Category: Nursing

  • 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.

  • Social Phobia Inventory (SPIN)

    Social Phobia Inventory (SPIN)

    Student Example Anxiety and Related Disorders
    Week 7

    Instrument:
    Social Phobia Inventory (SPIN)

     
    Article:
    Psychometric properties of the Social Phobia Inventory

     
    Appropriateness for Dx:
    This tool is meant for
    screening
    of individuals with social phobia and assignment of a severity score (Connor et al., 2000). The tool was created in congruence with DSM-4 but is consistent with the DSM-5 diagnosis of social anxiety disorder, minus some minor changes (Substance Abuse and Mental Health Service Administration [SAMHSA], 2016). Although the study is outdated, Duke University School of Medicine (2020) acknowledges that the tool is still relevant and utilized by their Anxiety and Traumatic Stress Program.

     

    Response to Therapy/Treatment:
    The SPIN is appropriate for testing treatment response and through studies has proven sensitive to symptom changes over time. Changes in scores are able to determine treatment efficiency (Connor et al., 2000).

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    Psychometrics:
    The tool is self-administered and consists of 17 separate statements regarding problems a patient may exhibit if they have social phobia. The statement is then rated on how much it has bothered the individual in the last week, from ‘not at all’ (0) to ‘extremely’ (4). Any score over 21 is considered clinically significant. In the study, the assessment tool was able to effectively separate individuals with and without social phobia. Validity is strong in regard to detecting the severity of illness and is sensitive to symptom reductions during treatment. The scale shows significant correlation with the Liebowitz Social Anxiety Scale Test, The Brief Social Phobia Scale and The Fear Questionnaire social phobia subscale (Connor et al., 2000).

     

    Limitations:
    Limitations exist in the tool’s alignment with DSM-4 instead of the more recent edition, although differences are very minor (SAMHSA, 2016). With a cutoff score of 19, sensitivity and specificity were good, but some individuals consider the cutoff score to be 15, in which these measures are weaker (Connor et al., 2000).

     
    References

     
    Connor, K., Davidson, J., Churchill, E., Sherwood, A., Foa, E., & Wisler, R. (2000).

    Psychometric properties of the Social Phobia Inventory.
    British Journal of Psychiatry, 176
    , 379-386. Social Phobia Inventory (SPIN)

  • Rising Healthcare Costs

    NURS-6053 Module 1: Discussion – Rising Healthcare Costs

    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.

    By Day 6 of Week 1

    Respond
     to at least 
    two
     of your colleagues 
    on two different days
     who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor.

    Rising Healthcare Costs

    Rising healthcare costs in the United States represent a significant national issue, impacting healthcare delivery, access, and financial sustainability. In 2023, national health expenditures reached $4.9 trillion, reflecting a 7.5% increase from the previous year and accounting for 17.6% of the U.S. gross domestic product (Centers for Medicare & Medicaid Services [CMS], 2023). Several factors contribute to this escalation, including increased utilization of medical services, higher prescription drug prices, advanced medical technologies, and administrative costs. These rising expenses place financial strain on healthcare systems, patients, and providers, leading to disparities in access and quality of care (Martin et al., 2025). Healthcare organizations face growing pressure to balance cost containment with the delivery of high-quality, patient-centered services.

                                                                                        How It May Impact My Workplace Setting

    Rising healthcare costs directly affect my workplace setting by increasing operational expenses, creating resource limitations, and intensifying staff workload. According to Kiss et al. (2023), budget constraints can lead to staff reductions, limited access to advanced medical technologies, and the postponement of non-urgent services. I have observed increased patient-to-nurse ratios, which compromise the quality of care and elevate the risk of errors. For example, nurses in my unit are often assigned more patients than the recommended ratio, reducing the time available for individualized care. Additionally, financial pressures have resulted in the postponement of equipment upgrades, forcing staff to rely on outdated technology that may hinder efficiency. Rising costs also impact patient access, as many individuals delay care due to high out-of-pocket expenses, leading to worsened health outcomes and increased reliance on emergency services.

