Category: Nursing

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    – 2 years ago **files (1)** – ## WK8RESPHEALTH1.docx **## WK8RESPHEALTH1.docx** NATIONAL AND GLOBAL NURSING PROFESSION ISSUES ![A room with a red carpeted floor and a podium Description automatically generated](https://www.sweetstudy.com/questions/wk-8-res) What issues are affecting healthcare? How …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## WK8RESPHEALTH1.docx

    **## WK8RESPHEALTH1.docx**

    NATIONAL AND GLOBAL  NURSING PROFESSION ISSUES

    ![A room with a red carpeted floor and a podium Description automatically generated](https://www.sweetstudy.com/questions/wk-8-res)

    What issues are affecting healthcare? How do these issues affect you, your practice, and/or your organization? How do these issues affect your patients?

    Throughout this course you have identified and supported an advocacy priority, focusing specifically on how best to move the agenda forward. Now is your opportunity to explore a specific issue affecting the nursing profession in the United States and a global health issues.. Nurses hold a front row seat to what is happening in healthcare. Nurses can see what is working and what is not working in the field on a daily basis. While it can be easy to focus specifically on our own practice and organization, healthcare is a global practice. And considering the impact of global initiatives, policy issues affecting nurses on a global scale can help us to better understand, remedy, connect, and even prepare for current or potential national issues.

    For this Discussion, consider what you have learned thus far about the political and social determinants of health and healthcare policy and advocacy. Identify a nursing issue that many impact you. What can be done about this issue? Who is impacted by this issue? How might policy remedy this issue?

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/148513/modules/items/5624108)

    [Readings](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · Dawes, D. E. (2020).
    _The political determinants of health_. Johns Hopkins University Press.

    · Chapter 4, “How the Game is Played: Successful Employment of the Political Determinants of Health” (pp. 78–111)

    · Porche, D. J. (2023).
    _Health policy: Applications for nurses and other healthcare professionals_(3rd ed.). Jones & Bartlett Learning.

    · Chapter 13, “Board Governance and Policy Leadership” (pp. 185–192)

    · Chapter 14, “Institutional and Organizational/ Association Policy” (pp. 193–199)

    · Chapter 17, “Policy Institutes” (pp. 255–264)

    · American Association of Nurse Anesthesiology. (2022).
    [_Advocacy and policyLinks to an external site._](https://www.aana.com/advocacy) _._ https://www.aana.com/advocacy

    · American Association of Nurse Practitioners. (2022).
    [_AANP advocacy: Championing the NP role and amplifying the NP voiceLinks to an external site._](https://www.aanp.org/advocacy) _._ https://www.aanp.org/advocacy

    · American Nurses Association. (2018).
    [_ANA advocacy toolkitLinks to an external site._](https://rnaction.org/SitePages/toolkit.aspx) _._ https://rnaction.org/SitePages/toolkit.aspx

    · American Nurses Association. (n.d.).
    [_Nurses serving in congressLinks to an external site._](https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/) _._ https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/

    · Centers for Disease Control and Prevention, Office of Policy, Performance, and Evaluation. (2021).
    [_Resources for writing briefs_ Links to an external site.](https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html). https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html

    · IDRC. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief). https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief

    · International Council of Nurses. (n.d.).
    [https://www.icn.ch/Links to an external site.](https://www.icn.ch/)

    · International Council of Nurses. (2022).
    [_Nursing policyLinks to an external site._](https://www.icn.ch/nursing-policy) _._ https://www.icn.ch/nursing-policy

    · National League for Nursing. (2022).
    [_Public policyLinks to an external site._](https://www.nln.org/public-policy) _._ https://www.nln.org/public-policy

    · National League for Nursing. (2022).
    [_Toolkit homeLinks to an external site._](https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits) _._ https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits

    · Open Secrets. (2021).
    [_Health professionalsLinks to an external site._](https://www.opensecrets.org/industries/indus.php?ind=H01) _: Summary._ https://www.opensecrets.org/industries/indus.php?ind=H01

    · Pitsker, K. (2019, November 26). How to run for local office.
    [_Kiplinger_ Links to an external site.](https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html). https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html

    ·
    [She Should RunLinks to an external site.](https://sheshouldrun.org/). (2020).
    [https://sheshouldrun.org/Links to an external site.](https://sheshouldrun.org/) **Note:** Explore this site on the topic of “Running for Elected Office.” You will need to join (free) to access the self-quizzes and materials.

    · United Nations. (n.d.). Sustainable development goals:
    [_17 goals to transform our worldLinks to an external site._](https://www.un.org/sustainabledevelopment/) _._ https://www.un.org/sustainabledevelopment/

    · Weakley, S., & Tarrega, M. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf). https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf

    ·
    **Document:** [Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209?wrap=1) [Download Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209/download?download_frd=1)(PDF)

    [Media](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · American Nurses Association. (2021, May 11). RNAction:
    [_When nurses speak, Washington listensLinks to an external site._](https://www.youtube.com/watch?v=IJD60OucJn0) [Video]. https://www.youtube.com/watch?v=IJD60OucJn0

    **Note:** The approximate length of this media piece is 1 minute.

    · Parks, M., & Weiner, C. (2019, October 19).
    [_How to run for office_ Links to an external site.](https://www.npr.org/2019/10/15/770332855/how-to-run-for-office) [Multimedia]. NPR. https://www.npr.org/2019/10/15/770332855/how-to-run-for-office

    To Prepare:

    · Review resources about nursing profession issues in the United States. Look specifically at the NLN and ANA website resources.

    · Review the global issues explored by the International Council of Nurses.

    · Consider a nursing issue that may impact you.

    · Consider what might be done about this issue.

