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Nursing Shortage or Force Issues

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Many countries do not have enough nurses, and the problem is particularly acute in the developing countries. Developed countries attract nurses from other countries owing to the high wages, more opportunities for professional growth, better living conditions and other delights, while the developing countries cannot afford this. “Global Migration of nurses particularly heavy toll on small countries, such as Jamaica, where 8% of nurses responsible for general profile and 20% of specialist nurses annual leave for more developed countries”, said Dean Nardi (Deena Nardi), Program Director of sending nurses to the International Council of Nurses (Laureate Education 2009). The problem of nursing professionals’ shortage is also focal in countries such as India. According to Dilip Kumar (Dileep Kumar), the head of nursing services of the Ministry of Health and the Director of the Indian Council of Nurses, for the relationship between nurses and patients at the rate of 1:500 by 2012 the country misses 2.4 million nurses.

One of the causes of the global shortage of nurses is lack of educational and training base and lack of qualified teachers for training of nurses. Many countries, for example, the Maldives, do not have adequate training facilities and are not able to attract the youth to the profession, and therefore have to solve the problem of the nursing shortage by recruiting professionals from other countries (Kuehn, B. M. 2007). In areas where there is a significant shortage of nurses was unfavorable trend towards spread of preventable diseases, high infant and childhood mortality(Laureate Education 2009).

Through the efforts of the International Council of Nurses there was set up an international nursing education, in collaboration with the National League of Nursing in the United States to address the nursing faculty shortage that exists in many countries. The Constituent Assembly was held in Dublin, South Africa, in July 2009, at the Congress of the International Council of Nurses. It is expected that the network will create a forum for the global community in the area of nursing education to share resources to make up the shortage of nurses (Laureate Education 2009).

Many regions are working to address the shortage of nurses. The World Health Organization has developed global standards for professional training in nursing and midwifery based on the opinions of more than 90 associations of nurses, research institutions and government agencies. The purpose of these standards is to improve the quality of nursing and provide ways for professional development in line with national, regional and global health needs (Kuehn, B. M. 2007).

Shortage of staff has caught President Obama’s attention. During the White House meeting on the revision of health care system, the president expressed concern that the U.S. may be forced to invite foreign trained nurses as many hospitals’ vacancies are not filled for many years. Louise Capps, a former school nurse, said that a full-scale reform of the medical care is not efficient without addressing the nursing shortage. In the U.S. hospitals, there are not filled about 116,000 vacant nurssing jobs, and in the nursing homes – about 100,000 positions.

Experts believe that the situation will worsen in the coming years, as 78 million baby boomers begin to retire. Accordingly, many people will call for attention because of chronic diseases. “The nursing shortage is not caused by a lack of interest in such a career”, believes Robert Rosseter of the American Association of Colleges of Nursing, “The catch is that the schools do not have enough training places”. Some lawmakers blame the lack of financial support to the federal government training colleges of nursing.

In 2008, the professional nursing programs did not cover approximately 50,000 of comers, including about 6,000 applicants for the master's degree and doctorate. A nurse with a degree can earn up to 70,000 dollars.

President Obama signed the economic stimulus plan that includes $ 500 million to address the shortage of medical staff, and about $ 100,000 will be used to fight the deficit of nurses. In the United States, according to official statistics, are working about 2.5 million of the registered nurses.

Apart from this bill, Democratic senator Dick Durbin and Nita Lowe proposed a package of measures to increase federal grants to the colleges which prepare nurses. According to Peter Burhausa, expert from Vanderbilt University in Tennessee, 6,700 deaths among hospital patients and 4 million bed days could be avoided, if there was not an acute shortage of medical personnel.

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