Nursing Shortage in the United States Essay Example | Topics and Well Written Essays - 1000 words

Nursing Shortage in the United States - Essay ExampleThis paper will describe the impacts of the nursing shortage on health care consumers, nurses, and public health. It will examine the debate surrounding the nursing shortage and explain how the issue is being addressed on local, state, and matter levels. Finally, the paper will propose some ideas for minimizing the nursing shortage problem.The shortage of nurses in Americas hospitals results in negative impacts for health care consumers, nurses, and the health care system. A survey conducted by Beurhaus et al. (2005) examined the experience of RNs, physicians, hospital CEOs and CNOs with the nursing shortage and analyzed the results in terms of nurses ability to meet the six Institute of Medicine (IOM)-established aims for mellow quality health care systems forbearing-centered, effective, safe, timely, efficient, and equitable. The survey found that each of these criteria for quality of care suffered due to the nursing shortage (ibid.).In terms of direct long-suffering care, the nursing shortage results in a decline in the quality of patient of care. The Beurhaus et al. survey (2005), found that patient care suffered specifically because of a slow down response by nurses to pages or calls, patients increasingly complaining about care, staff communication problems, and increasing physicians workloads. The results of the decline in patient care are worrisome. An American Nurses Association (ANA) fact sheet about the national nursing shortage (2008) highlights the results of recent studies published in medical checkup journals that show how the shortage puts patients lives in jeopardy If hospitals increase RN staffing, more than 6,700 patient deaths and four million inpatient days could be avoided each year. Every additional full-time nurse per patient day was associated with a 9% reduction in mortality in intensive care patients and a 16% reduction in mortality in surgical patients. In addition, every a dditional patient per RN shift was associated with a 53% increase in pulmonary failure, a 43% increased risk on unplanned extubation, a 7% increased risk of hospital acquired pneumonia, and a 17% increased risk in other medical complications.Nursing shortages were found to correlate with longer lengths of stay, increased incidence of urinary tract infections and upper gastrointestinal bleeding, higher rates of pneumonia, shock and cardiac arrest. increase hours of RN care resulted in fewer failure-to-rescue deaths from pneumonia, shock or cardiac arrest, upper gastrointestinal bleeding, sepsis and deep venous thrombosis.The impact of the nursing shortage also adversely affects nurses. In relation to their interaction with patients, nurses suffer because they have less time for collaboration within staff teams, face greater difficulty maintaining patient safety, are less able to detect complications early on, and have less time for patients (Beurhaus et al., 2005). In order to compe nsate for a lack of staff,