Publication Date
10-1-2023
Journal
Avicenna Journal of Medicine
DOI
10.1055/s-0043-1775724
PMID
38144915
PMCID
PMC10736185
PubMedCentral® Posted Date
9-27-2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Keywords
nursing, policy, shortage
Abstract
Purpose This report is intended to analyze the root causes for the current gap between the nursing workforce and population needs in the United States. It aims to consolidate what is known about these contributing reasons and provide evidence-based recommendations for action.
Methods The report utilized the Sample, Phenomenon of Interest, Design, Evaluation, Research type framework to develop the research question and the 5 Whys methodology for the root cause analysis.
Results This report highlighted six major causative problems, including workforce market mismatch, poor financing design, inadequate governance, flawed technologies, insufficient research, and suboptimal service delivery. A detailed evaluation of root causes with supported evidence is presented.
Conclusion The report provided seven actionable recommendations based on the analysis: (1) strengthening the nursing role in advancing equity, (2) investing in nursing well-being, (3) changing policies and payment structure, (4) including nursing in technology design, (5) strengthening nursing education, (6) developing a robust public health emergencies preparedness plan, and (7) investing in relevant research.
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Diseases Commons, Health Services Research Commons, Infectious Disease Commons, Medical Sciences Commons, Nursing Commons, Patient Safety Commons