Archive for month: June, 2019

1-The nursing shortage imapacts the healthcare system and as well as the community. Nurses are the faces of healthcare. they are the managers of care for patients. At the community level we would see it being harder for a patient to recieve care. Without the proper staffing of nurses the community may be forced with longer waiting times to actually be seen. This could also make the cost of care go up for the community. ON the nursing profession side, nurses are constantly faced with being out of ratio. I have never worked at a hospital were ratios were not an issue. It is a very difficult problem and it mainly comes from the nursing shortage. You see more nurses going out of ration which the hospital ends up paying for. You also see nurses who have to pick up extra shifts just to help out the company to ensure that a unit is properly staffed. I do feel like this will always be an issue. Simply because there are so many people in the world and not enough nurses. I see more hospitals starting new graduate programs. This is a great way to help the nursing shortage. When you graduate from nursing school it can be hard to find your first job in an acute care setting. Many places want experience. So they pass up on these new nurses who are ready to work simply because the are not experienced. But a better solution would be to train them , which many facilities have caught on to. Training the nurses and having them sign a contract for 2 years for the cost of training them has help many facilities with their nursing shortage.

Concern over nursing shortage grows. (2018). ACCN Bold Voices. Volume 10, Issue 8: 17-17

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1-The nursing shortage imapacts the healthcare system and as well as the community. Nurses are the faces of healthcare. they are the managers of care for patients. At the community level we would see it being harder for a patient to recieve care. Without the proper staffing of nurses the community may be forced with longer waiting times to actually be seen. This could also make the cost of care go up for the community. ON the nursing profession side, nurses are constantly faced with being out of ratio. I have never worked at a hospital were ratios were not an issue. It is a very difficult problem and it mainly comes from the nursing shortage. You see more nurses going out of ration which the hospital ends up paying for. You also see nurses who have to pick up extra shifts just to help out the company to ensure that a unit is properly staffed. I do feel like this will always be an issue. Simply because there are so many people in the world and not enough nurses. I see more hospitals starting new graduate programs. This is a great way to help the nursing shortage. When you graduate from nursing school it can be hard to find your first job in an acute care setting. Many places want experience. So they pass up on these new nurses who are ready to work simply because the are not experienced. But a better solution would be to train them , which many facilities have caught on to. Training the nurses and having them sign a contract for 2 years for the cost of training them has help many facilities with their nursing shortage.

Concern over nursing shortage grows. (2018). ACCN Bold Voices. Volume 10, Issue 8: 17-17

2-What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

The nursing profession shortage affects the community drastically. There are many nurses that with each year retire and facilities end up with a nursing shortage. Just like there are many colleges and schools that have nursing graduates, there will always be a need for nurses. “In the United States, the largest group of nurses is expected to retire by the year 2020, pushing health care facilities’ resources beyond their limits.” (Springer Publishing Company, 2015)Nursing shortages not only affect the nurses by overwhelming the nurses but can affect patients completely. A nurse that has been running around like chicken without a head and tending to more than 20 patients will not be able to perform all her nursing duties to the best of her ability. Patients safety is also at risk as nurses will be tired and might have medication or treatment errors due to the fatigue and tiredness. Also, it is important to remember that for specialty areas such as colonoscopy, endoscopy, ER, OR and neonate care many hospitals require experience, a new nurse unless properly trained for months will not be able to attain that position. Many nurses will also retire in these specialty areas and hospitals should implement a way to have a secure education and on-site training for a specific time to train new nurses for these specialties. “Just over a decade ago, in 2000, the estimated pool of registered nurses in the United States was 1.89 million, while the demand was two million—a deficit of only 110,000, or 6%. Yet the gap continues to widen. In 2008, there were approximately 2.6 million working RNs, but it is predicted that by 2020 the shortage will be approximately 808,400 nurses, or 29%.” (Springer Publishing Company, 2015)The nursing profession should consider all this and create a way in which the hospitals can work with the nurses to provide better training for these specialties. It is also imperative that nurses be appreciated, feel connected to their organization and the organization focuses on not only retaining the nurses but making them happy. “Nurses report higher job satisfaction if they perceive they are part of a team and feel a sense of belonging, though age is another variable in retention and job satisfaction.” (Springer Publishing Company, 2015)

Reference:

Springer Publishing Company. (2015, November 04). The Nursing Shortage: Exploring the Situation and Solutions. Retrieved from https://minoritynurse.com/the-nursing-shortage-exploring-the-situation-and-solutions/

3-By the year 2024, there are projected to be over one million nursing vacancies alone (Weiss et al 2014).

