Developing Organizational Policies
Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.
Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
Leaders can contribute to both the problem and the solution through policies, actions, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.
To Prepare:
- Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected. Assignment attached
- Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
- Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
Developing Organizational Policies and Practices
Add a section to the paper you submitted in Module 1. The new section should address the following:
- Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
- Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
- Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
- Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
- Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
RUBRIC
Add a section to the paper you submitted in Module 1. In 4–5 pages, address the following:
· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.–
Excellent 23 (23%) – 25 (25%)The response accurately and clearly identifies at least two competing needs impacting the healthcare issue/stressor selected.Good 20 (20%) – 22 (22%)The response identifies at least two competing needs impacting the healthcare issue/stressor selected.Fair 18 (18%) – 19 (19%)The response identifies at least two competing needs impacting the healthcare issue/stressor selected that is vague or inaccurate.Poor 0 (0%) – 17 (17%)The response describes at least two competing needs impacting the healthcare issue/stressor selected that is vague and inaccurate, or is missing.
· Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
· Critique the policy for ethical considerations and explain the policy’s strengths and challenges in promoting ethics.–
Excellent 27 (27%) – 30 (30%)The response accurately and thoroughly describes in detail a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.
The response accurately and thoroughly critiques in detail the policy for ethical considerations and explains in detail the policy’s strengths and challenges in promoting ethics.Good 24 (24%) – 26 (26%)The response accurately describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected.
The response accurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics.Fair 21 (21%) – 23 (23%)The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague or inaccurate.
The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague or inaccurate.Poor 0 (0%) – 20 (20%)The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague and inaccurate, or is missing.
The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague and inaccurate, or is missing.
· Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
· Cite evidence that informs the healthcare issue/stressor and/or the policies and provide two scholarly resources in support of your policy or practice recommendations.–
Excellent 27 (27%) – 30 (30%)The response provide one or more accurate, clear, and thorough recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.
Specific and accurate examples are provided.
Accurate and detailed evidence is cited that informs the healthcare issue/stressor selected and a specific synthesis of at least two outside scholarly resources in full support of the policy or practice recommendations is provided. The response integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the healthcare issue/stressor selected.Good 24 (24%) – 26 (26%)The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies.
Specific examples may be provided.
Evidence is cited that informs the healthcare issue/stressor selected and a synthesis of at least one outside scholarly resource that may support the policy or practice recommendations is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the healthcare issue/stressor selected.Fair 21 (21%) – 23 (23%)The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague or inaccurate.
Examples may be provided.
Vague or inaccurate evidence is cited from 2 or 3 resources that informs the healthcare issue/stressor selected and may support the policy or practice recommendations provided.Poor 0 (0%) – 20 (20%)The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague and inaccurate, or is missing.
Examples are missing.
Vague and inaccurate evidence is cited that informs the healthcare issue/stressor and may include at least 1 scholarly resource that vaguely and inaccurately supports the policy practice recommendations is provided, or is missing.
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.–
Excellent 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.Good 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.Fair 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.Poor 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–
Excellent 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) grammar, spelling, and punctuation errors.Poor 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.–
Excellent 5 (5%) – 5 (5%)Uses correct APA format with no errors.Good 4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) APA format errors.Poor 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.
Analysis of a Pertinent Healthcare Issue
NURS 6053N- Interprofessional Organizational and Systems Leadership
Analysis of a Pertinent Healthcare Issue
The coronavirus has highlighted many pertinent healthcare issues. Nurse burnout, staffing shortages, and lack of proper supplies to name a few. One major issue is health inequities. The purpose of this paper is to describe the health inequities in healthcare and how it’s being addressed in organizations.
What are health iniquities?
While the term disparity is often translated to mean racial or ethnic differences, other aspects of inequality exist in the United States, especially in health. When a safety effect is shown to a greater or lesser degree across groups, there is variation. It is important to recognize the impact that social determinants have on health outcomes of specific populations. Healthy People work towards improving the health of all groups.
HealthyPeople.gov states disparities are “a particular type of difference in health which is closely related to social, economic, and/or environmental disadvantage. Health disparities directly impact sections of the population who have systematically experienced greater barriers to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographical location; or other characteristics historically linked to discrimination or exclusion” (n.d.).
How is it being addressed?
Hardmen and Spelten suggest that self-management support (SMS) interventions may affect populations with low socioeconomic systems (SES) in different ways (2020). More individualized treatment may be needed over longer periods of time. SES could be used as a predictor of ‘high risk’ to identify those requiring an earlier or more intensive intervention. SMS strategies that were guided only by self-efficacy were criticized as being too individualistic. The relationship between self-efficiency and self-management capacity is lower in disadvantaged communities. ‘One size fits all’ programs had fewer benefits, and in some cases increased disparity. For the low SES population, obstacles linked to capital and condition demands are much greater. Many SMS initiatives will increase the workload, especially those needing daily attendance or homework. Approaches are rarely tried to reduce patient workload or increase access to resources. Telephone consultations, problem-solving of particular barriers, integrating healthcare with social services can all reduce the burden of treatment and maximize resources, authors say.
Conclusion
Healthy people strive to improve the health of all groups. All contribute to an individual’s ability by race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location to achieve good health. This study indicates that SMS approaches could in various ways impact communities with low SES. SES may be used as a ‘high risk’ indicator to classify those who need early or more aggressive intervention.
Reference
Disparities. (n.d.). Retrieved June 21, 2020, from /orders/www.healthypeople.gov/2020/about/foundation-health-measures/Disparities
Hardman, R., Begg, S., & Spelten, E. (2020). What impact do chronic disease self-management support interventions have on health inequity gaps related to socioeconomic status: a systematic review. BMC Health Services Research, 20(1), 150. /orders/doi-org.ezp.waldenulibrary.org/10.1186/s12913-020-5010-4
Subica, A. M., & Brown, B. J. (2020). Addressing Health Disparities Through Deliberative Methods: Citizens’ Panels for Health Equity. American Journal of Public Health, 110(2), 166–173. /orders/doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2019.305450
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