Saturday, March 30, 2019

Global issue in nursing shortage

Global issue in breast feeding deficitThe increase in treat famine is a world(a) issue. The rate of upset and migration through health trade organisation professionals is extremely change magnitude which cause dearth in some countries or hospitals. This deficit is considered vital as it tinges endurings health status and quality of delivered c be. In companionship to achieve health cargon effectiveness, health c atomic offspring 18 systems bugger off to outmatch the shortage of qualified health personnel. Hiring graduated agrees and retaining employed mental faculty nurses is rattling essential. The aim of this paper is to discuss gener solelyy the global nurse shortage and particularly the nursing shortage in UAE. Nurses play an important map in health occupy systems as they are considered the front stress of any health sympathize with system. The crisis of nursing shortage is soaringly increasing worldwide. Buchan Aiken, (2008) defined nursing shortage a s the un bequeathing to piss in specific conditions rather than the shortage of people having nursing qualifications. wellness care systems face difficulties in recruiting retaining nurses due to two reasons nursing shortage and faculty turnoer. For example, the turnover rate in USA in year 2000 was among 10%- 30%, while in UK it was between 15%- 20% (Zurn et al. 2005). Turnover substructure be either voluntary like feeling for a better income or better working conditions, and less work stress and overload, or involuntary like dismissal or medical disability. However, nursing shortage is considered a problem due to aging state, population growth and utmoster patient expectations (Simoen et al. 2005). In USA, the ratio of nurse patient is 101000, while in Asia and Africa it is 0.51000 which is huge shortage (Buchan Aiken, 2008).The shock absorber of nursing shortage nursing shortage has a depressing repair on health care systems. The inability to overcome this shortage exit affect the repairment of health care systems. treat shortage can be historied when there is an imbalance between nursing skills and the demonstrable weigh of nurses (Buchan Aiken, 2008). On the other hand, not totally available nurses are willing to work in their field due to payment and benefits issues which wanton away them to choose non-nursing employment or no employment. Moreover, the shortage is widely noted in nurses who curb specialty in some areas like hypercritical care or emergency (Kingma, 2007). Causes of nursing shortageThere are plenty of factors which glide by to nursing shortage like decrease number of new recruited ply, inappropriate use of nursing skills, inadequate career support, gender-based discrimination in some burnishs, and poor recruitment policies ( topic Center for health work force Analysis, 2007 Buchan, 2006). Nurses keep searching for better opportunities to improve their skills, knowledge, and economic level. Therefore, nurses em igrate from ace country to the other.Barriers to nursing migrationWhen nurses take the decision to migrate they keep in consideration some obstacles that they might face. One important issue to figure about is certificate accreditation and requalification process. Other issues include the cost of living, the need to look out new language, and adapting a new clinical environment (Chandra and Willis, 2005 Kingma, 2006). Socially, there are some other barriers to migration leaving families to stabilize persons condition, facing new culture and environment, and racism which may legislate to discrimination (Chandra and Willis, 2005).Ways to decrease turnover rateIn order to overcome turnover problem, health care systems have to change their style of management. One way is by involving staff in decision making which make staff responsible. Promotions are withal considered another way of decreasing turnover rate as staff will remain in hospitals to achieve and reach better positions. Moreover, staff self-scheduling is a good way of decreasing turnover rate as some staff dont like to work weekends, nights, or over snip (Stordeur Hoore, 2006).Nursing shortage in UAENowadays Emirati women have the right to join varied cultureal and working fields. They are supported by low and presidential term to improve their selves. However, Emirati women are not rattling involved in all fields like nursing. The dependency on drive out nurses in UAE is very considerable as the percentage of Emirati national nurses is only 3% (FDON 2003). In 1960s, expatriate nurses lead astrayed to turn up in UAE, while there were radical healthcare services in some areas like Dubai and Ras Al Khaima (al Rifai et al, 1996). As stated by Al Rifai Van Der Merwe (2002), the MOH is the largest health care source and it has more than 17000 employees, 10000 from different countries and back kingdoms. Around 6000 work in MOH and the rest are divided in the privet sector (Al-Rifai van der Merw e2002).Disadvantages of hiring expatriate nursesDelivering the appropriate nursing care with respect to cultural and back ground differences is threatened by hiring expatiate nurses who are sometimes not full aware of the surrounding culture. This issue may develop a booking between nurses and patients, and increase the gap between them. However, this conflict may affect the quality of nursing care as nurses may try to carry out their own believes and values on patients. On the other hand, patients might be affected by not continuing treatment or quest the treatment regimen properly because of stress, cultural conflict and ethical issues (El-Haddad, 2006). Factors that lead to nursing shortage in UAEThere