    By Day 3 of Week 8

    **Select** a nursing profession issue happening in the United States or a global health issue.

    **Post** a response detailing the following:

    · Provide a clear and detailed description of the nursing profession issue.

    · Explain how you might be impacted by this issue.

    · Explore how this issue might be addressed and/or remedied through policy.

    By Day 6 of Week 8

    **Read** a selection of your colleagues’ posts.
    **Respond** to
    **at least two** of your colleagues on
    **2 different days** by supporting or expanding on the ideas identified by your colleagues or sharing additional perspectives on the issue described by your colleagues.

    RESPOND TO THE DISCUSSION POST

    **Keli Nata**

    **National and Global  Nursing Profession Issues**

    The nursing profession is confronting a significant crisis in the form of staffing shortages and retention challenges, which have profound implications for healthcare delivery and patient outcomes. The International Council of Nurses (ICN) has declared this issue a global health emergency, recognizing its severe impact on healthcare systems worldwide. In the United States, emergency departments have been particularly affected by these challenges, which have been exacerbated by the COVID-19 pandemic. This discussion examines the nursing shortage crisis, its effects on my role as an emergency room nurse in Florida, its impact on patient care, and potential policy solutions to address the problem.

    **Description of the Nursing Profession Issue**

    Nursing shortages and retention challenges stem from a variety of factors, including increasing workloads, insufficient compensation, workplace violence, and limited professional development opportunities. These challenges are particularly pronounced in emergency departments, where unpredictable patient volumes and high-acuity cases contribute to heightened stress levels. Emergency departments are struggling to maintain safe staffing levels, which results in increased burnout and turnover rates among nurses (Hodgson et al., 2024). Emergency department nurses frequently leave their roles due to inadequate organizational support, emotional exhaustion, and physical demands (McIntyre et al., 2024).

    Globally, the reliance on international nurse recruitment further complicates the issue. While cross-border mobility provides opportunities for individual nurses, it often depletes healthcare resources in low-income countries. The need for equitable international recruitment practices to prevent workforce imbalances and protect healthcare systems in source countries has been emphasized (International Council of Nurses, 2022).

    **Impact of the Issue on My Role**

    As an emergency room nurse in Florida, I experience firsthand the consequences of nursing shortages and retention issues. High patient-to-nurse ratios lead to increased workloads and reduced time for individualized patient care. This environment significantly heightens stress levels and the risk of burnout, which jeopardizes both nurse's well-being and their ability to provide high-quality care. In emergency settings, delays in care caused by understaffing can have life-threatening consequences for patients. Additionally, the lack of adequate staffing resources strains teamwork and collaboration, further compounding the challenges faced by emergency department nurses.

    The persistent demands of working in an understaffed emergency department also take a toll on mental health. Without sufficient organizational support, many nurses face difficulty managing the emotional and physical challenges of the job. Effective institutional policies are essential to support nurses in high-pressure environments, ensuring their well-being and retention (Porche, 2023).

    **Impact of the Issue on Patients**

    Nursing shortages profoundly affect patient outcomes. Longer wait times, reduced access to care, and compromised safety are direct consequences of inadequate staffing. In emergency departments, these delays can result in missed diagnoses, preventable complications, and increased mortality rates. Patients in high-stress situations also require emotional support, which is often unavailable due to the high demands on overworked nurses. Holistic care, including emotional and psychological support, is often sacrificed in understaffed environments, diminishing the overall quality of patient care (McIntyre et al., 2024).

    The global nursing crisis contributes to health inequities. Low-income communities, which are disproportionately affected by nursing shortages, experience reduced access to essential healthcare services, further exacerbating disparities in health outcomes (International Council of Nurses, 2022).

    **Policy Solutions to Address Nursing Shortages**

    To address the crisis of nursing shortages and retention, several policy interventions are needed at both the national and global levels. Workforce development policies should prioritize increasing the supply of nurses by expanding educational opportunities. Scholarships, loan forgiveness programs, and other financial incentives can attract more individuals to the profession. Collaboration between healthcare organizations and educational institutions is critical to addressing faculty shortages and ensuring adequate training opportunities for future nurses (Porche, 2023).

    Retention-focused policies are equally critical. Establishing safe staffing ratios through state or federal mandates can reduce workloads and improve job satisfaction. Providing competitive compensation, addressing workplace violence, and offering mental health resources can foster a supportive work environment. Organizational policies that prioritize nurse safety and well-being, particularly in emergency departments, are essential (Hodgson et al., 2024).

    At the global level, strengthening the World Health Organization’s voluntary code on international nurse migration can help balance workforce mobility with the need to protect source countries’ healthcare systems. High-income nations must also prioritize building self-sufficient nursing workforces to reduce reliance on international recruitment, which often exacerbates shortages in lower-income countries (International Council of Nurses, 2022).

    Emergency preparedness policies are essential for protecting nurses during public health crises. Including nurses in governance and planning for emergency responses can enhance workforce resilience and improve outcomes during future health emergencies (Dawes, 2020).

    **Conclusion**

    Nursing shortages and retention challenges are multifaceted issues with far-reaching consequences for healthcare delivery, patient outcomes, and nurse well-being. As an emergency room nurse in Florida, I witness the daily strain these challenges place on both staff and patients. Addressing these issues requires a comprehensive approach involving workforce development, retention strategies, global collaboration, and emergency preparedness policies. By prioritizing the well-being of nurses and the safety of patients, policymakers and healthcare organizations can create a sustainable nursing workforce capable of meeting the demands of modern healthcare systems.

    **References**

    American Nurses Association. (n.d.). Nurses serving in Congress. Retrieved from
    [https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/Links to an external site.](https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/)

    Dawes, D. E. (2020).
    _The political determinants of health._ Johns Hopkins University Press.

