Full order description:
? MAIN DETAILS: Write a negotiating chunk in which you argue your solution on a focused issue to a specific audience who holds an opposing viewpoint. Think of the solutions you’ve already presented in Chunk 2. Your task will be to convince the opposition of the validity of your position, to demonstrate your full understanding of their position (via research and empathy), and to persuade them to agree to a compromise (finding your own common ground), a mutually agreeable solution. Reflection of Your Process
:1) In the past, describe how would you approach an assignment like this?
2) What was new in this assignment (Big essay)? What new parts of the writing or reading process did you try? Ie: Starting your rough draft earlier? Reading your sources more effectively? Etc.” Make sure that all three parts of the essay blend and mesh together so it doesn’t look like three separate essays even though they were written by three different people.
Issues in the Nursing Field
Big Essay Part 1
Issues in Nursing Field
2
Abstract
The paper looks at major nursing concerns such as workplace challenges, staff management
issues, moral apprehensions, social needs for backing, and the expansion of the roles of nurses in
global health. It emphasizes the shortage of nursing professionals and job dissatisfaction, which
hurt healthcare quality across the globe. The paper discusses ethical dilemmas encountered by
nurses, especially in resource-limited areas. It highlights the significance of social support and
ethical leadership for ensuring patients safety while providing good care. Besides, it illustrates
the role nurses play in solving non-communicable diseases and human trafficking as global
health challenges. The paper calls for health equity and international cooperation instead. In
addition, this is one way to effectively address these problems with comprehensive approaches.
The aim is to have an effective global healthcare system that consists of a strong, fulfilled, and
ethically based nursing labor force willing to contribute.
actively towards improving the worlds health conditions in turn.
The nursing profession across the world is a critical aspect of healthcare organizations
with the paramount objective of providing quality healthcare and safeguarding patients.
However, these hurdles have affected the efficiency of this profession and, hence, the quality of
service in general. This study examines key questions within nursing as a profession, such as the
worldwide shortage of nurses, dissatisfaction with work, working environment challenges and
workforce management problems, ethical issues in nursing practice, and situations arising from
the global health context.
Issues in Nursing Field
Work Environment and Workforce Management Issues
3
There is an issue about the global nursing shortage and such things as the following: job
dissatisfaction among nurses. These are some of the issues that critically impact healthcare
quality globally. This affects developed countries only, but also puts a lot of burden on health
systems in developing countries. This culminates in a worldwide crisis necessitating immediate,
resilient interventions.
Nursing shortages cause different negative outcomes. The increased workload for the
current staff, high levels of stress, and reduced satisfaction with their jobs are examples of these
results. They lead to compromised quality of patient care. McHugh et al. (2011) stated job
dissatisfaction has been identified as one major factor leading to high turnover rates. Also, it
worsens nursing shortages. It is this cycle that forms between a shortage and discontentment,
which poses a significant risk to patient safety and the effectiveness of the health system.
Multifaceted explanations for nursing staff challenges and low job satisfaction have been
reported through the findings of studies. Fundamental aspects include improper staffing levels,
unsupportive management, and a lack of chances to grow professionally. Additionally, poor
working environments are to blame as well. The harm from these problems falls not only on
nurses but also on patients. For instance, higher ratios of nurses to patients are linked with
increased mortality, infection rates, and medical mistakes. On the other hand, improved staffing
has been associated with better patient outcomes and greater patient satisfaction.
The solution requires a comprehensive approach that tackles all factors contributing to the
global nature of the nurse shortage. Strategies must cover policy intervention, macroeconomics
and health sector funding, workforce planning and policy development, positive practice
environments, including retention and recruitment plans for the profession itself, or nursing
Issues in Nursing Field
4
leadership. Overcoming this problem needs country-customized data-driven models accounting
for different supply-demand mechanisms. In turn, evidence-informed policies should guide
resource allocations at the national level, considering subnational factors, while organizational
levels mitigate their impact.
