Magnetism and the Department of Veterans Affairs

Fourteen Forces of Magnetism and the Department of Veterans Affairs

As the nation’s largest healthcare provider, the Department of Veterans Affairs has the mandated responsibility of caring for “those who shall have borne the battle, their widows and orphans.” This paper provides an analysis of the Department of Veterans Affairs (VA) using the “Fourteen Forces of Magnetism” developed by Bliss-Holtz, Winter, Scherer and Elaine (2004) as a guide to assessing whether the organization has structures in place to for recruitment, retention, and support of a qualified workforce and to support the professional practice of nursing. The paper presents an overview of the VA, its location, size and age as well as some unusual history of the organization. A discussion concerning the VA’s image is followed by an analysis of its sub-unit configuration. A summary of the research and salient findings concerning whether the VA is in a solid position to recruit, retain, and support a qualified workforce and to support the professional practice of nursing are presented in the conclusion.

Don't use plagiarized sources. Get Your Custom Essay on
Magnetism and the Department of Veterans Affairs
Just from $9/Page
Order Essay

Review and Discussion

Overview of the Department of Veterans Affairs.

Location. The VA maintains healthcare facilities in the form of 155 medical centers (at least one in each state), 1,400 outpatient clinics and 209 so-called “Vet Centers” across the country and in Puerto Rico. In fact, approximately 70 million people or a quarter of the U.S. population, are potentially eligible for VA benefits and services based on their active military services or because they are family members or survivors of veterans (About VA, 2008; Facts About the Department of Veterans Affairs, 2008).

Size. Today, the VA is responsible for maintaining the largest medical education and health professions training program in the U.S. And VA facilities are affiliated with more than 100 medical schools, 55 dental schools and more than 1,200 other educational institutions throughout America (Facts About the Department of Veterans Affairs, 2008). Approximately 90,000 healthcare professionals are trained in VA medical centers each year; in fact, over half of the physicians currently practicing in the United States received some of their professional education within the VA healthcare system (Facts About the Department of Veterans Affairs, 2008).

Age. Congress established the U.S. Veterans Bureau in 1921 following the end of World War I (VA Nursing Service, 2005). The current VA was originally established by Executive Order 5398, signed by President Herbert Hoover on July 21, 1930 to consolidate these services; at the time of its creation in 1930, the VA had 54 hospitals (Facts About the Department of Veterans Affairs, 2008). According to the organization’s fact sheet, “The Department of Veterans Affairs (VA) was established on March 15, 1989, succeeding the Veterans Administration. It is responsible for providing federal benefits to veterans and their families. Headed by the Secretary of Veterans Affairs, VA is the second largest of the 15 Cabinet departments and operates nationwide programs for health care, financial assistance and burial benefits” (Facts About the Department of Veterans Affairs, 2008, p. 2).

Unusual history. The VA’s motto, “To care for him who shall have borne the battle and for his widow, and his orphan,” is taken from President Abraham Lincoln’s second inaugural address (the Origin of the VA Motto, 2008), which also appears on the west wall of the Lincoln Memorial in Washington, D.C. (pers. obs.).

Image. One of the most pressing issues facing the VA today is its longstanding image as an inferior provider of healthcare services. The organization’s poor image in this regard has even been highlighted in prime time television series that parody the VA time and again (i.e., “The Simpsons,” where a patient is taken to a VA hospital and pronounced dead only to be taken to a civilian hospital where the patient’s condition was upgraded to “alive”). Scandals ranging from malfeasance to gross malpractice by various healthcare providers have also rocked the organization over the years (pers. knowl.).

Sub-unit configuration. Nurses in the VA system are employed in every healthcare setting, including medical centers, outpatient clinics and Vet Centers where appropriate. According to the VA’s Office of Nursing Service, the VA also has one of the largest nursing staffs of any healthcare system in the world today. “Numbering more than 59,000 nationwide,” the fact sheet advises, “the VA nursing team – composed of registered nurses, licensed practical nurses, vocational nurses and nursing assistants – provides comprehensive, complex, and compassionate care to the nation’s veterans” (VA Nursing Service, 2005, p. 2).

Consistencies and Inconsistencies between the Intent of Each Force of the Fourteen Forces of Magnetism and the Current State of the VA.

