Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.BELOW IS THE QUESTION—–Develop a 3 -page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.BELOW IS THE RESOURCES——-Required ReadingsBroome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.Chapter 2, “Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 34-62)Chapter 3, “Current Challenges in Complex Health Care Organizations and the Quadruple Aim” (pp. 66-97)Read any TWO of the following (plus TWO additional readings on your selected issue):Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358-2360. doi:10.1056/NEJMp1801869Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal. American Journal of Nursing, 118(2), 43-45.Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple Aim. Nursing Administration Quarterly, 42(3), 231-245.Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner-physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250-256.Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation? Journal of Professional Nursing, 33(6), 400-404.Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple Aim. Journal of the American Board of Family Medicine, 31(4), 588-604.Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformation. Human Resources for Health, 14(56), 1-15. doi:10.1186/s12960-016-0154-3. Retrieved fromhttps://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354-360.Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connected. Health Affairs, 32(11), 1874-1880.PLEASE MAKE SURE YOU ADD 4 REFENCES NOT MORE THAN 5 YEARS OLD AND MAKE SURE IT IS 7th edition with APA FORMAT.PLEASE MAKE SURE TO GO THROUGH THE RUBIC: CORE SKILL: connecting a national-level healthcare problem to a specific organizational impact, and back to a framework. The framework does the analytical work.
THE FRAMEWORK: the TRIPLE AIM (Berwick, IHI, 2008) — improve the PATIENT EXPERIENCE of care, improve POPULATION HEALTH, and REDUCE PER CAPITA COST. The QUADRUPLE AIM (Bodenheimer & Sinsky, 2014) adds a fourth: improve the WORK LIFE of clinicians and staff. The argument for the addition is the one to make explicitly: the first three aims are UNACHIEVABLE if the workforce delivering them is burned out — burnout drives turnover, medical error, reduced patient satisfaction, and cost. So the fourth aim is not a courtesy to staff; it is a PRECONDITION of the other three. (Note the emerging QUINTUPLE AIM, which adds HEALTH EQUITY as a fifth — citing this shows currency.)
CHOOSING YOUR ISSUE WELL: pick something with real data behind it — nurse staffing and burnout, workplace violence against healthcare workers, medication errors, hospital-acquired infections, readmission penalties, access disparities, EHR documentation burden and “pajama time,” moral injury.
THE ANALYTICAL MOVE THE RUBRIC WANTS: don’t just describe the issue — trace it through ALL FOUR AIMS. E.g., nurse understaffing: patient experience (lower HCAHPS, less time at the bedside), population health (higher failure-to-rescue and mortality — cite Aiken et al.), cost (turnover costs a large fraction of a nurse’s salary to replace; agency/traveler premiums; readmission penalties), and work life (burnout, moral distress, attrition — a self-reinforcing spiral). Showing the FEEDBACK LOOP between the fourth aim and the other three is what distinguishes a top-band paper.
THE COMPARATIVE SECTION (most versions require this): summarize how OTHER organizations have responded, with sources. Look for published interventions — Magnet designation, shared governance, nurse residency programs, scribes for documentation burden, Schwartz Rounds, safe-staffing legislation (California’s ratio law is the natural case study, and its evidence base is genuinely contested, which makes it a good thing to discuss rather than assert).
BURNOUT VOCABULARY worth getting right: Maslach’s three dimensions — emotional exhaustion, depersonalization, reduced personal accomplishment. And the important reframe: MORAL INJURY (Dean & Talbot) — the argument that “burnout” locates the pathology in the clinician and implies a resilience deficit, when the actual injury is being repeatedly prevented from doing what you know is right for the patient by systemic constraints. Using that distinction well is a strong move, because it reframes the intervention from yoga classes to system change.
STRUCTURE: describe the issue with data → its impact on your organization → how other organizations addressed it → what the strategies did or did not achieve → your evaluation.
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
