The policy for ethical considerations, and the police’s strengths and challenges in promoting ethics.
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.
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 assistive personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.
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.
- Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
The Assignment (4-5 pages):
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 police’s strengths and challenges in promoting ethics.
| Excellent | Good | Fair | Poor | |
| Add a section to the paper you submitted in Module 1. In 4–5 pages, address the following: · Identify and describe at least two competing needs impacting your selected healthcare issue/stressor. | 23 (23%) – 25 (25%)
The response accurately and clearly identifies at least two competing needs impacting the healthcare issue/stressor selected. |
20 (20%) – 22 (22%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected. |
18 (18%) – 19 (19%)
The response identifies at least two competing needs impacting the healthcare issue/stressor selected that is vague or inaccurate. |
0 (0%) – 17 (17%)
The response describes at least two competing needs impacting the healthcare issue/stressor selected that is vague and inaccurate, or is missing. |
| · 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. | 27 (27%) – 30 (30%)
The response accurately and thoroughly describes in detail a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected. The response accurately and thoroughly critiques in detail the policy for ethical considerations and explains in detail the policy’s strengths and challenges in promoting ethics. |
24 (24%) – 26 (26%)
The response accurately describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected. The response accurately critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics. |
21 (21%) – 23 (23%)
The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague or inaccurate. The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague or inaccurate. |
0 (0%) – 20 (20%)
The response describes a relevant policy or practice in an organization that may influence the healthcare issue/stressor selected that is vague and inaccurate, or is missing. The response critiques the policy for ethical considerations and explains the policy’s strengths and challenges in promoting ethics that is vague and inaccurate, or is missing. |
| · 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. | 27 (27%) – 30 (30%)
The response provide one or more accurate, clear, and thorough recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. Specific and accurate examples are provided. Accurate and detailed evidence is cited that informs the healthcare issue/stressor selected and a specific synthesis of at least two outside scholarly resources in full support of the policy or practice recommendations is provided. The response integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the healthcare issue/stressor selected. |
24 (24%) – 26 (26%)
The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. Specific examples may be provided. Evidence is cited that informs the healthcare issue/stressor selected and a synthesis of at least one outside scholarly resource that may support the policy or practice recommendations is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the healthcare issue/stressor selected. |
21 (21%) – 23 (23%)
The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague or inaccurate. Examples may be provided. Vague or inaccurate evidence is cited from 2 or 3 resources that informs the healthcare issue/stressor selected and may support the policy or practice recommendations provided. |
0 (0%) – 20 (20%)
The response provides one or more recommendations for policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies that is vague and inaccurate, or is missing. Examples are missing. Vague and inaccurate evidence is cited that informs the healthcare issue/stressor and may include at least 1 scholarly resource that vaguely and inaccurately supports the policy practice recommendations is provided, or is missing. |
Developing Organizational Policies and Practices
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Developing Organizational Policies and Practices
The Policy for Ethical Considerations and the Police’s Strengths and Challenges in Promoting Ethics
“If you want your organization to succeed, then you must first let your leaders succeed so that the team under them succeed.” (Aiyaz Uddin). Organizations have to develop policies and procedures reflecting their vision, values, and culture as well as the requirement of their employees, which serve as the key to the development of the organizational policies and procedures. An organization’s policy is an arrangement of restrictions that provide guidance, consistency, accountability, competency, and clarity on how an organization operates (Pebrianti et al., 2019). It is essential to update policies and procedures in an organization, as outdated policies can leave an organization at risk. Old policies may fail to comply with new laws and regulations and may not address new systems or technology, resulting in inconsistent practice. Organizational policies may be, however, disadvantageous as the rigid nature of business rules and regulations may make it challenging to implement changes as, by their nature, business rules tend to be inflexible and binary, creating a rigid framework for the employees. This essay will explore the competing needs impacting hospital-acquired pneumonia, a relevant policy or practice in a healthcare organization influencing hospital-acquired pneumonia, the policy for ethical considerations, and one policy to balance the competing needs of resources, workers, and patients.
Competing Needs Impacting Hospital-Acquired Pneumonia
There are various competing needs impacting HAP. The first competing need impacting HAP is time demand, whereby time acts as an obstacle preventing medical personnel from completing patient care duties. In such a case, the care duties are completed within the needed time so that one can engage in other activities, such as hand washing (Valentine et al., 2022). Time being a limitation limiting the availability of hygiene stations, nurse-patient ratios and patient acuity requirements, there is a need to develop strategies to improve care delivery. Another competing need that impacts hospital-acquired pneumonia is the overcrowding of patients where low nurse staffing levels are a concern as they result in poor management associated with high adverse outcomes rates for HAP (Guimarães & Costa, 2018). In brilliant care settings, understaffing among medical personnel facilitate the occurrence of HAP through relaxed attention to basic infection control measures and care delivery, and it happens because the number of assigned personnel is fewer than the number of staff members involved in the workload. A last but not least competing need that impacts hospital-acquired pneumonia is the use of medical equipment like endotracheal incubation and mechanically assisted ventilation, appropriate enabling patients to maintain life bit present chances for HAP incidences. Such competing needs can significantly influence HAP incidences and it is essential for healthcare professions to come up with strategies to overcome them.
