Category: Nursing

  • Prebriefing simulation

    Pre-briefing Simulation

    Social Determinants of Health

    Social determinants of health are factors and population characteristics that impact the health and well-being of individuals. These factors affect the ability of individuals to lead a high-quality and independent lifestyle and are key to achieving or limiting the desirable health targets using evidence-based practices (Islam, 2019). Therefore, it is critical to explore these factors and provide a strategy for implementing evidence-based approaches using the existing available, requiring effective nursing interventions.

    Economic Stability

    Resources that determine or impact the economic stability of a given community include employment assistance programs, child care subsidies, food backs, housing assistance, and financial literacy workshops. The nurse is primarily responsible for referring clients to job training programs, assisting in applying for financial aid, and collaborating with these resources to support individuals’ health and well-being (Hahn, 2021).

    Neighborhood and Built Environment

    Community resources include safe housing initiatives, environmental health services, transport facilities, parks, and recreational programs that help individuals and populations achieve healthy living. Nurses should advocate for safe housing conditions in collaboration with public health and other multidisciplinary stakeholders (Hahn, 2021). Nurses should also provide community education on environmental health risks and engage in local parks and recreational activities.

    Health Access and Quality

    Community resources that work to ensure access to quality healthcare services include insurance providers and programs, preventive care programs, telehealth services, and community health clinics. The nurse is responsible for conducting community needs assessment and determining the resources required. The nurse should also help schedule appointments, assist in insurance provision, educate patients on telehealth options, and provide information on preventive programs (Hahn, 2021). Whenever patients require referral services, the nurse is the best-positioned person who can facilitate referrals and collaborate with specialists to offer preventive care services.

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    Social and Community Context

    Community resources include outreach programs, faith-based organizations, social services, legal aid, and support groups. Nurses understand the needs of patients in healthcare and community settings and are the best-positioned to connect individuals to existing social services.

    Education Access and Quality

    The existing community services include adult education programs, early childhood education, scholarships and grants, and literacy services that ensure that the existing community services are adequate and effective in meeting the underlying community needs. The nurse should refer clients to adult education and collaborate with educational resources to provide support to these individuals to promote healthy and independent living.

    Dietary Modifications After Colostomy

    The nurse should explain to the client that the focus of maintenance should be on culture, especially to adhere to the matters that may influence the results in the delivery of the healthcare service. The diet precautions discussed for a patient after colostomy surgery include the following: low fiber intake, small and frequent meals, and exclusion of foods that cause gas formation. As for the increment of cultural preferences, the nurse can evaluate the underlying cultural factors and preferences, as well as offer the necessary nutrients that meet the goal of colostomy-friendly foods to fulfill the targeted macronutrient healing without undesirable effects (Hinkle et al., 2021). This means that the nurse can explain the culturally based recipes and strategies for preparing meals to ensure that the client understands the leading strategies and procedures to achieve the targeted goals and objectives Prebriefing simulation.

    Assessing and Managing Clients with Dehydration

    Assessment Findings

    Dry mucous membranes

    Decreased skin turgor

    Thirst

    Tachycardia

    Hypotension

    Decreased urine output

    Dark, concentrated urine

    Weakness

    Dizziness or confusion

    Sunken eyes

    Lab Values for Dehydration

    Elevated blood urea nitrogen (BUN)

    Elevated serum creatinine

    Increased hematocrit

    Elevated serum osmolality

    Increased urine specific gravity

    Electrolyte imbalances (e.g., elevated sodium levels)

    Priority Interventions

    Rehydrate the client using isotonic intravenous fluids

    Close monitoring of vital signs to assess the hemodynamic status

    Fluid intake and output monitoring

    Oral fluid and electrolyte replacement to achieve balance and ensure adequate tissue perfusion.

    Assess and evaluate the client for dehydration features

    Preventing Pulmonary Complications

    Pulmonary complications dominate in the early postoperative period and are the leading cause of morbidity. The nurse should take some steps to reduce these risks, including monitoring the client’s deep breathing and incentive spirometry. This approach enhances the expansion of the lungs and reduces the probability of atelectasis. Thus, interventions promote adequate oxygenation status and lower heightened probabilities of pneumonia.  Another important aspect is to take early ambulation as soon as possible to decrease venous thrombosis, which may occur due to immobility for prolonged periods. Lastly, the nurse must address the need for the appropriate level of pain control in order to facilitate the patient’s deep breathing as well as therapeutic coughing that targets the expansion of the lungs and elimination of secretions (Hinkle et al., 2021). These approaches maintain proper respiratory functions and decrease the likelihood of complications.

    Cues Indicating Difficulty in Coping in Spinal Cord Injury Patients

    Expressions of hopelessness or despair

    Withdrawal from social interactions or activities

    Non-compliance with treatment or rehabilitation plans

    Increased anxiety or depression

    Verbalizing feelings of being a burden to others

    Difficulty sleeping or changes in appetite

    Frequent complaints of pain or discomfort without physical cause

    Psychosocial Nursing Diagnoses in Post-Operative Spinal Cord Injury Patient

    Diagnosis: Ineffective coping is related to rapid change in independence, as evidenced by verbal expressions and feelings of overwhelm caused by the inability to perform self-care activities.

    Interventions:

    Provide emotional support and active listening.

    Encourage participation in support groups or counseling.

    Teach and encourage the use of stress management techniques (e.g., relaxation exercises, mindfulness).

    Diagnosis: Risk for social isolation related to physical immobility

    Interventions:

    Facilitate connections with peer support groups and rehabilitation communities.

    Encourage family involvement in care and social activities.

    Plan and promote social activities that the patient can participate in comfortably.

    Diagnosis: Disturbed body image related to significant changes in the spinal cord as evidenced by the avoidance of looking at the affected parts.

    Interventions:

    Educate the client on measures for adapting to the environment and coping with the underlying needs

    Educate about adaptive devices and techniques that promote independence.

    Introduce the patient to role models or mentors who have successfully adapted to similar injuries.

    References

    Hahn, R. A. (2021). What is a social determinant of health? Back to basics.
    Journal of Public Health Research
    ,
    10
    (4).
    https://doi.org/10.4081/jphr.2021.2324

    Hinkle, J. L., Cheever, K. H., Overbaugh, K., & Brunner, L. S. (2021).
    Brunner & Suddarth’s Textbook of medical-surgical nursing.
    Lippincott Williams & Wilkins.

