The shortage was further worsened after the Second World War. Currently, America experiences an acute shortage of nurses within the healthcare facilities. The shortage is caused by different factors that include aging workforce, reduction in number of graduates from nursing schools, poor remuneration and other job working conditions making nurses to look for other better paying jobs in other service sectors like insurance or private practice nursing. This paper discusses ways of reducing nursing shortage in America and focuses mainly on three key issues of reducing the shortage. The issues are financial assistance programs for nursing students, creating a retention environment and strengthening the infrastructure.
Several of those issues began in the 1990s when changes in the health care system were implemented. Due to conflicts in funding, hospital staffs were greatly reduced. When facilities required more nurses such as times when there was an unexpected increase in patient admission, instead of hiring additional staff, mandatory overtime was used (Keenan, 2003). At the height of their need, the amount of practicing nurses has declined. With baby boomers reaching retirement age they will need health care services which only increases the demand for nurses.
The way in which a nurse practices can greatly affect the outcome of the patient (Potter & Perry, 2006). For this reason, nursing practices based on theories and concepts should be researched. The process of using concepts, theories, research and practices to form rationales usually begins with a concept or theory and is cyclic in nature, as each component may lead to the other (see Appendix A). In the nursing profession, several concept-directed theories guide both research and practice. The purpose of this paper is to select and analyze one of the many nursing theories that exist.
In this paper I will discuss the importance of a framework of praxis, it’s application to the APN, what influences the framework and employing the framework into context. Praxis Overview Praxis has been defined in a number of ways for different disciplines. For the discipline of nursing it has been described as the art of the coming together of science and practice and linking practice and theory (Kilpatrick, 2008). Praxis can arise at an individual or a group level. At the individual level it is recognizing and reflecting on an issue that restricts one’s abilities and experiences, then taking action to change the issue for themselves and others affected (Chinn & Kramer, 2011).
When an employee is bombarded with too many patients under their care, it causes stress to the employee, and as an effect they lose concern for the patient. Many geriatric care facilities are under staffed, and the pay rate is very low compared to other health care professions. Nurse’s aides have a very high job turnover rate which leads to lack of bonding with their patient, and the patient receiving a new caregiver every few months, which will cause confusion to both the patient and the employee. Inadequate staffing is a huge factor and problem in nursing homes. According to the U.S. House of Representatives, majority of nursing homes do not have enough staff to meet the levels recommended by federal officials; the levels recommended are 3.45 nursing hours per patient daily.
Health care is hard for people to get the proper coverage due to high prices, pre-existing conditions, or debt problems. Insurance companies often have loop holes people do not see, causing problems when a medical condition occurs. Children are not receiving the proper medical care due to their families not having the proper coverage. Many Americans are continuing to get sicknesses and go untreated, causing more Americans to suffer or die quickly. Nationalizing health care
Our history gives us a perspective in the traditions we have as nurses and a legacy to pass on to new nurses as they enter the profession. We learn what has influenced, motivated, and affected nurses in the past so that we can use that knowledge to influence our perspective in making changes that will benefit those who enter the profession in the future. Over the years I have observed a change in how we, as nurse and the medical profession, address pain. When I started nursing, you medicated the pain. To put it simply pain was pain – you medicated to relieve the pain.
The lack of education leads to further development of barriers such as a financial barrier and poor lifestyle that makes them unable to provide for themselves and their child. Most jobs that do not require a high school diploma only offer a minimum wage and do not offer adequate benefits to meet all medical needs. “key indicators of health, infant mortality rates and low-birth weight rates, were elevated when infants were born to mothers who were less educated” (Flores et al,1998). Considering that statement I believe that the biggest barrier affecting this vulnerable population’s health is education. Vulnerable mothers that do not finish getting their education become discouraged and loose the motivation and drive to tackle the oncoming challenges that life brings, creating for them another barrier on the micro level; it being a financial barrier.
Nurses should get effective workforce planning to get more data and information. 4. Nurses should practice and get higher level of education and training. The nursing education primary goal is patient safety. “Two consensus reports from the Institute of Medicine (IOM) which calls for greater interprofessional education of physicians, nurses, and other health professionals, as well as new methods of improving and demonstrating competency throughout one’s career (IOM, 2003b, 2009)” The Robert Wood Johnson Foundation of nursing research network is estimate costs of nursing education for different degree levels.
Evaluation Plan Beauty Sama Grand Canyon University NRS-441v Instructor: Dr. Joyce Morrison (Drj) Evaluation Plan The writer’s PICO question will change the policies and procedures in the hospitals in ultimate goal to reduce CAUTI in patients. This change will affect the outcome of patient care, with that in mind there is great need to evaluate the plan, making sure that although it is an administrative interventions all areas of this change is examine for patient safety. In the proposed solution, there are independent variables (see Appendix A) in the research are; materials used for catheterization, policies and procedures for catheter insertion and removal, and nursing and professional staff. The dependent variables,