Importing nurses from overseas for the nursing shortage Essay

The Rapid growth in the aging baby boomers and the shortf all in all among the full- time equivalent view ass intensify the profound need for skilled nurses, thus, resulting to a massive importation of contradictory registered nurse. To that end, several(prenominal) debates and questions sprung receivable to the establishments considerable quick- put in the dearth imploring the legalities and the little attention given to the academic sector that strives to combat the bother.With the wellness veneration transcription cosmos the beacon light of a nations prosperity, addressing troubles of statistics with just importation might be a problem itself. With the use of the negociate for process, this paper examines the problem at hand, the actions taken and differentwise sources that may be use in the treat deficit. Assessment According to the study by Brush, Sochalski, & Berger (2007) during the past 50 years, single 5 % of the United States nursing flirtforce was impo rted. It was only in the endorse half of 1990 that nearly 10,000 opposed nurses migrated.By the 20th century, as revealed by the American hospital Association Survey of the Hospital Leaders (2007), hassle in the infirmary staffing of nurses garners 2nd or 44% over other hospital positions, with 49% dissatisfaction among nurses and issues of hospital capacity that garners 48% in all hospitals, acted as a bubble to the registered nurse shortfall. This in time adds out-of-pocket to a decline in the graduates and the number of candidates taking the National Council Licensure Examination. instanter with the increase in life expectancy, The American Hospital Association (2007) intercommunicate 75 million bequeath be at the ages of 46 to 64 by 2010 Resulting to an increase in the needs and resources to match up with the future day challenges of bedside c atomic number 18 especially with chronic conditions in regards to old age import nurses from overseas for the nursing paucity p . 2 With a baseline of 2,347,000 demands for regular equivalent nurses by 2010 as shown by the Health Resources and go electric pig (HRSA) it is projected by that only 83% of the total demand will be responded.Approximately there are 116,000 vacant positions for registered nurses or 8. 1 % national vacancy rate (HRSA, 2006). With a big shortfall to relieve, the government pushes its efforts to create a more enticing and beneficial area for other nurses abroad to work in the country. Which therefore act as the madcap force of the robust and lucrative business of recruitment agencies, that surges a ecumenic man author search resulting a turnover of foreign nurses in the hospital sector of about 71. 5 % as of 2000 alone (Brush et al.2007).In a 2004 survey by the Department of Health and Human function, over 100,000 foreign born nurses, half of which are Filipinos, are already operative in the U. S. (Savage, 2006) Thriving on the 42 % hiring rate of hospitals that have been repor ted by AHA Survey of Hospital Leaders (2007). As the nurse-patient ratio discrepancy is being filled up, problems with the local sector particularly with the academe tends to shake the thousand Imploring on the little attention being given by the government to the local sector.As 42, 000 qualified applicants in 2006- 2007 were turned forth by US nursing schools (Kuehn, 2007), the problem undermines an institutional problem due to inadequacy of funds to train fresh graduates in relation to lesser clinical training placement, a growing faculty shortfall, and a high percentage of registered nurses that is non practicing as a full-term equivalent nurse in relation to a better shifting, work facility, and compensation on other fields. Importing nurses from overseas for the nursing shortage p. 3The lack of support for a transition program for the foreign nurses and an increasing foreign recruitment cost for the hospitals also lingers on the sideline. As stated by Parkland Health & Ho spital System executive Beth Mancini, MSN, RN, FAAN, in an question by Heather Stringer last 2002 for Nurseweek. com The costs of hiring foreign nurses have well increased. And that several nurse executives said It costs about $10,000 to recruit an foreign nurse today and can take between 18 and 24 months for the nurse to arrive. With the shortage problem seemingly to increase every year, several nurse executives contends that importation might not just be a short-term solution, and not the best that is, resulting to an aggressive stand to ease the institutional inadequacies. Diagnoses Importation reliance related to limited manpower secondary to work dissatisfaction and or insufficient college programs The unprecedented migration of foreign nurses only resolves the short- term problem in the health dole out sector.Instead of concentrating on importation, the root of the problem should be taken into account, as well as the drawbacks of relying on importation. Which does not onl y hinders U. S. institutions growth, but