Blog

Department of Social Sciences

Department of Social Sciences

ASSIGNENT ONE

Population: Sociology 303-A

Department of Social Sciences

McNeese State University

Paper – 1

Instructor: Muhammad M. Haque

Based on your reading of the text, and corresponding class lectures and discussion of the materials from Chapter 1: Introduction to Demography, Chapter 2: Demographic Data and Applied Demography and Chapter 3: Demographic Perspectives and Theories, provide a word-processed response to the following questions. This is a seven-page assignment. The first page – cover page – should provide information following the example below. All the information must be typed bold, single spaced, on the left top corner of the page with a one-inch margin.

Name: John A. Henry

ID: 344 56 9987

Paper: One

Course: Population

No. & Sec.: Sociology 303-A

Semester & Year: Fall 2021

Instructor: Muhammad M. Haque

Due date: October 10, 2021

Date handed in:

SECTION A: Describe in brief the history of world population growth from the earliest available estimated date to its present form by identifying its specific trends and patterns. (24+24 lines=Total 2 pages: 100 points)

SECTION B: Based on the history of world population sketched above, provide an explanatory analysis of the trends and patterns by utilizing any one of the demographic theories that you think is the best for the purpose in very succinct form first by providing a description of the theory (12 lines) and then applying the theory to the analysis of the trends and patterns (12 lines). (Total 1 page=12+12 lines: 50 points)

SECTION C: Based on the history of world population sketched in the first section, provide an explanatory analysis of the trends and patterns documented by utilizing a different demographic theory that falls second in order compared to the first one in terms of scientific applicability in very succinct form first by providing a description of the theory (12 lines) and the applying the theory to the analysis of the trends and patterns (12 lines). As you introduce the second theory for explanatory purpose, this must have the mitigatory capacity to address the fallacious arguments of the first one. (Total 1 page=12+12 lines: 50 points)

SECTION D: If you were assigned to investigate the sketch of the world population history and the associated theoretical explanation that you provided, explain which data collection technique (only one) would be the best for this purpose. In this section first provide a brief description of the technique (12 lines) then illustrate the application of the technique to the analysis of the trend and the theoretical application drawn (12 lines). This technique should focus on the population status over the last thirty years. (Total 1 page=12+12 lines: 50 points)

SECTION E: If you were assigned to investigate the sketch of the world population history and the associated theoretical explanation that you provided, explain which data collection techniques you would use that would fall second in order of scientific applicability and be complementary to the first one, covering population status from the earliest arrival of human population to the beginning of the thirty year period analyzed in ‘Section D’. In this section first provide a brief description of the techniques (12 lines) then illustrate the application of the techniques to the analysis of the trend and the theoretical application provided (12 lines) As you introduce the second set of techniques for the analytical purpose, they must have the mitigatory capacities to address the procedural flaws of the first one during the description of the techniques. (12 lines). (Total 1 page=12+12 lines: 50 points)

FORMAT:

1)Your response must follow the precise length as prescribed.

Sections must be labeled as SECTION A:, SECTION B:, SECTION C:, SECTION D:, and SECTION E:. You should start typing the text immediately after typing the section label as capitalized, on the same line, instead of starting a separate paragraph. Spacing between two sections should be the same as the text if they appear on the same page (double spaced).

For a half page response there cannot be more than two paragraphs, and for a one-page response there cannot be more than four paragraphs.

Your paper must be word processed, double spaced, justified (aligned left and right), with one-inch margins on each side (top, bottom, left and right). Please note that sometimes you may have to readjust the margin spacing after examining a proof page if it comes out as not prescribed by going through page setup (in the File or Format icon on the toolbar).

Font size: Times New Roman (12 point).

Print: no dot matrix, only laser or ink jet.

Paper color: white.

Paper size: 8 & 1/2″ by 11″.

No clips or report covers. The paper must be handed in neatly stapled vertically on the left top corner of the page without touching the text.

Attention must be paid to:

a. content (use of textual information and class lectures),

b. critical thinking,

c. grammar,

d. spelling,

e. organization (logical arguments and structure),

f. aesthetics (neatness), and

g. timeliness in finishing the assignment.

Carefully plan. If anything seems unclear, consult immediately after the assignment is handed out and during office hours. Consultation must not take place during the last two days prior to when the paper is due. Please assume responsibility with utmost seriousness.

ASSIGNMENT TWO

Population: Sociology 303-A

Department of Social Sciences

McNeese State University

Collaborative Project – 1

Instructor: Muhammad Haque

SECTION A: Based on your reading of Chapter 5: The Health and Mortality Transition, (a) define the terms life span, life expectancy, and various other measures of mortality, (b) describe, among all the measures which one is the easiest to calculate and which one is most difficult to calculate, and why, (c) develop a very general explanatory model to explore mortality differential by outlining its various direct and indirect social and biological causes without identifying any specific types of societies, (d) specify in what ways the causes you identified in your model may vary between the highly industrialized or modern societies and the least industrialized or traditional societies, (e) describe in what ways changes in mortality levels in any direction—high to low or low to high—may pose a threat to societal stability as well as viability to societal stability, and (f) to analyze all the steps above, describe what types of methodological approaches you would utilize in the collection of data that would be rapid, cost effective, and very precise.

SECTION B: Based on your reading of Chapter 6: The Fertility Transition, (a) define various measures of fertility by distinguishing them from fecundity, (b) describe, among all the measures which one is the easiest to calculate and which one is most difficult to calculate, and why, (c) develop a very general explanatory model to explore fertility differential by outlining its various direct and indirect social and biological causes without identifying any specific types of societies, (d) specify, in what ways the causes you identified in your model may vary between the highly industrialized or modern societies and the least industrialized or traditional societies, (e) describe in what ways changes in fertility levels in any direction—high to low or low to high—may pose a threat to societal stability as well as viability to societal stability, and (f) to analyze all the steps above, describe what types of methodological approaches you would utilize in the collection of data that would be rapid, cost effective, and very precise.

SECTION C: Based on your reading of Chapter 7: The Migration Transition, (a) describe the term migration and define its various measurements by focusing on both, internal and international forms, (b) describe among all the measures which one is the easiest to calculate and which one is most difficult to calculate, and why, (c) develop a very general explanatory model to explore migration differential by outlining its various direct and indirect causes without identifying any specific types of societies, (d) specify, in what ways the causes you identified in your model may vary between highly industrialized or modern societies and the least industrialized or traditional societies, (e) explain in what ways the causal dimension that you portrayed in the explanatory model may vary between internal and international migration, (f) describe, by focusing on both internal and international migration, in what ways the whole migratory process poses a threat to societal stability as well as viability to societal stability, and (g) to analyze all the steps above, describe what types of methodological approaches you would utilize in the collection of data that would be rapid, cost effective, and very precise.

INSTRUCTIONS:

Please note that you will be given a few in-class sessions for the purpose of discussion prior to the actual presentation. If additional time is needed, that must be arranged outside the class session. During the oral presentation every student participant of the group is required to speak. It will be the responsibility of the whole group to collectively decide, divide and share the responsibility as equally as possible during the time of the oral presentation and defense. During the discussion session group must make sure that each student brings the text and notes that are helpful for responding to the questions asked in the assignment. The group has the right to eliminate any member who does not make oral and written contribution in terms of helpful notes during the discussion. However, the student/s in question and the instructor must be informed before any such decision is made to see if any positive resolution can be made. Please note that all forms of conflict must be resolved before the final grade is given. Complaints associated with any disputes will not be accepted after grades have been handed in, due to various legal implications. It is very important that the questions in the assignment are not divided between the group members during the preparatory process of the answers. Rather, the group members must collectively finish answering each question at a time. In that way someone’s absence on the day of presentation will have minimal negative effect on the group performance because every member will have the same information. After finishing responses to all the questions, all of the group members must practice the oral presentation several times as a preparation to finish the presentation in the allocated time. As you practice, each time you should start with a different person in case of any excused absences during the final presentation, since your instructor will decide who will be the first person to initiate the presentation.

