...Nursing Education Program Funding Health Policy Capella University MBA 6275 May 24, 2015 Nursing Education Program Funding Health Policy Health Policy Topic & Problem There is a need to support education programs such as Title VIII funding in FYs 2015 and 2016 (AANP, 2015). It is vital that Congress preserve funding for nurse practitioners educational programs, traineeships, and Nurse Managed Clinics. Congress must reduce federal spending through the Division of Nursing in the Bureau of Health Professions of the Department of Health and Human Services. The American Academy of Nurse Practitioners (AANP) are advocates for nurse practitioners and patients. The AANP’s legislative team identify critical issues related to licensure, access to care, patient safety, health care reform, and reimbursement. They represent NPs on national committees and in health organization. Thus, the AANP is fighting Congress for sufficient funding for Nurse Education Programs (2015). The writer will introduce a new policy to improve the nursing shortage. Literature Review According to the American Association of Colleges of Nursing (AACN, 2014), a shortage of nursing school faculty is restricting nursing program enrolments. Nursing schools identified faculty shortages for rejecting qualified applicants. In 2012-2013, U.S. nursing schools rejected almost 80, 000 qualified applicants from undergraduate and graduate nursing programs due to insufficient number of faculty (2014). In addition...
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...Identify and describe three reasons there may be a physician shortage rather than a surplus in the United States. One reason physician preferences now favor a more “controllable lifestyle”. This factor stems from the increasing number of women in the workforce, but it affects men as well. Generally, younger physicians seek a different lifestyle that allows for weekends off, limits on the number of hours worked per week, and other amenities that allow for activities outside the workplace. Taken together, these preferences have had and will probably continue to have the effect of reducing the amount of time available for patient care (Williams & Torrens, 2008 p.270). Secondly, within the general increase in the U.S. population, there exists the ever-increasing lifespan of Americans, with their attendant levels of chronic conditions. In 2000, 12.4 percent of the U.S. population was 65 years of age or older; in 2050, the figure is projected to be 20.6 percent. This change will produce a steadily increasing demand for physician services and a consequent increase in the need for physicians (Williams & Torrens, 2008 p.270). Thirdly there is also a factor of using physician substitutes or extenders in health care delivery. Such as nurse practitioners, and physician assistants, among others were increasingly used to provide primary care, in which there would be less pressure to increase physician supply. Another reason for shortage could be a relatively new movement by payers and insurers...
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...Nursing Shortage: A Comparative Analysis James Baptiste Walden University NURS 3001 Section 3, Issues and Trends in Nursing Prof. Sonya Blevins December 9, 2012 According to international journal of nursing the shortage is a global challenge, affecting every country in the world. However each country experiences it according to its own domestic issues. The purpose of this paper is to analyze three countries nursing population United States, Philippines and South Africa where nursing shortage has affected their health care quality. This article investigates the impact of the nursing shortage in three different countries United States with a rapid aging of its population which has an effect on the health care system, Philippines with the policy of exporting a massive of nurses oversees by the government which in return creates a vacuum in the country for skilled nurses, and South Africa where poor working condition, low wage and social unrest distress the health care system. By using literature as research tools to be able to describe what nursing shortage means for those countries and strategies that they use to address the situation. In United States the nursing shortage is more relate to an aging population. The professional issues in nursing (2009) state that between now and 2015, the population aged 85 years and older will increase by 40%. Therefore not only more nurses will be needed but also due to increase in technology the 21st century patients have shifted...
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...The Nursing Shortage The nursing shortage has been a highlight of discussion for years. With healthcare reform now happening, the nursing shortage has become more urgent. Baby boomers are retiring making the nursing work force dwindle even further. More patients have insurance and are seeking care. Healthcare facilities are struggling with regulatory agencies that are directly linked to reimbursement and are try to do more with less staff which is leading to burn out. To further compound the issue, nursing professors are retiring and there is a decrease in the number of nurses entering the education work force due to lack of pay, increased amount of stress, and the increase in responsibility (Duvall & Andrews, 2010). With fewer professors, colleges are unable to accept as many students into nursing programs. The nursing shortage is a vicious cycle that needs to be broken. There are a number of factors that are influencing the nursing shortage. First is the lack of nursing professors. With fewer professors, nursing programs cannot accept as many students, which contributes to lacking numbers. Second, many nurses are at or nearing retirement age. 55% of the workforce is over the age of 50. Third, is the demand for nursing is increasing as more patients are obtaining insurance and as the population ages. Fourth, is burnout. Nurses are working short staffed, causing increased stress levels, decreased job satisfaction, and a decrease in quality care. Finally, there is a high...