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                                                                                  Social Determinant Most Affecting Healthcare Costs

    Income and socioeconomic status are the social determinants most significantly affecting the impact of rising healthcare costs. Individuals with lower incomes often struggle to afford healthcare services, medications, and insurance premiums, leading to delayed or foregone care. According to the Kaiser Family Foundation (2023), nearly one in four adults in the U.S. reported skipping or delaying medical care in the past year due to cost concerns. This financial barrier disproportionately affects vulnerable populations, exacerbating health disparities and increasing the demand for safety-net services. Geographic location also influences healthcare access, particularly in rural areas where medical facilities may be scarce, and travel expenses further complicate access to care. These social determinants contribute to a cycle of poor health outcomes and increased healthcare utilization, placing additional strain on the healthcare system Rising Healthcare Costs.

                                                                  How My Healthcare System Has Responded to the Healthcare Issue and Changes

    My healthcare system has implemented several strategies to address rising healthcare costs while maintaining quality care. One significant initiative includes the adoption of value-based care models, which focus on improving patient outcomes while controlling costs (Leao et al., 2023). This approach incentivizes providers to deliver evidence-based, efficient care, reducing unnecessary procedures and hospital readmissions. In my workplace, multidisciplinary care teams have been established to coordinate treatment plans, improving communication and reducing duplication of services. Telehealth services have also been expanded, allowing patients to access care remotely, which reduces operational costs and improves patient convenience. For instance, the implementation of virtual follow-up appointments for chronic disease management has decreased hospital readmissions by 15% over the past year.

    Additionally, my healthcare system has prioritized staff training on cost-effective care delivery, emphasizing evidence-based practices and resource optimization. Cost-saving measures, such as bulk purchasing of medical supplies and streamlining administrative processes, have been implemented to reduce overhead expenses (Hinrichs-Krapels et al., 2022). Despite these efforts, the facility still faces challenges in balancing cost containment with staff satisfaction and patient-centered care. Continued investment in technology, staff support, and community outreach programs are essential to address the long-term impact of rising healthcare costs on both patients and healthcare providers Rising Healthcare Costs.

     
                                                                                                                             
    References

    Centers for Medicare & Medicaid Services. (2023). 
    National Health Expenditures 2023 Highlights.
     Health Affairs. 
    https://www.cms.gov/files/document/highlights.pdf
    Links to an external site.

    Hinrichs-Krapels, S., Ditewig, B., Boulding, H., Chalkidou, A., Erskine, J., & Shokraneh, F. (2022). Purchasing high-cost medical devices and equipment in hospitals: a systematic review. 
    BMJ open
    , 
    12
    (9), e057516. 
    https://doi.org/10.1136/bmjopen-2021-057516
    Links to an external site.

    Kaiser Family Foundation. (2024, May 28). 
    Health care affordability: Key facts.
     
    https://www.kff.org/health-costs/issue-brief/health-care-affordability-key-facts/
    Links to an external site.

    Kiss, A., Kiss, N., & Váradi, B. (2023). Do budget constraints limit access to health care? Evidence from PCI treatments in Hungary. 
    International Journal of Health Economics and Management
    , 
    23
    (2), 281-302.  
    https://doi.org/10.1007/s10754-023-09349-w
    Links to an external site.

    Leao, D. L., Cremers, H. P., van Veghel, D., Pavlova, M., & Groot, W. (2023). The impact of value-based payment models for networks of care and transmural care: a systematic literature review. 
    Applied Health Economics and Health Policy
    , 
    21
    (3), 441-466. 
    https://doi.org/10.1007/s40258-023-00790-z
    Links to an external site.

    Martin, A. B., Hartman, M., Washington, B., Catlin, A., & National Health Expenditure Accounts Team. (2025). National Health Expenditures In 2023: Faster Growth As Insurance Coverage And Utilization Increased: Article examines National Health Expenditures in 2023. 
    Health Affairs
    , 
    44
    (1), 12-22. 
    https://doi.org/10.1377/hlthaff.2024.01375
      Rising Healthcare Costs

