...Economic Tools and Concepts: Physician Shortages Health care cannot be delivered without properly trained physicians. As technology and new medical breakthroughs emerge, the population ages, physicians retire and health care coverage is expanded, the demand for physicians is increasing. Patients are living longer and we understand more about human health and treatment than ever before. There are economic tools and concepts that can be applied to the physician shortage in order to identify problems and establish realistic solutions. Identifying factors that control supply and demand and examining scarcity and maldistribution of physicians can give insight into the economic issues associated with the shortage. Physician’s assistants, nurse practitioners...
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...The Latino Physician Shortage The Latino Population in the United States is increasing, but Latino Spanish-speaking Physicians are on a drastic decline. This does not speak well for over 57 million Latinos in the United States. With the implementation of the Affordable Care Act, the United States Health Care system is making tremendous provision for the Latino population (which continues to grow rapidly) to enjoy health care insurance coverage. Access to health care insurance coverage for the Latino population is difficult because of a large population of undocumented immigrants plus cultural and linguistic disparity. Care for Latinos is difficult because Latino Spanish-speaking physicians are in short supply and unable to meet the dire need...
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...Educational Preparation: Competencies, Associates Degree V’s Baccalaureate Nursing The History of the Associates Degree in Nursing Does an Associates degree in Nursing (ADN) or a Baccalaureate degree (BSN) in Nursing better prepare a nurse to function at a level required to remain autonomous in both general and critical care? At the end of World War II there was a shortage of nurses working in the hospital setting. The Baccalaureate degree required a four-year education, and the shortage could not wait for this completion. It was recognized that there would need to be two-tier’s of nursing, both a professional BSN and a technical ADN nurse (Matthias 2010). Mildred Montag completed her research on The Education of Technical Nurses (Matthias 2010) and developed the Associates Degree nurse, or technical nurse, who would complete routine or intermediate nursing care under the supervision of a Baccalaureate degree nurse. However, the ADN’s technical only skill set dissolved and they were functioning at no different level than their counterparts the BSN, working side by side with only their education differentiating them from each other in the work place. Course Variation There is a year in difference between a diploma and Associates prepared nurse v’s Baccalaureate prepared nurse. However, there are courses that researchers have placed an emphasis on to act autonomous and outside the original restrictions of a technical nurse. These courses include critical thinking, social...
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...over multiple units (Curtin, 2001). Nurse managers responsible for multiple units are severely challenged to maintain the needed blend and balance of clinical and business management, which is essential to staff nurse retention. Report after report identifies the importance of the nurse manager in retaining nursing staff (Boyle, Bott, Hansen, Woods, & Taunton, 1999; Corser, 1998; Cullen, 1999; Flannery & Grace, 1999; Fletcher, 2001; Kerfoot, 2000; Leveck & Jones, 1996; Slaughter, 2002; Taunton, Boyle, Woods, Hansen, & Bott, 1997). Further, staff nurses report burnout and dissatisfaction with their jobs and a concern about decreasing quality of care (Aiken et al., 2001; First Consulting Group, 2002). The data on the nursing shortage portends a health care delivery system in severe crisis. According to the American Hospital Association...
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...HEALTHCARE PAPER ASSIGNMENT Access to Quality Healthcare Paper Rudolphe Lubin University of Phoenix Lori Lewellen MBAJOGZL57 April 27, 2009 Quality Healthcare Introduction It will be evident to realize that financial, educational, and socio – demographic implications can bring serious impact on access to quality healthcare in the organization. Labor shortage will stay an important component that can affect as well the access to quality care. Socio – demographic changes linked with chronic illnesses can have an effect on the aging population, which may reduce the quality of life, increase costs for healthcare and rise resource allocation. In point of fact, both labor shortage and socio – demographic changes are exactingly dominant in the admittance to quality care in the United States. Besides, the demand for registered nurses and changes in science is already exceeding supply in U.S. nation, including more implications associated with other ethical dilemmas. Healthcare Labor Shortage People have to realize that progresses in medical technology, increasing expenses and market forces provide to the financial decline of many rural healthcare organizations. In reality, small rural healthcare suppliers, particularly hospitals, cannot meet the costs of the equipment and practitioners needed to treat the range of modern syndrome and injury. In fact, coronary bypass...
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...Literature Review One nursing issue that I am passionate about is the shortage of nurses. This has been a long standing problem, even in the days of Ms. Florence Nightingale, when she and her nurses "used limited resources to address unlimited wants for healthcare (Cherry & Jacob, 2014)". They did the best they could and were able to improve the soldiers' condition dramatically. Agreeably, the situation is far better today. This topic is of great importance because, a shortage of nurses means that the ratio of patient to nurse increases and this can result in nurses being overwhelmed. It also affects the every aspect of patients’ care and it increases the risk of negative patients’ outcomes. It makes nurses apprehensive when they are going to work and that is not a good way to feel on a regular basis. Some of the reasons listed as causes of shortage of nurses include lack of good role models and early professional socialization, unrealistic workload, an aging workforce, negative work environment, retention problem, and insufficient nursing faculty staff. I chose the first article "Becoming a nurse: a meta-study of early professional socialization and career choice in nursing," because it attempts to deal with the issue of nursing shortage by investigating what motivates young people to choose nursing as a career and early professional socialization (Price, 2009). It highlighted the need to have good mentors, peers and role models, especially as new nurses are transitioning...
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...A Historical Perspective Abstract Since nursing has become an occupation, there have been many factors leading to the nursing shortages that have happened in the past and that are still occurring in the present. There hasn’t been a single deciding factor on why people are refusing to come into the field of nursing or leaving sooner than expected. But, what is known by all healthcare providers is that the shortage has a negative effect on many of the aspects of the healthcare setting and recruitment processes. To be able to fix this problem, education, healthcare system, policies, and image must change. The Historical Perspective Many external problems are helping cause the nursing shortages now, and have influenced past shortages as well. Since the 1800’s, many specialized practices have come into play (West,Griffith,Iphofen, 2007, p.124). For example, therapists, X-ray and lab technician, were all newly evolving, and were seen as skilled practitioners. Nursing was never seen as a highly proclaimed occupation, just another labored job. This was because it was viewed as a “women’s job”, and that most, if not all, of the nurses were female. During the nineteenth century, Florence Nightingale strongly proposed that education for nurses meant employing hospitals with a labor force that practiced under physicians. She believed this was the right thing, because it was based off of the preexisting relationships already in the institutional settings. But this created...
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...NURSE SHORTAGE STRATEGIES The nursing shortage has been around for the greater part of the 20th century, and now into the 21st century, and has placed the healthcare system under some significant strain The number of patients with age-related health needs are exploding, just as a large number of health professionals are retiring. Unmet health care needs are fast approaching. There simply are not enough health professional students "in the pipeline" to meet the oncoming demand for care. The result? An impending health workforce shortage of unprecedented proportions. Nurse leaders are challenged to identify creative solutions to the issue of nursing shortage. There are many contributions to the nursing shortage. In a sense, the nursing shortage is simply from the spread of nurses that lack skills that are needed for the growing population and individual patient care. The work that nurses are hired to do is not that well understood, even by educators that are members of today’s nursing society. There is a vast gap in what the public thinks skilled nurses actually do. This reason alone is one of the causes of the nursing shortage that is happening. The nursing shortage also includes: (1) poor working conditions, (2) inadequate resources for nursing research and education, (3) nursing workforce aging, (4) women having expanded career options, (5) nursing...
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...Historically, hospitals were often founded and funded by religious orders or charitable individuals and leaders. Today, hospitals are largely staffed by professional physicians, surgeons, and nurses, whereas in the past, this work was usually performed by the founding religious orders or by volunteers. According to A.S. Zigmond and R. P. Snaith (2007), a self-assessment scale has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The anxiety and depressive subscales are also valid measures of severity of the emotional disorder. It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments. The past decade has been a turbulent time for US hospitals and practicing nurses. News media have trumpeted urgent concerns about hospital understaffing and a growing hospital nurse shortage. Nurses nationwide consistently report that hospital nurse staffing levels are inadequate to provide safe and effective care. Physicians agree, citing inadequate nurse staffing as a major impediment to the provision of high-quality hospital care. The shortage of hospital nurses may be linked to unrealistic nurse workloads. Forty percent of hospital nurses have burnout levels that exceed the norms for health care workers...
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...Technological explosion The fast growth of information technology have big impact in Health care Nanotechnology will help us to find new types of clinical diagnosis and treatment . Nurse in this century need more knowledge of computer skills . It help faster and flexible access date and communication 2. The growing need for interdisciplinary education for collaborative practice A wide range of knowledge and skills is required to effectively and efficiently manage the needs of patients . The health care system of future consists nurses nurse practioner , Physicians ,social worker , etc. Interdisciplinary team is highly effective for improvement of clinical gain and low cost 3. The current nursing shortage and opportunities for lifelong learning and workforce development Nursing shortage is a negative impact on patients care , current shortage is more than the past. We can prevent shortage of nurses by raising pay and flexibility in shift Public image of nurses role must be review to change outdated perception . As an ICU nurse...
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...despite the recent economic downturn and high unemployment health care is continuing to grow. It was estimated that approximately thirty seven thousand jobs were added in March 2011 alone (AACN). The staffing of registered nurses has been a long time concern due to the fact the shortage greatly affects patient safety as well as quality of care (nysna.org). Studies have shown that adverse patient outcomes have been related to the ineffective nurse staffing as patients have had longer hospital stays, increased infections, and higher mortality rates (Needleman, et al, 2002). To relieve the pressures put on an organization with the shortage many have begun to substitute people who are not as prepared to care for patients. This has been done by hiring temporary nursing services or recruiting foreign nurses who are not familiar with the facility, policies and procedures or the patients ( nysna.org). The ineffective nurse staffing also leads to retaining issues as nurses experience decreased morale, increased stress and anxiety, increased physical ailments, and burnout. DEFINE THE PROBLEM The problem is that hospitals cannot recruit and/or retain healthcare professionals such as nurses and physicians fast enough in the ever growing healthcare field. With the baby boomers reaching retirement age and becoming eligible for Medicare hospitals need to not only recruit but retain nurses. Nurses are hard to recruit based on low enrollment in nursing school due to low numbers of...
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...1 Apple’s Make vs. Buy Decision Tanjaneka Guy Dr. Robert Waldo Human Resource Management Foundations – HRM 500 October 29, 2011 Apple’s Make vs. Buy Decision 2 Best approaches to Recruiting Recruiting can include giving proper interviews. Human Resources recruitment is to build a supply of potential new hires that the organization can draw on if the need arises. Public employment agencies allows employees to register their job vacancies with their local state employment office, and the agency will try to find someone suitable, using its computerized inventory of local unemployed individuals. With rapid growth of internet use, it is becoming more important that a research site have a presence on the World Wide Web. Internet recruiting definitely would be valuable and best suited for Apple’s talent acquisition. Describe the recruiter traits and behaviors leading to successful recruiting The most successful recruiting campaign requires (1) Interaction – The ideal recruiter is able to communicate with others in a warm and helpful manner while building credibility. (2) Spoken communication – The ideal recruiter is able to present information clearly through spoken word. (3) Commitment to task – The ideal recruiter is able to start and persist with specific courses of action while exhibiting a high degree of self motivation and a sense of urgency. (4) Must have insight and need analysis. (5)...
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...Running Head: Apple’s Make-vs.-Buy Decision Apple’s Make-vs.-Buy Decision Apple’s best approach regarding hiring employees for their top technology or engineering positions would be private employment agencies. Since there is a huge secrecy that surrounds Apple’s products, employment agents have the ability to bring in the right fit candidates for Apple’s top positions. In regards to Apple’s entry level positions, recruiting at Colleges and Universities would be an successful and inexpensive tactic. Apple is a company which will continuously stay on the leading edge in new technology ideas. Therefore, it is extremely important for Apple to stay fresh with new perspectives and ideas. With this being the case, Apple shouldn’t only source their talent from internal sources such as referrals or all internal promotions. Internal sourcing can show growth and have succession planning in any company, but it shouldn’t be Apple’s one and only source of growth because it may limit new ideas and innovations from coming to the table from external experiences. In order for Apple to draw interest from the best talent, Apple must have the best talent searching for the best talent. The recruiters must be savvy and knowledgeable about Apple products. An individual who applies for a position most likely has...
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...control deficiency exists when the design or procedure of a control does not allow management or employees, in the normal course of performing their assigned functions, to prevent or detect misstatements on a timely basis. * A deficiency in design exists when a control necessary to meet the control objective is missing, or the control is not properly designed so that even if it operates as designed, the control objective is not always met. * A deficiency in operation exists when a properly designed control does not operate as designed or the person performing the control does not possess the necessary authority or qualifications to perform the control effectively. * A significant deficiency is a control shortage or a combination of control shortages that adversely affects the entity’s ability to initiate, authorize, record, process or report financial data reliably in accordance with generally accepted accounting principles such that there is more than a remote likelihood that a misstatement of the entity’s financial statements that is more than inconsequential will not be prevented or detected. * A material weakness is a significant deficit or combination of significant deficits that results in more than an isolated chance that a material misstatement of the financial...
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...caring or protecting themselves, they should start off by practicing in the environment and at home, it will be easier for them to protect themselves when in the hospital. The skills and knowledge will gain while practicing at home and in the environment. Sometimes the nurses forgot to look for the complex and dangerous threats that facing them in the working environment. Work place violence, define as the behavior involving physical force intended to hurt, damage, or kill someone or something in the workplace. Work place violence is one major threat that is facing the nurse’s safety in the environment. Nurses might get into trouble if they do not prevent themselves from the violence. Work place violence can result from lacking of nurses or shortage of nurses that works in one ward with plenty of patient. Working with plenty of patient may cause loose of concentration with the patient. This can cause the nurse to accidently poke herself or himself. That’s why it’s better for nurses to get enough sleep before going for their shifts. Nurse...
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