Force 1: Quality of Nursing Leadership. Notwithstanding the enormous challenges facing the VA in providing high quality medical services to its veteran patients, the quality of the nursing leadership exemplified in the organization has consistently been cited as superior in recent years by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Force 2: Organizational Structure. The VA organizational structure is outlined above; however, VA nurses also work in outpatient clinics, nursing home units and home-based primary care programs (VA Nursing Service, 2005).

Force 3: Management Style. With almost 60,000 nursing staff assigned in various capacities nationwide, it is reasonable to assert that there are countless management styles in place in different medical centers, outpatient clinics and home-based health care programs, but all of these VA positions are part of the U.S. Civil Service and all have corresponding job descriptions and established management requirements.

Force 4: Personnel Policies and Programs. As part of the U.S. Civil Service, the VA maintains clearly delineated personnel policies and programs in support of its stated mission of providing high-quality healthcare services for its veteran patients.

Force 5: Professional Models of Care. According to their fact sheet, “VA nurses proudly serve America’s heroes practicing the art and science of nursing by following a variety of career paths and applying the principles and knowledge in order to provide holistic, evidence-based, high quality care” (VA Nursing Service, 2005, p. 3).

Force 6: Quality of Care. The VA nursing service is dedicated to the provision of high quality healthcare services to its veteran patients. The organization’s literature clearly states, “VA Nursing is a dynamic, diverse group of honored, respected, and compassionate professionals. VA is the leader in the creation of an organizational culture where excellence in nursing is valued as essential for quality healthcare to those who served America” (About Office of Nursing Services, 2008, p. 2).

Force 7: Quality Improvement. The VA nursing service, like the larger organization in which it operates, is committed to across-the-board quality improvement. In this regard, the VA’s nursing service fact sheet reports, “VA nurses have been widely recognized for their instrumental work in initiating, developing, implementing, and monitoring the practices and policies that made VHA one of the world’s foremost authorities in patient safety and quality outcomes evidenced by performance measures – an exceptional achievement by any assessment” (Office of Nursing Services, 2008, p. 3).

Force 8: Consultation and Resources. Today, nurses in the VA provide a wide range of consultation services in their various capacities to provide advanced leadership in resource allocation and evaluation. According to the organization’s nursing fact sheet, “VA nurse researchers receive both VA and non-VA funding to conduct research to address nursing care issues for veterans. VA nursing partnerships with academic affiliates contribute to research and education, creating significant advancements in patient care. VA nursing education uses current technology to furnish distance learning programs to VA nurses nationwide” (VA Nursing Service, 2005, p. 3). In addition, nurses in the VA are part of an interdisciplinary team during periods of national emergency and are responsible for the provision of healthcare services, the provision of backup services to military hospitals, and for providing coordination assistance to local, regional and national emergency management agencies (VA Nursing Service, 2005). In addition, consultative roles for VA nurses have emerged in recent years in areas such as infection control, informatics, community health research and education (e.g. nurse executives, nurse investigators, and nursing program faculty) (VA Nursing Staff).

Force 9: Autonomy. Nursing serving in the VA’s far-flung geographic locations in various home-based healthcare capacities such as the newly introduced VA Travel Nurse Corps may experience high levels of autonomy compared to their counterparts who are employed in the VA’s more high-profile medical centers and outpatient clinics (VA Travel Nurse Corps, 2008).

Force 10: Community and Healthcare Organizations. As noted above, the VA maintains community healthcare programs throughout the country and is the largest healthcare organization in the United States today and one of the largest healthcare providers in the world (VA & Experienced Professionals, 2008).

Force 11: Nurses as Teachers. The VA has recently implemented the Clinical Nurse Leader (CNL) program to provide improved clinical leadership in all of the VA’s healthcare facilities and to better respond to individuals and families in its system of care. To date, more than 80 medical centers have requested participating in this initiative. The leadership program is expected to address and improve the following:

Cost/financial outcomes such as length of stay, patient flow, readmission rate and registered nurse (RN) turnover

Patient satisfaction, staff satisfaction and retention

Quality/internal process outcomes such as medication management, patient safety, and prevention of nosocomial infections

Practice Model Transformation such as evidence-based and collaborative, interdisciplinary practice (Office of Nursing Services, 2008).

