NURS 6053 Review of Current Healthcare Issues — Covid 19 Completed Sample Papers Included
NURS 6053 Review of Current Healthcare Issues — covid 19
The national healthcare issue selected for analysis is the nursing shortage. The nursing shortage is an ongoing problem that healthcare systems deal with daily, especially in this COVID-19 era. The nursing shortage is a significant issue that is highly prevalent around the country; one experienced in various and individual workplaces. According to Haddad and Toney-Butler (2020), the nursing shortage causes numerous issues of concern; shortages are due to a lack of potential educators, high turnover, and inequitable workforce distribution.
The nursing shortage is an ongoing and widespread problem with no definitive solution found yet. Some contributory factors are the growing baby boomer populations with an increased need for health services and the aging of baby boomer nurses with the same population retiring. Significant factors contributing to the nursing shortage are the fast nursing turnover rates, management issues, job-related stress, job dissatisfaction, and the failure to nurture new nurses. Marshall and Broome (2017) contend that looming faculty shortages are among the nursing workforce’s biggest threats. Nursing shortage negatively impacts patient care and needs to be addressed to promote positive patient outcomes because nursing shortages lead to errors, higher morbidity, and mortality rates. Hospitals with high patient-to-nurse ratios experience burnout, dissatisfaction Haddad and Toney-Butler, 2020).
The nursing shortage is one of the most significant stressors experienced in place of employment currently. A majority of the nursing staff are dissatisfied with the new management and the leadership style of their way or the highway. This attitude/ management style contributes to the nursing shortage and has resulted in many nursing staff always calling off from work repeatedly at current employment; many have transferred out or outrightly resigned. Nurses are floated to different units with no inherent experience.
The COVID-19 has also substantially contributed to this already problematic issue with nurses experiencing burnout. Job dissatisfaction among nurses contributes to costly labor disputes, high turnover, and risk to patients; thus, the administration has now come up with plans/policies to reverse the current trend. New nurses are being hired and offered competitive salaries for retention. Internal initiatives have been provided, such as referral bonuses, retention, and annual bonuses, a nursing/administration committee established as a bridge between nurses and the administration. Also, flexible schedules have been offered; nurses can now choose to work 12 or 8 hours, which was a significant contention point. In this manner, the issue of the nursing shortage was addressed at the current place of employment.
Higher salaries alone will not be enough to attract and retain nurses or mitigate nursing shortages. Nurses desire to be part of the decision-making process; nurses desire a stress-free suitable working environment. Improving nurses’ work environment may lead to lower job dissatisfaction, intention to leave, and burnout. Focusing on these nurse outcomes can be used as a strategy to retain nurses in the healthcare system. Addressing the challenges of poor work environments requires coordinated action from policymakers and health managers (Nantsupawat et al., 2017).
References
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2020). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing.
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O. A., Thienthong, H., & Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International nursing review, 64(1), 91–98.
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.
Response
Great job on your discussion post! I appreciate you highlighting the importance of the national healthcare issue on the nursing shortage. One aspect of the nursing shortage that can be overlooked, is the effects of a recession on the demand for nursing supply (Johnson et al., 2016). Variations in patient loads are difficult to predict, and hospitals are not paid for empty beds (Johnson et al., 2016). When patient loads are low, hospitals bear the costs for excess staffing (Johnson et al., 2016).
To minimize financial risk, some hospitals employ temporary nurses to substitute regularly employed RN positions (Johnson et al., 2016). It is my opinion that this factor it is not applicable to current events of the critical nursing shortage, in relation to the global pandemic COVID-19. However, as this factor is dependent upon economic status, I do believe it is something to consider, with the future uncertainty of our national economic state.
In further consideration of the nursing shortage, nurses comprise one of the largest sections of the health profession, and are a critical part of healthcare (Haddad et al., 2020). It is anticipated in 2022 that more registered nurse positions will be available than any other profession in the United States, with a projected 11 million additional nurses needed to avoid further shortage (Haddad et al., 2020). There are numerous issues of concern related to causes of the nursing shortage (Haddad et al., 2020).
Some reasons include, the aging population and aging work force, nurse burnout, violence in the healthcare setting, and staffing ratios (Haddad et al., 2020). However, this is not only a national issue. The nursing shortage is becoming an international problem, as there remains a lack of skilled nurses in Europe and Asia, as well as North America, which is ultimately a main factor in determining the world health policy (Marć et al., 2019). Some recommendations to recruit and retain nurses include, implementing mechanisms regulating salary, improving working and employment conditions, and incorporating technological and mobile innovations into the provision of lifelong learning (Marć et al., 2019).
Where I work is, the issue of nursing shortage is a prevalent issue. I appreciate the recommendations you made to help remedy this serious situation. I agree that improving the job environment as well as including nurses in the decision-making process are great strategies to implement. Have you experienced any difficulties with the nursing shortage issue at your work place?