decelerates foreign countries health services. Planning With a wide range of interplaying reasons of nurse deficit, a formulated component of nurses shortage is relevant to organize the core problems within the dwindling insufficiency among the heath care sector. Importing nurses from overseas for the nursing shortage p. 4 Components in the nurses shortage settle in the public perception of the attractiveness of the nursing profession. Contributed by an increase in professional opportunities for women outside nursing, unattractive salary and drawn-out career advancement. Unfavorable working conditions. Precipitated by problems on working hours, increase in the nurse-patient ratio, safety and size of the hospital facility. Inadequate institutional resources. That resulted to a shortage among nursing educators, a shift or state migration to larger hospitals and lesser clinical placement.Implementation To bolster a growth in the U.S nurse s population, problems that arise should be tackled on its ground roots. Using the nurse shortage component list, a summary of programs will be emphasized to twin the underlying causes of the nurses shortage. To encourage an influx of students to take up nursing, favorability and a electropositive avenue for growth and development must be shown. With the studies and advancement do by the National Advisory Council on Nurse command and answer (NACNEP) in their third report to the Secretary of Health and Human Services and the Congress last April, 2003.Solutions to the formulated list will be command by the requirements of the Public Health Service Act as revise by the Nurse Education and Practice Improvement Act of 1998. 1. Decline in the public perception of the attractiveness of the nursing profession. Concentration to provision that support career enhancement, Importing nurses from overseas for the nursing shortage p. 5 and expansion of knowledge and skills such as the Nurs e Reinvestment Act and go Ladder Grant Program which facilitates and funds further study of nursing specializations and enough appropriations for nurses to become faculty members.2. Unfavorable working conditions. Enhancing patient care delivery system via granting funds related to communication among heath professionals for tenaciousness of care. Giving out an award that develops internship or residencies for motivation, setting up limits to working hours, and establishment of programs that set nurse staffing to the level of care needed by the patients. 3. Inadequate institutional resources. Reaching out to the young members of society by granting scholarship program in exchange for community service, loans, and monthly stipends. out from concentrating on the students, faculty turnover should be address by large(p) out funds to nurses in exchange to become full- time students that are geared as a future faculty. Evaluation The immense power of a nation to import should not be th e sole solution to any inadequacies of a country, though importation is beneficial to fill in the gaps, foresight is much needed to give a better stead of what is vital for a country to grow. Providing continued support to the local system most especially to the academic and medical institutions, fosters a bigger avail to the local sector.It produces insurmountable avenues and resources with for further health care challenges. Such actions taken by the NACNEP brings about a wider range of possibilities for the profession to grow. References American Hospital Association. (2007, May 8).When Im 64 How boomers will change health care. Retrieved November 1, 2007, from http//www. aha. org/aha/research-and-trends/index. html American Hospital Association. (2007, July). The 2007 State of Americas Hospital-taking the pulse. Retrieved November 1, 2007, from http//www. aha. org/aha/research-and-trends/index. html Brush, B.L , & Sochalski, J. , & Berger, A. M. ( 2004, May/June). Imported car e recruiting foreign nurses to U. S. health care facilities. Health Affairs, volume 23 (3), p 81.Health Resources and Services Administration. (2003, November). National Advisory Council on Nurse Education and Practice Third Report to the Secretary of Health and Human Services and the Congress. Health Resources and Services Administration. What is behind HRSAs projected supply, demand and shortage of registered nurse? Retrieved November 1, 2007, from http//bhpr. hrsa. gov/healthworkforce/reports/behindrnprojections/6.htm Kuehn, B. M. (2007).No end in sight to nursing shortage Bottleneck at nursing schools as a key factor. journal of the American Medical Association, volume 298 (14) 1623-1625. Savage, L. (2006, April). Bandaids will not heal the nursing shortage. Hypercube Center for Science and Medical Journal. Boston University College of Communication. Stringer H. (2002, June 6). Foreign investments. Nurseweek. Retrieved on November 1, 2007 from http//www. nurseweek. com/ intellig ence operation/features/02-06/international. asp WANTED Imported Nurses Importing nurses from overseas for the nursing shortage