Policy or Practice in an Organization Influencing Hospital-Acquired Pneumonia
In this case, the focus will be on an organization applying infection control practices related to the use of medical equipment in essential care, which has implications for hospital-acquired pneumonia. Protocols have identified the best strategies for disinfecting and sterilizing equipment and maintaining instruments to ensure patients do not contaminate with new pathogens causing HAP. The organization has implemented strategies to manage mechanical ventilators to reduce the risk of hospital-acquired pneumonia. The organization emphasizes that single-use devices should not be reused since they have complications for their effectiveness, safety and performance, which exposes patients to gratuitous risks (Uddin, 2021). The organization developed a strategy for managing ventilator circuits, instructing that they should be charged weekly unless they are damaged or spoiled, in which case they should be replaced, and each patient should use a new ventilator circuit tubing. Additionally, contamination should be prevented by having medical personnel wearing facial protection when closed breathing circuits are disconnected when dealing with highly communicable infections. Nebulizers can become contaminated by acting as a HAP source (Jung et al., 2022). The organization suggests that new nebulizers must be used for single patients and disinfected and cleaned using sterile water between use. Reusable resuscitation equipment has to be decontaminated following the manufacturer’s instructions between each use to reduce the risks of HAP. It is recommendable that all equipment be managed by using basic hygienic measures, including single-patient use and sterilization between uses. Such policies in an organization should be applied in equipment management to minimize HAP chances by eliminating pathogens and preventing cross-contamination.
Policy for Ethical Considerations, Strength and Challenges in Promoting Ethics
Equipment management strategies entail decontaminating and sterilizing equipment through chemical and physical means which inactivates and removes pathogens until they cannot transmit infections. It is essential to adhere to the strategies for better outcomes and failure, which can result in severe consequences as it can increase the case of HAP. The policy is in position with the ethical responsibility and duty for medical personnel to offer quality and safe care when protecting patient rights and being responsible to the relevant professional governing bodies (Fawaz et al., 2020). Medical personnel are responsible for being the advocates of the healthcare system and patient, using their unique complement of skills, competencies and knowledge to ensure that medical equipment is safe for use and that there are reduced chances for hospital-acquired pneumonia. Medical personnel must perform their duties ethically, ensuring that patients are not internationally exposed to harm due to the availability of a wide range of more complex medical equipment and the increased focus on sterilizing the equipment for reuse and saving on cost. According to Motloba (2019), medical personnel must adhere to the principle of non-maleficence by prioritizing patient safety and harm prevention. Decontamination and sterilization strategies ensure that medical equipment is free from pathogens. It is clear that the engagement is a designed process that endorses safety settings that minimizes the opportunities for hospital-acquired pneumonia.
Conclusion
Developing organizational policies and practices is vital for the prevention of hospital-acquired pneumonia and promotes ethical consideration in a healthcare organization, where competing needs such as time demands, overcrowding of patients, and the use of medical equipment such as endotracheal intubation and mechanically assisted ventilation, can have an impact on the implementation of policies necessary for the prevention of HAP. Policies and practices that rank infection control measures, including hand hygiene and timely removal of urinary catheters, have been functional in minimizing the opportunities for HAP. It is essential to critique policies for ethical consideration as they may rank cost-saving measures over patient safety. Policies ranking ethical considerations and infection control measures can successfully minimize the chances of HAP promoting a culture of safety in a healthcare organization.
References
Fawaz, M., Anshasi, H., & Samaha, A. (2020). Nurses at the front line of COVID-19: Roles, responsibilities, risks, and rights. The American journal of tropical medicine and Hygiene, 103(4), 1341.
Guimarães, T., & Costa, S. F. (2018). New Interventions Targeting Healthcare-Associated Infections. Current Treatment Options in Infectious Diseases, 10, 78-89. https://doi.org/10.1007/s40506-018-0147-y
Jung, Y. J., Kim, E. J., & Choi, Y. H. (2022). Aerosolized antibiotics in the treatment of hospital-acquired pneumonia/ventilator-associated pneumonia. The Korean Journal of Internal Medicine, 37(1), 1.
Motloba, P. D. (2019). Non-maleficence-a disremembered moral obligation. South African Dental Journal, 74(1), 40-42. http://dx.doi.org/10.17159/2519-0105/2019/v74no1a7
Pebrianti, S., & Aziza, N. (2019). Effect of clarity of budget objectives, accounting control, reporting systems, compliance with regulation on performance accountability of government agencies. In 1st Aceh Global Conference (AGC 2018) (pp. 396-410). Atlantis Press.
Uddin, M. (2021). Blockchain Medledger: Hyperledger fabric enabled drug traceability system for counterfeit drugs in pharmaceutical industry. International Journal of Pharmaceutics, 597, 120235. https://doi.org/10.1016/j.ijpharm.2021.120235
Valentine, J. C., Gillespie, E., Verspoor, K. M., Hall, L., & Worth, L. J. (2022). Performance of ICD-10-AM codes for quality improvement monitoring of hospital-acquired pneumonia in a haematology-oncology casemix in Victoria, Australia. Health Information Management Journal, 18333583221131753. https://doi.org/10.1177/18333583221131753
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