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Author: Willoughby Irene Moloney
Publisher:
ISBN:
Category :
Languages : en
Pages : 556
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Book Description
Background: The combination of an ageing population and a growing prevalence of morbidity is placing increasing pressure on an ageing nursing workforce nearing retirement. Further to this, Registered Nurses (RN) who increased their hours or returned to the profession to supplement their family income during the global financial crisis may decide to reduce their hours or leave the profession as family financial circumstances improve. Solutions that address the anticipated nursing shortage should focus on the motivations of RNs and incentives to retain them. Aim: This study seeks to provide new knowledge and understanding concerning the motivations of RNs and the determinants of nursing turnover, so as to facilitate the development of initiatives that work towards improving nursing retention. Methods: This mixed-methods study involved three distinct phases. The semi-structured interviews in the first phase were analysed using a general inductive method of enquiry to develop key themes, which informed the national structured e-survey in the second and third phase. A total of 3,500 e-surveys were distributed via the New Zealand Nurses Organisation and a link to the e-survey was advertised in the Nursing Council of New Zealand's newsletter. Regression analysis explored the research questions and structural equation modelling was used to confirm the research hypotheses. Participants: The qualitative phase involved purposive sampling of nurse leaders and RNs working in clinical practice (n=22), as well as key stakeholders including Health Workforce New Zealand and Nursing Council of New Zealand (n=2). The quantitative phase involved RNs (n=2910) from across New Zealand. Results: Over 50 percent of RNs reported intention to leave the organisation (ITLO) and 15 percent reported intention to leave the profession (ITLP). Statistically significant factors that affected ITLO were burnout, work-life interference, job satisfaction and work engagement. Statistically significant factors that affected ITLP were career orientation, job satisfaction and work engagement. Conclusion: Results highlight the significance that burnout and work engagement play in RN motivation and strengthen the evidence around initiatives that work to reduce burnout and improve work engagement to encourage RNs to remain in the workforce longer despite their changing circumstances
Author: Willoughby Irene Moloney
Publisher:
ISBN:
Category :
Languages : en
Pages : 556
Get Book Here
Book Description
Background: The combination of an ageing population and a growing prevalence of morbidity is placing increasing pressure on an ageing nursing workforce nearing retirement. Further to this, Registered Nurses (RN) who increased their hours or returned to the profession to supplement their family income during the global financial crisis may decide to reduce their hours or leave the profession as family financial circumstances improve. Solutions that address the anticipated nursing shortage should focus on the motivations of RNs and incentives to retain them. Aim: This study seeks to provide new knowledge and understanding concerning the motivations of RNs and the determinants of nursing turnover, so as to facilitate the development of initiatives that work towards improving nursing retention. Methods: This mixed-methods study involved three distinct phases. The semi-structured interviews in the first phase were analysed using a general inductive method of enquiry to develop key themes, which informed the national structured e-survey in the second and third phase. A total of 3,500 e-surveys were distributed via the New Zealand Nurses Organisation and a link to the e-survey was advertised in the Nursing Council of New Zealand's newsletter. Regression analysis explored the research questions and structural equation modelling was used to confirm the research hypotheses. Participants: The qualitative phase involved purposive sampling of nurse leaders and RNs working in clinical practice (n=22), as well as key stakeholders including Health Workforce New Zealand and Nursing Council of New Zealand (n=2). The quantitative phase involved RNs (n=2910) from across New Zealand. Results: Over 50 percent of RNs reported intention to leave the organisation (ITLO) and 15 percent reported intention to leave the profession (ITLP). Statistically significant factors that affected ITLO were burnout, work-life interference, job satisfaction and work engagement. Statistically significant factors that affected ITLP were career orientation, job satisfaction and work engagement. Conclusion: Results highlight the significance that burnout and work engagement play in RN motivation and strengthen the evidence around initiatives that work to reduce burnout and improve work engagement to encourage RNs to remain in the workforce longer despite their changing circumstances
Author: Peter Buerhaus
Publisher: Jones & Bartlett Publishers
ISBN: 0763756849
Category : Business & Economics
Languages : en
Pages : 329
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Book Description
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335
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Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Author: Stacy Lynn Lutter
Publisher:
ISBN:
Category :
Languages : en
Pages : 262
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Book Description
The purpose of this qualitative study was to explore the perceptions of female registered nurses who have intentions to leave the profession with particular attention to the influence of gender. The theoretical framework of feminist poststructuralism informed this study, which emphasizes the role of discourse and power relations in the construction of identity. An aim of this study was to uncover the visible and invisible influences of gender as a social structure in respect to workplace experiences and career decisions in nursing. Semi-structured interviews were conducted with eleven female registered nurses who had serious intentions of leaving the nursing profession. Five major themes emerged from the data: feelings of duty and obligation; the power distribution in the hierarchy; growing incongruity between working conditions and patient care; interpersonal communication; and shifting perspectives on work and self. The findings suggest that gender role socialization was an influence on career entry into nursing which was related in some ways to the decision to leave nursing. The participants felt unable to provide adequate nursing care, and the inability to do so was found to influence their decision to leave nursing. Additionally, the participants perceived that they were at the "bottom" of the hierarchy. They also perceived that they had few opportunities for advancement and did not have access to power structures, which contributed to a lack of voice. The decision to leave was not easy for most of the participants, partially because their identity as a nurse was closely aligned with their personal identity. Several of the participants wanted to leave nursing to find passion in their work, which speaks to a need to reconceptualize the relationship between work and individual subjectivity. Thus, this study supports the feminist poststructural notion that social structures, such as gender, do affect identity development in respect to career decisions and work experiences. Based on the findings of this study, suggestions are offered both for further research and nursing education in an effort to potentially influence recruitment, practice, and retention in a profession that is already experiencing a shortage of workers. [The dissertation citations contained here are published with the permission of ProQuest llc. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.].