Maximum time for oral presentation: Ten minutes

Maximum time for defense: Ten minutes

The following criteria will be used to evaluate your performance:

F D- D D+ C- C C+ B- B B+ A- A A+

00% 61% 65% 69% 71% 75% 79% 81% 85% 89% 91% 95% 99%

a.evidence that you have read the text.

b.evidence that you paid attention to the class lectures.

c.whether or not you have responded to all the questions.

d.whether you have used your critical thinking skills.

e.your enthusiasm in presentation.

f.maintaining proper level of eye contact with the audience.

g.maintaining diversity in the tone of voice.

h.whether you have used artful/effective techniques in your presentation.

i.your scholarly defense of arguments while confronted with questions from the audience.

j.balanced distribution of timing for response to all the questions.

k.finishing the presentation in the allocated time.

l.maintaining balanced coordination between the group members during presentation.

m.maintaining balanced coordination between the group members during defense.

ASSIGNMENT THREE

Population: Sociology 303-A

Department of Social Sciences

McNeese State University

Paper – 2

Instructor: Muhammad M. Haque

Based on your reading of the text, and corresponding class lectures and discussion of the materials from Chapter 8: The Age Transition, provide a written response to the following questions. This is an eight page assignment. The first page – cover page – should provide information following the example below. All the information must be typed bold, single spaced, on the left top corner of the page with a one inch margin.

Name: John A. Henry

Albert H. Adams

Paper: Two

Course: Population

No. & Sec.: Sociology 303-A

Semester & Year: Spring 2004

Instructor: Muhammad M. Haque

Due Date: October 10, 1999

Date Handed In:

SECTION A: Address the following terms—1. Age Cohort, 2. Sex Ratio, 3. Age Pyramid, 4. Average Age of a Population, 5. Dependency Ratio, 6. Growth Rates by Age, 7. Stable Population, 8. Zero Population, and 9. Stationary Population—first by defining them, and then by introducing their calculation process. For any particular term that does not have a formula or calculation process available, offer its brief description. Please ensure that the treatment to each concept, in terms of segment length and answer, is proportionate to the total length as indicated in parentheses. (Total 2 pages=24+24 lines: 100 points)

SECTION B: In this section provide a very brief description of the usage of the above demographic measurements by the demographers (12 lines) and the non-demographers (12 lines). (Total1 page=24 lines: 50 points)

SECTION C: Define the term ‘aging’ (old) from a biological and a social point of view with very specific illustrations. Provide your response in descriptive form rather than cursory indicative illustrations. (Total 1/2 page=12 lines: 25 points)

SECTION D: Make a distinction between the biological and social aspects of aging in addressing the causal processes determining the status of the elderly. In the process of discussion, address how the concepts of fertility, mortality and migration processes, discussed during the first part of the course and the concept of age stratification presented in Chapter 8, and the schematic diagram provided in the class, aid in the preparation of this segment of the assignment. (Total 2 and ½ pages=24+24+12 lines: 125 points)

SECTION E: Provide a descriptive illustration of the efficacy of studying the area of aging and its associated processes by the demographers (12 lines) and non-demographers (12 lines) in some specified professional settings. (Total 1 page=24 lines: 50 points)

FORMAT:

1)Your response must follow the precise length as prescribed.

2) Sections must be labeled as SECTION A:, SECTION B:, SECTION C:, SECTION D:. and SECTION E:. You should start typing the text immediately after typing the section label as capitalized, on the same line, instead of starting a separate paragraph. Spacing between two sections should be the same as the text if they appear on the same page (double spaced).

3)For a half page response there cannot be more than two paragraphs, and for a one page response there cannot be more than four paragraphs.

4)Your paper must be word processed, double spaced, justified (aligned left and right), with one inch margins on each side (top, bottom, left and right). Please note that sometimes you may have to readjust the margin spacing after examining a proof page if it comes out as not prescribed by going through page setup (in the File or Format icon on the toolbar).

5)Font size: Times New Roman (12 point).

Print: no dot matrix, only laser or ink jet.

Paper color: white.

Paper size: 8 & 1/2″ by 11″.

No clips or report covers. The paper must be handed in neatly stapled vertically on the left top corner of the page without touching the text.

Attention must be paid to:

a. content (use of textual information and class lectures),

b. critical thinking,

c. grammar,

d. spelling,

e. organization (logical arguments and structure),

f. aesthetics (neatness), and

g. timeliness in finishing the assignment.

Carefully plan. If anything seems unclear, consult immediately after the assignment is handed out and during office hours. Consultation must not take place during the last two days prior to when the paper is due. Please assume responsibility with the utmost seriousness.

ASSIGNMENT FOUR

Population: Sociology 303-A

Department of Social Sciences

McNeese State University

Collaborative Project -2

Instructor: Muhammad Haque

SECTION A: Based on your reading of Chapter 11: Population and Sustainability, (a) make a distinction between economic growth, (b) economic development and (c) social development in both definitional and descriptive forms.

SECTION B: Following the distinction made above, demonstrate how you would argue in favor of the position that population growth acts as a stimulus to economic development. For a critical response to this segment of the assignment you may consider reviewing Chapter 3: Demographic Perspective.

SECTION C: Following the distinction made between economic growth and economic development, demonstrate how you would argue in favor of the position that population growth acts as a detriment to economic development. For a critical response to this segment of the assignment you may consider reviewing Chapter 3: Demographic Perspective.

SECTION D: Based on the population growth’s position as a stimulus and a detriment to economic development, explain how these two positions are attendant to the status of the global environment in its past, current and future forms.

SECTION E: Based on your reading of Chapter 12: What Lies Ahead? and corresponding class lectures, define the term population policy by making a distinction between direct and indirect input measures to the total policy framework.

SECTION F: Develop a general population policy framework for any one of the less developed countries with its specific intervention criteria, taking into consideration three dynamic processes and their patterns—fertility, mortality, and migration. As you develop the policy framework and its interventional criteria, you must demonstrate that ultimately the developmental status that the country will arrive in will be socially balanced, economically cost effective, and environmentally sustainable in the long run.

INSTRUCTIONS:

Please note that you will be given a few in-class sessions for the purpose of discussion prior to the actual presentation. If additional time is needed, that must be arranged outside the class session. During the oral presentation every student participant of the group is required to speak. It will be the responsibility of the whole group to collectively decide, divide and share the responsibility as equally as possible during the time of the oral presentation and defense. During the discussion session group must make sure that each student brings the text and notes that are helpful for responding to the questions asked in the assignment. The group has the right to eliminate any member who does not make oral and written contribution in terms of helpful notes during the discussion. However, the student/s in question and the instructor must be informed before any such decision is made to see if any positive resolution can be made. Please note that all forms of conflict must be resolved before the final grade is given. Complaints associated with any disputes will not be accepted after grades have been handed in, due to various legal implications. It is very important that the questions in the assignment are not divided between the group members during the preparatory process of the answers. Rather, the group members must collectively finish answering each question at a time. In that way someone’s absence on the day of presentation will have minimal negative effect on the group performance because every member will have the same information. After finishing responses to all the questions, all of the group members must practice the oral presentation several times as a preparation to finish the presentation in the allocated time. As you practice, each time you should start with a different person in case of any excused absences during the final presentation, since your instructor will decide who will be the first person to initiate the presentation.

Maximum time for oral presentation: Fifteen minutes

Maximum time for defense: Ten minutes

The following criteria will be used to evaluate your performance:

F D- D D+ C- C C+ B- B B+ A- A A+

00% 61% 65% 69% 71% 75% 79% 81% 85% 89% 91% 95% 99%

a.evidence that you have read the text.

b.evidence that you paid attention to the class lectures.

c.whether or not you have responded to all the questions.

d.whether you have used your critical thinking skills.

e.your enthusiasm in presentation.

f.maintaining proper level of eye contact with the audience.

g.maintaining diversity in the tone of voice.

h.whether you have used artful/effective techniques in your presentation.

i.your scholarly defense of arguments while confronted with questions from the audience.

j.balanced distribution of timing for response to all the questions.

k.finishing the presentation in the allocated time.

l.maintaining balanced coordination between the group members during presentation.

m.maintaining balanced coordination between the group members during defense.

Posted in Uncategorized

Nursing Theory to Direct (2)

Nursing Theory to Direct (2)

Nursing Theory to Direct Her Care

The most appropriate nursing theory is the Theory of Human Caring by Jean Watson. This theory contends that caring potentiates an individual’s capabilities and regenerates their life energies. As highlighted by Jean Watson, the benefits of caring include but are not limited to self-actualization, which is one of the aspects the 30-year-old woman needs. Therefore, the Theory of Human Caring emphasizes the nursing’ humanistic aspects that healthcare practitioners are supposed to intertwine with the nursing practice and scientific knowledge. The theory would also help the patient learn how to mold her immediate environment, including relationships, to benefit her health (McEwen & Willis, 2017).

