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ENG 106 – Cause and effect of low organ donation in the USA Essay

The USA has more than 150,000 on the transplant waiting list at any given time and yet only about 15,000 of them end up receiving the lifesaving organs. This implies that as much as 90% of persons in the transplant list end up not receiving the required organs. As many as 22 patients die every day because of medical conditions that could have been alleviated through receiving transplant organs. This state of affairs has been blamed on low organ donations and shortage of donors. The situation is further exacerbated by the fact that the USA has legislation in place that makes selling organs illegal. In fact, many countries have such legislations. This has created a unique situation in that is only expected to worsen if organ donations are not increased since the current demand greatly outweighs the supply (Flescher, 2018; Kaserman & Barnett, 2002). As such, there is a need for the USA to develop more aggressive strategies for procuring transplant organs.

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It is estimated that as much as 85% of the American population is ready to donate their organs. However, they are not well informed of their options and most of them end up dying without making the decision to become donors. Through publicity campaigns that inform potential donors about the ability to save a life and extend life through donating organs. ENG 106 – Cause and effect of low organ donation in the USA Essay. They can be made to understand that as much as 80% of the people on the waiting list will not get the lifesaving organs, and making the donations even in death could save lives. The publicity campaigns should be conducted in a manager that appeals to the heart and altruistic nature of potential donors, ending up making them feel compelled to make the donations (Flescher, 2018). To be more precise, the current publicity approaches must be faulted since they are typically applied in the emergency room when a potential donor is in critical condition or brain dead. In fact, the publicity can be considered insensitive since it is conducted at a time when family and loved ones are facing emotional turmoil over the loss of a loved. It is not surprising that most family members will refuse to donate the organs of a loved on when approached at a time of grief (Goodwin, 2006). ENG 106 – Cause and effect of low organ donation in the USA Essay

Rather than waiting until the potential donor is in critical condition, the publicity campaigns should be targeted at healthy individuals. This would allow the potential donors enough time to consider their choices and make rational decisions that play to their altruistic nature. Indeed, most donors are galvanized by the idea of continuing to live on through the organ recipients even after death so that someone will always be thankful to them for saving a life (Veatch & Ross, 2015).

It is evident that how to attract organ donors remains a concern in the USA. Most of the public is uninformed about the form and how to make donations. The public typically associated organ donations with living donors, and most are unaware that they could still donate some of their organs even after death. The government has tried to address this concern through creating an opt-in system that allows individuals to donate their organs upon death. This entails the donors registering in the national organ donor registry with the information indicated in the driver’s license. They registry has captured 28% of the US population, a commendable achievement that unfortunately has done very little to address the 90% organ shortage. Addressing the large gap between supply and demand of organs requires more radical thinking to include a first person-authorization consent that makes the intent to become a posthumous donor legally binding as an advance directive or living will (Tsouflas, 2018). ENG 106 – Cause and effect of low organ donation in the USA Essay

The fact is that organ donations are at very low levels. Perhaps it is time to reconsider the prohibition on organ trade and sale, or even consider introducing incentives. Although these options create opportunities for ethical abuse, the reality is that the current trends do not spell well for organ donations. While the US is still struggling with the potential for organ trade and sale being abused to exploit the poor, other countries such as Iran have successfully launched activities ENG 106 – Cause and effect of low organ donation in the USA Essay. Kidney sales average approximately $1,200 per organ in Iran. The result is a significant increase in supply to match demand with an ever present reserve so that the possibility of shortage is eliminated. Taken as a business activity, organ trade in Iran now conforms to the business principles of supply and demand with significant protections to eliminate the possibility of abuse (Fry-Revere, 2014; Satel, 2008).

With the high number of deaths of persons in organ transplant waiting list in the USA and the favorable organ trade results in Iran, perhaps it is time that the US legislature seriously considers the possibility of incentivizing organ donation to increase supply. Incentives do not necessarily have to be in the form of direct cash provision as has been the case in Iran. They can be in the form of better life opportunities for the doors, such as paying for future funeral expenses. It is understandable that the US legislature may be resistant to cash exchanges owing to the ethical implications of trade (such as the poor being abused and the perception that human life is for sale), but the reality is that America is hard pressed to increase organ donations and incentives offer a good opportunity (Farrell, Price & Quigley, 2011) ENG 106 – Cause and effect of low organ donation in the USA Essay.

