Healthcare System Complexities, Impediments, and Failures

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

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

the complexity of the healthcare system makes it harder to provide service to the population, also a lack of knowledge about if does not makes the things easier. Healthcare practitioners and leaders require having a strong knowledge about the healthcare system, not understanding the healthcare system will only hurt the population in need. Healthcare practitioners need to understand the complexities of the healthcare system because a lack of knowledge from them will limit the help provided to the patients. Some treatments of procedures that patients require need an immediate response and not understanding how the healthcare system works for each particular patient can complicate the delivery of help. Additionally, since the healthcare system is constantly changing healthcare practitioners need to fully understand the actual system in order to be able to adapt their service to the changes.

Registered nurses are an integral part of the healthcare system, and make up the largest number of healthcare professionals. According to the Bureau of Labor Statistics (2015) “The employment rate for registered nurses is expected to grow by 16% between 2014 and 2024”. This is more than double the average rate of growth for a profession. The rapid growth rate can be attributed in part to better management of chronic diseases and the baby boomer generation. The growth in the nursing profession is paramount, however the demographics of the nursing population does not mirror the demographics of the population served.

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must

The US healthcare system is no stranger to nursing shortages. It is a recurring problem we have been faced with for the past seven decades. However, what we will be faced with between now and 2025 is a predicament of far greater proportion than ever encountered before. “Considering the impact this prolonged shortage will have on the USA health care system, nursing and other health-related organizations have even brought their concerns to lawmakers in the central government for immediate consideration” (Janiszewski Goodin 335). This quote is from 2003 and sadly, the state of today’s nursing shortage is still blatantly apparent. Not necessarily because nothing was done back in 2003 to fix it, but

The U.S. Bureau of Labor Statistics (USBLS) estimates the need for 439,300 registered nurses (RN) from 2014 to 2024, equating to a 16% increase in employment opportunities (USBLS, 2015). Approximately 30% of new RNs leave their first jobs with less than a year of hire and 525,000 nurses are expected to retire from 2012 to 2022- a demand totaled to around 1 million jobs by 2022. This increase is attributed to retiring baby boomers, turnovers, healthcare reform, and the increasing aging population (Kiel, 2012; USBLS, 2013). Control over the retirement of baby boomers is unrealistic, however, nursing turnover can be regulated.

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

“Registered Nurses represents the largest profession within the U.S. Health workforce” (nursingeconomics.net). The need for registered nurses will continue to grow and the RN with the strongest skill set will be chosen for the job over a candidate who only has formal

The American Nurses Association say the shortage is the product of several trends, including: a diminishing pipeline of new students to nursing, a decline in RN/CNA earnings in comparison to other career option, aging nursing workforce and an aging population that will require health care services (Writer, 2016). With the shortage of staff and the baby boomers turning sixty and many already in retirement, healthcare staff members are going to have to pick up more shifts and a tougher workload. Healthcare industries need to focus on recruiting and retaining staff because hiring more nursing staff is expensive in the short term. But having too few staff leads to being burned out. Having the right amount of CNAs and nurses is essential for manageable workload distribution. Facilities need to prevent and protect current employed nursing staff from being overworked and stressing out because good health care workers only quit when they are overwhelmed. Most are afraid that they are not providing the best care anymore and feel like they can not do what they love the most anymore (Cimiotti, 2017).

Historically, the nursing field is one that has consistent positive job outlooks, as there is typically a continued shortage. Healthcare is the backbone of most communities, not just for its services, but also for the jobs it provides and the economy stimulation. Jill Bernstein, author for “Changes in Health Care Financing and Organization” states, “The health care industry is a critical component of the national, and most regional and local economies of the United States” (4). The nursing field has suffered challenges due to the economic, social, and the political downturn of the U.S. Nevertheless, there is still some noticeable growth taking place and opportunities available. This shows encouraging signs for new nursing graduates.

The nursing shortage is an accumulation of multiple factors. The four primary contributions to the shortage include the aging registered nurse workforce, declining nursing school enrollments, the changing work climate, and the poor image of nursing (Love et al., 2006, p. 558). When it comes to the aging workforce, approximately one-third of the nursing workforce was over 50 years of age in 2000 and that fraction has increased to two-fifths in 2014 (Nevidjon and Erickson, 2001). Over half of registered nurses intend to retire between 2011 and 2020

The U.S. Bureau of Labor Statistics (USBLS) (2015) estimates an additional of 439,300 more registered nurses (RNs) for 2014 to 2024, equating to a 16% increase in employment. Approximately 30% of new RNs leave their first jobs less than a year upon hiring, while 525,000 nurses are expected to retire until 2022- a demand totaled to around 1 million jobs by 2022. The increase is attributed to retiring baby boomers, turnovers, healthcare reform, and the increasing aging population (Kiel, 2012; USBLS, 2013). Control over baby boomer retirements are unrealistic, however, nursing turnover can be regulated to aid the growing needs of the society.

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