A variety of conceptual frameworks were used to research the aging nursing workforce. The theoretical model of Organizational and Personal Factors and Outcomes, developed by Schaefer and Moos (1991), was one context used during this review of literature. This framework suggests that the personal system as well as work stressors affect the association between the organizational system and work morale and performance (Atencio, Cohen, & Gorenberg, 2003). This model suggests that the individual system as well as work stressors influence the relationship involving the organizational scheme and work morale and performance. Occupation stressors combined with organizational and individual system factors induce coping responses and the result of retaining the older nurse (Schaefer & Moos, 1991). Another theoretical model used was the Conceptual Model of Intent to Stay by Boyle et al. (1999). This model describes four variables that shape a nurse’s plan to stay in employment. These variables consist of leadership characteristics, nurse characteristics, system characteristics, and work characteristics. The primary concentration for this model was to research the influence that leadership uniqueness has on a nurse’s intention to stay employed versus retiring. The outcomes showed that control over nursing practice, situational stress, and the manager characteristics had implicit effects on older nurse intention to remain employed (Cranley & Tourangeau, 2005). Karasek and Theorell’s Demand-Control Model (1990) was an additional conceptual framework noted in the review of literature on the ageing nursing workforce. This representation implies that intense job strain and decision-making opportunity contributes to work tension and lead... ... middle of paper ... ...parture from the nursing profession or retirement from the line of work. Several key elements have been established throughout the research that lead to theses nurses feeling the need to retire and include: burnout, physical demands, mental health, linkage to the organization, hours worked, organizational culture, work intensity, and fiscal requirements. Organizations are beginning to establish evidence-based strategies in an effort to retain older registered nurses. Human resources are beginning to formulate policies and procedures to meet the needs of these aging nurses, which focus on their safety, stress levels, preferred work setting, schedule, and job satisfaction. The ability to delay retirement of these nurses or creating career paths that help facilitate a transition to a different work setting could help ease the shortage of nurses in the next decade.
Daniel P. Wright, K. M. (2010). Strategies for Addressing the Nursing Shortage: Coordinated Decision Making and Workforce Flexibility. Decision Sciences , 373-401.
After the introduction of an overall senior management the presented nurse advisor Sarah now has to deal with a number of different tasks like more paperwork or cleaning that do not fit to her profession. Furthermore, she is having her breaks in isolation and she needs authorisation if she wants to order small items like bandages because the management thinks this is more efficient and cost-effective. But on the other hand, unqualified casual workers are authorised to hand out medication to the patients. As a result of changes in law, Sarah also has to take care of 15 instead of 8 high care patients which is a way bigger workload. This role ambiguity, role conflict, isolation, the lack of authority and a bigger workload are the factors which Colligan & Higgins (2006) pointed out as the factors that lead to workplace stress. Obviously, a change in Sarah’s mental state in response to the workplace stress is already taking place as she is less motivated, unhappy and already starts to think of finding another job. Therewith, there are also negative consequences like absenteeism, lower productivity and poor decision-making appearing which also affect MV Health.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
The authors in this article aimed to discover nurse manager leadership styles and their outcomes. Nurses from hospitals in the Northeastern part of the United States were asked questions. The data was collected in a locked room, alone, so no one would influence the answers of someone else. The results were put into a software program and displayed for analysis. Results showed when choosing a nurse for a managerial leadership role, one should choose someone if they have the basic components of transformational leadership, not transactional leadership. The authors show that transformational leadership had revealed positive patient outcomes, retention, and satisfaction in the nursing staff. Those nurse leaders who have qualities of transformational leadership are encouraged to build on those skills constantly.
Unfortunately, today’s supply of nurses is not expected to live up to the forecasted demand. It is estimated that more than 70 million Americans will be age 65 or older by the ...
Recent literature reports that there is a nursing shortage and it is continually increasing. Data released by the American Association of Colleges of Nursing (2011) projects that the shortage, would increase to 260,000 by the year 2025. AACN (2011) also reported that 13% of newly registered nurses changed jobs and 37% were ready to change within a year. A study conducted reports that there is a correlation between higher nursing workloads and nurse burnout, retention rates, job dissatisfaction and adverse patient outcomes (Vahey & Aiken, 2004). Among the nurses surveyed in the study, over 40% stated that they were suffering from burnout while 1 in 5 nurses intended
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
However, upon securing a job, they find that things on the ground are not as they had expected them to be and this results in some of them deciding to leave the profession early. Research shows that turnovers within the nursing fraternity target person below the age of 30 (Erickson & Grove, 2011). The high turnover within the nursing fraternity results in a massive nurse shortage. This means that the nurses who decide to stay have to work for many hours resulting in exhaustion. A significant percent of nurses quitting their job sites exhaustion and discouragement as the reason that contributed to their decision. In one of the studies conducted on the issue of nurse turnover, 50% of the nurses leaving the profession argued that they felt saddened and discouraged by what they were unable to do for their patients (Erickson & Grove, 2011). When a nurse witness his/her patients suffering but cannot do anything because of the prevailing conditions he/she feels as if he/she is not realizing the reason that prompted him/her to join the nursing profession. The higher rate of nursing turnover is also affecting the quality of care nurses provide to
One of the issues involving health care and the aging population is majority of health profession employees being a percentage of the aging population. With the knowledge of health profession employees being a factor in the aging population puts a strain on doctors and nurses that come into the workforce after ones have retired. The fewer employees there are, the greater the work load will become on one person. It is imperative for each nurse in a unit to have four patients maximum. Giving more responsibility to one employee does not make the situation less of a challenge, it more so puts people’s lives at a greater risk of danger. The new demands placed on the health care system for health services will not only include a need for more workers, but also require changes in the way services are provided.
Rajapaksa, S., Rothstein, W.,. (2009). Factors That Influence the Decisions of Men and Women Nurses to Leave Nursing. Journal Compilation, 195-206.
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
As the forthcoming nursing shortage threatens the United States, organizations must be knowledgeable in the recruitment and retention of nurses. The challenge facing health care organizations will be to retain sufficient numbers of nurses to provide safe, efficient, quality care to patients. Organizations will look to recruit and attract quality nurses to fill vacancies. As turnover in nursing is a recurring problem, health care organizations will look for strategies to reduce turnover. The rate of turnover for bedside nurses in 2013 ranged from 4.4 to 44.6% (American Nurses Association, 2013). Nurse retention focuses on keeping nurses in the organization and preventing turnover. The purpose of this paper is to discuss the significance of recruitment and retention of nurses, review the literature, and explore how recruitment and retention apply to nursing.
Schmidt, K. H., & Diestel, S. (2012). Job demands and personal resources in their relations to indicators of job strain among nurses for older people. Journal of Advanced Nursing, 69(10), 2185-2195.
Spinks, N., & Moore, C. (2007). Nursing Leadership. The Changing Workforce, Workplace and Nature of Work: Implications for Health Human Resource Management, 20(3), 26-41.
According to Breau and RÉAume (2014), some of the major reasons nurses are dissatisfied with their jobs is due to their salaries, work environment, and lack of educational and advancement opportunities. In fact, poor working conditions was a substantial predictor of a nurse’s intent to quit their job (p. 16). In addition, “unhealthy work environments are an important determinant of several work-related outcomes, including burnout, job dissatisfaction and turnover intent” (Breau & RÉAume, 2014, p. 17). Therefore, in order for nurses to overcome their dissatisfaction with work; nurse leaders need to create empowering environments that remove barriers to resources and information. In turn, nurses will then be able to share empowerment strategies,