The ageing nursing workforce: a global challenge

Sherman, Rose O.; Chiang‐Hanisko, Lenny; Koszalinski, Rebecca S.

doi:10.1111/jonm.12188

Cited by 43 publications

(29 citation statements)

References 11 publications

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“…In spite of this major evidence, repeated statistics have also revealed an increased growth in the need for aged and dementia care services (Bedin et al, 2013;Swanlund & Kujath, 2012;WHO, 2014). Moreover, the rapidly ageing nursing workforce in many industrialised countries has exacerbated this situation (Sherman, Chiang-Hanisko, & Koszalinski, 2013).…”

Section: Introductionmentioning

confidence: 99%

Nursing curriculums may hinder a career in gerontological nursing: An integrative review

Garbrah

Välimäki

Palovaara

et al. 2017

Int J Older People Nursing

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Section: Introductionmentioning

confidence: 99%

Nursing curriculums may hinder a career in gerontological nursing: An integrative review

Garbrah

Välimäki

Palovaara

et al. 2017

Int J Older People Nursing

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“…Increased global migration has impacted on staffing as new graduates seek employment in countries outside Ireland and the UK (INMO, 2018) presenting significant national recruitment and retention challenges (INMO, 2018). A global ageing nursing and midwifery workforce (Sherman, Chiang‐Hanisko, & Koszalinski, 2013) has been challenged in replacing retiring staff, resulting in calls to have policy efforts to retain older nurses and migrant nurses in the workforce (Ryan, Bergin, White, & Wells, 2018). Another exacerbating issue is a fragmented workforce planning agenda and the removal of nursing bursaries in the UK (RCN, 2018).…”

Section: Resultsmentioning

confidence: 99%

Contextualising missed care in two healthcare inquiries using a socio‐ecological systems approach

Phelan

Kirwan

2020

Journal of Clinical Nursing

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Aims and objectives To examine missed care within two patient safety public inquiries using a socio‐ecological model. Background Missed care is a care which has been omitted or rendered incomplete. Possible outcomes of missed care have been identified including poor patient outcomes such as higher mortality rates, reduced care quality and lower patient satisfaction, job dissatisfaction, staff burnout and higher attrition rates. Design A qualitative design, specifically document analysis, was used to review two serious case reviews. Methods Between August–December 2018, two public patient safety inquiries were examined using a document analysis method. Both inquiries are based in acute hospital care settings of nursing (UK) and midwifery (Ireland). The Standards for Reporting Qualitative Research checklist provided a framework to report the study methods, context, findings, analysis and interpretation. Results Findings highlighted instances of missed care related to practice which contributed to poor patient outcomes. Missed care was located within contingency factors, such as unintended negative patient health and safety outcomes in multiple system levels which resulted in care deficits. Conclusions A socio‐ecological model enabled consideration of how multi‐system deficits combine to impact nursing and midwifery care delivery. To tackle current and future practice challenges, broader contextual issues that influence front‐line cases should be identified and addressed before they create conditions which result in substandard care. Relevance to clinical practice This paper adds to the scholarship on missed care by incorporating a greater contextual lens. Findings suggest that some factors contributing to missed care events may be systemic in origin. Practice, policy, research and education should foster nurses’ and midwives’ review of the totality of influencing factors impacting missed care and care deficits. Consequently, early warning signs and proactive responses at a system level should be inherent in all settings that nurses’ and midwives’ practice.

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“…[7] Nurses as the largest group among human resources in hospitals, have essential role in hospital success and promoting community health. [8910] Therefore for hospitals proper performance, it is essential to develop standards of human resource employment based on appropriate indexes for different type of hospitals. These standards along with opinion of experts can be used by hospitals for proper distribution of their human resource.…”

Section: Introductionmentioning

confidence: 99%

Nurse staffing norm in Iran Hospitals: What features should be included for success?

et al. 2017

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Background:Designing and implementing a model for estimation and distribution of required nurse is one of strategies to prevent unequal distribution of nurses within and between hospitals. The purpose of this research was to determine required features for hospital nursing staff estimation model.Methods:We conducted a qualitative study using a Colaizzi analysis approach. We used semi-structure and in-depth interviews by purposive, quota, and snowball sampling of 32 participants (10 informed experts in area of policy making in human resources in Ministry of Health, 10 decisions making in employment and distribution of human resources in treatment and administrative chancellors of medical universities, and 12 process owners in hospitals). The data were analyzed using ATLAS.ti software version 6.0.15.Results:The ten following sub-themes emerged from data analysis: Skill mix and task shifting, work measurement, legal support, stakeholder involvement in designing a model, considering the ward activity, considering type and extent of care patients required, model development by experts predominate in nursing process, considering the nurses availability, considering the capabilities and professional merits of nurses, fitness with social, cultural, and belief of people. The main themes were occupation analysis, planning and policy making, real workload, acceptability, nurses’ efficiency, and being a native.Conclusions:Given that standardization of nursing staff estimation is announced as one of the challenges in reaching Iran's 20-year vision plan. Hence, design and implementation of a nursing staff estimation model in regard to identified features could be part of priorities in Ministry of Health in Iran.

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The ageing nursing workforce: a global challenge

Cited by 43 publications

References 11 publications

Nursing curriculums may hinder a career in gerontological nursing: An integrative review

Nursing curriculums may hinder a career in gerontological nursing: An integrative review

Contextualising missed care in two healthcare inquiries using a socio‐ecological systems approach

Nurse staffing norm in Iran Hospitals: What features should be included for success?

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