  • NU711 Unit 2: Practice Collaboration Culture

    NU711 Unit 2: Practice Collaboration Culture

    For this NU711 Unit 2: Practice Collaboration Culture assignment, you will create a presentation that provides an overview of the state of collaborative culture in your current practice setting. Utilize the Four-Dimensional Model of Collaboration presented in the D’Amour, et al., 2008 to frame an analysis of the state of collaboration in your practice setting. https://pmc.ncbi.nlm.nih.gov/articles/PMC2563002/ When constructing the slides for your presentation be sure to include the following: Open your presentation with a brief description of your current practice setting Ensure that you have a slide that represents each of the 4 domains of the model as noted in Figure 1 on the third page of the article. Provide enough information on the slide to correlate observations from your practice setting to the collaboration Indicators noted in each of the 4 domains of the model. Review the descriptors outlined in Table 2 on the fifth and sixth page of the article and use those to guide your construction of the individual slide for each Indictor. Review Table 3 located at the bottom of the sixth page of the article and assign a collaboration Typology level for each of the 10 Indicators noted in this table. Provide a summary slide that demonstrates your overall thought about the collaborative culture in your practice setting referencing the Typology levels you assigned on the previous slide. The practice setting is the behavioral health unit at Northwest Hospital, which is dedicated to ensuring the delivery of safe, patient-centered mental health care. The unit provides comprehensive psychiatric services, including crisis intervention, inpatient and outpatient care, medication management, and psychological consultations. The interdisciplinary team includes psychiatrists, psychiatric nurse practitioners, nurses, therapists, social workers, and mental health technicians who work collaboratively to support patients experiencing acute behavioral health challenges. The hospital is committed to addressing the complex emotional and psychological needs of individuals while promoting recovery, safety, and dignity in a secure therapeutic environment

     

    NU711 Unit 2: Practice Collaboration Culture

    Collaborative Culture in the Behavioral Unit at Northwest Hospital

    Student Name

    Program Name or Degree Name, XXX University

    Course Number, Section, Title of Course

    Instructor Name

    Month, Day, Year

    Introduction: Setting Overview

    üThe behavioral health Unit at Northwest hospital

    üOffers outpatient and inpatient psychiatric care

    üIt entails a multidisciplinary team i.e. NPs, therapists, nurses, psychiatrists, social workers, mental health technicians among others

    üThe Unit’s primary focus is delivery of safe, patient informed or centered mental heath

    The focused healthcare organization and unit, the Behavioral Health Unit, provides its patients with comprehensive mental healthcare services through its multidisciplinary team, addressing diverse concerns, including holistic care and patient safety. This presentation provides a detailed analysis of the state of collaboration within the Behavioral Health Unit. The unit is designed to address diverse and complex mental health needs through its interdisciplinary team.

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    Shared Goals and Vision

    ü Teamwork or collaborative treatment planning with regular meetings held for the different professionals

    üCommon objectives including dignity, safety and recovery support

    üCommitment to patient centered mental healthcare

    üHeightened emphasis on interdisciplinary input towards care plans.

    The aspect of shared goals unifies the team around their focus and core patient-centered principles. Conducting regular meetings within the unit ensures that every stakeholder and discipline contributes to care planning. According to D’Amour et al. (2008), an organization’s goals and vision are key facets that define its objectives, as well as facilitate teamwork and collaboration.

     

    Internalization: mutual Respect & Interpersonal Relationships

    üPracticing open communication among the unit members

    üTrust fostered among the players via consistent interactions

    üMutual recognition of professional expertise and roles

    üPracticing informal discussions to coordinate care beyond scheduled meetings

    The practice of internationalization involves fostering respect, trust, and understanding among team members. Regarding the behavioral health unit, members usually consult with each other outside the unit’s formal meetings, which enables them to identify patient needs promptly. According to Kaiser et al. (2022), the collaborative spirit within the unit helps prevent cases of care silos while fostering a culture where every member’s input is valued NU711 Unit 2: Practice Collaboration Culture.

     

    Formalization: Protocols & and Structures

    üApplication of structured meetings within the interdisciplinary team

    üPractice of clear role delineation both in protocols and policies

    üUtilization of standardized screening tools for risk assessment

    üDocumented care plans  in the HER, which is accessible to all players within the team

    Governance encompasses the way leadership fosters teamwork and collaboration among workers. Within the behavioral unit, leadership is shared among the different professionals and care providers, with a clear definition of roles and mutual respect for roles and authority. I.e., the psychiatrist oversees medication management, while social workers and therapists lead psychosocial care deliberations. According to Kaiser et al. (2022), the adoption of this integrated leadership model fosters a collaborative culture within the unit and organization.

