Global nurse shortages—the facts, the impact and action for change

Drennan, Vari; Ross, Fiona

doi:10.1093/bmb/ldz014

Cited by 341 publications

(311 citation statements)

References 24 publications

Supporting

Mentioning

264

Contrasting

Order By: Relevance

“…In this study, organisational commitment was identified to have the greatest impact on nurses’ intent to leave. This result is consistent with that of previous studies (Drennan & Ross, ; Moon & Han, ; Nantsupawat et al, ), confirming that organisational commitment has the greatest impact on nurses’ intent to leave. The mean organisational commitment score of our participants was 2.80 out of 5, which is lower than that among Korean hospital nurses measured with the same tool in previous studies: 3.02 (Park, ) and 2.90 (Jin & Kim, ).…”

Section: Discussionsupporting

confidence: 92%

“…High turnover and the consequent shortage of nurses is one of the most serious problems affecting the field of health care worldwide, impacting an array of domains, from the quality of nursing service to organisational productivity (Drennan & Ross, ). In 2017, the rate of Korean nurses’ turnover was reported to be 13.8% (Hospital Nurses Association, ), more than twice the appropriate turnover rate of 5%–7% proposed by Toffler ().…”

Section: Introductionmentioning

confidence: 99%

“…An appropriate level of turnover is essential for personnel management, providing an opportunity to refresh an organisation's culture or mood and to recruit competent members (Song et al, 2012;Toffler, 1982). However, in nursing organisations, excessive turnover violates patient safety; incurs costs to recruit, hire and educate new nurses (Drennan & Ross, 2019;Song et al, 2012); and undermines morale of the remaining nurses, in addition to increasing burnout, also provoking departures (Drennan & Ross, 2019;Tourangeau, Cummings, Cranley, Ferron, & Harvey, 2010). Thus, nursing turnover must be managed and controlled by nursing or health care organisations.…”

mentioning

confidence: 99%

See 2 more Smart Citations

A study on the intent to leave and stay among hospital nurses in Korea: A cross‐sectional survey

Lee

Lim

2020

J Nurs Manag

View full text Add to dashboard Cite

Aims To investigate the intent to leave or stay among Korean hospital nurses, and to identify what factors influence their intent to leave or stay. Background Previous studies have simply measured nurses’ intent to leave or stay; however, this study examines the associations of intent to leave and intent to stay with influential factors among Korean hospital nurses. Methods A cross‐sectional study was conducted with 267 nurses working at four general hospitals in South Korea. Result The influencing factors on intent to leave were organisational commitment, practice environment and burnout, while intent to stay was influenced by organisational commitment. Conclusion The study demonstrates that, for Korean hospital nurses, intent to leave and intent to stay are not simply contrary concepts, but are different concepts influenced by varying factors. Implications for Nursing Management This study clarifies the difference between the concepts of intent to stay and intent to leave, and demonstrates that the variables affecting Korean nurses’ intent to stay and intent to leave differ from each other. Therefore, focusing on improving nurses’ intent to either leave or stay would be effective when developing personnel management policies for nurses, thereby contributing to enhancing nursing practice.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

A study on the intent to leave and stay among hospital nurses in Korea: A cross‐sectional survey

Lee

Lim

2020

J Nurs Manag

View full text Add to dashboard Cite

show abstract

“…Group authorship Not applicable. 1 Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, AB T6G 1C9, Canada. 2 Faculty of Education, University of Alberta, Edmonton, AB T6G 2G5, Canada.…”

Section: Acknowledgementsmentioning

confidence: 99%

“…Nursing shortages around the world have led to unprecedented rates of international and interregional nurse migration [1]. Recent findings revealed that 40% of nursing positions in the Caribbean remain vacant, primarily due to nurse migration [2].…”