Concepts from Other Theories That Can Be Used to Enhance Her Care

Human beings cannot be treated as mere objects or separated from the self. Resilience can be grown from social assistance, optimistic thinking, a sense of meaning, and robust relationships. It forms the foundation of healthcare education. Adaptability encompasses the capacity to transform or alter with new information due to the predicament adjustments. Resilience and adaptation are significant in the Strain Theory and Adaptation Model in Nursing Experience. The following tool is pivotal to transforming nurses to be more compassionate, empathetic, and powerful. Professionalism should be upheld during patient care as well as observing responsibility, advocacy, and respect (Black, 2019). The patients need to maintain autonomy over their self-care (Self Care Deficit Theory by Dorothea Orem).

Social help – there are cognitive and emotional benefits to being surrounded by the right people to understand one’s feelings. Emphasis should also be placed on the care delivery systems that promote learning from errors, prevents errors using non-punitive measures, and promotes a culture of safety. The healthcare practitioners should employ a clinical decision-making process government by subjective and objective information about a patient. This helps avoid exposing the healthcare consumer to risks. A healthcare system should also uphold moral rules to defend and protect the rights of the healthcare consumers, avoid harm, and mitigating conditions that can contribute to harm. Other concepts include; Social supports, behavioral therapy, cognitive, or psychotherapy; Pharmacotherapy, and Supportive counseling

References

Black, B. (2019). Professional nursing e-book: Concepts & challenges. Elsevier Health Sciences.

McEwen, M. and Wills, E.M., 2017. A theoretical basis for nursing. Lippincott Williams & Wilkins.

Posted in Uncategorized

Nursing theories

Nursing theories

There are various nursing theories that are used by nurses as a guide to their day to day practice in nursing. This paper will look give views on theory-driven and evidence based of two nursing theories.

One of these theories is the self-care theory by Dorothea Orem. The major concept in this theory is an art through which the nursing practitioner gives assistance that is specialized to individuals with disabilities that makes more than ordinary assistance necessary for meeting the needs for self-care. Self-care requirements are actions that are directed towards providing self-care presented in three categories; universal self-care requisites, development self-care requisites and health deviation self-care requisites.

Assumptions of Self-Care Theory

There are various assumptions that were made in this theory such as people have to be self-reliant and responsible when it comes to their own care as well as others within the family needing care. It also assumes that people are distinct individuals and nursing is a form of action that involves an interaction between two or more people. Another assumption is that meeting universal and development self-care requirements is a crucial component when it comes to the primary care prevention and illnesses. There is also an assumption that an individual’s knowledge of potential health problems is an important thing when it comes to the promotion of self-care behaviors (Gonzalo, 2011).

Applications of Self-care theory

This theory is applicable for nursing by those beginning the practice as well as the advanced people. In this theory nursing is needed when a person can not maintain continuously the amount and quality of self-care that is required to sustain life and health recover from an injury or disease or cope with the effects from illnesses or injuries.

Another nursing theory is the need theory by Virginia Henderson. The background of the theory was the emphasis on the importance of increasing the independence of a patient in order for progress after hospitalization not to be delayed. It aims at assisting individuals in gaining independence in relation to performance of activities that contribute to their health or recovery. According to this theory the role of nurses is substitute, supplementary, complementary with the main aim of helping the individual become as independent as possible.

Assumptions of Need Theory

There are several assumptions in this theory one is that nurses are supposed to care for patients until they are able to care for themselves once again. Another assumption is that nurses are willing to serve and that they will devote themselves to patients day and night (Currentnursing, 2012).A lot of focus on Orem’s work is self-care. Even if there is a wide scope as seen when it comes to encompassing theory of the nursing systems, Orem’s goal of letting readers look at nursing care as a way of providing assistance to people was apparent when it came to all the concepts that were presented. From the definition, health that is sought as rigid can now be refined through making it suitable to general view of health as a state that is ever changing and dynamic. The role of nurses when it comes to the mantainace of health of patients was set by Orem with a lot of coherence according to the life-sustaining needs of every person. This theory appears simple but yet it is quite complex, the use of self-care agency, self-care deficit, universal self-care can be quite confusing. The theory does not recognize the emotional needs of an individual (Gonzalo, 2011).

The needs theory is based on four major concepts the individual, who has basic needs which are component of health. The second concept is environment is the setting which an individual learns of unique pattern of living. The third concept is health whereby nurses are required to stress on promoting health and prevention and cure of illnesses. The final concept is nursing that assists and supports individuals in life activities as well as their attainment of independence. The theory puts emphasis on basic human needs as a central focus of the nursing practice which has led to the development of theory when it comes to needs of an individual and how nursing can be used to meet these needs (Currentnursing, 2012).

References

Gonzalo, A. (2011). Theoretical Foundations of Nursing. Retrieved October 7, 2014 from http://nursingtheories.weebly.com/dorothea-e-orem.htmlCurrentnursing. (2012). Virginia Henderson’s Need Theory. Retrieved October 7, 2014 from http://currentnursing.com/nursing_theory/Henderson.html

Nursing Staff Shortages in the Health Care System

Nursing Staff Shortages in the Health Care System

Nursing Staff Shortages in the Health Care System

Abstract

The shortage of nurses is a global health issue that negatively affects healthcare delivery, and the problem is expected to worsen with the increasing demand for healthcare providers caused by the aging population. To goal of this paper is threefold. Firstly, the paper seeks to uncover the causes of nurse shortages. Secondly, the paper aims to uncover the adverse effects of nurse shortages. Lastly, the paper aims to uncover practical solutions for minimizing nurse shortages in healthcare facilities. The most common causes of nurse shortages include low income, poor funding for nursing education, low expenditures on healthcare, nurse burnout, low levels of income, reduced supply of nurses, poor recruitment plans, ineffective planning, improper use of the available nursing resources, and lack of cultural competence and cultural diversity. Effects of nurse shortages include sleep deprivation, which negatively affects nurses central nervous and cardiovascular systems. Nurse shortages also cause in-hospital deaths, HAIs, medication errors, increased medical costs, reduced job satisfaction, burnout, and moral distress. Possible solutions to minimize nurse shortages include improving nurses’ job satisfaction, increasing healthcare expenditure, increasing funds for nursing education to make it affordable for students to pursue a career in this field, and establishing laws that promote retention of nurses. Minimizing nurse shortages will help improve the patient outcome and quality of life.

Nursing Staff Shortages in the Health Care System

Introduction

Nursing is an integral part of the healthcare system and accounts for about 56% of any hospital’s staff (Shamsi & Peyravi, 2020). Nurses are renowned for being proponents of healthcare promotion, training patients and the society about how to avoid diseases and injuries, taking part in rehabilitation, and offering assistance and care. Despite the important roles played by nurses, healthcare facilities today face an increasing challenge of nurse shortage. Supporting this statement, Shamsi and Peyravi (2020) claim that nursing staff shortage is a significant and multifaceted problem and has reached a warning threshold. It is also expected that the issue of nurse shortage will continue to worsen due to increasing demand for healthcare providers caused by the aging population (Stokes & Iskander, 2021). It is approximated that by 2029, there will likely be 73% more Americans over the age of 65, which will increase the demand for healthcare practitioners to provide medical services. This paper provides a comprehensive understanding of the issue of nursing staff shortages in health care system. Specifically, it also illustrates the causes of nurse shortages, the effects of nurse shortages, and the possible solutions to this problem. The purpose of pursuing this topic is to reduce the negative effects of nursing shortages in the health care system. This goal is realistic when the government works together with the health facilities to achieve it.

To help with research and understand the causes, effects, and possible solutions of the issue of nurse shortages, various research questions from different perspectives of inquiry have been used. The different perspectives of inquiry include scientific, analytical, ethical, and cultural perspectives of inquiry. For each perspective of inquiry, one Level 1 and one Level 2 questions were selected. For the scientific perspective of inquiry, the chosen level 1 research question is “Which body systems are affected?” while the formulated level 2 research question is “What are the effects of nursing staff shortages on the patient outcome?” On the other hand, the level 1 research question from the analytical perspective is “What are the economic issues involved?” while the level 2 research question under this type of inquiry is “what are the causes of nursing staff shortages, and how can this problem be solved?”. Furthermore, the chosen Level 1 question from the ethical perspective of inquiry is “What laws pertain to the issue?” while the formulated level 2 question from this perspective is “What are the ethical implications of nursing staff shortages?”. The chosen level 1 question from the cultural perspective of inquiry is “Which cultural values influence the issue?” and the corresponding level 2 question is “How does cultural diversity affect nurse shortage?” The answers to these questions have been combined to develop the paper.