    Hodgson, N. R., Kwun, R., Gorbatkin, C., Davies, J., & Fisher, J. (2024). Emergency department responses to nursing shortages.
    _International Journal of Emergency Medicine, 17_(1), 51. https://doi.org/10.1186/s12245-024-00628-y

    International Council of Nurses. (2022). Nursing policy. Retrieved from
    [https://www.icn.ch/nursing-policyLinks to an external site.](https://www.icn.ch/nursing-policy)

    McIntyre, N., Crilly, J., & Elder, E. (2024). Factors that contribute to turnover and retention amongst emergency department nurses: A scoping review.
    _Journal of Emergency Nursing._

    National League for Nursing. (2022). Public policy. Retrieved from
    [https://www.nln.org/public-policyLinks to an external site.](https://www.nln.org/public-policy)

    Porche, D. J. (2023).
    _Health policy: Applications for nurses and other healthcare professionals_ (3rd ed.). Jones & Bartlett Learning.

    **Reply**

    ## image1.jpeg

    **## WK8RESPHEALTH1.docx**

    NATIONAL AND GLOBAL  NURSING PROFESSION ISSUES

    ![A room with a red carpeted floor and a podium Description automatically generated](https://www.sweetstudy.com/questions/wk-8-res)

    What issues are affecting healthcare? How do these issues affect you, your practice, and/or your organization? How do these issues affect your patients?

    Throughout this course you have identified and supported an advocacy priority, focusing specifically on how best to move the agenda forward. Now is your opportunity to explore a specific issue affecting the nursing profession in the United States and a global health issues.. Nurses hold a front row seat to what is happening in healthcare. Nurses can see what is working and what is not working in the field on a daily basis. While it can be easy to focus specifically on our own practice and organization, healthcare is a global practice. And considering the impact of global initiatives, policy issues affecting nurses on a global scale can help us to better understand, remedy, connect, and even prepare for current or potential national issues.

    For this Discussion, consider what you have learned thus far about the political and social determinants of health and healthcare policy and advocacy. Identify a nursing issue that many impact you. What can be done about this issue? Who is impacted by this issue? How might policy remedy this issue?

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/148513/modules/items/5624108)

    [Readings](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · Dawes, D. E. (2020).
    _The political determinants of health_. Johns Hopkins University Press.

    · Chapter 4, “How the Game is Played: Successful Employment of the Political Determinants of Health” (pp. 78–111)

    · Porche, D. J. (2023).
    _Health policy: Applications for nurses and other healthcare professionals_(3rd ed.). Jones & Bartlett Learning.

    · Chapter 13, “Board Governance and Policy Leadership” (pp. 185–192)

    · Chapter 14, “Institutional and Organizational/ Association Policy” (pp. 193–199)

    · Chapter 17, “Policy Institutes” (pp. 255–264)

    · American Association of Nurse Anesthesiology. (2022).
    [_Advocacy and policyLinks to an external site._](https://www.aana.com/advocacy) _._ https://www.aana.com/advocacy

    · American Association of Nurse Practitioners. (2022).
    [_AANP advocacy: Championing the NP role and amplifying the NP voiceLinks to an external site._](https://www.aanp.org/advocacy) _._ https://www.aanp.org/advocacy

    · American Nurses Association. (2018).
    [_ANA advocacy toolkitLinks to an external site._](https://rnaction.org/SitePages/toolkit.aspx) _._ https://rnaction.org/SitePages/toolkit.aspx

    · American Nurses Association. (n.d.).
    [_Nurses serving in congressLinks to an external site._](https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/) _._ https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/

    · Centers for Disease Control and Prevention, Office of Policy, Performance, and Evaluation. (2021).
    [_Resources for writing briefs_ Links to an external site.](https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html). https://www.cdc.gov/policy/polaris/training/writing-briefs/index.html

    · IDRC. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief). https://idrc-crdi.ca/en/funding/resources-idrc-grantees/how-write-policy-brief

    · International Council of Nurses. (n.d.).
    [https://www.icn.ch/Links to an external site.](https://www.icn.ch/)

    · International Council of Nurses. (2022).
    [_Nursing policyLinks to an external site._](https://www.icn.ch/nursing-policy) _._ https://www.icn.ch/nursing-policy

    · National League for Nursing. (2022).
    [_Public policyLinks to an external site._](https://www.nln.org/public-policy) _._ https://www.nln.org/public-policy

    · National League for Nursing. (2022).
    [_Toolkit homeLinks to an external site._](https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits) _._ https://www.nln.org/education/teaching-resources/professional-development-programsteaching-resources/toolkits

    · Open Secrets. (2021).
    [_Health professionalsLinks to an external site._](https://www.opensecrets.org/industries/indus.php?ind=H01) _: Summary._ https://www.opensecrets.org/industries/indus.php?ind=H01

    · Pitsker, K. (2019, November 26). How to run for local office.
    [_Kiplinger_ Links to an external site.](https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html). https://www.kiplinger.com/article/business/t043-c000-s002-how-to-run-for-local-office.html

    ·
    [She Should RunLinks to an external site.](https://sheshouldrun.org/). (2020).
    [https://sheshouldrun.org/Links to an external site.](https://sheshouldrun.org/) **Note:** Explore this site on the topic of “Running for Elected Office.” You will need to join (free) to access the self-quizzes and materials.

