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Organizational Policies and Practices to Support Healthcare Issues

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
BY DAY 3 OF WEEK 3
Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs?

Sample Solution

e third situational variable that we can address would be the environmental and behavioural knowledge that people have in which play a large part waste management behaviour (Barr, 2007) and if true would provide Leeds city council a platform on which to improve people’s recycling behaviour on. There has been significant research on proving the link between the amount of knowledge someone has about how and what to do with their waste and them subsequently behaving in an appropriate manner in their waste disposal (Schahn and Holzer, 1990; Hines et al., 1987). But however, these older theories on the linear relationship of increased knowledge leading to pro-environmental action were subsequently seen to be proven wrong (Kollmuss and Agyeman, 2002). The role of knowledge was seen to have an indirect effect on pro-environmental behaviour (Kitzmuller, 2013), with the task of such knowledge being to assist people in changing their environmental values and then in turn change their environmental practises (Latif et al., 2013). Overall however, while environmental knowledge may not be a necessary pre-requisite for pro-environmental behaviour (Kollmuss and Agyeman, 2002) without knowledge, there would be no chance for people to act in an environmentally friendly way (Latif et al., 2013). 2.3 Psychological factors Psychological factors consists of a wide range of differing variables that be linked to recycling behaviour. These variables are all fundamentally linked however, by the fact that they are all personality characteristics and the perceptions via social norms for example that people have towards their actions (Barr, 2007). The first of these variables was discussed by Fishbein and Ajzen (1975) who highlighted the importance of other people’s recycling behaviour of influencing an individual’s recycling rates and that ultimately individuals are more likely to change their behaviour to a behaviour that is seen as a social norm and that increased awareness of other people recycling would aid the change in behaviour (Vining and Ebreo 1990). A paper by Tucker (1999) emphasised the significance of this effect by studying the effect of curb side placement of recycling bins in Scotland, where he found a linear relationship between the amount of bins that were set out and the amount that households recycle. It is evident therefore that social norms do play a role in influencing peoples recycling behaviour, but to what significance this is still remains uncertain and will be looked for within this research. Scholars had argued of the importance of personal norms as well as societal pressure in influencing the way people behaved and was initially excluded in Ajzen’s (1991) theory of planned behaviour. This resulted in Beck and Ajzen (1991) measuring the behavioural drivers behind shoplifting with the inclusion of a persons perceived personal moral obligation. They argued that “perceived moral obligation seems to contribute to the formation of intentions to perform dishonest behaviours” even if the significance of someone’s personal moral obligation is limited. Conner & Armitage (1998) agreed with this statement and said that including a measure of personal norms when analysing moral of ethical behaviour is appropriate and should be considered. Given the positive effect that recycling can have on the environment such as diminishing waste in landfills or reduced pollution in the oceans it is quite obvious that the choice to recycle can be considered a moral decision (Chu & Chiu, 2003). Tonglet et al. (2004) when researching this variable did notice its significance but couldn’t fully explain environmental behaviour but makes a contribution along with other variables towards motivating an individual to recycle. An additional psychological factor is the degree to which an individual feels the impa
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