Introduction
Background
The Kingdom of Saudi Arabia has committed vast resources by allocating more than 13 percent of its annual budget in improving the Kingdom’s medical care system, with the ultimate goal of providing free medical care for everyone. This commitment has been translated to more than 330 hospitals operated by the government and the private sector, with a capacity of more than 50,000 beds. Of these hospitals, 184 are run by the government, with more than 16 thousand doctors, 40 thousand nurses, and more than 25 thousand assistant nurses according to the Ministry of Health (2003). Based on these figures and the Saudi population of 20 million people, to satisfy and maintain the current health care standard, one out of every two hundred Saudi nationals and residents should work within the Saudi medical sector. This number would not include all other personnel working within the private medical sector or other personnel working behind the scenes; where all managerial and logistical decisions are being made.
This task of maintaining the current standard is hard, especially at the nursing level. With a country that has a young history, young education system, and young population with more than 50 percent of its citizens under the age of 18 years old. With these facts, having enough nurses seems to be an impossible task to be achieved. Other factors as long working hours and working night shifts in a country that is over protective of its wives and daughters are also factors that contribute to hardening the task. Due to these issues among others, Saudi Arabia has become one of the most nurse importing countries in the world, if not the most, with over 80 percent of its nurses are non-Saudi nationals.
The Shortage:
To understand the Saudi shortage in nurses, one has to understand the Saudi dependence on foreign nurses. In a country as young as Saudi Arabia; going from the tribal age to the informational age in less than 70 years was and still considered a dream come true for many people. With a low literacy rates, 15 percent for men and less than 2 percent for women in 1970, Saudi Arabia with its new untapped oil reserved was committed in producing and providing the best for its citizens; schools, hospitals, communities, industries, and jobs. As result, Saudi Arabia has decided that it would import all means and personnel in need to produce a be...
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.... In addition, the Human Recourses Mangers should look into improving the nurses’ living standard by increasing Saudi nurses pay. These decisions can encourage more Saudis to join the nursing field which would reflect in reducing KAUH dependency on foreign nurses as more Saudis join the field.
Conclusion
Today, King Abdulaziz University Hospital is having a hard time in providing quality care to its patients due to nurse shortage that it the hospital is experiencing. Yet, with some minor adjustment within the hospital’s recruitment program, one can be assured and certain that these programs would do what it meant to do. Until the huge investment that the Saudi Arabia is inputting within the Saudi education system pay, dependency on foreign nurses would be an essential part of the Saudi health care system.
References
Mistory of Health, (2003), www.moh.com.sa.
Polt, C. (2003), http://nursinghumor.com/nurse_forum/showflat.php/Cat/0/Number/3790/page/4/view/collapsed/sb/9/o/all/fpart/1
Sadeeq, M., (2003), Nursing Jobs for Saudis, www.alwatan.com, Issue 2298.
Sergeant, H., (2002), Labour's asylum policy is to fool the public that all is well, Telegraph.co.uk,(Filed: 16/12/2002).
The nursing shortage in the healthcare setting, can result in decreased quality of care with the patient and this can have a significant impact on the financial aspect of the organization. As time changes, there are more acute illnesses being presented in the hospital as a result of the patient prolonging to seek medical treatment. The delay in seeking medical treatment often stems from the patient not having health insurance and seeking home remedies as an alternate method of treatment. When the patient present to the hospital with multiple acute illnesses, the staff should be skilled, ready and available to render the necessary treatment for the patient. The idea of nursing shortage, poses the risk and outcome of poor
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.
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
The nursing shortage is divided into four different categories. The four categories are as follows; "willing nurse" shortage, funding or perceived funding shortage, shortage of understanding that nurses are needed to deliver care, and nurse education and empowerment shortages (What is the nursing shortage and why does it exist?., 18 October, 2007). To be able to repair this major problem, all four segments of shortages need to be addressed. The first nursing shortage, A "willing nurse" shortage, is the simple fact of not enough supply to fill the demand of nursing positions. This shortage occurs either because there are simply not enough nurses to fill the open positions, or because experienced nurses are opting out of nursing and the willingness to provide care due to the current occupational environment. The second nursing shortage is the funding or perceived funding shortage. This shortage is merely due to nurses not feeling as if they are being compensat...