    · United Nations. (n.d.). Sustainable development goals:
    [_17 goals to transform our worldLinks to an external site._](https://www.un.org/sustainabledevelopment/) _._ https://www.un.org/sustainabledevelopment/

    · Weakley, S., & Tarrega, M. (n.d.).
    [_How to write a policy brief_ Links to an external site.](https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf). https://policyscotland.gla.ac.uk/wp-content/uploads/2021/04/TSRFWritingaPolicyBrief.pdf

    ·
    **Document:** [Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209?wrap=1) [Download Global Issues Impacting Nursing](https://waldenu.instructure.com/courses/148513/files/11127209/download?download_frd=1)(PDF)

    [Media](https://waldenu.instructure.com/courses/148513/pages/week-8-10-learning-resources?module_item_id=5624108)

    · American Nurses Association. (2021, May 11). RNAction:
    [_When nurses speak, Washington listensLinks to an external site._](https://www.youtube.com/watch?v=IJD60OucJn0) [Video]. https://www.youtube.com/watch?v=IJD60OucJn0

    **Note:** The approximate length of this media piece is 1 minute.

    · Parks, M., & Weiner, C. (2019, October 19).
    [_How to run for office_ Links to an external site.](https://www.npr.org/2019/10/15/770332855/how-to-run-for-office) [Multimedia]. NPR. https://www.npr.org/2019/10/15/770332855/how-to-run-for-office

    To Prepare:

    · Review resources about nursing profession issues in the United States. Look specifically at the NLN and ANA website resources.

    · Review the global issues explored by the International Council of Nurses.

    · Consider a nursing issue that may impact you.

    · Consider what might be done about this issue.

    By Day 3 of Week 8

    **Select** a nursing profession issue happening in the United States or a global health issue.

    **Post** a response detailing the following:

    · Provide a clear and detailed description of the nursing profession issue.

    · Explain how you might be impacted by this issue.

    · Explore how this issue might be addressed and/or remedied through policy.

    By Day 6 of Week 8

    **Read** a selection of your colleagues’ posts.
    **Respond** to
    **at least two** of your colleagues on
    **2 different days** by supporting or expanding on the ideas identified by your colleagues or sharing additional perspectives on the issue described by your colleagues.

    RESPOND TO THE DISCUSSION POST

    **Keli Nata**

    **National and Global  Nursing Profession Issues**

    The nursing profession is confronting a significant crisis in the form of staffing shortages and retention challenges, which have profound implications for healthcare delivery and patient outcomes. The International Council of Nurses (ICN) has declared this issue a global health emergency, recognizing its severe impact on healthcare systems worldwide. In the United States, emergency departments have been particularly affected by these challenges, which have been exacerbated by the COVID-19 pandemic. This discussion examines the nursing shortage crisis, its effects on my role as an emergency room nurse in Florida, its impact on patient care, and potential policy solutions to address the problem.

    **Description of the Nursing Profession Issue**

    Nursing shortages and retention challenges stem from a variety of factors, including increasing workloads, insufficient compensation, workplace violence, and limited professional development opportunities. These challenges are particularly pronounced in emergency departments, where unpredictable patient volumes and high-acuity cases contribute to heightened stress levels. Emergency departments are struggling to maintain safe staffing levels, which results in increased burnout and turnover rates among nurses (Hodgson et al., 2024). Emergency department nurses frequently leave their roles due to inadequate organizational support, emotional exhaustion, and physical demands (McIntyre et al., 2024).

    Globally, the reliance on international nurse recruitment further complicates the issue. While cross-border mobility provides opportunities for individual nurses, it often depletes healthcare resources in low-income countries. The need for equitable international recruitment practices to prevent workforce imbalances and protect healthcare systems in source countries has been emphasized (International Council of Nurses, 2022).

    **Impact of the Issue on My Role**

    As an emergency room nurse in Florida, I experience firsthand the consequences of nursing shortages and retention issues. High patient-to-nurse ratios lead to increased workloads and reduced time for individualized patient care. This environment significantly heightens stress levels and the risk of burnout, which jeopardizes both nurse's well-being and their ability to provide high-quality care. In emergency settings, delays in care caused by understaffing can have life-threatening consequences for patients. Additionally, the lack of adequate staffing resources strains teamwork and collaboration, further compounding the challenges faced by emergency department nurses.

    The persistent demands of working in an understaffed emergency department also take a toll on mental health. Without sufficient organizational support, many nurses face difficulty managing the emotional and physical challenges of the job. Effective institutional policies are essential to support nurses in high-pressure environments, ensuring their well-being and retention (Porche, 2023).

    **Impact of the Issue on Patients**

    Nursing shortages profoundly affect patient outcomes. Longer wait times, reduced access to care, and compromised safety are direct consequences of inadequate staffing. In emergency departments, these delays can result in missed diagnoses, preventable complications, and increased mortality rates. Patients in high-stress situations also require emotional support, which is often unavailable due to the high demands on overworked nurses. Holistic care, including emotional and psychological support, is often sacrificed in understaffed environments, diminishing the overall quality of patient care (McIntyre et al., 2024).

    The global nursing crisis contributes to health inequities. Low-income communities, which are disproportionately affected by nursing shortages, experience reduced access to essential healthcare services, further exacerbating disparities in health outcomes (International Council of Nurses, 2022).

    **Policy Solutions to Address Nursing Shortages**

    To address the crisis of nursing shortages and retention, several policy interventions are needed at both the national and global levels. Workforce development policies should prioritize increasing the supply of nurses by expanding educational opportunities. Scholarships, loan forgiveness programs, and other financial incentives can attract more individuals to the profession. Collaboration between healthcare organizations and educational institutions is critical to addressing faculty shortages and ensuring adequate training opportunities for future nurses (Porche, 2023).

    Retention-focused policies are equally critical. Establishing safe staffing ratios through state or federal mandates can reduce workloads and improve job satisfaction. Providing competitive compensation, addressing workplace violence, and offering mental health resources can foster a supportive work environment. Organizational policies that prioritize nurse safety and well-being, particularly in emergency departments, are essential (Hodgson et al., 2024).

    At the global level, strengthening the World Health Organization’s voluntary code on international nurse migration can help balance workforce mobility with the need to protect source countries’ healthcare systems. High-income nations must also prioritize building self-sufficient nursing workforces to reduce reliance on international recruitment, which often exacerbates shortages in lower-income countries (International Council of Nurses, 2022).

    Emergency preparedness policies are essential for protecting nurses during public health crises. Including nurses in governance and planning for emergency responses can enhance workforce resilience and improve outcomes during future health emergencies (Dawes, 2020).

    **Conclusion**

    Nursing shortages and retention challenges are multifaceted issues with far-reaching consequences for healthcare delivery, patient outcomes, and nurse well-being. As an emergency room nurse in Florida, I witness the daily strain these challenges place on both staff and patients. Addressing these issues requires a comprehensive approach involving workforce development, retention strategies, global collaboration, and emergency preparedness policies. By prioritizing the well-being of nurses and the safety of patients, policymakers and healthcare organizations can create a sustainable nursing workforce capable of meeting the demands of modern healthcare systems.

    **References**

    American Nurses Association. (n.d.). Nurses serving in Congress. Retrieved from
    [https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/Links to an external site.](https://www.nursingworld.org/practice-policy/advocacy/federal/nurses-serving-in-congress/)

    Dawes, D. E. (2020).
    _The political determinants of health._ Johns Hopkins University Press.

    Hodgson, N. R., Kwun, R., Gorbatkin, C., Davies, J., & Fisher, J. (2024). Emergency department responses to nursing shortages.
    _International Journal of Emergency Medicine, 17_(1), 51. https://doi.org/10.1186/s12245-024-00628-y

    International Council of Nurses. (2022). Nursing policy. Retrieved from
    [https://www.icn.ch/nursing-policyLinks to an external site.](https://www.icn.ch/nursing-policy)

    McIntyre, N., Crilly, J., & Elder, E. (2024). Factors that contribute to turnover and retention amongst emergency department nurses: A scoping review.
    _Journal of Emergency Nursing._

    National League for Nursing. (2022). Public policy. Retrieved from
    [https://www.nln.org/public-policyLinks to an external site.](https://www.nln.org/public-policy)

    Porche, D. J. (2023).
    _Health policy: Applications for nurses and other healthcare professionals_ (3rd ed.). Jones & Bartlett Learning.

    **Reply**

    ## image1.jpeg

  • [Solved] Week 2 Picot format.

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    While many different models for evidence-based practice (EBP) exist, a core methodology is shared within each. Central to EBP models is the review of scholarly sources to appraise the quality of evidence available regarding an identified practice issue or intervention. To guide the process, the deve…

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    Assignment Prompt & Instructions

    While many different models for evidence-based practice (EBP) exist, a core methodology is shared within each. Central to EBP models is the review of scholarly sources to appraise the quality of evidence available regarding an identified practice issue or intervention. To guide the process, the development of a PICOT statement is often the first step.

    A PICOT statement includes a brief description of the problem and population impacted, intervention, comparison, outcome, and anticipated timeframe to better understand the issue. This step provides clarity and direction as the critique of evidence from scholarly literature is initiated. The PICOT statement will be used in future assignments in this course.

    **General instructions**

    1. Download the [Week 2 PICOT Worksheet TemplateLinks to an external site.](https://cdn.brandfolder.io/74235FBJ/at/mgxp5z5z7wnj6bqp7tjr8p2f/NR585NP_Phase_6_Week_2_PICOT_Worksheet_Template_09_24.docx) to complete this assignment. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
    2. Complete the PICOT Worksheet Template using the scenario provided in the Week 1 announcements.
    3. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
    4. Use APA in-text citations and complete references to support your writing.
    5. Abide by Chamberlain University's academic integrity policy.

    **Include the following sections (detailed criteria listed below and in the grading rubric)**.

    1. **Practice Problem**
    1. Using the practice problem identified in the Week 1 discussion, summarize your practice problem in 2-3 sentences.
    2. Explain why the issue/concern is important to nurse practitioner practice.
    3. Provide an in-text citation from one scholarly source to support your writing.
    2. **PICOT Elements**: Discuss each of the following PICOT elements in one or two sentences.

    1. **P-Population**:

    1. What is the nursing practice concern or problem and whom does it affect? Be specific and narrow down your population. The population should be client-focused.
    2. **I–Intervention**:

    1. What evidence-based solution for the problem would you like to apply?
    2. Provide an in-text citation from one scholarly source to support your writing.
    3. **C–Comparison**:

    1. What is another solution to the problem? This is typically the current practice, an alternative solution, or no intervention.
    4. **O–Outcome**:

    1. How will you know the intervention worked?
    2. How will you measure the outcome?
    3. The outcome must be measurable from a baseline.
    5. **T–Timeframe**:

    1. What is the timeframe or the target completion date?
    3. **PICOT Question**: Write a PICOT question using standard formatting: In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

    1. Use the standard PICOT format and label each element.
    1. P-Population
    2. I-Intervention
    3. C-Comparison
    4. O-Outcome
    5. T-Timeframe
    4. **Keywords**: Identify keywords for each element of the PICOT question that could be used to support a literature search. Use Appendix B from Melnyk & Fineout-Overholt (2023) for guidance.