Solving problems inherent in nursing as a profession requires re-designing the kind of
work done by these professionals and managing their workforce appropriately. Some of the key
problems include a lack of nurses input in decision-making, the absence of recognition and
reward for nursing contributions, and limited measures to promote nurses work-life balance.
These could result in increased job satisfaction, which can help retain more staff in the nursing
profession.
Workplace interventions that support and respect nurses should prioritize creating
reasonable nurse-to-patient ratios, among other things. Reasonable numerical proportions
between patients and practitioners, coupled with enough support services, including a culture
showing appreciation, must be established. This is because such changes would not only enhance
nurses retention but also increase their chances of attracting new entrants into this field.
Ethical and Social Support Issues
In the perplexing environment of contemporary healthcare, ethical decision-making
should be given priority. Moreover, social support is also very crucial in maintaining patient
safety and quality care delivery. Economic forces greatly impact nursing too. However, such
pressures impose limitations that may contradict moral principles. Additionally, they could go
against patient-centered care. Thus, it is crucial to approach healthcare delivery with subtlety.
This method must pay respect to both ethical mandates and economic facts.
Issues in Nursing Field
Ethical thinking in nursing is crucial, especially amid resource scarcity, patients
5
requirements, and organizational needs. Ethical issues among nurses often emerge where they
must strike a balance between protecting patient rights, organizational policies, and professional
values. During hardships, such choices are further complicated by the problem of inadequate
resources for optimal patient care or when financial gains are prioritized over clinical needs. The
dilemma will be more severe during hard economic times, with money-consciousness trumping
clinical considerations or resources needed for optimum patient care becoming scarce.
For instance, the COVID-19 pandemic has revealed how difficult it can be for a nurse to
make an ethical decision regarding the distribution of limited resources, ensuring safety for the
nurses themselves as well as those they are caring for, and maintaining therapeutic relationships
with their patients. This means that being on the frontlines makes it their moral obligation to
make decisions that mostly affect their health and that of other people under their care. Nurses
need robust ethical frameworks and support systems to aid them throughout these complex
situations; thus, health policies should be developed that consider global and local nurses
perspectives and experiences while making decisions.
Social support in healthcare promotes an ethic of well-being among nursing personnel.
By creating supportive environments, organizations can help mitigate the impact of stress
associated with decision-making on ethics, resulting in improved mental health and well-being of
their staff, for example, job satisfaction among nurses. Furthermore, this kind of environment
also encourages open communication and teamwork, which are necessary when there is conflict
resolution and addressing ethical problems, and they facilitate the innovation of healthcare
systems focused on patient safety and quality.
Issues in Nursing Field
6
Ethical leadership in nursing requires a personal commitment to safety. Nurses may be
able to feel valued as well as supported with ethical practice by ethical leaders through building
trust and being transparent. Its this kind of leadership that can make nurses loyal, thus improving
their activeness in ensuring that safe environments are maintained and promoting quality care.
The Role of Nursing in Global Health
The role that nurses play in global health is increasingly expanding, tackling intricate
health issues that need international cooperation and a strong commitment to health fairness. This
implies that the nursing profession has a leadership role to play in harmonized efforts towards
responses to emerging infectious diseases, human trafficking, and healthcare workforce
maldistribution.
Addressing emergent infectious diseases requires the input of nurses. Emergent infectious
diseases are presently one of the most pressing concerns for global health. This is because nurses
have direct patient care roles. They are also engaged in activities that prevent illnesses and
promote health. The role played by nurses in managing health crises was underscored by the
COVID-19 pandemic. Consequently, it has demonstrated the necessity for their active
participation in global health security. It has also demonstrated the necessity for their active
participation in emergency preparedness.
The next significant challenge is human trafficking, which prevails globally as well. In
response to this challenge, nurses may help global public health efforts. Nurses occupy a unique
position in identifying victims of trafficking. Furthermore, they can support them as well. Nurses
provide care that is sensitive to complicated physical needs among such vulnerable populations
as these. Moreover, they provide care sensitive to the complex psychological needs of this
population.
