Nurse to Patient Ratios Fixed to Reduce Nurse Burnout and Turnover Dear Assemblywoman Solages,
Senate Bill S1032 addresses the nurse-to-patient ration in New York by mandating that a “safe staffing for quality care” standard be defined and implemented for nurse practitioners (NPs) in the state. Specifically, the legislation if passed would “require acute care facilities and nursing homes to implement certain direct-care nurse to patient ratios in all nursing units; sets minimum staffing requirements; requires every such facility to submit a documented staffing plan to the department on an annual basis and upon application for an operating certificate” (Senate Bill S1032, 2020). This is an important bill because it ensures both that patients are adequately provided for and that nurses are not overworked or pushed towards burnout. Considering how high the turnover rate is in the nursing field, it is about time that our legislators address the issue of patient safety and…...

mla

References

Livanos, N. (2018). A broadening coalition: Patient safety enters the Nurse-to-Patient ratio debate. Journal of Nursing Regulation, 9(1), 68-70.

McHugh, M. D., Aiken, L. H., Windsor, C., Douglas, C., & Yates, P. (2020). Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study. BMJ open, 10(9), e036264.

Senate Bill S1032. (2020). Retrieved from  

Shin, S., Park, J. H., & Bae, S. H. (2018). Nurse staffing and nurse outcomes: A systematic review and meta-analysis. Nursing Outlook, 66(3), 273-282.

https://www.nysenate.gov/legislation/bills/2019/s1032 

Nursing Shortage
eview On Nurses Shortage

The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute, of the…...

mla

References

American Association of Colleges of Nursing. (2009, September, 28). Nursing Shortage Fact Sheet. USA: AACN.

Buerhaus, P.I., Staiger, D., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett Publishers.

Blakeley, J., & Ribeiro, V. (2008). Early Retirement among Registered Nurses: Contributing Factors. Journal of Nursing Management, 16(1), 29 -- 37

Cummings, G., et al. (2008). The Relationship between Nursing Leadership and Nurses' Job Satisfaction in Canadian Oncology Work Environments. Journal of Nursing Management, 16(5), 508 -- 518.

Introduction
What causes staffing shortages in the field of nursing? Staffing shortages can be the result of many variables—turnover, unmet demand for services due to a lack of RNs, overwork (nurses calling in sick), and so on. Buchan (2002) identified the problem of staffing shortages in nursing as having an underlying cause in the nature of the health system itself as well as a social one: “Nursing in many countries continues to be undervalued as women’s work, and nurses are given only limited access to resources to make them effective in their jobs and careers” (p. 751). This is especially true in countries like Saudi Arabia, where nursing is viewed as woman’s work but is not valued highly by society—though it is recognized as being highly needed (Alyami & Watson, 2014). To address the issue of staffing shortages, the Institute of Medicine (IOM, 2012) has called for more nurses to achieve…...

The Growing Crisis of Nursing Shortages
Nursing shortages have become a pressing concern in healthcare systems worldwide, affecting the quality of patient care and putting additional strain on an already overburdened healthcare workforce. The shortage of registered nurses is a complex issue with far-reaching implications for both healthcare providers and patients.

There are several factors contributing to the ongoing nursing shortage. One of the primary causes is the aging population of registered nurses, many of whom are reaching retirement age and leaving the workforce. This, combined with an increasing demand for healthcare services due to population growth and aging, has created a significant gap in the number of nurses available to meet the needs of patients.

Another factor exacerbating the nursing shortage is the lack of qualified nursing faculty to educate the next generation of nurses. Many nursing schools are unable to accept all qualified applicants due to inadequate resources, such as faculty…...

mla

Primary Sources

Survey data collected from nurses by the American Nurses Association (ANA) regarding current nursing staffing levels and job satisfaction.

American Nurses Association. \"2022 National Nursing Workforce Survey.\" American Nurses Association, 2022.

Testimony from a hospital administrator addressing a U.S. congressional committee on health regarding the impact of nursing shortages on patient care.

Smith, John A. \"Testimony Before the U.S. Senate Committee on Health, Education, Labor, and Pensions.\" U.S. Senate, 24 Mar. 2022.

Internal report from a healthcare facility detailing turnover rates, causes for leaving, and measures taken to retain nursing staff.

Nursing Staff Levels Affect Patient Mortality
Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

Litvak, E., Buerhaus, P.I., Davidoff, F., Long, M.C., McManus, M.L. & Berwick, D.M.