    Islam, M. M. (2019). Social determinants of health and related inequalities: Confusion and implications.
    Frontiers in Public Health
    ,
    7
    (11), 1–4.
    https://doi.org/10.3389/fpubh.2019.00011
      Prebriefing simulation

    student-Instructions-for-Standardized-Simulation

  • I-human Simulation

    I-human Simulation

    1. Based on the most urgent problem, what are the priority actions/interventions for this patient?

    2. What are some environmental and/or individual factors that could impact the patient’s ability for post-operative recovery once they return home?

    3. Draft one question you have regarding the topic/content of the simulation to have answered in class. Please answer the three questions attached will be the patient worked on in ihuman

    I-human Simulation

    For patients who have undergone a joint replacement like David Doughlas, having a plan a nursing care plan is important to help care for the patient. According to Bodrogi et al. (2020), the most urgent concern in patients who have undergone a hip arthroplasty involves pain management, prevention of complications, and promoting optional mobility, interventions should be channeled towards addressing these needs. As such, the top-priority intervention for the patient is patient education on pain management, regular diet and mobility. Pain management will involve educating the patient on adequate pain control measures. Education on adequate nutrition is also important as diet plays a significant role in the recovery process.

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    The environmental/individual factors that could affect the patient’s post-operative recovery once they return home are lack of support and economic burden. The patient reports that he lives alone as his wife is in a nursing home and as such, may lack the support needed to promote his recovery process. In addition, since he may have to do some tasks alone, there may be a risk of falls which may prompt other complications. The other factor is economic burden which may impact the transportation process and further home care. The patient may be economically incapable of hiring a home nurse/aid to help at home which may negatively affect the recovery process.

    The question I would want addressed in class is; What risk factors should you assess for during postoperative care for patients who have undergone such a procedure? What are some of the subjective questions to ask when assessing these factors?

    Reference

    Bodrogi, A., Dervin, G. F., & Beaulé, P. E. (2020). Management of patients undergoing same-day discharge primary total hip and knee arthroplasty.
    Canadian Medical Association Journal
    ,
    192
    (2). https://doi.org/10.1503/cmaj.190182
    I-human
    Simulation

  • NU671 Unit 2 Assignment Clinical Journal

    NU671 Unit 2 Assignment Clinical Journal

    Unit 2 Assignment Clinical Journal

    A psychiatric mental health initial assessment enables a mental healthcare provider to collect a patient’s health-related information, including chief complaint, history of the presented illness, past mental health illnesses, current medications, past treatment for psychiatric illnesses, adherence to the prescribed medication, mental hospitalization or psychotherapies history, history of drug abuse, mental health status examination results, patient’s general appearance, including current mood, behavior, affect, orientation, insight, judgment, and future-orientation; objective data, and diagnostics, including laboratory results.

    Collected information is critical since it guides mental healthcare providers in making a differential diagnosis. According to Clark et al. (2017), differential diagnosis guide psychiatrists in treating patients presenting with mental health illnesses characterized by similar psychiatric symptoms. Thus, information collected during mental health initial assessment is used in ruling out psychiatric conditions with overlapping symptoms, resulting in effective management and treatment plan, which leads to total remittance of presented psychiatric symptoms.

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    I was surprised to see a review of the system on a psychiatric mental health initial assessment. Reviewing various body systems allows a psychiatrist to understand the patient’s other health concerns that might be contributing to presented psychiatric symptoms. Additionally, a review of the system allows psychiatrists to interact with their patients, establishing a good therapeutic relationship. According to Crits-Christoph et al. (2019), a good therapeutic relationship between a psychiatrist and clients determines the quality of patient care and health outcomes. Thus, a good relationship between a patient and a healthcare provider results in positive healthcare outcomes. Additionally, I was surprised to see that laboratory tests were included in the psychiatric assessment. Lu et al. (2021) stated that lab results are used to rule out mental health comorbidities, which could be contributing to the presented psychiatric symptoms.

    References

    Clark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017). Three approaches to understanding and classifying mental disorders: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (RDoC). 
    Psychological Science in the Public Interest
    , 
    18
    (2), 72-145.
    https://doi.org/10.1177/1529100617727266

    Crits-Christoph, P., Rieger, A., Gaines, A., & Gibbons, M. B. C. (2019). Trust and respect in the patient-clinician relationship: preliminary development of a new scale. 
    BMC psychology
    , 
    7
    (1), 1-8 NU671 Unit 2 Assignment Clinical Journal

    Lu, E., Pyatka, N., Burant, C. J., & Sajatovic, M. (2021). Systematic literature review of psychiatric comorbidities in adults with epilepsy. 
    Journal of Clinical Neurology (Seoul, Korea)
    , 
    17
    (2), 176.

     

    NU671 Unit 2 Assignment Clinical Journal

    Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health. The reflective journal should be substantive, containing a minimum of 250 words. Supporting evidence for your thoughts and ideas should come from a minimum of one scholarly source. Sources should have in-text citations where appropriate and be referenced on a reference page according to APA 7th Edition standards.

    Watch the video related to a Psychiatric Mental Health Assessment:

    Estimated Time to Complete: 5 minutes

    Review the Psychiatric Mental Health Assessment Template.

    Give a brief summary of your thoughts about a psychiatric mental health initial assessment. Why is this critical to the care of the mental health patient? What areas were you surprised to see on a psychiatric mental health initial assessment?

     

    NU671 Unit 2 Assignment Clinical Journal

    Clinical Preparation Journal

    The initial psychiatric mental health examination looks at the patient’s cognition, perception, thinking process and content, anxiety level, and mood. Assessing the patient’s mental history and trauma history is also necessary. The first evaluation also focuses on mental hospitalization history, response and adherence to treatments, treatment information (medication doses, length, and kind of therapy), and emergency department visit due to psychiatric disorders and psychiatric diagnoses. This implies that the first examination essentially assesses the patient’s whole mental health condition, including previous and present difficulties. Mood, alertness, demeanor, and speech are all examined during the review process (Silverman et al., 2015).

    All these review process components are vital during the initial assessment because they allow the psychiatrist to create a connection with the patient by learning about their history and present concerns. A reviewing process is a form of exploration procedure in which the psychiatrist investigates many situations (both positive and negative) that occurred to the patient and how the patient reacted to those incidents. The psychiatrist also assesses the patient’s coping techniques or the consequences of an inevitable occurrence on his or her mental health. The first examination aids in differential diagnosis, and one primary diagnosis is chosen using several instruments. The outcome of the first assessment plays a significant part in the development of the treatment plan; thus, it is critical to understand every element of the mental health condition, including how it began, when it began, and how the patient reacts to those symptoms. It is also critical to identify why the patient is seeking care now to assess the severity of the problem and guarantee that the patient will stick to the treatment plan (Hebebrand et al., 2016).

