Contemporary Issues in Nursing and Healthcare: A Detailed Report

This report provides a detailed analysis of contemporary issues in nursing within the healthcare industry. It identifies key challenges such as staffing shortages, compensation disparities, long working hours, and workplace hazards. The report emphasizes the significance of teamwork and effective communication in addressing these problems. It explores the application of theoretical frameworks like Maslow's hierarchy of needs and Lewin's change management model to understand and mitigate these issues. Maslow's hierarchy is used to analyze motivational factors, including physiological, safety, love and belongingness, esteem, and self-actualization needs of nurses. Lewin's model is applied to manage change, focusing on the unfreeze, change, and refreeze stages to facilitate organizational adaptation and address resistance to change, especially concerning technological advancements. The report underscores the importance of addressing these issues to improve nurse satisfaction, enhance patient care, and ensure the long-term sustainability of healthcare systems.

Contemporary issues in
business
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ABSTRACT
Nursing is very much important career opportunity from the entry level practitioner to
doctoral level researcher. Nurses are the hands on health professionals who liable to provide
most focused and highly personalized care to the patients. Nurses are liable to promote health,
prevent from disease and assist patients to cope up with illness. Nurse work in variety of settings
and specialist to provide one of their best services. To pursue their career they choose practice in
hospitals, nursing homes, medical offices, occupational health and community health centres.
While pursuing the nursing business there are lot of challenges appear that is staffing, long
working hours, work place hazards, work place violence and bullying and harassment. Besides
respective issues there are some urgent issues that required to be addressed as evaluated by
stakeholders and internationally. In that regards various authorities concerned for global
population health and encourage about the health care providers to work in collaborate manner to
provide best solutions to amend lives of population around the whole world majorly in
underserved areas. It is very much important to put one of best efforts not only by government
institutions but also privately owner business entities. As it is related with health and safety of an
individual for giving one of their best practices in order to remain always competitive in
marketplace.
Table of Contents
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ABSTRACT.....................................................................................................................................2
INTRODUCTION...........................................................................................................................4
MAIN BODY...................................................................................................................................4
Contemporary issues of Nursing in Health care....................................................................4
Theories and practices............................................................................................................5
Maslow's hierarchy of need....................................................................................................5
Lewin's change management model.......................................................................................7
CONCLUSION..............................................................................................................................12
REFERENCE.................................................................................................................................13
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INTRODUCTION
Today's health care industry is one of most important multidisciplinary approach for
patient care. Nurses work closely for patient care alongside of physician and specialist. In that
regards teamwork is very much crucial to facilitate well organized comprehensive care to
eliminate major kind of problems that faced by respective industry (Amankwah-Amoah and
Wang, 2019). There are no. of issues or concerns that faced by respective business such as
staffing issues, hectic working schedule and many more that need to be consider for smooth
working practices. It is very much potential for organisation to put one of their best efforts by
using smooth communication so that each and every individual can share their concern. It has
been analyse that nursing business is very much important activities by assuring about adequacy
and performance of hospitality nursing, to improve quality and in achieving effective control
over hospital cost required to harmonized. Nursing administration is very much important to
have a hands on understanding of factors which contributes in satisfaction in the health care
organisation. As they evaluate patients journey in through out their time duration in hospital that
helps to pinpoint strength of institution. Through out the 21st century the role of nurse is very
much significant as they have variety of setting consist of in hospitals, class room, in community
health department and in business sector. There are no. of factors which affect performance of
nursing such as job related factors includes compensation, culture, long working hours and in
personal factors consisted the years of experience, nationality, gender and marital status many
more (Teece, 2019). So it is very much potential to evaluate respective factors in order to gain
potential outcomes. To gain the potential outcomes it is very much important to evaluate the
problems of nursing by using the theories and practices so that major improvements should be
made. With help of theories and practices such as Maslow’s hierarchy and Lewin change model
helps to give proper information about the implications of problems or hurdles that affecting
performance of nursing. Although each and every personality has differ responsibilities and their
primary goal is to be work client's advocate and provide optimal care on basis of individual's
concern.
MAIN BODY
Contemporary issues of Nursing in Health care.
In the health care nursing professionals work with dedication to provide the care to the
diseased individuals that consider one of most noble being (Asongu and Odhiambo, 2019). But
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in present business world there are major issues faced by working in the health care centres. Here
are the no. of issues faced by the Nurses who plays integral role in the health care industry by
providing protection and care to the patients and filling leadership roles at hospitals, in health
system and in other organisations.
