Discussion: Organizational Policies Outline

NURS 6053 week 3 Discussion: Organizational Policies and Practices to Support Healthcare Issues

Don't use plagiarized sources. Get Your Custom Essay on
Discussion: Organizational Policies Outline
From $8/Page
Order Essay

The must make significant modifications to patient management, staffing, and resource allocation in order to meet the competing needs (Figueroa et al., 2019). 2019 (Figueroa et al.). Managing chronic illnesses reduces healthcare expenses since chronic diseases are more prevalent in the US than in other nations, particularly in the US. The population plagued by chronic ailments needs particular care, thus the government should hire enough nurses to help the people. By making more affordable treatment options available, promoting physical activity, improving medication adherence, and providing grants and money to advance healthcare, the health organizations in America can help to reduce the cost of healthcare (Crowley et al., 2020).

In conclusion, controlling chronic illnesses, increasing the number of resources available, and promoting healthy lifestyles are all necessary for achieving the healthcare goals put out. The workforce can be reduced if sufficient resources are gathered. Managing the competing needs had an impact before policies and practices were established in an organization.

How competing needs mayo address that issue

For many years, the United States’ healthcare system has relied on a fee-for-service payment system, in which each medical service and procedure is paid for separately. However, this payment model imposed several constraints, including increasing health-care costs, overtreatment, and overutilization while leaving others unserved and untreated. To counteract these perverse incentives, payment reform legislation focusing on methods that reflect providers’ performances, primarily quality, safety, and patient experience, has been put in place to replace the traditional fee-for-service system (Palumbo et al., 2017). The new healthcare payment reform is intended to increase provider efficiency, reducing unnecessary spending and, as a result, healthcare costs. However, competing needs such as the use of 12-hour shifts as an employee retention strategy, workforce, and resources have impacted the development and adoption of this critical policy as a result of the necessity to align with the payment reform agenda.

Payment reforms, such as Medicare, which promotes bundled payment, in which patients are required to use only one payment method for all episodes of care, must address nursing shortages.

With the aging population, Medicaid has been forced to become the primary payer of healthcare for many Americans. Because of their sheer numbers, nurses play a critical role in driving system change (Miller et al., 2017). It is estimated that over 3.8 million registered nurses were integrated into the American workforce as of 2019, a lower number when compared to the country’s health-care needs. As a result, the available nursing workforce is forced to work longer hours, lowering the quality, safety, and quantity of care provided (Rivers & Glover, 2008). There are numerous serious consequences associated with nurse shortages, such as work overload of available healthcare personnel, which leads to burnout and compromises patient safety, as well as long wait times, which may cause additional harm, including preventable deaths.

References: 

Miller, B., Ross, K., Davis, M., Melek, S., Kathol, R., & Gordon, P. (2017). Payment reform in the patient-centered medical home: Enabling and sustaining integrated behavioral health care. American Psychologist, 72(1), 55-68. https://doi.org/10.1037/a0040448

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. https://doi.org/10.1016/j.profnurs.2016.11.005

Rivers, P., & Glover, S. (2008). Health care competition, strategic mission, and patient satisfaction: research model and propositions. Journal Of Health Organization And Management, 22(6), 627-641. https://doi.org/10.1108/14777260810916597

Question Description
I need an explanation for this Health & Medical question to help me study.

Also Read:

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly

    National Healthcare Issue/Stressor

The COVID-19 pandemic has initiated an upheaval in society and has significantly  cause  considerable stress during this pandemic. Healthcare professionals have been on the front line during this health crisis, particularly hospital nurses in all specialty. The focus of this study was to assess the high level of stress of healthcare workers during the first wave of the pandemic.
The COVID-19 pandemic by an international study is questionnaires disseminated from collecting online demographic and stress-related data over the globe, during the pandemic. Stress levels were evaluated using non-calibrated visual analog scale, from 0 (no stress) to 100 (maximal stress).
The main outcome was work-related stress, measured with the use of a visual analog scale i.e. a non-calibrated horizontal line ranging from minimum (0) to maximum (100). Visual analog scale of stress is a validated tool commonly used in daily practice. With this type of tool, participants can self-assess in a simple way the range of their possible feelings. Secondary outcomes were sociodemographic (age, sex), occupations (non-healthcare workers, medical doctors, paramedical staff), and working conditions (working in usual conditions, working in unusual conditions, interruption of work). This was a computerized questionnaire hosted on the secure REDCAP platform. It consisted of about 100 questions. The study presented here reports on the answers related to work-related stress. Depending on the answers given, individuals had access to all or part of the questionnaire.
Women Healthcare workers more affected:
In our study, whatever their profession, women had the highest levels of work-related stress during the first global lockdown. Our results concord with the literature revealing that women are more prone to stress, and may also suffer more from the negative psychological impact of the COVID-19 outbreak. Women often have a double life combining work and family life. This is even less reconcilable when both professional and family constraints increase. Indeed, families had to adapt to the closure of schools. Even in couples that shared the involvement in the education and care of children, women are still mostly implicated. Given these elements and the predominance of women in healthcare professionals, the WHO advised to study gender-specific consequences of the pandemic. Even if women have less severe forms of COVID, they were frightened of contracting COVID-19. They may also have been more impacted by the higher number of deaths and difficulties during the crisis. Women show greater psychophysiological concordance and consistency than men, and may therefore present more psychological vulnerability. Improving Work -Life  Integration (WLI) is likely to improve healthcare worker’s quality of life, organizational outcomes and, ultimately, quality of care for patients (Schwartz et al., 2018).,
Healthcare System Taking action on burnout
 
According to  National  Libraryy of Medicine During COVID-19, employers were noticing the need for intervention. Through employee assistance programs (EAPs) or health care insurance, mental health programs were offered. Some programs offered by mental health staff are stress reduction, cognitive restructuring and reframing, and grief counseling. Mental health can also help a nurse to recognize and admit to symptoms of burnout. COVID-19 was an introduction of EAPs and mental health checks that should occur routinely. Nurses will not always admit or even recognize that they need mental health support. However, if one knows the signs of burnout, they can see it in nurses.
The national collaborative, which rolled out in 2017, has three main goals: better understanding the challenges to clinician well-being, raising the visibility of clinician stress and burnout, and elevating evidence-based solutions. To date, the collaborative has received commitments from more than 150 organizations, including health systems, hospitals, medical schools and state medical boards, to improve clinician well-being and curb burnout.
Jonathan Ripp, MD, MPH, chief wellness officer at Mount Sinai Health System in New York City also co-chairs the national Collaborative for Healing and Renewal in Medicine, which this March co-published a first-of-its-kind charter in the Journal of the American Medical Association that outlines fundamental principles for supporting provider well-being. The charter has been endorsed by more than a dozen organizations, including the American Medical Association and Association of American Medical Colleges.
Preventing, promoting appropriate support for healthcare workers may significantly reduce the effects contibutind to burnouts in organization;
1. Strong Interpersonal Relationships outside of work
2. Work-Life Balance
3. Healthy Lifestyle
4. Decrease Stress
5. Mindfulness
6. Education
7. Recognize Achievements
8. Healthy work Enviroment
9. Recommendtions
10. Therapy
Conclusion
The COVID-19 pandemic has and will have consequences for every population. Nevertheless, healthcare professionals were more impacted than other workers by work-related stress. Paramedical staff were more impacted on than physicians. Across all occupational categories, age appears to mitigate work-related stress, and maybe due to the effects of experience. We were able to identify risk factors for high levels of work-related stress such as youth, female gender, paramedical professions and having maintained one’s professional activity. The impact of such a surge in work-related stress may inflict a second blow to already fragile healthcare systems. Adequately monitoring work-related stress and its effects on healthcare workers may be crucial to plan for post-pandemic adjustments. The finding that burnout and poor wellbeing are both associated with poorer patient safety has significant implications for policymakers and management teams within healthcare settings (Hall et al., 2016).
Reference
Bangasser DA, Eck SR, Ordoñes Sanchez E. Sex differences in stress reactivity in arousal and attention systems. Neuropsychopharmacology. 2019;44: 129–139. pmid:30022063
Broche-Pérez Y, Fernández-Fleites Z, Jiménez-Puig E, Fernández-Castillo E, Rodríguez-Martin BC. Gender and Fear of COVID-19 in a Cuban Population Sample. Int J Ment Health Addict. 2020; 1–9. pmid:32837428
Dutheil F, Duclos M, Naughton G, Dewavrin S, Cornet T, Huguet P, et al. WittyFit—Live Your Work Differently: Study Protocol for a Workplace-Delivered Health Promotion. JMIR Res Protoc. 2017;6: e58. pmid:28408363
Dutheil F, Pereira B, Moustafa F, Naughton G, Lesage F-X, Lambert C. At-risk and intervention thresholds of occupational stress using a visual analogue scale. PLoS One. 2017;12: e0178948. pmid:28586383
Lesage F-X, Berjot S, Deschamps F. Clinical stress assessment using a visual analogue scale. Occup Med. 2012;62: 600–605. pmid:22965867
Lesage FX, Berjot S. Validity of occupational stress assessment using a visual analogue scale. Occup Med Oxf Engl. 2011;61: 434–436. pmid:21505089
National Library of Medicine 
Notman MT, Nadelson CC. Medicine: A Career Conflict for Women. Am J Psychiatry. 1973;130: 1123–1127. pmid:472890
Rossi R, Socci V, Talevi D, Mensi S, Niolu C, Pacitti F, et al. COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. An N = 18147 web-based survey. Psychiatry and Clinical Psychology; 2020 Apr.
Sandanger I, Nygård JF, Sørensen T, Moum T. Is women’s mental health more susceptible than men’s to the influence of surrounding stress? Soc Psychiatry Psychiatr Epidemiol. 2004;39: 177–184. pmid:14999449
Schwartz, S. P., Adair, K. C., Bae, J., Rehder, K.J., Shanafelt, T.D., Profit, J., & Sexton, J.B 2018. Work-Life balance behaviors cluster in work settings and relate to burnout and safety culture: Across-sectional survey analysis BMJ Quality & Safety, 28 (2), 142-150. Doing: 10.1136/bmjqs 2018-007933
 The National’s Health 
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among th