Causes of Nurse Shortages

In order to define practical solutions to a problem, it is important to first understand the cause of the problem. Therefore, it is important to explore the factors which contribute to the nursing staff shortage. Nursing shortages are caused by a number of reasons. One of them is the fact that the nurses are growing old and need to retire (Mac et al., 2019). They however lack people to replace them and some of them are forced to continue working even during old age. This mostly brings about inefficient work. Another cause of nurse shortage is nurse burnout. This is mainly caused by the availability of few nurses who are forced to work overtime (Manyisa & Aswegen, 2017). Other causes of nurse burnout include low shifts, high workloads, and low staffing (Dall’Ora et al., 2020). When nurses experience burnout, fewer nurses are left to attend to patients; thus, a healthcare facility may experience a nursing staff shortage. Additionally, since most of the nurses are females, they are forced to leave the profession to go and bear children and take care of their families. In some American states, the number of nurses is high compared to others. This results to shortages in states that have few nurses. This is also due to the fact that nurses will prefer to work in regions that are good for settling with their families (Haddad et al., 2022). Some nurses complain of emotional and physical abuse caused by the stressful hospital environment.

Another cause of nurse shortages is lower income levels. Drennan and Ross (2019) reveal that low-income countries experience nurse shortages since nurses move to low-income countries to seek employment. On the same note, Fawaz et al. (2018) reveal that relatively low pay contributes significantly to the nurses’ deficit. Based on the classic economic theory, income level is a major factor in pushing or attracting people from one job to another as well as from one market to the other (Drennan & Ross, 2019). Also, the lack of funding to support nursing education contributes to the nurse shortage. Supporting this point, Drennan and Ross (2019) argue that the nursing staff shortage is high due to the poor funding for nursing education. Lastly, underfunding of the healthcare system contributes to nurse shortages. Marć et al. (2019) claim that low healthcare expenditures translate into nurses’ low salaries. Consequently, this results in nurses quitting their job and hence the problem of nurse shortage. In relation to the economic effects of nursing staff shortages, Haddad et al. (2022) reveal that nurse shortages lead to medical errors. These medical errors may lead to patients’ prolonged stay in the hospital, which increases the cost incurred in the hospital.

Furthermore, lack of cultural competence also causes nurse shortages. Notably, cultural competence is recognized as one of the cultural values that influence the issue of nurse shortages. Cultural competence is the set of values, practices, behaviors, and attitudes within an organization system or even individuals, which allows them to work effectively across different cultures. Cultural competence influences nurse shortages because when nurses are not culturally competent, they tend to get stressed, which results in nursing burnout. Another cultural value that influences nurse shortages is cultural diversity. Cultural diversity is the existence of many cultures in the same society. Nurses must be well prepared to serve culturally diverse patients. Unless nurses are culturally competent, they cannot be in a position to provide quality care to patients. When nurses cannot provide quality care, they get stressed and end up quitting their jobs. The last cultural value that influences nurse shortage is cultural awareness. Nurses’ cultural awareness is their comprehension of differences between themselves and patients from other cultural backgrounds. Similar to cultural competence, a lack of cultural awareness may result in nurse shortages.

Lastly, cultural diversity causes nurse shortage. Research reveals that nurses without a firm understanding of cultural differences may experience frustrations and stress when dealing with culturally diverse patients (Balante et al., 2021). Consequently, this may result in nurse burnout. Burnout is one of the leading causes of nurse shortages. Thus, it can be concluded that nurses’ lack of cultural competence indirectly results in nurse shortages. On the contrary, cultural competence allows nurses to provide inclusive healthcare service, improves nurses’ job satisfaction, and facilitates patient satisfaction. When nurses are satisfied with their job, they tend to retain their profession. Consequently, this minimizes nurse shortages.

Impacts of Nurse Shortages

Nurse shortages cause a huge negative impact on the health care systems today. One of these impacts include, increase in patient deaths. This is because patients will be sent home to be taken care of by care givers rather than nursing professionals. Another impact is the increase of medication errors (Haddad et al., 2022). Studies have shown that 46.8% of nurses have committed errors in the last one year. These errors include giving medication to wrong patient, omission of medication, mistaken medication and giving a patient medication twice instead of once. Lastly, nursing shortages increase overcrowding in emergency rooms. This is because the nurse-to-patient ratio is uneven. By solving the nurse shortage problems, these negative impacts will be reduced.

Furthermore, the shortage of nurses indirectly affects the nurses’ body system, where it causes sleep deprivation. Nurse shortages force nurses to work overtime. The long working hours put nurses at an increased risk of short sleep duration, sleep disturbances, and fatigue. Sleep deprivation and fatigue affect the nurse’s central nervous system making their brain not to function correctly. Also, research reveals that lack of sleep among nurses may lead to psychological issues such as memory loss, serious thought retardation, stress, anxiety, and depressive symptoms (Deng et al., 2020). Sleep deprivation due to long working hours also affects nurses’ cardiovascular system. This is because sleep affects processes that affect blood pressure and body sugar levels. Research reveals that sleep deprivation causes severe cardiovascular diseases such as heart attack and stroke (Ahmad & Didia, (2020). On the same note, Liew and Aung (2021) reveal that sleep deprivation causes high blood pressure, a leading risk factor for stroke. It also makes it easier for blockages to occur in arteries causing strokes.

Also, nurse shortage is shown to affect patient outcome. Ghafoor et al. (2021) reveal that the shortage of nurses adversely affects patient care leading to health decline in the nation at large. On the same note, Haegdorens et al. (2019) reveal that lack of sufficient nurse staffing in healthcare facilities is associated with negative events such as hospital-acquired infections (HAIs), patient falls, in-hospital mortality, and medication errors. Also, nurse shortages result in rationing time to care, increasing the risk of missed care. This translates to poor patient care delivery. According to Janatolmakan and Khatony (2022), missed nursing care results in patient dissatisfaction, psychological and physical complications, and even death. Missed care may also result in delayed treatment and medication.

Nurse shortage leads to the medical errors in the process of service delivery and the data entries. The medical errors are caused by the overworking conditions of the working nurses that may make them exhausted to deliver the approved quality services (Haddad et al., 2022). Hospitals with high patient to nurse ratio are characterized by the nurse experiencing of the burnout, dissatisfaction. As such the dissatisfaction creates a mechanism where the nurse may unknowingly error in medical service delivery. The error in service delivery henceforth causes the higher mortality of the patients and failure to rescue the ailing patients

Furthermore, persistent nurse shortages across the world challenge the values and beliefs of this profession and result in various ethical implications. One of these ethical implications is poor patient care. One of the ethical obligations that nurses must fulfill during their line of duty is ensuring that patients are protected from harm (Haahr et al., 2020). However, nurse shortages make it challenging for the nurses to fulfill this obligation as the hospitals assign them to cater for many patients. Since chronically ill patients require holistic care, inadequate staffing denies nurses an opportunity to provide such care to these patients, resulting in poor patient care. Another ethical implication of nursing staff shortages is nurses’ reduced job satisfaction. Usually, ethics assist nurses in making the right decisions guided by their morals. However, nurse shortages leave nurses dissatisfied with their jobs because they do not have sufficient time to communicate with their patients and provide holistic care. Moral distress is another ethical implication of nursing staff shortages. Nurses who serve in healthcare facilities with shortage of nursing staff experience moral distress since they feel that they are compromising their ethical obligation of ensuring patients are protected from harm by providing inadequate patient care (Bayat et al., 2019). Also, nurses who work in health care facilities facing the issue of nurse shortage may suffer moral distress because they feel that they would have rendered better patient care if they were not assigned many patients. Lastly, burnout is another ethical implication of nurse shortages. According to Mullen et al. (2017), increased ethical conflict at work may result in emotional stress and mental burnout. Consequently, this may result to nurses quitting their profession, leading to nurse shortage.

