NURS-6053C INTERPROF ORG & Sys Leadership week 1 Discussion: Review of Current Healthcare Issues, and Respond. 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 discussion; 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. Respond to these 2 colleagues below 1page long to each one STUDENT #1 D G RE: MAIN Discussion – Week 1 C OLLA PSE Nurses are always in high demand. The national shortage of nurses is a national issue many healthcare professionals face every day. “In 2019, it ranked as the third-most in-demand job of any profession in the United States, and this trend shows no signs of slowing down” (Writers, 2020). We have tried to close the gap by creating more educational opportunities for aspiring students and retention programs for employees. “The nursing profession continues to face shortages due to a lack of potential educators, high turnover, and inequitable workforce distribution” (Annamaraju, Haddad, & Toney-Butler, 2020). Due to the coronavirus, were facing challenges we cannot seem to get ahead of, it seems we’ll never be able to see the end of staffing shortages. Staffing shortages are continuing to increase due to team members sicknesses and quarantine periods. In my facility, we have responded to the crisis by implementing daily employee screenings, hand hygiene trackers to reduce the spread of infection and staff accountability, and an influx of temporary staff such as travelers to create stability in staffing numbers. “Staffing agencies have been thriving after the first-wave furloughs gave way to a mix of COVID needs and backlogged procedures” (McLemon, 2020). Bibliography Annamaraju, P., Haddad, L., & Toney-Butler, T. (2020, December 14). Nursing Shortage. NURS 6053C Nursing Employee Burnout Question

Retrieved from NCBI: https://www.ncbi.nlm.nih.gov/books/NBK493175/ McLemon, L. (2020, November 30). COVID-Related Nursing Shortages Hit Hospitals Nationwide. Retrieved from Center for Infectious Disease Research and Policy: https://www.cidrap.umn.edu/newsperspective/2020/11/covid-related-nursing-shortages-hit-hospitals-nationwide Writers, S. (2020, December 1). The U.S. Nursing Shortage: A State-by-State Breakdown. Retrieved from Nurse Journal: https://nursejournal.org/articles/the-us-nursing-shortage-state-by-state-breakdown/ STUDENT #2 A H RE: Discussion – Week 1-Main Post C OLLA PSE Healthcare Issue The need for APRNs and primary care physicians has steadily increased over the last few decades due to the growing population, underserved communities seeking care, more insured individuals, and the need for primary care as well as preventative services (Broome & Marshall, 2021). With this increase in the need for medical providers, comes the demand for APRNs to juggle multiple roles and increased patient workloads that can quickly lead to many negative effects including burnout. Burnout happens when an individual experiences chronic stress related to their job and surrounding environment due to being overworked, feelings of providing ineffective care, and feelings of doubt and self-worth (Kapu et al., 2021). How Healthcare Issue Impacts My Work Setting During the past year, the current demands of overtime and the pressure to provide the best care possible to our patients due to COVID-19 has taken a toll on all healthcare professionals far and wide. Stress at work is carried home and then we also must deal with the interruptions of our normal routines to virtual learning, isolation from family members, uncertainty, grief, and guilt of loosing patients to this terrifying virus (Gabriel & Aguinis, 2021). Not only have I seen burnout, but I have seen physical and emotional instability. Coworkers that were once happy and excited to be at work are now scared, sad, hopeless, and wanting to quit. Management needs to take a step back and determine what they can do to create a healthier workplace for employees despite the pandemic. Employer Response to Burnout Burnout effects healthcare employees worldwide. Making sure that employees well-being is evaluated regularly is crucial for any healthcare facility so that patients can receive the best and highest quality of care from their providers. My current workplace is committed to making sure all its healthcare employees have access to different options to de-stress while on the job or after work. Since COVID-19 we now recently have access to a 24-hour health and wellness gym at (NO COST) that includes gym equipment, a sauna, racquetball and basketball courts, and a outside track to walk/run on. We also have counselors on staff to talk with as needed for stressful situations related to work or personal life stressors. Despite, these things being in place there is always someone struggling silently. We need to make sure to work together and listen/look for signs and symptoms among our coworkers for help and try to lend a helping hand whenever possible. No one should struggle alone. References Broome, M. E., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer Publishing Company, LLC. Gabriel, K. P., & Aguinis, H. (2021). How to Prevent and Combat Employee Burnout and Create Healthier Workplaces During Crises and Beyond. Business Horizons. https://doi.org/10.1016/j.bushor.2021.02.037 Kapu, A. N., Card, E. B., Jackson, H., Kleinpell, R., Kendall, J., Lupear, B. K., LeBar, K., Dietrich, M. S., Araya, W. A., Delle, J., Payne, K., Ford, J., & Dubree, M. (2021). Assessing and addressing practitioner burnout: Results from an advanced practice registered nurse health and well-being study. Journal of the American Association of Nurse Practitioners, 33(1), 38–50. 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. • • NURS 6053C Nursing Employee Burnout Question