Another option is the use of an opt-out legislation that automatically turns all Americans into organ donors upon death unless they sign documents to the contrary. Although not used in the USA, the opt-out system is successfully applied in at least 25 European countries. Unlike the USA that relies on altruistic motivations to realize 15% of organ demand being met, countries with the opt-out legislation report figures in excess of 90%. Although it is unclear whether such a system would work in the USA, the present state of affairs creates a situation in which this option must be tried. It is important to note that although an opt-out legislation would increase donation volumes, the increase may not be high since only approximately 2% of deaths occur in controlled environments with oxygenated blood flowing through the organs. ENG 106 – Cause and effect of low organ donation in the USA Essay This means that only 2% of deaths would present viable organs even if an opt-out legislation is applied. Such legislation had previously been proposed in 2014 but was met with significant opposition from capitalist systems that focus more on financial implications and associated profits (Tsouflas, 2018).

Yet another option is to introduce supportive legislation to enhance the opt-in legislation. It is not uncommon for family members to disregard a donor’s wishes and refuse to release organs as the decision does not financially benefit them. The US legislature can address this concern through introduce first-person authorization clause that is legally enforceable so that families disregarding the donors wishes and refusing to release organs can be prosecuted. There is similar legislation in place but it does not adequately address the issue. ENG 106 – Cause and effect of low organ donation in the USA Essay. Brain death first person consent legislation is in place prohibit next of kin from overriding person decisions to donate organs (Flescher, 2018).

However, the legislation is made inadequate by the fact that clinical death is a subjective concept. Some states interpret clinical death as irreversible loss of all brain functions, while other states interpret it as irreversible loss of cardiopulmonary functions. The two interpretations make it possible for next of kin to legally delay or halt organ donation activities by refusing to remove the family member from life support. In such case, the delay could reduce the viability of the donated organs. As such, there is a need for legislation to clarify the human functions that can be used to determine clinical death (Farrell, Price & Quigley, 2011). The ambiguity about what constitutes clinical death is not good for organ donation. Although this would be unsettling for the family members who still have hope of a miracle occurring and their loved ones recovering, the reality is that long delays has an effect on organ viability (Tsouflas, 2018). ENG 106 – Cause and effect of low organ donation in the USA Essay.

One must accept that America’s altruistic model has failed to match organ supply with demand, and persons in the organ transplant list are left with grim future as most of them do not get the lifesaving organs. 90% of persons in the organ waiting list are unlikely to receive the required organs. The implication is that the organ transplant management systems applied in the USA are lacking and inadequate, and there is a need for changes to increase organ donations so as to address the existing shortfall. ENG 106 – Cause and effect of low organ donation in the USA Essay. Firstly, there is a need for better publicity campaigns that appeal to the public’s altruistic nature and informs them about the available opportunities such as the possibility of making donations when alive and in death. Secondly, introducing incentives, and allowing for organ trade and sales with strict regulations to protect vulnerable populations. Thirdly, introducing opt-out legislation automatically turns all Americans into organ donors upon death unless they sign documents to the contrary. Finally, introducing supportive legislation to enhance opt-in legislation. In this respect, there is a need for the USA to develop more aggressive strategies for procuring transplant organs. ENG 106 – Cause and effect of low organ donation in the USA Essay.

 

References

Farrell, A., Price, D. & Quigley, M. (ed) (2011).
Organ shortage: ethics, law and pragmatism
. Washington, D.C.: Georgetown University Press.

Flescher, A. M. (2018).
The organ shortage crisis in America: incentives, civic duty, and closing the gap
. Washington, D.C.: Georgetown University Press. ENG 106 – Cause and effect of low organ donation in the USA Essay

Fry-Revere, S. (2014).
The kidney sellers: a journey of discovery in Iran
. Durham, NC: Carolina Academic Press.

Goodwin, M. (2006).
Black markets: the supply and demand of body parts
. Cambridge: Cambridge University Press.

Kaserman, D. L. & Barnett, A. H. (2002).
The US organ procurement systems: a prescription for reform
. Washington, D.C.: The AEI Press.

Satel, S. L. (2008).
When altruism isn’t enough: the case for compensating kidney donors
. Washington, D.C.: The AEI Press.

Tsouflas, G. (ed) (2018).
Organ donation and transplantation: current status and future challenges
. London: IntechOpen.