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...The Nursing Shortage The nursing shortage has been a highlight of discussion for years. With healthcare reform now happening, the nursing shortage has become more urgent. Baby boomers are retiring making the nursing work force dwindle even further. More patients have insurance and are seeking care. Healthcare facilities are struggling with regulatory agencies that are directly linked to reimbursement and are try to do more with less staff which is leading to burn out. To further compound the issue, nursing professors are retiring and there is a decrease in the number of nurses entering the education work force due to lack of pay, increased amount of stress, and the increase in responsibility (Duvall & Andrews, 2010). With fewer professors, colleges are unable to accept as many students into nursing programs. The nursing shortage is a vicious cycle that needs to be broken. There are a number of factors that are influencing the nursing shortage. First is the lack of nursing professors. With fewer professors, nursing programs cannot accept as many students, which contributes to lacking numbers. Second, many nurses are at or nearing retirement age. 55% of the workforce is over the age of 50. Third, is the demand for nursing is increasing as more patients are obtaining insurance and as the population ages. Fourth, is burnout. Nurses are working short staffed, causing increased stress levels, decreased job satisfaction, and a decrease in quality care. Finally, there is a high turnover...
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...a looming nursing crisis in health facilities. This problem has posed crisis towards establishing better health for those in need. The primary concern concerning this looming nursing shortage is identifying the root cause. Apparently, it appears as if that this crisis established its primary source in nursing training and retention in hospitals, care facilities, and other institutions. It appears as if there is serious downfall in the practicum of nurse-executive. Consequently, the concerned authority seems to portray weakness strategies in conducting this nursing practicum that has led to shortages of faculty. The big inquiry is whether these training facilities offer standardized training that would present the needed feedback facilitating nursing transition and retaining nursing staff. The central focus would then be whether this strategy would pose positive impacts in nursing training. This capstone project will explore these nursing concepts with a primary intention of presenting the root cause of nursing crisis in health facility. Annotated Bibliography Seago, A. J., Alvarado, A., Keane, D., Grumbach, K., & Spetz, J. (2006). The nursing shortage: is it really about image? Journal of Health Management, 51(2), 96-10. A research conducted in tertiary institutions Central Valley by Seago and the rest confirmed that nursing occupation lagged behind other occupations. This perspective is attributed by work independence perception and the perception that nursing is women’s...
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...Healthcare in the United States has risen to an insuperable cost; along with the rise, the nursing shortage has paralleled in height. One cannot deny a correlation between healthcare cost and the nursing shortage. One particular factor is job burnout which contributes to the shortage. There is a myriad of reasons increasing the cost of healthcare, people are living longer, patients stay is lengthier from disease complications, and litigation due to malpractice or negligent is a cost factor that result in poor patient safety outcomes. The overhead cost to maintain daily administrations of a hospital are enormous, and nursing is tipping the cost All roads lead to Rome, is an adage that can be transposed to say, all roads lead to nursing....
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...2013 Amy Shoales Economic Tools and Concept The United States is presently confronting a nursing shortage which is likely to get worse in the future. The shortage is compelled by amount of reasons linked to the employment and maintenance of nurses. Less young females going into nursing schools as professional prospects in other areas have stretched. Countless eligible candidates are denied admission due to a scarcity of nursing instructors at schools. The student will present economic tools and concepts pertaining to health care issues (nursing shortage); the student will use marginal analysis and supply and demand curve to assess the issue of nursing shortage as it relates to health care. These tools are designed to explore and evaluate the nursing shortage. Registered nurses are the major set of health care specialists in America and Worldwide. It is important to understand the effects that a nursing shortage has on the economy and the health care system. Supply and Demand Supply and demand curves are vital when considering the number of registered nurses available to provide services to patients in need of care. A good service is said to be scarce when more is desired than can be satisfied with available resources which means demand exceeds supply. Quantity and quality of care demanded are greater than quantity of nurses supplied (Lane & Grohmann 1995). Nursing is a professional fields in which the nurse provides services (good) to the patient. These services...