    1. P =
    2. I =
    3. C =
    4. O =
    5. T =

    ## Rubric

    **NR585NP_W2_ PICOT Question Worksheet Rubric** NR585NP_W2_ PICOT Question Worksheet RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePractice Problem3 Required Criteria

    1. Using the practice problem identified in the Week 1 discussion, summarize your practice problem in 2-3 sentences.

    2. Explain why the issue/concern is important to nurse practitioner practice.

    3. Provide an in-text citation from one scholarly source to support your writing. **10** **ptsExcellentAll requirements met.8** **ptsSatisfactory2 requirements met.5** **ptsNeeds Improvement1 requirement met.0** **ptsUnsatisfactoryNo requirements met.** 10 pts

    This criterion is linked to a Learning OutcomePICOT Elements5 Required Criteria

    Discuss each of the following PICOT elements in one or two sentences:

    1. P-Population and Problem: What is the nursing practice concern or problem and whom does it affect? Be specific and narrow down your population. The population should be client-focused. Provide an in-text citation from one scholarly source to support your writing.

    2. I–Intervention: What evidence-based solution for the problem would you like to apply? Provide an in-text citation from one scholarly source to support your writing.

    3. C–Comparison: What is another solution to the problem? This is typically the current practice, an alternative solution, or no intervention.

    4. O–Outcome: How will you know the intervention worked? How will you measure the outcome? The outcome must be measurable from a baseline.

    5. T–Timeframe: What is the timeframe or the target completion date? **35** **ptsExcellentAll requirements met.32** **ptsVery Good4 requirements met.29** **ptsSatisfactory3 requirements met.18** **ptsNeeds Improvement1-2 requirements met.0** **ptsUnsatisfactoryNo requirements met.** 35 pts

    This criterion is linked to a Learning OutcomePICOT Question6 Required Criteria

    Use the standard PICOT format and label each element.

    1. P-Population

    2. I-Intervention

    3. C-Comparison

    4. O-Outcome

    5. T-Timeframe

    6. Standard PICOT format used **25** **ptsExcellentAll requirements met.23** **ptsVery Good5 requirements met.21** **ptsSatisfactory4 requirements met.13** **ptsNeeds Improvement1-3 requirements met.0** **ptsUnsatisfactoryNo requirements met.** 25 pts

    This criterion is linked to a Learning OutcomeKeywords5 Required Criteria

    Identify keywords for each element of your PICOT question that could be used to support a literature search.

    1. P =

    2. I =

    3. C =

    4. O =

    5. T = **10** **ptsExcellentAll requirements met.9** **ptsVery Good4 requirements met.8** **ptsSatisfactory3 requirements met.5** **ptsNeeds Improvement1-2 requirements met.0** **ptsUnsatisfactoryNo requirements met,** 10 pts

    This criterion is linked to a Learning OutcomeAPA FormatCitation and Reference Formation

    Use the current APA format to format citations and references and is free of errors.

    Total Points: 90 [Previous](https://chamberlain.instructure.com/courses/164993/modules/items/23598363)

    – 2 years ago

  • [Solved] week 2 healthcare.

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    critically analyze a recent healthcare legislature and review the relevant literature. Nursing Role in the Legislature – 2 years ago

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    critically analyze a recent healthcare legislature and review the relevant literature. Nursing Role in the Legislature

    – 2 years ago

  • [Solved] wee4 last

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    2 references No artificial intelligence No plagiarism – 2 years ago **files (1)** – ## Casestudieweek4.docx **## Casestudieweek4.docx** Follow up Visit Patient Data: BG is a 44 yo male weighing 438 pounds at 5’ 8 was schedule as a regular follow up for the following rash: ![](https://www.sweetstudy….

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    2 references

    No artificial intelligence

    No plagiarism

    – 2 years ago

    **files (1)**

    – ## Casestudieweek4.docx

    **## Casestudieweek4.docx**

    Follow up Visit

    Patient Data: BG is a 44 yo male weighing 438 pounds at 5’ 8 was schedule as a regular follow up for the following rash:

    ![](https://www.sweetstudy.com/questions/wee4-last)

    1. Identify the picture

    1. Mention at least three differential diagnoses as part of your assessment and diagnostic strategies

    1. Discuss and describe the diagnosis

    1. Discuss lines of treatment for conclude diagnosis

    ## image1.png

    **## Casestudieweek4.docx**

    Follow up Visit

    Patient Data: BG is a 44 yo male weighing 438 pounds at 5’ 8 was schedule as a regular follow up for the following rash:

    ![](https://www.sweetstudy.com/questions/wee4-last)

    1. Identify the picture

    1. Mention at least three differential diagnoses as part of your assessment and diagnostic strategies

    1. Discuss and describe the diagnosis

    1. Discuss lines of treatment for conclude diagnosis

    ## image1.png

  • [Solved] Community Health Nursing

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    In-depth study guidance and analytical solution covering Community Health Nursing.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Nursing Assignment

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    In-depth study guidance and analytical solution covering Nursing Assignment.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Discussion Post

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    describe one reading that relates most closely to your project topic and how this microsystem will help you develop your change project. Go here: https://clinicalmicrosystem.org/knowledge-center/workbooks Then review "inpatient workbook" Chose reading to discuss. THIS IS PART ONE OF A TWO PART ASSIG…

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    Assignment Prompt & Instructions

    describe one reading that relates most closely to your project topic and how this microsystem will help you develop your change project.

    Go here: https://clinicalmicrosystem.org/knowledge-center/workbooks

    Then review "inpatient workbook"

    Chose reading to discuss.

    THIS IS PART ONE OF A TWO PART ASSIGNMENT. TOPICS MUST MATCH. THIS IS DUE EARLIER.

    this one is 2-3 paragraphs with APA sources.