Veatch, R. M. & Ross, L. F. (2015).
Transplantation ethics
(2
nd
ed.). Washington, D.C.: Georgetown University Press. ENG 106 – Cause and effect of low organ donation in the USA Essay

ENG 106 Effect of US Foreign policy in the Middle East Essay

To help you prepare for your Cause and Effect essay on donating or selling organs, brainstorm general topics of interest and conduct an online inquiry as to possible causes and effects.

For example, you might have an interest on the effect of social media on children younger than thirteen years of age. You research young children in their tweens and discover that these individuals are more readily exposed to online interactive groups, such as Facebook, Twitter, or Web pages themed to attract a younger audience; this creates a root cause with the effect of having a large social network of friends.

This result becomes a new cause that leads to the effect of stronger Web-based communication skills, which leads to intuitive and up-to-date technology skills. This result leads to overuse of or possible Internet obsession, which results in decreased participation of afterschool activities, such as sports or music groups. This result leads to lack of focus on homework and a significant drop in academic performance, which results in poor quality of student work. The result is repeating the same grade level. ENG 106 Effect of US Foreign policy in the Middle East Essay.

Now, create your own cause-effect chain based on your online inquiry. Make sure the cause-effect chain is logical, plausible, and realistic.

Be sure to cite all sources used to compose your answer. Format your in-text citations and reference list entry according to GCU Style.

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My topic is on the effect of US Foreign policy in the Middle East. The War on Terror was in theory supposed to “to create an international environment inhospitable to terrorists and all those who support them.” (White House, 2003). That is not the case as Anti-American sentiments continue to grow due to drone strikes on the Arabian Peninsula. In January, hundreds of thousands of Iraqi citizens took to the streets of Baghdad to protest the presence of American troops, to attempt to reclaim their sovereignty. There is also the fact that we could not defeat al Qaeda and since the War on Terror began, we have seen the rise of the Islamic Emirate of Afghanistan (Talban), AQAP (al Qaeda in the Arabian Peninsula), and Daesh (Islamic State of Iraq and the Levant) ENG 106 Effect of US Foreign policy in the Middle East Essay. Worldwide terror has skyrocketed since the start of the War on Terror leading it to be considered a failure. (Thrall, 2017).

My topic is on the effect of US Foreign policy in the Middle East. The War on Terror was in theory supposed to “to create an international environment inhospitable to terrorists and all those who support them.” (White House, 2003). That is not the case as Anti-American sentiments continue to grow due to drone strikes on the Arabian Peninsula. In January, hundreds of thousands of Iraqi citizens took to the streets of Baghdad to protest the presence of American troops, to attempt to reclaim their sovereignty. There is also the fact that we could not defeat al Qaeda and since the War on Terror began, we have seen the rise of the Islamic Emirate of Afghanistan (Talban), AQAP (al Qaeda in the Arabian Peninsula), and Daesh (Islamic State of Iraq and the Levant). Worldwide terror has skyrocketed since the start of the War on Terror leading it to be considered a failure. (Thrall, 2017).

To help you prepare for your Cause and Effect essay on donating or selling organs, brainstorm general topics of interest and conduct an online inquiry as to possible causes and effects.

For example, you might have an interest on the effect of social media on children younger than thirteen years of age. You research young children in their tweens and discover that these individuals are more readily exposed to online interactive groups, such as Facebook, Twitter, or Web pages themed to attract a younger audience; this creates a root cause with the effect of having a large social network of friends ENG 106 Effect of US Foreign policy in the Middle East Essay.

This result becomes a new cause that leads to the effect of stronger Web-based communication skills, which leads to intuitive and up-to-date technology skills. This result leads to overuse of or possible Internet obsession, which results in decreased participation of afterschool activities, such as sports or music groups. This result leads to lack of focus on homework and a significant drop in academic performance, which results in poor quality of student work. The result is repeating the same grade level.

Now, create your own cause-effect chain based on your online inquiry. Make sure the cause-effect chain is logical, plausible, and realistic.

Be sure to cite all sources used to compose your answer. Format your in-text citations and reference list entry according to GCU Style. ENG 106 Effect of US Foreign policy in the Middle East Essay

Leadership and management nursing

Identify one specific contemporary issue or trend that you are interested in learning more about. Choose from the categories below. For example you might want to learn more about why it is more difficult for some groups to receive care than others, which would fall under Client Access to Care. Or, you might want to compare nursing practice in the U.S. with how nurses practice in Japan, which would fall under the category of Global Healthcare and Nursing.

