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Workforce and shortage of nursing
Workforce and shortage of nursing
Literature review of nursing shortage
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In 2011, The Institute of Medicine (IOM) published its recommendations for how to improve the nursing practice and promote recognition of nursing as a profession. IOM’s report consisted of some key suggestions, such as increasing the proportion of nurses with a bachelor degree, expanding leadership opportunities and nursing leadership development, eliminating barriers to practice to the full extent, and creating an effective workforce that resolves health policy issues (Institute of Medicine [IOM], 2011). Since the power to implement those recommendations does not belong to nurses only, the key suggestions were also addressed to government, health care institutions, organizations, and health care professionals. Together, these groups have the ability to better the nursing profession and support its recognition among public as well as health care industry.
Allowing nurses to practice to their full potential and eliminating scope-of-practice barriers certainly will give the nursing profession recognition and validation. This will let nursing professionals utilize their skills and practice care
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The opportunities for leadership skills development and mentorship programs should be available for nurses in any specialty. Nurse leaders at the bedside as well as boardroom bring critical skills, coordinate and manage care, advancing community health (Fineberg & Lavizzo-Mourey, 2013). Nurses should be engaged and have a voice in health policy decision making. With advanced leadership programs nurses at all levels will have the competencies to play an active role in leading and implementing changes in the quality of health care (Hickey & Starck, 2012). Strong leadership development will advance the nursing profession and allow it to be recognized as a valuable member within and beyond health care environment (Fineberg & Lavizzo-Mourey,
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Nursing is an ever-changing and growing profession. Tools such as, the scope and standards for nursing, state nursing legal regulations, code of ethics, and general principles of philosophy are used to set standards and promote growth within the profession. I use these principles and standards daily in my career as a registered nurse (RN). In this paper I will discuss the importance of these factors in my career, and how they all contribute to making outcomes successful for all involved.
As Finkelman (2006) stated, “Mentoring, and important career development to that can be used by nurses any type of set or specialty, can be used to develop the critical leadership skills needed by nurses. All successful leaders have had mentors are our mentors” (Finkelman,2006, p. 390).
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
One of the biggest obstacles of nursing is transitioning from the publics view of them being a vocation rather than a profession. The leading factor in this perception is the inability to define what a nurse is and what their job entails. The nursing community could put an end to not being perceived as a profession by putting into practice a set of standards. The biggest standard is implementing a baccalaureate degree as the entry level of practice. With the ability to define the starting position, you move away from a scattered perception of who a nurse is and begin to pinpoint exact qualities a nurse has to do their job.
In closing, as the healthcare climate consistently changes across the United States, it is imperative that registered nurses understand the demand for superior knowledge and lifelong commitment to nursing. As nursing theory and practice expand, our role as leaders is to place a high priority on our commitment to educate and guide nurses, thus improving the lives of their patients through the support of transformational leadership. The Institute of Medicine’s recent report, The Future of Nursing – Leading Change, Advancing Health, specifically calls for nurses to advance and embrace leadership roles on all levels and fronts – from collaborative improvement to positive identification of areas facing challenges within the healthcare setting.
The IOM report addresses the challenges that the nursing profession is facing. The chief messages of the IOM report suggest that Nurses should prepare for their maxim potential through improved education and training system. Nursing should be a partner, with the medical teams in redesigning the American health care system. Policy making and efficient workforce preparation require advanced data collection and an upgraded information support. Therefor, Nursing profession need transform in three critical areas, which are education, leadership and practice (The Future of Nursing: Leading Change, Advancing Health.