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...physician shortage rather than a surplus in the United States. The number of physicians in the United States has increased rapidly in the last four decades showing about a 218 percent increase between the years 1965 to 2005. The Graduate Medical Education National Advisory Committee (GMENAC) reported in 1980 that there would be a surplus of physicians of 70,000 in 1990, and roughly 140,000 in 2000. But, by the early 2000’s some observers were raising the spectre of a physician shortage, especially among some specialty groups. Part of the response as to why there is a shortage lies in the way that differing methodologies and assumptions yield varying physician requirement and supply projections. The three reasons are explained as follows: 1. First, although managed care remains a formidable force in the organization and delivery of health care, its more restrictive elements have been blunted due to widespread physician and patient dissatisfaction, particularly with limits on choice. Medicine’s distaste of tightly controlled reimbursement and of non-physicians’ attempts to control their work fueled much of this backlash. The outcome of this has been a movement away from captioned insurance arrangements back to coverage that more closely resembles fee-for-service plans, especially preferred provider organizations. Physicians and patients seem to prefer choice to efficiency, which will add pressure for more physicians and is the first of several possible factors fueling fears...
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...continues to be an issue with increasing shortages of registered nurses (RN) and the increasing demand for health care services. There is a higher demand for registered nurses because of the increase in population, aging baby boomers, and increase in chronic diseases. The shortage of registered nurses impacts the health status and quality of life of the population. Factors that impact health care are the importance of supplying adequate nursing personnel and retaining RN’s in the workplace. There is a need to provide resources to educate registered nurses along with recruiting future registered nurses. “Economists use the concepts of demand and supply to inquire how the quantity of services used changes as price changes” (Getzen, 2007, p. 24). The purpose of this paper is to discuss demand versus supply of registered nurses and the effects of consumer demand versus the economic variables of cost, access, and supply. Demand Registered nurses are in more demand than ever before because of the continued nursing shortages. Factors contributing to the shortages are advancements in technology, people are living longer, and the health care needs are more complicated. In the early years nurses were trained to take vital signs, administer shots, and insert catheters. Nurse training in the past was more focused on bedside nursing compared to today’s nurses are doing more specialized care and training is more technical. “Today’s shortage, however, is exacerbated by an increased...
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...Driscoll 29 November 2011 Identify and describe three reasons there may be a physician shortage rather than a surplus in the United States. The amount of medical schools has been steady and graduates have been limited by admission capacity The Secretary of the Department of Health, Education, and Welfare (HHS) through a continuously approved legislation ask that “the Health Professions Education Partnerships Act of 1998 which gave the authority for the Graduate Medical Education National Advisory Committee to study the personnel issues in medicine.” (Cooper, 2003) In a report by the” Graduate Medical Education National Advisory Committee (GMENAC) who predicted a doctor surplus in its 1979 report, and allopathic medical education has maintained an even level in its enrollment.” (Health and Human Services, 2011) The earlier statistical analysis of factors that were considered did not include the new technologies and the amount of medical specialist’s increase which has made changes to how the medical profession operates. The factors also did include the trend to have more salaried positions such as in the HMO market and the fact that more women are enrolling to practice medicine and enrolling in medical schools. These factors along with unanticipated population growth add to the shortage of medical practitioners in overall calculations that include rural needs for services. These factors remain in place about the future demand for physicians. The amount of growth in need for...
