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The Reality of Providing Nursing Services in a Healthcare Rationing System Essay

The Reality of Providing Nursing Services in a Healthcare Rationing System Essay The Reality of Providing Nursing Services in a Healthcare Rationing System EssayThis assignment will help you explore how nursing leaders provide services while at the same time rationing services.One of the areas that must be considered in the field of fiscal and resource management is the issue of rationing services to patients.. Based on your research and understanding, create a 3- page paper that answers the following:• How would you as a nursing leader balance the clinical needs of the patients with the fiscal sustainability of the healthcare facility?• What are the ethical issues faced by nursing leaders in a healthcare rationing environment?• What are the internal and external forces impacting your decision making in this environment?• How can evidence-based care help you make fiscal decisions in this environment?• How can evidence-based leadership be used in decision making?The Reality of Providing Nursing Services in a Healthcare Rationing System Essayü USE AT LEAST 4 CURRENT REFERENCESü USE HEADINGSORDER A PLAGIARISM-FREE PAPER HERENursing Services in a Healthcare Rationing SystemThe health sector is one of the fastest growing industries in the world. In fact, various institutions compete in the quest to provide excellent medical services and build on their reputation. The major reason that enhances the thriving of medical institutions is the application of diverse but relevant leadershipstrategies. Nurse leaders understand the organizational culture of a facility, and combine observations derived from internal and external factors in the competitive environment to implement viable decisions, which warrant desirable results. To attain organizational goals in a torrid operational setting, nurse leaders ought to ensure convenient working environments for clinician to provide patient safety. The aspect requires enactment of fundamental alterations that may affect personnel deployment and the overall organizational culture. However, it is essential to ensure the changes are patient-centered, to warrant goal attainmentof a health facility.The Reality of Providing Nursing Services in a Healthcare Rationing System EssayBalancing Clinical Needs and Fiscal SustainabilityHealthcare facilities thrive through promotion of environments serene to provide excellent medical services to patients. However, the main aspect that influences operations is finance. Alfano et al. (2016)posit that health facilitythat does not manage its revenue adequately is bound to commit errors that may be detrimental to patient safety and its fiscal sustainability. To avert such calamities, hospital administrators ought to conduct detailed research on workforce effectiveness, organizational disasters and their evolution, and the demand for health services. The practice would allow for efficient allocation of funds. Albeit these aspects attract a high risk for errors, they are directly linked with successful implementation of change initiatives, which would guarantee institutional stability and desired patient outcomes.The Reality of Providing Nursing Services in a Healthcare Rationing System EssayFurther, administrators ought to ensure creation and sustenance of confidence within the institution, through involving all the employees in decision making processes. Through these facets, administrators create a balance between productionefficiency and reliability. Besides, hospital administrations ought to incorporate evidence-based management facets to ensure attainment of goals while maintaining patient safety. Alfano et al. (2016) underscore the fact that they ought to examine for, appraise and implement pragmatic evidence to generate positive results. For instance, if an institution is operating on a strained budget, a manager can ensure patients are placed in groups and assigned nurses on shifts. In the long run, patient safety is guaranteed, while normalcy ofoperations in other departments is sustained.The Reality of Providing Nursing Services in a Healthcare Rationing System EssayEthical Issues Faced by Nursing Leaders in Healthcare RationingIn recent times, thehealth sectorhas witnessed massive changes in the quest to meet the increased demand for medical services. Notably, management is one area that undergoes massive revolution, with the intent of incorporating positive transformations for better results. However, Jones, Hamilton and Murry (2015) state that the act of service rationing that arises in the quest to maintain stability of an institution leads to a situation of paradox. In such contexts, clinicians providing healthcare services to groups may encounter individualized demands, leading to ethical dilemmas in the long run. .The Reality of Providing Nursing Services in a Healthcare Rationing System EssaySimilarly, healthcare rationing may lead to inappropriate allocation of resources to certain departments, an aspect that may hinder effective service delivery. Malicious administrators take advantage of the restricting policies to influence apportionment of funds to their subdivisions, with the intent of embezzlement. Additionally, nursing