Within a healthcare setting, the needs of the, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

Review the /stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.
T

RE: Discussion – Week 3

Main post

Organizational Policies and Practices to Support Healthcare Issues

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy.

Health care policies are vital for many aspects of healthcare delivery, including: (1) screening for prevention of disease; (2) early diagnosis and care; (3) long-term control of chronic diseases and disabilities; and (4) setting-up guidelines (Basdekis et al 2019). Competing needs among stakeholders can slow the development of policies, as all parties need to uphold similar ideations to be successful. The outlining of a problem forms the way in which a policy issue is seen (Katrakazas et al 2019). So, when developing policies, it is best to consider all involved and open ones-self up to ideas from all stakeholders and study all avenues. Considering competing needs of the workforce, the patients and the available resources is vital to ensure stability within the policy made. The resources needed, the workforce and the patients will all have different points of view regarding what needs to be considered when making a policy. It is not until one comes to a resolution that all can agree on, that a new policy will be successful and followed by all.

Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected.

Competing needs of the insured versus the uninsured is a huge issue. Policies made to benefit the uninsured can make the insured patient wonder why they even try to maintain insurance. According to Seo and fellow authors, individuals with gaps in insurance were more likely than those with uninterrupted Medicaid to admit prices or insurance-linked reasons for not following up with their care (2017). Healthcare is expensive, and unfortunately costs are not going to diminish any time soon. The uninsured need health care just as much as the insured, but who will pay for services given to the uninsured patient? Will organizations be forced to eat the costs? Competing needs? Yes. The need for affordable care for everyone is the goal, but obtainable? I don’t know.

What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

Policies that address the needs of the uninsured as well as the insured would be ideal. Making a way for healthcare to be more affordable overall would be even better. Overhauling the entire insurance system is a bit unrealistic, but it is what needs to be done. Policies should be in place for those in between jobs that are affordable and not out of reach (like COBRA insurance). Those responsible enough to carry insurance should get discounts. Those who go without insurance because of mental health conditions should have less expensive insurance included with the Social Security Disability (SSD) that stays intact regardless of the patient’s mindset or condition. Those under the average income level should be provided with insurance based on their income, while those who choose not to work should be made to work for the county they reside in to pay for any medical treatment given. I realize that this is not something that can be fixed with a simple wave of a wand, but it is a topic that needs to be addressed. Our population has health care needs that they cannot afford to treat. One should not be afraid to get health care treatment just because of a bill that may not get paid.

References

Basdekis, I.; Pozdniakov, K.; Prasinos, M.; Koloutsou, K. (2019). Evidence Based Public Health Policy Making: Tool Support. IEEE World Congress on Services.

