There are numerous references in the nursing literature and in the popular press that offer description and commentary on the history, evolution, and future of the global nursing shortage. Authors express concerns about declining nursing numbers, nursing layoffs, diminishing student enrollments, faculty retirements, the aging workforce, and global recruitments. But what is missing in these articles and news alerts is a questioning about the substantive knowledge of nursing and what role this knowledge, or lack of, has in light of shrinking nursing resources. Of interest in this column are the meanings and messages that the nursing shortage has for nurses and for decision makers who will shape the direction of the nursing discipline. Issues connected with the global nursing shortage, or is it better thought of as a famine, are examined here in order to elucidate some points that may prove helpful for decisions of tomorrow.
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References
1.
Aiken, L. H., Clarke, S. P., & Sloane, D. M. (2002). Hospital staffing, organization, and quality of care: Cross-national findings. International Journal for Quality in Health Care, 14(1), 5-13.
2.
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288, 1987-1993.
3.
American Association of Colleges of Nursing. (1999). Faculty shortages intensify nation's nursing deficit. Washington, DC: Author. Retrieved March 5, 2003, from http://www.aacn.nche.edu
4.
American Association of Colleges of Nursing. (2002). Nursing shortage fact sheet. Washington, DC: Author. Retrieved March 5, 2003, from http://www.aacn.nche.edu
5.
Buchan, J. (2001). Nurse migration and international recruitment. Nursing Inquiry, 8(4), 203-204.
6.
Bunkers, S. S. (2000). The nurse scholar of the 21st century. Nursing Science Quarterly, 13, 116-123.
7.
Canadian Nursing Advisory. (2002a). The problem—What is causing the shortage of nursing care? Final report of the CNA. Ottawa, Canada: Author. Retrieved March 1, 2002, from http://www.hc-sc.gc.ca
8.
Canadian Nursing Advisory. (2002b). Recommendations of the Canadian Advisory Committee. Final report of the CNA. Ottawa, Canada: Author. Retrieved March 1, 2002, from http://www.hc-sc.gc.ca
9.
Canadian Nursing Advisory. (2002c). Solutions—Improving the working lives of Canadian nurses. Final report of the CNA. Ottawa, Canada: Author. Retrieved March 1, 2002, from http://www.hc-sc.gc.ca
10.
CBSNews. (2003, January 17). Nursing shortage in critical stage. Retrieved March 1, 2003, from CBS Broadcasting Inc. Web site: http://www.cbsnews.com
11.
Coates, K. J. (2001, June 11). Trickle-down effect—Global nursing shortage provokes competition and co-operation between countries desperate for RNs. Retrieved March 1, 2003, from http://www.nurseweek.com
12.
DeMoro, D. (2000). Engineering a crisis—How hospitals created a shortage of nurses. Front Page, 1(2), 1-5.
13.
Donley, S. R., Flaherty, S. M. J., Sarsfield, E., Taylor, L., Maloni, H., & Flanagan, E. (2002). What does the Nurse Reinvestment Act mean to you? Online Journal of Issues in Nursing, 8(1), Manuscript 5. Retrieved March 1, 2003, from www.nursingworld.org
14.
Fawcett, J. (2001). The nurse theorists: 21st century updates—Imogene M. King. Nursing Science Quarterly, 14, 311-315.
15.
Fawcett, J. (2002). The nurse theorists: 21st century updates—Jean Watson. Nursing Science Quarterly, 15, 214-219.
16.
Fletcher, C. E. (2001). Hospital RNs' job satisfactions and dissatisfactions. Journal of Nursing Administration, 31, 324-330.
17.
Gupta, S. (2001, May 7). Special Report: U. S. nursing shortage `going into crisis.' Retrieved March 1, 2003, from http://www.cnn.com/2001/HEALTH
18.
Hinshaw, A. (2001). A continuing challenge: The shortage of educationally prepared nursing faculty. Online Journal of Issues in Nursing, 6(1), Manuscript 3. Retrieved March 10, 2003, from http://www.nursingworld.org
19.
International Council of Nurses. (1999). Nurse retention, transfer and migration. Geneva, Switzerland: Author.
20.
International Council of Nurses. (2002, September 16). Report of the ICN Workforce forum. Reykajavik, Iceland: Author.
21.
Kingma, M. (2001). Nursing migration: Global treasure hunt or disaster-in-the-making? Nursing Inquiry, 8(4), 205-212.
22.
Mark, B. A. (2002). What explains nurses' perceptions of staffing adequacy? Journal of Nursing Administration, 32, 234-241.
23.
McGillis-Hall, L., Doran, D. I., Baker, G. R., Pink, G. H., Sidani, S., O'Brien-Pallas, L., et al. (2002). Nurse staffing and work status in medical, surgical and obstetrical units in Ontario teaching hospitals. Hospital Quarterly, Summer, 64-68.
24.
Mitchell, G. J. (1990). Struggling in change: From the traditional approach to Parse's theory-based practice. Nursing Science Quarterly, 3, 170-176.
25.
Nevidjon, B., & Erickson, J. I. (2001). THE NURSING SHORTAGE: Solutions for the short and long term. Online Journal of Issues in Nursing, 6(1), Manuscript 4. Retrieved March 5, 2003, from http://www.nursingworld.org
26.
Parse, R. R. (1998). The human becoming school of thought: A perspective for nurses and other health professionals. Thousand Oaks, CA: Sage.
27.
Parse, R. R. (1999). Nursing: The discipline and the profession. Nursing Science Quarterly, 12, 275.
28.
Peterson, C. A. (2001). Nursing shortage: Not a simple problem—no easy answers. Online Journal of Issues in Nursing, 6(1), Manuscript 1. Retrieved March10, 2003, from: http://www.nursingworld.org
29.
Rawnsley, M. M. (1999). Polarities in nursing science: The plight of the emerging nurse scholar. Nursing Science Quarterly, 12, 277-282
30.
Rawnsley, M. M. (2003). Dimensions of scholarship and the advancement of nursing science: Articulating a vision. Nursing Science Quarterly, 16, 6-13.
31.
Silva, M. C. (1999). The state of nursing science: Reconceptualizing for the 21st century. Nursing Science Quarterly, 12, 221-226.
32.
Trossman, S. (2002). The global research of the nursing shortage. The American Journal of Nursing, 102(3). Retrieved March 1, 2003, from http://www.needlestick.org/AJN
33.
Vander Woude, D. L., & Hutcherson, C. (1999). Health policy and regulatory decisioning based on nursing theory. Nursing Science Quarterly, 12, 209-213.
