Assignment: Analysis of a Pertinent Healthcare IssueS

Assignment: Analysis of a Pertinent Healthcare IssueS

Assignment: Analysis of a Pertinent Healthcare IssueS

Pertinent Healthcare Issue

The impact of the healthcare issue on my organization

Patient experience has become a national health issue in the health sector. Patient experience is how the patient interacts with the healthcare systems, the doctors, caregivers, the nursing staff, and their general experience with treatment in the hospitals (Wolf, 2019). However, the patient experience is a great healthcare issue in my organization as patients are not receiving quality healthcare. This healthcare issue has led to an immense impact on the organization. First, the healthcare issue makes it hard for the caregivers to have a good relationship with the patients. The healthcare organization patients are not corporative due to the lack of effective patient experience in the care provided to them. The issue is also scaring away patients from the organization. This is causing the organization to incur losses as the income is significantly going down. Low patient experience also negatively impacts the organization in terms of patient satisfaction. The nursing staff in the organization has a tough time increasing patient outcomes and satisfaction. Patient satisfaction, however, remains very low, and patients are having a negative attitude towards the services given to them in the hospital.

Looking at the rate at which the health organization admits patients currently and in the past, there is a huge difference. The patient registration desk data shows a reduced margin in the number of patients visiting our health organization for the past few months. Data from the finance department also reflects a significant decline in its finance. These facts are a representation of patient experience issues is affecting the health organizations. It is a health issue that threatens the health sector’s survival and needs to be addressed with appropriate strategies.

Summary of two related articles related to the healthcare issue and how other organizations address the health issue  

I reviewed two articles that addressed patient experience as a national health issue. The resources I reviewed focus on some strategies which health organizations could use to address patient experience as one of the national health issues facing the health sector. The first article focuses on how patient experience in the health organizations could be improved (Informing practice by identifying meaningful communication from the patient’s perspective, n.d). The article talks about how nurse relationships with patients are vital in enhancing the patient experience. According to the article, collaborative working, support from the management, increased nurse staff, and patient-centered healthcare service approaches that health care organizations could use to improve patient experience in health organizations. These strategies will lead to quality nursing care, thus addressing the healthcare issue in the health sector.

The second article that I have reviewed focusing more on improving communication between nurses and patients, allowing patients to be free to communicate issues, and provide a contusive working environment for the nurses (How nurses and their work environment affect patient experiences of the quality of care, n.d). The article sees these strategies as being very effective in improving patient experience. As per the article’s authors, lack of effective communication leads to dissatisfaction among the patients. Dissatisfaction among the patients leads to reduced patient experience in the health organizations. However, effective communication and improved communication between the patients and the caregivers offer the patients an opportunity to raise any healthcare facilities issues. This move gives the health organization a chance to change their activities according to the patients’ issues.

In other organizations, patient experience is enhanced by improving nursing care quality. To improve patient experience, these organizations are also increasing the number of nurses in their organizations. This move ensures that the organizations have an adequate number of nurses to deliver nursing care to them. Involving patients in decision-making about their treatment is another approach the organizations are using to deal with the patient experience issue (Wolf, 2019).

Strategies presented in the resources to address the health issue and how the strategies might affect the organization positively and negatively.   

The resources I selected present various strategies to address the national health issue. For instance, in the first article, collaborative working, support from the management, increased nurse staff, and patient-centered healthcare service are strategies that could be used to address patient experience. These strategies are very effective as the health organizations’ activities revolve around increases patient experience and outcome. Support from the management, having more nurses, and incrassating patient service delivery are significant in promoting patient care and experience (Wolf, 2016). Improved patient-nurse relationship and communication as per the second resource are also very effective strategies in increasing patient experience. Allowing the patients to communicate freely, interact freely with the nursing staff and express their concerns increases the patients’ experience in the healthcare organizations.