Katrakazas, P.; Manta, O.; Koutsouris, D.; Dimakopoulos, N.; Giotis, G.; Tzoannos, E. (2019). The Need of Social Campaigning in Public Health Policy Decision Making. IEEE World Congress on Services

Seo, V.; Baggett, T.P.; Thorndike, A.N.; Hull, P.; Hsu, J.; Newhouse, J.P.; Fung, V. (2019). Access to care among Medicaid and uninsured patients in community health centers after the Affordable Care Act. BMC health services research. 19(1), 291.

Hello Youland,

Youland, you are astute. There are always competing interests in every organization that must be addressed to ensure efficiency in operational processes. Particularly in healthcare institutions involving the development and implementation of various policies, there are always competing needs that must be fully addressed by management or policymakers. Competing needs arise within any organization as healthcare workers strive to meet their goals and hospital leaders strive to meet hospital objectives (Minvielle, 2018). Leaders and employees in every healthcare organization often have specific goals. Differences in objectives or goals may result in competing needs. There are always priorities when leaders and workers set their goals; additionally, there is always the need to consider the available resources that may facilitate processes and procedures toward meeting these goals. A policy addressing adequate nurse staffing is required to meet the needs of patients and employees while minimizing hospital costs. However, increased nursing staff utilization may result in economic inefficiencies as well as misallocated resources (Wicks & St Clair, 2017).

Before allocating resources, healthcare management must always consider their priorities in order to address competing needs. Most healthcare institutions consider their priorities before allocating resources to various processes. Management must involve nurses and other healthcare professional teams in order to effectively formulate policies that ensure the incorporation of best practices as well as the efficiency of general operational processes (Park & Yu, 2019). To put it another way, deciding where to allocate resources should involve the entire workforce. A policy could address these competing needs by ensuring an optimal nurse-to-patient ratio, improving patient care outcomes, and ensuring patient safety. Furthermore, a policy can be developed and sufficient resources allocated to ensure a significant decrease in the number of healthcare-acquired infections and an improvement in patient outcomes.

References

Minvielle, E. (2018). Toward Customized Care: Comment on”(Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare”. International journal of health policy and management7(3), 272.

Park, H., & Yu, S. (2019). Effective policies for eliminating nursing workforce shortages: A systematic review. In Health Policy and Technology, 8(3), 296-303.

Wicks, A. M., & St Clair, L. (2017). Competing values in healthcare: balancing the (un) balanced scorecard. Journal of Healthcare Management52(5).

Competing Needs and Impact of Policy

Policies are made to govern a certain practice and are necessary to hold persons accountable for their actions. Registered nurses (RNs) are constantly challenged to provide quality nursing care while resources are chipped away, sometimes along with their energy, pride, and ability to provide holistic patient care (Kelly & Porr, 2018), but are still expected to  promote beneficence and avoid maleficence in all circumstances.  Nurses and nurse leaders must establish policies that are ethical and just and not waver in the presence of competing needs.  Policies and procedures provide a road map for day-to-day operations and are put in place to be followed for the betterment of the organization and improve practices. For example, a policy that focuses on staffing for nurses and nurse assistants is necessary to ensure that adequate staffing is available. The policy should provide parameters for nurse to patient ratio and a list of resources, steps, and protocols to assist where needed. The development of a policy in regards to the use of resources and being economical can also help to diffuse the fight between the need for staff versus the need for personal protective equipment (PPE).

The Impact of Organizational budget on the Nursing Shortage

I am constantly reminded that healthcare is a business just like any other and organization leaders are always trying to find new ways and ideas to satisfy the consumer but save the company money. Unfortunately, Health care is not like other businesses because people’s lives are at stake and when healthcare is faced with competing needs, one is likely to surpass the other and the other just might be as valuable as someone’s life. The shortage of nurses has a tremendous impact of any healthcare organization and can directly attack healthcare budget in more ways than one. For example, the shortage of nurse’s force countless hours in overtime to ensure that shifts are adequately covered to ensure patients receive the treatment that they need, because after all, patient satisfaction, safety, and best outcomes are the goal. On the contrary, these nurses who overwork themselves are more likely to perform at a level that is below satisfactory eventually resulting in mediocre patient care, documentation errors, medication errors and many other patient delivery errors. Researchers has suggested that overworked health care providers have reported a decline in mental and physical state, demonstrated inadequate patient care and nurse leaving/shortage (Leineweber et al., 2014).  A study conducted on Nurses’ practice in relation to burnout concludes that adequate staffing and leadership and support for nurses are crucial for nurses wellbeing and mental health. (Leineweber et al., 2014).