Date of publication: June 2005

Examination of the operational issues affecting health care delivery, including patient driven peaks in demand and effects of nursing shortages or inadequate staffing on clinical outcomes for patients.

esearch question and/or hypothesis:

In this study the researchers propose that increases in adverse clinical outcomes occur when hospital nurse staffing is inadequate. Further the researchers suggest that increases in census rates increase the potential for serious stresses for patients and nurses working in the field. Lastly the researchers suggest that if hospitals reduce unnecessary variability of staff levels in a hospital, the hospital can reduce the probability of negative patient outcomes, improve safety for patients and improve the overall quality of care.

Sample and Sample Size:

In this study the…...

mla

References:

Aikan, L.H., Clarke, S.P., Sloane, D.M, Sochalski, J. & Silber, J.H. (2002 -- Oct).

"Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction." JAMA, 288(16): 1987-93.

Halm, M., Peterson, M., Kandels, M., Sabo, J., Blalock, M., Braden, R., Gryczman, A.,

Krisko-Hagel, K., Larson, D., Lemay, D., Sisler, B., Strom, L., Topham, D. (2005 -- Sept). "Hospital nurse staffing and patient mortality, emotional exhaustion and job dissatisfaction." Clin Nurse Spec, 19(5): 241-5.

Abstract Globally, a nursing shortage is impeding the advancement of healthcare systems around the world. The nursing shortage refers to any situation in which the labor market cannot keep up with patient demands. Causes of the nursing shortage include poor working conditions leading to high turnover rates, insufficient nursing education programs, and lack of incentives for nurses to work in areas of critical concern. Effects of the nursing shortage include further staff shortages due to high stress environments and poor patient care—including higher rates of mortality and morbidity. Nursing shortages have affected almost every region of the world, and may become worse unless concerted efforts are made to remedy the problem. 
Introduction
Even the most advanced healthcare systems in the world are short on nursing staff. As a result, existing nurses are working longer hours under high duress, and are more prone to making errors or experiencing workplace violence and abuse. Patients are…...

Leadership and Management
Nursing Issue: Nursing Shortage and Turnover

Nursing shortage and nursing turnover is a key contemporary issue that has an adverse impact on nursing with respect to health care delivery to patients. Owing to the increase in the number of baby boomers retiring, there is a major strain on the healthcare system due to their several medical health needs (Peterson, 2001). In addition to the deteriorating nurse shortage is the shortage of other staff comprising different associated health professionals, administrators, and support workforce. The shortage of other staff is unfavorably influencing nurses who have the most incessant and closest association with patients and their households (Peterson, 2001). What is more, current reforms have augmented accessibility to healthcare, which has instigated an even greater need for nurses. This issue of insufficient staffing gives rise to greater stress levels and considerable workloads. In turn, this leads to nurse turnover, with more…...

mla

References

American Sentinel University. (2014). What's the Difference Between a Nurse Manager & Nurse Leader? The Sentinel Watch Nursing. Retrieved from:  http://www.americansentinel.edu/blog/2014/09/12/leadership-management-in-nursing-what%E2%80%99s-the-difference/ 

Andrews, D. R., & Dziegielewski, S. F. (2005). The nurse manager: job satisfaction, the nursing shortage and retention. Journal of Nursing Management, 13(4), 286-295. doi:10.1111/j.1365-2934.2005.00567.x

Bass, B. M. (1991). From transactional to transformational leadership: Learning to share the vision. Organizational dynamics, 18(3), 19-31.

Cox, P., Willis, W. K., & Coustasse, A. (2014). The American Epidemic: The U.S. Nursing Shortage and Turnover Problem. Marshall Digital Scholar.

Scarce Resources
Nursing shortage basically means the demand for nursing professionals exceeds the professional nurses, this can be in a given healthcare facility, nationally or globally. his can be measured through the number of job openings demanding high number of nurses than the ones who are available or even the disproportionate ration between qualified nurses practicing and population. his is a rampant challenge 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. he 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 by and large continue declinig. his is a complex issue that is multifaceted and the causes are very many.

he shortage that has been observed recently is due to multiple cumulative factors…...

mla

These solutions require economic investments as well as contribution from the public. When addressing this issue there is need 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 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, and it is through them that the civil sensitization mobilization of more of our citizens to enroll for the nursing courses can be achieved. The lay public must also be involved since they are the ones who own the basic, community focused solutions at the grassroots that can be converted to policies and implemented to the betterment of the healthcare.

