Assignment: Network Analysis of a Pertinent Healthcare Issue

Assignment: Network Analysis of a Pertinent Healthcare Issue

Assignment Network Analysis of a Pertinent Healthcare Issue

Nurses work in complex healthcare environments with a high workload and an increasing demand for timely, quality care. In such environments, nurses are vulnerable to mental, physical, and emotional exhaustion, which can hamper their ability to offer competent care (Garcia et al., 2019). As a result, organizational leaders are mandated to design and implement practical and sustainable interventions. Such intervention should be problem-centered to achieve the desired outcomes. Nursing burnout is a prevalent healthcare issue in the current setting. The purpose of this paper is to describe its impacts and evaluate evidence-based strategies that leaders can apply to address the problem.

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Nursing Burnout: Description and Impact on the Organization

Nursing burnout is among the most studied healthcare problems. Sun et al. (2022) described nursing burnout as a widespread concern in healthcare settings characterized by exhaustion, low motivation, and a significant reduction in work efficacy. Its leading cause is a nursing shortage since nurses cannot cope with the high workload resulting from a high nurse-patient ratio. Similar and other outcomes are experienced in the current workplace among nurses with burnout. Common signs include constant anxiety, medical errors, lack of job satisfaction, and failure to participate in social activities. Understanding the causes, manifestations, and implications of nurse burnout on patient care is the foundation of effective response.

From a patient care dimension, nurse burnout poses a significant risk to patient safety and care quality. As Garcia et al. (2019) suggested, nurse burnout increases nurses’ vulnerability to medical errors, further exposing them to second victim syndrome. The case is the same in the current workplace since approximately 15% of medical errors are linked to nursing burnout. The other detrimental effect of nurse burnout is nurse turnover. According to Kelly et al. (2021), low motivation, fatigue, and workplace stress force many nurses to leave their current job. The current organization is not immune to such impacts since about 10% of nurse turnover cases stem from nurse burnout. Since these outcomes have severe cost implications due to the constant need for staff replacement, organizational leaders must develop sustainable nurse retention mechanisms.

nursing masters

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Brief Summary of the Articles Addressing Nurse Burnout

The first article relevant to this topic explores the link between nurse burnout and resilience among nurses in two selected hospitals. According to Jamebozorgi et al. (2021), highly resilient nurses are better positioned to cope with work-related psychological problems such as burnout. As a result, they can concentrate on their roles and achieve excellence. The second article explores the association between work engagement and nurse burnout. In this study conducted at a fever and chest hospital, Mohamed et al. (2022) define work engagement as commitment, vitality, and absorption characterized by passion and motivation for work. Since work engagement enhances job satisfaction, promoting it among nurses can help to avert the damaging effects of burnout. The intervention is primarily a psychological intervention that helps nurses to perceive their job positively despite the pressure stemming from a nursing shortage and other causes of nurse burnout. From these studies, it can be deduced that other organizations implement nurse retention programs and empower them to cope with nursing burnout. The interventions are also specific to the organizational needs since they vary across organizations.

Strategies Used to Address Nursing Burnout and their Potential Impacts

Healthcare facilities need resilient nurses to cope with nurse burnout. To enhance resilience, organizations should implement resilience training programs. Nurses can improve their resilience by practicing mindfulness breathing, meditation, and self-care (Jamebozorgi et al., 2021). Continuous practice of such interventions helps nurses to reduce depression, workplace stress, and anxiety associated with nurse burnout. Positive work engagement is achieved by implementing strategies to improve job satisfaction (Mohamed et al., 2022). Such strategies include leadership support, opportunities for growth and development, and employee motivation.

Implementing these strategies in the current organization would have diverse impacts. Broadly, resilience building and work engagement promote employee retention by preventing nurse burnout (Mohamed et al., 2022; Jamebozorgi et al., 2021). As a result, they are sustainable strategies for preventing nurse turnover. However, their success requires substantial financial investment. For instance, effective resilience training programs would require external trainers. Work engagement strategies such as growth and development would require continuous employee training. Employee motivation through rewards and incentives is also costly.

Conclusion

Healthcare organizations encounter many issues that hamper patient safety and care quality. Nurse burnout is prevalent in the current workplace and has been widely studied in the current and past literature. Consequently, there is sufficient research on how organizations address nurse burnout. As discussed in this paper, implementing resilience programs and promoting work engagement are associated with positive effects as far as nurse burnout reduction is concerned. As a result, organizational leaders should consider such interventions to avert the damaging effects of nurse burnout.

