...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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...IOM Report on Nursing NRS-430V Lisa Arends October 11, 2015 IOM Report on Nursing Once the incorporation of the 2010 affordable care act came into existence this created a transformation within the healthcare industry. The affordable care act vision placed higher demands on patient healthcare needs that required more of nurses to be primarily involved with all aspects of patient care. This also placed more demands on nurses to become educated after they are licensed as a practicing nurse. The future of nursing was transformed to meet these demands through the Robert Wood Johnson Foundation alone with the Institute of Medicine which support nursing through focusing on nursing education. The IOM (Institute of Medicine) demands that nurses are to achieve higher levels of education and this training should occur through the educational system being improved. This paper area of focus will inform you of the impact of nursing education, nursing practice, and nurses as we continue to lead in our advancing world of providing quality healthcare through technology, achieving higher education, and hands on training. IOM Impact on Education Nurses are expected to be fully knowledgeable and competent when it comes to caring for patients. The IOM (Institute of Medicine) report set forth five core competencies to be integrated in the nursing education. They are patient centered care, working with other members of the...
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...Journal of Nursing Administration, 38(5), 223-229. Aiken, L.H., Clarke, S.P., Cheung, R.B., Sloane, D.M., & Silber, J.H. (2003, September 24). Educational levels of hospital nurses and surgical patient mortality, Journal of the American Medical Association, 290, 1617-1623. American Association of Colleges of Nursing (2012). 2011-2012 Enrollment and graduations in baccalaureate and graduate programs in nursing. Washington, DC: Author. American Association of Colleges of Nursing, American Organization of Nurse Executives, & National Association of Associate Degree Nursing (1995). A model for differentiated practice. Washington, DC: American Association of Colleges of Nursing. Available online at www.aacn.nche.edu/aacnpublications/position/joint-statement-academic-progression. American Association of Colleges of Nursing, American Organization of Nurse Executives, & National Association of Associate Degree Nursing (1995). A model for differentiated practice. Washington, DC: American Association of Colleges of Nursing. American Organization of Nurse Executives. (2005). Practice and education partnership for the future. Washington, DC: American Organization of Nurse Executives. Anderko, L., Robertson, J. & Lewis, P. (1999). Job satisfaction in a rural differentiated-practice setting. Journal of Nursing Connections, 12(1), 49-58. Anderko, L., Uscian, M. & Robertson, J.F. (1999). Improving client outcomes through differentiated practice: a rural nursing center...
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...Dynamics : NRS 430V June 29 , 2014 Meaning of Associate Degree Nurses versus Baccalaureate Nurses : A person can become an RN through three different routes. A 3 years Diploma program learned in hospitals. A three year ADN achieving from a community college and four year BSN from a college or university. Graduates of all these program must pass the NCLEX – RN licensing from one of the State Board of Nursing in order to work as a Registered Nurse in a hospital setting or Community Health centers or any other organizations. The main differences between all these nursing programs is the years to study in the school. ADN or Diploma Nursing programs mainly based on clinical skills and more task oriented. BSN program includes all of the course materials and practical in ADN or Diploma program. Which focus primarily the physical and social sciences, nursing research and management, public and community health. This will improve or enhances the nurses professional development, better understanding of the person, health, nursing and environment which are the main concepts in nursing. A Registered ADN or Diploma nurse works in hospital or outpatient facilities where they give direct care to the patient like administering medications, managing intravenous infusions, blood transfusions, observing and monitoring patient conditions like vital signs, maintaining health records and communicating with doctors with the updates of patient condition. Additionally they provide emotional support...
