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Nursing shortage requires lasting solution, not a quick fix.

M Beyers, J F Damore

    Health Progress (Saint Louis, Mo.)
    |April 10, 1987
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    The evolving healthcare landscape necessitates strategic nursing resource planning. Addressing the current nursing shortage requires adapting roles and functions for future patient care needs.

    Area of Science:

    • Healthcare Management
    • Nursing Workforce Studies
    • Health Services Research

    Background:

    • The current nursing shortage is distinct due to healthcare system changes like hospital downsizing and decentralized structures.
    • These organizational shifts have altered the roles and functions of both healthcare organizations and nursing professionals.
    • The contemporary healthcare environment presents unique challenges, potentially exacerbating the impact of a nursing shortage.

    Purpose of the Study:

    • To analyze the unique characteristics of the current nursing shortage in the context of evolving healthcare delivery.
    • To outline strategic planning approaches for nursing resource management that account for future healthcare system demands.
    • To identify key areas for intervention to ensure a qualified and satisfied nursing workforce.

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    Main Methods:

    • Analysis of organizational changes in healthcare delivery (downsizing, decentralization, alternative modes).
    • Assessment of the impact of these changes on nursing roles, functions, and workforce needs.
    • Identification of strategic planning components for long-term nursing resource management.

    Main Results:

    • Future healthcare delivery will likely involve reduced acute care facilities and increased non-institutional care, impacting nursing practice.
    • Planning must address the need for qualified nurses, the nurse's role as a patient case manager, career development, and collaborations with educational institutions.
    • Strategies to enhance nurse satisfaction include effective staff utilization, evaluating care quality factors, efficient team development, and fostering change forums.

    Conclusions:

    • Long-range nursing shortage planning must integrate short-term solutions within a strategic change framework.
    • Future nursing requirements necessitate a focus on adaptability, specialized roles (e.g., case management), career pathways, and educational partnerships.
    • Promoting nurse satisfaction through effective organizational practices is crucial for addressing workforce challenges.