Role of Nurse Leader and Nurse Manager in Nursing Shortage and Turn-over
During the recent years, the American Healthcare system is struggling with the issue of the nursing shortage and turnover. There are many rationales and reasons for this issue and the writer will discuss some of them in this paper. Nursing shortage and turnover remarkably influenced on the provision of the services by the health care provider, the financial burden on the healthcare facility and also a stressful working environment for the nurses. Also, the writer will discuss and evaluate this issue by evaluating numerous leadership and management theories and their roles. In addition to it, will also share a personal and professional philosophy of nursing associated with this issue.
Major reasons for nursing shortage and turn-over
A report, published by United State General Accounting Office mentioned that the health care system and a long-term system heavily depend on the nursing services. It also mentioned that the extreme shortage of nurses is expected in the near future because of the baby-boomers are reaching the age of 60’s and 70’s (GAO, 2001) and due to their age-related complications, they need more assistance for hospitals, long-term services, and home health care. On the contrary, The National Council of State Boards of Nursing indicated that 55% of the Registered Nurse workforce are around the age of 50 and older. Also, the Health Resource and Services Administration predicts that 1,000,000
As the general population continues to age and grow, the nursing workforce is aging alongside. Approximately half of the current nursing workforce is apart of the baby boomer generation (Mion). RNs are eligible to retire at age 55, which will affect the majority of “baby boomer” nurses between 2005 and 2010 (Mion). According to the Nursing Management Aging Workforce Survey in 2006, “55% of surveyed nurses reported their intention to retire between 2011 and 2020” (Nursing Shortage). The demand for skilled nurses is growing at an exponential rate. According to information from the U.S. Department of Health and Human Services, the supply of nurses has been
This paper aims to address and discuss about the leadership and management of the nurse leader interviewed. This experience was a great opportunity to witness first hand how a nurse leader cultivate and manage their staffs in real life setting. Moreover, it provides a great access to gain insight and knowledge about nurse leaders’ vital responsibilities and role diversities in the organizations they work with. Nurse leaders pay more specific and close attention in handling the staffs and most importantly, patient care.
In 2000, it was estimated that there were 110,000 open nursing positions, by 2025, it is projected that the open nursing positions will grow to 260,000. The shortage is due to many aspects including, rising population, decreasing of new students in nursing school, decline in nursing earnings compared to other growing occupational fields, aging of nursing workforce and the aging population that will need health care services in the near future. A survey found that 55% of registered nurses intend to retire between 2011 and 2015. This is primarily the
There are many challenges facing today’s nursing leaders and managers. From staffing and scheduling, to budget cuts and reduced reimbursements, today’s nursing leaders must evolve to meet the ever changing health care environment. Constance Schmidt, Chief Nursing Officer at Cheyenne Regional Medical Center (CRMC), identified retaining experienced registered nurses (RN) as one of the biggest problems she faces as a nursing leader. She went on to state “Nationally, most hospitals have more than 60% of their nurses with at least 5 years of experience. At CRMC, it’s the reverse. We have more than 60% of our nurses with less than 5 years of experience” (personal communication, March 28, 2014). The two largest factors affecting those numbers are the nursing shortage and nursing retention. The first, the nursing shortage, was identified years ago and has been researched countless times. Some projections indicate the number representing the gap between available registered nurses, and the positions needing to be filled, could be over a million before the end of the current decade. The latter, retention of nurses, is a problem in every health care facility in the nation. Nursing turnover results in both a significant financial cost to hospitals, and a significant impact on the community through its effects on patient outcome.
Registered nurses are an integral part of the healthcare system, and make up the largest number of healthcare professionals. According to the Bureau of Labor Statistics (2015) “The employment rate for registered nurses is expected to grow by 16% between 2014 and 2024”. This is more than double the average rate of growth for a profession. The rapid growth rate can be attributed in part to better management of chronic diseases and the baby boomer generation. The growth in the nursing profession is paramount, however the demographics of the nursing population does not mirror the demographics of the population served.
