One of the most prevalent and pervasive social issues in the United States today is the provision of equal access to health care for the impoverished. Far too many people live in conditions of poverty and struggle to find the means by which to meet their basic needs. For those without insurance, access to medical care is often preempted by other necessities. An unexpected medical expense can push this group further into poverty. Those who do have insurance may find themselves underinsured in the event of an emergency and unable to make the necessary co-payments.
Nursing care is the most important because nurses provide the highest number of preventative and curative patient care (Oulton, 2006). However, a growing problem of nursing shortage will put older adult care in great jeopardy. A higher demand for nurses are needed to take care of the older generation, but issues such as aging nursing staff, unfavorable work environment, and lack of access to continue education are decreasing supply of nurses. Another important factor affecting older adult care is a decrease supply of nurses who have knowledge or specialty in geriatric care. As the nursing workforce shortage continues to grow patient outcome and quality of care in the older population are greatly affected and action from the nursing profession is greatly needed to combat the nursing shortage.
Abstract It is time for our government to take a step away from war and look to meeting the needs of their own citizens. The need for health care reform is more evident than ever. The recession of America has caused many people hardship due to many lay-offs and the fact that insurance premiums have risen drastically. Many families are not receiving the health care that they require due to these circumstances. It affects not only the young, but the senior citizens as well.
The negative impact of this is that it will put a strain on the country itself as more counter measures have to be taken to aid the needs of these elderlies. Due to Singapore’s low birth rates, the government is having troubles replacing the older age people with younger ones.
In the health care industry, nurse to patient ratios is often a controversial issue. Registered nurses know and continue to reiterate the importance of safe staffing levels in health care facilities. Reductions in nursing budgets, coupled with the expanding nursing shortage, has resulted in a reduction of available nursing staff. As a result, the employed nursing staff are forced to work longer hours with more acutely ill patients. Consequently, patient care is compromised and ultimately perpetuates the nursing shortage because of this negative work environment.
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.
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices.
The biggest problem that faces the elders in America is general health decline. Older Americans so not have the money to provide for healthcare. There are barriers that can contribute to this problem. The lack of parity for mental health services in private insurance and Medicare, poor diagnosis and referral services in primary care, and an insufficient geriatric mental health workforce. This can make it hard for older Americans to get the healthcare that they need.
Discussed is the overall wage bill budget, structure of health agencies, and quality, accountability and innovations of health workforce. Government limitations in overall wage bill expansion can result to inadequate resources meant to hire health workers. Although fiscal constrains in developing countries is a major threat to delivering of health, the government needs to put into consideration the impact brought about by policies of wage bill. It is evident that wage bills have restrictions which constrain improvement of the workforce in health sector. A survey done in developing countries revealed that there are considerable weaknesses found in policies and practices of recruiting, deploying, transferring, promoting, sanctioning, and paying of the health workers.
One of the most enduring shortages is in long- term care. Though increase in population is a considered a factor affecting the shortage, the aging of the present workforce is also a determinant. Staffing of nurses is a difficult take and this tends to take a strain on the older nurses. Nurses, particularly the more tenured one nurses and working parents, often find themselves trying to manage work and home responsibilities. The high physical demands of the profession is also another factor leading to the shortage.