If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? Social Determinant such as environment/community, education, access/quality to healthcare?

These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed.

In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue.
To Prepare:
Review the Resources and select one current national healthcare issue/stressor to focus on.
Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting.
By Day 3 of Week 1
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

Learning Resources
Required Readings
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.

Chapter 2, “Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 34–62)

Chapter 3, “Current Challenges in Complex Health Care Organizations and the Quadruple Aim” (pp. 66–97)

Read any TWO of the following (plus TWO additional readings on your selected issue):

Amalberti, R., Vincent, C., Nicklin, W., & Braithwaite, J. (2019). Coping with more people with more illness Part 1: The nature of the challenge and the implications for safety and quality.Links to an external site. International Journal for Quality in Health Care, 31(2), 154–158.

Bangani, R. G., Menon, V., & Jovanov, E. (2021). Personalized stress monitoring AI system for healthcare workersLinks to an external site.. 2021 IEEE International Conference on Bioinformatics and Biomedicine (BIBM), Bioinformatics and Biomedicine (BIBM), 2021 IEEE International Conference On, 2992–2997.

Carter, M. W., & Busby, C. R. (2023). How can operational research make a real difference in healthcare? Challenges of implementationLinks to an external site.. European Journal of Operational Research, 306(3), 1059–1068.

Dixon-Woods, M., McNicol, S., & Martin, G. (2012, October 1). Ten challenges in improving quality in healthcare: lessons from the Health Foundation’s programme evaluations and relevant literatureLinks to an external site.. BMJ Quality & Safety, 21(10), 876.

Gjellebæk, C., Svensson, A., Bjørkquist, C., Fladeby, N., & Grundén, K. (2020). Management challenges for future digitalization of healthcare servicesLinks to an external site.. Futures, 124.

Greco, E., Graziano, E. A., Stella, G. P., Mastrodascio, M., & Cedrone, F. (2022). The impact of leadership on perceived work-related stress in healthcare facilities organisationsLinks to an external site.. Journal of Organizational Change Management, 35(4/5), 734-748.

Hale, K. (2021). Benefits and challenges of social media in health careLinks to an external site.. Critical Care Nursing Quarterly, 44(3), 309–315.

Navaz, A. N., Serhani, M. A., El Kassabi, H. T., Al-Qirim, N., & Ismail, H. (2021). Trends, technologies, and key challenges in smart and connected healthcareLinks to an external site.. IEEE Access, Access, IEEE, 9, 74044–74067.

Slonim, A. (2023). Top challenges facing healthcare: Back to basicsLinks to an external site.. Physician Leadership Journal, 10(2), 12–14. https://doi.org/10.55834/plj.2064149664

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