These strategies could help my organization very much in improving patient care. The strategies especially increasing nurse staff, increasing communication, support from the management, and enhancing patient nurse relationship, will help the organization improve the patient experience. The strategies will also ensure that the organization’s technology is effective in enhancing patient care (Wolf, 2019).  The strategies, if implemented in the health organizations, patient experience will be addressed.

However, these strategies might also impact the organization negatively. First, the strategies, for instance, increasing the number of nurse staff, will cost the organization additional capital in sourcing the nurses. The strategies might also affect the majority of the nurses who are used to working in the organization. Implementing a change might lead to some nurses leaving the organization, affecting the organization negatively in terms of nursing staff. However, the strategies are essential in supporting and improving patient experience.

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.

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 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.

By Day 7 of Week 2

Submit your paper.

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.

Changes in the industry only serve to stress what has always been true; namely, that the
healthcare 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.
By Day 7 of Week 2
Submit your paper.
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.
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 submit your Assignment:
Week 2 Assignment

Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course
Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert
clinician to influential leader (2nd ed.). New York, NY: Springer.

 Chapter 2, “Understanding Contexts for Transformational Leadership:
Complexity, Change, and Strategic Planning” (pp. 37–62)

 Chapter 3, “Current Challenges in Complex Health Care Organizations: The
Triple Aim” (pp. 63–86)

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. doi:10.1056/NEJMp1801869
Note: You will access this article from the Walden Library databases.
Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared
workforce goal. American Journal of Nursing, 118(2), 43–45.
doi:10.1097/01.NAJ.0000530244.15217.aa
Note: You will access this article from the Walden Library databases.
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. doi:10.1097/NAQ.0000000000000303
Note: You will access this article from the Walden Library databases.
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. doi:10.1370/afm.2230
Note: You will access this article from the Walden Library databases.
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. doi:10.1016/j.profnurs.2016.11.005
Note: You will access this article from the Walden Library databases.
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. doi:10.3122/jabfm.2018.04.170388
Note: You will access this article from the Walden Library databases.

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.
doi:10.1097/JXX.0000000000000040
Note: You will access this article from the Walden Library databases.
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.
doi:10.1377/hlthaff.2013.0531
Note: You will access this article from the Walden Library databases.
Required Media
Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future
[Video file]. Baltimore, MD: Author.

RE: Discussion – Week 1

Week One- Initial discussion board

Today, the demands of healthcare have organizations developing new trends to reach the desired Quadruple Aim goal.  Health care organizations around the world are experiencing shortages of staffing and other related staffing concerns (Geraldi, Farmer, & Hoffman ,2018). Nurse managers have creatively designed staffing guidelines for their unit.  These guidelines are designed to control the nurse to patient ratio and to manage the workload without jeopardizing patient care. Staffing has become a daily stressor for nursing professionals. When a unit is properly staffed there is multiple benefits including: reduce mortality rates, reduced length of patient stays, and a reduction of preventable events, such as falls, medication errors and infections (ANA, n.d.)

Impact of Burnout

Safe unit staffing provides nurses the ability to provide patient centered care and the patients feel as if the are receiving excellent care.  Staffing changes occur when the census of the unit changes and the nursing requirements have either increased or decreased. When the unit needs increase and the staffing does not each employee working will feel the stress and the care of a patient may suffer.  When the need of the unit decrease staffing are sent home, transferred to another unit to work, or simply called off and must use their paid time off (PTO) to cover the daily pay.  This promotes unpleasant nursing attitudes and the morale of the unit declines. Employees do not feel as if they are valued and this leads to nurse call offs and position resignation.  Improvements in employee well-being will result in increased employee engagement and will be a pivotal driver to assist the health system meet its goals toward Quadruple Aim (Jacobs, Mc Govern, Heinmiller, & Drenkard, 2018).