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Global Healthcare and Nursing Healthcare Reform U.S. Healthcare Financing Nursing’s Role in the U.S. Healthcare System Integrative Healthcare Nursing Leadership and Management Nursing Education Nursing Practice Nursing Professionalism Advancing Nursing as a Profession Client Access to Care Delivering Client Care Interdisciplinary Teamwork and Collaboration Ethical Practices in Healthcare Quality and Safety in Healthcare Delivery Health/Nursing Informatics

Once the issue or trend is identified, find five important/significant facts about it, substantiated by an evidence-based article. Include the article in your submission. Leadership and management nursing

Create an 8-10 slide PowerPoint presentation with speaker notes, in-text citations and a reference page slide. Leadership and management nursing

Advanced Practice Nursing Legislation Essay Paper

Advanced Practice Legislation Paper

Select a bill that is related to Advanced Practice nursing and is currently in congress and address the following:

1. Provide a thorough description of the bill including the sponsor of the bill, committees, latest action, amendments, the number co-sponsors (include the name of the congressman from your state if applicable) and the reason the bill was presented. 10points

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2. Address how the bill relates to advanced practice nursing. For example, practice authority, reimbursement, collaborative practice, NP’s as primary care providers. What are the challenges to getting the bill passed? 15points

3. Address how this bill affects health care in general including cost savings, patient safety, quality, access to care. 20points Advanced Practice Nursing Legislation Essay Paper

4. Find an advanced practice professional organization and explain the purpose of the organization and the APN roles who participate in this organization. What are the benefits of joining this organization? Review their political advocacy portal to find out how they are involved political advocacy. Include the advocacy efforts they are currently engaged in. Are they involved in contacting legislators regarding current advanced practice legislation and specifically the bill you are discussing. Advanced Practice Nursing Legislation Essay Paper. What support or resources does the organization have for new members who want to be involved in legislation? How does the organization keep members abreast of upcoming legislation? For example: Sunset of the nurse practice act in your state. 30points

5. Contact your legislator through the “home” office (in your state, not Washington, D.C.) and convey to speak to someone about health-related legislation and tell them the name of the bill you want to discuss. Find out the legislator’s view point on the bill, whether or not they are in support of the bill and why or why not. 30 points

6. What is your viewpoint on the bill? Do you support passage of the bill? Why or why not? How can you as an advanced practice student participate in the passage of the bill? How will passage of the bill influence your practice? 10points Advanced Practice Nursing Legislation Essay Paper

7. APA-10points

Week 2 Practicum Journal: Safe Prescribing

There is probably no greater responsibility that the psychiatric mental health nurse practitioner assumes than the responsibility of prescribing medications. While someone can be harmed by psychotherapy, the level and intensity of the harm generally does not come to the same level of harm that can occur from improper prescribing. The PMHNP must understand his/her responsibility both at a state and federal level when it comes to prescribing medications.

In this Practicum Journal Assignment, you will explore the legalities associated with prescribing controlled substances, as well as what a DEA number is, how to obtain one, and, most importantly, how to prescribe controlled substances in your state. Practicum Journal: Safe Prescribing

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Learning Objectives

Students will:

• Analyze roles of the Drug Enforcement Administration

• Analyze PMHNP responsibilities when issued a DEA number

• Analyze DEA number application procedures

• Analyze state requirements for safe prescribing and prescription monitoring

• Analyze PMHNP responsibilities for safe prescribing and prescription monitoring

• Analyze Schedule II-V drug levels

** Assigned in Week 2 and submitted in Week 4.

To prepare for this Practicum Journal: Practicum Journal: Safe Prescribing

• Review the Learning Resources.

In 2-3 pages:

• Describe the role of the Drug Enforcement Administration (DEA) as it pertains to the PMHNP.

• Explain your responsibilities when having a DEA number.

• Explain how you apply for a DEA number.

• Explain your state’s requirements for a safe prescribing and prescription monitoring program. Explain your responsibility as a PMHNP to follow these requirements. Practicum Journal: Safe Prescribing

• Provide an example of a drug you may prescribe from each of the Schedule II-V drug levels.

NURS 6050: Politics and the Patient Protection and Affordable Care Act

Welcome to NURS 6050: Policy and Advocacy for Improving Population Health

Politics and the Patient Protection and Affordable Care Act

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society. NURS 6050: Politics and the Patient Protection and Affordable Care Act.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape. NURS 6050: Politics and the Patient Protection and Affordable Care Act.