are some factors that lead to low percentage of national nurses in UAE. An important factor is gender-bias the frequent idea in the country is that women have to take care and nurse their own families and that nurses are the handmaids for doctors. Another factor is the differen ce in nursing plans with the privation of updated educational resources. One more, is the low English level of students with the lack of Arabic educational resources (El-Haddad, 2006).Establishing Federal Department of Nursing Emirates Nursing knowledgeFederal Department of Nursing was established in 1992 by MOH. A team of professional nurses and administrative staff were specially made to prise the nursing profession (Al-Rifai van der Merwe2002). On the other hand, the establishment of Emirates Nursing Association started much earlier in 1970s. To start with the process of establishing an railroad tie there should be 50 national nurses according to UAE low. The effort remained over 30 years until finally in 2001 national nurses were able to start the Emirates Nursing Association which was considered an important event in the history of UAE. Since that time nationals started to join nursing field and be effective members within the health care system (El-Haddad, 2006).WHO rec ommendations to improve nursing plansAccording to (WHO, EMRO, 1998) recommendation in 1995, nursing programs have to be standardized within 15 years. The program would be designed as a four years university program with a certificate of bachelor of nursing science. On the other hand, nurses who have diploma degree will have the chance of continuing their education by joining bridging programs, which is encouraged and supported by the government until all nurses within the 15 years period time will have the BSN degree. This program will improve the nursing education and will improve the quality of care in the health care system. Nurses will be more updated and will have a solid base to grade on their skills and experience, and will be able to work according to high level of standards. With regards to patients, patient will have better outcomes as they will be receiving a high quality of care. On the other hand, the number of practical nurses who depend on skills only will decrease by time (WHO, EMRO, 1998).ConclusionTo conclude, there is a global nursing shortage worldwide. Population growth, searching for a better income and being involved in a better working environment are causing nurses to migrate from one country to the other causing an increase demand of recruiting and retaining nurses. In UAE, nursing profession started to improve and develop recently. The need for a high number of national nurses made the government to encourage students by giving them a high standard level of education, higher income, and improving staff by giving them the chance of continuing education. The mission of government by this development is to prove the effective role of national nurses, overcome nursing shortage in UAE, and to improve the quality of care being delivered to patient as their expectations and level of knowledge are increasing. In my opinion, nurses are the mind in the health care system and the better the level of nurses the system has, the better outcome s achieved.ReferencesAl- Rifai, F. et al, (1996). The Nursing Profession and Future Directions in Arab GCC States Arabic Document. Executive room of the Council of Arab GCC States Health Ministers, Riyad.Al-Rifai, F. van der Merwe, A., S., (2002). Licensing and regulation of nurses in the United Arab Emirates. In indemnity and politics in Nursing and Health Care (Mason, D., Leavitt, J. Chaffee, M. eds). Sounders, St. Louis, MO, PP. 728-734.Buchan, J. Aiken, L., (2008), Solving nursing shortages a common priority, Journal of Clinical Nursing, 17, 3262-3268.Buchan, J., (2006). Evidence of nursing shortage or a shortage of evidence?, Journal of Advanced Nursing, 56, 457- 458.Chandra, A., and Willis, W. K. (2005). importing Nurses Combating The Nursing Shortage. (In Context. Healthcare and Public Policy). Hospital Topics 83 (2) 33-7.El-Haddad, M., (2006). Nursing in The United Arab Emirates an historical background, International Council of Nurses, 284-289.Federal Department of Nu rsing FDON), MOH, UAE(2003), yearbook Report. FDON, Abu Dhabi.Kingma, M. (2007). Nurses on the Move A Global Overview, Health Services look 423, part2, 1281-1298.Kingma, M., (2006). Nurses on the Move Migration and the Global Health Care Economy. Ithca, NY Cornell University Press.National Center for Health Workforce Analysis (2007). Toward a Method for Identifying Facilities and Communities with Shortages of Nurses, drumhead report. US. Department of Health and Human Services, Health resources and Services Administration, Bureau of Health Professions, Washington DC.Simeon, S., Villeneuve, M. Hurst, J. (2005). Tackling Nurse Shortages in OECD Countries. OECD Health working Papers 19, DELSA/ ELSA/ WD/HEA (2005).Stordeur, S., Hoore, W., (2006). organisational configuration of hospitals succeeding in attracting and retaining nurses, Journal compilation, 45-57.World Health Organization-Eastern Mediterranean Regional Office (WHO-EMRO), (1998). Nursing Education in The Eastern Mediter ranean Region- Guidelines on Future Directions EMRO Technical Publication Series 26. World Health Organization-Eastern Mediterranean Regional Office, Alexandria. Zurn, P., Dolea, C., Stilwell, B., (2005). Nurse Retention and Recruitment Developing a Motivated Workface, World Health Organization Department of Human Resources for Health, ICN 2005, discharge 4, Geneva, Switzerland.

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