NURS FPX 8024 Assessment 1 Nongovernmental Agencies Involved in Global Issues

Student name 

Capella University

NURS-FPX8024

Professor Name

Submission Date

Nongovernmental Agencies Involved in Global Issues

Nongovernmental organizations (NGOs) have a significant role to fill in solving multifaceted global problems that national governments and international organizations have ignored. The organizations fill important gaps in the delivery of services and increase awareness of burning problems such as climate change, human rights violations, and the emergence of the epidemic in connection with people and their health (Besancon et al., 2022). Since NGOs are not tied to political restrictions, their activities bring about innovation and accountability to the international systems of governance. The primary aim of the assessment is to examine the role of the NGO-Save the Children and interview one of the members of this organization in order to discover the work of the organization.

Section I

Non-Governmental Funding Organization

The NGO act as crucial agents of response to serious issues in the world by direct humanitarian intervention and advocacy. Founded by Eglantyne Jebb in 1919 after World War I, Save the Children is a nonprofit organization that introduced the general movement of children rights globally and adopted the Declaration of the Rights of the Child in 1924 (Save the Children, n.d.). Since its first program in the year 1932 in Kentucky, the organization spread to Europe in the 1940s, Asia and Middle East in 1950s, Latin America in 1963 and to Africa in 1969 and has since then grown and served the children in more than 120 countries by 2016 (Save The Children, n.d.).

Over the 100-year history of this NGO, Save the Children has acted in response to many humanitarian emergencies as it has created new programs in the fields of health, education, and child protection to millions of vulnerable children around the world (Save the Children, n.d.). The nonprofit organizations still fill vital gaps in the global development by community based intervention where the government fails to act.

Mission and Goal

The mission of Save the Children specifically deals with the critical world issues that impact the vulnerable children in a more comprehensive and measurable way. The emphasis on child health, education, and protection is also evident and shows a great correspondence to basic humanitarian requirements (Save the Children, n.d.). The organization focuses on attaining attainable objectives using specific interventions as seen in the growth of small scale projects to programs benefiting millions of people in 120 countries (Save The Children, n.d.).

The strategic change between post war relief to sustainable development programs is flexible to reactions to the global circumstances. In providing evidence-based solutions to the challenges of the children around the globe, in a way that can accommodate both short-term provision and long-term change, Save the Children continues to prove that it is the very thing that can effectively make a significant impact on the life of children around the world in a significant and sustainable manner.

Transparency and Accountability

The effectiveness of the non-governmental organizations and the trust that people place on them are ensured by high level of transparency and accountability that can be seen with regard to responsible management of resources. The best practices of the Save the Children are the integrated governance framework, which incorporates a participatory board of trustees who holds a strategic leadership role without any compromise to the stakeholders. The organization also has the highest ratings when evaluated by outside authorities such as Charity Navigator and CharityWatch, and 85% of the money is spent on program services instead of administrative (Save the Children, 2025).

The publicly accessible annual reports, financial statements, and humanitarian voluntarily available plans are specific about the sources of revenue, program spending, and quantifiable indicators of impact in the international operations. Financial tools such as the Humanitarian Fund show the effective utilization of resources, which is why it is possible to respond to crises quickly and have proper control over fund distribution (Save the Children, 2024). The open reporting practices end up enhancing confidence and integrity of the organizations in the humanitarian arena.

Program Effectiveness

Good humanitarian programs utilize evidence-based methods to produce a quantifiable effect as they evolve to meet the circumstances. Currently, the evidence of data-driven initiatives and critical global problems that include issues related to food insecurity and malnutrition illustrates the high effectiveness of Save the Children, which, in turn, also contributes to the treatment of 15 million undernourished children (Save the Children, 2023). The Cash Plus initiative has forced the child labor down by large numbers, and food security has been enhanced in several nations, and the Rural Child Hunger Research and Innovation Lab has collaborated with local entities on creative ideas such as mobile groceries in North Carolina or farmer mentorships in the Navajo nation of New Mexico.

In Bangladesh, they have assisted families such as that of Rashel in constructing climate-resistant sack gardens that remain productive even when it is flooded so that they can have access to the food at all times (Save the Children, 2025). The local solution orientation and holistic assessment frameworks guarantee the organization to constantly improve and to adjust programs to the changing food security challenges.  

Partnership and Collaboration

Humanitarian organizations can make the most out of the available resources and expertise through strategic partnerships. Save the Children also partners with local agencies and communities in terms of food insecurity, including the rural child hunger research and innovation lab, that finances five community organizations to create new solutions to the issue across America (Save the Children, 2025). The collaboration with the Ministries of Health and local health workers will guarantee the continuation of the malnutrition treatment provision, whereas the cooperation with women rights organizations and youth-led communities will facilitate the localization process in more than 40 countries.

The organization also collaborates with the entities of the private sector such as DoorDash to deliver fresh and shelf-stable foods to the families in West Virginia that are difficult to reach out to (Save The Children, 2025). The partnership methods enable the Save the Children to develop more sustainable and culturally relevant solutions to hunger, and malnutrition across the globe.