Compensation, While come about nurse compensation, there are regional differences are to be
expected rely on cost of living. Besides regional difference in the pay, pay gaps also arise in
between genders. Respective factor create dissatisfaction in between people and they not able to
give one of their best efforts in achieving desirable goals and objectives (5 Contemporary
Nursing issues that you should know, 2020). It is primary duty of management to take care of
employees motivation level which is determinant in gaining desirable outcomes from them. It is
very much important for business to maintain the motivation level of employees as it directly
rely on the compensation and other kind of benefits that directly contribute in raising their living
of standard. To enhance employees motivation and eradicate respective concern it is very much
potential to apply theory and practice that are as follows:
Theories and practices.
Maslow's hierarchy of need
Maslow's hierarchy of need is one of most important motivational theory that psychologically
comprise the five star model related with human needs in hierarchical manner within a pyramid.
From the upwards to hierarchical upwards the needs consisted are: Psychological, safety, love
and belongingness, self esteem and self actualization. For an individual the most basic need is for
physical survival and it firstly influence behaviour. Once level of motivation is filled the next tier
up and motivate an individual.
Psychological needs is biological requirements of human survival such as air, food,drink, shelter
and clothing so on. If respective kinds of needs not get satisfied then human body can not
function in proper manner. In view of Maslow physiological needs is one of most important until
the secondary needs are met. In context of Health care industry, to enhance motivation level of
employees should be paid in proper manner so they can give one of their best efforts.
Safety needs consist of the protection from elements, provide security, order, law, stability and
freedom from the fear. It is very much important in health care industry to provide security from
contagious disease as while doctor and nurses serve patient they need proper protection (The 5
Levels of Maslow's Hierarchy of Needs, 2020). So it is very much potential for hospitals and
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other institutions to provide one of best protection from any kind of uncertainty so that they can
give one of their best efforts.
Love and belongingness needs, after psychological and safety needs has been fulfilled it is very
much potential to work for giving love and belongingness to people. It is very much potential in
health care industry to build healthy relationship within the employees as nurses and other staff
give long hours of duty and live far from their families (Black, 2019). In that regards it is very
much potential to develop friends, intimacy, trust and acceptance at the work place. By behaving
in such a manner staff members can be able to give one of their best efforts in organisational as
well as self development.
Esteem needs, As per Maslow's hierarchy respective need classified into two categories that is
esteem for oneself and desire of reputation from others. In case of health care sector it has been
evaluated that people suffer from the lack of respect which is very much potential in giving one
of their best efforts. Nurses experience lack of respect from side of patients, doctors,
management and even from their co workers. As per report of Medscape's online survey 31.4%
of respondents interviewed and complained of lack of respect (Issues In Contemporary Nursing:
Top Five Challenges, 2020). They suffer from the physical assault, verbal abuse and mental
pressure that is a major concern in front of people. In that regards it is very much potential for
administration to work in respect of employees as without it they can not be able to give one of
their best efforts in organisational as well as self development.
Self actualization needs: Respective criteria of need hierarchy consist of realizing personal
potential, self fulfilment and seeking personal growth (Heydemann and Newsom, 2019). It is
very much potential to analyse the importance of an individual so that they can give one of their
best efforts in order to remain competitive in marketplace.
It has been evaluated that by using respective theories and practices organization can be able to
visualize their employee’s needs and properly plan their remuneration and other factors
strategically. In order to for an organisation it is very much potential to take care about personnel
every kind of needs and wants so that they give one of their best efforts in firm as well as self
development.
Staff shortage, In health care sector, every single employee want to deploy maximum
manpower. One of most fierce contemporary issue is staff crisis. At the same time they suffer
from the problem of shortage of nurses by which they are not able to fulfil the demand of the
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patients in potential manner. Respective situation arise due to the hospital management is
investing a good deal of money in updating their facilities.
Innovative technology, the contemporary nursing issues are rising gradually equipped with the
advance tools and techniques in order to serve patients in best manner. There are less no. of
nurses and larger no. of patients in the hospitals amidst it is difficult from side of nurses to give
one of their best efforts and attention to them potentially. In that regards it is very much potential
to pay attention on giving training and development to employees so that they can adopt changes
in positive manner and can give one of their best efforts in care of patients in positive manner.
The another major problem arise in front of administration that people feel rigid while
technological advancement adopt in organisation (Bocken, Boons and Baldassarre, 2019). So
to overcome from respective issue it is very much important to use the theoretical practices to
enhance participation of individual in organisation. There are new and innovative ways come in
market to care patients now such as glucometers which assist in transmitting information to
electronic health record. It saves time, but if administration not invest in good system it creates
more work for nurses. In that regards it is very much potential to prepare people about changes
so that they can contribute one of their best efforts.