    The laboratory investigations were the essential aspects of psychiatric mental health first evaluation that surprised me. I had no idea that laboratory tests were also advised for diagnosing mental health disorders. I have always believed that such checks are recommended for physical problems and that mental health evaluations are exclusively dependent on interview findings. I never imagined that such laboratory tests might be helpful in establishing accurate diagnoses. It is because mental health exams differ substantially from physical health assessments, and I believe that physical health assessments are simpler than mental health examinations. Because laboratory findings allow healthcare providers to establish precise diagnoses, laboratory investigations are not as necessary in mental health examinations because they represent physical health rather than mental health status (Silverman et al., 2015) NU671 Unit 2 Assignment Clinical Journal

    We still need such instruments in this modern day that can make mental health evaluation simpler by examining the cognitive process and ideology of individuals suffering from mental diseases. Proper, several valuable tools and scales are now accessible, but all these scales and scoring systems have a higher possibility of producing over-predictive outcomes. I never imagined that laboratory tests might be helpful in detecting addictive levels of illegal substances and alcohol in a patient’s blood. I believe it is a good strategy for patients suffering from disorders such as alcoholism because such laboratory examinations can indicate whether the patient is adhering to the educational plan or making efforts to avoid addictions, or whether the treatments are ineffective in reducing the intensity of addictions (Wiers, Boffo & Field, 2018).

     References

    Hebebrand, J., Anagnostopoulos, D., Eliez, S., Linse, H., Pejovic-Milovancevic, M., & Klasen, H. (2016). A first assessment of the needs of young refugees arriving in Europe: What mental health professionals need to know?

    Silverman, J. J., Galanter, M., Jackson-Triche, M., Jacobs, D. G., Lomax, J. W., Riba, M. B. & Yager, J. (2015). The American Psychiatric Association practice guidelines for the psychiatric evaluation of adults. American Journal of Psychiatry, 172(8), 798-802.

    Wiers, R. W., Boffo, M., & Field, M. (2018). What’s in a trial? On the importance of distinguishing between experimental lab studies and randomized controlled trials: The case of cognitive bias modification and alcohol use disorders. Journal of Studies on Alcohol and Drugs, 79(3), 333-343. NU671 Unit 2 Assignment Clinical Journal

  • Brief Negative Symptom Scale (BNSS) DSM diagnosis the tool/instrument

    Brief Negative Symptom Scale (BNSS) DSM diagnosis the tool/instrument

    Unit 2 Clinical Preparation Tool

    Psychotic Disorders

    DSM: Schizophrenia (F20.9)

    Instrument:
    Brief Negative Symptom Scale (BNSS)

    Article:
    The brief negative symptom scale in transition: A review of psychometric properties and beyond.

    Appropriateness for Dx: 
    The brief negative symptoms scale is an assessment tool essential for identifying the existence and severity of various negative symptoms of schizophrenia. The BNSS scale has demonstrated excellent validity and reliability in the identification of negative symptoms (Tatsumi et al., 2020). The tool is appropriate for diagnosis because it is multidimensional and consists of various languages and cultures.

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    Response to Therapy/Treatment
    : BNSS is a vital tool for testing response to treatment and therapy. The outcome measures of the tool are sensitive to treatment, as evidenced by a decrease in scores recorded by the scale and improvement in symptoms (Kirkpatrick et al., 2018).

    Psychometrics:
    The BNSS identifies negative symptoms as a decrease or absence of experiences and behaviors usually present in individuals of the same age and culture. It involves a semi-structured interview comprising 13 items, and the interviewer can obtain the results within 10 to 15 minutes. They are organized into negative symptoms, including; avolition, alogia, blunted affect, asociality, and anhedonia (Mucci et al., 2019). It also has a sub subscale with one item that asses the absence of proper distress.   It consists of a semi-structured interview guide and work and score sheets. The results indicate that higher scores are related to greater impairment (Wójciak et al., 2019). The results are indicated on a scale of 0 to 6, and 0 indicates normal symptoms while six indicate extremely severe

    Limitations: 
    The BNSS varies depending on age, demographic factors, and the cultures of individuals. The BNSS interpretations are not the same, and interviewers need to understand the population’s culture and use a BNSS specified for that culture and age group. (Tatsumi et al., 2020).

    References

    Kirkpatrick, B., Saoud, J. B., Strauss, G. P., Ahmed, A. O., Tatsumi, K., Opler, M., Luthringer, R., & Davidson, M. (2018). The brief negative symptom scale (BNSS): Sensitivity to treatment effects.
    Schizophrenia Research
    ,
    197
    , 269–273.
    https://doi.org/10.1016/j.schres.2017.11.031

    Mucci, A., Vignapiano, A., Bitter, I., Austin, S. F., Delouche, C., Dollfus, S., … & Galderisi, S. (2019). A large European, multicenter, multinational validation study of the Brief Negative Symptom Scale. 
    European Neuropsychopharmacology
    , 
    29
    (8), 947-959 Brief Negative Symptom Scale (BNSS) DSM diagnosis the tool/instrument

    Tatsumi, K., Kirkpatrick, B., Strauss, G. P., & Opler, M. (2020). The brief negative symptom scale in translation: A review of psychometric properties and beyond.
    European Neuropsychopharmacology
    ,
    33
    , 36–44.
    https://doi.org/10.1016/j.euroneuro.2020.01.018

    Wójciak, P., Górna, K., Domowicz, K., Jaracz, K., Gołębiewska, K., Michalak, M., & Rybakowski, J. (2019). Polish version of the brief negative symptom scale (BNSS). 
    Psychiatr Pol
    , 
    53
    (3), 541-549.

     

    Brief Negative Symptom Scale (BNSS) DSM diagnosis the tool/instrument

    Instructions

    Choose one diagnosis from the Psychotic Disorders group

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing, Inc.

    Scan pages 87-122

    Overview

    As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients. 

    You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms. 

    Instructions:

    Instrument/ Tool criteria: 

    For each assessment, you are tasked with selecting, you will identify an instrument and: 

    List what DSM diagnosis the tool/instrument is used for.

    Identify an assessment/diagnosis instrument.

    Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice. 

    Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder. Brief Negative Symptom Scale (BNSS) DSM diagnosis the tool/instrument

    Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis. 

    Discuss the psychometrics/scoring of the instrument, including reliability and validity. 

    Discuss any limitations associated with the use of the instrument.

    Include a link to view the assessment if possible.