    – 2 years ago

  • [Solved] Research question

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    1. Identify and describe the problem in clear and concise language. To help you think about what problem you might choose, keep in mind the health or nursing problems of the patient population(s) you currently serve, those you encountered in your clinical courses, or those you plan to work with in t…

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    Assignment Prompt & Instructions

    1. Identify and describe the problem in clear and concise language. To help you think about what problem you might choose, keep in mind the health or nursing problems of the patient population(s) you currently serve, those you encountered in your clinical courses, or those you plan to work with in the future.

    – Describe the clinical setting.
    – Describe the service area for the clinic and population groups who attend the clinic services.
    – What kinds of problems do you see in the clinic?

    1. Give a clear, explicit statement of the problem and target population, as well as the background of the specific problem relative to the clinical setting.

    – Is it broad enough that you can analyze it from many theoretical and conceptual points of view and make suitable plans to address the problem from a number of perspectives?
    – Is it of enough interest to you that you are willing to spend most of the semester thinking about it, assessing all its dimensions, planning in detail how to address it, and designing a detailed intervention and evaluation plan?

    1. Describe the significance of the evidence-based project that could be implemented in the selected setting to the nursing profession. Ask yourself why it is important to you. Consider your own clinical interest.

    – Describe clinical observations that point out the knowledge gap, clinical gap, etc.
    – Describe the significant research in the area that has been done that delineates the gap in our knowledge.

    – should be 3–4 pages in length, not including the cover or reference pages. Must reference a minimum of 3 scholarly sources.
    – THIS IS PART TWO OF TWO PART ASSIGNMENT. DUE DATES ARE DIFFERENT BUT ASSIGNMENT TOPICS NEED TO BE THE SAME.

    – 2 years ago
    – 13.5

  • [Solved] case study

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    Please help me fill out attach form – 2 years ago **files (1)** – ## Week2discussion.pdf **## Week2discussion.pdf** Dermatologic Differential of Common Skin Lesions and Rashes Name Cause Sign/symptoms Diagnostics Treatment Concerns Rocky Mountain Spotted Fever Tick bite Rickettsia rickettsii Fever, …

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    Assignment Prompt & Instructions

    Please help me fill out attach form

    – 2 years ago

    **files (1)**

    – ## Week2discussion.pdf

    **## Week2discussion.pdf**

    Dermatologic Differential of Common Skin Lesions and Rashes

    Name Cause Sign/symptoms Diagnostics Treatment Concerns
    Rocky
    Mountain
    Spotted
    Fever

    Tick bite
    Rickettsia
    rickettsii

    Fever, chills,
    severe
    headache, n/v,
    photophobia,
    myalgia,
    conjunctival
    injection,
    arthralgia; 2-5
    days after onset
    – rash
    (petechiae)
    starts on
    hands/feet to
    trunk (palmar
    rash)

    Antibody
    titers to
    rickettsia
    Punch
    biopsy
    CBC, LFT,
    CSF

    Doxycycline
    100mg BID
    for 7-14 days
    – can be fatal
    if not started
    on treatment
    within 8
    days.
    Remove tick
    by grasping
    closest to
    skin and
    apply steady
    upward
    pressure

    Can be
    fatal (3-
    9%)
    Highest
    in
    southeast
    ern/sout
    h central
    regions
    of US
    Most
    common
    Apr –
    Sept

    Erythema
    Migrans
    (Lyme
    disease)
    Meningococ
    cemia

    Varicella /
    Zoster

    Malignant
    Melanoma

    Basal Cell
    Carcinoma

    Actinic
    Keratosis

    Erythema
    Multiforme
    (Stevens-
    Johnson
    syndrome)

    Differential Diagnoses of Eye Emergencies

    Name Cause Signs/Sym
    ptoms

    Diagnostics Treatments Concerns

    Corneal
    Abrasion

    Trauma,
    foreign
    body,
    incorrect
    use of
    contact
    lenses

    Acute
    onset
    severe eye
    pain with
    tearing.
    Reports
    feeling of
    foreign
    body
    sensation

    Eye exam
    with
    Fluorescein
    dye

    Flush eye with
    sterile normal
    saline. Evert eyelid
    to look for foreign
    body. Topical
    antibiotic
    trimethoprim-
    polymyxin B
    (Polytrim),Ciproflox
    acin (Ciloxan),
    Ofloxacin (Ocuflox)
    to affected eye 3-5
    days.
    Do not patch eye.

    Contact
    Lens-
    Related
    Keratitis
    – acute
    onset red
    eye,
    blurred
    vision,
    watery
    eyes,
    photoph
    obia,
    foreign
    body
    sensation

    Hordeolum
    (Stye)

    Chalazion
    Pinguecula
    Pterygium
    Subconjunctiv
    al
    Hemorrhage

    Primary
    Open-Angle
    Glaucoma

    Macular
    Degeneration

    Differential Diagnoses of Common Headaches

    Name Sign/symptom
    s

    Aggravating
    factors

    Acute
    treatment

    Prophylaxis

    Migraine
    Without Aura

    Throbbing pain
    behind one
    eye,
    photophobia,
    N/V
    phonophobia,
    last 4-72 hr.

    Red wine,
    MSG,
    aspartame,
    menstruation,
    stress

    Ice pack on
    forehead, rest
    in dark quiet
    room
    Triptans, Tigan
    suppositorie

    TCAs
    Episodic
    migraine (<14
    days per
    month)
    Beta-blockers

    Migraine With
    Aura

    Trigeminal
    Neuralgia (CN
    V)

    Cluster
    Muscle Tension

    Part 2: Case Study

    A 48-year-old male presents with a two-month history of nighttime headaches that are
    becoming more frequent. The pain awakens him at night. He has no other somatic
    complaints and no other significant medical history. Complete chart below.