Theories and practices
Lewin's change management model.
Lewin's change management model, Change is very much important thread which runs in all
businesses regardless of size, industry and age. The organisations changing at a very fast pace
and must adopt it rapidly. In context of Health care industry people are very much rigid to
change, for gaining potential outcomes it is very important to educate about significance of it.
With the help of Lewin's change management model organisation can be able to gain the
desirable outcomes from their employees that are as follows:
It is accountability of administration to prepare people about change and make it possible for
them to give one of their best efforts in organisational development. In that regards by looking at
change process by observing distinctive stages. To begin with successful change process,
organisation need to understand the reason behind change potentially (Cohen, 2019). In context
of Health and care industry to gain desirable outcomes from the employees it is needed to use
Lewin's change model for gaining desirable outcomes.
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Unfreeze, The first and foremost stage of change involves the preparation of organisation to
accept changes that is very much potential for them (Kurt Lewin Change Theory Three Step
Model – unfreeze, change, freeze, 2020). In respective stage key is to developing the message
which shows the reason behind the existing ways of doing work is not appropriate. In context of
Health care while they adopt the new tools and techniques that helps to treat patients quickly and
accurately so administration and employees have to adopt the same. Initially people not prepare
for accepting changes but by giving proper education regarding changes helps them to engage
oneself.
Change, In respective stage after uncertainty created in unfreeze stage, the change stage begins
in which people start to resolve their uncertainties by looking new ways to pursue things. The
reform from the unfreeze to change does not happen overnight as people takes long time to
embrace changes and participate in it (Boone and et.al., 2019) . In order to accept the changes
and contribute to make it successful it is very much potential to understand its benefit for the
people in order to remain competitive in marketplace. Not every individual fall in line due to
change is very much potential and devote one of their best efforts in organisational development.
In context of Health and care industry they put one of their best efforts in educating people about
significance of technological advancement and way it contribute in career growth of people
engaged with it.
Refreeze, In an organisation while changes takes shape and new excited to embrace news ways
of the working, then organisation ready to refreeze potentially. The outward signs of refreeze is
stable kind of organisational chart, consistent job descriptions and many more. Respective stage
also assist to people and organisation institutionalize changes in positive manner (Horák, Šuleř
and Vrbka, 2019). In context of Health care industry that make sure that changes used in full
time for that they have to coordinate with the other businesses. The most important aspect in that
regards is to create new sense of stability in the dynamic business environment so that potential
outcomes should be attained.
It has been evaluated that change plays very much important role, while changes occurs in
organisation it is accountability of management to properly educate employees about it regarding
its significance for people so that they can give one of their best efforts.
Culturally aware patient care, To care patients in potential manner it is very much important to
pay close attention to people who speak other languages or from belong from other culture. It is
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observed that people in health care done a good job over the years, but yes people taking
computer based learning to fit culturally (Mohammadi, Moharrer and Babakhanifard, 2019).
Due to migration and Me too movement the population of patients going to be culturally differ
from one another. Along with it is the responsibility of administration to hire people who belong
from differ culture and communities. In context of health care sector to meet the patients
expectation they by hiring the Spanish, Russian and Chinese nurses so that they can interact with
patients potentially. Due to language gap staff members miss the human connection that is very
much potential in cure of an individual at rapid pace. By paying attention on society and on
differ culture that helps to encourage to get into nursing profession to care people potentially. To
overcome from the cultural barriers it is very much potential for an organisation to put one of
their best efforts by merge business goals and ideas. Cultural barriers are major challenges of
cross cultural communication in organisation. It occurs while people come across from different
backgrounds such as from differ culture, language and beliefs and differ symbols to
communicate cultural awareness, knowledge and communication (Jílková and Králová, 2019).
With the help of clear communication that reduce chances of surprises, crises and confrontation.
Both employers and employees consider diversity and cultural difference by building
communication material. It can be possible by using simple words and methods to communicate
results in proper manner. By avoiding slang words and phrases enables to communicate in proper
manner with the people so that potential outcomes should be gain.