Issues in Nursing Field
7
Therefore, the problem of healthcare workers unequal distribution, especially among
nurses, becomes a major obstacle to achieving global health goals. All regions should empower
and support their nurse population to take on roles as leaders involved in policy formulation and
system development for the successful tackling of this issue. Nurses must contribute more as
world leaders in promoting healthy policies that foster equity in health access and quality care for
all, irrespective of geographical location or social status. Indeed, global well-being relies on their
know-how as well as their experiences to shape effective, fair systems of healthcare delivery and
address social determinants impacting it.
The nursing profession is confronted by a myriad of complex problems that have farreaching implications for the quality of healthcare provision and global health status. The first
step to ensuring the availability of a skilled and motivated nursing workforce is to address the
global nursing shortage, promote job satisfaction, improve the work environment, and manage
the workforce. In addition, standing up against economic pressures, maintaining the safety of
patients, and adhering to ethical practices necessitates fostering an ethical decision-making
process as well as providing social support within healthcare organizations. In addition, the role
played by nurses towards achieving global health efforts, which encompasses emerging
infectious diseases, human trafficking, and healthcare workforce maldistribution, shows that
nurses play a key role in promoting health equity and responding to intricate global health
challenges. Therefore, if healthcare systems can acknowledge these vital matters, it will help
create a more solidified, ethical nursing force capable of delivering high-quality care, thereby
enhancing overall global health outcomes.
PART 2
Issues in Nursing Field
Influencing the quality of healthcare provision globally, the challenges faced by the
8
global nursing profession have huge implications for patient safety (Morley et al.). Among these
are nurse shortages, job frustration, hostile working environments, and lackluster workforce
management. In other words, as illustrated in the first part, this not only undermines the care
given to patients but also hampers the success of global public health. On that score, this second
section of the essay reflects on possible ways through which such issues can be addressed and
how difficult it may be to implement them or assess their potential impact concerning their
viability.
Enhanced Staffing and Supportive Work Environments
One solution to focus on at the outset is enhancing nurse staffing levels and creating
supportive work environments. Research shows that there is a strong link between nurse staffing,
job satisfaction, and patient outcomes. Appropriate numbers of employees can reduce work
stress, burnout, and job dissatisfaction among nurses (Yoon). This change can improve the
quality of patient care because well-staffed units have lower rates of medication errors,
infections, and patient mortality. Also, supportive work environments that provide opportunities
for professional growth, recognition, and fair compensation enhance job satisfaction and
retention.
Healthcare organizations need to invest in workforce planning and development to
implement this solution. This includes employing more nurses to meet the recommended nurseto-patient ratios and providing resources for continuous education and professional development
(McHugh et al.). The other way out is by creating a positive workplace culture founded on
respect, recognition, and inclusiveness. However, this requires substantial financial investment
and a strategic approach to change management. Furthermore, improvement in staff welfare
Issues in Nursing Field
9
should be considered key by all health leaders since it is instrumental in determining the wellbeing of patients.
To start with improving nurse staffing levels, the organization must consider different
stakeholders from within healthcare organizations who will be involved in a multi-dimensional
process. It is therefore important to conduct extensive analysis aimed at identifying areas affected
by deficient staff numbers, which are further used to determine optimal nurse-to-patient ratios
across various types of care settings. This analysis should consider factors like patient acuity
level, unit complexity, and the skill mix used.
On top of that, healthcare facilities must prioritize hiring and retaining qualified nursing
professionals. One way these can be met is by offering market-competitive remuneration
packages, ensuring flexible scheduling options so they can balance their lives with work, and
then availing themselves of opportunities to grow professionally because they want career
progression (McHugh et al.). Institutions may also adopt structured mentorship programs and
build a continuous learning culture, enabling them to create supportive work environments that
attract and retain talent.
Additionally, healthcare leaders should actively engage with their nursing staff to
understand their concerns, collect feedback, and address issues that could enhance job
dissatisfaction or burnout. To do this, regular staff surveys must be conducted, and town hall
meetings held, while there have to be open communication channels between employees and top
management within the organization. Health organizations can develop a sense of ownership
among nurses by actively listening to their viewpoints and involving them in decision-making
processes.
