If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption?
These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.
In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.
To Prepare:
- Review the Resources and select one current national healthcare issue/stressor to focus on.
- Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.
By Day 3 of Week 1
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.
Discussion Week One
Laureate education (2015) states, that one thing that individuals and leaders can do to be prepared for healthcare challenges of the future is to develop cultural competency, gain skills to view multiple perspectives, and develop greater understanding the survival side of any healthcare organization. I can’t think of better wisdom while in the midst of the worldwide COVID-19 pandemic. This healthcare crisis has, for better or worse, brought out a side of healthcare that no one could have ever imagined. Everything from massive amounts of casualties all over the world to shortages on equipment, that just months ago were in abundant excess. Healthcare workers around the globe are learning new and creative ways to evaluate and treat patients. According to the Centers for Disease Control and Prevention (2020), the death toll in the United States as of this week is 88,243 people (Table 2).
In my work setting the dealing of this virus has been like receiving a slow-motion form of whip lash for the last three months. The initial shock of the virus instilled fear and out of fear came administrative decisions of great impact. With resources immediately being used and unavailable for reorder, special equipment had to be purchased to protect the staff. After shelter in place orders went out, people stopped coming into the hospitals and therefore the problems began. With outpatient day surgery being canceled, limited census on hospital floors, and spending what’s left of the budget on PPE stockpiles, money ran out quickly. Last week at my organization laid off 22 employees permanently and another 57 furloughed for a month.
The American Hospital Association (2020), stated hospitals and health systems all over are facing catastrophic financial challenges in light of the COVID-19 pandemic (para 3). The impact of the virus has had a full circle effect; impacting every person sick and every person caring for the sick in different horrible ways. My organization guaranteed our pay from May 1st, 2020 to June 8th, 2020. After June 8th, the furloughs will begin. Another wonderful thing my organization did was protect us. Not one staff member from my hospital got the virus and I believe it is because they went over and above to protect the staff. I know the layoffs and furloughs are necessary for survival but seeing coworkers and friends being sent home is painful; opening my mind to the survival aspect of healthcare is necessary for my future in it. NURS 6053 week 1 Discussion: Review of Current Healthcare Issues
References
American Hospital Association. (2020). Hospital and health systems face unprecedented
financial pressures due to COVID-19. Retrieved June 2, 2020 from
Centers for Disease Control and Prevention. (2020). Daily updates of totals by week and state.
Retrieved June 2, 2020 from, https://www.cdc.gov/nchs/nvss/vsrr/covid19/index.htm
Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future
[Video file]. Baltimore, MD: Author.
By Day 6 of Week 1
Respond to at least two of your colleagues on two different days who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor.NURS 6053 week 1 Discussion: Review of Current Healthcare Issues
It is unfortunate how much impact the COVID-19 crisis has had on every single person in this country and across the world. it has been very scary for health care providers especially nurse to provide direct care to patients. with limited PPEs and personnel, nurses risk their lives each day when they step out to care for their patients. Despite all these dedications, health care workers are laid off as a result of low patient Census. I believe that there must be a system where jobs are protected for health care workers in any crisis. the federal government needs to work with each state to ensure job protection for our health care workers. Another important issue to address is that, there must be federal. state and local regulations that will mandate hospitals and other health care institutions to have surplus PPEs in stock to be used in times of crisis-at least 3 months supply of PPEs. The federal and state government need to make provision of these PPEs to the various institutions. Job security and availability of PPEs for health care workers is important especially during this time of uncertainties.
thank you for your post
Reference
Marshall, E., & Broome, M. (2017). Transformational leadership in Nursing: From Expert Clinician to Influential Leader (2nd ed). New York, NY: Springer
True to your statement, the COV:ID-19 pandemic is affecting everyone, especially the healthcare workers. The healthcare settings are faced with increased exposure, stress and patient load. In addition to their human toll, epidemics and pandemics can have enormous social and economic consequences in a closely interconnected and interdependent world.
In a novel virus outbreak such as COVID-19, there is no existing antiviral drugs nor vaccine available. Police departments, local utility companies and mass transit authorities experience significant personnel shortages that result in severe disruption of routine services. Several major airports close because of high absenteeism among air traffic controllers and risk of passengers contracting the disease. Health and other essential community services deteriorate further as the pandemic sweeps across the world. NURS 6053 week 1 Discussion: Review of Current Healthcare Issues
As what you have stated, hospitals and outpatient clinics are critically short-staffed as doctors, nurses and other healthcare workers themselves become ill or are afraid to come to work. Intensive care units at local hospitals are overwhelmed, and soon there are insufficient ventilators for the treatment of viral complications such as pneumonia patients.
Fearing infection, elderly patients with chronic medical conditions do not dare to leave home. Parents are distraught when their healthy young adult sons and daughters die within days of first becoming ill.
Pandemics, whether mild, moderate or severe, affect a large proportion of the population and require a multisectoral response over several months or even years. For this reason, plans need to be developed by healthcare organizations describing strategies for responding to a pandemic supported by operational plans at the local, national and subnational levels. Great post!
Response.
I can totally relate to the feeling of uncertainty during COVID-19 early staffing days in the ICU. I am cath lab nurse that frequently rotates in and out of the ED or ICU. Being sent back to the ICU while outpatient procedures were on hold and taking a team of med-surg nurses helping for the day was an overwhelming feeling. Laureate education (2015) states, that one thing that individuals and leaders can do to be prepared for healthcare challenges of the future is to develop cultural competency, gain skills to view multiple perspectives, and develop greater understanding the survival side of any healthcare organization. Having non-ICU trained RNs helping was a blessing and a curse, but all the while knowing that it was vital to the care of these patients. Now that we are on this side of COVID -19 I also feel, as you stated, more comfortable for the future should we be put in this position again, but the learning process was hard, and involved an extensive learning curve of trial and error. The stressors you talked about on nurses directly effecting patient care is now the situation we have found ourselves in at my organization. Everyone is exhaling a bit now that the virus is seeming to be on the decline. The scary and stress filled portion of that is nurses are now losing their jobs due to poor organizational leadership of organizations or that there just aren’t enough people to be taken care of right now coming into the hospital. I think it is safe to say that there is not one aspect of patient care or one healthcare worker around the globe that hasn’t been touched by this virus! Thanks for sharing your post, it was a great read!
-Kelly
References
American Hospital Association. (2020). Hospital and health systems face unprecedented
financial pressures due to COVID-19. Retrieved June 6, 2020 from
Laureate Education (Producer). (2015). Leading in Healthcare Organizations of the Future
[Video file]. Baltimore, MD: Author. NURS 6053 week 1 Discussion: Review of Current Healthcare Issues