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...economic tools and concepts that relate to the health care field. When discussing the current nursing shortage, and the nursing shortage that will continue through the future, scarcity, supply, and demand are just a few of the important concepts to address. According to Explorehealthcareers.org (2012), “The United States has a serious shortage of practicing nurses” and “demand for frontline workers is expected to increase 50% over the next five years.” This paper will explore scarcity, supply, and demand and how these relate to the current and future nursing shortage. Scarcity Scarcity exists when the infinite human wants outweighs the limited amount of resources available ("The Problems of Health Care", n.d.). Scarcity exists within the health care field when discussing the nurses, the need for nurses, and the amount of nurses that are available to fill the number of positions available. There are many reasons that have led to the scarcity of the nursing resource. The amount of nursing schools and nursing instructors are not able to keep up with the amount of potential students, nor the need for more nurses; there are greater opportunities for nurses to expand their careers and move out of hands on nursing; there are more people entering the health care arena who will need health care and nurses to provide that care (American Nurses Association, 2014). The nursing shortage can lead to a decline in quality of care as well. According to American Nurses Association (2014)...
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...Abstract: Emergency departments (ED’s) are considered a necessary component in the health care system. Many patients have access to this department 24 hours a day and 7 days a week. There has been an increasingly large volume of emergency room visits by both adult and pediatric patients up to 43% within the last 5 years. The overuse of the ED’s medical services across the nation is commonly referred to as “overcrowding”. One major cause of overcrowding is the misuse of the emergency room. Another cause is the increased volume of illness. The third cause of overcrowding is a shortage of staff. These major issues can delay staff from providing care to those who need it most. Although staff gives priority to patients who have a higher acuity of illness these patients often have to wait long periods of time before a bed becomes available. Overcrowding is serious issue in the ED and most of the contributing factors are beyond the control of the emergency department. The first cause of overcrowding in the ED is the misuse of the emergency room. More than 50% of emergency room visits are for non-urgent concerns and over 46% of these medical complaints could have been solved by a primary care physician (PCP). PCP’s sometimes fail to properly communicate with their patients which can lead to the anxiety that sends the patient to seek assistance in the emergency room. In many instances when a PCP unavailable for appointments they will suggest that their patient pursue help...
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...public health nursing is imperative to the health care system as it directly affects the entire organization. In most health care settings, nurses hold the majority of positions, and replacement of an licensed personnel can be costly, time consuming, and difficult due to staff shortages. These factors are leading to a decrease in job satisfaction, as they are a major cause of burnout rates within the health care profession. The focus of this study is to explore the career plans, satisfaction levels and professional concerns of registered nurses (RNs), specifically within the Prince Albert Parkland Health Region. Through the use of a interviewed survey, this study will explore what significant number of nurses will choose to seek employment outside of nursing, shift to part-time positions, further their education in the nursing field, retire, or alter their career plans is some way. It will also look at what sort of turnover should be expected among nursing staff, if there is a perceived shortage of professionals in their field, and whether they would recommend nursing as a career to others. Nursing is the nation’s largest healthcare profession, with more than 3.1 million RNs nationwide. Of all licensed RNs, 2.6 million or 84.8 percent are employed in nursing, leaving about 500,000 licensed nurses that do not work in the nursing field, but could potentially do so (AMN Healthcare, Inc. 2011). Recent studies have shown that “burnout” is one the major contributing factors in job satisfaction...
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...task of ensuring that their love ones are placed in nursing homes. According to the Center of Disease Control (CDC) (2012), about 1.5 million Americans live in nursing homes and about 22% of 5.3 million people 85 years of age or older had a nursing home stay in 2006. They go on to say, there are approximately 16,000 nursing homes and about 1.7 million nursing home beds in the United States. While only twelve percent of nursing home residents are between the ages of 64-74, 45% are over 85 years of age. It is estimated that anyone over 65 years of age will have a 43% chance of spending some time in a nursing home (Kemper and Murtaugh, 1991) and about 24 % of these individuals will spend less than a year in residence at a nursing home (CDC, 2012). The key employees of the nursing home that have the most interaction and greatest impact with the residents of nursing homes are the registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). For several years the shortage and turnover rate of nursing home staff has long been a serious problem for multiple nursing homes nationwide (Pillemer, et al., 2008). Providing effective and safe quality care in nursing homes requires clinically and interpersonally competent staff. Research findings suggest that inadequate supervisory, managerial, and human resource practices within nursing homes contribute to poor outcomes, including high nursing staff turnover, lower employee satisfaction, and poor...
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