Possible Solutions to Nurse Shortages

The best-known solution is increase in nurse salaries and incentives. This will make more people consider the nursing field. It will also make them feel motivated especially for the nurses who work in the unfriendly areas (Haddad et al., 2022). The male gender is also highly encouraged to join the nursing field so as to enable women to have maternity leaves and go take care of their families when need be. Male patients feel more understood when they are taken care of by male nurses. Health care institutions should also provide training and counseling to their staff. These will enable nurses to speak about the issues they face at work, prompting the management to find the solutions to the issues hence decrease in nurse turnover (Manyisa & Aswegen, 2017). In the event of pandemics or flu, the management of health institutions should hire temporary nurses to help the permanent ones. This will reduce chances of nurses getting burnout. Another solution is having policies that make health centers carry out effective nurse staffing which will increase job satisfaction and nurse retention rates therefore reducing nurse turnover (Holmberg et al., 2018). Nursing programs can also help reduce nurse shortages by increasing wages for nursing educators and therefore motivating them. The nurse students can also receive scholarships which will encourage them to start and finish the nursing courses without financial problems (Marc et al., 2019). Having nursing online classes will motivate more people to take up the nursing career since they do not have to travel to access institutions of higher learning.

Additionally, concerning how nurse shortages can be minimized, research reveals that policy attention is needed in all elements of human healthcare resources and to avoid policy-making that relies overly on oversimplified linear thinking (Drennan & Ross, 2019). For instance, policymakers should not only focus on increasing the number of individuals who enter nursing training but should also make policies that seek to increase the numbers entering the workplace and increase burses retention. Also, improving nurses’ job satisfaction can help reduce nursing staff shortages. This can be achieved through improving role transitions and orientations. According to Lockhart (2020), transition programs for new graduates improve job satisfaction and increase nurse retention. Other ways of improving nurses’ job satisfaction identified by Lockhart (2020) include nursing mentorship programs and improving the workplace environment. Increasing the salaries of nurses may also improve their job satisfaction.

Also, nurse shortages can be minimized by implementing rules and regulations. Since different countries have different laws that pertain to this healthcare issue, the focus of this paper will be on the US laws that pertain to the issue of nursing staff shortages. One of these laws is the Nurse Reinvestment Act, P.L. 107-205. The 107th Congress passed the Nurse Reinvestment Act on July 22, 2002. Congress had been significantly engaged since the 1960s with the goal of providing the US with sufficient nurse manpower. The Act was later signed into law by President George W. Bush on August 1, 2002. The Nurse Reinvestment Act pertains to the issue of nursing staff shortages because Title I and Title II pertain to nurses’ recruitment and retention, respectively. Title 1 of the Act provides two ways of boosting nurses’ recruitment. The first initiative is the development and broadcasting of grant-based funding of local and state public service announcements to promote and advertise the nursing profession. During broadcasting, the rewards ad advantages of the nursing profession should be highlighted, and people are persuaded to enter into this profession. The second initiative entails the revision of provisions of the National Nurse Service Corps (NNSC) related to items such as scholarships, loan repayment, funding, and reporting and eligibility requirements. Boosting nurses’ recruitment helps in addressing the main health care issue selected, which is nurse shortages. Title II of the Nurse Reinvestment Act presents policies intended to improve the retention of nurses. The provisions of Title II relate to areas such as creating career ladders and retaining high-quality nurses through retention grants and nurse education, developing and funding comprehensive geriatric education, and creating and running a nurse faculty loan program to improve the number of qualified nursing faculty. Title II of the Act helps address the issue of nurse shortages by ensuring nurses do not quit their profession. Another law that pertains to the issue of nursing staff shortage in the US is the Nurse Training and Retention Act of 2007, S.2064. The 110th Congress passed this Act on September 18, 2007. This Act aims to ensure comprehensive programs are funded to facilitate a sufficient supply of nurses. Increasing the supply of nurses helps deal with the selected healthcare issue, nursing staff shortage.

Investing in the long term-training of the nurses to enhance the professional development has enabled the healthcare organization to mitigate the detriment of the nurse staff shortages. Medical institutions should create a lifelong learning for nurses through the promotion to innovative and management positions (Challinor et al., 2020). The conditions for the promotions get based on knowledge provision and skills through distance learning, on-site classes, and the self-tutorials by the employers. Notably, avoiding the expensive and immediate training can get achieved by the organizations through the adoption of the fun training for the senior nurses.

Another approach of reducing the nurse shortage by the healthcare organization is the conversion of the current nurses into compensate for the referrals and the recruiters. The conversion will enable the nurses to communicate in one language hence creating a framework of delivering the quality services through limiting the time w3astyage in service delivery. The act of cp0nvertiong the nurses to compensate for the referral and he recruiters get achieved through monetary compensation to encourage the nurses in their duty delivery hence creating a position of recruiting other nurses to the organizations.

Moreover, offering the altered schedules for the accommodation of the professional and the personal needs of nurses remains an initiative of addressing the nurse shortage in the healthcare organization. However, maintaining and achieving professional and personal life balance sometimes becomes difficult for the nurses. As such, the immediate improvement strategies that should be achieved by the nurse leaders get based on offering the altered schedules for the nurses to accommodate the professional and personal needs like offering the special mum shifts for the busy mothers who may have opted to take a leave (Buchan & Aiken, 2008). Also, the ability of the organization to create a part time shift in service delivery accommodate the personal and the professional needs of the nurses hence are creating a framework of choosing the options that fits the personal obligations. Choosing the fit shift makes nurses happy with the service delivery hereby enhance the work balance and promoting the satisfaction and wellness within the organization.

Furthermore, the use of the onboard programs to make new recruited nurses feel welcomed in the service delivery creates the group cohesion hence effective and efficient service delivery which bridges the gap of the nurse shortage and encourages their retention. Also, good onboarding program eases new recruits into the job market hence reduce overwhelming at the first few days at the new job (Challinor et al., 2020). As such, the organization and the management should avoid assigning nurses to the new patients immediately after recruitment. The onboarding program continues to involve the use of new mechanisms that enable the new nurses to know the current nurses for the sense of community encouragements. As a result, the nurses tat feel part of the nursing community are likely to retain their jobs and bring along the qualified friends. Nurse residency program continues to characterize the onboarding program through provision of accommodation that make the nurse feel easier to transit from being the student nurse to handling the nurse responsibilities. The initiative creates a mentorship program through combination of the new nurses with the experienced nurses to create a comprehensive knowledge of caring for the patients.

Conclusion

Overall, the nursing unit forms an integral part of the healthcare system. As such, the increasing challenge of nursing staff shortages poses an increased risk to the health outcome of patients. The main causes of nurse shortages include low income, poor funding for nursing education, and low expenditures on healthcare. Other causes of nurse shortages include nurse burnout, low levels of income, reduced supply of nurses, poor recruitment plans, ineffective planning, and improper use of the available nursing resources. Lack of cultural competence and cultural diversity also cause nurse shortages. It has been established that nurses’ body systems, including the central nervous and cardiovascular systems, are indirectly affected by this healthcare issue. Usually, nurse shortages cause sleep deprivation, thus negatively affecting the aforementioned systems. Also, nurse shortage has shown to impact patient outcome, where the issue results in missed care, in-hospital deaths, HAIs, and medication errors. Furthermore, shortage of nurses is associated with increased medical costs, which are associated with prolonged stays in hospitals. Other effects of nurse shortages include reduced job satisfaction, burnout, and moral distress. Nursing shortages can be improved by improving nurses’ job satisfaction. This can be achieved by launching nursing mentorship programs and improving the workplace environment. Also, increasing healthcare expenditure may increase nurse satisfaction since they will receive higher pay. Increasing nurses’ salary will also make more people to consider pursuing a career in this field. Another solution to reduce nurse shortage is increasing funds for nursing education to make it affordable for students to pursue a career in this field. Also, laws such as Nurse Reinvestment Act, P.L. 107-205, and the Nurse Training and Retention Act of 2007, S.2064 help minimize the problem of nurse shortages. Notably, the Nurse Reinvestment Act pertains to the issue of nursing staff shortages because Title I and Title II pertain to nurses’ recruitment and retention, respectively. On the other hand, the Nurse Training and Retention Act of 2007 aims to ensure comprehensive programs are funded to facilitate a sufficient supply of nurses.

References

Act, N. R. PL 107-205 (2002). Washington, DC: US Government Printing Office.

