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BUSI 344

Running head: ANNOTATED BIBLIOGRAPHY 1

Annotated Bibliography

Statement of Topic

Dworkin (2002) discusses one factor of the nursing shortage is there are not as many young people going into nursing, at least one-third of registered nurses (Rn’s) in the US have reached the age of 50, and that proportion is projected to increase 40% over the next decade. Another cause of the nursing shortage is the educators reaching retirement age. Lake, Allen and Armstrong (2016) suggest a solution to this shortage is to mentor and train the men and woman military nurses. This paper will provide a persepective on the shortage of nurses with specific attention to the cause of the nursing shortage, education and recruitment for nurses, impact the shortage has on the patients and a solution to the nursing shortage.

Agnew, T. (2013). Never enough staff to care: What can be done to address nurse shortages in care homes? Nursing Standard, 27(29), 18. Retrieved from

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 This article is about never having enough nurses in care homes for the elderly and what can be done to address the shortage.

Aiken, L. H. & Cheung, R. B., & Olds, D. M. (2009). Education policy initiates to address the nurse shortage in the United States. Health Affairs, 28(4), W646-W656. Retrieved from

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This article is about nursing shortages and financially strapped colleges and universities having to limit the abilities of U.S. nursing schools.  They need increased public subsidies to provide greater access to nursing education.

Buerhaus, P. I., Donelan, K., Ulrich, B. T., Norman, L., & al, e. (2007). Impact of the

nurse shortage on hospital patient care: Comparative perspectives. Health Affairs, 26(3), 853-62. Retrieved from

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Impact Of The Nurse Shortage On Hospital Patient Care: Comparative Perspectives considers and reviews the different effects that are caused to patient care when there is a lack or nurses. The lack of nurses causes a great deal of stress to the medical environment. Several different stressors are mentioned thought out this article.

Cappelli, P. (2005). Will there really be a labor shortage? Human Resource Management, 44(2), 143-149. Retrieved from

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“Several recent studies warn that the U.S. economy will experience widespread job vacancies that cannot be filled because of shortfall of workers.” Employers will face new challenges in hiring and recruiting then they did in the past. In this article author talks about “challenges have to do with changes in the employment relationship, not a shortfall of workers caused by demographic changes.”

Chan, Z. C. Y., Tam, W. S., Lung, M. K. Y., Wong, W. Y., & Chau, C. W. (2013). A systematic literature review of nurse shortage and the intention to leave. Journal of Nursing Management, 21(4), 605-613.  Retrieved from.

http://onlinelibrary.wiley.com.ezproxy.liberty.edu/doi/10.1111/j.1365-2834.2012.01437.x/abstract

 This article presents findings of a review of literature regarding nurses’ intention to leave the profession.

Clarke, S. P., & Cheung, R. B. (2008, March). The nurse shortage. Nursing Management

(Springhouse), 39(3), 22-27. doi:10.1097/01.numa.0000313092.89271.98

This article talks about nurse shortage and how “this crisis will test your skills as a manager.” Nurse shortage has been predicted and this article helps with choosing the best strategies for addressing the cause and dealing with consequences.

Coffman, J. M., Seago, J. A., & Spetz, J. (2002). Minimum Nurse-To-Patient Ratios In Acute Care Hospitals In California. Health Affairs, 21(5), 53-64. doi:10.1377/hlthaff.21.5.53

Nurse shortage has been a problem for many years now. In this article, authors talk about whether minimum-staffing ratios will improve conditions for patients and for nurses. When it comes to hospitals, there should be plenty of nurses due to more patients coming for emergencies or surgeries. “In 1999 California because the first state to enact legislation mandating minimum nurse-to-patient ratios in acute care hospitals.”

Dworkin, R. W. (2002). Where have all the nurses gone? Public Interest, (148), 23-36. Retrieved from

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The nursing shortage in the US has turned into a full-blown crisis. Because fewer young people go into nursing, one-third of registered nurses in the US are now over 50 years of age, and that proportion is expected to rise 40% over the next decade. Nurses currently practicing report high rates of job dissatisfaction, with one in five seriously considering leaving the profession. Conventional wisdom blames managed care for the problem. Yet the managed care explanation fails to explain the global nursing shortage. The new career opportunities open to women provide a second explanation for the nursing shortage.. Yet this theory fails to explain why other female-dominated professions maintain enough applications. The nursing profession is being whittled down in size and stature as a result of 3 trends: the decline of the professional ideal, the worsening social predicament of nurses, and the evolution in the spirit of caring. 

Evans, M. M. (2009, November-December). Solutions to the nurse faculty shortage: a

response to the AACN. MedSurg Nursing, 18(6), 387+. Retrieved from

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I believe this article could be very beneficial to our paper. The article discusses different methods or solutions to nurse shortages. Both short-term and long-term solutions are listed and the suggestions may recruit and retain more nursing faculty.

Feldman, H. (2003). Springer Series on Nursing Management and Leadership

Nursing Shortage: Strategies for Recruitment and Retention in Clinical Practice and Education: Strategies for Recruitment and Retention in Clinical Practice and Education. New York, US: Springer Publishing Company. Retrieved from http://www.ebrary.com.ezproxy.liberty.edu

This article shares different studies, tables and reports that have identified factors leading to nursing shortages. This article also discusses the vacancy rates in hospitals and other healthcare facilities.

Health Care Issues, Costs and Access : Physician Supply and Demand. (2010).

Hauppauge, US: Nova. Retrieved from http://www.ebrary.com.ezproxy.liberty.edu

Just as the title states, this article discussed different heath care issues, the supply and demand of physicians and the cost of health care. The second chapter has great information regarding the projected demands of physicians for the year 2020.

