Challenges that Occur in the Health Care Scene: Contemporary Trends
Cynthia McCrary
HCA459: Senior Project
Instructor: Kristin Akerele
Date: April 1, 2016
I. Introduction
The field of nursing health care is one of the most important things in any given community set up. In the current world, health care sector is under reform simply because there is a wide range of challenges as well as problems that face this industry. Recruitment and retention are the main areas that for long have been affected by different challenges. In the field of nursing health care, retention and recruitment are two things that go together. Administrators in health care field have faced challenges in managing these two aspects. Healthcare system has been unable to retain service providers which are a great risk to those in need of health services. On the other hand, recruitment of employee has turned to be a great challenge simply because of selection criteria and the level of qualification of the employees. This study will look at the challenges of employee recruitment and retention of health care
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This is a great challenge that healthcare organization has been unable to handle. Nursing health care field gives employees a lot of work that they are unable to handle. On top of the level of work employee are given, they are given unsatisfactory salaries. Nursing opt to go and work for other departments where they will get high pays as compared to what they get in nursing health care. Another issue readers will learn is the challenges of staff turnovers for example Health organization has a great challenge in the current staff turnover. The high level of staff turnover gives organization extra cost. Organizations incur great costs in recruiting employees. Since there is a high rate of staff turnover, organizations are required to hire new
Article Analysis: The Nursing Shortage Nursing shortages have occurred in health care throughout history, and especially since World War II. Just as the legion of baby boomers is about to swell the need for quality health care, America's nursing population is aging and more nurses are moving into primary care settings and into other disciplines. As a result, America's hospitals and other institutions need more nurses, especially those who deliver specialized care. As a healthcare provider and businessman this topic is of a special interest to me because nursing shortage have caused my business to loose million of dollars in the past five years.
Thus, sufficient numbers of nurse to patient ratio are most likely to intercept and prevent errors (Mrayyan & Hamaideh, 2014). On top of this there is a great impact on the existing nurses as they are burden with more work, stress, fatigue, and overloaded. These are all the contributing factors that would lead to job dissatisfactions. The outcome of shortage of nurses will cause the demand of nurses outweigh the supplies. The researcher believes that, this study would give a helping hand to hospital organization and the managers to have a better insight in directing their resources to keep the workforce more stable after understanding and acknowledging the positive and negative effect of nurse retention.
Healthcare nursing as a profession comprises of a big and various groups of people who have gone through different levels of trainings and education in the United States. This has created a great impact in the US in the sense that not all nurses have had to meet the qualifications needed so as to work in the hospitals. Therefore the few who have managed to work in those hospitals are the ones who are believed to have met the demand of being degree holders. Since this educational level that is met by only few nurses, it has created the issue of shortage of nurses in the hospital and in the long run they work for more hours. Since the Second World War, many hospitals in America have been forced to cope with recurring shortage of nursing.
Presently, similarities and differences are found when comparing sources that document the importance of finding a solution for the nurse faculty shortage. Most sources do share a similar idea that both retention and recruitment of faculty members contribute to the shortage. According to Nardi and Gyurko (2013), focusing efforts on recruitment and retention is key in building the power of the nursing professions’ education structure from a worldwide perspective. Schoening (2013) documented the importance of recruitment and retention practices when addressing the shortage of nursing faculty. Furthermore, Schoening (2013), Tourangeau et al. (2014), Berent and Anderko (2011), Candela, Gutierrez, and
Besides these, healthcare organizations take advantage of hiring less experienced nurses as they can pay them low salaries, which can lead to the weaker nursing team as they are not skilled enough to take different roles (Moss&Good, 2016). Similarly, hiring nurses on a casual basis or short-term contracts is another strategy of saving money by the companies that leads to low-quality care services as the employees do not feel that they belong to the company and may not work their best. The lacking of adequate supplies and appropriate equipment provided by the healthcare organization creates more work and pressure for nurses and do not allow them to present their best care quality. Low staffing, extra workload and emotional exhaustion faced by nurses have developed extreme frustration and guilt among them (Moss&Good, 2016). The burnt out and tired nurses don’t feel appreciated and take too many sick days which makes the situation even worse. It seems changing the system is hard and the management cannot recognize that something isn’t working well because of not all the nurses willing to speak up about the failure of the system. They are in fear of losing their job or do not feel supported enough by their nursing
The U.S. Bureau of Labor Statistics' Employment Projections 2010-2020 published in February 2012 indicated that registered nurses are the top occupation with respect to job growth through 2020 (Nursing shortage, 2012). These projections also indicated that the number of active nurses will increase from 2.74 million in 2010 to 3.45 million in 2020, representing a 26% increase of 712,000 nurses; however, these projections also highlight the fact that there will be another 500,000 replacements needed during this period, meaning that demand for registered nurses will continue to outpace supply through the year 2020 (Nursing shortage, 2012). The results of a series of surveys conducted by the American Hospital Association, the Association of American Medical Colleges, the Federation of American Hospitals, and the National Association of Public Hospitals and Health Systems show that more than half (60%) of all tertiary healthcare facilities in the United States have experiencing increasing registered nurse vacancy rates since 1999 (Velez & Strom, 2012).