Financial Management

Humanitarian organizations need to uphold sound financial management practices in order to ensure operational sustainability and maximize the impacts of programs. Save the Children is very fiscally responsible whereby 85 percent of its contributions were channeled towards program services with major provision in health and nutrition programs touching 33.7 million children in 2023 (Save the Children, 2025). Its wide variety of funds is a total of various sources: government grants (55%), individual contributors (20%), multilateral institutions (12%), and corporate collaborators (9%), which ensures stability and resistance to fluctuations in funding (Save The Children, 2025).

The Humanitarian Fund of the organization offers unrestricted and flexible financing with answers being in 48 hours and allows quick reaction to food security crises that lead to disasters, such as when they gave 14 countries that were affected by El Nino 2 million dollars in funding (Save the Children, 2024). The new financing strategies help localized food solutions, such as setting up specific funding to the partnership of Mountaineer Food Bank and DoorDash as well as Southern Carolina Housing and their mobile grocery services to communities that do not have access to traditional food (Save The Children, 2025). The moderated financial management approach guarantees the ability to respond immediately and develop long-term programs to mitigate food insecurity on the planet.

Section II

Logistic

Name: Sharon Hampton

Position: Manager

Organization: PRN Nursing Services

Contact: sharon@prncares.org, (828) 631-4838

Website: www.prncares.org

Address: 5250 US 74E, Sylva, NC 28779

Interview Date/Location: April 23, 2025, conducted in person

Q: How long have you been a part of PRN Nursing Services?

I am currently serving as an employee in Pro Re Nata (PRN) Nursing Services after twelve years. I began as a home health aide offering direct care to clients in their homes and rose to the position of management eight years ago. It has been such a blessing to watch our organization go beyond being a small and local agency to becoming a reputable healthcare provider in the entire Western North Carolina.

Q: Can you describe a typical day at your job and what you enjoy most about it?

My days are very diverse and this makes things interesting. My usual practice is reaching out to our care coordinators to discuss any staffing issues or client-related needs that need an urgent action. I take much time checking on the care plans in order to make sure we are offering the right services and satisfying the regulation. I also meet the potential clients and families regularly to determine the needs and discuss our services. A large part of my work is to align with Medicaid case managers, insurance companies, and health providers and assure smooth delivery of care. That is my favorite thing to know since our services are helping the people to stay in their houses and not relocate to institutions. When clients confirm to us that they would not be able to sustain their independence without our care givers that goes to prove everything that we are doing.

Q: What issues commonly occur in your role, and how do you find solutions?

Recruitment and retention of qualified caregivers, more so in more remote parts of Western North Carolina is one of our largest challenges. The job is very stressful and competitive pay may be not easy to sustain with the present reimbursement scales. We have dealt with this by adopting an extensive staff recognition program, flexible scheduling and giving a definite career progression. The other major problem is the difficulty of maneuvering the complicated health care system especially the Medicaid policies that constantly evolve. We win because we are well connected with case managers as well as keep up with policy changes through continuous learning.

Q: How did you get started in your current profession?

My profession started at a certified nursing assistant after going through my training at Southwestern Community College. I was attracted to home care particularly because I observed the firsthand that staying at home made the life of my grandmother better since she required help. Several years later, I received further training in healthcare management following the direct caregiving to get me to the position I am in today. Direct care to management was a difficult transition, which enabled me to change more lives by making our organization run smoothly.

Q: What aspects of your job are most fulfilling to you?

The best part is when we can see the direct effect our services can make in the lives of clients and in their families. The real differences justify all the struggle when an older client can spend 50 years of his life at home due to our services, or when a parent of a child with complicated health conditions can receive respite services that help him to continue working. By constructing a team that is concerned with the welfare of our clients, we will have a good culture that is beneficial to all parties (PRN Nursing Services, 2025). The relationships that we develop with clients and families throughout the years of service are invaluable.

Mission, Activities, and Community Impact

Mission and Goal

What is the organization’s mission and primary goals?

The mission of PRN Nursing Services is to deliver holistic and caring in-house services that grant clients the ability to retain their independence and dignity in a well-known environment.

• Its main aim is to provide personalized healthcare services to enhance the quality of life and avoid unnecessary hospitalization or facility placements to Western North Carolina residents.

How do policies affecting healthcare and population health outcomes affect your agency?

• The expansion of Medicaid and reimbursement rates have a direct influence on our capacity to work with low-income patients and provide the caregiver with competitive salaries.
• The policy of rural healthcare access has an impact on our service delivering policies in remote mountain societies.

How did the organization identify the need for its services within the community?

• In partnership with local hospitals and discharge planners, find loopholes in post-acute care.
• Through an examination of demographic trends that indicate that the population in Western North Carolina is aging and there are few institutional care facilities.

Programs and Services:

Can you describe the key programs and services the organization provides?

• Home based nursing of those who have complicated medical conditions.
• Personal care services such as activity of daily living.
• CAP/DA and CAP/C services to adults and children with Medicaid (PRN Nursing Services, 2025).
• Respite care gives the family caregivers a relief.
• Social interaction intensive and safety checkup companion services.

How do these programs address the specific needs of the community?

