Assignment: Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare
NURS 6053 Assignment Analysis of a Pertinent Healthcare Issue
field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
To Prepare:
Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Looking Ahead
The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.
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Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK2Assgn+last name+first initial.(extension)” as the name.
Click the Week 2 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Due to the nature of this assignment, your instructor may require more than 7 days to provide you with quality feedback.
Grading Criteria
To access your rubric:
Week 2 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment Draft for Authenticity:
Submit your Week 2 Assignment draft and review the originality report
Submit Your Assignment by Day 7 of Week 2
To participate in this Assignment:
Week 2 Assignment
Next Module
To go to the next module:
Module 2
Module 1: Healthcare Environment (Weeks 1-2)
Laureate Education (Producer). (2018). The Healthcare Environment [Video file]. Baltimore, MD: Author.
Learning Objectives
Students will:
Analyze current national healthcare issues/stressors
Analyze the impact of national healthcare issues/stressors on healthcare organizations
Analyze strategies for addressing national healthcare issues/stressors
Due By
Assignment
Week 1, Days 1–2
Read the Learning Resources.
Compose your initial Discussion post.
Week 1, Day 3
Post your initial Discussion post.
Begin to compose your Assignment.
Week 1, Days 4-5
Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.
Week 1, Day 6
Post two peer Discussion responses.
Week 2, Days 1–6
Continue to compose your Assignment.
Week 2, Day 7
Deadline to submit your Assignment.
Learning Resources
Required Readings
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
Chapter 2, “Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 34–62)
Chapter 3, “Current Challenges in Complex Health Care Organizations and the Quadruple Aim” (pp. 66–97)
Read any TWO of the following (plus TWO additional readings on your selected issue):
Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358–2360.
Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45.
Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231–245.
Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250–256.
Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400–404.
Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588–604.
Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from
https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3
Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354–360.
Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874–1880.
Required Media
Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future [Video file]. Baltimore, MD: Author.
Discussion: Review of Current Healthcare Issues
If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?
These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.
In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.
To Prepare:
Review the Resources and select one current national healthcare issue/stressor to focus on.
Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.
By Day 3 of Week 1
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.
By Day 6 of Week 1
Respond to at least two of your colleagues on two different days who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 1 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 1
To participate in this Discussion:
Week 1 Discussion
This paper is determined to analyze Obesity and its impacts as a pertinent national issue in the United States. It will also explain how the health issue is being addressed in other organizations. Obesity is a treatable health disease that is a worldwide concern, associated with excess fat in the body. It is genetically and environmentally caused. It is diagnosed by a healthcare provider and is classified as having a body mass index (BMI) of 30 or greater (Fryar et al, 2018).
Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). Moreover, Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of deaths in the United States. (Chiao et al., 2015). Obesity is a nutritional disorder that is related to unhealthy eating.
There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. Among the most concerning chronic health conditions is Obesity. Irrespective of whether an adult or a child experiences the condition, Obesity has been connected to poor life quality and various numerous killer comorbid conditions such as some types of cancer, stroke, heart disease, and diabetes (Chiao et al., 2015).
Even though the disease has devastating effects on the population, it remains a complex health concern caused by a combination of individual factors like genetics and behavior and various other causes like physical activity, environment, food, skills, and education. Multiple factors such as exposures, medication use, dietary pattern, and lack of physical activity have also been shown to contribute (Werneck et al., 2018). Even though various interventions have been used to prevent and manage Obesity, the condition seems to be increasing among the population. (Fryar et al, 2018).
The Impact of Obesity on the Nursing Professionals.
Nursing professionals face different problems in the healthcare system. These problems may be associated with the work environment as well as the treatment issues. Obesity has both mental and physical health complications for people of all ages. The complications related to Obesity range from medical conditions such as hypertension, diabetes, some types of cancer, stroke, and heart disease. Also, Obesity is associated with reduced self-esteem, social isolation, as well as depression.
The dominance of Obesity was 42.4% in 2017-2018. Moreover, from 1999–2000 through 2017–2018, the bulk of Obesity increased from 30.5% to 42.4%, and the prevalence of severe Obesity risen from 4.7% to 9.2%. Its related conditions include heart disease, stroke, type 2 diabetes, and certain types of cancer that are leading causes of preventable, premature death. Similarly, the estimated annual medical cost of Obesity in the United States was $147 billion in 2008 U.S. dollars; the medical cost for people who have Obesity was $1,429 higher than those of normal weight. (NCHS 2017-2018). The working adults of non-Hispanic blacks (49.6%) had the highest age-adjusted higher number of Obesity. Similarly, working-age of Hispanic (44.8%) an
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