The article that I have chosen is of interest to me because as a registered nurse in the school setting, there is a current shortage of school nurses. I found this article by doing a search on Google using the key words “shortage of school nurses”. As a school nurse I am responsible to oversee four elementary schools. I am scheduled to provide approximately 24 hours per week at one school, eight to 16 hours at another school and for the third school, I am to provide eight hours or as needed each week with very limited service to the fourth school. Two of these schools I service are of Title1schools with the majority of the students at the poverty level. Many of these children have chronic illnesses along with complicated health conditions and limited or no health insurance. …show more content…
With more children who have complex medical conditions, along with the increase in schools and students, it is becoming extremely difficult to meet the demands of the students. In the United States there is no government legislation that supports having school nurses. Some states do make stipulations on having school nurses according to the number of students in a school, which ends up not having access to a full-time nurse daily, and also having an extremely high student ratio (Nwabuzor, 2007).
The National Association of School Nurses (NASN) has advocated there should be one nurse to every 750 healthy students attending school. For those students who require the daily services of a registered Nurse there should be only 225 students per one nurse and for those students who have complicated healthcare needs should have one nurse per every 125 students. The American Academy of Pediatrics has also advocated for one nurse per every 750 students along with the recognition of Healthy People 2020 (National Association of School Nurses,
In the novel “To Kill a Mockingbird” written by Harper Lee there are two important characters revealed to us throughout the text. These characters are are Boo Radley and Atticus Finch. These important characters are revealed to us through dialogue, actions and choices and finally through what others say about them. Atticus is a courageous and unprejudiced man with good values and morals. Boo Radley is misunderstood and with one selfless act the opinions from from the community are rapidly changed.
The changes to both student health needs and healthcare during the 21st century have an impact on school nursing practice today. It was because of these changes that the “National Association of School Nurses (NASN) developed the visual and conceptual Framework that explains the key principles of school nursing and provides structure and focus to current evidence-based school nursing practice” (NASN, 2016, p.45). The ultimate goal of the framework for the 21st century “is to provide a resource to guide school nurses in their practice” in order “to help students be healthy, safe, and ready to learn” (NASN, 2016, p.45). The framework for the 21st century school nursing practice consist of
In 1960, Virginia Avenel Henderson a nurse and a theorist in the same time, defined nursing, “the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible”. It is a noble function and to be fulfilled at the highest levels, it takes time, patience and the devotion. When the number of people given this care is much lower than that of people who must receive the care, then a crisis occurs. The phenomenon is acute not only in America but all around the world. Even if the nursing is considered a meaningful work, the country is facing a nursing shortage that grows more with each passing year. Nursing shortages in America affect all parts of the health care delivery system.
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 nursing shortage began in the 1940’s during the World War II and has not changed over many decades. Predominantly females staffed the nursing field until the 1980-1990’s era. That is when the nursing profession was regarded as a less attractive career as other professions opened up to women that were once ruled by males. Between the 1990-2000’s, the shortage of nurses happened as a result of the implementation of managed care. The government and private insurer reimbursements declined and health care cost dramatically increased. Since reimbursements were reduced hospitals and health care corporations had to reduce staff in order to manage budgets. The nursing shortage of today is considered plentiful and complex (Huston, 2014).
A scholarly search was conducted to select the most relevant articles related to nursing shortages. The search was initiated through the use of electronic databases CINAHL and MEDLINE, and professional organizations websites. Keywords for the search included: nursing shortage, impact, hospitals, prevention, patient outcomes, nursing faculty shortage, and the United States. The original search produced 606 articles. The search was further narrowed by selecting only academic journals or research articles with full text available for the years 2008 through 2015. Sixteen journal articles were reviewed. Five of these articles were selected for involvement in the review of literature section of this paper based on the types of research design. Below is a summary of the sources used.
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 nurse is also vital in communicating health matters between home and school as well as health care providers and school. Chikani and Plonski-Fuqua (2006) state that the most common medical conditions a nurse may encounter include asthma, diabetes, severe allergies, stoma tube care, NG tube care, behavioral health, epilepsy, and cerebral palsy. In order to provide appropriate care for the students the school nurse must have experience in an acute care setting, pediatric assessment, mental health experience and good knowledge of developmental stages of children. Most school nurses work individually so it is important that the nurse is capable of providing the right interventions and is able to recognize emergency situations.
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
Healthcare has been around for many decades. It has always been a problem for many Americans. Whether it be too expensive or individuals do not qualify to be covered under medical insurance. Many Americans have spent years trying to get some type of medical coverage. This can be a frustrating task because it is not easy. In 2010 the Affordable Care Act was signed into law by congress. This law made healthcare affordable and accessible to all Americans. While it is a good attempt at changing previous healthcare rules, many Americans still go uninsured. In this paper I will look at two components the American Nursing Association feel need to be reformed.
214) “The ACA and the need for APRNs, nurse faculty, and nurse researchers would have increased dramatically under any scenario.” (L R Cronenwett [RWJF Iniative on the Future of Nursing], 2010, table 1). “Not only must schools of nursing build their capacity to prepare more students. Nursing need to focus on fundamental improvements in the delivery of nursing care to improve patient safety and quality is key.” (IOM, 2010, p. 208)
After taking careful consideration of these theories and the effects they will have on Luke as well as the stakeholders on either side of his decision. I advise that Luke remain loyal to ABC company’s confidentiality regarding the plans to construct the adult entertainment store. In doing so Luke can tell his brother to make any decision he feels comfortable with regarding his home, without disclosing any confidential information. Luke will avoid the major consequences of breaching confidential information with the help of utilitarianism and the universal ethics theory. Because of utilitarianism Luke will make sure that the majority of the stakeholders continue to benefit from his decisions, while also keeping himself within the law thanks
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
It is important to note that the increase in nursing enrollment is not sufficient enough to meet projected demands on the healthcare system. The American Association of Colleges of Nurses reported 67,563 qualified nursing applicants were turned away from programs between 2010-2011 due to the lack of faculty and resources. A mere 8% of advanced practicing nurses are looking to a career as a nurse educator. This decreased availability of faculty has resulted in 50% of qualified applicants to nursing programs being turned away annually. (Littlejohn 2012)
The first step for a new start-up business is to establish a strong ethical culture for a firm. This is to ensure the business is operate comply with Malaysia law and regulations. A firm that operate under the business law and regulations can reduce potential costly fines, improve company image and reputation, positively motivate their employee’s job involvement and enhance customer’s loyalty.