Ahmad, A., & Didia, S. C. (2020). Effects of sleep duration on cardiovascular events. Current Cardiology Reports, 22(4), 1-5. https://doi.org/10.1007/s11886-020-1271-0Balante, J., van den Broek, D., & White, K. (2021). How does culture influence work experience in a foreign country? An umbrella review of the cultural challenges faced by internationally educated nurses. International Journal of Nursing Studies, 118, 103930. https://doi.org/10.1016/j.ijnurstu.2021.103930Bayat, M., Shahriari, M., & Keshvari, M. (2019). The relationship between moral distress in nurses and ethical climate in selected hospitals of the Iranian social security organization. Journal of Medical Ethics and History of Medicine, 12 (8), 1–16. https://doi.org/10.18502%2Fjmehm.v12i8.1339Buchan, J., & Aiken, L. (2008). Solving nursing shortages: a common priority. Journal of clinical nursing, 17(24), 3262-3268. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2702.2008.02636.xChallinor, J. M., Alqudimat, M. R., Teixeira, T. O., & Oldenmenger, W. H. (2020). Oncology nursing workforce: challenges, solutions, and future strategies. The Lancet Oncology, 21(12), e564-e574. https://www.sciencedirect.com/science/article/pii/S1470204520306057Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human resources for health, 18(1), 1-17. https://doi.org/10.1186/s12960-020-00469-9Deng, X., Liu, X., & Fang, R. (2020). Evaluation of the correlation between job stress and sleep quality in community nurses. Medicine, 99(4), 1-7. https://doi.org/10.1097%2FMD.0000000000018822Drennan, V. M., & Ross, F. (2019). Global nurse shortages: The facts, the impact, and action for change. British medical bulletin, 130(1), 25-37.

Fawaz, M. A., Hamdan-Mansour, A. M., & Tassi, A. (2018). Challenges facing nursing education in the advanced healthcare environment. International Journal of Africa nursing sciences, 9, 105-110. https://doi.org/10.1016/j.ijans.2018.10.005Ghafoor, Y., Yaqoob, M. A., Bilal, M. A., & Ghafoor, M. S. (2021). Impact of nurse shortage on patient care. Saudi J Nurs Heal Care, 4(4), 114-9. https://10.36348/sjnhc.2021.v04i04.003Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2020). Nurses experiences of ethical dilemmas: A review. Nursing ethics, 27(1), 258-272. https://doi.org/10.1177/0969733019832941Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175/Haegdorens, F., Van Bogaert, P., De Meester, K., & Monsieurs, K. G. (2019). The impact of nurse staffing levels and nurse’s education on patient mortality in medical and surgical wards: an observational multicentre study. BMC health services research, 19(1), 1-9. https://doi.org/10.1186/s12913-019-4688-7Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175/Holmberg, C., Caro, J., & Sobis, I. (2018). Job satisfaction among Swedish mental health nursing personnel: Revisiting the two‐factor theory. International journal of mental health nursing, 27(2), 581-592. https://www.researchgate.net/profile/Christopher-Holmberg/publication/315839805_Job_satisfaction_among_Swedish_mental_health_nursing_personnel_Revisiting_the_two-factor_theory/links/59e245eb458515393d57efca/Job-satisfaction-among-Swedish-mental-health-nursing-personnel-Revisiting-the-two-factor-theory.pdfJanatolmakan, M., & Khatony, A. (2022). Explaining the consequences of missed nursing care from the perspective of nurses: a qualitative descriptive study in Iran. BMC nursing, 21(1), 1-7. https://doi.org/10.1186/s12912-022-00839-9Liew, S. C., & Aung, T. (2021). Sleep deprivation and its association with diseases-a review. Sleep medicine, 77, 192-204. https://doi.org/10.1016/j.sleep.2020.07.048Lockhart, L. (2020). Strategies to reduce nursing turnover. Nursing Made Incredibly Easy, 18(2), 56.https://doi.org/10.1097/01.NME.0000653196.16629.2eManyisa, Z. M., & van Aswegen, E. J. (2017). Factors affecting working conditions in public hospitals: A literature review. International journal of Africa nursing sciences, 6, 28-38. https://reader.elsevier.com/reader/sd/pii/S2214139117300082?token=D0CC165AE5A35F826306E23E28CB281D82200AAFCC97C33F86A9FDD45EBDC8DBD687E104BD2018A858094210B8B55CDA&originRegion=eu-west-1&originCreation=20220824134123Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage–a prospect of global and local policies. International nursing review, 66(1), 9-16. https://doi.org/10.1111/inr.12473Mullen, P. R., Morris, C., & Lord, M. (2017). The experience of ethical dilemmas, burnout, and stress among practicing counselors. Counseling and Values, 62(1), 37-56. https://doi.org/10.1002/cvj.12048Shamsi, A., & Peyravi, H. (2020). Nursing shortage, a different challenge in Iran: A systematic review. Medical journal of the Islamic Republic of Iran, 34 (8), 1-9. https://doi.org/10.34171%2Fmjiri.34.8Stokes, F., & Iskander, R. (2021). Human rights and bioethical considerations of global nurse migration. Journal of bioethical inquiry, 18(3), 429-439. https://doi.org/10.1007%2Fs11673-021-10110-6

Nursing Shortage Resources

Nursing Shortage Resources

Nursing Shortage Resources

Nursing shortage is where the demand for nursing professionals exceeds their supply which can be in a given healthcare facility that is a local scenario or either nationally or globally. This can be measured through the number of job openings that calls high number of nurses that are working in the healthcare than the ones who are available or even the ration between nurses and population. This is a problem that has become rampant in both developing and developed countries all over the world. From the Second World War, hospitals in the U.S have had to deal with a cyclical shortage of nurses. The national supply of nurses cannot meet the high demand nationally. With this recurrent shortage in nurses in the U.S means that the quality of patient care will go down. This is a complex issue that is multifaceted and the causes are very many.

The shortage that has been observed recently is due to multiple factors that are cumulative this includes the population growth that has been observed recently and it is very steep. This means that the number of people in need of care from nurses is increasing at an alarming rate but the number of nurses is not increasing to meet the high population. The other cause of the shortage is a continuing diminishing number of new students who enroll into nursing. This means that the inflow of new nurses into the healthcare industry to replace the nurses who are retiring. A decline in the RN earning which is relative to other careers that are available is yet another reason. Nurses opt to switch to other careers that attract better pay and hence leave gaps in hospitals. An aging workforce is also another reason, just like other careers the nursing profession is affected by the aging population meaning that nurses continue to retire and with no fresh graduates to take up the positions of this retired nurses translates to an inevitable shortage. There is also the fact that there is an overall rise in the aging population which requires a lot of healthcare services. This calls for great attention that may even mean personal nurses meaning the patient nurse ration has be balanced. This however is not possible as the available nurses are few hence the nursing shortage. All this issues are taking place just when the job opportunities that are found within the healthcare industry are expanding at the same time a large number of nurses are retiring (KaiserEDU.org, 2012).

The issue of nursing shortage is a very serious one that needs to be looked into very urgently. The magnitude of the shortage can be seen for instance in 2002, it was estimated that the shortage of the estimated nurses was 125,000 which can be translated to 65% of the full-time equivalence. This shortage is expected to go higher by 2020 ranging from 400,000-808,000 due to the fact that there is a limited entry of new nurses into the profession. According to reports by American Health Care Association that was released in July 2008 shows that there are more than 19,400 opportunities in the nursing industry and at the same time additional 116,000 positions were open in 2007 according to the same association. This means that the total opportunities are 135,000 an approximate vacancy of 8.15%.this is a very high percentage meaning that the healthcare industry is seriously in need of nurses. It is also speculated that there are over 900,000 nurses that are aged above 50 years and are on their way to retirement, which means that a huge gap will be left with this nurses upon their retirement.

This means that the issue of nursing shortage has to be looked at if not then it means that there will be a negative impact on the patient outcomes which will eventually contribute to errors in the medical field. Furthermore a lower-nurse patient ratio that is in the surgical and medical teams means that there will be low mortality of patients. Therefore if the nursing shortage is not looked into it means that the patient mortality rate will go up and at the same time the low rates of nurse’s retention will lead to patients’ deaths that can be prevented.

Therefore there are strategies that can be implemented so as to deal with this issue; solutions should focus on increasing wages and recruitment of the nurses even if it means outsourcing from other countries such as Canada, Great Britain, India, African countries and so on. Focus should be on retaining the nurses who are currently in job positions and encouraging the people who left the nursing career to get back .the primary retention strategies are the improvement of their working conditions and enhance education and professional development (KaiserEDU.org, 2012).