To paint a picture; at my organization, if a patient has a complaint or is not satisfied with the delivery of care they received, often times letters are written to the CEO or Hospital’s president and they are forced to discount patient’s hospital bills to regain consumer satisfaction and prevent any contamination to the reputation of the Organization. Organizational budgets can force decisions between paying nurses or providing necessities needed for adequate patient care delivery such as PPE’s that as necessary for minimizing the risk of health care providers contracting diseases. If nurses do not feel safe, they may opt to leave their jobs, creating a bigger deficit for the organization, therefore a balance must be found between competing needs.

References

Alyahya, M. S., Hijazi, H. H., Al Qudah, J., AlShyab, S., & AlKhalidi, W. (2018). Evaluation of

infection prevention and control policies, procedures, and practices: An ethnographic

study. AJIC: American Journal of Infection Control, 46(12), 1348–1355. https://doi-org.ezp.waldenulibrary.org/10.1016/j.ajic.2018.05.023

Kelly, P., Porr, C. (2018) Ethical Nursing Care Versus Cost Containment: Considerations to

Enhance RN Practice

Leineweber, C., Westerlund, H., Chungkham, H. S., Lindqvist, R., Runesdotter, S., &

Tishelman, C. (2014). Nurses’ practice environment and work-family conflict in relation to burn out: A multilevel modelling approach. PLoS ONE, 9(5). https://doi-org.ezp.waldenulibrary.org/10.1371/journal.pone.0096991

Hello Rashae,

This is insightful Rashae; healthcare is a business just like any other and organization. As a result, healthcare leaders are always trying to find new ways and ideas to satisfy the consumer but save the company money. As a result, there are always planning processes meant to ensure effective utilization of resources and ensure effective patient outcomes. In the process of planning, there is always the need to consider priorities (Ansmann & Pfaff, 2018). For instance, a healthcare organization may be faced with different needs; however, through planning and setting priorities, they will be able to utilize their resources in a more profitable way.

Nurse shortage has been a critical issue in most healthcare institutions. Researchers have suggested that overworked health care providers have reported a decline in mental and physical state, demonstrated inadequate patient care, and nurse leaving/shortage. Therefore, allocating more resources towards employing more nurses is always a priority (Hovland & Moltu, 2019). However, other priorities such as the reduction of medication errors may set in. Medication errors have been considered one of the major factors that contribute to low patient satisfaction and negative patient outcome.

Therefore, healthcare management may weigh their priorities before engaging in allocating resources (Kelly, 2018). To effectively formulate policies that would ensure incorporation of the best practices as well as the efficiency in the general operational processes, the management needs to involve nurses and other healthcare professional teams. With proper planning and allocation of resources, healthcare institutions are able to generate more profits and enhance operational processes in addition to meeting the needs of patients. Setting priories may help in the budgeting processes for the entire institution.

References

Ansmann, L., & Pfaff, H. (2018). Providers and Patients Caught Between Standardization and Individualization: Individualized Standardization as a Solution: Comment on”(Re) Making the Procrustean Bed? Standardization and Customization as Competing Logics in Healthcare”. International journal of health policy and management7(4), 349.

Hovland, R. T., & Moltu, C. (2019). Making way for a clinical feedback system in the narrow space between sessions: navigating competing demands in complex healthcare settings. International journal of mental health systems13(1), 1-11.

Kelly, P., Porr, C. (2018). Ethical Nursing Care Versus Cost Containment: Considerations to

Enhance RN Practice.

Competing Needs and its Impact on Policy Development

            Various aspects go into the formation of healthcare. Healthcare involves not only the direct patient care and its care providers but how that care is provided, with what resources and the overarching goals determine how it is all played out. Sometimes these topics compete and make it difficult in creating a policy that serves the needs of the organization, but also of the patients and the care team. Sometimes the answer is simple, but most often it is complicated as each piece has a different need that may adversely affect the other. The care team may have concerns regarding missed breaks; not getting enough breaks due to high acuity and their patient’s immediate needs. The patients have their own personal needs and desires that may need to be met and yet they may not agree with the health care decision that ethically would need to be made. The organization is concerned regarding the missed break law and their legal requirements to ensure their staff is complying (U.S. Department of Labor, 2021). These all impact how a policy is created, as the organization must bring all of these needs under one policy to create direction for their staff to abide by.

