Nursing Workforce: Importance and Challenges

Questions and Answers

What is the primary reason for establishing a national clearing house?

To provide up-to-date and reliable information about scope of practice changes in other states (correct)

To address the acute shortage of nurses

To facilitate teamwork spirit among nurses

To provide a platform for nurses to share their experiences

What is a major obstacle to the sustainability of workforce innovations?

Insufficient funding for research and evaluations

Resistance from physicians

One-time funding for innovations (correct)

Lack of authority in administrative structure

What is a key characteristic of nursing care?

Whole-person care across health and community-based settings (correct)

Limited to hospital settings

Focus on disease management

Emphasis on value-based payments

What is a major challenge facing the nursing profession?

Lack of resources, both material and financial Signup and view all the answers

Why are payment models a critical factor in workforce redesign?

They influence the sustainability of workforce innovations Signup and view all the answers

What is a key benefit of removing regulatory barriers to nurse practice?

It enables nurses to fully utilize their skills to benefit patients Signup and view all the answers

What is a distinctive feature of the nursing workforce?

It is the largest licensed health profession Signup and view all the answers

Why is it essential to develop evidence to support regulatory changes?

To understand the impact of interventions on health, costs, and satisfaction Signup and view all the answers

Which of the following is NOT a key element of patient-centered medical homes (PCMHs) and Accountable Care Organizations (ACOs)?

Increased hospital admissions Signup and view all the answers

What is the main reason for the need to redesign the nursing education system?

To provide nurses with skills relevant to the changing healthcare landscape Signup and view all the answers

What is the primary objective of retraining existing nurses?

To equip them with the skills needed for the changing healthcare landscape Signup and view all the answers

What is the significance of 'purposeful exposure' in clinical rotations?

To provide students with experience in high-performing teams and ambulatory settings Signup and view all the answers

What is the role of a Panel Manager?

Coordinate patient care between hospital visits Signup and view all the answers

Which of these is NOT a potential role for a Health Coach?

Hospital administrator Signup and view all the answers

What is the main objective of revamping licensing examinations?

To reflect the new nursing curriculum and competencies Signup and view all the answers

What is the primary purpose of restructuring the state regulatory system?

To allow for flexible deployment of the nurse workforce Signup and view all the answers

What is the primary role of nurses within the healthcare workforce?

Provision of patient care Signup and view all the answers

What new role is being recognized in a transformed health system?

Expansion of patient-centered medical homes Signup and view all the answers

What is a primary focus of the health care interventions being implemented?

Providing comprehensive and coordinated care Signup and view all the answers

How is payment for healthcare services evolving, according to the new system?

Based on value, not volume Signup and view all the answers

What technology is increasingly used to monitor patient and population health?

Electronic Health Records (EHRs) Signup and view all the answers

Which of the following best describes the nursing workforce?

Composed of various nursing roles including RNs, LPNs/LVNs, and APRNs Signup and view all the answers

What is a key factor contributing to job dissatisfaction among nurses?

Nurse’s workload Signup and view all the answers

Which issue is NOT typically associated with employment issues in nursing?

Job satisfaction Signup and view all the answers

What does the 'high tech and high touch dilemma' refer to in nursing?

A balance between technology use and personal patient care Signup and view all the answers

Which of the following is critical for protecting patients from injuries?

Following policies and procedures Signup and view all the answers

What is a common reason for nursing shortages?

High turnover rates Signup and view all the answers

Which of the following reflects an ethical consideration in nursing regarding patient autonomy?

Advance directives Signup and view all the answers

What issue pertains to the management of nursing staffs?

Staff recruitment and retention Signup and view all the answers

Which situation is considered a medical ethical dilemma?

Absconding of the patient Signup and view all the answers

Study Notes

Workforce in Nursing

Nurses comprise the largest component of the healthcare workforce, providing primary care to hospital patients and long-term care.
The nursing workforce consists of registered nurses (RNs), licensed practical or licensed vocational nurses (LPN/LVNs), and advanced practice registered nurses (APRNs).

New Roles in a Transformed Health System

Patient-centered medical homes and accountable care organizations emphasize care coordination, population health management, and patient education.
Interventions focus on primary, preventive, and "upstream" care, with integrated care between medical sub-specialties, home health agencies, and nursing homes.
Electronic Health Records (EHRs) are used to monitor patient and population health, with increased use of data for risk-stratification and hot spotting.

Optimizing Nurses' Contributions

Redesign the nursing curriculum to educate nurses with new competencies.
Retrain existing nurses with new skills and knowledge.
Revamp licensing examination and requirements to reflect the new curriculum.
Restructure the state regulatory system to allow flexible deployment of the nurse workforce.

Emerging Job Titles and Roles

Panel Managers: assume responsibility for patients between visits, using EHRs and patient registries to identify patients with unmet care needs.
Health Coaches: improve patient knowledge about disease management and promote healthy behaviors.

Redesigning Education and Training

Need to redesign the education system to allow nurses to flexibly gain new skills and competencies.
Retrain and upgrade skills of nurses to transform care.
Training must be convenient, considering timing, location, and financial incentives.

Policy Changes to Support Nurses

Remove regulatory barriers to let nurses utilize skills to the maximum benefit of patients.
Adequate and sustainable payment models to retool and redeploy the workforce.
Fund research and evaluations to develop evidence base needed to support workforce redesign.

Challenges Facing the Nursing Workforce

Lack of nurses prepared to work in nursing administration.
Acute shortage of nurses.
Lack of authority in administrative structure.
Lack of teamwork spirit.
Lack of resources, both material and financial.

Employment Issues

Delays in registration.
Employment discrimination issues.
Employment harassment issues.
Mandatory overtime.
Job dissatisfaction.
Employment occupational health and safety issues.
Employment retention and turnover issues.
Employment performance appraisal issues.
Employment recruitment issues.

Staffing Issues

Staff retention.
Nursing shortages.
Demand for nurses.
Staff turnover.
Workload.
Issues regarding malpractice in nursing management.
Collaboration issues.

Ethical Issues

Controlled substances.
Autopsy and organ donation.
Surrogate motherhood.
Advance directives.
Do not resuscitate (DNR) orders.
Patient's property.
Reporting.

Documentation and Policy Adherence

Documentation of all unusual incidences.
Report all unusual incidences.
Know your job description.
Follow policies and procedures as established by your employing agency.
Keep your registration updated.
Perform procedures that you have been taught and that are within the standard scope of your practice.
Protect patients from injuring themselves.

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Description

This quiz covers the significance of the nursing workforce in healthcare, identifying workplace issues, and understanding the composition of the nursing workforce, including registered nurses and licensed practical nurses.