Discussion: Organizational Policies and
Practices to Support Healthcare Issues
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.
Review the Resources and think about the national healthcare issue/stressor you
previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national
healthcare issue/stressor you previously examined.
By Day 3 of Week 3
Post an explanation of how competing needs, such as the needs of the workforce, resources, and
patients, may impact the development of policy. Then, describe any specific competing needs
that may impact the national healthcare issue/stressor you selected. What are the impacts, and
how might policy address these competing needs? Be specific and provide examples.
By Day 6 of Week 3
Respond to at least two of your colleagues on two different days by providing additional
thoughts about competing needs that may impact your colleagues’ selected issues, or additional
ideas for applying policy to address the impacts described.
Submission and Grading Information
To access your rubric:
Week 3 Discussion Rubric
Post by Day 3 and Respond by Day 6 of Week 3
To participate in this Discussion:
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements.
Silver Spring, MD: Author. Retrieved from https://www.nursingworld.org/coe-view-only
Note: Review all, with special attention to “Provision 6” (pp. 23–26).
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.
doi:10.3912/OJIN.Vol23No01Man06. Retrieved from
Milliken, A. (2018). Ethical awareness: What it is and why it matters. OJIN: Online Journal of
Issues in Nursing, 23(1), Manuscript 1. doi:10.3912/OJIN.Vol23No01Man01. Retrieved from
Laureate Education (Producer). (2012). Ethical, Moral, and Legal Leadership [Video file].
Baltimore, MD: Author.
Laureate Education (Producer). (2009b). Working with Individuals [Video file]. Baltimore, MD: