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Heath Care

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Health care being a 24 hour, 365 day industry, its resources have to be deployed to match continuous, but changing demands. The most important resource in this labor intensive industry is its personnel: they account for up to two thirds of total expenditure, and even then remuneration is often inadequate because of budget limitations. The requirements of quality assurance and continuous quality improvement designed to achieve higher levels of, and increased uniformity in standards of care and performance in the hospitals and towards patients. These changes in the health care system require even better qualified nurses and health professionals in general. Therefore individuals who are already involved with this profession or studying to develop careers that may require public health management skills, should be well versed with the ever shifting trends in the public health work force. This as a whole is making nurses to switch to other less demanding and tedious jobs. Another point which has decreased the turnover is that the new hospital opened close to this hospital provides flexible hours of work with higher pay scale. The management has taken care of nurses issues and problems which they faced in majority of the hospitals. (MULIIRA, 2004)
Advances in medical practice and technology, the impact of new diseases and infections [e.g. Human Immunodeficiency virus (HIV) Acquired immune deficiency syndrome (AIDS)], and changes in public (consumer) expectations is a major reason for the low count of nurses in the hospital as well as for this specific profession. The top most reasons nurses have cited for discontent, early retirement and changing from nursing to other jobs are, increased work road, inadequate staffing, poor patient ratios, harmful changes in health care delivery systems as away of cost containment and decreased quality of care.
The extent to which

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