...“The Nursing Shortage” Final Report Abstract While the nurses are disappearing from developing nations to help the shortage in the United States, it is putting a strain on health systems in the developing world. American found a simple solution to the problem of our nursing shortage and how we have turned to the global market where nurses have become a hot commodity. Even though it seems to be a natural thing to import nurses, since we import everything else. By importing nurses it saves time and money but it will cause more problems in the end. The Nursing Shortage In the United States is a situation where the demand for nurses is greater than the supply, as is currently the case in several developed nations. According to a U.S. government study, by the year 2020, there could be a nationwide shortage up to one million nurses, which could result in substandard treatment for hundreds of thousands of patients. Just as alarming, fewer nurses are choosing to teach the next generation of professionals, resulting in tens of thousand of applicants being turned away from the nation’s nursing schools. (1) Reason for Shortage The responsibilities of nurses have increased and the patients are more ill as a result. In addition the average age of nurse’s increases while the number of applications to baccalaureate programs has decreased.(2) New opportunities became available for the nursing practice, which further drains the number of nurses available for acute...
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...Nurse Shortage in Nursing Homes Nursing shortages have been an issue in the health care field for a few years now. This shortage is seriously impacting nursing homes and the elderly in our society today. With a shortage of 8.1% of nurses in 2008, it is important to understand what is happening to nurses (Addressing the Nursing Shortage, 2010). To help one understand the nurse shortage more, this paper will discuss resource scarcity, stakeholders, economic flows, changes in supply and demand, pricing decisions, along with a business proposal. The business proposal will discuss where the market has a shortage of providers, list of services the firm will provide, explanations of set prices, and who will be hired and how much one will be paid. Resource Scarcity and Stakeholders Economic Flows According to Jacobs & Rapoport, “Economic flows can involve both money and services.” There are a couple of economic flows that could affect the nursing home and the nursing shortage. The first would be how the nursing home provides health care to the elderly. If the firm does not provide good service to the patients and customers, most nurses and patients would not want to stay at the nursing home. The second economic flow that could affect a nursing home is money. If the nursing home does not have the right amount of money, patients are not going to get the service they require. The same could be said about the nursing shortage in nursing homes. If the money is not there, then the nurses...
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...Leadership & Management in Nursing Shortage & Nurse Turnover We are all leaders and managers at some 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. Definitions of Leadership & Management Styles Leadership and management are two terms that are frequently compared. They are not the same, but they are linked. Some people have one or the other skill sets while others may have both. According to the Educational Business Articles (EBA) (n. d.), leaders focus on achieving tasks by keeping the team inspired, motivated and empowered (transformational leadership). It also involves expecting the best out of everyone for the benefit of achieving the team’s goal (EBA, n. d.). Some effective leadership characteristics are: vision, motivation, inspiration, persuasion, teamwork, building relationship...
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...Who Cares? Why the Shortageof Nurses Should Matter Dondi A. Dancy Webster University INTRODUCTION The Bureau of Labor Statistics (BLS) projects that between calendar years 2001 and 2018 the most significant increase in job growth will occur in the healthcare industry, primarily within the nursing sector. Registered Nurses (more commonly known as RNs) complete an Associate degree nursing program (ASN) or higher (BSN, MSN, ND, DNSc, or DNP). Every healthcare experience involves the knowledge, support, and comfort of an RN – they are a large, diverse group who are integral to and in the delivery of healthcare. In fact, the Society of Human Resources Management (SHRM) Job Satisfaction 2010 survey indicates that nursing is the only “profession offering genuine opportunity for meaningful work.” The Employment Projections 2010-2020 profile suggests that there are 3.5 million licensed RNs working in various settings across the United States - which effectively means that RNs represents the single largest group of healthcare professionals in the United States; Wanted Analytics reported in December 2012 of 121,000 newly placed classified advertisements seeking RNs to fill positions in various settings to include schools, hospitals, long-term care facilities, companies, and staffing firms during the months of October and November 2012; and the National Institute of Medicine confirms that between 2005 and 2012 the nursing sector experienced average annual growth of twenty-three...
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...Nurse safety have variety of measures which include the organization and safe working environment. Safety measures of nurses rely on how nurses will act toward each other and how they will keep their equipment safe and clean. Nurse safety is important for they’re the ones that holding the lives of each individual patients. It’s important for nurses to first look for their own safety. Without the safety of an individual nurse, the safety of colleagues won’t be able to present. There are things that might happen if one individual nurse don’t protect himself or herself. There are incident that happen that nurses don’t expect but it did happen unexpectedly. The issue of nurses safety is pervasive and includes all settings where nurses practice, not only acute care setting but in the community and home. In order for nurses to practice caring or protecting themselves, they should start off by practicing in the environment and at home, it will be easier for them to protect themselves when in the hospital. The skills and knowledge will gain while practicing at home and in the environment. Sometimes the nurses forgot to look for the complex and dangerous threats that facing them in the working environment. Work place violence, define as the behavior involving physical force intended to hurt, damage, or kill someone or something in the workplace. Work place violence is one major threat that is facing the nurse’s safety in the environment. Nurses might get into trouble if they do not prevent...