     

    Governance: Leadership & Decision Making

    üImplementation of collaborative leadership in the Unit’s daily operations

    üRegular teamwork is conducted for updates and decision making (shared)

    üThe overall organization management offers support to inter-professional collaboration through workforce training and conflict resolution.

    üThe psychiatrists leads decision making while the nurses and social workers in the unit  contributes to care planning

    Governance encompasses the way leadership fosters teamwork and collaboration among workers. Within the behavioral unit, leadership is shared among the different professionals and care providers, with a clear definition of roles and mutual respect for roles and authority. I.e., the psychiatrist oversees medication management, while social workers and therapists lead psychosocial care deliberations. According to Kaiser et al. (2022), the adoption of this integrated leadership model fosters a collaborative culture within the unit and organization.

     

    Typology Assignment for Collaboration Indicators

    Centrality: Developing Collaboration

    Leadership: Active Collaboration

    Support for Innovation: Developing Collaboration

    Connectivity: Active Collaboration

    Formalization Tools: Active Collaboration

    Information Exchange: Active Collaboration

    Shared Goals: Active Collaboration

    Client-Centered Orientation: Active Collaboration

    Mutual Acquaintanceship: Developing Collaboration

    Trust: Developing Collaboration

    Based on the Table 3 from D’Amour et al., the units collaboration reflects active in some areas such as information sharing, leadership and shared goals. However, there are some areas which remains at developing stage including centrality, support for innovation and mutual acquaintanceship. This attributed to occasional role overlaps and communications gaps NU711 Unit 2: Practice Collaboration Culture.

    Summary

    üThe organizations Overall collaboration level can be established as between Active and developing

    üKey strengths includes leadership, structured communicated and shared goals

    üMajor areas that needs improvement include teams role clarity, relationship building and support for innovation.

    References

    D’Amour, D., et al. (2008). A model and typology of collaboration between professionals in healthcare organizations. BMC Health Services Research, 8(1), 188.
    https://
    doi.org/10.1186/1472-6963-8-188

    Kaiser, L., Conrad, S., Neugebauer, E. A. M., Pietsch, B., & Pieper, D. (2022). Interprofessional collaboration and patient-reported outcomes in inpatient care: A systematic review. Systematic Reviews, 11(169). https://doi.org/10.1186/s13643-022-02027-x NU711 Unit 2: Practice Collaboration Culture

  • Nursing Staffing Shortage Healthcare Issue /stressor

    NURS-6053 Module 1: Discussion – Nursing Staffing Shortage Healthcare Issue /stressor

    Healthcare Issue: Nursing Staffing Shortage

    The United States is facing a significant and growing shortage of nurses, which has become a major healthcare stressor. One of the main challenges faced today is the shortage of the nursing workforce, which causes severe compromise on the quality of healthcare services, improving the well-being of the global population, and achieving universal health coverage (Tamata, et al, 2023). The nursing shortage impacts healthcare organizations at all levels, from acute care settings to outpatient services, and is linked to lower quality of care, increased patient mortality, and higher healthcare costs.

    Impact on Work Setting

    In the healthcare setting, nursing shortages have a direct impact on both patient outcomes and staff well-being. With fewer nurses available, existing staff often work longer hours, leading to fatigue, burnout, and a higher risk of making errors. Occupational burnout syndrome is characterized by emotional exhaustion, depolarization, and a diminished sense of personal accomplishment and is prevalent among nurses (Li, et al, 2024). In my work setting, the shortage has led to increased stress among the nurses, with many reports of feeling stretched thin and unable to provide the level of attention and care that patients need.

    Social determinants affecting the health issue

    Access to healthcare has been seen as an answer to improving population health in the United States, but access cannot be untangled from the issue of social determinants of health (Broome and Marshall, 2021).