Issues in Nursing Field
10
Lastly, funds invested in technology can see automation of administration work reduce
the data entry load on nurses, thereby enabling them to concentrate on providing direct care to
patients. There are several digital technologies, including electronic health records systems
(EHR), medication management systems, etc., that are designed to streamline workflows and
minimize error risks (Moore et al.). This eventually leads to better patient safety outcomes and
healthcare quality.
Ethical Leadership and Decision-Making Frameworks
Another solution is to focus on developing ethical leadership and decision-making
models that handle nursing ethical dilemmas. The ethical problems that nurses face are
numerous, and the second solution focuses on promoting ethics to guide a nurses decisions.
Nurses are often faced with complex moral issues, especially in situations where resources are
limited or during health emergencies like the COVID-19 pandemic. Nurses should be guided by
principles of ethical leadership through the process of facing these challenges and building
integrity-based cultures that address transparency throughout (Chen et al.).
Other than this, the implementation of different frameworks for making ethical decisions
can also help nurses handle difficult situations. These frameworks must consider various ethical
standards specifically related to nursing, such as autonomy, beneficence, non-maleficence, and
justice, among others. When these frameworks are considered in daily practice, nurses will be
able to make knowledgeable choices that correspond to their values as well as the best interests
of their clients.
However, this means that it needs leaders who are principled enough to speak up for their
teams. It also requires continuous learning and orienting all nursing personnel toward ethics. This
Issues in Nursing Field
11
problem is mostly about embedding ethics into a fast-moving and usually resource-restricted
healthcare environment.
Global Collaboration and Health Equity
The third solution proposes enhancing global collaboration to address the maldistribution
of healthcare resources and promote health equity. Global health involves an important role
played by nurses where their expertise is needed in situations like infectious diseases, human
trafficking, and health disparities. Nursing as a profession can help improve global health
through creating international partnerships, sharing best practices, and promoting equal resource
distribution.
This solution entails the creation of networks and collaborations between nursing
organizations, healthcare institutions, governments, and non-governmental organizations
worldwide (August et al.). These partnerships will facilitate more efficient sharing of resources
and knowledge while developing international standards for nursing practice and education.
However, Nevertheless, international cooperation involves issues like political, economic, and
cultural differences that may prevent the cooperation from being successful. To overcome these,
it is important to establish trust and mutual respect among international partners and ensure that
the initiatives are culturally relevant and meet local needs.
To enhance global collaboration and promote health equity, a multi-disciplinary approach
is required that encompasses different stakeholders such as policymakers, healthcare
professionals, researchers, and community representatives. Nurses become very important in
advocating for policies that deal with the social determinants of health like poverty, education,
and access to health care services. Through working together with local communities and
recognizing the needs and challenges of each specific community, nurses can determine the ways
Issues in Nursing Field
that the specific populations can be cared for using culturally acceptable interventions and
12
strategies that promote health equity.
Moreover, nurses can be involved in the design of global health curricula and training
materials that will instill the information and ability to new healthcare professionals so that they
can overcome the challenges of global health calamities in the future. The topic may be one of
them that can be considered as cultural competency, health promotion, disease prevention, and
diverse settings. Strengthening international scientists’ bonds can be a device for the progress of
nursing science and the creation of research and practice interventions that can fit different
cultural and economic settings. Sharing research results and effective practices among nurses
enables netizens to learn from each other and develop groundbreaking ideas to battle worldwide
health problems.
Successful sharing of knowledge and resources should bridge gaps and make the global
collaboration process possible. Such can be realized by establishing online channels, organizing
and sponsoring abroad seminars and conferences, and promoting partnerships between national
nursing groups and academic institutions in different countries. In addition to this, it is important
to use technology and digital platforms to support remote work, knowledge sharing, and distance
learning.
