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The shortage of nurses has been a prevalent factor around the world for decades. Position vacancies and turnover have led to recent restructuring intended to meet the anticipated demands of the aging baby boomer generation. This paper addresses the causes, concerns, and solutions with nursing shortages and how patient safety, job satisfaction, retention, and workload can improve if the necessary steps are taken.
Causes
The nursing shortage can be directly related to how the public views nurses. Traditionally, nursing has been a feminine role and, thus, receives decreased interest from the male population (Zamanzadeh, 2013). Registered nurses (RN’s) are defined as only giving medications, changing linen, and helping with personal care. For
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There is a suggestion that there be a ratio system in place which, depending on acuity of the patients, may or may not be beneficial to patient safety (Tallo, 2014). The pervasive thought is that at no time should there be more than eight patients to one nurse (Weeks, 2013). Since there is not a way to produce more nurses and professors any faster than they are right now, there should be methods to provide support for staff and proper care to patients. Magnet hospitals are able to accomplish this better than other hospitals, which is why they are recognized based on exceptional continued nursing care (McHugh et al., …show more content…
There is also Releasing Time to Care, which solicits ideas from staff about how to organize the unit to reduce time away from the patients (SUN, 2012). When looking into retention, decreased burnout, increased patient safety, and improved satisfaction on the job, they can all be attained by the use of Spirit at Work (SAW) (Wager & Gregory, 2014). Kinjerski and Skrypnek state that SAW is composed of “four separate concepts of engaging work, sense of community, spiritual connection and mystical experience” (as cited in Wagner & Gregory, 2014, p. 1). The intention is to have the staff excited about work and more mindful with their practice.
The National Expert Commission has challenged the health care system to become one of the top five countries by 2017 (CNA, 2012). The top three health care systems in 2013 were the United Kingdom, Switzerland, and Sweden (“Universal health,” 2014). Since Canada’s ranking in 2013 was 10th with a universal health care system similar to the top three, it is imperative to be accomplished soon (“Universal health,” 2014). This is close to being embarrassing as the privatized United States health care system was 11th (“Universal health,”
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.
An analysis of the US and Canada’s systems reveals advantages and drawbacks within each structure. While it is apparent that both countries could benefit from the adoption of portions of the others system, Canada’s healthcare system offers several benefits over the US system.
...at nursing is one of the most important areas a hospital needs to address when looking to improve safely outcomes. While many still question the need as well as the cost there is no question the benefit to staff and patients of hospitals that are Magnet Recognized. With this designation reaching international standing many more are looking to join the elite Magnet club.
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).
The nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
Nurse staffing ratios have been a topic of debate for many years. Inadequate staffing ratios can lead to patient, and staff endangerment, a decrease in patient and staff satisfaction, and a high turnover rate, along with employee burnout. Thus, sever staffing models have been implemented to aid with staffing rations, and federal and state requirements have been implemented. Although, nursing managers and leaders my approach nurse staffing differently, a professional approach should always be used to ensure satisfaction and safety.
The shortage of registered nurses (RNs) in the United States has been a cyclical topic dating back to the 1960s. Only recently have employers in certain regions of the nation stated a decline in the demand for RNs. Consequently, according to the American Association of Colleges of Nursing’s (American Association of Colleges of Nursing [AACN], 2014) report on 2012-2013 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, American nursing schools denied admission to 79,659 qualified applicants from baccalaureate and graduate nursing programs in 2012. The reported decrease in job availability and rejected admissions has left many individuals to question if the nursing shortage still exists. On the other hand, some experts project that the United States will be short more than one million RNs by 2020 (Dolan, 2011). Although some parts of the country are in less of a demand than others, it is undeniable that there is a national shortage of RNs.
A rising issue in nursing in recent years is how staffing levels effect nursing outcomes including, but not limited to, nurse burnout and job satisfaction. Three types of staffing contribute to nurse workload; they are staffing by hours per patient day, staffing by ratios, and staffing by acuity. Following is an in depth analysis of how nurse staffing affects nurse job satisfaction and burnout.
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
Health care organizations are focused on providing high quality and safe patient care. There are numerous organizational factors that may directly affect patient care and outcomes, but one of great importance is nurse staffing. Low nurse staffing levels are a major problem that I have encountered during both my clinical and management experiences. There is a significant relationship between inadequate staffing levels and adverse patient outcomes; however, as I observed during my experiences, there may be increased awareness about this issue, but it has not been sufficiently addressed. In order to ensure patients’ safety and positive outcomes, as well as to improve nurse satisfaction, it is imperative to effectively address low staffing levels.
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
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
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
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.
Factors such as, heavy workloads, stress, job dissatisfaction, frequent medical errors, and intention of leaving the job are all common for nurses to experience, especially during the nursing shortage crisis. Not only do the nurses suffer during a shortage, but the patients ' health outcomes suffer even more. For instance, there are higher rates of infectious diseases and adverse patient outcomes, such as urinary tract infections (UTIs), upper gastrointestinal bleeding, shock, pneumonia, prolonged hospital stays, failure to rescue, and mortality. As a result, this leads to higher re-admission rates for patients. Furthermore, high patient-to-nurse ratios cause heavy workloads due to an inadequate supply of nurses, an increased demand for nurses, a reduction in staffing and an increase in overtime, and a shortened length of stay for patients. Without the heavy workloads that nurses have to endure on a daily basis, there would more time for nurses to communicate more effectively with physicians, insurance companies, and patients and their families. Those heavy workloads are the result of hospitals reducing the nursing staff and implementing mandatory overtime policies just to meet unexpectedly high demands. Unfortunately, the nursing shortage has affected nurses ' mental and physical health. For example, the most common health concerns for nurses include cardiovascular health, occupational injuries and illnesses, and emotional and physical exhaustion. Therefore, safe-staffing ratios/levels have to become the main