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Literature Review: The Impact of Nursing Shortages
Literature Review: The Impact of Nursing Shortages
Nurse shortage usa
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While there is a nursing shortage throughout many sectors of healthcare there seems to be an especially hard-hit in specialty areas. There is a wide range of specialties available in Illinois but there are going to be some shortages of specific specialties in the near future. These specialties are ICU, acute care, psychiatric, home health, and community health nursing (Illinois Department of Financial & Professional Regulation, 2015). There are a few contributing factors to shortages in these areas; these factors are aging workforce with many nurses in these specialties getting ready to retire, less school clinical experience in these specialties, and expansion of these services (Agosto, 2017). It is common that younger nurses are attracted to these locations because of increased technology, abrupt changes to schedule, and the fast paced work environment; with many middle aged students entering school, filling these specialty vacancies is difficult (American Association of Colleges of Nursing, n.d.). In the past with diploma schools there had been plenty of time spent in specialties, but with bachelor programs there is not as much time spent in specialties making them intimidating for students to enter (Agosto, 2017). Furthermore often job requirements are that there is two years of experience prior to getting a job on the specialty floor; so getting …show more content…
A recent study showed that compared to urban areas the nurse population ratio in rural areas is lower. Also noted is that rural nurses are less educated and more likely to work outside of the hospital setting. Reasons for this are unknown, but can be deducted from the fact that many rural hospitals are not staffed adequately causing job dissatisfaction and high turnover rates (Van Oostveen, Mathijssen, & Vermeulen, 2015). With Illinois being a largely rural state this is a concerning factor that needs to be
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.
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 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.
Clark, P., Leddy, K., Drain, M., Kaldenberg, D. (2007). State nursing shortages and patient satisfaction
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).
"Projected Supply, Demand, and Shortages of Registered Nurses: 2000-2020." American Health Care Association. U.S. Department of Health and Human Services, Jul 2002. Web. 10 Mar 2012.
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
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
The nursing shortage is a growing issue in the United States. The problem began in the 1930s, as there was increased hospital use. Nursing shortage makes some of the hospitals to close the beds or hire temporary nurses, which is expensive with the aim of filling the gap and providing less optimal care to the patients (Chan et al., 2013). The issue is not that individuals are not going into nursing but also the fact that the existing nurses are not going into education. Shortsightedness and retention concerning retention and recruitment contributed to the beginning of a shortage of nurses in the late 1990s, and the shortfall has lasted for long. Additionally, the lifespan of human beings has increased due to the advancing technology, and it
Solutions for the nursing shortage beyond implementing safe nurse staffing ratios include: ongoing long-term workforce planning; institution of an education and practice system to promote more equitable compensation in the health care community based on a better understanding of the educational preparation required for different health care roles; implementation of specific strategies to retain experienced nurses in the provision of direct patient care, investigating the potential for using technological advances to enhance the capacity of a reduced nursing workforce; and advocate for increased nursing education funding under Title VIII of the Public Health Service Act and other publicly funded initiatives to improve
The nursing shortage is a growing issue in the United States. The problem began in the 1930s, as there was increased hospital use. Nursing shortage resulted in many hospitals to close beds or hire temporary nurses, which is expensive with the aim of filling the gap and providing less optimal care to the patients (Chan et al., 2013). The issue is not that individuals are not going into the field of nursing. It is the fact that existing nurses are not furthering their education and becoming educators. Shortsightedness and retention concerning retention and recruitment contributed to the beginning of a shortage of nurses in the late 1990s, and the shortfall has lasted for long. Additionally, the lifespan of human beings has increased
“In 2010, the US Department of Labor Statistics (DLS) projected a 22 percent increase in the demand for RNs or 581,500 new jobs by 2018, to total a projected 1,039,000 jobs needed to be filled by 2018” (Cottingham, DiBartolo, Battistoni, and Brown, 2011, p. 250). It is imperative that strategies be implemented to improve the recruitment of nurses to meet the needs. Without improvements in the recruiting of new grads or seasoned nurses, organizations will need to rely on expensive agencies and traveling nurses; therefore, causing a financial burden on organizations (Cottingham et al., 2011).
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
The career i chose is a branch of the medical field. I chose a career in nursing, more specifically the career path of a registered nurse. This career consists of providing care for people of all ages and helping them with managing their conditions. I chose this career because my mother is an rn and my family has a strong presence in the medical field. It is important to understand the education or training requirements, skills, or talents needed, salary, benefits offered, and the duties for a particular career when making this decision.