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...The Transformation of Nursing This world we live in is forever changing, everything for modern technology to healthcare. In wanting to improving health outcome and ensure that all has access to affordable healthcare the United States has transformed the healthcare system ("IOM REPORT," 2011). This transformation will impact one of the largest sectors of the healthcare workforce which are nurses. According to the IOM, the Future of Nursing report released on October 5th, 2010 its designed to “…ensure that nurses an practice to the full extent of their education and training, improve nursing education, provide opportunities for nursing to assume leadership positions and to serve as full partners in health care redesign and improvement efforts…” ("IOM REPORT," 2011, p. 1). One of the most significant change that has happen since the creation of Medicare and Medicaid in 1965 was in 2010 with the introduction of the Affordable Care Act (ACA). This program will not only provide health insurance coverage for 32 million uninsured Americans but provide a seamless, affordable patient centered quality care to all ("IOM REPORT," 2011). So how will this affect nursing? Well due to all the changes, the nursing profession has to transform their practice, education and transition into the leadership role set forth. This paper will discuss all three. In order of any goal to be accomplished a strong education is the foundation. The standards of education before and after licensure must be universal...
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...Nursing, as described by the American Nurses Association, is the protection, promotion and optimization of health and abilities to prevent illnesses and injuries, alleviating suffering, through Diagnosis and treatment of human response and advocacy in care of individuals/family/communities and population. As nurses, we render care to our patients, recognizing that, as patients, they are always sick. We practice to treat, by protecting them from any further exposure that will prolong the illnesses. We promote good health by practicing infection control principles. Techniques, as the work, documented, from the pioneers, such as Florence Nightingale, our work is evidenced, by the continued decrease of hospitalization. By being educated as a nurse, we practice by using technologies learnt. As a result of the researches done, we gain that knowledge of how to prevent the spread of diseases, of how to prevent further illnesses. We promote wellness, by teaching the patients we serve, about the purpose of that particular medication. We teach and instruct them, on how the medication works, to help to cure the sickness, and the need to comply with the course of actions. Because of the knowledge gained, as a nurse to practice, we are able to help that patient, maintain their health, because, we are able to teach them that, that course of antibiotics, need to be taken for the full amount of days, even if they are feeling better. We practice the nursing process, by finding out what...
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...Nursing is a unique profession in that there are numerous different types of nurses, yet they can all experience the beginning of life as well as the end of life. Both nurses in addition to community-based nurses can yield special bonds with patients and their families. To me nursing is a very worthwhile profession and to become any type of nurse is an award within itself. This paper will converse how effective the communication in nursing practice will ease a mutually satisfying therapeutic patient nurse and their family relationship. Nursing is a challenging profession and requires critical thinking and good communication skills. With the baby boomers getting older the need for nurses is more than ever. No matter the setting whether it is in the hospital or in a community, nurses receive the same reward of helping people. Nursing has come a long way since Florence Nightingale and will continue to evolve well beyond into the future. Communication mainly requires the mindful utilization of the spoken word, and even though accounting for only fifteen percent of all interpersonal communication, is the major means of stating factual information in relations among nurse, patient and patient’s family. At the same time as communication is a vital part of building the relationship among nurse, patient and patient family members it is also just as significant among nurse and coworker. A virtuous relationship is good to quality patient care, obviously both nurse and coworker have the...
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...Highly Qualified Nursing Workforce Quality patient care hinges on having a well educated nursing workforce. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. The American Association of Colleges of Nursing (AACN) is committed to working collaboratively to create a more highly qualified nursing workforce since education enhances both clinical competency and care delivery. This fact sheet looks at today’s nursing workforce; highlights research connecting education to outcomes; and outlines the capacity of four-year colleges to enhance the level of nursing education in the U.S. Snapshot of Today’s Nursing Workforce According to the National Center for Health Workforce Analysis within the Health Resources and Services Administration (HRSA), approximately 2.8 million registered nurses (RNs) are currently working in nursing (HRSA, 2013). This count reflects an increase from the last National Sample Survey of Registered Nurses conducted by HRSA in 2008 which found that 2.6 million RNs were employed in nursing (out of a population of more than 3 million licensed RNs). HRSA’s 2013 report, titled The U.S. Nursing Workforce: Trends in Supply and Education, also found that 55% of the RN workforce held a baccalaureate or higher degree. In a separate study conducted by the National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers...
