Nurse leaders are faced with ethical dilemmas
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
National healthcare issue is: Mental health and substance abuse
Sample Solution
Nurse leaders are often faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. 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. This can put patients at risk.
Effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care by:
- Communicating with all stakeholders: Nurse leaders need to communicate with nurses, patients, families, and administrators about the risks and benefits of 12-hour shifts. They need to explain that 12-hour shifts can lead to fatigue and errors, but they also need to explain that they are a way to retain nurses.
Full Answer Section
- Finding creative solutions: Nurse leaders need to find creative solutions to the problem of fatigue. This could include staggering shifts, providing breaks during shifts, or offering flexible scheduling.
- Making sure nurses are supported: Nurse leaders need to make sure that nurses have the support they need to stay safe and healthy. This could include providing access to mental health resources, offering training on fatigue management, and creating a culture of safety.
- The opioid epidemic: The opioid epidemic is a complex issue with no easy solution. There is a competing need between addressing the addiction crisis and preventing people from becoming addicted in the first place.
- Mental health care: Mental health care is often underfunded and inaccessible. There is a competing need between providing quality mental health care and controlling costs.
- Medicare and Medicaid: Medicare and Medicaid are government programs that provide healthcare to millions of Americans. There is a competing need between ensuring that these programs are sustainable and providing quality care to their beneficiaries.