ISSUES AND TRENDS IN NURSING ADMINISTRATION: NURSING STAFF SHORTAGE

  • Faith Kanini Mutisya Machakos General Hospital, Kenya

Abstrak

Nursing shortage is an internationally recognized crisis and the biggest challenge in achieving the health system effectiveness. This paper sought to review literature on issues and trends in nursing administrations. Conceptual Framework for Nurse Shortage; Nursing Role Effective model, community-based model and Moos and Schaefer (1993) integrative conceptual framework and Donabedian (1980) were used to guide the study. The findings revealed that nurse staffing is associated with both nurse and patient negative outcomes. It was recommended that an improvement to nurse’s work environments and an increase in incentives may retain nurses in the profession and also attract young people into the profession. Key words: Nursing administration, nursing staff, health system, nursing shortage.

Referensi

Agency for Healthcare Research and Quality. (2004). Hospital Nurse Staffing and Quality of Care:Research in Action.Issue 14. Rockvile, MD.

Agency for Healthcare Research and Quality (AHRQ). (2004). Surge capacity education and training for a qualified workforce.Bioterroism and Health system preparedness, issue brief no.7 04-p008. Rockvile, MD.

Aiken.L, H., Cheung.R,B& Olds. D, M. (2009). Education policy initiativesto address the nurse shortage in the United States of America.Health Affairs. Milwood.28(4)W646-56.

Aiken, L.M., Clarke, S. P., & Sloane, D.M. (2000). Hospital restructuring: Does it adversely affect care and outcomes? Journal of Nursing Administration. 30(10) 457-465.

Aiken, L.M., Clarke, S. P., & Sloane, D.M. Lake.E,T &Chang, T.(2008). Effects of hospital care environments on patient mortality and nurse outcomes.38(5)233-9.

Aiken, L. H., Sloane, D. M., Lake, E.T., et al (1999). Organization and patient outcomes of inpatient AIDS care. Medical Care. 37(8) 760-772

American Hospital Association, Commission on Workforce for Hospitals and Health Systems. (May, 2002). Our Hands: How Hospital Leaders Can Build a Thriving Workforce.

Belgian, M. A., Vaughn, T. E., & Goode, C. J. (2001). Nurse experience and education effect on quality of care. Journal of Nursing Administration.31(1):33-39.

Barbisch. D, F., & Koening.K, L. (2006). Understanding surge capacity essentials elements. Academic Emergency Medicine.13(11):1098-102.

Beurhaus, P. I., (2008). Current future state of United States of America nursing workforce. Journal of American Medical Association. 300(20) 2422-4.

Beurhaus, P. I., Auerbach.D, I., &Straiger, D.O. (2009). The recent surge in nurse employment: causes and implications.Health Affairs. Milwood. 28(4): W657-68.

Beurhaus, P. I., Staiger, D. O., & Auerbach, D. I. (2000). Implications of an aging registered nurse workforce. Journal of American Association. 283 (22) :2948- 2954.

Blegen. M, A., & Vaughn. T. (1998). A multisite study of nurse staffing and patient occurrences. Nursing Economics.16:196–203.

Bolton, L., B., Gassert, C., A., & Cipriano, P., F. (2008). Smart technology enduring solutions: Technology solutions can make nursing care safer and more efficient. Journal of Health information Management. 22(4):24-9.

Bond, CA., Rachl, C. l, Pitterle, M. E., et al. (1999). Health care professional staffing, hospital characteristics and hospital mortality rates. Phamacotheraphy .19(2) 130- 138.

Buchan, J. & Aiken, L. (2008). Solving nursing shortages: a common priority. Journal of Clinical Nursing.17:3262-3268.

Burgess,L., Irvine, F., & Wallymahmed,A. (2010). Personality, stress and coping in ICU nurses: a descriptive explorative study. British Association of Critical Care, 15 (3) 129-140.

Clarke.P,S., & Donaldson.N,E. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality. Rockville (MD)

Cohen.J., Holzemer. W., L., & Goerrnberg.B.(2000). Linking nursing care interventions with client outcomes: A community–based application model. Journal of Nursing Care Quality.15(1)22.

Cavouras, C. (2001). Nurse staffing levels in America hospitals: a 2001 report. Journal Emergency Nursing. 28(1):40-43.

Cimiotti,J.P., Aiken,L.H., Sloane, D.M.& Wu,E.S. (2012). Nurse staffing, burnout, and health care–associated infection. American Journal of Infection Control. 40(6): 486–490.

Donnell, D. M., Livingstone, P.M., & Bartam,T. (2012). Human resource management activities on the frontline: A nursing perspective. Contemporary Nurse, 14(2)198-205.

Doran, M.D and Pringle, D. (2011). Nursing outcomes: the state of science. (2nd ed.). United States of America: Jones and Barlett.

Glance.J,G., Dick.A,D., Osler.T,M., Mukamel.D,B., Li.Y., & Stone.P,W.( 2012). The association between nurse staffing and hospital outcomes in injured patients. BMC Health Service Research. 12: 247.

Hays, M.A., Anita, C., Cuaderes,C.M., & Debra, W. ( 2006). Reported stressors and ways of coping utilized by intensive care unit nurses. Dimensions Critical Care Nurses .25(4) : 185-193.

Health Research and Resources Administration. (2000) Bureau of Health Professions, National Centre for Health Workforce. (2000-2020). Medical Care Research Review. 58 (4):387-403.

Heinz, D. (2004). Hospital nurse staffing and patient outcomes: a review of current literature. Dimensions of Critical Care Nursing. 23 (1) 44-50.

Hugonnet. S., Uckay. I., & Pittet .D.(2007). Staffing level: a determinant of late-onset-associated pneumonia. Critical Care. 11(4). [PubMed: 17640384]

Huntington, A. D., Bidewell, J. W., Gilmour, J. A.Chang, E. M., Daly, J., Wilson, H., Lambert,V. A., & Lambert, C. E. (2008). The relationship between frequency of workplace stress,coping responses and physical and mentalhealth in New Zealand nurses. The Journal of Occupational Health and Safety. 24(2), 131–141.

B., Friese, C. R., Choi, S. H., & Rochman, M. (2011). Hospital Nurse Staffing: Choice of Measure Matters.Med Care.49(8):775-779.

Kane, P.P. (2009). Stress causing psychosomatic illness among nurses. Indiana Journal of Occupational Medicine.13(1):28-32.

Kane, R.L., Shamliyan, T.A., Mueller, C., Duval, S., Wilt, T.J., (2007). Nursing Staffing and Quality of Patient Care. Evidence Report/Technology Assessment No. 151. Agency for Healthcare Research and Quality, Rockville.

Kelly.P.(2012). Nursing Leadership and Management. (3rd ed.). Delmer:U.S.A

Klevens, R.M., Edwards, J.R., Richards, C.L., Horan, T.C., Gaynes, R.P., Pollock, D.A., et al. (2007). Estimating health care–associated infections and deaths in US hospitals, 2002. Public Health Report. 122:160–6.

Krauss. M,J., Evanoff. B., Hitcho .E., Ngugi. K,E., Dunagan. W,C., Fischer .I., Birge .S., Johnson. S., Costantinou .E., Fraser. V,J. (2005). A case-control study of patient, medication and care-related risk factors for inpatient falls. Journal of General Internal Medicine.;20:116–122.

Lake.E,T.,& Friese.C,R.(2006). Variations in nursing practice environments: relation to staffing and hospital characteristics. Nursing Research.55(1)1-9.

Lankshear ,A. J, Sheldon,T .A., & Maynard, T. (2005).Nurse staffing and healthcare outcomes: A systematic review of international; research evidence. Advances in Nursing Science. 28(2) 163-174.

Lituak, E., Buerhaus, P., I., Davidoff. F., Long, M., C., McManus. M., L., & Berwisk, D, M. (2005). Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Joint Commission Journal of Quality, 3(6), 330-8

Liu,W., Pan, F.,Wen, P., Chen,S., & Liu, S .( 2010). Job stressors and coping mechanism among emergency department nurses in the armed forces hospital of Taiwan. International Journal of Human and Social Sciences.5:10, 626-634.