     Use the following template in completing your portfolio assignments. Your information can be in a bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations.  You are NOT required to write this in a paper format.  Turn in one document for each week’s topics.  (However, create a file on your desktop to compile your portfolio as you move through the term.)  This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice. Throughout the program, you will continue to add to the portfolio in each course Brief Negative Symptom Scale (BNSS) DSM diagnosis the tool/instrument

  • Unit 2 Assignment Leadership in Diverse Organizations

    Unit 2 Assignment Leadership in Diverse Organizations

    Leadership in Diverse Organizations

    Diverse organizations have become the evident scenario in today’s organizational set up as people from different backgrounds, socioeconomics, cultures, religions, and genders continue to become the healthcare workforce. Inclusion and diversity have become extensively used terms in healthcare leadership and workforce management, with an increased focus on them in the recent past. According to Hitt et al. (2018), it has become indispensable to have a healthcare team which denotes the tapestry of the communities as they concern gender, race, physical abilities, and sexual orientation, among other defining aspects, to render the best possible care to the equally diverse patient populations. Diversity has been aligned with greater breadth and depth in perspective and experience, demanding leaders to be aware of diversity to relate with employees and patients effectively. This paper discusses diversity in the healthcare industry, the benefits of working in a diverse healthcare organization, barriers to developing a diverse organization and applying servant leadership to address the barriers identified.

    Benefits of Working in a Diverse Healthcare Organization & Benefits to Patient Care

    The better a patient is understood and represented, the better they are treated and comfortable being served (Stanford, 2020). Working in a diverse workplace or organization comes with a host of benefits for the healthcare leadership and management, employers, professionals and the patients. Leaders and organization management teams should work to build a more equitable and diverse healthcare workforce. One of the primary benefits of working in a diverse organization is that the inclusivity and diversity among the employees create a strong feeling of inclusion and community for the staff. Not only does this make the workplace welcoming and accommodating, but it also promotes a feeling of safety and enjoyment.

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    Secondly, a diverse work environment promotes improved problem solving, communication and employee retention. According to Hitt et al. (2018), a diverse workforce is defined by differences among workers in multiple facets. This gives a host of perspectives which can lead to more creative solutions. A diverse workforce comes with diversity in ideas and perspectives, resulting in more significant innovation, hence improved workers and organizational productivity. Concerning better decision-making, a diverse workforce enables workers to recognize and respect other people’s cultures and differences. This understanding fosters effective communication among the staff, hence a high level of self-motivation and a higher employee retention rate. Singh (n.d), in his work, identified that; the healthcare sector is one of the industries marked by a high employee turnover rate. A diverse workforce has not only motivated individual employees but also made them feel valued, safer and happier, hence longer staying within the practice. Diversity has improved workers’ morale and desire to remain on the team.

    Diversity-compliant organizations have been identified to have a better recruitment plan. An organization committed to diversity benefits when recruiting new health professionals and other staff. It attracts the best professionals from minor communities, building a stable workforce. Regarding patient care, diversity has extended patient-based care to underrepresented communities resulting in effective, improved communication and quality care.

    Barriers to Developing a Diverse Organization

    Diversity and inclusion initiatives have become the forefront target for healthcare organizations to create and sustain a competitive work environment that outperforms a homogenous workforce (Stanford, 2020). While success in diversity relies on a multifaceted talent pool among the staff denoted by ingenuity, creativity, and problem-solving abilities, developing a diverse organization has not been straightforward. Different barriers hinder a diverse organization’s development, ranging from internal to external factors. One of the challenges to an effective diverse workplace is stereotyping and unconscious biases. Humans are conditioned to make decisions based on traditions and preexisting assumptions. Unconscious biases are socially related stereotypes about a group of people that individuals form based on their conscious awareness. This trend can result in discrimination and favoring those deemed similar or from the same background or interests. For example, hiring nurses or other healthcare professionals who have grown up in the same state, school, or color hinders an organization’s ability to establish a diverse team. Combined with affinity, unconscious biases tend to hurt diversity as people tend to contribute or foster a biased team discussion and decision-making. This trend deprives an organization of the ability to tap from diversity in experience and talent Unit 2 Assignment Leadership in Diverse Organizations

    In addition to unconscious biases, there is also the challenge of the leadership skill Gap. The skills to establish and build a lasting diverse team or works are not straightforward to all managers and leaders in an organization. The skills are limited to leaders who possess critical skills to manage change from a homogenous to a diverse workplace environment (Stanford, 2020). With ever-changing healthcare environment dynamics, leaders are not fully prepared, equipped, or trained to nature and capitalize on the diversity paradigm. According to (Singh, n.d), unless organizational leaders have the skills to manage differences in a diverse workforce, diverse teams can derail organizational performance, resulting in a tainted image, poor care delivery, and patient feedback and outcomes.

    Thirdly, diversity may result in communication issues and slower decision-making. Communication-related issues can be evident and standard in a team defined by diversity and for multiple reasons (Hitt et al., 2018). Different communication preferences and styles, language barriers, or the presence of healthcare workers with hearing problems may reduce diversity effectiveness and overall employee productivity. For example, a team with generational differences may find the younger group prefers chats and social media while the older generation prefers phone and face-to-face conversation. This requires influential leaders on how and when to use each communication platform to benefit such a team. While different views, opinions, and ideas were identified as one benefit of workers’ diversity, this gain can also be a hindrance in the aspect that it can slow down the decision-making process as each of the worker’s ideas and opinions are factored in when making decisions towards goals (Singh, n.d). For example, a team member from a minority group may question the status quo in a meeting and may bring a critical point in the meeting that needs exploring. Poor communication increases the decision-making process, hence a critical barrier that needs effective solutions.

    Finally, with poor communication and slow decision-making, there is the possibility of conflict between the diverse workforce due to misunderstanding, prejudice, or other fueling actors. Diversity can be divisive if ineffectively managed. This leads to conflict among the workers and divisiveness, significantly decreasing productivity and morale. While workforce diversity can enhance its effectiveness as a result of interaction, conflicts such as disrespect and negative identity and recognition are possible. Conflict taints the organization’s image and reduces the effectiveness of care delivery and patient experience.

    Applying Servant Leadership to Address the Challenges Identified Above and Foster Organization Become More Diverse

    The servant-Leader leadership approach is denoted by knowledge and power sharing by placing other people’s needs first while creating the best possible environment for the followers to grow (Whitney, 2018). Healthcare is a service industry that requires different professionals working together to influence patient care according to patient needs. The adoption and implementation of the servant-leader model overlap with patient-based communication, fostering trust among the healthcare providers and patients.