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. doi:10.1056/NEJMp1801869 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 wellbeing: 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/s12960-0160154-3. 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. Rubric Detail Select Grid View or List View to change the rubric’s layout. Name: NURS_6053_Module01_Week01_Discussion_Rubric Exit • • Grid View List View Excellent Main Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Excellent Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by day 3. First Response 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully . Excellent answered, if posed. Response is effectively written in standard, edited English. Second Response 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days. Total Points: 100 Name: NURS_6053_Module01_Week01_Discussion_Rubric NURS-6053C INTERPROF ORG & Sys Leadership week 1 Discussion: Review of Current Healthcare Issues, and Respond. 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. NURS 6053C Nursing Employee Burnout Question

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 discussion; 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. Respond to these 2 colleagues below 1page long to each one STUDENT #1 D G RE: MAIN Discussion – Week 1 C OLLA PSE Nurses are always in high demand. The national shortage of nurses is a national issue many healthcare professionals face every day. “In 2019, it ranked as the third-most in-demand job of any profession in the United States, and this trend shows no signs of slowing down” (Writers, 2020). We have tried to close the gap by creating more educational opportunities for aspiring students and retention programs for employees. “The nursing profession continues to face shortages due to a lack of potential educators, high turnover, and inequitable workforce distribution” (Annamaraju, Haddad, & Toney-Butler, 2020). Due to the coronavirus, were facing challenges we cannot seem to get ahead of, it seems we’ll never be able to see the end of staffing shortages. Staffing shortages are continuing to increase due to team members sicknesses and quarantine periods. In my facility, we have responded to the crisis by implementing daily employee screenings, hand hygiene trackers to reduce the spread of infection and staff accountability, and an influx of temporary staff such as travelers to create stability in staffing numbers. “Staffing agencies have been thriving after the first-wave furloughs gave way to a mix of COVID needs and backlogged procedures” (McLemon, 2020). Bibliography Annamaraju, P., Haddad, L., & Toney-Butler, T. (2020, December 14). Nursing Shortage. Retrieved from NCBI: https://www.ncbi.nlm.nih.gov/books/NBK493175/ McLemon, L. (2020, November 30). COVID-Related Nursing Shortages Hit Hospitals Nationwide. Retrieved from Center for Infectious Disease Research and Policy: https://www.cidrap.umn.edu/newsperspective/2020/11/covid-related-nursing-shortages-hit-hospitals-nationwide Writers, S. (2020, December 1). The U.S. Nursing Shortage: A State-by-State Breakdown. Retrieved from Nurse Journal: https://nursejournal.org/articles/the-us-nursing-shortage-state-by-state-breakdown/ STUDENT #2 A H RE: Discussion – Week 1-Main Post C OLLA PSE Healthcare Issue The need for APRNs and primary care physicians has steadily increased over the last few decades due to the growing population, underserved communities seeking care, more insured individuals, and the need for primary care as well as preventative services (Broome & Marshall, 2021). With this increase in the need for medical providers, comes the demand for APRNs to juggle multiple roles and increased patient workloads that can quickly lead to many negative effects including burnout. Burnout happens when an individual experiences chronic stress related to their job and surrounding environment due to being overworked, feelings of providing ineffective care, and feelings of doubt and self-worth (Kapu et al., 2021). How Healthcare Issue Impacts My Work Setting During the past year, the current demands of overtime and the pressure to provide the best care possible to our patients due to COVID-19 has taken a toll on all healthcare professionals far and wide. Stress at work is carried home and then we also must deal with the interruptions of our normal routines to virtual learning, isolation from family members, uncertainty, grief, a nd guilt of loosing patients to this terrifying virus (Gabriel & Aguinis, 2021). Not only have I seen burnout, but I have seen physical and emotional instability. NURS 6053C Nursing Employee Burnout Question

Coworkers that were once happy and excited to be at work are now scared, sad, hopeless, and wanting to quit. Management needs to take a step back and determine what they can do to create a healthier workplace for employees despite the pandemic. Employer Response to Burnout Burnout effects healthcare employees worldwide. Making sure that employees well-being is evaluated regularly is crucial for any healthcare facility so that patients can receive the best and highest quality of care from their providers. My current workplace is committed to making sure all its healthcare employees have access to different options to de-stress while on the job or after work. Since COVID-19 we now recently have access to a 24-hour health and wellness gym at (NO COST) that includes gym equipment, a sauna, racquetball and basketball courts, and a outside track to walk/run on. We also have counselors on staff to talk with as needed for stressful situations related to work or personal life stressors. Despite, these things being in place there is always someone struggling silently. We need to make sure to work together and listen/look for signs and symptoms among our coworkers for help and try to lend a helping hand whenever possible. No one should struggle alone. References Broome, M. E., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer Publishing Company, LLC. Gabriel, K. P., & Aguinis, H. (2021). How to Prevent and Combat Employee Burnout and Create Healthier Workplaces During Crises and Beyond. Business Horizons. https://doi.org/10.1016/j.bushor.2021.02.037 Kapu, A. N., Card, E. B., Jackson, H., Kleinpell, R., Kendall, J., Lupear, B. K., LeBar, K., Dietrich, M. S., Araya, W. A., Delle, J., Payne, K., Ford, J., & Dubree, M. (2021). Assessing and addressing practitioner burnout: Results from an advanced practice registered nurse health and well-being study. Journal of the American Association of Nurse Practitioners, 33(1), 38–50. 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. doi:10.1056/NEJMp1801869 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 wellbeing: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Qu …