Liu, H-S., Probst, J.C.,& Hsu, Y-C. (2010). Depression among female psychiatric nurses in southern Taiwan: main and moderating effects of job stress, coping behavior and social support. Journal of clinical Nursing. 19, 2342-2354.

Lucero. R,J., Lake. E,T., & Aiken. L,H. (2009). Variations in nursing care quality across hospitals. Journal of Advanced Nursing.65:2299–2310.

Mark, B.A. (2006). Methodological issues in nurse staffing research. Western Journal of Nursing Research. 28(6):694-7

McHugh. M, D. (2010). Hospital Nurse Staffing and Public Health Emergency Preparedness: Implications for Policy. Public Health Nursing. 27(5): 442–44909

Needleman, J., Buerhaus, P., Matteke, S., et al. (2001). Nurse Staffing and Patient Outcomes in Hospitals, oston, Mass: Havard school of public health.

Roussel. L. (2013). Management and Leadership for Nurse Administrators. (6th ed.). Jones and Bartlett: U.S.A.

Shuldham, C., Parkin, C., Firouzi, A., Roughton, M., & Lau-Walker, M. (2009). The relationship between nurse staffing and patient outcomes: A case study. International Journal of Nursing Studies.46:986-992.

Staggers,N., Weir.C., & Phansalkar,S.(2008).Patient Safety and Health Information Technology:R ole of Electronic Health Record.An evidence based hand book for nurses.Rockvile:MD.

Steinbrook, R. (2002). Nursing in the cross fire. Nursing England Journal of Medicine. 346:1757-1766

Stone.P,W., Mooney-Kane.c.,Larson.E,L.,Pastor.D,K.,Zwanziger.J.,& Dick.A,W.(2007).Nurse working conditions, organizational climate and intent to leave in intensive care unit , an instrumental variable approach. Health Service Research 43(3)1085-104.

Sullivan, E. J., & Deker, P. J. (2009). Effective Leadership Management in Nursing. (7th ed.). Upper Sanddle, New Jersey: Preason Prentice Hall.

Tervo- Heikkinen,T., Partanen,P., Aalto,P. ,Vehvila”inem-Julkunen .K.(2008). Nurses work environment and nursing outcomes; a survey study among Finish university hospital registered nurses. International Journal of Nursing Pracitce. 14: 357- 365.

Tomey.M,A.(2009). A Guide to Nursing Management and Leadership. (8th.ed.). Mosby:U.S.A.

Tourangeau, A. E., Giovannetti. P., Tu, J. V. et al. (2002). Nursing related determinants of 30-day mortality for hospitalized patients. Canadian Journal of Nursing Research. 33(4) 71-88.

Turisco.F., & Rhoads.J. (2008). Equipped for efficiency: improving nursing care through technology.Okland California.California Health care Foundation.

Twigg, D., & Duffield, C. (2009). A review of workload measures: a context for a new staffing methodology in Western Australia. International Journal of Nursing Studies. 46, 131–139.

Ulrich.B, T., Buerhaus.P, L., Donelan.K., Norman.L., & Dittur.R(2007). Magnet status and registered Nurse views of the work environments and nursing as a career. Journal of Nursing Administration.37(5) 212-20.

Unruh. L. (2008). Nurse staffing and patient, nurse and financial outcomes.American J ournal of Nursing.108:62-71.

Utilization Guide for ANA for Principles for Nursing staff ( 1999).Silver spring, MD20910-3492.www.Nursingworld.org.

Wu,H., Chi,T.-S., Chen,L.,& Jin, Y.-P.(2010). Occupatioal stress among hospital nurses: cross sectional survey. Journal of Advanced Nursing. 66(3) 627-634.

Xiao-wen,Z., Li-ming,Y., Jing.Z., Ke.L., Jin-bo.F., Shu-xiao.H., Min-min,L., Ai-li.L., Wei-guang.M., Hong-hong. et al. (2012). Nurse staffing levels make a difference on patient outcomes: A multisite study in chinese hospitals. Journal of Nursing Scholarship,44 (3): 266-73.

Diterbitkan
2019-09-07
Bagian
Articles
Abstrak viewed = 4190 times
PDF (English) downloaded = 1839 times