Organizational response to staffing issues

The hospital has developed a staffing grid for all to follow. This grid presents some control of staffing for the unit nurses. This grid is constructed to present safety for nurses and patients. The unit schedule is based upon this grid.  If there is a need to increase nursing staffing emails and messages are sent out and staff taken on first come first serve basis.  When the schedule is completed the use of agency nurses is scheduled. The manager has developed a system for weekends, this system is a sign up for volunteers to cover if coverage is needed. This unit is fortunate to have many nurses that want extra hours and openings can be filled ahead of time.

References

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43–45. doi:10.1097/01.NAJ.0000530244.15217.aa

Jacobs, B., McGovern, J., Heinmiller, J.M., & Drenkard, K.N. (2018). Engaging Employees in Well-Being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42, 231–245.

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

NURS_6053_Module01_Week02_Assignment_Rubric

Excellent Good Fair Poor
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing the 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).

Points Range: 23 (23%) – 25 (25%)
The response accurately and thoroughly describes in detail the national healthcare issue/stressor selected and its impact on an organization.

The response includes accurate, clear, and detailed data to quantify the impact of the national healthcare issue/stressor selected.

Points Range: 20 (20%) – 22 (22%)
The response describes the national healthcare issue/stressor selected and its impact on an organization.

The response includes accurate data to quantify the impact of the national healthcare issue/stressor selected.

Points Range: 18 (18%) – 19 (19%)
The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague or inaccurate.

The response includes vague or inaccurate data to quantify the impact of the national healthcare issue/stressor selected.

Points Range: 0 (0%) – 17 (17%)
The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague and inaccurate, or is missing.

The response includes vague and inaccurate data to quantify the impact of the national healthcare issue/stressor selected, or is missing.

·   Provide a brief summary of the two articles you reviewed from outside resources, on the national healthcare issue/stressor and explain how the healthcare issue/stressor is being addressed in other organizations.
Points Range: 27 (27%) – 30 (30%)
A complete, detailed, and specific synthesis of two outside resources reviewed on the national healthcare issue/stressor selected is provided. The response fully integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the summary provided.

The response accurately and thoroughly explains in detail how the healthcare issue/stressor is being addressed in other organizations.

Points Range: 24 (24%) – 26 (26%)
An accurate synthesis of at least one outside resource reviewed on the national healthcare issue/stressor selected is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the summary provided.

The response explains how the healthcare issue/stressor is being addressed in other organizations.

Points Range: 21 (21%) – 23 (23%)
A vague or inaccurate summary of outside resources reviewed on the national healthcare issue/stressor selected is provided. The response minimally integrates resources that may support the summary provided.

The response explains how the healthcare issue/stressor is being addressed in other organizations that is vague or inaccurate.

Points Range: 0 (0%) – 20 (20%)
A vague and inaccurate summary of no outside resources reviewed on the national healthcare issue/stressor selected is provided, or is missing.

The response fails to integrate any resources to support the summary provided.

·   Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected and explain how they may impact your organization both positively and negatively. Be specific and provide examples.
Points Range: 27 (27%) – 30 (30%)
A complete, detailed, and accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.

The response accurately and thoroughly explains in detail how the strategies may impact an organization both positively and negatively, with specific and accurate examples.

Points Range: 24 (24%) – 26 (26%)
An accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.

The response explains how the strategies may impact an organization both positively and negatively. May include some specific examples.

Points Range: 21 (21%) – 23 (23%)
A vague or inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.

The response explains how the strategies may impact an organization both positively and negatively that is vague or inaccurate. May include some vague or inaccurate examples.

Points Range: 0 (0%) – 20 (20%)
A vague and inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided, or is missing.

The response explains how the strategies may impact an organization both positively and negatively that is vague and inaccurate, or is missing. Does not include any examples.

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.

Points Range: 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.

Points Range: 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.

Points Range: 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.

Points Range: 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

Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) grammar, spelling, and punctuation errors.
Points Range: 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.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Points Range: 4 (4%) – 4 (4%)
Contains a few (1 or 2) APA format errors.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3 or 4) APA format errors.
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
Total Points: 100
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