The nurses that are from the baby boomer generation will be exiting the workforce creating a huge amount of vacant positions. The AACN reports that every year the rate of vacant positions go up 2-3% each. The question then is what do when do to change this trajectory? The answers lie in partnering with schools of nursing to assist in graduating more competent nurses. There also appears to be a shortage of qualified nursing faculty to teach in the nursing schools. The AACN suggest perhaps the government and private sector subsidizing faculty salaries. One of the thing that many hospital are doing in a effort to minimize the problem, encourage continuing education. Hospital are encouraging nurses to advance their education and they give monetary compensation. In return, the nurse agree to work for a stated time after degree is complete. This serves as a win-win situation for the facility and the nurse.

Impact on nursing shortage, increased wait times, in every health care entity. Primary care, secondary care, tertiary care all will feel the impact. The other is quality of care will be compromised. Less nurses mean short cuts, shorts cuts equal errors. The abilty to deliver great patient care will be compromised. finacial aspect will be felt by all consumers, less supply/ more demand means increased price for healthcare.

Reeference

www.AACNNursing.org

Weiss, D., Tilin, F., Morgan, M (2014) The Interprofessional healthcare Team: Leadership & Development.Discuss at least one way that the nursing profession is working toward a resolution of this problem.

The nursing profession shortage affects the community drastically. There are many nurses that with each year retire and facilities end up with a nursing shortage. Just like there are many colleges and schools that have nursing graduates, there will always be a need for nurses. “In the United States, the largest group of nurses is expected to retire by the year 2020, pushing health care facilities’ resources beyond their limits.” (Springer Publishing Company, 2015)Nursing shortages not only affect the nurses by overwhelming the nurses but can affect patients completely. A nurse that has been running around like chicken without a head and tending to more than 20 patients will not be able to perform all her nursing duties to the best of her ability. Patients safety is also at risk as nurses will be tired and might have medication or treatment errors due to the fatigue and tiredness. Also, it is important to remember that for specialty areas such as colonoscopy, endoscopy, ER, OR and neonate care many hospitals require experience, a new nurse unless properly trained for months will not be able to attain that position. Many nurses will also retire in these specialty areas and hospitals should implement a way to have a secure education and on-site training for a specific time to train new nurses for these specialties. “Just over a decade ago, in 2000, the estimated pool of registered nurses in the United States was 1.89 million, while the demand was two million—a deficit of only 110,000, or 6%. Yet the gap continues to widen. In 2008, there were approximately 2.6 million working RNs, but it is predicted that by 2020 the shortage will be approximately 808,400 nurses, or 29%.” (Springer Publishing Company, 2015)The nursing profession should consider all this and create a way in which the hospitals can work with the nurses to provide better training for these specialties. It is also imperative that nurses be appreciated, feel connected to their organization and the organization focuses on not only retaining the nurses but making them happy. “Nurses report higher job satisfaction if they perceive they are part of a team and feel a sense of belonging, though age is another variable in retention and job satisfaction.” (Springer Publishing Company, 2015)

Reference:

Springer Publishing Company. (2015, November 04). The Nursing Shortage: Exploring the Situation and Solutions. Retrieved from https://minoritynurse.com/the-nursing-shortage-exploring-the-situation-and-solutions/

3-By the year 2024, there are projected to be over one million nursing vacancies alone (Weiss et al 2014).

The nurses that are from the baby boomer generation will be exiting the workforce creating a huge amount of vacant positions. The AACN reports that every year the rate of vacant positions go up 2-3% each. The question then is what do when do to change this trajectory? The answers lie in partnering with schools of nursing to assist in graduating more competent nurses. There also appears to be a shortage of qualified nursing faculty to teach in the nursing schools. The AACN suggest perhaps the government and private sector subsidizing faculty salaries. One of the thing that many hospital are doing in a effort to minimize the problem, encourage continuing education. Hospital are encouraging nurses to advance their education and they give monetary compensation. In return, the nurse agree to work for a stated time after degree is complete. This serves as a win-win situation for the facility and the nurse.

Impact on nursing shortage, increased wait times, in every health care entity. Primary care, secondary care, tertiary care all will feel the impact. The other is quality of care will be compromised. Less nurses mean short cuts, shorts cuts equal errors. The abilty to deliver great patient care will be compromised. finacial aspect will be felt by all consumers, less supply/ more demand means increased price for healthcare.

Reeference

www.AACNNursing.org

Weiss, D., Tilin, F., Morgan, M (2014) The Interprofessional healthcare Team: Leadership & Development.

Scenario

Acting as the president of a local hospital in an economical and socially deprived county in the US, you have just received a phone call from the state’s CDC office advising the hospital of an outbreak of Whooping Cough. As of now, a majority of the state is being affected by the outbreak and resources are becoming scarce. Your hospital is the only medical center that serves the county. Based on trends and tracking, the CDC believes that your county in which can expect a major increase in patients in the next 48-72 hours with the disease. As the president of the 300-bed hospital which serves a diverse population of 50,000 citizens, it is the president’s responsibility to create a plan of action to help address and treat patients of the county who might become ill in the next 48-72 hours.