References:
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2020). Nursing shortage. StatPearls
[Internet]. StatPearls Publishing. /orders/www.ncbi.nlm.nih.gov/books/NBK493175/
Johnson, W. G., Butler, R., Harootunian, G., Wilson, B., & Linan, M. (2016). Registered nurses:
The curious case of a persistent shortage. Journal of Nursing Scholarship, 48(4), 387-
396. /orders/doi.org/10.1111/jnu.12218
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
Response 2
Great post discussing nursing shortage issues throughout our country. I also discussed this as my national stressor. I feel that a lot of facilities and health-care organizations are suffering due to a lack of staffing. Lack of staffing leads to deficits in patient care. You highlighted Covid-19 and nurse burnout. I feel this is something that is coming to light and showing health-care organizations just how hard nurses work and how much more they have poured into their work throughout this pandemic. The pandemic has exacerbated the levels of nurse burnout experienced throughout our country.
Nantsupawat et. al (2016) conducted a study related to nurses experiencing job dissatisfaction, burnout and intention to leave. In this study it was found that nurses who work in better environments experienced less dissatisfaction. You also cited this article and how to address this issue. I have to agree with the authors in saying policy makers and managers need to take action. The nursing shortage and experience of burnout are not new topics in the health-care world. Many articles have been posted throughout the years regarding the nursing shortage and providing ideas to address the issues. While researching, I discovered a fact sheet from the American Association of Colleges of Nursing. Rosseter (2017) states that enrollment into nursing programs is not meeting the expectations of the demand for RN and APRN prepared nurses. We must start by encouraging enrollment into nursing programs. Just like the national campaign to encourage girls to become interested in STEM, I feel there should be a national campaign to interest children and teens in health care and nursing.
References
Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O., Thienthong, H., & Poghosyan, L. (2016, November 24). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. Retrieved December 05, 2020, from /orders/onlinelibrary.wiley.com/doi/full/10.1111/inr.12342
Rosseter, R. (2017, May). Fact Sheet: Nursing Shortage. Retrieved December 04, 2020, from /orders/www.ic4n.org/wp-content/uploads/2020/01/Nursing-Shortage-Factsheet-2017.pdf
SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS 6053 Review of Current Healthcare Issues
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.
Discussion Week One
Laureate education (2015) states, that one thing that individuals and leaders can do to be prepared for healthcare challenges of the future is to develop cultural competency, gain skills to view multiple perspectives, and develop greater understanding the survival side of any healthcare organization. I can’t think of better wisdom while in the midst of the worldwide COVID-19 pandemic. This healthcare crisis has, for better or worse, brought out a side of healthcare that no one could have ever imagined. Everything from massive amounts of casualties all over the world to shortages on equipment, that just months ago were in abundant excess. Healthcare workers around the globe are learning new and creative ways to evaluate and treat patients. According to the Centers for Disease Control and Prevention (2020), the death toll in the United States as of this week is 88,243 people (Table 2).
In my work setting the dealing of this virus has been like receiving a slow-motion form of whip lash for the last three months. The initial shock of the virus instilled fear and out of fear came administrative decisions of great impact. With resources immediately being used and unavailable for reorder, special equipment had to be purchased to protect the staff. After shelter in place orders went out, people stopped coming into the hospitals and therefore the problems began. With outpatient day surgery being canceled, limited census on hospital floors, and spending what’s left of the budget on PPE stockpiles, money ran out quickly. Last week at my organization laid off 22 employees permanently and another 57 furloughed for a month.
The American Hospital Association (2020), stated hospitals and health systems all over are facing catastrophic financial challenges in light of the COVID-19 pandemic (para 3). The impact of the virus has had a full circle effect; impacting every person sick and every person caring for the sick in different horrible ways. My organization guaranteed our pay from May 1st, 2020 to June 8th, 2020. After June 8th, the furloughs will begin. Another wonderful thing my organization did was protect us. Not one staff member from my hospital got the virus and I believe it is because they went over and above to protect the staff. I know the layoffs and furloughs are necessary for survival but seeing coworkers and friends being sent home is painful; opening my mind to the survival aspect of healthcare is necessary for my future in it. NURS 6053 week 1 Discussion: Review of Current Healthcare Issues
References
American Hospital Association. (2020). Hospital and health systems face unprecedented
financial pressures due to COVID-19. Retrieved June 2, 2020 from
Centers for Disease Control and Prevention. (2020). Daily updates of totals by week and state.