For decades, something was missing in patient care. Crucial quality and safety-improvement professionals involved in healthcare delivery were formerly not located in the places where care was actually provided. This often resulted in a disconnect that fragmented healthcare quality, safety, and improvement. According to Reid and Dennison, in their article The Clinical Nurse Leader (CNL)®: Point-of-Care Safety Clinician, “The role of the Clinical Nurse Leader (CNL)® restores this vital connection. The CNL is a clinician who brings the locus of control for safe and quality care from the administrative areas straight to the unit’s providers who deliver the services. “
The nation has a growing concern for the shortage of skilled nurses in the United States. The growing need of qualified nursing professionals reflects the growth of the aging population. As the retirement of healthcare professionals increase the need for replacement isn’t moving at the same rate. The nursing shortage places demand on nurses to work long hours, multiple jobs and overtime, which places them at risk for nursing errors. There are many incentives that show the increasing need for nursing professional. There are many different scholarships, grants and tuition reimbursement programs being awarded to produce more nursing professionals. The nursing shortage has led to a nursing crisis in most states. In the following research I will discuss some key factors about of nursing shortage, some factors that have an impact of the shortage in the nursing profession, and some economic issues. I will discuss different legislative acts and what was concluded from my research.
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also
The nursing shortage in healthcare has been a highlighted issue for many years. With the ever-growing health care system, hospitals and healthcare facilities often find themselves searching for ways to acquire new nurses and retain their very own. Throughout the years, the number one solution to this problem remains the same: decreasing nurse turnover, and increasing nurse retention. This paper discusses the causes of high nurse turnover rate, the negative effects on health care, and ways to improve the turnover rate.
Buerhaus, Auerbach, and Staiger (2009), estimate the nursing shortage to grow to 260,000 by 2025. They pinpoint the rapidly aging workforce as a principle contributor to the projected shortage. A deficiency of this extent would be twice as large as any nursing shortage experienced in this nation since the 1960s. Further complicating the problem is the fact that a substantial portion of the nursing workforce is approaching retirement age. The U.S. Department of Health and Human Services (2013) predict that within the next 10 to 15 years, more than one million registered nurses over the age of 50 will reach retirement.
According to Huber, (2010) nursing shortage is defined as the occurrence where the demand (the number of nurses a company is willing to employ) is greater than the available supple of nurses willing to work at the proposed rate of pay. This definition goes beyond the word understaffing because it can be caused by several factors. These include but are not limited to less than desirable working conditions or tight budgeting in an attempt to cut costs. Turnover is defined as the cessation of employment or membership in an organization. Research on nursing shortage and turnover indicate that the basis of the problem correlates to low wages, the nature of work, poor working conditions and
The current and growing shortage of nurses is posing a real threat to the ability of hospitals, long-term care facilities, and others to provide timely access to quality care. Nurse staffing shortages and nurse turn-over contributes to the growing reduction in the number of staffed patient beds available for services, increasing costs, and rising concerns about the quality of care. Health care organizations highly depend on nurse managers and leaders to reverse this trend. This paper discusses the reasons for nursing shortage and turn-over, different approaches to solve this issue, and my personal philosophy about this issue.
Retaining a stable and sufficient supply of nurses is an important hospital and nationwide concern. Numerous factors affecting retention of registered nurses comprises of practice autonomy, managerial respect, workload, and inclusion in decision making, flexible schedules, education, and pay (“Recruitment”, 2013). Hospitals not capable of retaining qualified registered nurses may result in the loss of experienced and knowledgeable staff. Additionally this will lower hospital productivity during this transition. High turnover rates for registered nursing staff may also impact job fulfillment and nursing moral altogether. Retaining qualified registered nurses will enhance patient care quality and satisfaction.
The growing number of the elderly patient has a direct impact on nursing practice. The issue of” baby boomers” having an increased life expectancy may have jobs security for the nurses in future as evidenced by multiple improvements in cardiac surgery in older population. The aging of the baby boomers is expected to produce a plethora of new nursing jobs, which could lead to higher wages, greater job security, and greater variety in types of work (Page, 2015).
The ongoing instability evidenced from the high mobility of qualified nurses in the nursing workforce has raised many questions about the issue of nursing shortage and nurse turnover (Gates & Jones, 2007). The paper below discusses the issues of nursing shortage and nurse turnover. The paper also describes how leaders as well as managers in the nursing fraternity and other leaders can resolve those problems effectively and the different applicable principles, skills, roles of the leader, and theories of leadership and management.