    In SOAP format, discuss what questions you would ask the patient (Review of Systems),
    what physical exam elements you would include, what further testing you would want to
    have performed (if any), differential and working diagnosis, treatment plan, including
    inclusion of complementary and OTC therapy, referrals and other team members needed
    to complete patient care.

    Differential Signs/Symptoms
    Gold
    Standard
    Diagnostics

    Gold Standard Treatment

    Ex:
    Temporal
    arteritis
    (giant cell
    arteritis/GC
    A)

    Unilateral pain, temporal
    area with scalp
    tenderness, skin over
    artery is indurated,
    tender, warm and
    reddened; amaurosis
    fugax (temporary
    blindness).

    Medical
    urgency –
    refer to ED or
    Ophthalmolog
    ist

    High dose steroids
    \* Dose and route of
    administration of glucocorticoids
    for newly diagnosed GCA varies
    depending on whether patient
    presents with or without
    threatened or established visual
    loss at diagnosis.

    1.

    2.

    3.

    4.

    5.

    **## Week2discussion.pdf**

    Dermatologic Differential of Common Skin Lesions and Rashes

    Name Cause Sign/symptoms Diagnostics Treatment Concerns
    Rocky
    Mountain
    Spotted
    Fever

    Tick bite
    Rickettsia
    rickettsii

    Fever, chills,
    severe
    headache, n/v,
    photophobia,
    myalgia,
    conjunctival
    injection,
    arthralgia; 2-5
    days after onset
    – rash
    (petechiae)
    starts on
    hands/feet to
    trunk (palmar
    rash)

    Antibody
    titers to
    rickettsia
    Punch
    biopsy
    CBC, LFT,
    CSF

    Doxycycline
    100mg BID
    for 7-14 days
    – can be fatal
    if not started
    on treatment
    within 8
    days.
    Remove tick
    by grasping
    closest to
    skin and
    apply steady
    upward
    pressure

    Can be
    fatal (3-
    9%)
    Highest
    in
    southeast
    ern/sout
    h central
    regions
    of US
    Most
    common
    Apr –
    Sept

    Erythema
    Migrans
    (Lyme
    disease)
    Meningococ
    cemia

    Varicella /
    Zoster

    Malignant
    Melanoma

    Basal Cell
    Carcinoma

    Actinic
    Keratosis

    Erythema
    Multiforme
    (Stevens-
    Johnson
    syndrome)

    Differential Diagnoses of Eye Emergencies

    Name Cause Signs/Sym
    ptoms

    Diagnostics Treatments Concerns

    Corneal
    Abrasion

    Trauma,
    foreign
    body,
    incorrect
    use of
    contact
    lenses

    Acute
    onset
    severe eye
    pain with
    tearing.
    Reports
    feeling of
    foreign
    body
    sensation

    Eye exam
    with
    Fluorescein
    dye

    Flush eye with
    sterile normal
    saline. Evert eyelid
    to look for foreign
    body. Topical
    antibiotic
    trimethoprim-
    polymyxin B
    (Polytrim),Ciproflox
    acin (Ciloxan),
    Ofloxacin (Ocuflox)
    to affected eye 3-5
    days.
    Do not patch eye.

    Contact
    Lens-
    Related
    Keratitis
    – acute
    onset red
    eye,
    blurred
    vision,
    watery
    eyes,
    photoph
    obia,
    foreign
    body
    sensation

    Hordeolum
    (Stye)

    Chalazion
    Pinguecula
    Pterygium
    Subconjunctiv
    al
    Hemorrhage

    Primary
    Open-Angle
    Glaucoma

    Macular
    Degeneration

    Differential Diagnoses of Common Headaches

    Name Sign/symptom
    s

    Aggravating
    factors

    Acute
    treatment

    Prophylaxis

    Migraine
    Without Aura

    Throbbing pain
    behind one
    eye,
    photophobia,
    N/V
    phonophobia,
    last 4-72 hr.

    Red wine,
    MSG,
    aspartame,
    menstruation,
    stress

    Ice pack on
    forehead, rest
    in dark quiet
    room
    Triptans, Tigan
    suppositorie

    TCAs
    Episodic
    migraine (<14
    days per
    month)
    Beta-blockers

    Migraine With
    Aura

    Trigeminal
    Neuralgia (CN
    V)

    Cluster
    Muscle Tension

    Part 2: Case Study

    A 48-year-old male presents with a two-month history of nighttime headaches that are
    becoming more frequent. The pain awakens him at night. He has no other somatic
    complaints and no other significant medical history. Complete chart below.

    In SOAP format, discuss what questions you would ask the patient (Review of Systems),
    what physical exam elements you would include, what further testing you would want to
    have performed (if any), differential and working diagnosis, treatment plan, including
    inclusion of complementary and OTC therapy, referrals and other team members needed
    to complete patient care.

    Differential Signs/Symptoms
    Gold
    Standard
    Diagnostics

    Gold Standard Treatment

    Ex:
    Temporal
    arteritis
    (giant cell
    arteritis/GC
    A)

    Unilateral pain, temporal
    area with scalp
    tenderness, skin over
    artery is indurated,
    tender, warm and
    reddened; amaurosis
    fugax (temporary
    blindness).

    Medical
    urgency –
    refer to ED or
    Ophthalmolog
    ist

    High dose steroids
    \* Dose and route of
    administration of glucocorticoids
    for newly diagnosed GCA varies
    depending on whether patient
    presents with or without
    threatened or established visual
    loss at diagnosis.

    1.

    2.

    3.

    4.

    5.

  • [Solved] slide discussion

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.