 Investment in return to practice courses could solve nurse shortage. (2014). Nursing Standard. (2014+), 28(25), 14.  Doi: http://dx.doi.ezproxy.liberty.edu/10.7748/n2014.02.28.25.14.s19 .

This article states there are predictions of a chronic nurse shortage in 2016 and Health Education England (HEE) wants to examine ways of attracting former nurses back to the profession

Karas, J. (2013). Solving the health care workforce shortage. Community College

Journal, 84(2), 6. Retrieved from http://ezproxy.liberty.edu/login?url=http://search.proquest.com.ezproxy.liberty.edu/docview/1553169462?accountid=12085

This article is relevant to the topic as it discusses the nursing shortage, currently “19,400 RN vacancies in long-term facilities and 116,000 open positions in hospitals” (Karas, 2013). The article also discusses how community colleges have started encouraging students to continue their education to receive a Bachelor in Nursing (BSN) or Master of Science in nursing.

Klocke, E. M. (2009). Nursing faculty shortage nurses' perceptions as a key to administrative solutions (Order No. 3400513). Available from ProQuest Dissertations & Theses Global. (305122612). Retrieved from

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In this article Klocke states that "The nursing faculty shortage is well documented". Higher education administrators turn away qualified student applicants because of the lack of qualified nursing faculty. Furthermore, they find recruitment and retention of qualified nursing faculty a challenge. The purpose of this study was to explore perceptions of the nursing faculty role, causes of the faculty shortage, and solutions to the shortage as perceived by: 1) nurses currently in a faculty role and 2) nurses with a master’s degree who were not employed in a full-time faculty position.

Lake, D. M., Allen, P. E., & Armstrong, M. L. (2016). Former military nurse officers:

One answer to the faculty shortage? Journal of Nursing Education, 55(5), 243-244. doi: http://dx.doi.org.ezproxy.liberty.edu/10.3928/01484834-20160414-01

In this article Lake, Allen, and Armstrong dicuss with a large amount of nursing educators retiring the schools are forced to turn away applicants for nursing schools. They discuss a solution to this problem is to “mentor the talented, aready prepared cadre of retired or otherwise separated men and woman military nurse officers” (Lake, Allen, & Armstrong, 2016, p 243).

Nursing shortages impact patient safety. (2013). The Dissector: Journal of the Perioperative

Nurses College of the New Zealand Nurses Organisation, 41(3), 7. Retrieved from http://p2048-ezproxy.liberty.edu.ezproxy.liberty.edu/login?url=http://go.galegroup.com.ezproxy.liberty.edu/ps/i.do?p=AONE&sw=w&u=vic_liberty&v=2.1&it=r&id=GALE%7CA362274164&sid=summon&asid=193412c65d3c4bf7224775d41cc392e3

This article discusses how the nursing shortage affects the patient safety. The article talks about the increase in medication errors and patient falls since 2009 and 2010. The patient numbers increased causing the nurses to feel stressed because they can not give the quality of care the patient needs due to the work load.

PUBLIC ATTITUDES LED TO A NURSING SHORTAGE. (2000, Jul 25). The Roanoke Times Retrieved from

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 The nursing profession - no less than teaching and other occupations traditionally dominated by women - has never been greatly valued and appreciated by the public. As often as not, even the most highly trained nurses are seen as mere handmaidens to doctor - and compared, say, with investment bankers or today's dot-com entrepreneurs, nurses' work is often regarded as mundane, even trivial. Until, that is, our health or that of a loved one depends on the work of nurses. 

Rivers, P. A., Kai-Li, T., & Munchus, G. (2005). The financial impacts of the nursing shortage. Journal of Health Care Finance, 31(3), 52-64. Retrieved from

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This article examines the multiple factors leading to the nursing shortage and the financial impact of the nursing shortage on hospitals and health care providers, the government, society and educational institutions. Nursing shortage have occurred in this country throughout history, however, the current shortage is especially grappling due to the financial condition of the health care system, Health Insurance Portability and Accountability Act, the Balanced Budget Act, the compounding conditions that have led up to the shortage and the forecasted health care needs. This article provides recommendations to problem solving methods and discusses some current policy alternatives, including recently enacted "nurse-patient ratio" regulation, demonstrated by California state policy and the "Magnet Certification" program developed by American Nursing Credential Center (ANCC). This article further examines the financial impacts on nursing shortage problem. 

Wojczewski S, Willcox M, Mubangizi V, Hoffmann K, Peersman W, Niederkrotenthaler

T, et al. (2015) Portrayal of the Human Resource Crisis and Accountability in Healthcare: A Qualitative Analysis of Ugandan Newspapers. PLoS ONE 10(4): e0121766. doi:10.1371/journal.pone.0121766

This article is a study on why there’s a shortage of medical professional’s in the medical field. There are many nurses who “migrate to Botswana, South Africa, Rwanda, UK, USA or Canada after completing their studies.” “One of the principal reasons for this shortage is the low level of pay and poor working conditions in government health facilities.”

Zinn, J. L., Guglielmi, C. L., Davis, P. P., & Moses, C. (2012). Addressing the nursing

shortage: The need for nurse residency programs. Association of Operating Room Nurses.AORN Journal, 96(6), 652-7. doi: http://dx.doi.org.ezproxy.liberty.edu/10.1016/j.aorn.2012.09.011

Zinn, Guglielmi, Davis and Moses (2012, p. 652) state “although nursing has enjoyed the second greatest job growth of al US professions, some experts project that the shortage coud reach 500,000 by the year 2025”. The article discusses the solution to the nursing shortage is implementing a nurse residency to help “develop confident, well prepared, patienty safety-centered nurses” (Zinn, Guglielmi, Davis, & Moses, 2012, p. 654).