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    Economic Stability
    : In certain areas of the country, low wages are a major factor that discourages individuals from entering the nursing profession or remaining in it.

    Healthcare Access and Quality
    : The lack of sufficient nursing affects the quality of patient care, especially in underserved areas. When hospitals and clinics cannot hire enough nurses, patients in these areas often experience longer wait times, lower quality of care, and worse health outcomes.

    Response from Health System

    In response to the nurse staff shortage, healthcare systems have adopted several strategies to address the issue. The healthcare systems that I work for have implemented recruitment and retention programs. Ohio Health offers sign-on bonuses as well as retention bonuses for nurses to keep them from leaving. I work in the Cath lab and our area offers self-scheduling that allows nurses and staff to select shifts based on personal preference in hopes of increasing job satisfaction and reducing turnover. The department I work in understands the importance of work-life balance and offering flexible scheduling is a huge perk for nurses.

    References

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

    Li, L. Z., Yang, P., Singer, S.J., Mathur, M. B., & Shanafelt, T. (2024). Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systemic Review and Meta-Analysis. JAMA network open, 7 (11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059

    Tamata, A. T., & Mohammadenzhad, M. (2023). A systematic review study on the factors affecting the shortage of nursing workforce in the hospitals. Nursing Open, 10 (3), 1247-1257. https://doi.org/10.1002/nop2.1434 Nursing Staffing Shortage Healthcare Issue /stressor

     

    Nursing Staffing Shortage Healthcare Issue /stressor

    National Healthcare Issue: Nursing Workforce Shortages

    Have you ever wondered what would happen if there weren’t enough nurses to care for patients? The nursing workforce shortage is one of the most critical challenges facing healthcare today, affecting patient outcomes, nurse well-being, and the efficiency of the healthcare system. The increasing demand for healthcare services due to an aging population, the prevalence of chronic illnesses, and lingering workforce disruptions from the COVID-19 pandemic have exacerbated this issue (Slonim, 2023). However, the supply of trained nurses has not kept pace, resulting in high workloads, burnout, and lower retention rates among nursing staff (Broome & Marshall, 2021).

    Complexity of the Nursing Shortage

    The nursing shortage is not a new issue, but its severity has increased due to multiple factors. One of the primary concerns is the retirement of Baby Boomer nurses, which has widened the gap in experienced professionals (Richardson, 2011). Additionally, new graduate nurses struggle with the transition into practice, leading to high turnover rates in their first years (Amicucci et al., 2023). The COVID-19 pandemic further intensified the crisis, as many nurses left the profession due to stress and burnout (White & Godsey, 2024).

    The shortage impacts healthcare safety and quality. Research has shown that inadequate nurse-to-patient ratios contribute to higher mortality rates, increased medication errors, and lower patient satisfaction (Imes et al., 2023). The stress of high workloads and demanding shift schedules has been directly linked to burnout and job dissatisfaction (Greco et al., 2022). Furthermore, digitalization and the integration of advanced technology in healthcare settings present both opportunities and challenges for managing workforce shortages, requiring strategic leadership to ensure effective adoption (Gjellebæk et al., 2020).

    Impact on My Work Setting

    As a nursing supervisor in a subacute and long-term care facility, I have witnessed the nursing shortage’s direct effects on staff and residents. Short-staffing leads to increased workloads, making it difficult to provide the level of care our elderly residents require. Nurses working overtime, and extra shifts often experience physical exhaustion and emotional distress, increasing the likelihood of burnout and turnover. This shortage also affects patient care outcomes, as delays in medication administration, assessments, and response times can lead to complications.

    Social determinants of health, particularly access to quality healthcare and workforce stability, further exacerbate this issue. Underserved communities struggle to recruit and retain nurses, leading to disparities in care (Lee & Cook, 2024). Additionally, financial barriers, such as the rising cost of nursing education and insufficient incentives for nontraditional students, limit the pipeline of new nurses entering the field (Morgan & Somera, 2014).

    Transformational Leadership Strategies in Addressing the Nursing Shortage

    Transformational leadership plays a critical role in addressing the nursing workforce crisis. Broome and Marshall (2021) emphasize the need for strategic planning and adaptive leadership in navigating complex healthcare challenges. Effective leaders must foster resilience, innovation, and collaboration to sustain and strengthen the nursing workforce.

