IO002 Professionalism
Phillip March 26, 2024 No Comments

IO002 Professionalism

IO001 Healthcare Environment



NURS 6053 Interprofessional Organizational and Systems Leadership

Prof. Name


Organizational Policies Report

Since the onset of the Covid-19 pandemic, the healthcare industry has witnessed a noticeable surge in the nursing shortage (Jacobs, 2021). Presently, there exists a significant deficit of nurses, particularly those with substantial experience, amidst a high demand for their services. This scenario has intricately complicated the landscape of healthcare organizations, leading to shortages in both beds and nursing personnel, thereby impeding the provision of adequate medical care, especially for patients with conditions unfamiliar to the nursing staff (Jacobs, 2021). This paper aims to synthesize the competing needs contributing to the nurse shortage and identify policies and practices influencing this issue.

Competing Needs

As the nursing workforce ages, there is a trend where more nurses are retiring than being replaced, resulting in a projected loss of over 2 million years of nursing experience annually between 2020 and 2030 (Buerhaus, 2021). Additionally, nurses are increasingly pursuing advanced degrees and transitioning into managerial or non-traditional nursing roles (Buerhaus, 2021). The primary competing needs affecting the nursing shortage encompass nurse workload and achieving a balance between family and work life. Factors such as unsafe working environments, job dissatisfaction, lack of autonomy, excessive workload, and burnout have contributed to the challenge of nurse retention (Saikia, 2018). Moreover, the aging population with its associated chronic medical conditions further compounds workload pressures on existing nursing staff. Balancing work and family life poses significant challenges, particularly for nurses in their childbearing years, with maternity leaves and caregiving responsibilities further contributing to the shortage (Marć et al., 2018).

Policy or Practice Impacting Nursing Shortage

To combat the nursing shortage, healthcare facilities are implementing policies or adjusting their practices. For instance, Prairie Ridge Health has instituted staffing policies that specify nurse-to-patient ratios, such as having one nurse exclusively in the obstetrics unit and maintaining two nurses consistently available on the medical-surgical unit, regardless of patient numbers. While seasoned nurses may adapt to such policies, newer nurses have voiced concerns regarding feeling unsupported and unsafe (Jacobs, 2021).

Critique of Policy for Ethical Considerations

Nurses are steadfast in their commitment to providing patient-centered care; however, organizational policies influenced by healthcare business models can potentially create ethical conflicts, particularly for novice nurses (Kelly & Porr, 2018). While staffing policies aim to ensure consistency and fiscal responsibility, they must also prioritize safe and ethical patient care. Nurturing ethical awareness among nurses empowers them to navigate these challenges and advocate for safe practices (Milliken, 2018).

Policy Recommendations

Numerous recommendations have been put forth to address competing needs and mitigate the nursing shortage. Healthcare organizations should prioritize empowering nurses by providing them with a stronger voice, opportunities for advancement, and fostering safe work environments. I recommend establishing a minimum staffing requirement of two nurses per unit to ensure patient safety and alleviate nurse turnover. Research suggests that adequate staffing correlates with reduced hospital stays, thereby showcasing potential economic benefits (Phillips et al., 2021).


Addressing the nursing shortage necessitates proactive measures to ensure nurse safety and job satisfaction. High turnover rates among new graduate nurses result in significant organizational costs, underscoring the importance of implementing effective staffing policies (Pickens & Palokas, 2023).


Buerhaus, P. I. (2021). Current nursing shortages could have long-lasting consequences: Time to change our present course. Nursing Economics, 39(5), 247-250.

Jacobs, A. (2021). ‘Nursing is in crisis’: Staff shortages put patients at risk. New York Times.

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

NURS 6053 Assessment 2 IO002 Professionalism

Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2018). A nursing shortage – a prospect of global and local policies. International Nursing Review, 66(1), 9–16.

Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: The Online Journal of Issues in Nursing, 23(1).

Phillips, J., Malliaris, A. P., & Bakerjian, D. (2021). Nursing and patient safety. Agency for Healthcare Research and Quality.

Pickens, J. B., & Palokas, M. (2023). Barriers and facilitators for implementing a nurse residency program for new graduate nurses: A scoping review protocol. JBI Evidence Synthesis, 21(7), 1461-1468.

NURS 6053 Assessment 2 IO002 Professionalism