Due 09/13/23 1900 EST

Respond to this DB using APA and include at least 2 scholarly references

Competing Needs in Healthcare Policy Development: National Healthcare Issue of Healthcare Workers Shortage 

Different needs can have a big effect on how policies are made to deal with the shortage of health care workers. As a graduate student in nursing who also works in a psychiatric hospital, I know how difficult things can get.
Haddad, L. M., Annamaraju, P., and Toney-Butler, T. J. (2020) say that nurses are an important part of health care and make up the most important part of the health field. The World Health Statistics Report says that there are about 29 million nurses and midwives in the world, with 3.9 million of them working in the United States. 

From an academic and evidence-based point of view, competing needs include restricted budgets, different goals among stakeholders, different places where people can get health care depending on where they live, and changing patient demographics. These things can cause tension and problems when making laws.
There aren’t enough nurses for a few main reasons: bad planning and allocation of the workforce; lack of new staff due to lack of resources; bad recruitment, retention, and “return” policies; inefficient use of nursing resources due to the wrong mix and use of skills; bad incentive structures; and lack of career support. 

                                                       Effects of Competing Needs on Healthcare Workers Shortage 

For instance, if you know a lot about psychology, you could show how important it is to have mental health experts. But because of shortages, other parts of health care may also need help. To find a balance and meet these needs, workforce estimates must be based on facts and take into account how many people are retiring and how many people are being born. 

Getting to population health, universal health coverage (UHC), and fair access to health care depends on having a health staff with enough capacity, capability, and quality to meet epidemiological challenges and changing needs. WHO says that by 2030, there will be 40 million more jobs in health and social care because more people will need them around the world. In most countries, nurses are the most highly skilled workers, and they make up about half of the world’s health care workers. 

                                                              Solving The Issue Of Competing Needs through Policy 

In this situation, it would be important for healthcare managers, policymakers, educators, and professionals from other areas to work together to make policy. Research that shows what works can help businesses decide how to hire, train, and keep workers. By recognizing and addressing these different needs, plans can be made to deal with the lack of healthcare workers and take psychiatric nursing experience into account. 

When it comes to psychology, having different needs can have a big impact on how healthcare decisions are made. As a psychiatry nurse practitioner, for example, you might run into situations where the patient’s need for freedom conflicts with the need to give the right care and make sure the patient is safe. Finding a balance between individual rights and the bigger goals of treatment success and patient well-being requires healthcare professionals, policymakers, and patients to make decisions based on evidence and work together. When making plans to deal with these hard problems, it is important to think about study, clinical standards, and ethical principles. 

Most people who talk about nurse shortages say that lawmakers should pay attention to all parts (called “policy bundles”) and not make policies based on simple, linear thinking. There is proof of this in both high- and low-income countries, where programs that only focus on growing nurse training have not increased the number of nurses entering the workforce or filled gaps in priority areas where there have been shortages in the past. 

To deal with the lack of health care workers, we need a plan with many parts, including laws that help hire, keep, and train people. Some ways to improve access to healthcare are to pay healthcare workers more money, expand training programs, improve working conditions, and use telemedicine. Evidence-based policies can be made by looking at trends in the workforce, figuring out how different actions affect the situation, and involving stakeholders to make sure the policies are well applied. 

                                                                                                   References 

V.M. Drennan and Fiona Ross What’s going on, what it means, and what can be done to fix the problem The British Medical Bulletin, 130(1), pages 25–37 

Organization for World Health. Workforce 2030 is a global plan for using people to improve health. Retrieved September 11, 2023, from https://www.who.int/hrh/resources/pub_globstrathrh-2030/en/Links to an external site.. 

Shortage of Nurses | StatPearls | NCBI Bookshelf | NCBI Visit www.merlot.org/merlot/viewMaterial.htm?id=773408731 for more information. 

Be sure to provide 5 APA citations of the supporting evidence-based peer-reviewed articles you selected to support your thinking.

Please be sure to follow EACH AND EVERY BULLET POINT.

Make sure to ANSWER EACH QUESTION ACCURATELY.

(TOPIC: In Attachment**)

***Please be sure to include all information from the attachment in the assignment*****

Please use the template attached to complete the assignment.

*****PLEASE VIEW THE VIDEO, FOLLOW THE GUIDELINES ATTACHED, AND CRITIQUE THE ATTACHED *********

USE TEMPLATE ATTACHED*****

P1   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178610

P2   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178611

P3   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178612

P4   https://video.alexanderstreet.com/embed/training-title-114-2/clips/178613

In APA format and at least three pages, answer the following questions:

What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?

In your opinion, what part does intuition play in clinical judgment? How do you think you'll be able to develop nursing intuition?

1: Title • Title: Understanding Asthma and COPD

• Subtitle: Essential Knowledge for Nurse Practitioners 

2: Introduction

• Brief overview of the importance of Anti-inflammatory Drugs (Glucocorticoids) and Bronchodilators in healthcare. 

• Mention the aim of the presentation: to provide an understanding of different types of Anti-inflammatory Drugs (Glucocorticoids) and Bronchodilators and their clinical applications. 

3: Management of asthma and COPD 

• Classification of asthma severity 

• Classification of COPD (air flow limitation severity)

4: Types of drug treatments

• Detail the two main categories: Oral and Inhaled Anti-inflammatory drugs (Glucocorticoids) and bronchodilators 

• Mention common examples from each category. 

5: Oral Anti-inflammatory drugs (Glucocorticoids, phosphodiesterase-4 inhibitors) and bronchodilators (Methylxanthine)

• Discuss commonly used oral Glucocorticoids like Prednisone, Montelukast, Roflumilast and Theophylline.

• Emphasize their indications, dosages, and monitoring requirements.

6: Inhaled Anti-inflammatory drugs (Glucocorticoids) and bronchodilators (Anticholinergic, b2 adrenergic agonist)

• Explain the use of inhaled drugs such as Beclomethasone, Cromolyn, Ipratropium, Tiotropium, and Albuterol, Salmeterol.

• Describe when and how these are administered (types of inhalation devices, Meter-dose inhalers, dry-powder inhaler, and nebulizers). 

7: Anti-inflammatory drugs (Monoclonal antibodies) 

• Highlight the benefits and considerations (Blackbox warning) of Omalizumab

8: Monitoring and Safety 

• Discuss the importance of regular monitoring therapy. 

• Address safety concerns.

10: Patient Education 

• Provide key points for patient education regarding Anti-inflammatory drugs (Glucocorticoids) and bronchodilators therapy.

• Emphasize compliance.

11: Conclusion 

• Summarize key takeaways from the presentation.

• Reiterate the importance of nurse practitioners’ role in managing Asthma and COPD therapy. 

12 Resources

• Provide references and recommended readings for further learning.

The group PPT should have a minimum of 20 slides and no more than 40 with speaker notes. (Including group members, outline, reference page). Reference and citations must be in APA format 6th or 7th Ed. 

The presentation should be directed to the pharmacological management of the disease. It should include the following: Drug indications, drug classification, generic name and most common brand name, mechanism of action, side effects, drug interactions, use of the drug in different populations and important pearls.