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.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. 
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. 

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-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.

  Running head: ANALYSIS 1

  ANALYSIS 6

  Pertinent Healthcare Issue

  Student Name

  University Name

  August 27, 2019

  Analysis of a Pertinent Healthcare Issue

  This document discusses the critical care burnout for nurses and the correlation between them and bad patient care. A debate will be held on the burnout levels and rationale for nurses at the University of New Mexico Hospital (UNMH). The writer will show how self-care outside your workplace can decrease work tiredness and having adequate stress management organizations in the workplace. Two study papers related to the suggested modifications to reduce the burnout in infants will be analyzed. (Harkin, 2014).

  Purpose of the change proposal

  Increased workplace stress, lengthy hours and traumatic exposure in patient care are strong in acute care. This kind of setting may lead to enhanced work exhaustion and greater burnout levels on nurses. Employment fatigue is shown in patient care reduced and general compassion decreased (Cocker & Joss, 2016). With a healthy working and household with good self-care and good stress management, work fatigue can be avoided and high quality care is maintained in acute care environments. (Chilcoat, 2016).

  University of New Mexico Hospital burnout rates

  Care burnout remains one of the leading causes of UNMH turnover levels. In the last five years, the elevated burnout levels at UNMH studied reveal increased burnout. Research has demonstrated that burnout is immediately linked to the absence of social support, inadequacy in controlling schedules or tasks, a messy working situation and a work-life imbalance. UNMH is creating opportunities and programs aimed at reducing burnout prices. (University of New Mexico, 2016).

  Nursing intervention

  Educating nurses about the significance of beneficial self-care practices in acute care, for example meditation, treatment, physical exercise and spending time on working outdoors in order to enjoy life. In the workplace, the workforce can also interact, discussing severe stressors and communicating therapeutically to one another in order to decrease effective stress on the environment. (Wolf, Perhats, Delao, & Clark, 2017) — Working to offer worker self-programming, prevent compulsory overtime, monitor worker overtime, and create mentorship programs (University of New Mexico, 2016).

  Evaluation of the literature

  A study of comparative studies (2003) involves three-fold layout research involving quantity and qualitative techniques. This study will address the burnout among nursing workers in accidents and emergency and acute medicine. The aim of this research was to create stress and burnout variables, to determine the behaviors of the impacted nurses and to stress impacts on the care of the patient. Also to determine whether stress and burnout affect people outside of the clinical environment. The findings indicated that networks, interpersonal relationships and teamwork need to be made more effective as robuster means of moral increase and stress reduction. It can help with exhaustion and burnout by offering greater education and resources (Gillespie & Melby, 2003).

  The next article on the prevalence of burnout syndrome in emergency healthcare providers is a metabolism (2017). In this paper, burnout is recognized as one of the most significant occupational health issues in different occupations involving working with others. This paper details how this relates to emergency nurses and offers an overview of interventions and mediation to help people deal with burnout. They found that stronger working circumstances and training of skilled peers in which nurses can convey their feelings and emotions can lessen the burnout event in these practitioners (Gómez-Urquiza, Fuente-Solana, Albendín-García, Vargas-Pecino, Ortega-Campos, & Fuente, 2017).

  Including the techniques discovered in the two study papers given, UNMH can change the rising burnout prices. The application of peer-support organizations and self-programming can help nurses to get less burnout in the beneficial direction. In a adverse light, dispute arises with any shift. The request should be made in order to reduce work fatigue and burnout in public. If nurses can see the purpose of change, they are more willing to change their working conditions. (University of New Mexico, 2016).

  Conclusion

  Pflege personnel should be trained and provided with work and burnout prevention instruments. Interventions should include the equilibrium between job and family lives with the participation of self-care and stress management instruments in the workforce. If nurses can take care of themselves, they will be able to care for others exceptionally. Patients can receive personal attention to acute care by stopping nursing burnout in emergency medicine (Gillespie & Melby, 2003).