Meeting patients expectations, As per the survey carried out by the Nursing times, it has been
evaluated that more than half of nursing stated that meeting expectations of patients is one of
most difficult task (Kingston, 2019). As patients possess high level of expectations but due to
the budget restrictions and lack of staff it is not possible to met employees expectations
potentially. Respective activities put immense pressure on an individual who usually look after
no. of patients. By hearing that patients are not happy with services with their level of services
directly affect on the morale of employees and nurses on great level of stress. In that aspect it is
very much potential to make sure that organisation have enough no. of staff member in differ
shifts so that they have extra assistance available. In addition to it is very much potential for
nurses to look after their own health due to high level of stress they get affected and not able to
give one of their best efforts. In that regards it is very much necessary efforts from side of
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administration to appoint proper no. of employees in the organisation so that effective outcomes
should be obtained.
The another issues which faced by the staff and nurses while giving their services to their
patients is:
Long working hours, in respective issue work for the long hours and overtime that hinders their
productivity and morale adversely. From the nurses in healthcare sector expected to persuade 12
hour shifts that is very much lethargic. Respective issue arise due to stems from cut staff no. but
nurses have to give their duty instead of serious accidents (Micklin and Choldin, 2019). Also in
time of recovery it is expected from nurses to work for long duration as working for long time
physically and emotionally is very much stressful. So in that regards it is very much potential to
give some time to take rest so that they can potentially give one of their best efforts. To amend
performance of employees within respective industry it is crucial to find out gaps to evaluate
major reasons behind lack of performance of employees so that accordingly advantages should
be provided potentially. In that regards shifting of working hours also plays very important role
in maintaining employees motivation level stable and keep their attitude positive.
Medical Data Integration, With development of technology, today, healthcare industry has
become technology-focused. It has now eagerly concerned more on adopting new cutting-edge,
with aim to increase accessibility to care for people in more advanced and improved manner.
Although, innovation in technology has provided a number of benefits like greater care of
patient, better & safe data storage, easy of workflow and more. But it has brought several
problems also, that creates challenges in front of healthcare management, where authorities have
to overcome. Such challenging role includes integration of medical data into physician practices,
in terms of utilisation of information in profitable manner (Jurkevičius and Pokhodun, 2019).
Data collection, data processing, safety and other process, are mostly controlled and government
by regulations of state through HIPAA and HITECH Act. Careful and consistently collected as
well as processed the data as per set standardized procedures, refers to be essential for healthcare
or government authorities, in order to measure the actual performance of care outcomes and
medical facilities provided for same. As per NCBI (National Center for Biotechnology
Information), “data standards are encompassed with methods, protocols, specifications and
terminologies, for collecting, exchanging, storing and retrieval of information, which are
associated with medical records and healthcare applications. In this regard, adoption of e-health
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records and integration of data, arise difficulties when it comes to maintain standardisation and
correctness of information (Medical Data Integration – the Problem Is Still Here. 2020).
Because such data is collected from several departments like doctors' offices, ambulatory
surgical centres, hospitals, nursing homes and more, therefore, managing accuracy and safety of
data, may create difficulties in front of management. Collection of data and information
regarding nursing plays very much important role in treating patients in proper manner by
collecting potential knowledge regarding their problems in potential manner. Protecting
information regarding consumers is also very potential so that they remain confident while
availing services.
Therefore, problems regarding with maintaining standardisation and correctness of
information, while using digital technology, can be resolved by reducing or eliminating data
silos; standardising data formats; leveraging robust API solutions and more. Hereby, problems
that may arise while integrating EHR data lead to data entry manually, which consumes more
time and costs, can be resolved by using Robust API solutions. Such solutions support the rapid
scalability to grow organisation via delivering the turnkey integration in EHRs (Pich and Spry,
2019). Along with this, API solutions also provide advances encryption and authentication,
which helps in ensuring PHI security, as well as supporting the integration (bi-directional
workflow) between third party applications and EHRs. Furthermore, as most of the electronic
healthcare system support only limited no. of data format, therefore, promoting interoperability
and innovation, will help organisations to overcome from such an issue, easily. But they have to
agree for using standard data sets and interoperability format first. Similarly, a protocol also need
to be accepted in data collection, for multi-stakeholder participation, that helps in co-establishing
the information standards and auditing mechanism accordingly. Along with this, authorities also
need to involve integrating teams, technology and concepts into healthcare data integration
services, for creating infrastructure which is capable of housing the big data in a meaning way.
All these procedures, help in decreasing chance of occurrence of data integration problem and
complexity regarding with building the interfaces between number of systems.
Safety on job, There are lots of factors that may contribute in creating the safe working
environment that helps in gaining desirable outputs from the employees. The safest patient
handling helps to staff and nurses in gaining best results by reducing anxiety (Mohammadi,
Moharrer and Babakhanifard, 2019). By using campaign which includes the greater education
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