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To Prepare:

Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

Consider who benefits the most when policy is developed and in the context of policy implementation.

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. NURS 6050: Politics and the Patient Protection and Affordable Care Act Then, explain how analyses of the votes views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. NURS 6050: Politics and the Patient Protection and Affordable Care Act.

Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

[Student name]

[College/ Institution]

Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

There are many national healthcare stressors or issues affecting and impacting healthcare organizations all over the United States. All of them require addressing, although some are more urgent than others. The healthcare issue chosen in this case and one of the most significant stressors at the moment is the issue of upskilling of healthcare professionals. In this context, these would be the nurses working within the healthcare organization. According to Ross (2019), upskilling is the process of retraining employees so that they can acquire new skills for them to continue practicing in their field with ease. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States. Recent developments (particularly technological) within and around healthcare have necessitated the requirement that workers such as nurses possess skillsets that are upgraded. As a matter of fact, upskilling was identified as one of the six important healthcare issues in 2019 by PwC Health Research Institute (Ross, 2019). Currently, whole healthcare workforces are threatened with redundancy by technologies such as artificial intelligence (AI) if they do not upskill. This includes nurses, who have traditionally not been involved with technology in the course of delivering nursing care (Teague, 2019). Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

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The impact to my healthcare organization of upskilling as a healthcare issue is immense. This is because emerging healthcare technologies are becoming more and more mandatory in diagnostics, therapeutics, and nursing care. Nurses are therefore finding themselves short of skills to deliver quality patient care. This makes the organization set aside resources to retrain and upgrade the skills of its nurses so that they can cope with the emerging technological changes. This, however, is an inevitably resource-intensive undertaking fir the organization. In my organization, for instance, the policy makers have already had to set aside funds for training of the nurses and other healthcare staff on the use of the recently introduced EHR. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States Already, upskilling is happening in the healthcare sector with the now standard requirement for electronic health records or EHR. That said, the hallmark of upskilling in healthcare is predicted to be artificial intelligence-assisted telehealth interventions (Teague, 2019) Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States.

Some of the Areas of Concern

Healthcare organizations must invest in the abilities of their workforce if they are to have a competitive advantage over their peers. Not doing so will of course render the organization unable to compete effectively in an ever-changing healthcare marketplace. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States. For instance, AI is more and more used in healthcare at the moment. What this means is that rising sophistication of emerging medical technologies is driving the need for upskilled health workers (Ross, 2019). The advent of digital therapeutics is the other area of concern. This is the treatment of disease using healthcare technologies to complement or replace traditional methods in disease management. The reality is that the clinical validation of these digital therapeutics products and connected medical devices is already being done by the Food and Drug Administration or FDA (Siwicki, 2019). This is an indicator of the urgency with which upskilling of healthcare staff like nurses should be treated. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

Two Articles on the Upskilling of Healthcare Workers as a Healthcare Issue of Concern

           
Rimmer (2018) has posited that doctors have to undergo additional training in order to be successful at using emerging healthcare technologies. This particular article addresses doctors as the healthcare workers of concern, but it has been chosen because the very same situation is true for the nurses. This article talks of a report that states that training is needed by doctors in areas such as artificial intelligence algorithms, genomics, and digital literacy. As mentioned above, that is the same treatment that nurse practitioners should also receive. The article goes ahead to stress that training is a must for healthcare staff in order to cope with emerging healthcare technologies.

Fralic (2013) on her part observes that the American healthcare system is undergoing change that is radical and monumental. She states, correctly, that with change there is need to re-strategise and re-organize to deliver quality healthcare. To do this, upskilling is a must to keep up with healthcare technologies. In other organizations in the healthcare sector, the same situation portends. They, too, are adopting the same approach of retraining to upskill nurses, doctors, and other health workers so that they can cope with the recent technological changes and continue to offer quality and safe patient care. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

Strategies to Address the Organizational Impact of Upskilling

Since the reality of upskilling in healthcare organizations is inevitable, it is essential to develop strategies that aim at addressing the organizational impact of this issue. Three strategies are especially helpful. First, the organization needs to introduce new technologies gradually to allow for adaptation and training. Second, upskilling should be made a policy initiative that features in the organization’s goals. Third and last, upskilling should be properly budgeted for like any other expense if it is to succeed (Fralic, 2013; Rimmer, 2018; Teague, 2019). Under no circumstances should upskilling be considered as an afterthought. These strategies impact my organization positively in that they are geared towards giving the organization a competitive advantage. On the negative side, however, budgeting means that this strategy will consume resources that the organization must set aside.

