In this paper "Nursing Shortage: A Problem for Healthcare Systems", an author describes the important role that nursing shortage plays in healthcare systems, its causes, and strategies to solve a worldwide matter that continues to grow. …
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According to the US Department of Labor (2008), there are three major educational routes to become a registered nurse: a bachelor’s of science degree in nursing, an associate degree in nursing, and a diploma. Once students graduate from an approved program, they must pass a national licensing examination in order to obtain a license. Data from the National Employment Matrix shows that Registered Nurses are projected to generate about 587,000 new jobs over the 2006-16 periods, and that they constitute the largest health care occupation, with 2.5 million jobs.
The American Association of Colleges of Nursing (2002, cited by Westendorf, 2007) has revealed that the workforce is currently at a median age of 43.3 years. In addition, in the year 2020, the demand for nurses will exceed the supply by 20% (American Organization of Nurse Executives 1999, cited by Johnson et al., 2006). If the current tendency is sustained, the shortage will have catastrophic effects.
Factors causing the problem
New healthcare technologies, surgical improvements, and drug developments, among other variables, have increased life expectancy.
Epidemiologic transition has increased degenerative, chronic, and man-made diseases, and has displaced pandemics of infection as the primary causes of morbidity (Omran, 2005). The demand far exceeded the supply, creating a severe imbalance. Various excellent models have emerged to minimize the shortage in various countries.
Several revisions have listed the multiple causes for this shortage (Johnson et al., 2006): the aging of the workforce, where experienced nurses are getting older; retirement, as experienced workers in this field are quitting their jobs in hospital settings, because of other business perspectives, or time has arrived to do it; escalating needs of older patients, as we said the epidemiologic transition brings chronic diseases to the scenario and conditions such as diabetes, hypertension, stroke, and their consequences deserve chronic care; and tighter financial times in different economies: salaries are low and are not increasing, so the workforce is inclined to migrate from low-salary regions to places with better monetary conditions.
Abdualrub (2007) also lists the fact that there are unattractive conditions, and fewer individuals are selecting this career. He further explains there is a vicious circle in working conditions, turnovers and faculty enrollment, and nurses are employed by a "monopsonistic labor market", where a single firm hires labor (Tuker 1997, cited by Abdualrub 2007), that is to say hospitals. In some countries, there are also "high workloads, limited clinical autonomy and poor work conditions".
Potential strategies to resolve the problem
As Johnson et al. (2006) disclose nursing recruitment and retention efforts have focused in: increasing supply by making nursing a more attractive, and lucrative option; improving the conditions of practice in health care institutions, and slowing the exit of nurses from the system. In this same matter, Westendorf (2007) highlights the importance of retaining the quality nurses that have been recruited; job satisfaction makes fewer nurses to leave
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I thank her for her patience, extreme help, and for providing valuable tips. I also acknowledge her guidance in finding more sources related to my topic through her long experience. Table of Contents Contents Table of Contents 3 Contents 3 Abstract: 4 Chapter 1 5 Introduction: 5 Background Information: 8 Rationale: 9 Aims and Objectives: 10 Aims: 10 Objectives: 10 Chapter 2: 10 Methods: 10 Chapter 3: 11 Findings 11 Causes of Health Professional Shortage in Saudi Arabia 11 Possible Solutions to Reduce the Nursing Shortage in Future 14 Government’s Effort towards Decreasing the Shortage of Healthcare Professionals 16 The Impact of the Health Professional Shortage on Quality of Services with
This theory describes an open system to have a variable ratios of its compositions. In addition, instead of forcing stability, open systems adapt to new situations. Among biological systems, in particular, such as those within the cells, certain compounds are maintained at concentrations far from equilibrium.
Though there is an easing of the nursing shortage issue in the perception of RN’s, there still persists pessimism among the RN’s in terms of the quality of their work and environment and patient safety. Issues that were responsible for the shortage of nurses still persist and the shortage leads to poor quality in patient care.
The organization design must meet the needs of the organization, which is why it is important to begin with the identification of its needs prior to setting up the building blocks. One of the important features in organization design highlight by the above mentioned author is the use of orientation strategy specifically employed by mostly the health care industry.
This is one of the issues that this research discusses among others. Although unions aren't as notable in the nursing field as in other industrial areas, many nurses feel that they are a good idea to have in order to effectively change the working environment of nursing professionals.
Nurses continually leave their jobs in search of higher pay, better working conditions, and more respect in non-nursing professions (Wagner, 2009). While measures taken at local, state, and national levels have resulted in a renewed interest in the nursing profession, factors such as a lack of academic faculty and funding, and an aging nursing population, among many others, maintain the nursing shortage as a primary problem in most hospitals (Beurhaus, 2005).
The evidence of this problem also appears in other countries. In turn, nursing shortage produces health care problems. Significantly, patients receive inadequate health care services. For instance, Dana Weinberg, author of
As senior nursing students, we are concerned with the issues confronting nursing field at the global level. We are grateful to our teachers for assigning us this project and appreciate the opportunity given to