These solutions require solutions require economic investments as well as contribution from the lay public. When addressing this issue there is requirement of efforts that aim to recruit as well as retain nurses and at the same time strengthen the capacity of nursing schools. These strategies call for the supply of educational facilities with ample faculty and funding, improvement of aid in terms of finances to students such as scholarship that target groups that are underrepresented like minorities and even men. Therefore many stakeholders as well as the government should invest financially in to ensure that these strategies are a reality. The lay public should be involved with these efforts since they are the ones who feel the impact of nursing shortage.

Reference

KaiserEDU.org. (2012).Nursing Workforce. Retrieved February 25, 2013 from http://www.kaiseredu.org/Issue-Modules/Nursing-Workforce/Background-Brief.aspx

Posted in Uncategorized

Nursing Shortage And Nurse Turnover

Nursing Shortage And Nurse Turnover

Nursing Shortage And Nurse Turnover

Introduction

The ongoing instability in the nursing workforce has raised many questions about the issue of nursing shortage and nurse turnover (Gates & Jones, 2007). A compressive paper below will discuss the issues of nursing shortage and nurse turnover. The paper will also describe how leaders as well as nurse managers and leaders can resolve those problems effectively and the different applicable principles, skills, roles of the leader, and theories of leadership and management.

There are various factors that are contributing to the current nursing shortage and turnover; some of the factors include poor nursing staff retention, poor working conditions, and nurse burn-out due to working short-staffed, a critical nursing faculty shortage, an aging nursing workforce and greater career choices for women.   Additionally, there is inadequate funding from the federal government for nursing education which in turn has created long waitlists and the turning away of applicants for entry.

According to Paller (2012), the nursing shortage in different countries for example the United States tends not to be the only growing problem, but has also become a complex one. Nursing shortage and nurse’s turnover has become the worsening predicament in the health care industry in the United States. Several studies carried out show that in 2020, the problem may get to worsen more than it is today if no measures are taken in resolving the problem.

For a proper functioning of the hospital facilities, each hospital must have their own managers and leaders who will be responsible of day to day of running activities in that organization. The future and the success of the hospitals can only be decided by the long term strategy that is implemented by the leaders and an overall management. Poor management and effective leadership in the hospitals usually put the life of people in danger. It is true that, when there are shortages in nurses, the nursing turnover rate will on the other hand increase this is because most employees prefer working in an environment where they are esteemed as well as less stress at the workplace (Gates & Jones, 2007). For that case, managers and leaders in the hospitals are placing greater emphasis on how to retain the current staffs instead of hiring new staffs given that workplace learning is essential to staffs and managers allowing managers to know how they can handle every individual in the workplace. Nurses are able to perform well and meet the organization goals if only they can see support from the leadership as well as management. Managers should understand their staffs and know what inspire them so as to stick on to their facility. According to Northeastern University, College of Business Administration (2012), provision of a good working environment with great opportunities for the professional growth and support on personal for the staffs encourages workers retention.

A good leader should ensure that they have a well established leadership skill by having a clear plan of what they should do and a vision, they should also have a good understanding on how the vision and plans should be achieved, however vision only cannot be sufficient enough. The managers should therefore share the vision with their subordinates and find ways of acting upon it as they should try to have excellent interpersonal formal as well as informal relationship skills in solving the problems. According to Wong (2003), effective communication between the managers and staffs in organization is significant since it allows the managers to perform their basic functions which involve planning, organizing, controlling as well as leading making them to perform their jobs and responsibilities. Similarly leaders and managers must communicate effectively with their staffs to achieve the set goals since the success of the organization may not be possible without proper communication.

The approach that best fits my personal and professional philosophy of nursing is the critical thinking. Critical thinking displays how an individual has an intellectual skills and ability towards a certain task assigned; it is also an approach that suits an individual personal leadership style. Nursing work requires proper critical thinking that enables one to apply skilful reasoning for guiding action. Critical thinking in nursing provides clinical decision making of systematic thinking which reflects reasoning process to be used so as to ensure safe nursing practices as well as quality care. According to Heaslip (2008), “Critical thinking when developed in the practitioner includes adherence to intellectual standards, proficiency in using reasoning, a commitment to develop and maintain intellectual traits of the mind and habits of thought and the competent use of thinking skills and abilities for sound clinical judgments and safe decision-making”.

The practitioners in nursing who happen to be critical in their thinking in most cases adhere to the intellectual standards given that they try very hard to strive for their clarity, a complete logicality and to be fair while they listen to their clients. Nurses should eliminate illogical thoughts by not being imprecise, unclear and vague when reasoning about the client care. Nurses who are critical thinkers tend to hold all their views as well as reasoning to these standards ( Heaslip, 2008). The approach of critical thinking in the philosophy of nursing suits my personal leadership skills in various ways, firstly it helps me explore the talents and skills that I have in attending to the clients and secondly it makes me achieve the goals set by the organization.

References

Paller, D. A. (2012). Rx for the Nursing Shortage. Gallup Business Journal. Retrieved November 6, 2012, from http://businessjournal.gallup.com/content/13603/nursing-shortage.aspx

Northeastern University, College of Business Administration. (2012). Northeastern University, College of Business Administration. Retrieved November 6, 2012, from web.archive.org/web/20080211140854/http://web.cba.neu.edu/~ewertheim/skills/writovv.htm

Gates, M., & Jones, C. B. (2007). The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. American Nurses Association. Retrieved November 7, 2012, from http://www.nursingworld.org/mainmenucategories/anamarketplace/anaperiodicals/ojin/tableofcontents/volume122007/no3sept07/nurseretention.aspx

Heaslip, P. (2008). Critical Thinking and Nursing. Critical Thinking. Retrieved November 7, 2012, from http://www.criticalthinking.org/pages/critical-thinking-and-nursing/834

Wong, A. S. (2003). Verbal Communication Model. Retrieved November 7, 2012, from http://www.vtaide.com/lifeskills/verbalC.htm

Posted in Uncategorized

Why I Chose to Pursue Nursing Degree

Why I Chose to Pursue Nursing Degree

Nursing Program Application Essay

Why I Chose to Pursue Nursing Degree

My desire to pursue a nursing degree stems from my inborn empathy, the need to be helpful to others, and a clear vision of what I can do to improve people’s well-being. From an incredibly tender age, I knew I wanted to be part of the medical professionals to render quality healthcare and touch many people’s lives globally. I want to pursue a nursing degree to develop myself and develop a set of skills for serving the patient population. I also want to become a nurse since this will mark the start of my long and successful career in serving in the most challenging and rewarding medical career that grows continually with its endless opportunities in practice. Also, with the increasing co-morbid conditions, there is an increased demand for disease prevention, health awareness, and promotion. I want to become a nurse and join the medical staff dealing with the same. I want to be remembered as one of the medical professionals who worked tirelessly and did their best to improve patient outcomes during these challenging times. I believe a nursing degree program will be a crucial underpinning to realizing my ambitions.

Furthermore, I want to pursue a nursing program since I want to take on the challenges that come with the nursing job. While I know nursing is a challenging career, I firmly believe I possess the ability to significantly contribute to the stability and success of healthcare institutions and patients by helping them during their vulnerable times. I am a passionate, compassionate, persistent, and emotionally stable individual. I believe these values will serve me incredibly well in the nursing profession. I also wish to become a nurse due to the amazing rewards of this profession. One of the enormous benefits of selecting nursing as a specialty is the wide range of occupations available under the various categories of the nursing profession.

Why I would Like to Participate in the Baptism Health Nurse Scholars Program (BHNSP)

I wish to participate in the BHNSP so as to partake in clinical experiences with Baptism Health facilities. This experience will improve my skills to serve the patient population better and improve the patient quality of life. Through the experience, I will learn skills such as the ability to monitor and recognize changes in patient signs and symptoms and intervene in emergent circumstances, differentiate between abnormal and normal physical conditions, insights into analyzing the situation, foreseeing pathophysiological problems, and detecting status changes. Also, participating in the BHNSP will allow me to improve my knowledge and skills in managing and caring for patients with critical health conditions. Furthermore, I wish to participate in the baptism health nurse scholars’ program to be able to access free tutoring and lectures each month. This will allow me to focus on a specific subject and gain experience with a different kind of learning to potentially gain new skills and reach new confidence levels. Lastly, I wish to participate in the BHNSP so as to secure an employment opportunity with the Baptist Health facilities to help me reach the lives of as many people as possible and achieve my career goal of positively impacting lives.