Author: Rose O. Sherman
Publisher:
ISBN: 9781732912700
Category : Nurse administrators
Languages : en
Pages : 244
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Book Description
Whether you are a beginning manager or a seasoned expert, leadership in nursing today is challenging. To win the talent war and become the boss that no one wants to leave, you need to add individualized coaching to your leadership toolbox. The Nurse Leader Coach gives you the tools you need to change from being a manager to a leader coach.
Author: Theresa Brown
Publisher: Algonquin Books
ISBN: 1616206020
Category : Medical
Languages : en
Pages : 273
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Book Description
Practicing nurse and New York Times columnist Theresa Brown invites us to experience not just a day in the life of a nurse but all the life that happens in just one day on a busy teaching hospital’s cancer ward. In the span of twelve hours, lives can be lost, life-altering treatment decisions made, and dreams fulfilled or irrevocably stolen. Unfolding in real time--under the watchful eyes of this dedicated professional and insightful chronicler of events--The Shift gives an unprecedented view into the individual struggles as well as the larger truths about medicine in this country. By shift’s end, we have witnessed something profound about hope and humanity.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309208955
Category : Medical
Languages : en
Pages : 700
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Book Description
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: K. Patrick McDonald
Publisher: Dog Ear Publishing
ISBN: 9781457531804
Category : Medical
Languages : en
Pages : 296
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Book Description
At one point during our lunch the famous Sonny Bono asked, "So in other words, we've reached a point where a rescuer can't say 'screw the rules' and just do the right thing?" Not in other words, Sonny. Those are the perfect words. Immutable Law #2 Saving lives is not our priority. Following our policies is our priority. Protecting ourselves comes next. Avoiding lawsuits comes third. You come somewhere after that. * * * I was not even out of school before I witnessed my first doctor commit murder. It would not be my last - Lord, no - but I can recall that night as vividly as though it happened last week. Few medics forget their first physician homicide. * * * The ugly truth is some of the most macho medics on the planet turn into complete lollipops in the presence of an arrogant, incompetent physician. No matter how you parse it, that is professional cowardice. * * * K. Patrick McDonald is a graduate of UCSD La Jolla School of Medicine original Advanced Field Medicine program. He was appointed the first EMS Supervisor for the City of San Diego under Mayor (and then Governor) Pete Wilson's administration. He created one of the nation's first STAR (Special Trauma & Rescue) Teams and co-authored the San Diego City Disaster Preparedness Plan. He was a co-author of the National Waterpark Lifeguard Training Manual. He has acted as consultant to the U.S. Secret Service in Presidential Protection matters. He writes, "After 30 years of occasionally saving lives, I learned that by writing and speaking, I can do more good for more citizens, while tolerating far fewer medical-political snollygosters." (For more on this fascinating subject, visit www.ParamedicHeretic.com)
Author: Patricia E. Benner
Publisher: Pearson
ISBN:
Category : Medical
Languages : en
Pages : 450
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Book Description
The Primacy of Caring is unique and remarkable, not only because it eludes classification within the curricular and practice arenas of professional nursing, but also because it offers a totally new view of stress, coping, and caring. The authors define and describe the essence of nursing practice, and make visible and powerful the hidden expertise of that practice.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309380316
Category : Medical
Languages : en
Pages : 221
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Book Description
Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.
