Lobbying for Change

Lobbying for Change

Lobbying for Change

Godfrey Onsongo

Capella University

NHS-FPX6008: Econ Decision Making HealthCare

Joseann DeWitt

December 2022

Godfrey Onsongo,

Capella University,

South 6th St,

Minneapolis, MN, 55402 Street.

6th December 2022.

The Office of the Governor,

106 DR. Vincent Michael,

St. Francis, MN, 55225.

Dear Sir,

RE: NURSING SHORTAGE

Nursing shortage

I am writing to create a concern for solutions to the challenging healthcare issue of nurse shortage affecting the hospitals in Minnesota and globally. The nursing shortage is now a worldwide healthcare challenge affecting the dissemination of care services to nurses by patients.

Recently, the nurse shortage has been reported as the main challenge to quality services in the United States, creating big problems for the population’s health. The nursing shortage problem is contributed by poor or inadequate hiring and recruitment of untrained nurses, poor money management in the hospital, poor utilization of nursing resources, and retirement of aging nurses. Nurse shortage has affected healthcare performance in Minnesota and deteriorated the population’s health, affecting the production quality. The problem of nurse shortage creates demand for recruiting new nurses and training the available ones to gain nursing experience.

World Health Organization provides an estimate of over one million nurses’ jobs created during the outbreak of the COVID-19 pandemic. Many nurses are aging and will retire in the coming years, creating a big challenge in healthcare due to the lack of nurse trainers. Though Minnesota’s institutions can produce a higher number of healthcare nurses, the hospitals need to recruit a new team and train them to achieve greater experience and skills. Moreover, the lack of qualified nurses affects the hospital’s performance in Minnesota and patient satisfaction, including patient safety.

Outcomes of Addressing or Failing to Address Nursing Shortage

The hospital management can address the solution to the nurse shortage by ensuring the recruitment of new nurses, training the existing nurses to acquire more skills, ensuring encouraging nurse retention. Addressing the nurse shortage in hospitals has a great positive impact on the population’s health. Enough nurses and caregivers in the healthcare facility help reduce workloads and create patient satisfaction. Ensuring a balanced patient-to-nurse ratio will promote patient safety, less the time it takes for the patient to acquire care services in the hospitals, reduce medication errors, and reduce patient overcrowding. However, the failure to address the nurse shortage problem in Minnesota’s state government will decrease patient satisfaction in all healthcare facilities within the region. Poor patient satisfaction decreases the performance of the healthcare setting. Nurse under-staffing will create more adverse effects through medication errors affecting the population’s health. Lack of enough healthcare nurses will also increase the hospital work burden, overcrowding of patients, and mortality rate. Lack of enough nurses in the healthcare setting reduces the time taken for patient and nurses’ examination and consultation, affecting the quality of services and clinical decisions nurses make. Lastly, failure to address the problem of nurse shortage in healthcare facilities will increase staff work burden, stress, and exhaustion to the available nurses (Ghafoor et al., 2021).

Scholarly Sources Regarding the Importance of Addressing Nursing Shortages

Several researchers have investigated the problem of nurse understaffing in healthcare facilities and the benefits of addressing the problem. Tamata et al., (2021), stated that the nursing shortage is a global healthcare challenge that needs to be addressed to balance the demand for the increased number of patients. Addressing nurse shortage through recruitment and nurse retention requires the health ministry to set up principles and guidelines. Also, there is a need to set up policies for recruitment in the healthcare setting and minimize the problem of nurse resignation. According to Buerhaus, (2021), there was increased demand for more healthcare workers and nurses resulting from the need to provide treatment and care services to patients due to the

COVID-19 pandemic. Ensuring proper management in the healthcare setting will encourage nurse retention, create a conducive working environment for nurses and promote quality care services delivery. Ryan et al., (2019), investigated the nursing shortage problem stating the effects of aging nurses retiring from the nursing profession. The lack of qualified and certified nurses will demand more trainers and healthcare instructors who provide mentorship to newly graduated nurses. Therefore, the investigation requires more nurses to be trained by aging nurses before they retire. Marć et al., (2019), stated that nurse under-staffing has no measure for the impacts of the lack of nurses in healthcare institutions.

The estimated impacts of the nurse shortage include increased mortality rate, poor population health, and loss of finances by the patients through admissions and readmissions. Nursing shortage affects the hospitals’ performance and hence requires the stakeholders to cooperate to address the problem (Ghafoor et al., 2021). The affected stakeholders in the healthcare setting include the general population, regulation health ministries, healthcare management, and nurses. It is important to ensure a good working environment for the available nurses to be satisfied enough.

Experiences that have Informed the Resource Planning and Risk Analysis

From my experience in the last two years working as a professional nurse, the outbreak of COVID-19 has increased the demand for healthcare nurses and caregivers. The pandemic has increased healthcare expenditure spending through recruitment and retention of healthcare nurses, salary increments, and nurse workload. More patients crowd into the healthcare facilities demanding treatment services. The situation in the hospital that I worked with in the remote area faced a lot of challenges in maintaining the available workforce. Some of the nurses resigned due to poor working conditions. The hospital spends more than $ 4 million to recruit more nurses and replace the outgoing ones. The hospital requires good financial management to maintain the available nurses. Hospital management requires effective transformational leadership that provides a conducive working environment and motivates the available nurses to reduce the problem of resignation.

