Ageing in the nursing workforce – a global challenge in an Irish context

Ryan, Cathal; Bergin, Michael; White, Mark; Wells, John

doi:10.1111/inr.12482

Cited by 20 publications

(17 citation statements)

References 37 publications

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“…The aging and decline in size of the nursing workforce is a global issue [1][2][3][4]; this especially applies to the older-adult care sector, which is composed of nursing homes and home-based care services [5]. Older adults have a higher incidence of disability and a greater need for health care when compared to younger populations [6] and, as global populations continue to age, the demand for nurses in the older-adult care sector is increasing [7,8].…”

Section: Introductionmentioning

confidence: 99%

Nurses Working in Nursing Homes: A Mediation Model for Work Engagement Based on Job Demands-Resources Theory

et al. 2021

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This study examined the impact that the attractiveness of working in nursing homes and autonomous clinical judgment have on affective occupational commitment, and whether work engagement mediates these relationships. This analysis was based on the job demands-resources theory. The study setting was 1200 nursing homes (including long-term care welfare facilities and long-term care health facilities) in eastern Japan. An anonymous, self-report questionnaire survey was administered to two nurses from each facility, resulting in a prospective sample of 2400 participants. Overall, 552 questionnaires were analyzed, in which structural equation modeling and mediation analysis using the bootstrap method were performed. The results showed that the attractiveness of working in nursing homes does not directly affect affective occupational commitment; work engagement fully mediates the impact of attractiveness of working in nursing homes on affective occupational commitment. Additionally, autonomous clinical judgment showed a direct impact on both work engagement and affective occupational commitment, indicating that work engagement partially mediates the impact on affective occupational commitment. To increase the affective occupational commitment of nurses working in nursing homes, managers should help nurses recognize the attractiveness of working in nursing homes, and then provide appropriate support to help such nurses work in a motivated manner.

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Section: Introductionmentioning

confidence: 99%

Nurses Working in Nursing Homes: A Mediation Model for Work Engagement Based on Job Demands-Resources Theory

et al. 2021

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“…Increased global migration has impacted on staffing as new graduates seek employment in countries outside Ireland and the UK (INMO, 2018) presenting significant national recruitment and retention challenges (INMO, 2018). A global ageing nursing and midwifery workforce (Sherman, Chiang‐Hanisko, & Koszalinski, 2013) has been challenged in replacing retiring staff, resulting in calls to have policy efforts to retain older nurses and migrant nurses in the workforce (Ryan, Bergin, White, & Wells, 2018). Another exacerbating issue is a fragmented workforce planning agenda and the removal of nursing bursaries in the UK (RCN, 2018).…”

Section: Resultsmentioning

confidence: 99%

Contextualising missed care in two healthcare inquiries using a socio‐ecological systems approach

Phelan

Kirwan

2020

Journal of Clinical Nursing

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Aims and objectives To examine missed care within two patient safety public inquiries using a socio‐ecological model. Background Missed care is a care which has been omitted or rendered incomplete. Possible outcomes of missed care have been identified including poor patient outcomes such as higher mortality rates, reduced care quality and lower patient satisfaction, job dissatisfaction, staff burnout and higher attrition rates. Design A qualitative design, specifically document analysis, was used to review two serious case reviews. Methods Between August–December 2018, two public patient safety inquiries were examined using a document analysis method. Both inquiries are based in acute hospital care settings of nursing (UK) and midwifery (Ireland). The Standards for Reporting Qualitative Research checklist provided a framework to report the study methods, context, findings, analysis and interpretation. Results Findings highlighted instances of missed care related to practice which contributed to poor patient outcomes. Missed care was located within contingency factors, such as unintended negative patient health and safety outcomes in multiple system levels which resulted in care deficits. Conclusions A socio‐ecological model enabled consideration of how multi‐system deficits combine to impact nursing and midwifery care delivery. To tackle current and future practice challenges, broader contextual issues that influence front‐line cases should be identified and addressed before they create conditions which result in substandard care. Relevance to clinical practice This paper adds to the scholarship on missed care by incorporating a greater contextual lens. Findings suggest that some factors contributing to missed care events may be systemic in origin. Practice, policy, research and education should foster nurses’ and midwives’ review of the totality of influencing factors impacting missed care and care deficits. Consequently, early warning signs and proactive responses at a system level should be inherent in all settings that nurses’ and midwives’ practice.

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“…There has been a change of emphasis within ASEAN with increased opportunities to share knowledge and skills across borders to help member states to develop their nursing workforce, mainly through nurse education, licensing, regulation and practice. The global problem of too few qualified nurse educators and the concomitant problem of older faculty retiring with no new faculty to replace them is an ongoing concern among SEANERN members (Ryan et al ). In SEANERN states, particularly Thailand and the Philippines, nurses are now undertaking master and PhD studies to increase faculty numbers but in Myanmar, Cambodia, Vietnam and Lao there are no higher degrees available to educate more faculty.…”

Section: The Southeast and East Asian Nursing Education And Research mentioning

confidence: 99%

Experiences from Southeast Asia on nursing education, practice, mobility and influencing policy

Kunaviktikul

Turale

Petrini

et al. 2019

International Nursing Review

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In this report from the field, we describe the challenges and opportunities for nursing practice and education, and ways to improve nurse mobility across Asia. We also explain the collaboration within the Southeast and East Asian Nursing Education and Research Network to influence policy development and review. The collaborative process was supported by evidence drawn from discussions at Network meetings, and with nursing and other leaders, an examination of literature and policy documents, and member surveys. We reviewed the region’s regulatory statutes which all support diversity in the nursing workforce. The Southeast Asian Nursing Education and Research Network was established in 2015 to support policy development around the upgrading of nurse education, clinical competencies and research capacity, in hospital and primary health care; and facilitating the movement of nurses across national boundaries. Most countries have tried to address policy gaps and their efforts to implement changes are seen in policy expansion and development at the national level. We focus on two policies from the Association of Southeast Asian Nations from 2006 and 2012, that cover nurse mobility, information exchange, nurse capacity building and education and mutual professional recognition of nurses’ credentials. However, we found significant variances in education, regulatory policies and clinical competencies that have restricted, and continue to restrict policy implementation. Nursing in South‐East Asia has made significant progress in upgrading standards for education by increasing bachelor degree bridging programs, master and doctoral degrees. Participating countries have passed legislation on licensure, competencies and credentialing of internationally qualified nurses wishing to practice in various contexts. However, much work remains to be done. Implications for nursing policy, education and practice Governing bodies determine entry into practice law which requires dialogue to enhance policies for domestic and international practitioners for mutual exchange and recognition. Nursing practice and education are under government regulatory bodies but require new policies and laws to ensure adequate educational requirements for safe quality practice.

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Ageing in the nursing workforce – a global challenge in an Irish context

Abstract: Policy makers and service providers should focus on the retention of trained older nurses as an important element of workforce planning.

Cited by 20 publications

References 37 publications

Nurses Working in Nursing Homes: A Mediation Model for Work Engagement Based on Job Demands-Resources Theory

Nurses Working in Nursing Homes: A Mediation Model for Work Engagement Based on Job Demands-Resources Theory

Contextualising missed care in two healthcare inquiries using a socio‐ecological systems approach

Experiences from Southeast Asia on nursing education, practice, mobility and influencing policy

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