• The services are designed according to specific needs with taking into consideration the difficulties of rural mountainous geography.
• The interventions are aimed at the short-term care requirements, as well as the preventive actions to ensure health and independence.

Who is your target population?

• Older people who prefer to grow old at home instead of moving to institutions.
• Children and adults that have disabilities or complicated medical conditions that need special attention.
• Patients who require temporary help in recovery.

Community Engagement:

How does the organization engage with the community it serves?

• By attending elderly health fairs and community health wellness events.
• Through sustaining contact with the healthcare providers, social workers and community organizations.

Are there specific outreach or involvement strategies in place?

• Collaborations with the local hospitals in order to plan the discharges and the transfer to home care.
• Community educational talks on the existence of resources that support aging and disabled population.

Impact Assessment:

How does the organization measure the impact of its programs?

• By surveying client satisfaction and reviewing of care plans on a regular basis.
• By monitoring the outcomes such as hospital readmission rates and health maintenance.
• What are some examples of the success stories or any positive results of your initiatives?
• In 2024, we assisted elderly clients with the avoidance of the nursing home placement by providing adequate in-home care.
• Families such as in Waynesville have been living at home more than 10 years and having active caregiver support.

Collaborations and Partnerships:

Does the organization collaborate with other non-profits, government agencies, or businesses?

• Yes, PRN nursing services collaborates with local hospital, area agencies on aging, and county departments of social services.
• Partnerships involve coordinating with the Mountain Projects in terms of the transportation help and local meal delivery services.

How do these partnerships enhance the organization’s ability to serve the community?

• Their systems of care networks are highly comprehensive and emphasize various determinants of health besides direct care.
• Alliances enhance availability of services to clients in the remote locations by sharing resources.

Volunteer and Staff Involvement:

How are volunteers involved in the organization’s activities?

• Our direct care services need the help of professional staff; however, we have volunteers who help us in community outreach events.
• Local volunteers assist us in determining isolated seniors that may need our services.

Can you share insights into the dedication and expertise of the staff?

• We have a large number of skilled caregivers who have specialization in dementia care, and on the other hand, pediatric care.
• Employees get continuous training in such aspects as fall prevention, infection control as well as cultural competency.

Challenges and Adaptability:

What challenges has the organization faced, and how has it overcome them?

• Creative scheduling and incentive programs were necessary to cover staffing shortages in the pandemic.
• This was done by career development pathways and association with local community colleges.

How does the organization adapt its strategies based on changing community needs?

• Through the use of telehealth monitoring as an addition to in-person visits where necessary.
• By engaging in constant feedback gathering of its clients and families to improve service strategies.

Describe an unmet health issue that your organization has identified.

• The increasing demand of special dementia care training due to the increase in cases of Alzheimer in our area.
• lack of over-night care facilities so that families who require 24-hours care to avoid institutional placement

Financial Sustainability:

How does the organization secure funding for its programs?

• By way of various sources of payment such as Medicaid, private insurance, and out-of-pocket payments.
• Through the relationship with the long-term care insurance companies and workers compensation plans.

Can you provide information on financial transparency and stewardship?

• The revenue is mainly channeled towards direct care services and not the administrative costs.
• The organization is in line with regulatory and reporting requirements of healthcare providers.

Future Plan

What are the organization’s future plans and initiatives?

• The future goals include expansion plans of special services in dementia and pediatric clients.
• Bringing up a caregiver training academy to meet workforce requirements and establish career opportunities in healthcare.

How does it envision evolving to better serve the community?

• Increasing the investment in care coordination and monitoring solutions improving technology.
• By extending services to rural underserved communities in more counties in Western North Carolina.

Reflection

My research on PRN nursing services expanded my knowledge base on the topic of rural healthcare delivery by revealing the essential role of in-home care organizations in meeting the needs of the aging population. I was impressed by the holistic approach that puts an emphasis on medical and social determinants of health, but does not merely offer basic assistance. The emphasis on personnel development and career opportunities in the organization showed that the organization acknowledged that sustainability of the workforce affects the quality of care directly.

The adherence to the local conditions of the mountain communities of Western North Carolina, i.e., the flexibility of PRN in response to the geographic barriers of the area, proves how localized solutions, as opposed to standardized healthcare frameworks, tend to be more efficient. The experience supported my view that the concept of aging-in-place encompasses not only a cost-effective method of maintaining vulnerable populations when compared to institutional-based care, but also more a dignified manner of offering care to vulnerable populations when applied with adequate resources and supervision.

Conclusion

The evaluation focuses on the needs of two different NGOs operating on dissimilar levels to meet the healthcare requirements in the city, save the children worldwide, and PRN nursing services in the region. Evidence-based practice of child welfare and food security, strong transparency and strategic partnerships in 120+ countries ago prove exceptional effectiveness of Save the Children. PRN Nursing Services makes vulnerable groups in Western North Carolina uphold dignity and autonomy by providing specialized care in the homes. Nevertheless, both organizations have certain aspects in common in their success despite the peculiar obstacles: community-based strategies, flexibility, and sustainable models of service provision that can adequately fill the critical gaps in healthcare delivery.