References

Garcia, C. D. L., Abreu, L. C. D., Ramos, J. L. S., Castro, C. F. D. D., Smiderle, F. R. N., Santos, J. A. D., & Bezerra, I. M. P. (2019). Influence of burnout on patient safety: Systematic review and meta-analysis. Medicina55(9), 553. https://doi.org/10.3390%2Fmedicina55090553

Jamebozorgi, M. H., Karamoozian, A., Bardsiri, T. I., & Sheikhbardsiri, H. (2021). Nurses burnout, resilience, and its association with socio-demographic factors during COVID-19 pandemic. Frontiers in Psychiatry12. https://doi.org/10.3389/fpsyt.2021.803506

Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook69(1), 96–102. https://doi.org/10.1016/j.outlook.2020.06.008

Mohamed, S. A., Hendy, A., Ezzat Mahmoud, O., & Mohamed Mohamed, S. (2022). Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak. Nursing Open9(1), 377-384. https://doi.org/10.1002/nop2.1075

Sun, B., Fu, L., Yan, C., Wang, Y., & Fan, L. (2022). Quality of work life and work engagement among nurses with standardised training: the mediating role of burnout and career identity. Nurse Education in Practice58, 103276. https://doi.org/10.1016/j.nepr.2021.103276

Nurses should always work in safe and adequately-resourced healthcare settings. Failure to meet these fundamental requirements makes healthcare organizations stressful and threatens nurses’ comfort and ability to provide quality care. Although healthcare organizations strive to provide safe workplaces for healthcare professionals while supporting them in various ways, workplace stressors widespread in the United States are a huge setback. One such stressors is the nursing shortage, which has crippled patient care in many organizations. The purpose of this paper is to inform the management how the nursing shortage affects the work setting and appropriate intervention strategies as applied in other organizations.

Stressor’s Description and Impacts

The nursing shortage is a multidimensional problem in the United States affecting how and when patient care is offered. Its defining element is a supply that cannot match the current demand for nurses. Worse, the national demand for nurses is projected to rise progressively up to 2024, when the demand for registered nurses will rise by 16% (Weaver et al., 2018). Potential causes for this inevitable increment include an aging workforce, workplace stress triggering turnover, and nurses continuously leaving the practice to join other professions. The impacts are sweeping and regrettable since the quality of care is inversely proportional to the nurse-to-patient ratio. A high nurse-patient ratio increases the nurse workload leading to burnout. The same problem is witnessed in the current setting since burnout stemming from the nursing shortage triggers as high as 30% of turnover in the facility. Other impacts include increased susceptibility to committing medical errors, unhealthy workplace relationships, and lack of time for self-care.

 Research Addressing the Nursing Shortage

The criticality of the nursing shortage in the United States has attracted a lot of attention from researchers, healthcare stakeholders, and policymakers. One of the articles from outside resources that have explored the nursing shortage in-depth is by Shah et al. (2018) on the prevalence and factors associated with nurse burnout in the United States. In this article, Shah et al. (2018) analyzed the damaging effects of nurse burnout as a leading consequence of the nursing shortage hampers patient care and professional relationships. The authors further outline the various interventions magnet hospitals use to cope with workplace stressors that can be applied in the current organization.

The second article is by Ten Hoeve et al. (2020) on nurse turnover prevention. The article’s primary theme is that a nursing shortage hampers professional commitment and collegial support is instrumental in enabling nurses to cope with the detrimental effects of a nursing shortage in healthcare organizations. Generally, the articles underscore the importance of transformational leadership in nursing, whose role is changing culture to achieve better patient outcomes (Broome & Marshall, 2021). They demonstrate the need to embrace change and engage the workforce in transforming health practices to optimize patient outcomes.

Summary of the Strategies Used to Address the Nursing Shortage

The articles provide various strategies for addressing the nursing shortage in magnet hospitals and

assignment network analysis of a pertinent healthcare issue
Assignment Network Analysis of a Pertinent Healthcare Issue

other organizations. Shah et al. (2018) underlined the importance of adequate nurse staffing and reducing workload by limiting the length of shifts. Since hiring adequate staff is usually an enormous administrative and financial challenge, magnet hospitals should maximally focus should be limiting the number of hours per shift. Doing so would give nurses ample time to engage in self-care and other activities that increase commitment. This approach coincides with the suggestion that improving employee well-being, as witnessed in Anne Arundel Medical Center, increases employee engagement hence reducing turnover (Jacobs et al., 2018). Collegial support helps nurses to overcome negative experiences in the workplace. It is achieved by leaders and supervisors increasing their commitment to improving the work environment to ensure that it is free from adverse events. Nurses should also be supported through professional growth opportunities and a work routine that promotes a positive work-life balance.