The nursing profession is confronted with a critical juncture, which necessitates an
immediate and all-embracing disposition. Increasing staff levels and improving work
environments, giving priority to ethical leadership, and improving international cooperation will
help to resolve some of the existing challenges. Nevertheless, the question of their effectiveness
is primarily determined by the dedication of leaders in healthcare, policymakers, and the nursing
community in general. As we step up, research, assessment, and improvement of the solutions
Issues in Nursing Field
13
will become the major steps toward the goal of making the nursing profession meet the needs of
the patients.
Issues in Nursing Field
14
References
Bolina, A. F., Bomfim, E., & Lopes-Júnior, L. C. (2020). Frontline Nursing Care: The COVID19 Pandemic and the Brazilian Health System. SAGE Open Nursing, 6,
237796082096377. https://doi.org/10.1177/2377960820963771
Capitulo, K. L., Korniewicz, D. M., & Baldwin, C. M. (2012). Are Emerging Infectious Diseases
the Most Significant Global Health Concern for Nurses? MCN: The American Journal of
Maternal/Child Nursing, 37(5), 288289. https://doi.org/10.1097/nmc.0b013e31825ecd0f
Catton, H. (2020). Global challenges in health and health care for nurses and midwives
everywhere. International Nursing Review, 67(1), 46. https://doi.org/10.1111/inr.12578
Edmonson, C., McCarthy, C., Trent-Adams, S., McCain, C., & Marshall, J. (2017). Emerging
global health issues: A nurses role. Online Journal of Issues in Nursing, 22(1).
https://doi.org/10.3912/OJIN.Vol22No01Man02
Gebreheat, G., & Teame, H. (2021). Ethical Challenges of Nurses in COVID-19 Pandemic:
Integrative Review. Journal of Multidisciplinary Healthcare, Volume 14(14), 10291035.
https://doi.org/10.2147/jmdh.s308758
Gül, D., Akkaya, G., & Yildirim, A. (2022). The effect of talent management on the job
satisfaction and organizational commitment of nurses. International Nursing Review.
https://doi.org/10.1111/inr.12796
Labrague, L. J., Sabei, S. D. A., AbuAlRub, R. F., Burney, I. A., & Al Rawajfah, O. (2021).
Authentic leadership, nurse?assessed adverse patient events and quality of care: The
mediating role of nurses safety actions. Journal of Nursing Management, 29(7).
https://doi.org/10.1111/jonm.13356
Issues in Nursing Field
15
Lu, H., Barriball, K. L., Zhang, X., & While, A. E. (2012). Job satisfaction among hospital nurses
revisited: A systematic review. International Journal of Nursing Studies, 49(8),
10171038. https://doi.org/10.1016/j.ijnurstu.2011.11.009
McHugh, M. D., Kutney-Lee, A., Cimiotti, J. P., Sloane, D. M., & Aiken, L. H. (2011). Nurses
Widespread Job Dissatisfaction, Burnout, and Frustration with Health Benefits Signal
Problems for Patient Care. Health Affairs, 30(2), 202210.
https://doi.org/10.1377/hlthaff.2010.0100
Smith, C. S. (2023). Applying a systems-oriented ethical decision-making framework to
mitigating social and structural determinants of health. Frontiers in Oral Health, 4.
https://doi.org/10.3389/froh.2023.1031574
Tamata, A. T., Mohammadnezhad, M., & Tamani, L. (2021). Registered nurses perceptions on
the factors affecting nursing shortage in the republic of Vanuatu hospitals: A qualitative
study. PLOS ONE, 16(5), 117. https://doi.org/10.1371/journal.pone.0251890
Zhao, Y., Wang, H., Sun, D., Ma, D., Li, H., Li, Y., Zhang, X., Xie, Z., & Sun, J. (2021). Job
satisfaction, resilience and social support about nurses turnover intention based on the
theory of planned behavior: A structural equation modeling approach. International
Journal of Nursing Practice, 27(6).
https://doi.org/10.1111/ijn.12941
Recent Comments