Healthcare policies and procedures help provide standardization and clarity in addressing challenges as well as activities that are crucial for health and safety, legal liabilities, and regulatory needs within every day clinical practice. Two competing needs that affect organizational nursing shortage are workforce satisfaction and customer satisfaction. Healthcare institutions are mostly fixated on patient satisfaction and at times fail to acknowledge the set workforce that provides care to the clients. When the workforce feels unmotivated through aspects such as lack of recognition by the management, then this reflects the probability of provision of low-quality healthcare that leads to patients’ dissatisfaction (Anand & Dwivedi, 2019). When patients are not satisfied, the management may opt to relieve some workers of their duties, others may also leave due to dissatisfaction, and this increases nursing shortage within the organization. The purpose of this paper is to examine relevant policies that may be used in addressing the two competing needs that are related to the issue of nursing shortage as a stressor.

Relevant Organizational Policy or Practice Impacting Nursing Shortage

            Healthcare organizations are required to be innovative in attaining the needs of the workforce, while at the same time ensuring the provision of safe and quality care to the patients. An effective practice to address the issue of nursing shortage as adopted by my organization is the use of the Magnet Certification for assessing the effectiveness and quality of nursing within it (Haddad & Toney-Butler, 2020). My organization can use the policy to remove issues related to competition between the needs of the nurses and patients’ satisfaction (Rodriguez-Garcia et al., 2020). This is because the policy encompasses involvement of nurses in decision-making processes for effective clinical outcomes as well as effective grievance resolution measures. This in turn ensures nurses’ job satisfaction with low rates of turnovers as well as their delivery of top patient outcomes

Ethical Concerns of Magnet Certification

            The Magnet Recognition Program for adoption by the organization has sound ethical considerations, and no noteworthy ethical concerns or challenges. The strength of the policy in promoting ethics is founded on the rigorous approach that involves several months of evaluations for evidence of excellence in terms of nurse satisfaction, patient satisfaction, and care outcomes within the given institution (Haller et al.). The documentation strategy for the Magnet Certification Strategy involves transformational leadership, structural empowerment, exemplary professional practice, and new knowledge, innovation as well as enhancements. This is done for purposes of compliance of certification together with ethical considerations

Magnet Program certification necessitates the need for describing the healthcare institution, practice settings for the nurses, and undertakings for upholding patient-centered care, sound ethical considerations, continued EBP research projects, and the Chief Nursing Officer’s (CNO) work description as well as their resume. The aspect of ethics is incorporated within various courses in the program that necessitates addressing social conducts via continued educational research on core cultural behaviors. Every year, mandatory, updated computer-tests are carried out on social conduct alongside ethical content and education is given by leaders to the clinical staff who fail to attain competent scores (Van Bogaert et al., 2018). The program’s robustness in engagement and commitment of the clinical staff in inspiring excellent patient outcomes within every day interdisciplinary practice is overseen through clear frameworks, methodologies as well as resources upheld by governance and policy contexts that attains visible and accountable outcomes.


Recommendation of Policy or Practice Changes for Addressing Competing Needs of Resources, Workers, and Patients

            A practice change may be fixated on a change of governance for transparency, accountability, and putting in place effective mechanisms for tackling the challenges. These may include the need for the conflicts arising from the competing needs to be encompassed as a key item within the agendas of relevant committees. This is then followed by making reports on the set needs for attaining the desired outcomes (Harris et al., 2017). There should also be the aspect of quality improvement initiatives within decision-making structures for ensuring a process of review for pinpointing where the issues lie and coming up with effective strategies for addressing them.

Ethical shortcomings that can be tackled within the present policies include autonomy that necessitates for patients to be involved in the decision-making process of healthcare that they receive. Another ethical concern is nonmaleficence that aids in the evaluation of probable harms within the existing clinical systems. The principle of beneficence can also be addressed to ensure the attainment of the objectives of offering as well as inspiring positivity in the realization of the best healthcare outcomes and satisfaction (Ramsom & Olsson, 2017). The ethical consideration of justice can be fulfilled by ensuring a full analysis of the limits of the available healthcare resources within the set healthcare organization.


Policies within healthcare are crucial as they help devise the overall plans of action utilized in leading required results, and are also key for helping in decision-making. They help create clear communication to the workforce the intended outcomes within the institution. The healthcare personnel is in turn able to comprehend their set roles combined with responsibilities within the settings. They help set the foundation for the provision of safe, and cost-effective care to patients.

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