...Nursing Shortage and Nursing Turnover Nursing shortage is a phenomenon that is affecting nurses and the provision of adequate patient care in today’s health care industry. Nursing shortage is said to occur when the demand for employment of nurses is far greater than the number of nurses willing to be employed at that time (Huber, 2010). According to the American Association of Colleges of Nursing (A.A.C.N.), “the nursing shortage is expected to increase as baby boomers age, and the need for health care increases” (A.A.C.N., 2013, Para 1). In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others. The purpose of this paper is to discuss the causes of nurse turnover and shortage, find out ways nurse leaders and managers may resolve this problem, and also to discuss the writer’s own personal and professional philosophy of nursing regarding this issue. Nursing shortage is also evident by the reduction in the availability of new nurses, inadequate...
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...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 clinical...
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...Relationship between Nursing Leadership and Nurse Turnover Fred James August 21, 2011 Relationship between Nursing Leadership and Nurse Turnover Nursing leadership sets the social climate of an institution. The relationship between nursing leadership and nursing retention will be discussed utilizing a relevant article. The findings will be illuminated upon and ideas will be brought forth to the governance body to support strong nurse leadership. There is a direct correlation between effective nursing leadership and nursing retention (Force, 2005). In addition, Force (2005, p. 336) concludes that the “Two key issues that are affecting healthcare organizations are nursing retention and recruitment." Therefore, nurse managers are an essential part of recruiting and retaining staff. At a time when the economy is bad and nursing cost the hospitals a great deal of time, effort and money it is important to try to retain nurses. In the operating room, it takes about six months to a year to train a nurse, whether it is a new graduate nurse or a nurse from the floors. According to Grohar-Murray and Langan (2011) “One of the most serious of the issues facing healthcare delivery is in nursing shortage. There are some signs this problem is abating, but currently the United States is experiencing a critical nursing shortage that is expected to intensify it is estimated the current shortage of registered nurses will be 340,000 by the year 2020” (p. 10). The cost...
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...5. The consequences of nursing turnover 6.1. Loss of patients * Healthcare organizations have reported having to turn away patients to other healthcare facilities due to lack of available staff resulting from high level turnover. This is a particularly significant concern for healthcare organization operating in states that mandate minimum nurse to patient staffing ratio (xxx). 6.2. Decreased quality of patient care * Staff shortages caused by nursing turnover are associated with significant decreases in the general quality of patient care, increases in the length of patients stays within hospital and greater number of hospital acquired infection (xxx). 6.3. Increased contingent staff costs * Many healthcare organizations are forced to rely on contract nurses to overcome staff shortages caused by high level of nurse turnover. Such contract nurses can cost twice as much to employ as nurses employed directly by the company (xxx). 6.4. Increase nurse turnover * Nurse turnover creates staffing shortages that increase the work demands placed on the organizations remaining nurses. This heightens the risk of the remaining nurses quitting due to excess workload and constantly increasing nurse turnover within organization (xxx). 6.5. Increased turnover of medical support staff * High level of nurse turnover creates disruptive, unstable work environments that negatively impact the retention of other medical service providers that...
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...organization. Today for a nurse to hold on and work blissfully in one work place is challenging due to dissatisfaction of their job. Tang and Ghani (2012) argued nowadays, even though there are abundant opportunities available in Malaysia, nursing is no longer popular as it used to be. Chaulagain and Khadka (2012) stated one of the issue raise in quality improvement program is job gratification among nurses as it is a crucial issue being faced by most healthcare organization. The efficiency of healthcare services is affected due to increase rates of nurse’s turnover and absenteeism resulting from low job satisfaction. Understanding the factors that nurses are satisfied and dissatisfied will enable interventional measures be taken to improve the working conditions. Whereas such understanding will not improve the retention rate, it will improve the nurses’ work performance leading to better quality care to the patient (Newman et al, 2002). Judge et al (2002) assert the most widely investigated in the history of healthcare organization psychology, job satisfaction is the most widespread research topic. This module required us to identify and debate on a contemporary issue. Hence, factors influencing job satisfaction among Malaysian nurses will be explore through reflection on experience and the literatures I retrieve using database. Reflective practice is an important aspect of nursing management and in this essay discussion on implications of job satisfaction among nurses affecting...