In addition, a strategic plan should be made through website advertisement, mentorship and training, and ensuring partnership with the Minnesota Department of Health to help recruit newly graduated nurses to achieve skills (Rogers, 2021). The problem of nurse shortage creates coordination of the health ministry in Minnesota to address the problem. Also, due to the COVID-19 outbreak, there is increased demand for care services; hence, the Minnesota health department should review the process of acquiring a service delivery license.

Yours faithfully,

O, Godfrey

References

Buerhaus, P. I. (2021). Current nursing shortages could have long-lasting consequences: Time to change our present course. Nursing Economics, 39(5), 247–250.

Buerhaus, P. I. (2021). Current nursing shortages could have long-lasting consequences: Time to change our present course. Nursing Economics, 39(5), 247-250.

Ghafoor, Y., Yaqoob, A., Bilal, A., & Ghafoor, M. S. (2021). Impact of nurse shortage on patient care. Saudi Journal of Nursing and Health Care, 4(4), 114–119. /orders/doi.org/10.36348/sjnhc.2021.v04i04.003

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. /orders/doi.org/10.1111/inr.12473

Rogers, R. (2021). Pandemic Recovery in Nursing: Labor Shortage and Financial Devastation.

/orders/digitalcommons.gardner webb.edu/cgi/viewcontent.cgi?article=1027&context=nursing-msn

Ryan, C., Bergin, M., White, M., & Wells, J. S. G. (2019). Ageing in the nursing workforce–a global challenge in an Irish context. International Nursing Review, 66(2), 157–164. /orders/doi.org/10.1111/inr.12482

Tamata, A. T., Mohammadnezhad, M., & Tamani, L. (2021). Registered nurses’ perceptions on the factors affecting nursing shortage in the Republic of Vanuatu Hospitals: A qualitative study. Plos One, 16(5), e0251890. /orders/doi.org/10.1371/journal.pone.0251890

Write a letter to an official in your state or local government. (Choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue.

TOPIC- NURSING SHORTAGE

Introduction

Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.As health care leaders, it is important to understand strategies for advocating and lobbying elected officials. This can lead to the development of policies or laws that can help drive improved equity and outcomes for all participants in the health care environment as well as a more sustainable financial future.

Background and Context

As a master’s-level health care practitioner, you may be expected to implement plans to ensure that initiatives designed to take advantage of economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be implemented in different contexts and for different purposes to ensure the investment remains a viable and positive asset to your organization or care setting.As a master’s-level practitioner, you will often be challenged to influence the health care environment in a variety of ways. This influence can occur on a micro-level (implementing change on your unit, institution, community, or local organizations) or at a macro level (implementing change via state or federal regulations and policy). One way you can influence the health care environment is by lobbying an elected official at the local, state, or national level to adopt policies or legislation that would support positive economic and health outcomes for patients, practitioners, and organizations within the health care environment.

Instructions

For this assessment, you will develop a letter to an official in your state or local government (choose the individual in the level of government that will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health care environment issue. Remember, when writing the letter, you must use your personal address and telephone number unless you are exclusively representing a group or your organization.Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.Overall, your assessment submission will be assessed on the following criteria:

• Summarize the health care economic issue that you are addressing.
  • Keep this brief but try to include details about how the issue is currently impacting the elected officials’ constituents.
• Explain the positive outcomes that will occur if the issue is addressed and the negative outcomes that will occur if the issue is not addressed.
  • Tailor this messaging to focus on the impacts in the communities and organizations that are relevant to the elected official you are writing to.
• Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.
  • Cite at least five current, scholarly sources that support your argument and help provide the elected official (who may not have a detailed knowledge of the health care environment) with an understanding of the issues, changes, or actions that you are proposing to drive improved outcomes.
  • Identify the impact your issue has on health care institutions and health care providers at the local community, state, and national levels.
  • Make sure to include information from both a health care and an economic perspective. An elected official may be more responsive to one perspective than another.
  • Incorporate ethical, cultural, and diversity principles when picking resources and making recommendations for change in your assessment.
• Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
  • Think about how your experiences (the experiences can be personal, professional, or from your team’s perspective or experience) affect how you have planned for the resources needed to implement your desired changes or actions. How did this impact your approach to conducting a risk analysis on the project?
• Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
  • Remember to conclude your letter with a summary of your position on the issue and a compelling reason that the elected official should act in your favor and support your issue or initiative.

Additional Requirements

• Audience: Make sure you are addressing your letter to an actual local or state official.
  • For most states, you can use the following resource:
    • Open States. (n.d.). Find your legislators. /orders/openstates.org/find_your_legislator/
  • For local officials, search your city’s government website for officials and their positions.
• Length of Submission: 1–2 double spaced pages. Your letter needs to be succinct and persuasive.
• Number of References: Cite at least five sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
• APA formatting: Resources and citations are formatted according to current APA style.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
  • Summarize the health care economic issue that you are addressing.
• Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
  • Explain the positive outcomes that will occur if the issue is addressed and negative outcomes that will occur if the issue is not addressed.
• Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
  • Summarize key information from scholarly sources to support the importance of addressing the issue; the issue’s overall impact on health care at the institutional, local, state, and national levels; and proposed changes or actions to address the issue.
• Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
  • Explain how personal, professional, and organizational experiences have informed the resource planning and risk analysis for working toward addressing the economic issue.
• Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
  • Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. Lobbying for Change

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Lobbying for Change

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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