The largest and one of the most important areas in the healthcare field is our nurses, yet everyday many are subjected to unfair working conditions such as excessive working hours, low wages, and lack of support from within an organization. This ultimately results in many of those in the nursing field seeking employment in other organizations, or switching career fields all together. This can result in a lack of nurses, which not only puts the patient at risk, it can also reflect negatively on an organization as a whole.
The growing of turnover rate among Saudi nurses threatens the quality of care provided to patients and the health care organizations productivity. The government spends their financial resources in equipping vacant positions by increasing nursing colleges and recruitment expatriate nurses as solutions for this issue. However, The Minister of Health does not pay attention to main cause of the turnover that is lack of qualified leaders and managers. Poor of the healthcare system management creates unhealthy work place environment where decreases their willingness and effectiveness. The lowering of nursing retention puts pressure on nurses who are on the position, which leads to work overload, burnout, decrease moral and finally more turnover.
There a number of challenges that impact on nursing staff in the 21st century. Firstly, this includes how population growth has led to instances where nursing staff and patient ratios have become uneven. Secondly, how an increasing aging population affects the staff. Thirdly, how medical funding has changed over the generation mainly due to more of the population leaving the workforce. Fourthly, how security in the work place has become an increased issue. Lastly, the need to have increased skills in the form of training required to become nurses. The research that I have conducted and the interview that I undertook with a current nurse has provided a clear understanding of the challenges nursing staff face at their workplace now and into the future.
A rural area in Ontario in Glanbrook, Hamilton is experiencing healthcare issues. It has a low population of 15,293 as of 2006. Providing healthcare to Glanbrook is really difficult because they have a really low population, lacking in resources such as workers, infrastructure, poor roads, fewer roads, transportation, accessibility, etc. Glanbrook is an example of a rural area that the government is having trouble providing healthcare services to.
What I think are the biggest challenges facing health care systems in terms of cost, quality, and access? I believe that there are a lot of challenges facing health care having to do with access and cost. Most hospitals you do not find in low populated towns. They are found where its highly populated and there is a great amount of money in the area to run a hospital. In my town there is not a hospital for 20 miles in either direction. If a person decides to go to one of these they are very small with limited staff and very ran down and dirty. They have bad reputations stating that they do not give proper care to their patients and just do not have the medical funds to run the hospital correctly. Where I am from the closest hospitals with the
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
Nursing deficiencies can prompt employment burnout, push, and can likewise jeopardize patients, one of the studies specifies "that nurse should be assigned out to every patient, the patient has a 7% improve in the probability of death within 30 days of admission and a 7% expansion of inability to protect" (Mensik, 2014). This paper shows the issue on the nursing lack and turnover among medical caretakers. It will particularly show what author expects nurse manager and leadership to manage this issue. The methods of reasoning of these desires depend on standards, theories, roles, and abilities of leaders versus directors.
For many decades, the nursing field has been experiencing numerous problems and amongst them is high nursing turnover and nursing shortage. Without a doubt, this problem is not unique to just a few countries, but has been affecting the entire world, bearing in mind that new diseases are cropping up day in day out and hence the need to have more nurses attending to the ever increasing number of patients. As Feldman (2010) clearly explains, the issue of nursing shortage is largely attributed by the high level of nurse turnover. This means that whenever a health care organization advertises for vacancies and recruits the required number of nurses, the problem of the nursing shortage is still imminent if no measures will be put in
Health care costs in America have been on the rise for quite some time. Majority of employees obtain some level of health care insurance through their employees. Despite 15.7% of the U.S. population not having any source of health care, accessibility and accessibility continues to rise due to soaring health care costs (Cole & McCullough, 2006). Private sector company’s, such as GMFC, are faced with making harsh financial decisions on benefits impacting their employees.