... & Abrahamson, K. (2009). A critical examination of the U.S. nursing shortage: contributing factors, public policy implications. Nursing Forum, 44(4), 235-244. doi:10.1111/j.1744-6198.2009.00149.x
The nursing shortage most likely does not mean a great deal to people until they are in the care of a nurse. The United States is in a severe nursing shortage with no relief in sight due to many factors compounding the problem and resulting in compromised patient care and nurse burnout. Nursing shortages have been experienced in the past by the United States and have been overcome with team effort. However, the current shortage is proving to be the most complex and great strides are being made to defeat the crisis before it becomes too difficult to change. Researchers anticipate that by 2010, the United States will need almost one million more registered nurses than will be available (Cherry & Jacob, 2005, p. 30).
There are several factors that are considered the causes of the nursing shortage. Literature suggests that the shortage is linked to factors related to current population trends and the nature of the health care e...
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
Health care reform has been a major issue over the past decade. The Nursing industry has in particular experienced a period of unpredictable change. On Dec 24, 2009, a landmark measure was passed in the senate by a vote of 60 to 39. This decision to pass the health care reform will change America forever. Nurses will constitute the largest single group of health care professionals. They will have a huge impact on quality and effectiveness in health care. The nursing industry will help hold this new program together by acting as the glue (The nursing industry will be the glue holding the new health care in tact.) It is estimated that by 2015 the number of nurses will need to increase to over 4 million. Nurses are the backbone of the health care industry thus creating better polices for this profession will help ease the workload and high demand. A nurse’s main concern is always to insure quality care and the safety of their patients. Under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. One program is designed to fund scholarships and loan programs to offset the high costs of education. Nursing shortages and the high turnover has become a serious epidemic. Health care reform is supposed going to solve many of these problems.
Looking back at the evolution of our profession, one cannot help but wonder about its future. Our health system has become a key political issue, and an even higher rate of change is only to be expected. Nurses will be at the front line of that tidal wave, where challenge and opportunity go hand in hand.
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.
One of the problems that faces most health care facilities are being able to recruit and retain their nurses. Nursing shortage and turnover are a complex issue that is affecting healthcare delivery. Nurses form the majority in healthcare and mostly direct caregivers, its deficit poses a dangerous effect on the care of the sick and the disabled. Curbing the nursing shortage and turnover is important for facilities to hire and train their leaders and managers. A good leader or manager should be creative, effective, committed, initiative, motivated, and can handle stress (Huber,
However, a new study finds that increased staffing of RNs does not significantly decrease a hospital 's profit, even though it boosts the hospital 's operating costs. A 1-percent increase in RN full-time equivalents increased operating expenses by about 0.25 percent but resulted in no statistically significant effect on profit margins. In contrast, higher levels of non-nurse staffing caused higher operating expenses as well as lower profits. (2014, Healthcare 411) To improve patient satisfaction the staffing of nurses must be improved. When short staffed these patients are the ones suffering from the lack of care that should be provided. Patient care is the ultimate goal in nursing and when the units are short staffed patient care is affected tremendously, in a negative way. The Joint Commission on the Accreditation of Healthcare Organizations proposed bolstering the nursing educational infrastructure through team training in nursing education, enhancing support of nursing orientation, in-service and continuing education in hospitals, and creating nursing career ladders based on educational level and experience. (2014, Healthcare 411) The Joint Commission also supports adopting the characteristics of "magnet hospitals," such as setting staffing levels based on nurse competency and skill mix
Like all professions and disciplines, nursing is influenced by, and must respond to global trends needs, challenges, and opportunities. These strategies will influence and shape the future of the nursing community and health care nationally and internationally. Also in a global committee health care exhibit problems some of which are political, educational, educational, nursing , environment and social issues. Therefore, improving and achieving health in a global community is of great concern to the nursing profession. Hence, “health and healing varies across countries and culture, the pursuit of healthy individuals and communities is a universal goal” (Jacobsen, 2008, p. 1). Nurses can be advocate, educator, counselor as well as an advocate to this society.
Achievement is not coming easily. Achievements require energy as well as a good plan and strategy to can achieve it successfully that is what United Arab Emirates (UAE) health care system did. The ambition of the UAE health care system to become one of the favorite destinations for local patients and a center for international medical tourists need high quality and cost-effective procedure and treatment, that is what makes UAE put long-term strategy to achieve this aspiration (WHO, 2009). In order to support the health care system, the UAE government increasingly focused its effort to attract unique high-level health care providers to the UAE. However, despite the strong support of the UAE government, health care providers, still facing major challenges to grow and operate in the UAE (Eid. n.d). There are many challenges faced UAE health care system, but the government and the health care system reject Surrender and still confront challenges without fatigue or boredom from its side.