    Regarding addressing the identified barriers, the servant-leader approach values people/workers for who they are and not what they give to the organization. With servant leaders committed to improving their followers, the approach cultivates positive teamwork by overcoming stereotyping and unconscious biases as workers understand each other not as per their professional output but also as individuals who deserve respect and understanding. The servant-leader approach encourages each employee to take action and build consensus in teamwork through persuasion and not authority. According to Gandolfi & Stone (2018), without strong relationships within an organization, employees would be unable to do their job effectively. Servant-leadership approach helps foster strong relationships, which in turn form strong teams. By cultivating respect, the servant leader approach helps workers to demystify unconscious biases and stereotypes.

    Additionally, the selected leadership approach recognizes workers’ differences, giving everyone input in making decisions. The leader is the final decision maker who considers all ideas and opinions, ultimately moving forward. This approach helps reduce stalling of an organization due to delayed decision-making as the leader acknowledges and recognizes individual contributions from the team of workers.

    Lastly, leaders tend to learn from their followers by recognizing individual workers’ input while influencing and coaching them through a task. This approach helps fill in the leadership gaps, as the leader may have no idea, through teamwork, which helps build coalitions and communities, promoting the widespread ethical practice in the healthcare industry.

    How a Diverse Organization Assists In Creating a Competitive Advantage within the Healthcare Environment

    There are multiple and diverse benefits linked with a diverse workplace or organization. According to Stanford (2020), diverse staff perspectives, ideas, and opinions can lead to better problem solving and increased innovation. This has helped healthcare organizations effective and better serve their patient base, attain new heights and gain a competitive advantage over other organizations in the industry. By coining a diverse healthcare organization, there is an increased platform to serve the traditionally underrepresented groups, creating a sense of belonging. When patients are served by one of their own in terms of color, sex, or person with a disability, etc., they tend to feel more as part of secure and safe hence resulting in positive customer feedback and satisfaction. Satisfied patients are crucial to hospital referrals based on the organization’s ability to meet diverse patient needs. Hospital organizations embracing diversity are known to have a higher and positive public image due to customer feedback, hence an upper hand in the market over other organizations.

    Whitney (2018), in his work, identified that, as US populations continue to become more diverse in terms of age, education, and ethnicity, among other aspects, an increasing demand strengthens the clinical capabilities of organizations, healthcare processes, accessibility, efficiency, and more importantly the patient outcome. These facets have become the key battleground on which competitive strategies are being executed. Through the adoption and development of a diverse organization, healthcare organizations have gained an upper in terms of competitive advantage as they have stood to gain more by addressing patient needs to their satisfaction. Diversity has talent healthcare organizations closer to patients as it has helped reduce the marginalization in the community. Rather than see diversity as a challenge to leadership and organization income generation, far-looking healthcare organization managers see diversity as an opportunity to understand patient differences in terms of their preference and understanding of healthcare matters, hence gaining a competitive advantage over organizations that have remained homogenous Unit 2 Assignment Leadership in Diverse Organizations.

    Healthcare organizations denoted by a diverse workforce stand to gain from diversity aspects through empowering their initiatives to improve patient outreach and targeting care (Gandolfi & Stone, 2018). A diverse organization and healthcare workforce are viewed as a representation of the community it serves, hence used as one strategy to eliminate disparities. This is because such a workforce is better positioned to effectively and better meet the needs of diverse individuals and accord higher quality care, high levels of patient satisfaction, and subsequent gain an upper hand over its competitors. Finally, a diverse workplace or healthcare organization stands in a better position to motivate and improve workers’ productivity, health outcomes, and revenue streams, not to mention laying the foundation for the most effective strategies to achieving an advantage over other care organizations. In addition to being better positioned to meet patients’ needs, a diverse healthcare organization benefits from a positively motivated workforce, optimizing performance, reducing employee turnover, and building a culture of success.

    References

    Gandolfi, F., & Stone, S. (2018). Leadership, leadership styles, and servant leadership. Journal of management research (09725814), 18(4), 261-269. 
    https://eds-aebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=1&sid=a1ccce89-87fa43ca-904d-2a55abc4505a%40sdc-v-sessmgr03Links to an external site.

    Hitt, M.A., Colella, A., & Miller, C. (2018). Organizational behavior. (5th Ed.). Wiley. ISBN: 978-1119441304.

    Singh, R. (n.d). The Impact of Intrinsic and Extrinsic Motivators on Employee Engagement in Information Organizations. Retrieved from 
    https://files.eric.ed.gov/fulltext/EJ1096700.pdfLinks to an external site.

    Stanford, F. C. (2020). The Importance of Diversity and Inclusion in the Healthcare Workforce.
    Journal of the National Medical Association
    ,
    112
    (3), 247–249.
    https://doi.org/10.1016/j.jnma.2020.03.014

    Whitney, S. (2018). Nursing leadership & management: leading and serving. Theories and concepts in leadership and management. Retrieved from 
    https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-andserving/v1.1/#/chapter/1Links to an external site.
      Unit 2 Assignment Leadership in Diverse Organizations

     

    Instructions

    Write a 1200-1500 word Unit 2 Assignment Leadership in Diverse Organizations paper in APA format.

    This paper should:

    Be approximately 5-6 pages long, double-spaced

    Include a title and reference page – not included in the page count

    Exclude sources older than 5 years

    Should include sources from the required readings and/or scholarly sources found from Herzing’s library. Your textbook may be used as one source.

    Include an introductory paragraph and a conclusion

    The paper should include:

    Introduction to the topic.

    Identify the benefits of working in a diverse healthcare organization. Include the benefits to patient care.

    Identify the barriers to developing a diverse organization.

    Apply
    your dominant leadership style
    and address the identified barriers to assist your organization in becoming more diverse. This leadership style may be the one you discussed in Week 1 or maybe one found in Chapter 8 of the textbook.

    Lastly, identify how a diverse organization assists in creating a competitive advantage within the healthcare environment.

    Conclusion – should not bring any new ideas to the paper.

    Resource(s)

    Hitt, M.A., Colella, A., & Miller, C. (2018). Organizational behavior. (5th ed.). Wiley. ISBN: 978-1119441304. Unit 2 Assignment Leadership in Diverse Organizations

  • Dominant Leadership Style Essay Example

    Dominant Leadership Style Essay Example  

    My name is —– but everyone calls me —. I am a mother and a wife. I’ve been a nurse for 7 years, specializing in mental and behavioral health. I am still employed at a Psychiatric and Mental Health Hospital. Though the profession has high intensity at times owing to the sorts of patients hospitalized, I find job satisfaction in seeing my patients struggle for their mental health and finally recover. I’ve recently discovered that most of my patients, regardless of age or position, suffer from anxiety and despair because of the current situation in the globe. Most of them require further psychiatric evaluations and mental health assessments. This pushed me to seek a profession as a psychiatric nurse practitioner. I feel I will obtain in-depth information necessary for improving patients’ mental and psychological treatment. I’m delighted about this decision and can’t wait to provide the patients even more than I do now. Not only that, but it will also aid in my professional objective of reaching the pinnacle of my nursing career.