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...Nursing Shortage and the Nurse to Patient Ratio Nursing Shortage Issues and the Nurse to Patient Ratio Throughout this paper the focus is going to be on nursing and how it is affected by a growing issue of shortages. The facility where I work has been affected by a nursing shortage; this is why I chose to focus on this topic. I have seen first-hand how everyone throughout the facility is affected by the shortage. I will talk about how the facility has handled the shortage as well as the type of structural organization that the company uses that has helped to keep it afloat. I have formed a null-hypothesis and an alternate hypothesis and formed an opinion based on my research. I hope to adequately inform you of all the issues surrounding the shortages. Since I work in a skilled nursing facility I will make it my main focus. Null Hypothesis: Shortages have not played a role in in-adequate care of others. Alternate Hypothesis: Shortages have played a role in in-adequate care of others. In today’s day and age women now have more career choices; back in the day it was common for women to become nurses, but now they can be just about anything. This affects the nursing field greatly. Not only do more career choices affect the nursing ratio, but an older and aging workforce is also part of the growing shortage. Some internal factors that I have noticed affecting the facility where I work is the pay...
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...most likely require rehospitalization. It is imperative for nurses to avoid jargons and use simple language to get the message across. While Henderson’s theory supports nursing as a profession in assisting patients who are well or sick and ensuring 14 basic needs, Orem’s theory is more contemporary where a nurse engages patient in plan of care and guides the patient to be self-dependent in the acquisition of knowledge and skills. Orem’s theory supports that client has the primary responsibility of personal health, with the nurse acting as a guide. Furthermore as long as self-care abilities equal or exceed self-care demands, such patients have no need for nursing ( Hohdorf,2010). However, if self –care deficit is recognized ,nurses should individualize care based on patient situation and must clearly communicate in order to improve and coordinate patient care. In order to improve and coordinate patient care, decisions made by nurses must be individualized to the patient situation, information collected by nurses must be clearly communicated to other health care providers and nurses must actively intervene and suppor Hohdorf, M. (2010). Self-Care Deficit Nursing Theory in Ingolstadt -- an approach to practice development in nursing care. Self-Care, Dependent-Care & Nursing, 18(1), 19-25. is approximated that there are 90 million people in the United States who cannot read above a sixth grade level and nurses need to take this into...
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...Institute of Medicine (IOM) report: "The Future of Nursing: Leading Change, Advancing Health,": Transforming Practice, Transforming Education, and Transforming Leadership. Debra New Grand Cannon University September 6, 2015 The Future of Nursing: Leading Change, Advancing Health to understand how the 2010 Institute of Medicine (IOM) report impacts nursing we must first understand what it is. The IOM report is the result of a two-year project that was launched by the Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine. The report presents recommendations for an action plan for the future of nursing (Institute of Medicine, 2010 p.119). The report titled the “Future of Nursing” contained research that supported a formation for the envision on the way nursing will become. The central idea was to make sure the public would receive quality, affordable care where they would feel protected. The report was designed for nurses, policy makers, government officials, insurance companies and the public, all of which have a vested interested to ensure quality, safe, cost effective health care (Holzemer, 2010 p.119). The recommended changes in these areas of nursing serve as a fundamental part of attaining the goals set forth by the Affordable Care Act(2010)...
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...Philosophy of Nursing Why I Chose Nursing I chose nursing as my future profession because I believe nursing to be a rewarding and challenging career choice. I believe the desire to help people through nursing is a true calling, and I feel drawn toward helping those in need. I was first drawn to the area of professional nursing when my late sister became ill and was in the hospital for many months prior to her untimely death. This experience is what ultimately led me in the direction of pursuing a nursing education. Another reason I chose nursing is because the field offers a wide variety of career opportunities. A degree in nursing allows one to teach, conduct research, or perform direct patient care. I could elect to become an administrator, work in community or home health, and even travel worldwide. I can choose to work in childbirth centers, community health, emergency departments, geriatric wellness programs, intensive care units, mental health programs, occupational health, operating rooms, nursing research, school health, substance abuse treatment programs, and many more. With the national shortage of nurses, work schedules are flexible, pay is competitive, and openings are numerous. Jobs will be waiting for me the day after graduation anywhere in the world, and I will have a profession without additional training. The Core of Nursing Practice The core of nursing practice involves numerous factors that I believe to be of vital importance to being a great nurse....
