Children with invasive mechanical ventilation (IMV)(ventilation delivered through an endotracheal tube), often require 24/7 monitoring and care by skilled caregivers in order to stay safely within the home environment. Practice standards recommend skilled in-home nursing to maintain safe monitoring practices. However, across the country, a lack of…

Experiences of eight staff working with people who have a learning disability and complex mental health needs were explored by interviews and analysed using the free association narrative interview approach (Hollway & Jefferson 2000). Participants reported that organisational factors such as not having enough permanent staff and having to manage a…

Estimates the current supply of doctorally prepared nurses and compares the supply with projected estimates of demand. Addresses the need for nursing to maintain visibility within the broader scientific community. (JOW)

Gives examples of California nurse educators' response to health are changes in collaboration with practicing nurses, including a strategic planning committee for nursing, master plan for nursing in California, and various university and community cooperative ventures. (SK)

Data from the National Sample Survey of Registered Nurses for 1,928 nurses in New York State showed they were predominantly white females in their 40s. Minority nurses were underrepresented. Fewer were working than in 1996, especially in hospitals; 65% were satisfied with their jobs, somewhat less than national samples. (Contains 37 references.)…

A systematic collection and review of newspaper, journal, and newsletter articles related to the nursing shortage were undertaken. Data were analyzed for several variables, including geographic region, type of article, and type of facility. (CH)

Critical social theory is used to analyze the American Medical Association's proposal to deal with the nursing shortage by creating registered care technologists. The discussion highlights strategies nurses can use in future efforts to support health care reform. (JOW)

Discusses a survey of 23 hospitals regarding the shortage of registered nurses (RNs). Found that four trends are fueling the demand for RNs: (1) changes in medical practice, (2) shifts in patient characteristics, (3) professional objectives, and (4) economic incentives. (JOW)

Presents an overview of the types of approaches currently used by state legislatures to ensure that rural residents receive access to adequate nursing care. (JOW)

This article addresses the nursing shortage from an economic standpoint by exploring supply and demand factors that influence the availability of nurses. Demand factors include payment mechanisms, cost containment, and availability of substitutes. Supply factors include the women's movement, labor force participation, and entry-level preparation.…

This article considers administrative issues in the recruitment and retention of nurses within the context of the perceived nursing shortage and the recent research on nursing turnover. These issues include target areas for job redesign, control over work, and career development. (Author/CT)

Demand for registered nurses is changing in a managed care environment and wages are likely to decrease. These trends will affect nursing school enrollments, and schools will need to monitor market conditions and adjust policies accordingly. (SK)

Differentiated practice structures the roles and functions of nurses according to education, experience, and competence. Although differentiation has increased staff retention and reduced recruiting costs, improvements in patient care are difficult to prove. (SK)

Examines efforts to bring nursing up to professional status and higher occupational prestige through the development of a unique knowledge base for nursing; upgrading of the nursing curriculum; curriculum emphasis on interpersonal rather than technical aspects of nursing; and attempts to attain greater responsibility for nurses. (Author/MJL)

Nurses comprise the dominant groups of Korean immigrant professionals. A world systems approach, using the idea of migrants flowing from periphery nations to core nations, is used to explain the migration of these and other professionals. The concept of national class conflict underlies the power relations of this phenomenon. (VM)