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    How do you see yourself applying knowledge from this course?

    I feel that learning about organizational systems and behavior will help me enhance my personal and professional practice by increasing my understanding of organizational cultures and values, as well as the leadership and managerial aspects of nursing. I believe the knowledge gained from the course will be useful in addressing the numerous problems confronting the nursing profession, particularly the issue of high nurse turnover and staffing, for which understanding organizational cultures and behavior, as well as effective leadership, is critical to its resolution, as unfavorable organizational cultures and values, such as insufficient resources, a lack of professional and educational advancement opportunities, and an unapproachable administration, are all detrimental to its resolution. This training will also enhance my grasp of conflict resolution and motivation in health care delivery, which is important in any work setting since it “activates, guides, and maintains goal-oriented behavior” (Basu and Bano, 2016). Staff actions are always the result of motivation, regardless of how or where it is initiated. Conflict and a lack of desire impede the smooth flow of work and may result in insufficient nursing personnel, resulting in higher burden and burnout. As a result, maintaining a comfortable and safe working environment, as well as paying staff with incentives such as “financial prizes, decent compensation, bonuses, promotions, and perks to reinforce the efficiency and effectiveness of services delivered” are important (Singh, n.d) Dominant Leadership Style Essay Example.

    My dominant leadership style and evidence of it.

    My major leadership style is servant leadership, which “calls on leaders to operate in a Christ-like way, while listening to others without judgment, thinking before reacting, employing foresight and intuition, and judiciously choosing words” (Whitney, 2018). In my almost 7 years as a nurse, I’ve had the opportunity to hold various leadership roles in which I demonstrated the characteristics of a servant leader. As the charge nurse on my unit floor, I helped to create a “community of devoted staff members that are aggressive, ambitious, and goal-driven with focus by mentoring their leadership and decision-making” (Gandolfi and Stone, 2018). I was able to see my moral duty not just to the success of the healthcare facility, but also to my subordinates, patients, and other healthcare team members, and I was dedicated to serving the needs of my subordinates and patients as a servant leader.

    References

    Basu, S., & Bano, S. (2016). Intrinsic extrinsic motivation and positive-negative effect of correctional home inmates. Journal of psychosocial research, 11(2), 497-505. 
    https://eds-a-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewerLinks to an external site.
    ?

    Gandolfi, F., & Stone, S. (2018). Leadership, leadership styles, and servant leadership. Journal of management research (09725814), 18(4), 261-269. 
    https://eds-aebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=1&sid=a1ccce89-87fa43ca-904d-2a55abc4505a%40sdc-v-sessmgr03Links to an external site.

    Singh, R. (n.d). The Impact of Intrinsic and Extrinsic Motivators on Employee Engagement in Information Organizations. Retrieved from 
    https://files.eric.ed.gov/fulltext/EJ1096700.pdfLinks to an external site.

    Whitney, S. (2018). Nursing leadership & management: leading and serving. Theories and concepts in leadership and management. Retrieved from 
    https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-andserving/v1.1/#/chapter/1Links to an external site.

     Reply 
     Dominant Leadership Style Essay Example

  • Unit 1 Assignment Clinical preparation journal – Informed consent in psychotherapy and counselling essay

    Unit 1 Assignment Clinical preparation journal – Informed consent in psychotherapy and counselling essay

    Instructions

    Each week you will be given a prompt to write a reflective journal assignment that will allow you to investigate areas for clinical preparation in psychiatric mental health. The Unit 1 Assignment Clinical preparation journal – Informed consent in psychotherapy and counselling essay reflective journal should be substantive, containing a minimum of 250 words. Supporting evidence for your thoughts and ideas should come from a minimum of one scholarly source. Sources should have in-text citations where appropriate and be referenced on a reference page according to APA 7th Edition standards.

    Prompt:

    Read the article on informed consent:

    Zur, O. PhD. (2020). Introduction to informed consent in psychotherapy, counseling and assessment (Links to an external site.). Zur Institute. https://www.zurinstitute.com/informed-consent/#:~:text=It%20often%20involves%20a%20process,obtaining%20consent%20from%20the%20client

    Complete an online search for mental health informed consent. You can search for psychiatry or psychotherapy clinics and most will have information posted on their websites. Review the informed consent documents. Give a brief summary of what you located then identify the main components of informed consent for psychiatric mental health treatment. Must include information related to SI, HI, A/VH, signs and reporting of abuse, etc… Note when informed consent can be breached, what are additional considerations for minors.

    Unit 1 Assignment Clinical preparation journal – Informed consent in psychotherapy and counselling essay

    Unit 1 Assignment Clinical Preparation Journal

    Informed consent in psychotherapy and counselling encompasses sharing sufficient information with a prospective client to allow him make an informed decision about the proposed treatment. Embracing informed consent practices as a psychotherapist is an important risk management strategy and a method that ensures clients receive the best professional services. It lays a collaborative treatment foundation, breads respect and trust, and promotes a client’s autonomous functioning, thus, ensures a positive treatment outcome.

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    The main components of informed consent for psychiatric mental health treatment are disclosure, competency, decision capacity, and documentation of consent. Although informed consent serves as a significant feature in all psychotherapy cases, it requires special attention with homicide ideation, suicide ideation, and auditory/visual hallucination (A/VH) (Rudd et al., 2019). As such, the informed consent components are limited to some extent to allow the involved parties to clearly understand the treatment goal, prevent future suicidal, homicidal or hallucination behaviors, and formulate effective decisions.

    When issues involving suicide, homicide, and audio/visual hallucination signs and reports are concerned, psychotherapist are required to obtain the patient’s informed consent when reporting is not required by law; however, exceptions are made if the patient’s ability to report is coerced (experiencing SI, HI, and A/VH) and cannot make an informed treatment decision (Dalal, 2020).