Posted in Uncategorized

Nursing Processes Assessment

Nursing Processes Assessment

Nursing Processes

Student’s Name

Institution

Nursing Process

Nurses use a scientific procedure called the nursing process to ensure patients get quality medical care (Capernito, 2005). The process entails a five-step progression as discussed below.

Assessment

A dynamic and systematic way is used in this phase during collection of data regarding the patient. The data collected from the patient analyzes the spiritual, psychological, sociological and physiological position of the patient (Gardner, 2003).The data collection has several steps to be followed. Such are interviews, finding out a lot of the history of the patient and history of the family of the patient, examination and observation of the patient generally. This helps determine both the manifestation and the physical causes of the patient’s disease. The interaction of the patient with a nurse will assist the nurse know what the patient suffers from. Such manifestations will be portrayed through lack of eating due to loss of appetite, withdrawal from both the staff and family members (Gardner, 2003).

Diagnosis

The second phase entails an agreement between the patient and a nurse to conduct a judgment that is clinical on the health condition of the patient. Reflection of the diagnosis on a patient will show all the sufferings a patient goes through. For instance, all causes of pain that arises as a result of pain (Gardner, 2003). Such may include family conflicts, nutrition that is poor and anxiety. Improvements in health and any kind of syndrome development are assessed through diagnosis (Gardner, 2003).

Intervention

It involves implementing the plan in the nursing care that will help reduce the effect of illness the patient has (Capernito, 2005). Intervention may be in the form of medication or treatment or physical therapy in support of the patient. It is more of counseling to a patient that is on a short term basis that will help the patient be in the state he was in before the casualty. Nurses perform intervention treatment to help patients reach the medical set goals that would aid in their quick recovery.It is for a nurse to have the knowledge of the procedure that is best for the patient to recover. A nurse educates a patient on the importance and side effects of not taking the medication. Nursing intervention is classified into three categories that include dependence, interdependence, and independence (Gardner, 2003).

Planning

A plan of action is developed ones the patient and the nurse reach an agreement when the diagnosis process is complete (Capernito, 2005). Achievable and measurable long term and short term objectives are set by the nurse. The patient moves from always sleeping on a bed to sitting in a chair and also having a walk. He might start eating much frequently than before. Classification of Nursing Outcome is always used in this phase by nurses to assess the progress of the patient. Terms that are standardized and a set of measurements are relied on to check on the patient’s health progress (Gardner, 2003).

Outcome

The result phase is all about the effects of the nursing process. The patient’s health status is evaluated as per the indications of the day by day progress. Outcomes for a patient are always documented so as to follow a patient in some stipulated period of time. It is always based on the intervention of the nursing process and developed to be used in any kind of an environment setting. Basically, patient’s health status is described in the outcome process. Moreover, their usefulness is relevant in other disciplines during the evaluation process (Capernito, 2005).

Allie’s Pre-Surgery Preparation

The nurse must ensure that Allie understands the importance and the process of operation as it is key to the role of nursing. This will help Allie get prepared both psychologically and to assist reduce anxiety as he gets ready for the surgery process (Capernito, 2005).

A band for identity will be placed on Allie’s arm with information printed on it as per the requirement by the National Patient safety Agency. All the assessments pertaining to risk are indicated as required by the local policy. The nurse will record Allie’s health status such as blood pressure, content of the glucose in the blood, his respiration among others.

A definitive observation unit is where patients are moved to from care (Capernito, 2005). It entails highly trained nurses and medical staff with medical facilities to provide intensive care to patients who are extremely sick.

The nurse would console Allie and her parent by offering counseling to them to minimize the anxiety and give them some hope. He will as well tell them after surgery effects and duration expected for recovery (Gardner, 2003).

The nurse will use his knowledge and thinking ability to assess Allie’s recovery process. Both the oral and physical therapy will be given to the patient to help her recover speedy. Allie should be told the importance and side effects of medication and how long she will be under medication. Her parents are the best advisors to be by her side during this difficult time (Gardner, 2003).

To prevent boredom, ones Allie is on the right track to recovery, lots of bed rest will be useless. As a matter of fact, lots of physical therapies will help her health status improve. Walking around and stories of encouragement will be vital to her recovery (Capernito, 2005).

Taking of Allie’s photos by the nurse during her admission and after she is discharged would be an encouragement to Allie and her parents. Gifts to early and always checking on her progress will be a positive recovery impact on Allie’s family.

References

Carpenito-Moyet, . (n.d.). Nursing process made easy. Lippincott Williams & wilkins, 2005.

Gardner, P. (2003). Nursing process in action. Australia: Thomson, Delmar Learning

Posted in Uncategorized

NURSING PROCESS TEMPLATE

NURSING PROCESS TEMPLATE

NURSING PROCESS TEMPLATE:

Assessment (Recognizing Cues)

Which patient information is relevant? What patient data is most important? Which patient information is of immediate concern? Consider signs and symptoms, lab work, patient statements, H & P, and others. Consider subjective and objective data.

47456318800

Analysis (Analyzing Cues)

Which patient conditions are consistent with the cues? Do the cues support a particular patient condition? What cues are a cause for concern? What other information would help to establish the significance of a cue?

-38827046100

Analysis (Prioritizing Hypotheses)

What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care?

47456444700

Planning (Generate Solutions)

What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted- Goal setting)

47458364000

Implementation (Take actions)

How should the intervention or combination of interventions be performed, requested, communicated, taught, etc.? What are the priority interventions? (Mark with asterisk)

47455973800

Evaluation (Evaluating Outcomes)

What signs point to improving/declining/unchanged status? What interventions were effective? Are there other interventions that could be more effective? Did the patient’s care outlook or status improve?

47456201400

CONCEPT MAP TEMPLATE:

Recognizing Cues, (S&S)Disease Process/Pathophysiology/Risk Factors

350202510186400428091017080034333134176500-25879245130

68694319016900301752056922

199263048524

34333132241191.

2.

3.

001.

2.

3.

Analyzing Cues/ConcernsPrioritizing Hypotheses

37266119365700left35980Supporting

Concerning

00Supporting

Concerning

862641066300

307100444809

94615989600

2941224458900

37266123067890034290002421991.

2.

3.

4.

5.

001.

2.

3.

4.

5.

Generate Solutions/Outcomes/Interventions Taking Action – (How To)SMART Planning

2760457651200left338711.

2.

3.

4.

5.

001.

2.

3.

4.

5.

3053344106045

409754735476

left1848331.

2.

3.

4.

5.

001.

2.

3.

4.

5.

Evaluating Outcomes

2932987269000

Posted in Uncategorized

Nursing paper

Nursing paper

Nursing paper

Student’s name

Affiliation

Course

Date

Introduction

There are various fields of medicine that provide different types of nursing. In this course I choose to be an (ER) Emergency Room nurse that provides first care and assesses patients before they are admitted with different conditions.

An ER Nurses provides emergency first aid care to patients in diversity. The Nurse needs to have dedication and commitment to help patients and families. Mostly the patients will in shock, confusion, disorientation and some unconscious. The nurse has to work at close with the doctor as well as with the health care professionals in order to advocate and serve families and patients. The nurse aims at dealing with the person who may be the patient, the families and friends to feel they are cared for. The nurse nurtures the patient and empowers them to manage their health. As an ER one is responsible to administer medication, track critical signs and keep family members informed as well as assist the doctors while doing the ER process. Those Patients found to having serious or life threatening conditions will need more attention so one has to be in a position to realize in time. It is crucial to note that the term health and wellness is a relative term when it comes to assessing a patient’s health. The nurse differentiates a patient with critical conditions from minor injuries. The nurse defines a person’s health thus the patient’s genetic factors, emotional, spiritual and intellectual wellness. As an ER nurse one deals with biological, psychosocial and cultural needs of a patient to provide an environment that impacts the patient’s illness and recovery. It is crucial for a patient to be in an environment that promotes his recovery. An ER nurse makes differences in a patient’s life through provision of hand care and assistance to bring about a healthy life. As an Emergency room nurse one works at flexible hours, mostly on weekends and at night. In addition one should always be ready to perform with perfection even under stressful conditions.

Conclusion

ER nursing is a very rewarding career that gives nurses the opportunity to employ what they learn in school and also advance their career. An ER should always have the right character traits of caring, listening, empathetic, organizing, helping, thinking, leading and having great communication skills. When done appropriately, the ER nurse is certain she/he is providing the best care.

Posted in Uncategorized