Force 12: Image of Nursing. The VA recognizes the importance of individual care to the perception of quality healthcare in its facilities. Even if the entire organization operates in an effective and compassionate manner, if the nurse that cares for a patient fails to deliver on this level of care, the individual perception of nursing care will be diminished. To this end, the organization’s nursing fact sheet proclaims, “VA Nursing Service is dedicated to promoting optimal health, patient safety, quality health care, and the highest professional standards, in order to ensure that our veterans receive the best possible care and that our staff work in the best possible health care system” (VA Nursing Service, 2005).

Force 13: Interdisciplinary Relationships. The VA’s Web page, “VA & Experienced Professionals” (2008) states, “Our doctors, physician assistants, nurses, therapists, pharmacists, and other professionals work together in an interdisciplinary care team structure” (p. 3).

Force 14: Professional Development. VA Registered Nurses (RN) serve in four career paths including: clinical, advanced practice, supervisory/administrative, and consultative. Examples of advanced practice roles include Clinical Nurse Specialists (CNS), Nurse Practitioners (NP), and Certified Registered Nurse Anesthetists (CRNA); nurses in these roles are generally referred to as advanced practice nurses (APN) (VA Nursing Service, 2005).

Identified Strengths and Weaknesses.

A fundamental weakness of the VA has historically been a lack of adequate resources to fulfill its mandate. Indeed, the VA has experienced an enormous increase in the number of veteran patients seeking healthcare in recent years; in fact, the number of patients treated by the VA increased from 4.2 million in 2001 to nearly 5.5 million in 2006, an increase of 29% (Facts About the Department of Veterans Affairs, 2008). On the plus side, the VA nursing service has embraced the Fourteen Forces of Magnetism and has implemented steps to provide information and education concerning these forces system-wide. As one VA nurse emphasizes, “Maintaining a Magnet culture requires a continued focus on integrating the Forces of Magnetism into all nursing organizational activities. It took years to create this culture and you will now clearly understand that Magnet is a journey not a destination” (Magnet Business Case Toolkit, 2007, p. 3).

Conclusion

The research showed that today, the Department of Veterans Affairs is the nation’s largest healthcare provider and one of the largest healthcare providers in the world. The research also showed that notwithstanding some major constraints to the provision of high-quality healthcare services to the millions of veteran patients the organization has encountered in the past, the VA is well situated to recruit, retain, and support a qualified workforce and to support the professional practice of nursing in the 21st century. The JCAHO has consistently rated VA facilities as being equal to or superior to their civilian counterparts in recent years, and the talented and dedicated nursing staff leading the VA’s nursing service continues to provide the vision and direction needed to maintain this organization-wide improvement.

References

About Office of Nursing Services. (2008). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/nursing/page.cfm?pg=111.

About VA. (2008). Department of Veterans Affairs. [Online]. Available: http://www.va.gov/about_va/.

Bliss-Holtz, J., Winter, N., Scherer, Elaine M. (2004, September). An invitation to magnet accreditation. Nursing Management, 35(9), 36-42.

Facts about the Department of Veterans Affairs. (2008). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/opa/fact/vafacts.asp.

Magnet business case toolkit. (2007). Department of Veterans Affairs Nursing. [Online]. Available: http://www1.va.gov/nursing/docs/DetailedToolkitExplanation.doc.

Office of Nursing Services. (2008). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/nursing/page.cfm?pg=117.

VA Nursing Service. (2005). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/nursing/docs/VAnsgSvc-Facts_MAR2005_FNL.DOC.

VA & Experienced Professionals. (2008). Department of Veterans Affairs. [Online]. Available: http://www.vacareers.va.gov/l2_You_Professionals.cfm.

VA Travel Nurse Corps. (2008). Department of Veterans Affairs. [Online]. Available: http://www.vacareers.va.gov/l2_Occupations_TNC.cfm.


Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

Online Academic Help With Different Subjects

Literature

Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.

Finance

Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!

Psychology

While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.

Engineering

Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.

Nursing

In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.

Sociology

Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.

Business

We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!

Statistics

We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.

Law

Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment Help Service Works

1. Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2. Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3. Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4. Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essay GET A PERFECT SCORE!!! smile and order essay Buy Custom Essay


Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
Open chat
1
Need assignment help? You can contact our live agent via WhatsApp using +1 718 717 2861

Feel free to ask questions, clarifications, or discounts available when placing an order.
  +1 718 717 2861           + 44 161 818 7126           [email protected]
  ++1 718 717 2861         [email protected]