    Importantly, informed consent can be breached in the emergency unit. Here, the law allows a
    physician to administer medicine and implement intervention
    and care that will address the situation and promote quality care (Bryan et al., 2013). For a minor, the parents assume the informed consent role under non-emergency circumstances. In emergency situations, the physician is allowed to treat a child without obtaining informed consent from his parents (Bryan et al., 2013) Unit 1 Assignment Clinical preparation journal – Informed consent in psychotherapy and counselling
    essay

    References

    Bryan, A.L., John, J.D., & Moores, R. (2013). Informed consent: Know rules and exceptions, when they apply. https://www.reliasmedia.com/articles/29540-informed-consent-know-rules-and-exceptions-when-they-apply

    Dalal, P.K. (2020). Consent in psychiatry – concept, application & implications.
    Indian Journal of Medical Research
    , volume 151 – issue 1 – p 6-9 doi: 10.4103/ijmr.IJMR_1518_19

    Rudd, M. D., Joiner, T., Brown, G. K., Cukrowicz, K., Jobes, D. A., Silverman, M., & Cordero, L. (2019). Informed consent with suicidal patients: Rethinking risks in (and out of) treatment. 
    Psychotherapy (Chicago, Ill.)
    , 
    46
    (4), 459–468. https://doi.org/10.1037/a0017902 Unit 1 Assignment Clinical preparation journal – Informed consent in psychotherapy and counselling essay

  • Rising healthcare costs and nursing shortages

    NURS-6053 Module 1: Discussion – Rising healthcare costs and nursing shortages

    Rising healthcare costs and nursing shortages

    People are living longer lives. Living longer leads to more comorbidities. “A health condition which one may have ended someone’s life is no livable condition.” (Dinerstein, 2024) In the United States life expectancy healthcare has not caught up with the increase in life expectancy. (Dinerstein, 2024) Increase in health complexity, more chronic illness management leads to higher healthcare costs. (Amalberti, 2021) This directly affects the patients and nursing staff.

    Nursing shortage has been on the rise increasing even more after the pandemic. According to the labor of statistics reports a there will be more than 3 million nurses that are needed. (Werezak, 2023) Increase in the complexity of the patients is part of the stressor along with decrease in reimbursement from insurance companies. Decreased reimbursement leads to budgets cuts and front-line nurses are the first to go at times. Also nurses wage is an issue healthcare costs which are increasing directly affects the ability to increase the pay of the nurses. (Arnold, et.al, 2023)

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    Rising healthcare costs and nursing shortages directly affect my workplace setting. I worked in skilled nursing facilities. We take care for a variety of people with all different needs and walks of life. An ongoing struggle is cuts in the budget leading to decreased staff.  “personnel restructuring” (Broome, et.al, 2021) This directly leads to nurse burn out and nursing shortages.

    Skilled nursing has responded to reimbursement decreases by having dedicated positions RNAC who sole focus is to ensure our facility gets credit for all the hard work. Also all high cost medications are automatically ran through a portal and if our pharmacy can provide a generic or alternative it is implemented immediately. This helps us meet budget each month results in less budget cuts or having to make up from the previous month. Also, human resources have implemented many employee appreciation programs including employee of the month, thankful Thursday nurse shout out and raises based on evaluation yearly Rising healthcare costs and nursing shortages.

    In conclusion

    Nursing is one of the most stressful jobs. It combines knowledge, physical labor, customer services and so much more all into one role for 8-12 hours a day. Having the added stressor of patients having more complex needs and living longer and not an increase in nursing staff can affect the nurse’s morale and work ethic. This is especially true in the skilled nursing setting. The nurse-to-patient ratio is higher than most settings and
    leads to nurse burn out
    often.

    References:

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

    Amalberti, R., Vincent, C., Nicklin, W., & Braithwaite, J. (2019). 
    Coping with more people with more illness Part 1: The nature of the challenge and the implications for safety and quality.Links to an external site.
    Links to an external site.
     
    International Journal for Quality in Health Care
    , 
    31
    (2), 154–158.

    Arnold, D., & Whaley, C. (2020, August 29). Who Pays for Health Care Costs? The Effects of Health Care Prices on Wages. 
    https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3657598
    Links to an external site.

    Werezak, L. (2023, March 20). The Nursing Shortage Explained. 
    https://nurse.org/articles/nursing-shortage/
    Links to an external site.

    Dinerstein, C. (2024, December 17). Living Longer, Not Healthier: The Growing Gap Between Lifespan and ‘Healthspan’. 
    https://www.acsh.org/news/2024/12/17/living-longer-not-healthier-growing-gap-between-lifespan-and-healthspan-49180

  • 671:Unit 1 Clinical Preparation Tool Assignment – The Columbia-Suicide Severity Rating Scale (C-SSRS)

    671:Unit 1 Clinical Preparation Tool Assignment – The Columbia-Suicide Severity Rating Scale (C-SSRS)

    671:Unit 1 Clinical Preparation Tool Assignment

    Instrument:
    The Columbia-Suicide Severity Rating Scale (C-SSRS).

    https://cssrs.columbia.edu/ (link to the tool)

     
    Articles:
    Calculated Decisions: Columbia-Suicide Severity Rating Scale (C-SSRS); About the C-SSRS.

    Appropriateness for Dx:

    C-SSRS is used to identify and assess individuals at risk for suicide. It is employed in suicide risk assessment initial screening to guide and help clinicians and patients stratify the risk of suicidal rate (Salvi, 2019). The tool cannot replace a complete clinical suicidal evaluation but may be employed in initial screening of suicide rate.

    Response to Therapy/Treatment:

    C-SSRS tool is strictly used for assessment and diagnosis. It is effective in predicting overall suicidal risk and need for admission in patients within the emergency department. The tool has been recommended for clinical trials by the United States Food and Drug Administration (USFDA) since 2012 and adopted by the CDC to determine suicidal ideation and behavior (Salv, 2019).

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    Psychometrics:

    C-SSRS measures four constructs: the lethality, behavior, intensity and severity of suicide ideation. It has ten categories with binary responses that measure and output a numerical score, used to evaluate the presence/absence of a suicidal behavior. The Category 1– assess the wish to be dead; category 2– active and non-specific suicidal thought; category 3- active and specific suicidal ideation without action plan; 4-active and specific ideation with action plan; 5-active and specific ideation with action plan and intent; 6-preparatory act; 7-aborted attempt; 8-interrupted attempt; 9-actual attempt; 10-completed attempt (CDP, n.d.). Once the results are captured, they are interpreted in a categorical scale with the help of a clinical assessment tool.

    Importantly, C-SSRS has been used in numerous trials and extensively validated in several populations, including outpatients in psychiatry clinics (Salvi, 2019).

    Limitations:

    C-SSRS has ambiguous wordings, flawed navigation instructions, and can likely fail to determine a combination of diverse suicidal ideation and behavior (Salvi, 2019).