References

Fralic, M.F. (2013). Upskilling for new-era healthcare: Lessons from high impact readings.
Nurse Leader, 11
(4).
http://dx.doi.org/10.1016/j.mnl.2013.05.008

Rimmer, A. (2018). Upskill doctors to make the most of new medical technologies, report says.
BMJ,
361
(k2861). Doi: 10.1136/bmj.k2861 Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

Ross, J.R. (2019).
Upskilling could be an ideal treatment for healthcare’s employment woes
. Retrieved 4 March 2020 from
https://www.cardiovascularbusiness.com/topics/healthcare-economics/upskilling-could-be-ideal-rx-healthcares-employment-woes

Siwicki, B. (2019). Here are 6 major issues facing healthcare in 2019, according to PwC.
Healthcare ITNews
. Retrieved 4 March 2020 from
https://www.healthcareitnews.com/news/here-are-6-major-issues-facing-healthcare-2019-according-pwc

Teague, T. (2019).
Will healthcare employees need to be upskilled or reskilled as technology advances?
Retrieved 4 March 2020 from

Will Healthcare Employees Need to be Upskilled or Reskilled as Technology Advances?

 

Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

[Student name]

[College/ Institution]

 

Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

There are many national healthcare stressors or issues affecting and impacting healthcare organizations all over the United States. All of them require addressing, although some are more urgent than others. The healthcare issue chosen in this case and one of the most significant stressors at the moment is the issue of upskilling of healthcare professionals. In this context, these would be the nurses working within the healthcare organization. According to Ross (2019), upskilling is the process of retraining employees so that they can acquire new skills for them to continue practicing in their field with ease. Recent developments (particularly technological) within and around healthcare have necessitated the requirement that workers such as nurses possess skillsets that are upgraded. As a matter of fact, upskilling was identified as one of the six important healthcare issues in 2019 by PwC Health Research Institute (Ross, 2019). Currently, whole healthcare workforces are threatened with redundancy by technologies such as artificial intelligence (AI) if they do not upskill. This includes nurses, who have traditionally not been involved with technology in the course of delivering nursing care (Teague, 2019). Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

The impact to my healthcare organization of upskilling as a healthcare issue is immense. This is because emerging healthcare technologies are becoming more and more mandatory in diagnostics, therapeutics, and nursing care. Nurses are therefore finding themselves short of skills to deliver quality patient care. This makes the organization set aside resources to retrain and upgrade the skills of its nurses so that they can cope with the emerging technological changes. This, however, is an inevitably resource-intensive undertaking fir the organization. In my organization, for instance, the policy makers have already had to set aside funds for training of the nurses and other healthcare staff on the use of the recently introduced EHR. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States. Already, upskilling is happening in the healthcare sector with the now standard requirement for electronic health records or EHR Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States. That said, the hallmark of upskilling in healthcare is predicted to be artificial intelligence-assisted telehealth interventions (Teague, 2019).

Some of the Areas of Concern

Healthcare organizations must invest in the abilities of their workforce if they are to have a competitive advantage over their peers. Not doing so will of course render the organization unable to compete effectively in an ever-changing healthcare marketplace. For instance, AI is more and more used in healthcare at the moment. What this means is that rising sophistication of emerging medical technologies is driving the need for upskilled health workers (Ross, 2019). The advent of digital therapeutics is the other area of concern. This is the treatment of disease using healthcare technologies to complement or replace traditional methods in disease management. The reality is that the clinical validation of these digital therapeutics products and connected medical devices is already being done by the Food and Drug Administration or FDA (Siwicki, 2019). This is an indicator of the urgency with which upskilling of healthcare staff like nurses should be treated. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

Two Articles on the Upskilling of Healthcare Workers as a Healthcare Issue of Concern

           
Rimmer (2018) has posited that doctors have to undergo additional training in order to be successful at using emerging healthcare technologies. This particular article addresses doctors as the healthcare workers of concern, but it has been chosen because the very same situation is true for the nurses. This article talks of a report that states that training is needed by doctors in areas such as artificial intelligence algorithms, genomics, and digital literacy. As mentioned above, that is the same treatment that nurse practitioners should also receive. The article goes ahead to stress that training is a must for healthcare staff in order to cope with emerging healthcare technologies.

