Assignment: Developing Organizational Policies and Practices
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 (1-2 pages):
Developing Organizational Policies and Practices
Add a section to the 2-3 page paper you submitted in Module 1. The new section should address the following in 1-2 pages:
• 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.
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IDENTIFY AND REVIEW TWO EVIDENCE-BASED SCHOLARLY RESOURCES THAT FOCUS ON PROPOSED POLICIES/PRACTICES TO APPLY TO YOUR SELECTED HEALTHCARE ISSUE/STRESSOR. USE 7TH EDITION APA FORMATING FOR WRITING, REFERECING AND CITATIONS. INTEXT CITATION IS REQUIRED. PLEASE DO NOT USE ANY BOOK THAT IS MORE THAN 5YEARS WHEN WRITING. PLAGIARISM SHOULD NOT BE MORE THAN 35%.
for the Week 3 paper, plan to write a short paragraph to introduce and to review the W2 assignment’s topic, then move forward with writing the W3 content for this week’s new assignment.
***Do not submit the Week 2 assignment with the Week 3 submission.***
Reminder: Per the Syllabus: all written assignments are each a separate submission, so plan to follow all the APA guidelines and the Grading Rubric for each assignment including a Cover Sheet, in-text citations, separate References page etc.
BELOW IS THE HEALTH CARE STRESS FOR MY WEEK TWO ASSIGNMENT (OCCUPATIONAL SRESS). PLEASE USE IT TO DEVELOP THIS ASSIGNMENT. THE HEALTHCARE ISSUE IS OCCUPATIONAL STRESS. PLEASE WRITE A SHORT PARAGRAPH TO INTRODUCE AND TO REVIEW THE WEEK TWO ASSIGNMENT’S TOPIC THEN MOVE FORWARD WITH WRITING THE WEEK3 CONTENT FOR THIS WEEK’S NEW ASSIGNMENT.
Current healthcare issue
Medical practitioners come face-to-face with the whole range of human experiences in their work, from a newborn’s first breath to a patient’s last moments. However, many healthcare providers suffer on the job and need professional help. Even healthcare professionals in various regions of the globe are aware that stress is a common problem (Hersch et al., 2016). According to the Code of Ethics for Nurses, a “nurse supports the patient’s rights, health, and safety.” Yet, stress may have a detrimental influence on the quality of the treatment provided to them by the hospital. As a result, it may cause various health issues, including despair and suicide. According to the American Institute of Stress, approximately 60 percent to 80 percent of workplace accidents are attributed to stress-related issues.
American Psychological Association’s (APA) list of workplace stressors includes a lack of opportunity for development and progress, a lack of job stability, excessive job expectations, and a lack of involvement in decision making. We may also consider understaffing, outdated equipment, and a bad working environment in nations with a lower standard of living as potential contributors to this problem (Hersch et al., 2016). A few more types of environmental stresses to which healthcare personnel may be regularly exposed include pain, suffering, mortality, and ethical dilemmas, as outlined by the authors of Geuens et al. There is a chance that this problem can be resolved. Every year, much research is carried out to understand better how stress and burnout may be mitigated and avoided. The American Psychological Association suggests a variety of workplace modifications to alleviate stress, including workloads linked with one’s abilities and resources, clearly defined job responsibilities, and opportunities for social interaction with co-workers (Hersch et al., 2016). Each organization may have its stress-relieving program depending on its policies and resources.
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Impact on the organization
In high-stress situations, legal and ethical issues may arise. If nurses do not understand what they are doing and still take care of patients, mistakes are more significant. There is a lack of ethical observance among nurses in the provision of healthcare to their patients. Errors of this kind might potentially lead to legal action against the patients.” Patients or their loved ones may sue nursing homes and their employees. If this occurs, the nursing home is suddenly confronted with financial difficulties (Johnston et al., 2018). If the nursing facility had invested in a program that might have averted the lawsuit in the first place, it would not have had to pay for the case. In addition, word of mouth spreads. Many people won’t go to a nursing home if it has a bad reputation for offering subpar service when they require care. That’s when social and political contexts enter the picture (Vahedian-Azimi et al., 2017). The struggle to keep nursing facilities open and functional can be seen in this part of the state. Fighting for patients and goodwill in the legislative arena is no easy task, especially in nursing homes (Johnston et al., 2018). If nurses are overworked and understaffed, choosing a different institution is only appropriate if patients aren’t getting adequate treatment. Nurses who work long hours and acquire stress are more likely to suffer from social, economic, ethical, legal, and political issues if nursing homes establish programs to assist them in coping with their stresses.