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...unique position as a profession dominated historically by women means that while gender balance has been sought in professions once closed to women, nursing has made little effort to do the same. Men have equality of access, so it would be wrong to paint this as discrimination. But is that enough when there has been a failure to challenge the view of nursing as a woman’s job? Allied health professions have made strides towards equality, yet nursing still uses the titles ‘matron’ and ‘sister’. Archaic practices Even in training, archaic practices continue. One university restricts its best nursing student award to female students. Is it any wonder just 10% of UK nurses are men and many wards remain staffed entirely by women? Women make up 90% of nursing students. Is it right in 2016 for wards that treat male patients (in some cases exclusively) to have no male nurses? Is it truly patient-centred care to have a profession so far removed from its patient demographic? Every year across the UK women apply in droves to enter nursing, and the issues that put off their male counterparts are not being addressed. It is essential that male recruits are encouraged from an early age, and the outdated attitudes that stop men pursuing a career in nursing are challenged. Other professions have changed while nursing has rested on its laurels. Physiotherapy has gone from 5% men to 20%, and while in primary schools only 12% of teachers are men, one in fi ve teaching...
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...nurse would treat a CHF patient. A specific patient case I reviewed, was readmitted to a hospital again within thirty days with a diagnosis of congestive heart failure. The ADN trained nurse could administer drugs, perform daily weights, ensure that the patient followed a cardiac diet, but was strictly task oriented (The Future of the Associate Degree in Nursing Program, 2013). The BSN trained nurse, would base the care provided using a more integrated system (Why the Push for BSN Nurses?, 2012). The focus of the BSN trained nurse would encompass more teaching, measuring compliance of instructions that were given, and ensure core measures would be met prior to discharge. The follow up care would include determining if the patient had access to meds, home health, understood the need to maintain dietary restrictions, and instruct the patient on keeping a daily weight log to ensure that weight trends would be monitored and recorded. ADN AND BSN DIFFERENCES 3 The college system today has defined an ADN nurse as technical and a BSN nurse as a professional nurse (The Future of the Associate Degree in Nursing Program, 2013). A nurse with an ADN degree, although important, can look at the degree as a stepping stone to advancing their career to attain the BSN. The ANA has been pushing for nurses to obtain their...
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...Nursing Is… There was never a time in my life I didn’t know I wanted to be a nurse. From a young age I feel I have taken the necessary steps to prepare myself for a career in the growing field. My dream on becoming a nurse was highly influenced by my mother who worked in labor and delivery for most of her career. Growing up I would often say “I wanted to be just like her”. At that age I was very clueless as to what a nurse entailed but my desire for nursing grew with the experiences I have encountered during the years. I attended a Technical High School, and chose Health Occupations as my Vocational Major. Throughout my 4 years at Whittier I experienced the fundamentals of the health care industry, participated in the Nurse’s Aide Training Program, obtained my credentials as a Certified Nursing Assistant.. I graduated in 2007 among the top 20 in my class of 350 students, with a 3.54 GPA. I thoroughly enjoyed my time and feel it provided me with a concrete foundation for which I could build upon. Out of high school I continued working as a CNA in a nursing home / rehabilitation facility, where I worked with the Registered Nurses on staff to monitor, treat and care for patients. I enjoyed working closely with the patients and took an immense amount of pride in the job I did. Currently I work in Boston. I float to various floors in the hospital expanding upon my knowledge and skill level. Working here I’ve surrounded myself competent and powerful nurses that exceed...
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