  References

  Chilcoat, M. (2016). Comment on “It’s a burden you carry”: Describing moral distress in emergency nursing. Journal of Emergency Nursing, 42(3), 198. doi:10.1016/j.jen.2016.02.022

  Cocker, F. & Joss, N. (2016). Compassion fatigue among healthcare, emergency and community service workers: A systematic review. International Journal of Environmental Public Health. doi:10.1037/e510112017-001

  Gillespie, M. & Melby, V. (2003). Burnout among nursing staff in accident and emergency and acute medicine: a comparative study. Journal of Clinical Nursing, 12: 842–851. doi:10.1046/j.1365-2702.2003.00802.x

  Gómez-Urquiza, J. L., Fuente-Solana, E. I., Albendín-García, L., Vargas-Pecino, C., Ortega- Campos, E. M., & Fuente, G. A. (2017). Prevalence of burnout syndrome in emergency nurses: A meta-analysis. Critical Care Nurse, 37(5). doi:10.4037/ccn2017508

  Harkin, M. & Melby, V. (2014). Comparing burnout in emergency nurses and medical nurses. Clinical Nursing Studies, 2(3). doi:10.5430/cns.v2n3p152

  University of New Mexico. (2016). The high cost of nurse turnover. Retrieved from https://rnbsnonline.unm.edu/articles/high-cost-of-nurse-turnover.aspx

  Wolf, L. A., Perhats, C., Delao, A. M., & Clark, P. R. (2017). Workplace aggression as cause and effect: Emergency nurses’ experiences of working fatigued. International Emergency Nursing, 33, 48-52. doi:10.1016/j.ienj.20

  Rubric Detail 

   

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  	Excellent	Good	Fair	Poor
  Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing the 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).	23 (23%) – 25 (25%)The response accurately and thoroughly describes in detail the national healthcare issue/stressor selected and its impact on an organization.  The response includes accurate, clear, and detailed data to quantify the impact of the national healthcare issue/stressor selected.	20 (20%) – 22 (22%)The response describes the national healthcare issue/stressor selected and its impact on an organization.  The response includes accurate data to quantify the impact of the national healthcare issue/stressor selected.	18 (18%) – 19 (19%)The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague or inaccurate. The response includes vague or inaccurate data to quantify the impact of the national healthcare issue/stressor selected.	0 (0%) – 17 (17%)The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague and inaccurate, or is missing.  The response includes vague and inaccurate data to quantify the impact of the national healthcare issue/stressor selected, or is missing.
  ·   Provide a brief summary of the two articles you reviewed from outside resources, on the national healthcare issue/stressor and explain how the healthcare issue/stressor is being addressed in other organizations.	27 (27%) – 30 (30%)A complete, detailed, and specific synthesis of two outside resources reviewed on the national healthcare issue/stressor selected is provided. The response fully integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the summary provided.  The response accurately and thoroughly explains in detail how the healthcare issue/stressor is being addressed in other organizations.	24 (24%) – 26 (26%)An accurate synthesis of at least one outside resource reviewed on the national healthcare issue/stressor selected is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the summary provided.  The response explains how the healthcare issue/stressor is being addressed in other organizations.	21 (21%) – 23 (23%)A vague or inaccurate summary of outside resources reviewed on the national healthcare issue/stressor selected is provided. The response minimally integrates resources that may support the summary provided.  The response explains how the healthcare issue/stressor is being addressed in other organizations that is vague or inaccurate.	0 (0%) – 20 (20%)A vague and inaccurate summary of no outside resources reviewed on the national healthcare issue/stressor selected is provided, or is missing.  The response fails to integrate any resources to support the summary provided.
  ·   Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected and explain how they may impact your organization both positively and negatively. Be specific and provide examples.	27 (27%) – 30 (30%)A complete, detailed, and accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.  The response accurately and thoroughly explains in detail how the strategies may impact an organization both positively and negatively, with specific and accurate examples.	24 (24%) – 26 (26%)An accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.  The response explains how the strategies may impact an organization both positively and negatively. May include some specific examples.	21 (21%) – 23 (23%)A vague or inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.  The response explains how the strategies may impact an organization both positively and negatively that is vague or inaccurate. May include some vague or inaccurate examples.	0 (0%) – 20 (20%)A vague and inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided, or is missing.  The response explains how the strategies may impact an organization both positively and negatively that is vague and inaccurate, or is missing. Does not include any examples.
  Written Expression and Formatting – Paragraph Development and Organization:  Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.  A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.   Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.	3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.   Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.  No purpose statement, introduction, or conclusion was provided.
  Written Expression and Formatting – English writing standards:  Correct grammar, mechanics, and proper punctuation	5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.	3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) grammar, spelling, and punctuation errors.	0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
  Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	5 (5%) – 5 (5%)Uses correct APA format with no errors.	4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.	3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) APA format errors.	0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.