This paper will examine the shortage of nurses and the impact on the nurse’s quality of care. A stable and sufficient supply of health professionals continues to be one of Canada’s greatest health care challenges. Since 2006, there has been a drastic decline in the number of new entries to the profession (Canadian Nurses Association [CNA], 2010). Employment issues arising from the restructuring of Ontario’s health care system are undoubtedly affecting nurses of all ages. Ontario has fewer regulated nurses per capital than any other provinces, with only 95 registered practical nurses (RPN) and registered nurses (RN) per 100,000 people (Registered Practical Nurses Association of Ontario [RPNAO], 2015). The report on the health human …show more content…
The article used in this paper has discussed several interesting facts in regards to the importance of nursing shortage and impact on health system. This paper has discussed College of Nurses of Ontario (CNO) documents based on practice standards such as: ethics, therapeutic nurse-client relationship and professional standards. This paper has discussed several important key factors to shortage of nurses which sparked the attention into further researching about this topic. Furthermore, nursing implications and recommendations for shortage of nurses will be discussed. Running head: THE SHORTAGE OF NURSES AND THE IMPACT ON WORK 3 There are several literature discussing issues that contribute to shortage of nurses and the impact on health care. Current workforce shortages are likely to place greater demands upon nurses which might be expected to increase their work related stress and reduce the quality of work. The supply of nurses in Canada has declined for the first time in almost 20 years, according to a new report that has prompted two prominent national nursing organizations to warn that the country needs to do a better job of managing the health care work force (Grant, 2015). A study was conducted in which they found that more than 75% of nurses believed that the nursing shortage presented a major problem for the quality of their work life, the
Nursing shortages have always occurred in cycles. Recently, the shortage has become worse due to the implications of managed care as a way of controlling escalating health care costs. While the shortage did ease some during the recession of 2009, there is still a shortage in some areas of the country (Cherry & Jacob, 2014). Increased student enrollments and government policies have helped with the shortage, but the occupational outlook for nursing jobs is expected to grow faster than any other occupation through 2018. So it is essential that the supply of nurses increases to keep up with the demand. The current shortage is due to several factors. First, new nurses are needed to replace “baby boomers” who will be retiring in the near future. Second, as the population ages, there will be a demand for more healthcare, leading to a demand for more nurses. Third, new advances in patient care will lead to more people in the healthcare system needing more specialized care, and lastly, the affordable care act places a large emphasis on preventive care, leading to more people desiring wellness visits (Cherry & Jacob, 2014). Finally, according to Dall’Ora, Chiara, Griffiths, Peter, Ball, Jane, Simon, Michael Aiken, Linda H. (2015), “shifts lasting 12 hours or longer were associated with a 40 percent greater level of job dissatisfaction and a 31 percent higher risk of planning to quit. Job satisfaction and burnout in the nursing workforce are global
Nursing shortage has been a global problem that need to be eradicated in order to promote patient care and improve care outcomes. Nursing shortage in America has caused a lot of negative impact on the nurses, patients and nursing profession. It has caused a lot of dissatisfaction on the part of the nurses and the patients (Nardi & Gyurko, 2013). Nurses are prone to injuries, stress and burn-out as a result of nursing shortages. They engaged in working long hours to compensate their coworkers and ensure completion of assigned jobs. They end up breaking down emotionally, physically and psychologically due to poor work-environment and
According to Canadian Nurses Association(2009), human health resources have stated that by the end of 2011 Canada will experience shortage of 78 000 registered Nurses (RN) and shortage of 113 000 nurses by the end of 2016. Globally there will be shortage of 4.3 million health care workers. It was also shown that approximately 38% of new graduate nurses leave their workforce within the first year of employment (Lavoie-Tremblay, Wright, Desforges, Gelinas, Drevniok & Marchionni, 2008). According to registered Nurses Association of Ontario (2011), full time positions of RN dropped to 57.9 % in 2010 from 58.9% in 2009. With the current trend it is expected that the Canadian Nursing shortage will increase significantly. In
There are a number of factors that contribute to the impact of the nursing shortage.
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
Why the dramatic shortfall in nurses? There are at least ten influencing factors associated with this looming crisis, and
Identify and describe at least three of the most difficult issues facing health care in the United States today.
The American healthcare system is severely impacted by the shortage of nursing personnel. According to the American Nurses Association (2014), the nursing shortage has compromised patient safety, patient care and patient health outcomes. The nursing shortage can also cause medical errors, result in fatigue, injury and job dissatisfaction. The nursing shortage has been influenced by several factors. The purpose of this paper is to discuss the factors that influence nursing shortage in the U.S, present two strategies to address the issue and my personal recommendation.
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).
With over 2 million jobs, registered nurses represent the largest health care occupation (Windle, 2008, p. 209). Although nurses are the biggest health care occupation, there continues to be a shortage in the United States. The shortage has worsened because of rising healthcare costs and a focus on cost containment, which has negatively impacted nurse work environments (Keeler and Cramer, 2007, p. 350). With demand for healthcare expecting to continue to increase and financial pressures becoming more burdensome, these shortages will likely become even more critical in coming years if not adequately addressed (Love et al., 2006, p. 558). The U.S. Bureau of Labor Statistics estimates 1.2 million nurses will be required to fill new and vacated nursing positions by the end of 2014 (Windle, 2008, p. 209).
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
We hear nurse’s talk about how rewarding their profession is but what they seldom talk about is how it can be very challenging as well. There seems to be many issues existing in the nursing profession. One of the most affective issues in nursing is the decreasing number of staff nurses. With inadequate staffing, nurses are demanded to have more responsibilities thus causing more stress on the nurse. This increase in responsibility causes nurses to neglect many aspects of their patients’ care. Patient care is suffering from the shortage of nurses as there is an increase in adverse patient outcomes due to the shortage. Also, there is evidence that there is a positive relationship between the number of staff and the effectiveness of their teamwork. The more staff available the more likely nurses will work together as a team. A new act is being implemented to help with the nursing shortage. This act is called the National Nursing Shortage Reform and Patient Advocacy Act. The purpose of this paper is to discuss the issue of nursing shortage and how the National Nursing Shortage Reform and Patient Advocacy Act is an example of evidence-based practice.
(Kimball & O’ Nell, 2002) defined nursing shortage as an overarching imbalance of supplying and demand attributed to demographics, qualifications, availability, and willingness to do the work. Nursing shortage by this definition is associated with a difference in two variables, demand for nursing care and the supply available to patients who require nursing care.
Judith (2005) describes that the issue of nurse shortage have negative influence on the field of health care in numerous countries, including UK. A critical shortage of registered nurses exists in the UK and has been a continuous issue for the past decade. For example London still have more than eight thousands of posts vacant for graduated nursing students, which means London hospital, was faced with serious nursing shortage. NHS claims that they are working hard to increase the amounts of nursing staff to solve the problem of staffing shortage. David (2015) researched that nurse vacancy rates are running at 7% in the NHS during past two years. Therefore, NHS employed a lot of International nurses to work in UK hospitals and health care agency (Campbell, 2014). The NHS (2014) data showed that one in five new nurses come from oversea in UK hospitals, it is a big increase employed from outside the UK. Ball (2012) explained that nursing shortage is not a simple problem and the government should be more attention on this phenomenon.
According to Paller (2012), the nursing shortage in different countries for example the United States tends not to be the only growing problem, but has also become a complex one. Nursing shortage and nurse's turnover has become the worsening predicament in the health care industry in the United