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...Application of Theory Neukenya Jokines Chamberlain College of Nursing Application of Theory The future of nursing is dependent upon nursing leadership that adheres to the professional standards in regards to education, research and practice. On a daily basis decisions are made by nurses that directly affect the lives of others. Nursing theory is a guide that has been set in place in order for nurses to look upon when it comes to daily healthcare decisions. It was stated by Cody (2003), that “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to the problems of nursing leadership, problem solving and decision making. Cody (2003), also states that “nursing practice will be transformed to the betterment of humankind when all nursing practice is fully autonomous and guided predominantly by nursing theory” (pg. 230). For many years nursing practice has found its foundations from nursing theories. Understanding how nursing knowledge within healthcare organizations influence patient and organizational outcomes are discussed in the middle range theory of nursing intellectual capital (Covell, 2008). Intellectual capital is defined as the combination of collective knowledge of individuals and structures in an organization or society. The theory consists of two concepts of nursing which includes human capital and nursing structural capital. According to (Covell & Sidani, 2013) “Intellectual capital theory defines human capital...
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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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...Running head: IOM: IMPACT ON EDUCATION, PRACTICE IOM: Impact on Education, Practice, and Leadership NAME Grand Canyon University: NRS 430V DATE IOM: Impact on Education, Practice, and Leadership Change is always challenging for professions to accomplish without resistance. In health care, change is required to fit the evolving needs of the populace. Education is the foundation to improving and reforming how care is given. Many options are available to those in pursuit of a degree in nursing. The education and knowledge gained during nursing school is necessary when entering the workforce. Nursing practice is constantly reforming to meet the needs of the diverse populace served. The leaders in healthcare can help make these changes that are needed by asserting the facts and by gaining partners to attain the same goal. By reinforcing education and improving skills, changing practice to meet needs, and assuming leadership roles, any nurse can help reform health care and provide quality care to those in need. The education of nurses starts when deciding which path to take to attain a degree. There are numerous options to choose from which include; Bachelors of Science in Nursing, Associate Degree Nurse, Diploma Program, and Licensed Vocational/Practical Nurse. Many nurses choose to start with an Associate Degree program due to the shortened length, lower cost, and easier acceptance to enter the program. In order to provide better health care and raise the standards...
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...[pic] NORTHCENTRAL UNIVERSITY ASSIGNMENT COVER SHEET Student: Coleen O’Hara-Vaughn THIS FORM MUST BE COMPLETELY FILLED IN Follow these procedures: If requested by your instructor, please include an assignment cover sheet. This will become the first page of your assignment. In addition, your assignment header should include your last name, first initial, course code, dash, and assignment number. This should be left justified, with the page number right justified. For example: |O’HaraVaughnCEDU8001-8-8 1 | Save a copy of your assignments: You may need to re-submit an assignment at your instructor’s request. Make sure you save your files in accessible location. Academic integrity: All work submitted in each course must be your own original work. This includes all assignments, exams, term papers, and other projects required by your instructor. Knowingly submitting another person’s work as your own, without properly citing the source of the work, is considered plagiarism. This will result in an unsatisfactory grade for the work submitted or for the entire course. It may also result in academic dismissal from the University. | | | |EDU 8001-8 |Dr. Bockrath ...
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...point in our lives. There are many opinions about the differences in leadership and managerial styles of leading. There are those who use the terms interchangeably and believe they are the same, those who believe that “leaders” and “managers” are opposites, and those who are in between. Although there are fundamental differences, individuals can be successful in both roles, and organizations need both to be successful. The purpose of this paper is to define and discuss the approaches in leadership and management styles in relation to the nursing shortage and nurse turnover using theories, principles, skills, and roles of the leader versus manager, and to identify this student’s professional philosophy of nursing and personal leadership style. In regards to offer quality and modest care, the plan of health care system has been a fair exchange. The treatment of health care facilties have the variablity on different levels in speciality care and acute illness to defensive health plan. The changes have siezed effective direct approaches and delivery care. With the effect to balance the demand of patient needs in health care, many considerations are made including adjustment with budgets, decreasing excessive costs, and practicing effective means of delivery care. Nurses are challenge to keep up to a work environment that requires continual changes. The nursing industry today faces shortages, as many nurses have low job satisfaction, high compassiate fatigue, and the patient...