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...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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...passionate about is the shortage of nurses. This has been a long standing problem, even in the days of Ms. Florence Nightingale, when she and her nurses "used limited resources to address unlimited wants for healthcare (Cherry & Jacob, 2014)". They did the best they could and were able to improve the soldiers' condition dramatically. Agreeably, the situation is far better today. This topic is of great importance because, a shortage of nurses means that the ratio of patient to nurse increases and this can result in nurses being overwhelmed. It also affects the every aspect of patients’ care and it increases the risk of negative patients’ outcomes. It makes nurses apprehensive when they are going to work and that is not a good way to feel on a regular basis. Some of the reasons listed as causes of shortage of nurses include lack of good role models and early professional socialization, unrealistic workload, an aging workforce, negative work environment, retention problem, and insufficient nursing faculty staff. I chose the first article "Becoming a nurse: a meta-study of early professional socialization and career choice in nursing," because it attempts to deal with the issue of nursing shortage by investigating what motivates young people to choose nursing as a career and early professional socialization (Price, 2009). It highlighted the need to have good mentors, peers and role models, especially as new nurses are transitioning into the profession. A lot of new nurses report having negative...
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...gross negligence, and malpractice. It will also discuss why hospital staffing shortages play a role in negligence such as in the amputation mishap. In addition, the importance of documentation and its correlation to potential negligence will be discussed. Lastly, ethical principles that would guide my practice in this situation will be discussed. Negligence, gross negligence, and malpractice Negligence “equates with carelessness, a deviation from the standard of care that a reasonable person would use in a particular set of circumstances” (Guido, 2010, p. 92). An example of negligence is when a nurse places a nasal cannula on a patient who needs supplemental oxygen and does not check if the oxygen is flowing. This results in the patient not receiving oxygen and coding. Gross negligence is an extreme departure from the standard of practice. In respect to registered nurses, it is “the repeated failure to provide the required nursing care or failure to provide care or exercise precaution in a single situation which the nurse knew, or should have known, could result in harm” (California Board of Registered Nursing, 2012). The amputation mishap is an example of gross negligence. Malpractice is “failing to use the skills a professional of similar qualifications would normally demonstrate under similar circumstances” (Larson & Elliot, 2009, p. 376). Malpractice can only apply to professionals. Nurses who do not...
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...“Into the Unknown”, first published in The Economist on November 13, 2004, “HAS the machine in its last furious manifestation begun to eliminate workers faster than new tasks can be found for them?” wonders Stuart Chase, an American writer. “Mechanical devices are already ousting skilled clerical workers and replacing them with operators...Opportunity in the white-collar services is being steadily undermined.” The anxiety sounds thoroughly contemporary. But Mr Chase's publisher, MacMillan, “set up and electrotyped” his book, “Men and Machines”, in 1929. The worry about “exporting” jobs that currently grips America, Germany and Japan is essentially the same as Mr Chase's worry about mechanisation 75 years ago. When companies move manufacturing plants from Japan to China, or call-centre workers from America to India, they are changing the way they produce things. This change in production technology has the same effect as automation: some workers in America, Germany and Japan lose their jobs as machines or foreign workers take over. This fans fears of rising unemployment. What the worriers always forget is that the same changes in production technology that destroy jobs also create new ones. Because machines and foreign workers can perform the same work more cheaply, the cost of production falls. That means higher profits and lower prices, lifting demand for new goods and services. Entrepreneurs set up new businesses to meet demand for these new necessities of life, creating...
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...Scarce Resources Article Nurses depend on a variety of resources every day that affect patient care. Staffing issues and supply shortages are sometimes daily battles. A growing concern is drug shortages to hospitals, clinics, and doctor’s offices. Drug shortages can affect drug therapy, postpone medical procedures, and result in medication errors. An article published in the American Journal of Nursing in November 2011 discussed the national impact of the drug shortage on health systems. Since 1996 the problem of drug shortages has steady increased. As of 2011 there were 232 drugs on the national drug shortage list. “The areas most commonly reported shortages were surgery and anesthesia, emergency care, cardiovascular care, gastrointestinal and nutritional care, and pain management. Thirty-five percent of hospitals reported that the shortages had resulted in adverse outcomes” (Carter, 2011, p. 14). One specific example is the propofol shortage. Propofol is used for sedation during procedures and ventilated patients. Alternative medications are more difficult to titrate resulting in under or over sedation (Carter, 2011). There are several factors that contribute to the national drug shortage. The lack of available raw or bulk materials has a significant impact on drug shortages. “Raw material shortage can result from a number of factors, including a sole source manufacturer that ceases operation, suboptimal quality of the raw material, and wars that disrupts importation”...