The first task you will undertake is to research the disease, its course of treatments, and cures to help effectively treat the potential outbreak. Once you have done so, you will create a presentation that you can give to the county board and CDC showing how your hospital will combat the disease, treat patients, and develop strategies to prevent the spread of the outbreak.

As the president, you will need to work with internal and external vendors on ensuring that the hospital has enough resources and that more resources can be ordered and delivered as quickly as possible. You will need to reach out to and gain assistance from other healthcare organizations in the area to help you track, treat, and control the spread of the disease. As the leader of the hospital, you will have to make decisions on how to properly manage the shortage of beds, doctors and nurses, and resources that may occur due to the outbreak.

Instructions

Create an executive summary addressing how best to successfully manage the problem outlined in the scenario. This plan has two parts. First is the executive summary followed by a PowerPoint presentation with audio.

Step 1 – Write an Executive Summary covering the following:

Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.

Outline the process of developing alliances and partnerships to help treat and contain the outbreak through the use of efficient and effective approaches to the healthcare delivery systems.

Analyze the organizational decisions needed to be undertaken as a leader; that would play a part in addressing and containing the outbreak along with the use of limited resources.

Determine the best leadership style to use to effectively bring together multiple departments and agencies to work together as one team in containing and treating the outbreak.

Summarize innovative processes needed to address the outbreak given the shortage of resources and time to implement a strategy.

Outline any ethical considerations that should be addressed as part of the strategy in treating and containing the outbreak due to the shortage of resources such as money, manpower, and medicine.

Write a conclusion on the process changes needed to help improve reaction time and containment from the standpoint of the hospital.

Step 2 – Create a PowerPoint presentation with audio

As president of the hospital, you will need to create and record a 5-minute presentation using PowerPoint made up of at least 12 slides covering your findings and suggestions in dealing with the outbreak and containment of the disease. The presentation will be presented to local health officials including the officials from the counties identified by the CDC. Therefore, the style of the presentation needs to be formal. Use the Screencast-O-Matic to record your presentation. (Please send audio link seperately along with the link).

You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report.

Instructions

As the Project Manager, your manager has asked you to prepare a report on unplanned events that have occurred. You have been asked to present this report to a group of managers, and should discuss your course of action for two unplanned events (below) that have occurred for SuperPacks. You will need to analyze the impact of these events in your project management report as a presentation; this can be PowerPoint. Make sure you address the following questions in your presentation as you will be giving it to the management team.

Discuss your analysis on the following events: 8 slides minimum, apa references

Be sure to include notes this PowerPoint will be presented as a live presentation

It is discovered the refrigerated module is too large for the designed refrigerated backpack pouch. What is your course of action? 2 examples

The subcontractor assigned to build the radio module for the backpack has shut down. What is your course of action?Provided verbiage on the course of action for the subcontractor assigned to build the radio module being shut down using 3 examples.

Discuss four areas affected by these unexpected events. Three of the areas of the project affected by the events should include changes to budget, human capital, and impact to schedule. Identify one additional area affected by these events. 3 examples

As a healthcare leader, you will be accountable to many people, including employees, patients and their families, the executive board, and the agencies that monitor the organization’s behavior. Oftentimes, you are required to help support your colleagues in instances where they are not feeling as motivated or as confident in their role as a healthcare practitioner. What is the best way to approach these situations? How can you help provide support to your colleagues to help them increase their motivation or feeling of self-actualization, so that the patients and the organizations for which you work are treated appropriately?

For this Assignment, you will reflect on your responsibilities as a healthcare leader and examine the importance of providing the appropriate tools and strategies to support their humanistic needs.

To prepare for this Competency Assessment, take the following self-actualization tests from the following websites: https://www.explorepsychology.com/wp_quiz/self-actualization-test/ and https://www.allthetests.com/quiz01/dasquiztd.php3?testid=1022641069.

Review your scores. Consider what these results tell you about your ability to feel self-actualized and how you feel impacts you as a healthcare leader. Think about what these results say about your ability to exhibit the skills to support your colleagues.

The Assignment

Part 1:

Write a 1-page op-ed piece, to be published in a newspaper, about what you think the feelings of motivation and self-actualization play in your role as a healthcare leader. For more information about writing an op-ed review, go to:

Seglin, J. (2012). How to write an op-ed or column. Retrieved from http://shorensteincenter.org/wp-content/uploads/2012/07/HO_NEW_HOW-TO-WRITE-AN-OPED-OR-COLUMN.pdf

In your op-ed:

Explain the potential conflicts that can arise in the organization and how that impacts the organization as a whole.

Describe the effects on others in an organization, if a leader models positive and supportive behavior to help motivate other employees

Synthesize the importance of a leader to exhibit humanistic qualities from Maslow’s hierarchy of needs.