Organizational Policies And Practices To Support Healthcare Issues

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
To Prepare:

  • Review the Resources (below)      and think about the national healthcare issue/stressor
  • Reflect on the competing needs      in healthcare delivery as they pertain to the national healthcare      issue/stressor.

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.
Resources (use any 2 sources from below)
Kelly, P., Porr, C., (January 31, 2018) “Ethical Nursing Care Versus Cost Containment: Considerations to Enhance RN Practice” OJIN: The Online Journal of Issues in Nursing Vol. 23, No. 1, Manuscript 6.
DOI: 10.3912/OJIN.Vol23No01Man06
Milliken, A., (January 31, 2018) “Ethical Awareness: What It Is and Why It Matters” OJIN: The Online Journal of Issues in Nursing Vol. 23, No. 1, Manuscript 1.
DOI: 10.3912/OJIN.Vol23No01Man01
Jacobs, Barbara, MSN, NEA-BC, RN-BC, CCRN-K, McGovern, Julie, MA, SPHR, Heinmiller, Jamie, et al. (2018). Engaging Employees in Well-Being: Moving From the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42, 231-245. or Is health care payment reform impacting nurses’ work settings, roles, and education preparation? – ScienceDirect
Gerardi, Tina, MS, RN, Farmer, Pat, DNP, RN, FNP, APIN & Hoffman, Bryan. (2018). Moving Closer to the 2020 BSN-Prepared Workforce Goal. AJN, American Journal of Nursing118, 43-45.
Workforce planning and development in times of delivery system transformation (