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...“HAS the machine in its last furious manifestation begun to eliminate workers faster than new tasks can be found for them?” wonders Stuart Chase, an American writer. “Mechanical devices are already ousting skilled clerical workers and replacing them with operators...Opportunity in the white-collar services is being steadily undermined.” The anxiety sounds thoroughly contemporary. But Mr Chase's publisher, MacMillan, “set up and electrotyped” his book, “Men and Machines”, in 1929. The worry about “exporting” jobs that currently grips America, Germany and Japan is essentially the same as Mr Chase's worry about mechanisation 75 years ago. When companies move manufacturing plants from Japan to China, or call-centre workers from America to India, they are changing the way they produce things. This change in production technology has the same effect as automation: some workers in America, Germany and Japan lose their jobs as machines or foreign workers take over. This fans fears of rising unemployment. What the worriers always forget is that the same changes in production technology that destroy jobs also create new ones. Because machines and foreign workers can perform the same work more cheaply, the cost of production falls. That means higher profits and lower prices, lifting demand for new goods and services. Entrepreneurs set up new businesses to meet demand for these new necessities of life, creating new jobs. As Alan Greenspan, chairman of America's Federal Reserve Bank...
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...hospitals are largely staffed by professional physicians, surgeons, and nurses, whereas in the past, this work was usually performed by the founding religious orders or by volunteers. According to A.S. Zigmond and R. P. Snaith (2007), a self-assessment scale has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The anxiety and depressive subscales are also valid measures of severity of the emotional disorder. It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments. The past decade has been a turbulent time for US hospitals and practicing nurses. News media have trumpeted urgent concerns about hospital understaffing and a growing hospital nurse shortage. Nurses nationwide consistently report that hospital nurse staffing levels are inadequate to provide safe and effective care. Physicians agree, citing inadequate nurse staffing as a major impediment to the provision of high-quality hospital care. The shortage of hospital nurses may be linked to unrealistic nurse workloads. Forty percent of hospital nurses have burnout levels that exceed the norms for health care workers. Job dissatisfaction among hospital nurses is 4 times greater than the average for all US workers,...
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...HEALTHCARE PAPER ASSIGNMENT Access to Quality Healthcare Paper Rudolphe Lubin University of Phoenix Lori Lewellen MBAJOGZL57 April 27, 2009 Quality Healthcare Introduction It will be evident to realize that financial, educational, and socio – demographic implications can bring serious impact on access to quality healthcare in the organization. Labor shortage will stay an important component that can affect as well the access to quality care. Socio – demographic changes linked with chronic illnesses can have an effect on the aging population, which may reduce the quality of life, increase costs for healthcare and rise resource allocation. In point of fact, both labor shortage and socio – demographic changes are exactingly dominant in the admittance to quality care in the United States. Besides, the demand for registered nurses and changes in science is already exceeding supply in U.S. nation, including more implications associated with other ethical dilemmas. Healthcare Labor Shortage People have to realize that progresses in medical technology, increasing expenses and market forces provide to the financial decline of many rural healthcare organizations. In reality, small rural healthcare suppliers, particularly hospitals, cannot meet the costs of the equipment and practitioners needed to treat the range of modern syndrome and injury. In fact, coronary bypass...
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...Nursing Shortages and Solutions Seketha Silas Walden University Nurs 3001-6, Issues & Trends in Nursing September 8, 2013 This assignment is about the concerns of the nursing shortage locally, nationally and globally. It will address some of the reasons and solutions for the nursing shortages. The purpose of this paper is to understand the nursing shortages and discuss some implementations that may help to resolve the shortages. Although, the country is experiencing an economic recession, think about January 2014 when millions of Americans will be able to get health insurance. Nursing may be the answer to some of the key healthcare and employment problems the US is struggling with right now. Lindsey (2013) states “with the graying of America has come a shortage of healthcare professionals, especially nurses. From 2009 to 2011, 85 percent of Associate Degree Nursing programs turned away qualified applicants.” (para 1) Nursing programs at some schools are closed due to funding cuts. There is lack of faculty at schools to train nurses. The lack of faculty to train new nurses definitely can cause concern for nursing shortages. Applicants are being turned away. Nurse educators have to endure lower salaries along with unrealistic expectations about their academic roles. Some nursing faculty is expected to balance their academic roles along with advancing their expertise and managing clinical practice. The lower salaries are sometimes lower than their colleagues working in...
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...Addressing the Nursing Workforce Shortage After researching the current and future state of the nursing workforce, there are many issues regarding the nursing workforce that should be addressed at the upcoming retreat. To begin, the reason for emphasis on the nursing workforce is that nurses constitute the largest group among the health service providers (Barton, 2010), as you very well may be aware. Without considering implications that affect the largest group of the workforce, the organization will not be able to strategically plan for the shift of the nursing shortage currently at-hand. First, we must consider the current workforce distribution of nurses. A national survey by the National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers in 2013, indicates roughly 55% of the RN workforce being at the age of 50 years old or older (American Association of Colleges of Nursing, 2014). With the current demographic makeup of this group, it is inevitable that a majority of the nursing population will be retiring soon from practice and teaching. While the Affordable Care Act tries to address the projected shortage by increasing the supply of workforce, increase the support of training, and establishing loan and grant payments, the shortage of nurses may very well be still be an issue. If issues regarding the lack of faculty and training continue, similar to the rate as reported in 2010 with 80,000 qualified applicants being denied entry to...
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