The Issues Facing President Moen Essay

This shortage was driven by a demand for more nurses as hospital use increased with better quality of life and higher health standards, developments in patient care technology and a reduced number of working hours for nurses as they sought better work/life

Dr. Linda Aiken is the leading researcher in nursing staffing rates within the United States (Kerfoot & Douglas, 2013). She suggests that each state follows California’s example of conducting research to determine a minimum staffing ratio and making it a law (Kerfoot & Douglas, 2013). The California legislation enhanced nurse staffing in hospitals across the state and improved the patient care results of millions of patients (Kerfoot & Douglas, 2013). After the bill went into effect, job satisfaction increased, and the nursing shortage ended (Kerfoot & Douglas, 2013).

The decline in hospital capacity was accompanied by a rise in staffing. Full-time equivalent personnel rose (Malagi & Kamath, 2016). Most of the additional personnel in hospitals are not focused on patient care but management or administration purposes. The American Hospital Association data shows that outpatient department visits have risen per 1,000 persons indicating that capacity for ambulatory services has risen overtime. Emergency departments have reduced with a larger percentage of closures being in rural areas. Compared to hospitals, physicians have continued to increase. Specialists have increased except for radiologists and general surgeons. There is, however, an uneven distribution of physicians between rural and urban areas. There is an estimated shortage of 3,000 physicians in nonmetropolitan areas. In addition to an increase in physicians, there are new forms of acute-care facilities. There are relatively new facilities that have been accredited. Ambulatory surgery centers have, for instance, risen (Best et al.,

The Nursing Profession has been experiencing shortages for many years. The pattern seems to be repetitive, high demand for nurses followed by phases of downsizing with a surplus of nurses. The earlier years of the nursing shortage was short compared to today’s current nursing shortage. The nursing shortage exist globally and in all nursing areas. There are several factors that are the cause of the nursing shortage of today as well in years past.

When overcrowding occurs, patients are placed in the hallway waiting for room to be transferred to. Any time overcrowding occurs most ambulances divert away from the closest hospital to the patients and in this situation hospitals lose a lot of revenue. Data published in the US Department of Health and Human Services (HHS) in 2004 report national hospital ambulatory medical care survey on ED summary depicted that ED in United State are approaching a boiling point in terms of increasing patient demand and shrinking bed capacity, Levin et al (Fall,2006). According to the Institute of Healthcare Improvement, a recent survey conducted by the American College of Emergency physician of about 200 hospital administrators, majority pointed at overcrowding as their major constraint and about 60% said overcrowding in their facility forces the diversion of patients with urgent need

The nursing profession has experienced shortages many times in the past. This pattern was cyclical, with periods of high vacancy rates followed by layoffs and an oversupply of registered nurses. Today, we are experiencing another drought for nursing, but due to many factors, this shortage is different from anything the profession has witnessed in previous years. There are many that feel this shortage is severe and prolonged because the solution is complicated, and not simply a matter of a decrease in the number of registered nurses in the United States.

Nurses make up the majority of health care staffing with over 4 million active registered nurses in the United States. Nurses are responsible for quality patient care and constantly monitoring and assessing their patients and are often providing the majority of patient care. With such a large impact on patients and their care, it is alarming to know there is shortage of nurses both state and nationwide. The demand for nurses is high but the supply is low. This is currently one of our nation’s largest health care issues. If it is not addressed, it will not only affect our current health care system but also the economic health of our nation’s future. There are several key factors that contribute to the nursing shortage; an increase in nurses who are retiring from the work field, there is a decrease in nursing educational resources and opportunities leading in to a lower number of new graduated nurses and a high level of staff turnover. An increase in nursing shortages results in decreased quality patient care and increased risk to patients.

