Scarce Resource Article Hazel Hofer NUR 531 September 16, 2013 Tracey Lane Scarce Resource Article Registered nurses (RNs) are an important part of the health care environment, without them delivering quality healthcare would be very difficult if not impossible. The nursing shortage was originally projected that by 2020 there will be approximately a 36% nursing vacancy rate in the United States (National Center for Health Workforce Analysis, 2013). A more recent article estimates a nursing shortage of approximately 300,000 to 1,000,000 nurses by 2020 with the largest deficits in California, Florida, and Texas (Juraschek, Zhang, Ranganathan, & Lin, 2012). In the 2008 book written by Buerhaus, Staiger, and Auerbach it is estimated
While chronic conditions account for most of the care needed today, the U.S. health care system was primarily built around treating acute illnesses and injuries, the predominant health challenges of the early 20th century. The ways in which nurses were educated during the 20th century are no longer adequate for dealing with the realities of health care in the 21st century. As patient needs and care environments have become more complex, nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and collaboration, as well as competency in specific content areas such as community and public health and geriatrics. Nurses also are being called upon to fill expanding roles and to master technological tools and information management systems while collaborating and coordinating care across teams of health professionals.
This will also increase the amount of people that are retired from 12 percent of the United States population to almost 20 percent. With the rise of the aging population there is a need for more professional health and social service expertise. According to the Institute of Medicine’s landmark report, the is a shortage of health care professionals to care for the aging population in the current time and this number will grow faster as the Baby Boomers retire. One of the fastest growing employment sectors would be the eldercare. .
The health care environment has to change practice and tactics to remain viable by using evidenced-based business practice models to remain relevant. The tool assists leadership to deliberate issues and effectively distributes resources to areas in demand to mitigate financial loss resulting in poor quality of care. Currently the United States health care system is enduring significant nursing shortages that will have severe health care consequences on the Baby-Boomer generation.
Also Middlefield must ensure to increase the employee morale. Introduction – Middlefield Hospital’s employee turnover rate exceeds 20% and there are over 100 nursing vacancies. Some of the facts which might have caused the employee shortage are – 1. Opening of a new Hospital with better facilities and advanced technology for patient treatment and care. This has caused doctors to shift their patients from Middlefield to this new hospital.
But poverty alone is not the main eligibility to receiving Medicaid. The program is the largest health and medical related resource for people in the United States. As the” baby boom” generation begins to go into nursing homes, a decrease in the federal and state governments will cause major problems. Since Medicaid is a state-ran organization, the state has say in how much the medical cost will be and how much it will cover. States may also come together with other programs including Children’s Health Insurance Program, so the same program that handles Medicaid may also handle any other program that it is in charge of.
“The older population represents 12.9% of the United States population and by the year 2030 will average 72.1 million. There were 64, 024 person who aged 100 years or more in 2009” (CDC.gov, 2011, p. 1). The two major concerns in healthcare are the aging population, and the rise in precription medication due to the rise in the aging population. To plan for the future it will be vital to quantify the illness of the elderly to plan for necessary health services that will become necessary in the coming years. Chronic diseases wellness progams are necessary for the elderly and will become needed more as the aging population grows.
According to National Academy of Social Insurance “social security faces a financial challenge from the impending retirement of the largest generation in American history, the 76 million persons born in the “baby boom” years, from 1946 through 1964. Boomers began to reach age 62 in 2008”. I believe that the aging of the population will place a strain on social welfare systems, and generations later will have to pay for the debt because more people are retiring than
The cost of health insurance is continuing to rise which intern is making it difficult for Americans to provide health care for themselves and their families. Nationalizing health care would make health care more affordable to all Americans. Americans would be ensured the best health insurance possible. According to David Himmelstein, “Health insurance premiums have doubled in the last 8 years, rising 3.7times faster than wages in the past 8 years, and increasing co-pays and deductibles threaten access to care. Many insurance plans cover only a limited number of doctors’ visits or hospital days, exposing families’ to unlimited financial liability.
Gender-bias in Nursing Education: Some Factors Affecting Student Recruitment and Retention Arthur W. Keating Dynamics of Professional Nursing Winston Salem State University The U.S. is currently facing a shortage of trained nurses. The AACN factsheet (Rosseter, 2012) references a number of indicators which predict the current nursing shortage will continue to grow at least through the year 2020. This reflects continued job growth in nursing sector as well as the need for replacements for nurses planning to retire. This is exasperated by the shortage of nursing faculty restricting nursing school enrollment. With all factors considered the total deficit could reach one million nurses by 2020.