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Module 1 Assignment: Analysis of a Pertinent Healthcare Issue Lea Leconte Walden University NURS6053: Interprofessional Organizational and Systems Leaders Dr. Betty Jean Joubert March 12 2023 Evidence-Based Practice and the Quadruple Aim Changes in any productive or service sector, as well as innovations in an area of knowledge, not only bring progress and improve the conditions in which people live, they also present new challenges for those who are part of the sector these changes affect. It is also true that there are problems with a vocation for permanence in these sectors, and that, even if there are technological or other changes, these problems continue to manifest themselves in the current context; the healthcare sector is no exception. This paper addresses one of the national healthcare issues/stressors, how it affects healthcare setting (in this case the staff members from the emergency unit in a primary care facility), and how some institutions respond to this problem, The Stressor Excessive demand for health services is due to multiple factors. Regardless of the cause, the result ends up being the lack of health professionals (in this case, nurses) who can attend to the number of cases that occur in their dependency, given that the number of patients to attend to exceeds them by far (Zhang et al., 2018). In quantitative terms, estimations suggest that the shortage of nurses nowadays is higher than 7 million all over the world (Mané et al., 2019), In consequence, each nurse to carries an unbearable workload, even for nursing standards, A work falls under the category of excessive when its execution is beyond the individual capacity for recovery (Ghasemi et al., 2019). The latter cane negatively affects staff nurses because it poses risks in terms of their physical and mental health. Some of the symptoms of excessive workload inchide: a reduction on the ability to concentrate, visible signs of exhaustions (such as drowsiness, lapses in memory, disorientation, anxiety, depression) or even cai and/or neurological syndromes (West ct al., 2018). In the end, the individual experiences what literature refers as bumout, severely compromising his/her, health (Duiko & Kohal, 2022), Institutional Response According to the information available, there is a gap between the number of nurses required for optimal care and those currently available worldwide, however, it does not mean that this ratio is constant for each health facility or geographical area (Adams et al., 2018), The latter does not imply either that (compared to others) there is an identical cause for shortage in each of the facilities. For this case, the organization’s leadership team should examine which is the specific cause of their shortage as well possible solution. For instance, if there is a recent expansion in the services of facility that does not have the necessary number of professionals they need. The scarcity of human resources, however, docs not necessarily involve that the facility lacks of people to hire, but rather, for example, that has hired less than those who appear as available in their area (some of them might even be unemployed), which can fill the positions and reduce the workload. Examples such as the RWJF (Robert Wood Johnson Foundation) which, reduced the bedside nurse shortage, by attracting qualified professionals from other areas (of specialty and geographical) to Work for them, and make improvements in terms of quality care (Giordano et al, 2023), To address the lack of nurses, they attracted highly qualified staff, enabling them to do their best work, and studies showed it had positive outcomes (Hassmiller & Reinhard, 2019). Another example is the joint effort between the American Associ ion of Colleges of Nursing (2019), encouraging nursing students in terms of education and creating partnerships with public and private institutions to accommodate to well-qualified recent graduates in their facilities. New nurses not also serve as a source of renovation, but also, as reinforcement in the facility, with enough qualifications to address its nceds, and thus helping to mitigate the effects of excessive work on their other colleagues (Bialous & Batzell, 2020). Conclusion Although it is troe that the shortage of nurses is a phenomenon that seriously affects the provision of health services, each facility must examine what the cause is for its specific situation (for example, if itis budgetary or due to a lack of qualified personnel available in the area), On the other hand, making use of the renewal from the incorporation of new professionals from the universities can contribute to leveling the workloads in the facility. For this, it is neces ‘ary to encourage future nurses by making them more competent from their stage of academic training and, on the other hand, creating a bridge between the different educational institutions and facilities that need new staff to mitigate the effects of excessive workload in their current team wi n searching for an adequate response to this situation, itis reasonable to consider that, the use as example of successful cases of health institutions that have found alternatives to face the challenge of understaffing. Learning from these experiences can give institutions that currently need to incorporate new staff members, a strategy in terms of leadership, logistics and ‘management to alleviate this urgency in an assertive manner and replicating it in other facilities, to reduce the impacts of this problem on a global scale. References Adams, A., Hollingsworth, A., & Osman, A. (2019). The implementation of a cultural change toolkit to reduce nursing burnout and mitigate nurse turnover in the emergency department, Journal of emergency nursing, 45(4), 452-456. htps://doi.org/10,101.6/,ien.2019.03,004 Bialous, S. A., & Baltzell, K. (2020). The world needs 6 million more nurses: What are we waiting for?, The American journal of tropical medicine and hygiene, 103(1), \-2. hetps:/fdoi.org/10.4269/ajtmh.20-045 1 Dulko, D., & Kohal, B. J. (2022). How Do We Reduce Burnout In Nursing? Nursing Clinics, 57(1), 101-114, https:f/doi.org/10,101 6/j.cmur.2021.11.007 Ghasemi, F., Samavat, P., & Soleimani, F. (2019). The links among workload, sleep quality, and fatigue in nurses: a structural equation modeling approach. Fatigue: Biomedicine, Health & Behavior, 7(3), 141-152. https:f/doi.org/10. 1080/2164 1846.2019. 1652422 Giordano, N. A., Ladden, M., Kelley, H., & Fairman, J. A. (2023). The impact of the Robert Wood Johnson Foundation Future of Nursing Scholars Program on scholars, schools and nursing science, Nursing Outlook, 101906. https://doi,org/10.1016/}.outlook.2022. 12.002 Halter, M., Pelone, F., Boiko, ©., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). Interventions to reduce adult nursing tumover: A systematic review of systematic reviews. The open nursing journal, 11, 108-123. https:/fdoi.org/10,2174/187443460171 1010108 Hassmiller, S. B., & Reinhard, $. (2019). The Robert Wood Johnson Foundation and AARP Story:: How Our Partnership Advanced the Future of Nursing. Nurse Leader, 17(5), 399- 403. hups://doi.org/10.1016/).mnl.2019.07.005 Maré, M., Bartosiewiez, A., Burzytiska, J., Chmiel, Z., & Januszewiez, P. (2019). A nursing shortage-a prospect of global and local policies. International nursing review, 66(1), 9- 16, https://doi.org/10.111 1/ine.12473, ‘Zhang, X., Tai, D., Pforsich, H., & Lin, V. W. (2018), United States registered nurse workforce report card and shortage forec arevisit, American Journal of Medical Quality, 33(3), 229-236. https://doi.org/10.1177/10628606 17738328

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