Section: Introductionmentioning

confidence: 99%

Caribbean nurse migration—a scoping review

2020

View full text Add to dashboard Cite

Background: The migration of Caribbean nurses, particularly to developed countries such as Canada, the United States, and the United Kingdom, remains a matter of concern for most countries of the region. With nursing vacancy rates averaging 40%, individual countries and the region collectively are challenged to address this issue through the development and implementation of sustainable, feasible strategies. The aim of this scoping review is to examine the amount, type, sources, distribution, and focus of the conceptual and empirical literature on the migration of Caribbean nurses, and to identify gaps in the literature. Methods: Identified records were selected and reviewed using Arksey and O'Malley's scoping framework. A comprehensive search was conducted of eight electronic databases and the Google search engine. Findings were summarized numerically and thematically, with themes emerging through an iterative, inductive process. Results: Much of the literature included in our study (N = 6, 33%) originated in the United States. Publications steadily increased between 2003 and 2016, and half of them (N = 9) were journal articles. Many (N = 6, 33%) of the records used quantitative methods. The themes identified were as follows: (1) migration patterns and trends; (2) post-migration experiences; (3) past and present, policies, programs, and practices; and (4) consequences of migration to donor countries. More than half (N = 11, 56%) of the literature addressed nurse migration policies, programs, or practices, either solely or in part. Several gaps were identified including the need for evaluation of the effectiveness of current nurse migration management strategies and to study policies, trends, and impacts in understudied Caribbean countries. Conclusion: This review demonstrates the need for future research in key areas such as the impact of nurse migration on health systems and population health. The literature tends to focus on Caribbean countries with higher levels of nurse migration. However, data regarding this phenomenon in other Caribbean countries is needed for a more comprehensive understanding of the plight of the Caribbean region and would answer the call from the International Organization for Migration to study policies, trends, and impacts in understudied Caribbean countries.

show abstract

US Hospital Capacity Managers’ Experiences and Concerns Regarding Preparedness for Seasonal Influenza and Influenza-like Illness

et al. 2021

View full text Add to dashboard Cite

IMPORTANCE The 2017-2018 influenza season in the US was marked by a high severity of illness, wide geographic spread, and prolonged duration compared with recent previous seasons, resulting in increased strain throughout acute care hospital systems. OBJECTIVE To characterize self-reported experiences and views of hospital capacity managers regarding the 2017-2018 influenza season in the US. DESIGN, SETTING, AND PARTICIPANTS In this qualitative study, semistructured telephone interviews were conducted between April 2018 and January 2019 with a random sample of capacity management administrators responsible for throughput and hospital capacity at short-term, acute care hospitals throughout the US. MAIN OUTCOMES AND MEASURES Each participant's self-reported experiences and views regarding high patient volumes during the 2017-2018 influenza season, lessons learned, and the extent of hospitals' preparedness planning for future pandemic events. Interviews were recorded and transcribed and then analyzed using thematic content analysis. Outcomes included themes and subthemes. RESULTS A total of 53 key hospital capacity personnel at 53 hospitals throughout the US were interviewed; 39 (73.6%) were women, 48 (90.6%) had a nursing background, and 29 (54.7%) had been in the occupational role for more than 4 years. Participants' experiences were categorized into several domains: (1) perception of strain, (2) effects of influenza and influenza-like illness on staff and patient care, (3) immediate staffing and capacity responses to influenza and influenza-like illness, and (4) future staffing and capacity preparedness for influenza and influenza-like illness. Participants reported experiencing perceived strain associated with concerns about preparedness for seasonal influenza and influenza-like illness as well as concerns about staffing, patient care, and capacity, but future pandemic planning within hospitals was not reported as being a high priority. CONCLUSIONS AND RELEVANCE The findings of this qualitative study suggest that during the 2017-2018 influenza season, there were systemic vulnerabilities as well as a lack of hospital preparedness planning for future pandemics at US hospitals. These issues should be addressed given the current coronavirus disease 2019 pandemic.

show abstract

Global nurse shortages—the facts, the impact and action for change

Cited by 341 publications

References 24 publications

A study on the intent to leave and stay among hospital nurses in Korea: A cross‐sectional survey

A study on the intent to leave and stay among hospital nurses in Korea: A cross‐sectional survey

Caribbean nurse migration—a scoping review

US Hospital Capacity Managers’ Experiences and Concerns Regarding Preparedness for Seasonal Influenza and Influenza-like Illness

Contact Info

Product

Resources

About