The “structure” of the health care system and nursing education institution (NEI) refers to the resources available for quality nursing education and training to occur. This includes the physical setting of the nursing education institution and the health care system where opportunities for nursing education occur; availability of skilled human resources; material resources; equipment; the educational program and the regulations governing the operation of the nursing education institution and the health care system (Kunkel et al., 2007; Armstrong & Muller, 2002; Armstrong, 2015; Armstrong, 2017).
The quality of nursing education is facilitated by law which requires that all institutions and their clinical facilities and programs must have been accredited by the South African Nursing Council (SANC), the Council on Higher Education (CHE) & South African Qualifications Authority (SAQA) with the greatest responsibility lying with the institution and educators implementing the program (Armstrong, 2017). SANC has also enlisted criteria that help determine health care facilities with positive practice environment suitable for clinical learning (The Nursing Education Stakeholders (NES) Group, 2012). An institution not legalized by the regulatory body has a tendency of providing substandard services in terms of educational opportunities that could prepare learners to meet the needs of their customers.
The shortage of nurses that impelled the need to increase the intake of students to
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?
structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing
1. The Shortage: In the early years of 2000 the true nursing shortage had begun. With
Nursing is a crucial field, which affects the lives of people. The public does not have enough information pertaining those who practice nursing this led to the introduction of nursing licensure to protect the public from unqualified persons. This license sets qualifications and competence of nursing professionals. Compared to state nursing licensure, national nursing licensure advocates for a more effective practice for nurses. It reduces or lessens nursing shortage by promoting mobility of the nursing professionals. National nursing licensure has a number of advantages over individual state nursing licensure. These include enhanced patient access to quality nursing care, improved discipline and information distribution amongst the states, physical and electronic provision of care by competent nurses, and ease of employers to more movable and proficient nurses (Fraziea, 2012).
Why the dramatic shortfall in nurses? There are at least ten influencing factors associated with this looming crisis, and
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
The nursing shortage has been influenced by the aging workforce, shortage of nursing faculty, professional alternatives, poor working conditions and poor nursing image. By 2020, there will be an increase in demand for registered nurses (RNs) due to the increase need for healthcare services to meet the needs of the baby boom generation (Keenan & Kennedy, 2003). It is estimated that the nursing shortage will range from 400,000 to 808,000 full-time equivalents (FTE) RNs. The nursing shortage has impacted the intensive care units (ICU), medical surgical units and operating rooms (Keenan & Kennedy).
According to an article submitted by Rosenfeld, 2009, the growing trends of an aging population require the need for more nursing services. In addition, there are insufficient numbers of facilities to train new nurses (Rosenfeld, 2009). The above issues pertaining to nursing shortages have created what is called a “nursing crisis” which have caused and will continue to cause dramatic shortages on a national basis.
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
Globally, there is a declared nursing shortage. Countries across the world are scrambling to produce nursing graduates to fill the barren nursing
Attaining a high level of education will improve the healthcare system only if nurses are fully utilizing their knowledge and abilities. Many times nurses face challenges in exercising their abilities and knowledge due to institutional policies or government regulations,
The supply of nurses is not sufficient to meet the current demand, and the shortage is projected to grow further as future demand increases. Most corresponding factors that are affecting the supply of nurses are also impacting the quantity of nurse educators. Therefore, the understaffing of nursing educators is also impacting the amount of nursing students available.
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
Patient education plays a vital role in nursing, and as first year nursing students it is important to our career to develop skills in the process of teaching as well as developmental theories. To practice this teaching process, we conducted two interviews with a 19-year-old female currently in the early adulthood stage. Ghorbani, Soleimani, Zeinali and Davaji (2014) state that patient education has been shown to reduced anxiety of patients and improve the satisfaction of health care. Client education is also said to improve the quality of life, helps to reduce illness complications, maximize independence and ensures that continuity of care is present (Bastable, 2014). Although within the health care system things preventing or decreasing the effectiveness of patient education may include nurses not have the knowledge of what to teach or how to teach it and lack of time and resources (Ghorbani et al., 2014). To understand further the important of patient education we must possess a knowledge of the education process including assessment, planning, implementation, and evaluation (APIE) (Bastable & Alt, 2014). Throughout this paper, we will evaluate our use of the educational process by teaching the learner about caffeine.