Fralic (2013) on her part observes that the American healthcare system is undergoing change that is radical and monumental. She states, correctly, that with change there is need to re-strategise and re-organize to deliver quality healthcare. To do this, upskilling is a must to keep up with healthcare technologies. In other organizations in the healthcare sector, the same situation portends. They, too, are adopting the same approach of retraining to upskill nurses, doctors, and other health workers so that they can cope with the recent technological changes and continue to offer quality and safe patient care. Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States.

Strategies to Address the Organizational Impact of Upskilling

Since the reality of upskilling in healthcare organizations is inevitable, it is essential to develop strategies that aim at addressing the organizational impact of this issue. Three strategies are especially helpful. First, the organization needs to introduce new technologies gradually to allow for adaptation and training. Second, upskilling should be made a policy initiative that features in the organization’s goals. Third and last, upskilling should be properly budgeted for like any other expense if it is to succeed (Fralic, 2013; Rimmer, 2018; Teague, 2019). Under no circumstances should upskilling be considered as an afterthought. These strategies impact my organization positively in that they are geared towards giving the organization a competitive advantage. On the negative side, however, budgeting means that this strategy will consume resources that the organization must set aside.

References

Fralic, M.F. (2013). Upskilling for new-era healthcare: Lessons from high impact readings.
Nurse Leader, 11
(4).
http://dx.doi.org/10.1016/j.mnl.2013.05.008

Rimmer, A. (2018). Upskill doctors to make the most of new medical technologies, report says.
BMJ,
361
(k2861). Doi: 10.1136/bmj.k2861 Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

Ross, J.R. (2019).
Upskilling could be an ideal treatment for healthcare’s employment woes
. Retrieved 4 March 2020 from
https://www.cardiovascularbusiness.com/topics/healthcare-economics/upskilling-could-be-ideal-rx-healthcares-employment-woes

Siwicki, B. (2019). Here are 6 major issues facing healthcare in 2019, according to PwC.
Healthcare ITNews
. Retrieved 4 March 2020 from
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Will Healthcare Employees Need to be Upskilled or Reskilled as Technology Advances?

s  Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

NURS 6053 week two assignment : Developing Organizational Policies and Practices

Assignment: Developing Organizational Policies and Practices

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

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Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice. NURS 6053 week two assignment : Developing Organizational Policies and Practices.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.

Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor. NURS 6053 week two assignment : Developing Organizational Policies and Practices

Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.

Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.

Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.

Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations. NURS 6053 week two assignment : Developing Organizational Policies and Practices

Dashboard and Health Care Benchmark Evaluation – South Dakota

Please reference to South Dakota benchmarks.

Review the performance dashboard for a health care organization, as well as relevant local, state, and federal laws and policies. Then, write a report for senior leaders in the organization that communicates your analysis and evaluation of the current state of organizational performance, including a recommended metric to target for improvement.

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Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set by relevant federal, state, and local laws and policies. An understanding of relevant benchmarks that result from these laws and policies, and how they relate to quality care and regulatory standards, is also vitally important Dashboard and Health Care Benchmark Evaluation – South Dakota.

Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Dashboard and Health Care Benchmark Evaluation – South Dakota Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.

How many health care laws can you name that affect your practice in your current or future workplace? How do they impact your daily work? How many regulatory agencies oversee the types of services your health care organization provides? Which regulatory agencies apply to your workplace setting? Are you familiar with the process of complying with those agencies in order to maintain certification? Dashboard and Health Care Benchmark Evaluation – South Dakota You might be overwhelmed as you consider these broad questions.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend or family member, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

What local, state, or federal health care policies or laws set benchmarks and standards reflected in performance dashboards common in your professional area of practice?

What are the potential challenges or opportunities for health care organizations or interprofessional teams in meeting prescribed performance benchmarks and standards? Factors you might consider include the organization’s mission, its size and resources, operational policies and procedures, and the population the organization serves.

Preparation

For this Dashboard and Health Care Benchmark Evaluation Simulation Paper assessment, you may choose one of the following three options for a performance dashboard to use as the basis for your benchmark evaluation.

Option 1: Dashboard and Health Care Benchmark Evaluation Simulation Dashboard and Health Care Benchmark Evaluation – South Dakota

If you decide to use one of the simulation dashboards for your evaluation, review both dashboards, as well as the relevant local, state, and federal laws and policies linked in each dashboard. Choose one of the dashboards and consider the metrics within it that are falling short of the prescribed benchmarks.

