Abstract

A worldwide shortage of nurses has been acknowledged by the multidisciplinary Global Advisory Group of the World Health Organization. The shortage is caused by an increased demand for nurses, while fewer people are choosing nursing as a profession and the current nurses worldwide are aging. The shortage applies to nurses in practice as well as the nurse faculty who teach students. The inter-country recruitment and migration of nurses from developing countries to developed countries exacerbates the problem. Although public opinion polls identifies the nurse as the person who makes the health care system work for them, the conditions of the work environment in which the nurse functions is unsatisfactory and must change. Numerous studies have shown the positive effects on the nurse of a healthy work environment and the positive relationships between nursing care and patient outcomes. It is important that government officials, insurance companies, and administrators and leaders of health care systems acknowledge and operationalize the value of nurses to the health care system in order to establish and maintain the integrity and viability of that system.

Highlights

  • A UN wire provided major news networks with a grim message concerning a serious nurse shortage around the globe

  • The multidisciplinary Global Advisory Group (GAG) for Nursing and Midwifery of the World Health Organization deliberated during its Sixth meeting relative to the effects of this shortage, including the effects of nurses migrating from country to country

  • Less than 50 percent of the nurses believed they were involved in decision-making or that management listened or responded to their concerns, as well as lacked recognition for the important roles that nurses played in providing care

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Summary

Artigo de Revisão

Rev Latino-am Enfermagem 2002 maio-junho; 10(3):392400 www.eerp.usp.br/rlaenf 392. Booth RZ. A worldwide shortage of nurses has been acknowledged by the multidisciplinary Global Advisory Group of the World Health Organization. El Grupo Consultivo Global, un grupo multidisciplinario de la Organización Mundial de la Salud, admite que hay un déficit de enfermeros a nivel mundial. Varios estudios demuestran los efectos positivos de un ambiente de trabajo saludable sobre el enfermero, así como de las relaciones positivas entre el cuidado de enfermería y los resultados presentados por los pacientes. O déficit é encontrado tanto entre os enfermeiros clínicos como entre os docentes de enfermagem. Vários estudos demonstram os efeitos positivos sobre o enfermeiro de um ambiente de trabalho saudável, assim como as relações positivas entre o cuidado de enfermagem e os resultados apresentados pelos pacientes. É importante que oficiais do governo, empresas de planos de saúde, administradores e líderes dos sistemas de cuidado à saúde reconheçam e operacionalizem a importância do enfermeiro para o sistema de saúde a fim de estabelecer e manter a sua integridade e viabilidade

INTRODUCTION
EFFECT OF MIGRATION ON THE SHORTAGE
RELATIONSHIPS BETWEEN NURSING AND PATIENT OUTCOMES
Findings
FINAL CONSIDERATIONS

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