The nursing shortage is one major issue that was presented in chapter 60. According to Mason, researchers predicted the nursing shortage will reach between 300,000 to nearly 1 million nurses by 2030. This issue still persist in today’s workforce due to the high population of the baby boomers retiring and the sudden increase in longevity of geriatric population. As a result, this causes the demand for nursing care to exceed the supply of nurses. In addition to increased demand created by an aging U.S. population, many patients are living with chronic conditions (Mason, Leavitt, & Chaffee, 2016) which further add to the demands.
Joyce J. Fitzpatrick author of “Cultural Competence in Nursing Education Revisited” claims that having a week long cultural competence course is not adequate enough to competently care for a patient of another culture. She thinks that nursing students need a more enriched program on this issue and that one way to get a valuable learning experience is to join the international student exchange and travel to a different region. Likewise, Tracey Longs’ article “Influence of International Service-Learning on Nursing Student Self-Efficacy toward Cultural Competence” also talks about the positive impact travelling aboard had on sixteen nursing students. Longs’ article talks about the positive impact continuing cultural education had on the nurses’ ability to provide confident care the patients deserved. However, this was only for a select few students who could afford the cost of this experience while being able to leave their job and families for an extended period of time.
For example, since enhancing the midwifery programs, maternal mortality in Afghanistan reduced from “over 1600 to 327 deaths per 100,000 live births” (12). Although, the death rate is still high, fatalities will continue to drop as the development of programs continue and regulations increase. Furthermore, age is also a huge factor in maternal deaths among Afghani’s. Many girls giving birth are under the age of 15, most of these girls are not provided with the right education or knowledge to prevent early pregnancies. Giving these girls access to education will provide them with awareness of unwanted pregnancies and sexual infectious diseases.
Reporting medication errors is beneficial to improve the learning process for nurses. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Nurses often excuse the behavior of colleagues when a medication error occurs, or nurses will pass the buck to a senior nurse to report the medication error (Haw, Stubbs and Dickens, 2014). Implementing a no blame policy for reporting medication errors, and providing nurses with the knowledge and training to report medication errors will result in an increase of medication errors reported. References Haw, C., Stubbs, J. and Dickens, G. (2014).
Nursing shortages are seen nationwide with a strong correlation between nurses leaving the bedside and a decrease in nurse satisfaction, which furthermore impacts patient outcomes (Cicolini, Comparcini, & Simonetti, 2014). According to the American Association of Colleges of Nursing, by the year 2025, there will be a shortage of over 260,000 nurses (Hunt, 2014). “A lack of job satisfaction is one of the most common reasons nurses leave their jobs and was, in many reports, negatively influenced by such factors as administration, the amount of time available for clinical duties and job security” (Hunt, 2014, p. 573). Understanding opportunities for improvement within individual facilities is essential to develop and implement a process improvement
Close the Emergency Department: The last option available to EMC is the closing of the emergency department. The cost of running the ED had increased considerably and the patient flow greatly increased the capacity for which the ED had been originally designed. However, half of the patients who were admitted to the ED were either underinsured through government funded programs like MediCal or were uninsured. Also less than 49% of the ED patients had complete insurance coverage. Greater than half of the patients who were admitted in EMC for an extended period of time were the patients initially admitted in the ED and were more often than not unable to pay EMC for the services.
With there being a decline in the number of physicians, the physician assistant profession is expected to increase dramatically over the years. Therefore, physician assistants will become more important to the United States health care system to continue to provide health care services and even serve a role as a primary care
College is not cheap, a hefty fee is often payed by those who want to attend, often out of their own wallets. It is no secret that funding a college education is getting harder and harder. Thus begs the question, is the charge of Universities becoming too high? Yes, college costs have skyrocketed over the past decade (citation). Being capable of going off to a university to acquire an education is slipping for countless people due to the rising costs.
This means that the demand for care and medical assistance is going to increase, but the question is: do we have the facilities to cater for an expanding population? Despite the expanding population, the fact that many care homes are having to close due to the lack of nursing staff means that they are having to rely on short term agency staff. There were recently
In the future, there will need to be more people in this career because nurses are needed all the time there is never enough nurses in one hospital let alone all the hospitals in different parts of the world. Changes in the job requirements can make the job change in many ways. If the job requirements change by checking test scores throughout a high school career. After college the next checkpoint to accomplish is whether the emergency department is the place to work. If the emergency department is the choice that a nurse wants to proceed in as their career then they are ready to go into the workforce.
Hi Nirmalraj, I do agree with you that staffing level directly affect the care outcome. A study comparing mortality rate in short staffed and fully staffed unit concluded that patient in the short staffed units had a 6% higher rate of mortality (AACN, 2014). Federal and state funding on nursing education will result to increased enrollment but there is need to address retention to achieve a sustained staffing level. Good post. American Association of Colleges (AACN), (2014).
Now that vaccines, procedures and medicine are available for all these diseases that once took the lives of the young and old population, the American people are living longer with a new challenge. Elderly are now living with multi-morbidities and are experiencing debilitating physical decline that often requires an immense amount of care and is more than the American healthcare system projected. The real problem that is at stake is that fewer caregivers are available to provide the care necessary
What new strategies can we introduce to reduce moral distress among practicing nurses compared to current strategies that would reduce moral distress and increase retention of experienced nurses? According to a survey conducted Woods, Rodgers, Towers and La Grow (2015), 48% of nurses surveyed considered leaving their position due to moral distress. Some nurses may even leave the profession. This should be a major concern for nurse managers because retention of experienced nurses is essential for mentoring new nurses, provides a balance of experience in patient care settings, and leads to improved patient outcomes. Moral distress occurs when the nurse perceives a conflict between their expected actions and their personal moral convictions.