According to projections by the Association of American Medical Colleges, the nation will be short more than 90,000 physicians by 2020 and 130,000 physicians by 2025. Everyone deserves a better health maintenance, but sometimes there are not enough providers to make it happen. In the last two decades, the United States and some cities around the world have faced some serious problems because of the shortage in their health system structure. A shortage is when something in a certain area is not sufficient when it is the most desirable. That is the same thing that the country has experienced recently. There is a lack of physicians and nurses, who also characterize the primary care providers in the nation. The shortage results

health care professionals in the United States.Current and projected nursing shortages reflect the fact that fewer people are entering the profession.Shortages are difficult to estimate and project.In the past,shortages have tended to be resolved as wages rose in response to increased need for RNs.In addition, there is a cyclical aspect to shortages,as RNs are more likely to work when the economy is doing less well.1 Projected shortages differ from past circumstances in that,by 2020,a decline in the number of available nurses will coincide with an increased need for nursing services due to aging of the baby boom generation.These changes suggest that it will be more difficult,and more costly,to respond to the future

This revolution in health care has resulted in an increased demand of primary care physicians due to the creation of more job openings for health care professionals. A sudden surge in demand for health care professionals such as nurse practitioner and physician assistants has arisen in the past few years. According to “Advanced Practice Trends 2012-2013”, a report published by Jackson Healthcare, job growth in nursing is expected to increase by 27% (Jackson Healthcare). While this may be beneficial for aspiring nurses and physician assistants, it may contribute to the primary care physician shortage as the supply of physicians will not be able to meet these demands. In an effort to reduce this shortage, the Health Resources and Services Administration provided over $75 million to the training of nurse practitioners and physician assistants. This is meant to encourage more medical students to specialize in primary care because of the rise in well-trained nurses. As expected, the AAMC addressed this issue in their 2015 report “The Complexities of Physician Supply and Demand: Projections Through 2025”. After extensive research and data collection, the AAMC reported that demand for physicians would decrease by a large margin if nurse practitioners and physician assistants “play a larger role in patient care”. While the expansion of health care may

In the United States, the number of physicians, nurse practitioners and physician assistants is not growing as quickly as needed. By 2025, it has been predicted that the United States will face an increase in shortage of 46,100 to 90,400 physicians. The growth of nurse practitioners and physician assistants was projected to diminish the shortage of physicians, which will require patient and health system acceptance and more available jobs in health care services. The critical increase of need for specialists in the recent years caused so much attention, and the demand was said to grow more rapidly than the supply. The shortage of available physicians in the United States has led to the aging and growing patient population, connected by the expansion of healthcare coverage to deprive of timely healthcare services.

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

The hospital industry as a unit has undergone extensive reformation and reorganization over the last several years. The allied workforce changes have led to an emergent concern among care providers that nursing shortage have compromised the quality of patient care and have created patient safety issues. There have been an extensive numbers of reports and studies done to research the relationship between nurse shortage and patient outcomes.

Alexander Robbins once started that it would be detrimental when a nurse is assigned an overwhelming number of patients (Staiger, Auerbach, & Buerhaus, 2012). He argued that the greater the number of patients allocated to a nurse the greater their mortality rate, complications, and infections. Eventually, the patients stay at the hospital will be prolonged. It is important to note that Alexander Robin’s article first appeared in 1965, and this raises more questions than answers (Staiger, Auerbach, & Buerhaus, 2012). The most pertinent question is whether the nurse’s deficit in the US has been in existence for almost half a century? There is a unique element of this

A continuous concern that continues to present itself within the healthcare environment is adequate staffing on nursing units. Most hospital organizations try their very best to accommodate staffing needs, though many units remain understaffed for an unspecified amount of time. Inadequate staffing can negatively affect patient outcomes, lead to nurse burnout, and decrease patient satisfaction scores. Combating this issue will require a great deal of effort, as many geographical face nursing shortages when seeking new graduates and qualified candidates. Employees may begin to feel that they are unable to pursue personal goals within a healthcare organization, due to inability to transfer as a result of staffing shortages. This often results in nursing seeking employment or career advancement outside of the organization or geographical area, which further intensifies ramification associated with inadequate staffing.