Reference

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

First, nursing schools must be able to compete with clinical employers because there is little incentive to pursue a teaching career when first-year nurses can earn as much as their professors. Second, it will likely be impossible to eliminate the nursing shortage as long as American nursing schools are unable to accommodate thousands of qualified students annually. Finally, because FENs are likely to continue playing such a large role in American nursing, the accreditation system of their institutions or their degrees must be adjusted to ensure that FENs who intend to practice in the U.S. are fully prepared for their careers and not just trained in the technical aspects of nursing. Ultimately, the U.S. nursing shortage is probably capable of reversal, but not without a concerted effort in at least those specific areas.
ibliography

Albaugh JA. "Resolving the nursing shortage: legislative issues." Urologic Nursing

(June 1, 2004). Accessed January 27, 2010 from:

http://www.highbeam.com/doc/1G1-119081992.html

Gordon…...

mla

Bibliography

Albaugh JA. "Resolving the nursing shortage: legislative issues." Urologic Nursing

(June 1, 2004). Accessed January 27, 2010 from:

 http://www.highbeam.com/doc/1G1-119081992.html 

Gordon S., Buchanan J., and Bretherton, T. (2008). Safety in Numbers: Nurse-to-Patient

Clinical Problems:
Coping With the Nursing Shortage

Like many healthcare institutions, Nightingale Home Care Inc., in La Mesa, CA is suffering from a severe staffing shortage. The nursing shortage has been a persistent problem within the profession for many years due to what has been called a perfect storm of circumstances. First, the aging of the population as a whole has increased the demand and need for more nurses. People are living longer yet require more assistance from the healthcare profession to navigate the problems of aging. Chronic diseases such as heart disease, diabetes, and osteoarthritis are likewise on the rise in the elderly population and this requires continued monitoring and support. Secondly, the current population of Ns is itself aging and leaving the profession for retirement. A third, concurrent problem is that nursing schools lack sufficient faculty to admit and teach even all qualified candidates who do wish to become…...

mla

References

Robeznieks, A. (2015). Looming nursing shortage fueled by faculty shortfall. Modern Healthcare. Retrieved from:  http://www.modernhealthcare.com/article/20150124/MAGAZINE/301249971 

Rosseter, R. (2014). Nursing shortage. AACN. Retrieved from:

 http://www.aacn.nche.edu/media-relations/fact-sheets/nursing-shortage 

Wood, D. (2008). Hospitals offer big incentives to attract nurses. Nursing News. Retrieved from:

Leadership and Management of Nursing Shortage and Nurse Turn-Over
Several research scholars have stressed the significance of effective healthcare leadership, and leadership by nurses is critical to this, since nurses constitute the largest healthcare worker group. For more effective nurse recruitment, hospital leadership should support the profession of nursing. It is vital for them to recognize their most capable nurse managers and nurses, and place them within communities for attracting individuals possessing similar traits into the profession. Furthermore, hospital leaders must team up with colleges/universities and secondary schools for picking out students who possess the traits needed for thriving despite challenges accompanying slow improvements to the healthcare sector. World-class hospitals or healthcare facilities do not simply sit back waiting for potential nurse candidates to find recruiting organizations (Curtis, de Vries & Sheerin, 2011).

One way of addressing this issue may be for a healthcare employer to offer a school/college with clinical faculty,…...

mla

References

Bowles A. & Bowles N. B (2000). A comparative study of transformational leadership in nursing development units and conventional clinical settings. J Nurs Manag 8(2): 69-76

Curtis, E. A., de Vries, J., & Sheerin, F. K. (2011). Developing leadership in nursing: exploring core factors. British Journal of Nursing, 20(5), 306.

Hughes R. L, Ginnett R. C, Curphy G. J (2006) Leadership: Enhancing the Lessons of Experience. 5th edn. McGraw Hill, Boston.

Marquis B. L. & Huston C. J. (2009) Leadership Roles and Management Functions in Nursing: Theory and Application. 6th edn. Wolters/Kluwer/Lippincott Williams and Wilkins, Philadelphia.

Action for Nurse Shortage in a Clinic and Timeline
Strategizing to Alleviate Nurse Shortage

Traditionally-reported employment data is misleading and ineffective in measuring the healthcare sector's actual state. Studies reveal that standard nursing demand, supply and need dynamics have undergone change, owing to healthcare delivery system variations, reimbursement of Medicaid and Medicare, and local and regional cultures and practices. Care delivery method, location, and mode of payment for services are areas that have a direct effect on nursing service necessity. Furthermore, progressive aging of the population in general and the increased need for chronic illness management indicates a growth in general need for the services of nursing professionals. The present, aging nursing workforce and a drop in the number of professionals within the field's 'academic' subfield, suggests that the dearth in nursing personnel will only turn more serious with time. According to the NCSN (National Council of State oards of Nursing),…...

mla

Bibliography

Drake, S., Pawlowaski, U., & Riley, V. (2013). Developing an effective healthcare workforce planning model. American Hospitals Association.