Competing Needs Impacting Nursing Shortage and How Those Needs Impact

            There are some competing needs involving most areas in nursing. Within the current healthcare issue of the nursing shortage – controlling costs, the mental health of staff, and the necessity for safe patient care are involved. Throughout a business and organization, the cost must be a major focus and the key component would be deciphering how to contain those costs as much as possible. Organizations find ways to cut their budget by reducing resources, increasing staffing ratios, and limiting extra pay (Kelly & Porr, 2018). Nurses are being expected to work harder and longer hours when there are an insufficient number of care providers which is contributing to poor mental health and increasing levels of burnout (Suhonen, 2018). Another major concern is the need for safe patient care. Patient care is shown to be compromised when there is a decrease in staffing and more specifically, education and times to plan and calm were decreased – leading to most likely higher readmission numbers (Blouin & Podjasek, 2019).

How Policy can Address these Competing Needs

            There are several ways that policy can influence these competing needs in association with the nursing shortage. Organizations take all the data and discuss strategies to help ensure all areas of concern are being met. The policy can be utilized to create incentives for nurses to work extra hours, hopefully boosting morale as it’s their choice versus mandatory overtime. This could assist in the patient care concern, however with nurses working increased hours that can also stimulate mental exhaustion. Management, that has the appropriate credentials, could be part of the policy developed to ensure appropriate patient care as well as decreasing costs. They could help in sharing the load with their staff and ultimately help the nurses feel supported (Blouin & Pokjasek, 2019).

References

Blouin, A.S., & Podjasek, K. (2019). The continuing saga of nurse staffing: historical and emerging challenges. The Journal of Nursing Administration, 49(4), 221-227.

Kelly, P., & Porr, C. (2018). Ethical nursing care versus cost containment: considerations to enhance rn practice. OJIN: Online Journal of Issues in Nursing, 23(1), Manuscript 6.

Suhonen, R., Stolt, M., Habermann, M., Hjaltadottir, I., Vryonides, S., Tonnessen, S., Halvorsen, K., Harvey, C., Toffoli, L., & Scott, P.A. Ethical elements in priority setting in nursing care: a scoping review, 88, 25-42.

U.S. Department of Labor. (2021, January 1). Minimum length of meal period required under state law for adult employees in private sector 1.

NURS_6053_Module02_Week03_Discussion_Rubric

Excellent Good Fair Poor
Main Posting
Points Range: 45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

Points Range: 35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

Points Range: 0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

Points Range: 15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response
Points Range: 16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

Points Range: 14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

Points Range: 0 (0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation
Points Range: 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

 

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 20% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Top Writers 4Me
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 10k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Nursing
Excellent!!! Thank you.
Customer 452487, September 13th, 2021
Healthcare Writing & Communications
Perfect! Thank you so much for all of your help!
Customer 452483, October 31st, 2021
Psychology
Very clear, and complete information presented. I, thank you for all of your hard work, appreciate it!
Customer 452483, August 9th, 2021
Communications
EXCELLENT JOB!!! VERY PLEASED :)
Customer 452483, July 5th, 2021
Healthcare Writing & Communications
Excellent!! You’re awesome, thank you very much for all of your hard work & help!!
Customer 452483, October 24th, 2021
English 101
na
Customer 452547, March 22nd, 2022
Mathematics
PERFECT! Thanks a million, you're all awesome!!!!
Customer 452483, July 7th, 2021
Psychology
Thank you so much for all of your hard work & help! It’s perfect! Appreciate it!!
Customer 452483, September 11th, 2021
English 101
Amazing thank you!
Customer 452615, August 1st, 2022
Mathematics
Thank you, great work!
Customer 452483, July 19th, 2021
English 101
This writer was very quick with the draft and even faster with the revision! Thank you!
Customer 452603, May 30th, 2022
Nursing
Excellent job! super recommended.
Customer 452487, August 24th, 2021
1159
Customer reviews in total
96%
Current satisfaction rate
2 pages
Average paper length
47%
Customers referred by a friend
OUR GIFT TO YOU
20% OFF your first order
Use a coupon TOP20 and enjoy expert help with any task at the most affordable price.
Claim my 20% OFF Order in Chat