1) One of the strategies that nurses should employ to grow as leaders and help transform health care entails being actively engaged in leadership at all times. Nurses should partner with other health care providers in redesigning and reshaping health care delivery in this country. They need to enter into a partnership with physicians and other health care professionals (Hassmiller, 2014). Nurses need to be responsible for their own part in delivering high quality care. Nurses need to collaborate with leaders from other health professions. They need to see themselves as decision makers who may influence health care outcomes and never turn down an opportunity to lead. They need to take advantage of opportunities to lead and create leadership
“To do what nobody else will do, a way that nobody else can do, in spite of all we go through; is to be a nurse,” said Rawsi Williams, a registered RN. This quote completely captures the duties and responsibilities it takes to be in a healthcare profession. Like many health care occupations, nurse practitioners provide ‘patient-centered, accessible, high-quality health care’ (NP Public Awareness). They learn their roles by practicing in education facilities before heading out to the real world where everything they have learned help to save people’s lives. Now achieving doctorate degrees, nurse practitioners are slowly widening the professional field for nurses everywhere by continuing to maintain contact with
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
Nurses need a seat at the table to ensure they have a voice to influence and shape their future. Nursing is constantly evolving and changing, and employers continue to raise the bar for nursing. Nurses understand early in their career the importance of continuing education to enhance future career opportunities. Professional development relates to how nurses continue to broaden their knowledge, skills, and expertise throughout their career, therefore enhancing their professional practice. This advanced knowledge is not only career boosting, but also opens a seat at the table giving nurses the power to make decisions and effect changes. Professional development and continuing education are more important to nurses now than ever before to keep up with the rapid changes in healthcare today. Numminen, Leino-Kilpi, Isoaho and Meretoja’s (2017) article contends professional development enhances personal satisfaction, rejuvenates the love of nursing, builds confidence and credibility. There are many avenues to pursue
In nursing practice, the NLN’s mission aligns with extending nursing education by fostering excellence to progress a diverse team in evolving health on both national and global levels (NLN, 2016). The NLN seeks to be a leader in nursing education by setting goals and objectives. This organization plays a prominent role in nursing education by spearheading the nursing workforce with nursing certifications and examinations and serving as the main source for legislation reform. The NLN inspires students to apply professional clinical expertise to practice in an ethical manner with the utmost respect and value caring (Bavier, 2015). In nursing research, the NLN endorses evidence-based nursing education by promoting resources to foster research and evolve research initiatives to transform education in nursing (NLN, 2016). As stated in the mission, nursing excellence is an integral force for the basis of the NLN. In the NLN’s goals and objectives, the drive to be the official source of information for legislation, the emphasis to rally attention to the political, academic, and professional areas, the advocacy in setting standards of caring all around the globe, all reflect the aspirations
One method is the implementation of an “evidence-based management internship,” this allows clinical nurses a chance to explore different leadership opportunities (Rishel, 2013, pg. 114). This aids nurses in applying for leadership positions, as they already have an idea of how the position will be different from a staff nurse. A key component of this method is the assistance of the nurses in leadership positions and from the organization as a whole (Rishel, 2013). The organization will need to put forth the effort and resources needed to train these nurses to become leaders who will improve their organization. Also, when the clinical nurses are exploring their options in the leadership positions, someone will need to step up and support the direct patient-care role while the nurses participate in the program (Rishel,
For so long nurses have taken a back seat in health care. Nurses are the backbone that holds the health care system together. There are more nurses in health care than any other discipline. The role of the nurse play a significant part in health care. Ames ( ), describes, nurse are the “hub” in the health care field. In 2010, The Institute of Medicine, IOM (2010) made recommendations for nurses to take on the role of leadership to be partners with other disciplinarians in the health care field. The IOM’s recommendation was explaining the importance of nurses being full partners in health care along with every other disciplines. Some nurses may not have thought of themselves in leadership positions. Being a leader can may be challenging
Since Nightingale established nursing as a serious and legitimate profession, many theorists have emerged to codify and define what nursing is and how nurses can best serve their patients. Today, health care setting are complex and registered nurse’s ability to perform a multitude of roles and responsibilities requires highly developed skills in decision-making, critical thinking and adherence to moral and legal standards. An addition to these skills, leadership and management abilities are considered essential for professional practice.