Lewin's Change Management Model. (n.d.). Retrieved from Mind Tools:  https://www.mindtools.com 

Strategies to Reverse The New Nursing Shortage. (2016, July 24). Retrieved from American Nurses Association:  http://nursingworld.org/

Demand vs. Supply
Supply vs. Demand: Nursing Shortage

The shortage of nurses in this country is caused by a simple economic principle -- supply and demand. riefly, the demand for skilled registered nurses is greater than the supply. This may sound simple, but in reality there are many factors that contribute to the nursing shortage in today's health care industry.

Statistics from The National Council of State oards of Nursing tells us that there has actually been an increase in the number of trained nurses over the past ten years. In 2000, there were 71,475 newly certified nurses. In 2005 there were 99,187. In 2010, there were 134,708 newly certified nurses. This is a 9.8% increase during the past decade. And the demand for nurses is actually expected to be lower than the amount of nurses being newly certified. According to the U.S. ureau of Labor Statistics, the annual growth rate for nursing…...

mla

Bibliography

Dunham, Will. (March 8, 2009) U.S. Healthcare System Pinched by Nursing Shortage. Reuters.com. Retrieved on April 2, 2011 from   / 2009/03/08/us-usa-nurses-idUSTRE5270VC20090308.http://www.reuters.com/article 

Hopkins, Mary Elizabeth. (March 12, 2001) Critical Condition. Nurseweek.com. Retrieved on April 2, 2011 from http://www.nurseweek.com/news/features/01-03/shortage.asp

Wikipedia. (April 2, 2011) Nursing Shortage. Wikipedia.com. Retrieved on April 2, 2011 from  http://en.wikipedia.org/wiki/Nursing_shortage 

Fagin, Claire; Maraldo, Pam; Mason, Diana. (October 18, 2007) Q&A: What Is the Nursing Shortage and Why Does It Exist? Nursing Advocacy. Retrieved on April 2, 2011 from  http://www.nursingadvocacy.org/faq/nursing_shortage.html

The comparatively simplistic provider to patient ratios and demand-based estimates cannot accurately predict need; therefore, inefficiencies in the health care system will remain. By comparison, the needs-based model provides at least the possibility of addressing most inefficiencies. This model stands out because it is essentially an iterative model that incorporates 'need' and supply data as it becomes available. Although not perfect, the model is flexible enough that it can be adjusted to include additional parameters and data to minimize the impact of unexpected developments, such as a major weather event or a severe economic downturn. Increasing the predictive accuracy of the model is also straightforward and would depend on investing into data collection efforts. As the authors discuss, the main limitation is the quality of data available; however, patient to provider ratios or demand-based models are still inferior by comparison.
A common approach used for validating predictive models such as…...

mla

References

Murphy, Gail Tomblin, Birch, Stephen, MacKenzie, Adrian, Alder, Rob, Lethbridge, Lynn, and Little, Lisa. Eliminating the shortage of registered nurses in Canada: An exercise in applied needs-based planning. Health Policy, 105, 192-202.

Leadership and Management
The issue at hand is nursing turnover and nursing shortage. There are many areas of the country where there are chronic nursing shortages. Using a situation like this can be an effective means of illustrating the differences between management and leadership. A manager is seen as someone who is mainly an administrator -- someone who allocates resources in the organization. Leadership relates specifically to the human elements, such as motivation, engagement, vision, organizational culture and buy-in. In essence, where management is a function, leadership pertains to relationships (Maccoby, 2000). Thus, both management and leadership can provide responses to the problems of nurse shortage and turnover, but those approaches will differ from one another, differences relating to the differences between management and leadership.

A manager will look to resource-based strategies for dealing with the issue. A manager can, for example, improve the capability of the organization to attract and…...

mla

References

Laschinger, H. & Finegan, J.(2005). Using empowerment to build trust and respect in the workplace: A strategy for addressing the nursing shortage. Nursing Economics. Vol. 23 (1) 6-13.

Maccoby, M. (2000). Understanding the difference between management and leadership. Research Technology Management. Vol. 43 (1) 57-59.

Nevidjon, B. & Erickson, J. (2001) The nursing shortage: Solutions for the short- and long-term. Online Journal of Issues in Nursing. Vol. 6 (1) 4.

1. The impact of technology on the nursing profession
2. The role of emotional intelligence in nursing practice
3. The importance of evidence-based practice in nursing
4. The ethical dilemmas faced by nurses in healthcare settings
5. The challenges of caring for elderly patients in nursing homes
6. The role of cultural competency in providing nursing care
7. The impact of nursing shortages on patient care
8. The importance of effective communication in nursing practice
9. The role of nursing leadership in improving patient outcomes
10. The benefits of interdisciplinary collaboration in healthcare settings.
11. The role of nursing education in shaping the future of....