Summary of related articles
According to research done by Veda and Roy (2020), nurses are a stressed group whose health and job performance may be negatively impacted. It is more typical for nurses to experience work stress, negatively impacting their physical and emotional health. In generating a sense of anxiety, factors such as the desire to work, dedication, organizational culture, and identity with the organization are crucial (Veda & Roy, 2020). Common stress symptoms include stomach issues, emotional instability, uncooperative behavior, and feelings of incapacity to manage.
Learning Resources
Required Readings
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author. Retrieved from
https://www.nursingworld.org/coe-view-only
Note: Review all, with special attention to “Provision 6” (pp. 23–26).
Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: Considerations to enhance RN practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6. doi:10.3912/OJIN.Vol23No01Man06. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Nursing-Cost-Containment.html
Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html
NURS_6053_Module02_Week03_Assignment_Rubric
Excellent Good Fair Poor
Add a section to the 2-3 page paper you submitted in Module 1. For this assignment, in 1-2 pages, address the following:
· Identify and describe at least two competing needs impacting your selected healthcare issue/stressor. 23 (23%) – 25 (25%)
The response accurately and thoroughly identifies and describes at least two competing needs impacting the healthcare issue/stressor selected. 20 (20%) – 22 (22%)
The response identifies and describes at least two competing needs impacting the healthcare issue/stressor selected. 18 (18%) – 19 (19%)
The response vaguely or inaccurately identifies and describes two competing needs impacting the healthcare issue/stressor selected. 0 (0%) – 17 (17%)
The response vaguely or inaccurately identifies and describes one competing need impacting the healthcare issue/stressor selected or response 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. 27 (27%) – 30 (30%)
The response accurately and thoroughly describes a relevant policy or practice in the organization that may influence the healthcare issue/stressor selected.
The response accurately and thoroughly critiques the policy for ethical considerations and explains in detail the policy’s strengths and challenges in promoting ethics. 24 (24%) – 26 (26%)
The response accurately describes a relevant policy or practice in the organization that may influence the healthcare issue/stressor selected.
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The response accurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics. 21 (21%) – 23 (23%)
The response is vague or inaccurate in describing a relevant policy or practice in the organization that may influence the healthcare issue/stressor selected.
The response vaguely or inaccurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics. 0 (0%) – 20 (20%)
The response is vague and inaccurate in describing a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected or response is missing.
The response vaguely and inaccurately critiques the policy for ethical considerations and vaguely and inaccurately explains the policy’s strengths and challenges in promoting ethics or response 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. 23 (23%) – 25 (25%)
The response provides 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. 20 (20%) – 22 (22%)
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 are provided. 18 (18%) – 19 (19%)
The response vaguely or inaccurately provides one recommendation 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.
One example is provided. 0 (0%) – 17 (17%)
The response vaguely and inaccurately provides one recommendation for policy or practice changes designed to balance the competing needs of resources, workers, and patients; response vaguely addresses any ethical shortcomings of the existing policies or response is missing.
Examples are missing.
Resource Synthesis 5 (5%) – 5 (5%)
Using proper in-text citations, the response fully integrates at least 2 outside resources and 2 or 3 course-specific resources. 4 (4%) – 4 (4%)
Using proper in-text citations, the response fully integrates at least 2 outside resources and 1 course-specific resource. 3 (3%) – 3 (3%)
Using proper in-text citations, the response minimally integrates outside and course-specific resources. 0 (0%) – 2 (2%)
The response does not integrate outside and course-specific resources or no in-text citations are used.
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. 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
A clear and comprehensive purpose statement, introduction, and conclusion are provided, which delineates all required criteria. 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 are stated but are brief and not descriptive. 3 (3%) – 3 (3%)
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. 0 (0%) – 2 (2%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
No purpose statement, introduction, or conclusion is provided.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation. 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%)
Contains a few (one or two) grammar, spelling, and punctuation errors. 3 (3%) – 3 (3%)
Contains several (three or four) grammar, spelling, and punctuation errors. 0 (0%) – 2 (2%)
Contains many (five or more) 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, running head, parenthetical/in-text citations, and reference list. 5 (5%) – 5 (5%)
Uses correct APA format with no errors. 4 (4%) – 4 (4%)
Contains a few (one or two) APA format errors. 3 (3%) – 3 (3%)
Contains several (three or four) APA format errors. 0 (0%) – 2 (2%)
Contains many (five or more) APA format errors.
Total Points: 100