leaders face the challenge of balancing reduction in offering health services and their loyalty for their jobs. Mostly, rationing decisions may jeopardize the provision of quality care to patients. Throughthis feature, nursemanagersexperience difficulties implementingdecisions which would promote their team spirit. Specifically, leaders encounter missed administration of care, an aspect that endangers the life of a patient.The Reality of Providing Nursing Services in a Healthcare Rationing System EssayInternaland External Forces Impacting Decision MakingThe contemporary nursing field displays considerable dynamism, an aspect that demands constantalteration of aspects which require timely decision making. During the rationing of healthcare services, various internal and external factors affect decision making procedures. Specifically, the interferences originate from within the institution and externally.   According to Evans et al. (2015), internal forces which influence decision making processes include the organizational structures of a facility. Clinicians consider authority as a major prerequisite to fulfill their mandates. In fact, many prefer using their powers to implement resolutions which influencepatient outcomes. However, nurses believe that organizational related variables hinder the abilityto use their powers. Besides, unbalanced nurse-patient ratios and heavy workloadslead to the adoption oftask-oriented working systems, which often thwart effective participation in patient-related decisions.The Reality of Providing Nursing Services in a Healthcare Rationing System EssayExternal factors include opinions from stakeholders regarding the rationing of healthcare services. Notably, shareholders contribute financially, an aspect that gives them power to influence major decisions. For instance, members who monitor the enactment of medical services may demand regulation of service rationing to avert causes of ethical dilemmas. Such actions aim at maintaining the reputation of an institution and attracting more clients.Evidence-Based Care in Fiscal Decision MakingNurse leaders play an integral role in the promotion of evidence-based practice (EBP)within health facilities. Evidently, EBP interventions provide viable frameworks through which clinicians would operate to warrant desirable patient outcomes. For instance,a workplace culture that practices unblemished communication of EBP goals helps nurse leaders to implement changes which guarantee institutional stability and patient safety (Evans et al., 2015).  Since these approaches are proved, nurse leaders can seek financial assistance from the management to help in implementation processes.The Reality of Providing Nursing Services in a Healthcare Rationing System EssayEvidence-Based Leadership in Decision MakingEvidence-based management is an approach most preferred by healthcare administrators in ensuring attainment of institutional goals.Particularly, nurse leaders can employ this methodology, since it integrates excellent research evidence on how nurse managers should enact decisions precisely. According to Melnyk, Gallagher‐Ford, Long andFineout‐Overholt (2014), evidence-based leadership incorporates involvement of all stakeholders in decision making processes. The inclusion of representatives from various departments allows for a peaceful transition of events, leading to better results.The Reality of Providing Nursing Services in a Healthcare Rationing System EssayConclusionThe health sector continues to thrive at a rapid rate. Besides, leadership plays an integral role in ensuring normalcy in operations within a health facility. For instance, institutions face the risk of instability due to an array of factors. Through this aspect, nurse managers implement various strategies for instance healthcare rationing, to warrant stability. However, they face many challenges that arise from internal and external influences. Despite these predicaments, nurse managers can use evidence-based management approaches to guarantee institutional stability and patient safety.The Reality of Providing Nursing Services in a Healthcare Rationing System Essay  ReferencesAlfano, C. M., Bluethmann, S. M., Tesauro, G., Perna, F., Agurs-Collins, T., Elena, J. W., …&Nebeling, L. (2016). NCI funding trends and priorities in physical activity and energy balance research among cancer survivors. JNCI: Journal of the National Cancer Institute, 108(1). https://doi.org/10.1093/jnci/djv285Evans, S. C., Roberts, M. C., Keeley, J. W., Blossom, J. B., Amaro, C. M., Garcia, A. M., … & Reed, G. M. (2015). Vignette methodologies for studying clinicians’ decision-making: validity, utility, and application in ICD-11 field studies. International Journal of Clinical and Health Psychology, 15(2), 160-170. https://doi.org/10.1016/j.ijchp.2014.12.001Jones, T. L., Hamilton, P., &Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International journal of nursing studies, 52(6), 1121-1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., &Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence‐Based Nursing, 11(1), 5-15. https://doi.org/10.1111/wvn.12021. The Reality of Providing Nursing Services in a Healthcare Rationing System Essay

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