Impact on the Organization

The strategies suggested in the research articles may impact the organization both positively and negatively. From a positive dimension, reducing the lengths of shifts, promoting employee well-being, and providing growth opportunities have the potential to increase commitment to work. A highly committed workforce is less susceptible to nurse burnout hence low turnover. However, most of these alternatives require employee training and continuous support with educational resources. As a result, they would be financially burdening. Hiring new staff is equally a huge burden. However, healthcare leaders should increase their reliance of non-physician clinicians since the quality of care does not differ with what physicians provide (Auerbach et al., 2018). The only thing needed is supervision and continuous support.

Conclusion

Healthcare delivery faces many challenges that impede patient outcomes. The nursing shortage is a significant nursing stressor that hampers patients’ outcomes, workplace productivity, and relationships. The problem is prevalent in the current organization, and leaders should implement creative and lasting measures to mitigate its damage. Some of the most effective strategies, as proposed in the explored articles, include manageable workloads, promoting well-being, and providing growth and development opportunities. As highlighted, these practices have both positive and negative consequences, and leaders should adequately analyze them before making a choice.

References

Auerbach, D. I., Straiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians-implications for the physician workforce. The New England Journal of Medicine378(25), 2358-2360. doi: 10.1056/NEJMp1801869

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer.

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 Quarterly42(3), 231-245. https://doi.org/10.1097/naq.0000000000000303

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open4(2), e2036469-e2036469.

Ten Hoeve, Y., Brouwer, J., & Kunnen, S. (2020). Turnover prevention: The direct and indirect association between organizational job stressors, negative emotions and professional commitment in novice nurses. Journal of Advanced Nursing76(3), 836–845. https://doi.org/10.1111/jan.14281

Weaver, M. S., Wichman, B., Bace, S., Schroeder, D., Vail, C., Wichman, C., & Macfadyen, A. (2018). Measuring the Impact of the home health nursing shortage on family caregivers of children receiving palliative care. Journal of Hospice and Palliative Nursing: JHPN : The Official Journal of the Hospice and Palliative Nurses Association20(3), 260–265. https://doi.org/10.1097/NJH.0000000000000436

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Assignment: Network Analysis of a Pertinent Healthcare Issue

Question Description

I need an explanation for this Nursing question to help me study.

I will add an additional 10 hours to the time as an extension once I match with a tutor.

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, action, 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.
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.
nurs6053_assignme

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include 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.

APA Format and Writing Quality

Familiarize yourself with 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 LoudCloud 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 overutilization of direct quotes in DQs and assignments at the Masters’ 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 LopesWrite, 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 LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 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.

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.

This paper is determined to analyze Obesity and its impacts as a pertinent national issue in the United States.  It will also explain how the health issue is being addressed in other organizations.  Obesity is a treatable health disease that is a worldwide concern, associated with excess fat in the body. It is genetically and environmentally caused. It is diagnosed by a healthcare provider and is classified as having a body mass index (BMI) of 30 or greater (Fryar et al, 2018).

Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). Moreover, Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of deaths in the United States. (Chiao et al., 2015). Obesity is a nutritional disorder that is related to unhealthy eating.

There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. Among the most concerning chronic health conditions is Obesity. Irrespective of whether an adult or a child experiences the condition, Obesity has been connected to poor life quality and various numerous killer comorbid conditions such as some types of cancer, stroke, heart disease, and diabetes (Chiao et al., 2015). Even though the disease has devastating effects on the population, it remains a complex health concern caused by a combination of individual factors like genetics and behavior and various other causes like physical activity, environment, food, skills, and education. Multiple factors such as exposures, medication use, dietary pattern, and lack of physical activity have also been shown to contribute (Werneck et al., 2018). Even though various interventions have been used to prevent and manage Obesity, the condition seems to be increasing among the population.  (Fryar et al, 2018).

The Impact of Obesity on the Nursing Professionals.

Nursing professionals face different problems in the healthcare system. These problems may be associated with the work environment as well as the treatment issues. Obesity has both mental and physical health complications for people of all ages. The complications related to Obesity range from medical conditions such as hypertension, diabetes, some types of cancer, stroke, and heart disease. Also, Obesity is associated with reduced self-esteem, social isolation, as well as depression.

The dominance of Obesity was 42.4% in 2017-2018. Moreover, from 1999–2000 through 2017–2018, the bulk of Obesity increased from 30.5% to 42.4%, and the prevalence of severe Obesity risen from 4.7% to 9.2%. Its related conditions include heart disease, stroke, type 2 diabetes, and certain types of cancer that are leading causes of preventable, premature death. Similarly, the estimated annual medical cost of Obesity in the United States was $147 billion in 2008 U.S. dollars; the medical cost for people who have Obesity was $1,429 higher than those of normal weight. (NCHS 2017-2018). The working adults of non-Hispanic blacks (49.6%) had the hig

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