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...Governors University October 2015 Managing Organizations and Leading People Task 1 A1. Description of the Organization The Medical University of South Carolina (MUSC) is the leading medical center in South Carolina providing medical care to surrounding communities and training to future health care professionals with affiliations to six different colleges and universities. The Medical University was founded in 1924 as a Medical College for the training of physicians. It was one of the first medical universities in the United States. In 1955 it was expanded into the Medical University of South Carolina, the medical center it is today, providing health care and training health professionals is areas of pharmacy, nursing, medicine, graduate studies, health professions, and dental medicine. MUSC is a not for profit organization serving millions of people in South Carolina and surrounding states with over 12000 employees and training approximately 2600 health care professionals every year according to the Medical University of South Carolina, MUSC Administration website. The Mission of MUSC is to improve health and maximize quality of life through education, research and patient care. They have the Vision to be nationally recognized as a Premier Academic Medical Center and to be a leading and transformative Academic Health Center being recognized as top 25 among academic medical centers. According to the Medical University of South Carolina, MUSC Administration...
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...The Nursing Shortage Donna Burgess-Bingen Oklahoma City University Abstract Nursing is a very important part of healthcare. What can be learned through the research on the shortage of nurses? There is not just a shortage of nurses, but a problem with retaining nurses after they have graduated from school. Furthermore, how does the shortage effect nursing education. The Nursing Shortage Nursing is a crucial part of healthcare. Historically, nurses were at the bedside and monitored patients on a twenty-four hour basis. Nurses would collaborate with all aspects of the healthcare world in order to provide quality and efficient patient care. Today, the nurse’s role is continually changing with increasing responsibilities made complicated with the ongoing introduction of new-age technology. With so many recent changes and advances realized, it is not hard to imagine the predicated changes that are in store for the nursing profession in future years. Many mechanisms will come into play in the molding of nursing in the future, but a significant key component that could essentially inhibit the growth in the future of nursing lies in the impending nursing shortage. Will we be ready for this? Currently, worldwide research is being conducted in an effort to evaluate the cause of this looming challenge that we are currently facing and are likely to face in the future. Research has shown that the solution to this prolonged shortage is problematic in the sense that there are many...
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...Running Head: Labor Shortage Labor Shortage [Author’s Name] [Institution’s Name] Labor Shortage The Nursing shortage is going to have a severe effect on the delivery and quality of health care. The problem has become even complex and there is a need for effective policy intervention, which requires efficient leadership involvement among the government and organizational stakeholders in combating nursing shortage crisis. In this regard, there is a need to find short as well as long-term solutions for the problem. Traditional measures are going to have very limited success owing to the predicted severe shortage of nurses in the future. Following are some suggestions in this direction: Reaching Out To Youth The current nursing workforce is aging fast and the solution lies kin reaching out to the youth and luring them towards the nursing profession and telling them how they can serve their community and society by joining the nursing profession (Zerwekh & Garneau, 2015). We are going to face an acute shortage of nurses in future and unless new and young people are attracted towards this profession, this shortage cannot be filled. Recruitment/Sign on bonus Recruitment/Sign on bonuses have also gained popularity as a method to attract nurses. However, they have been found to have a limited effect. Yet, they can be effective as a short-term solution (Cherry & Jacob, 2013). Retain Experienced Nurses Retention of the experienced...
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...NAME NG Ka Yan DEGREE BA (Hons) Human Resource Management TUTOR Adam Wong TITLE Investigate the on-going problem of the high turnover rate in the Hong Kong nursing industry DATE 13 April 2012 CAMPUS Hong Kong Polytechnic University STUDENT No: 11001223B0 Project submitted in partial fulfillment of the requirements of the BA (HONS) BUSINESS MANAGEMENT of Northumbria University DECLARATIONS I declare the following: (1) that the material contained in this Project is the end result of my own work and that due acknowledgement has been given in the bibliography and references to ALL sources be they printed, electronic or personal. (2) the Word Count of this Project is: Section A: 3997 Section B: 4994 Reflective Statement: 525 Total Word Count: 9516 (3) that unless this Project has been confirmed as confidential, I agree to an entire electronic copy or sections of the Project to being placed on Blackboard, if deemed appropriate , to allow future students the opportunity to see examples of past Projects. I understand that if displayed on Blackboard it would be made available for no longer than five years and that student would be able to print off copies or download. The authorship would remain anonymous. (4) I agree to my Project being submitted to a plagiarism detection service, where it will be stored in a database and compared against work submitted from this or any other School or from other institutions using the service...
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...The Impact of the 2010 IOM Report on The Future of Nursing Robert Loperfido Felician Health Policy and Politics NURS 385 Helena Correia RNC, MSN August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation...
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