Future Challenges Facing Healthcare in the U.S.

As the general population continues to age and grow, the nursing workforce is aging alongside. Approximately half of the current nursing workforce is apart of the baby boomer generation (Mion). RNs are eligible to retire at age 55, which will affect the majority of “baby boomer” nurses between 2005 and 2010 (Mion). According to the Nursing Management Aging Workforce Survey in 2006, “55% of surveyed nurses reported their intention to retire between 2011 and 2020” (Nursing Shortage). The demand for skilled nurses is growing at an exponential rate. According to information from the U.S. Department of Health and Human Services, the supply of nurses has been

The demand for full time nurses is continuing to boom in the global market (Buerhaus, Auerbach, & Staiger, 2009). However, the unfortunate shortage of nurses in the global scenario is undeniable (Hunt, 2009). The rate at which nurses are graduating from universities today does not sufficiently quench the ever growing demand for nursing professionals. The issue of providing an active replacement for the nurses who have left their respective organization continues to be a source of main concern for health care institutions.

The third shortage is the understanding that nurses are needed to deliver care. "The current situation in the United States may, to some extent, reflect this type of shortage, since recent hospital restructuring has often entailed nurse short-staffing that seems to reflect a lack of awareness on the part of some decision-makers that an adequate quantity of skilled nursing is needed (What is the nursing shortage and why does it exist?., 18 October, 2007)." The fourth shortage is the nurse education and empowerment shortage. This is a big problem in today's situation. Many of the nursing educators are nearing retirement, and the lack of empowerment and encouragement to obtain further education is the main cause. In society, how are we supposed to produce more Registered Nurses if there is a large lack of qualified educators to assist and coach them through education and training?

The impact this rise is going to have on heath care as well as heath insurance is very dramatic. Most health insurers, private sector employers and consumers can expect increases in insurance premiums. This includes both traditional types of insurance and managed care programs, or HMOs. Some health insurance plans may also reduce benefits to keep their plans affordable. This may include increasing cost-sharing responsibility of members and the amount members pay out of pocket for certain services, such as prescription drugs.

Impact to Healthcare organizations - These increases in cost raise questions of health care expenses at the hospital level. As higher profits are sought, the cost will become unstable for all, thus causing many to postpone going to the doctor. However, there are many complicated problems associated with our healthcare system. We will focus on main issues that can correct many related problems within the current structure. More importantly, we need to find ways to ensure all Americans have access to health care; and we need to hone in on how we can get the best value for the $2 trillion dollars we spend annually on healthcare.

The United States healthcare industry faces many challenges everyday, such as the rising cost of care, medical errors, access and quality problems etc. Within the next few years, the United States will experience a shortage of Register Nurses (RNs). “Registered Nurses are considered one of the largest health professions in the health care industry. The Nurses duty is to provide direct patient care and can be done in a hospital, public health facility, nursing home and many other different settings. Other services included are patient education on disease prevention, administering treatments and promoting a healthy lifestyle.” ("The Future of the Nursing Workforce: National- and State- Level Projections 2012-2025”) The shortage will occur due to Baby Boomers aging and the demand for health care will dramatically rise. With the baby boomers aging, Registered Nurses are at the top of the list for demand in health care. Unfortunately the supply and demand does not meet. “According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013, RNs will increase of about 526,800 within that time frame but will still have job openings of 1.05 million by 2020)”("Nursing Shortage") Indicating that there is no growth between 2012- 2022. There are multiple factors to this shortage and one of them is that nursing schools across the nation are struggling to increase the capacity of students to meet the rising demand. Considering the fact

One technological change that may have the largest effect on our lives today is the rapid growth of medical technology development. Three main effects that medical technology has impacted our modern society are prolonging lifespan, improving quality of health care and promoting nation’s economic growth. The three stages of medical technology are review by regulatory agencies, technology assessments by insurance carriers, and review by purchasers, clinicians, and consumers. Review by regulatory agencies is the most recognized of the three stages and is administered by the Food and Drug Administration (FDA). The FDA is responsible for protecting and promoting public health by regulating pharmaceutical products and medical devices. Each product must go through a series of approvals, clinical trials, and post market surveillance protocols in order to ensure its safety and effectiveness. www.nap.edu

As the government’s role in public health remains, major changes have been put into effect, precisely dealing with long-term care. Before the 1930’s, providing care for the elderly was exclusively a local and state run industry. However, after the great depression, a growing demand was placed on providing some type of insurance for that population. The Social Security Act of 1935 was established to assist with “Federal old-age benefits” and was signed into effect by President Roosevelt on August 15, 1935. (Home, 2015) Another major impact to long-term care has been the creation of Medicaid that went into effect in 1965 and was an amendment to the Social Security Act of 1935. “Title XIX of the Social Security Act is a federal and state entitlement program that pays for medical assistance for certain individuals and families with low incomes and resources” Medicaid is a collective effort between state and the government to help provide insurance for eligible citizens. Among those covered under this insurance, are the elderly, disabled and pregnant. Medicaid is the largest source of funding for medical care. The new changes to Medicaid are ongoing and will be put into effect as part of Obamacare.

Qualified instructors available to teach nursing students in educational facilities are beginning to be a problem within the nation. Most nursing instructors that teach in educational facilities are advanced in their line of work, and many of them are expected to retire within the next five years. New faculty of nursing programs will be in priority when the number of retirees increases (Rosenfeld, 2009).

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

In 2002, the Bureau of Labor Statistics projected that the United States would be 800,000 registered nurses short of the national need by the year 2020. Recently, this number has increased to over one million RNs short of the need by 2012. Although there has been some indication that the entry of older nurses into the profession, along with efforts to recruit foreign-born nurses, have helped to ease the shortage, scholars project that the predicted trends are likely to continue (Auerbach, Buerhaus, & Steiger, 2007; Buerhaus, Donelan, Ulrich, Norman and Dittus, 2006; Larkin, 2007). As such, the need for understanding the factors contributing to the nationwide shortage has never been greater.

Baccalaureate nursing practice incorporates the roles of critical thinking, communicating, providing care, teaching, and leading. The caring professional approach includes the values of autonomy, altruism, human dignity, integrity, and social justice with unconditional regard for all people. Nursing practice includes health promotion, disease prevention, early detection of health deviations, prompt and adequate treatment of the human response to acute and chronic illness, and compassionate care for those experiencing death.(Grand Canyon University, 2011, p. 2).

Globally, there is a declared nursing shortage. Countries across the world are scrambling to produce nursing graduates to fill the barren nursing

It is likely that most people have heard about the nursing shortage for years now, and perhaps they believe it’s been fixed. However, the nursing profession is experiencing a reoccurring deficiency. According to Brian Hansen, (2002), there was a nation wide shortage in 2001 of 126,000 full-time registered nurses, but the shortage will surge to 808,000 by 2020 if something isn't done. This pattern is a persisting cycle of high vacancies followed by layoffs and a high over supply of registered nurses. Various factors contribute to the lack of nurses within the health care facilities, but today’s shortages are a little different. Many feel that this scarcity is severe and long-drawn-out. The four major issues contributing to

Improving education and training is one of the strategies to address nursing shortage. Increase in federal funding to compensate current faculties and graduate students faculty is essential in addressing the issues. This will decrease vacancy rates and help to improve workload. Development of a program among regional and statewide nursing schools is another factor to consider. This promotes joint efforts with faculties allowing them to make use of resources efficiently which also assist in students nurse advancement. Moreover, it