Option 2: Actual Dashboard From a Professional Practice Setting

If you choose an actual dashboard from a professional practice setting for your evaluation, be sure to add a brief description of the organization and setting that includes:

The size of the facility that the dashboard is reporting on.

The specific type of care delivery.Dashboard and Health Care Benchmark Evaluation – South Dakota

The population diversity and ethnicity demographics.

The socioeconomic level of the population served by the organization.

Note: Ensure that your data is Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.

Option 3: Hypothetical Dashboard Based on a Professional Practice Setting

If you have a sophisticated understanding of dashboards that are relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation, based on that setting. Your hypothetical dashboard must present at least four different metrics, at least two of which must be under-performing the relevant benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes: Dashboard and Health Care Benchmark Evaluation – South Dakota

The size of the facility that the dashboard is reporting on.

The specific type of care delivery.

The population diversity and ethnicity demographics.

The socioeconomic level of the population served by the organization.

Note: Ensure that your data is HIPAA compliant. Do not use any easily identifiable organization or patient information. Dashboard and Health Care Benchmark Evaluation – South Dakota

Report Requirements

Structure your Dashboard and Health Care Benchmark Evaluation Simulation Paper report in such a way that it would be easy for a colleague or supervisor to locate the information they need. Be sure to cite relevant local, state, or federal health care laws or policies when evaluating metric performance against prescribed benchmarks. Cite an additional 2–4 credible sources to support your analysis and evaluation of the challenges in meeting the benchmarks, the potential for performance improvement, and your advocacy for ethical action.

Note: The tasks outlined below correspond to grading criteria in the scoring guide.

In your report, be sure to:

Evaluate dashboard metrics against the benchmarks set by local, state, or federal health care laws or policies.

Which metrics are below the mandated benchmarks in the organization? Evaluate weaknesses within the entire set of benchmarks.

What are the local, state, or federal health care laws or policies that set these benchmarks?

Analyze challenges that meeting prescribed benchmarks can pose for the organization or for an interprofessional team.

What are the specific challenges or opportunities that the organization or interprofessional team might have in meeting the benchmarks? For example, consider: Dashboard and Health Care Benchmark Evaluation – South Dakota

The strategic direction of the organization. Dashboard and Health Care Benchmark Evaluation – South Dakota

The organization’s mission.

Available resources:

Operational and capital funding.

Physical space.

Support services (any ancillary department that supports a specific care unit in the organization, such as a pharmacy, cleaning services, and dietary services).

Cultural diversity in the organization.

Cultural diversity in the community. Dashboard and Health Care Benchmark Evaluation – South Dakota

Organizational processes and procedures.

How might these challenges be contributing to benchmark underperformance?

Evaluate a benchmark underperformance in the organization or interprofessional team that has the potential for greatly improving overall quality or performance.

Which metric is underperforming its benchmark by the greatest degree?

Which benchmark underperformance is the most widespread throughout the organization or interprofessional team?

Which benchmark affects the greatest number of patients?

Which benchmark affects the greatest number of staff?

How does this underperformance affect the community the organization serves?

Where is the greatest opportunity for improvement in the overall quality or performance of the organization or interpersonal team—and ultimately in patient outcomes?

Advocate for ethical action in addressing the benchmark underperformance that has the potential for greatly improving overall quality or performance. Dashboard and Health Care Benchmark Evaluation – South Dakota

At which group of stakeholders should your advocacy be directed? Which group could be expected to take the appropriate action to improve the benchmark metric?

What are some ethical actions that the stakeholder group could take that support improved benchmark performance?

Why should the stakeholder group take action?

Communicate your findings and recommendations in a professional and effective manner.

Ensure that your report is well organized and easy to read.

Write clearly and logically, using correct grammar, punctuation, and mechanics.

Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.

Did you cite relevant local, state, or federal health care laws or policies when discussing the mandated benchmarks?

Did you cite an additional 2–4 credible sources to support your analysis, evaluation, and advocacy? Dashboard and Health Care Benchmark Evaluation – South Dakota

Nursing Policy and Advocacy Essay

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.

Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.

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To Prepare:

Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).

Consider who benefits the most when policy is developed and in the context of policy implementation.

By Day 3 of Week 3

Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the votes views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria. Nursing Policy and Advocacy Essay.