    Organizational Responses and Strategies

    Recognizing the severity of the nursing shortage, my healthcare facility has implemented several initiatives to improve retention and workforce sustainability:

    Recruitment and Training Programs:
     Partnering with local nursing schools to create residency programs has proven effective in supporting new graduate nurses and reducing early-career turnover (Amicucci et al., 2023).

    Flexible Scheduling and Wellness Support:
     Addressing burnout through flexible work arrangements and wellness initiatives can mitigate stress and improve retention rates (Imes et al., 2023).

    Financial Incentives and Career Pathways:
     Tuition reimbursement programs and professional development opportunities encourage career advancement, attracting and retaining skilled nurses (Lee & Cook, 2024).

    Technology Integration:
    Implementing AI-assisted monitoring tools and automated charting systems can reduce administrative burdens, allowing nurses to focus on patient care (Navaz et al., 2021).

    Nursing Staffing Shortage Healthcare Issue /stressor

    Challenges in Implementing Solutions

    While these interventions aim to alleviate the nursing shortage, challenges persist. Amalberti et al. (2019) highlight that increasing demands in healthcare require systemic changes, including workforce planning, improved efficiency, and policy adaptations. Additionally, operational research strategies can enhance resource allocation but require commitment from leadership and frontline staff for successful implementation (Carter & Busby, 2023).

    Transformational leadership is essential in overcoming these challenges. By fostering innovation, collaboration, and proactive workforce planning, healthcare leaders can drive sustainable solutions to the nursing shortage (Broome & Marshall, 2021) Nursing Staffing Shortage Healthcare Issue /stressor.

    Conclusion

    The nursing workforce shortage is a multifaceted issue that demands immediate and strategic action. Addressing this crisis requires a combination of workforce development, improved working conditions, leadership support, and policy changes. By implementing evidence-based strategies and embracing transformational leadership, healthcare organizations can build a sustainable nursing workforce and enhance patient care outcomes.

    References:

    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.

    Amicucci, B., Titus, D., & Warren, M. (2023). Let’s hang on! Ramping up nurse resident retention strategies after the pandemic. 
    Journal of Continuing Education in Nursing Nursing Staffing Shortage Healthcare Issue /stressor

    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.

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

    Carter, M. W., & Busby, C. R. (2023). How can operational research make a real difference in healthcare? Challenges of implementation. 
    European Journal of Operational Research, 306
    (3), 1059–1068.

    Gjellebæk, C., Svensson, A., Bjørkquist, C., Fladeby, N., & Grundén, K. (2020). Management challenges for future digitalization of healthcare services. 
    Futures, 124.

    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.

    Imes, C., Tucker, S., Trinkoff, A., Chasens, E., Weinstein, S., Dunbar-Jacob, J., Patrician, P., Redeker, N., & Baldwin, C. (2023). Wake-up call: Night shifts adversely affect nurse health and retention, patient and public safety, and costs. 
    Nursing Administration Quarterly.

    Lee, M., & Cook, K. (2024). Career pathway strategies that reduce barriers for nontraditional nursing students. 
    Creative Nursing.

    Morgan, D., & Somera, P. (2014). The future shortage of doctoral-prepared nurses and the impact on the nursing shortage. 
    Nursing Administration Quarterly.

    Navaz, A. N., Serhani, M. A., El Kassabi, H. T., Al-Qirim, N., & Ismail, H. (2021). Trends, technologies, and key challenges in smart and connected healthcare. 
    IEEE Access, 9,
     74044–74067.

    Richardson, K. (2011). The impact of retiring Baby Boomers on the nursing shortage. 
    Journal of Global Health Care Systems.

    Slonim, A. (2023). Top challenges facing healthcare: Back to basics. 
    Physician Leadership Journal, 10
    (2), 12–14.

    White, D., & Godsey, J. (2024). Distressed but not deterred: Nurses reveal solutions to the nursing shortage in the aftermath of a pandemic. 
    OJIN: The Online Journal of Issues in Nursing. Nursing Staffing Shortage Healthcare Issue /stressor