Retrieved June 2, 2020 from, /orders/www.cdc.gov/nchs/nvss/vsrr/covid19/index.htm
Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future
[Video file]. Baltimore, MD: Author.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.NURS 6053 week 1 Discussion: Review of Current Healthcare Issues
It is unfortunate how much impact the COVID-19 crisis has had on every single person in this country and across the world. it has been very scary for health care providers especially nurse to provide direct care to patients. with limited PPEs and personnel, nurses risk their lives each day when they step out to care for their patients. Despite all these dedications, health care workers are laid off as a result of low patient Census. I believe that there must be a system where jobs are protected for health care workers in any crisis. the federal government needs to work with each state to ensure job protection for our health care workers. Another important issue to address is that, there must be federal. state and local regulations that will mandate hospitals and other health care institutions to have surplus PPEs in stock to be used in times of crisis-at least 3 months supply of PPEs. The federal and state government need to make provision of these PPEs to the various institutions. Job security and availability of PPEs for health care workers is important especially during this time of uncertainties.
thank you for your post
Reference
Marshall, E., & Broome, M. (2017). Transformational leadership in Nursing: From Expert Clinician to Influential Leader (2nd ed). New York, NY: Springer
SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS – NURS 6053 Review of Current Healthcare Issues
True to your statement, the COVID-19 pandemic is affecting everyone, especially the healthcare workers. The healthcare settings are faced with increased exposure, stress and patient load. In addition to their human toll, epidemics and pandemics can have enormous social and economic consequences in a closely interconnected and interdependent world.
In a novel virus outbreak such as COVID-19, there is no existing antiviral drugs nor vaccine available. Police departments, local utility companies and mass transit authorities experience significant personnel shortages that result in severe disruption of routine services. Several major airports close because of high absenteeism among air traffic controllers and risk of passengers contracting the disease. Health and other essential community services deteriorate further as the pandemic sweeps across the world. NURS 6053 week 1 Discussion: Review of Current Healthcare Issues
As what you have stated, hospitals and outpatient clinics are critically short-staffed as doctors, nurses and other healthcare workers themselves become ill or are afraid to come to work. Intensive care units at local hospitals are overwhelmed, and soon there are insufficient ventilators for the treatment of viral complications such as pneumonia patients.
Fearing infection, elderly patients with chronic medical conditions do not dare to leave home. Parents are distraught when their healthy young adult sons and daughters die within days of first becoming ill.
Pandemics, whether mild, moderate or severe, affect a large proportion of the population and require a multi-sectoral response over several months or even years. For this reason, plans need to be developed by healthcare organizations describing strategies for responding to a pandemic supported by operational plans at the local, national and sub-national levels. Great post!
Response.
I can totally relate to the feeling of uncertainty during COVID-19 early staffing days in the ICU. I am cath lab nurse that frequently rotates in and out of the ED or ICU. Being sent back to the ICU while outpatient procedures were on hold and taking a team of med-surg nurses helping for the day was an overwhelming feeling. Laureate education (2015) states, that one thing that individuals and leaders can do to be prepared for healthcare challenges of the future is to develop cultural competency, gain skills to view multiple perspectives, and develop greater understanding the survival side of any healthcare organization. Having non-ICU trained RNs helping was a blessing and a curse, but all the while knowing that it was vital to the care of these patients. Now that we are on this side of COVID -19 I also feel, as you stated, more comfortable for the future should we be put in this position again, but the learning process was hard, and involved an extensive learning curve of trial and error. The stressors you talked about on nurses directly effecting patient care is now the situation we have found ourselves in at my organization. Everyone is exhaling a bit now that the virus is seeming to be on the decline. The scary and stress filled portion of that is nurses are now losing their jobs due to poor organizational leadership of organizations or that there just aren’t enough people to be taken care of right now coming into the hospital. I think it is safe to say that there is not one aspect of patient care or one healthcare worker around the globe that hasn’t been touched by this virus! Thanks for sharing your post, it was a great read!
-Kelly
References
American Hospital Association. (2020). Hospital and health systems face unprecedented
financial pressures due to COVID-19. Retrieved June 6, 2020 from
Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future
[Video file]. Baltimore, MD: Author. NURS 6053 week 1 Discussion: Review of Current Healthcare IssuesExcellent | Good | Fair | Poor | |
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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. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
40 (40%) – 44 (44%)
Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
35 (35%) – 39 (39%)
Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 34 (34%)
Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
Main Post: Timeliness |
10 (10%) – 10 (10%)
Posts main post by day 3.
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
Does not 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 answered, if posed. Response is effectively written in standard, edited English. |
15 (15%) – 16 (16%)
Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
13 (13%) – 14 (14%)
Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 12 (12%)
Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. |
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. |
14 (14%) – 15 (15%)
Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
12 (12%) – 13 (13%)
Response is on topic and may have some depth. COVID-19 NURS 6053 national healthcare issue/stressor discussion Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 11 (11%)
Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. |
Participation |
5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
|
0 (0%) – 0 (0%)
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0 (0%) – 0 (0%)
|
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
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Total Points: 100 |
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