    References

    Center for Deployment Psychology (CDP). About the C-SSRE. https://deploymentpsych.org/system/files/member_resource/C-SSRS%20Factsheet.pdf

    Salvi J. (2019). Calculated Decisions: Columbia-Suicide Severity Rating Scale (C-SSRS). 
    Emergency medicine practice
    , 
    21
    (5), CD3–CD4.

     

    671:Unit 1 Clinical Preparation Tool Assignment – The Columbia-Suicide Severity Rating Scale (C-SSRS)

    Instructions

    Topic: Suicidal Ideation

    Suicide Assessment C-SSRS

    The Columbia Lighthouse Project. (2016). Identify risk. Prevent suicide (Links to an external site.). https://cssrs.columbia.edu/

    For this week utilize the
    tool listed
    above to complete the assignment.

    Overview

    As you will learn throughout the program, the diagnosis of a variety of psychiatric illnesses is not always an easy or straightforward process. Multiple observations and assessment methods are often employed to reach a diagnosis. This approach can include the use of standardized assessment instruments.  This then aids you in defining a treatment plan and choosing specific treatment plans to use in the care of your clients. 

    You are tasked with identifying a standardized assessment instrument/tool to measure the disorders listed for each week. You will keep these instruments in the form of a “portfolio” that you can use in your clinical practice to assess clients who present with a variety of symptoms. 

    Instructions: 

    Instrument/ Tool criteria: 

    For each assessment, you are tasked with selecting, you will identify an instrument and: 

    List what DSM diagnosis the tool/instrument is used for.

    Identify an assessment/diagnosis instrument.

    Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice. 

    Evaluate the instrument’s appropriateness for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder. 

    Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis. 

    Discuss the psychometrics/scoring of the instrument, including reliability and validity. 

    Discuss any limitations associated with the use of the instrument.

    Include a link to view the assessment if possible.

     Use the following template in completing your portfolio assignments. Your information can be in a bulleted format or just a couple of sentences for each criterion listed above. However, you must use APA citations.  You are NOT required to write this in a paper format.  Turn in one document for each week’s topics.  (However, create a file on your desktop to compile your portfolio as you move through the term.)  This will ensure you can have easy access to show the full portfolio and once you begin clinicals and practice. Throughout the program, you will continue to add to the portfolio in each course. 671:Unit 1 Clinical Preparation Tool Assignment – The Columbia-Suicide Severity Rating Scale (C-SSRS)

  • Burnout and Stress Among Healthcare Workers

    NURS-6053 Burnout and Stress Among Healthcare Workers

    By Day 3 of Week 1

    Post
     a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

     

    NURS-6053 Burnout and Stress Among Healthcare Workers

    Week 1: Review of Current Healthcare Issues 

    Main Discussion Post

    Healthcare Issue: Burnout and Stress Among Healthcare Workers

    Burnout and stress among healthcare workers are significant national healthcare issues that adversely impact work environments across the country. These stressors often lead to decreased job satisfaction, reduced productivity, increased absenteeism, and higher turnover rates. Additionally, burnout can compromise patient care quality, potentially resulting in errors and decreased patient satisfaction (Broome & Marshall, 2021).

    Impact on My Work Setting

    In my work setting, the constant high-stress environment, extended working hours, and the emotional toll of dealing with patients’ suffering and loss contribute substantially to burnout. The lack of adequate support and resources further exacerbates stress levels among healthcare workers, leading to physical and mental health issues such as anxiety, depression, and hypertension (Amalberti et al., 2019).

    Social Determinants Affecting Burnout and Stress

    Several social determinants influence burnout and stress among healthcare workers. One of the most significant is the working environment itself. Poor working conditions, excessive workloads, lack of autonomy, and inadequate support from management contribute to high-stress levels. Moreover, family responsibilities and financial pressures outside of work add to the stress experienced by healthcare workers (Bangani et al., 2021)

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    Another crucial determinant is the availability of mental health resources. Access to mental health support, counseling services, and stress management programs can significantly reduce burnout and stress levels among healthcare workers. However, these resources are often limited or unavailable in many healthcare settings (Broome & Marshall, 2021).

    Response to the Issue

    In response to the growing concern of burnout and stress among healthcare workers, my health system has implemented several changes to address this issue. One significant change is the introduction of stress management and resilience training programs. These programs aim to equip healthcare workers with the skills and tools to cope with stress and build resilience (Greco et al., 2022).

    The organization has increased its focus on providing mental health support by offering access to counseling services and creating peer support groups. These initiatives provide healthcare workers a safe space to discuss challenges and seek peer support (Bangani et al., 2021).

    Additionally, efforts have been made to improve the working environment by addressing workload issues. This includes hiring additional staff to reduce the burden on existing employees and implementing flexible work schedules for better work-life balance. For example, the introduction of telemedicine has enabled some healthcare workers to work remotely, reducing the stress associated with commuting and long shifts (Broome & Marshall, 2021) Burnout and Stress Among Healthcare Workers

    The organization has also invested in leadership training programs to support healthcare workers further. As highlighted by Broome and Marshall (2021), transformational leadership can play a crucial role in addressing complex challenges in healthcare settings. My organization aims to create a more positive and inclusive work environment that fosters employee well-being by training leaders to be more empathetic, supportive, and strategic.

    References

    Centers for Disease Control and Prevention. (2024, April 23). Risk factors for stress and burnout. CDC. Retrieved February 25, 2025, from 
    https://www.cdc.gov/niosh/healthcare/risk-factors/stress-burnout.html
    Links to an external site.

    Diaz, J. (2023, May 2). Crisis in nursing: Nurses say staffing shortage is worse than five years ago. NPR. Retrieved February 25, 2025, from 
    https://www.npr.org/2023/05/02/1173107527/nursing-staffing-crisis
    Links to an external site.

    Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer. 
    https://bookshelf.vitalsource.com/books/9780826135056
    Links to an external site.

    Bangani, R. G., Menon, V., & Jovanov, E. (2021). Personalized stress monitoring AI system for healthcare workers. 2021 IEEE International Conference on Bioinformatics and Biomedicine (BIBM), 2992-2997.

    Greco, E., Graziano, E. A., Stella, G. P., Mastrodascio, M., & Cedrone, F. (2022). The impact of leadership on perceived work-related stress in healthcare facilities organizations. Journal of Organizational Change Management, 35(4/5), 734-748.
     

    Amalberti, R., Vincent, C., Nicklin, W., & Braithwaite, J. (2019). Coping with more people with more illness Part 1: The nature of the challenge and the implications for safety and quality. 
    International Journal for Quality in Health Care
    , 31(2), 154–158.