...The main cause of the shortage of nurses is the expense of the education that is require for those career fields. Most people cannot financially afford thousands of dollars’ worth of schooling in such a tight economic time.
The United States has more nurses than any other country in the world, numbering greater than three million workers.1 Despite this sizeable workforce, debates surrounding nursing shortages in the US have persisted for decades. The large number of licensed nurse personnel also distinguishes the vocation as the second largest group of licensed professionals in the United States.2,3 In fact, nurse professionals are regulated through various methods, including licensure, educational standards, and background checks.
The shortage of nurses is approaching epidemic levels and as a result, hospitals are overcrowded, understaffed and consequently medical care is compromised. Supporting this, Dr Peter Carter (2015) the Chief Executive of the Royal College of Nursing broadcasted:
RN’s have to take on additional responsibilities once done by the VN. In my personal experience, this action has caused a higher turnover rate, increased medication errors, increased delays in medication administration, wound care, and major delays in patient transport. RN’s are overworked on understaffed units. It has been my experience that many experienced RN’s are leaving bedside care due to these issues. Lewis (2015) stated, “Freeing RNs from duties that others can effectively execute will allow RNs to focus their valuable time and skill sets on this mission-critical duty of coordination” (p.237).
Give the various number of important roles nurses play in healthcare, strategies must be implemented to assure that there are an adequate number of nurses to care for our ever-growing population. For example, in addition to caring for hospitalized patients every day, nurses at Ridgeview Medical Center (RMC) work in information technology to build and maintain the electronic health record, provide discharge planning/case management, coordinate patient care, lead healthcare teams, manage hospice patients, provide homecare, administer high-risk, life-saving medications such as chemotherapy, service as primary care nurse practitioners, and the list goes on.
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Re:Topic 1 DQ 1
The United States is experiencing a shortage of
qualified nurses. Perhaps the most unsettling result of the nursing shortage is
that patient care may be adversely affected. Another point of concern is that
the shortage is occurring just as the massive Baby Boomer generation is aging
into their senior years,
The nursing shortage is a consequence of a mixture of several circumstances for example, above average reduction in the nursing workforce secondary to poor work environments, depressed professional contentment, ineffectual human resources decision making and development, an increase in number of patients with chronic complex diseases, internal and external nurses relocation, insufficient compensation in addition to underinvestment in human capital (International Council of Nurses 2006 cited in Atefi, Abdullah, Wong & Mazlom, 2014).
Nursing staff shortage is expected to get worse. By the year 2020, the nurse staffing deficit is expected to rise to 525,000 by the year 2022. The rise is attributed to retirement of baby boomers and the rise in need for health care (AACN, 2014). Nursing shortage has negative impact on the public. A study done in 2011 showed a 6% rise in mortality rate in institutions that had nursing shortage compare to fully staffed units (AACN, 2014). In a different study, the patient readmission rate increased when a registered nurse was allocated to care for more than 4 patients (AACN, 2014).
shortage will put older adult care in great jeopardy. A higher demand for nurses are needed
The problem identified for this report is for administration to address the workload and shortages of the nursing staff. Healthcare maintains health through preventive or treatment measures. In order to adequately provide treatment, healthcare facilities must provide and retain healthcare workers. The issue with nursing workloads in the workplace needs to be addressed by administration and adequate solutions need to be available to healthcare providers to allow for a healthier work environment. As nursing shortage in healthcare is a major issue, administration must develop techniques to brainstorm, discuss, and adapt to this issue to assist nursing staff to reduce workload in the workplace.
According to Canadian Nurses Association(2009), human health resources have stated that by the end of 2011 Canada will experience shortage of 78 000 registered Nurses (RN) and shortage of 113 000 nurses by the end of 2016. Globally there will be shortage of 4.3 million health care workers. It was also shown that approximately 38% of new graduate nurses leave their workforce within the first year of employment (Lavoie-Tremblay, Wright, Desforges, Gelinas, Drevniok & Marchionni, 2008). According to registered Nurses Association of Ontario (2011), full time positions of RN dropped to 57.9 % in 2010 from 58.9% in 2009. With the current trend it is expected that the Canadian Nursing shortage will increase significantly. In order to understand nursing shortage and improve the future of the workforce, it is important to determine and treat the root cause of the problem. Through the use of professional practice model and fish bone diagram this essay will identify the major root cause of the problem.
Nursing shortage will increase as there are many nurses approaching retirement age. The problem is not only that there aren’t enough nurses, but they are quitting their jobs as well. Reasons to why nurses leave their jobs are as follows: unsatisfied with their workload or work schedule, there are times they aren’t able to balance their work and family life, and the teaching support (Yedidia, 2014). Fewer nurses on the floor affects patients, other nurses, hospitals, nursing schools, and education. There needs to be a focus on the education that nursing schools are providing. There are job positions available, but some nurses do not meet the education requirements. There needs to be a way to motivate nurses to pursue a higher education so that