Nurses are vital in the health care system, thus the government, nursing associations, employers, educators, and others have collaborated to address the nursing shortage issue. Nurses are also faced with the dissatisfaction of having noncompetitive salaries in their nursing profession and are forced to look for a more stable opportunity outside the profession to meet their needs.
Allocating within the Health Care Budget Health care budget decisions identify which health care need is more important. These forces have in turn created incentives to change the structure of the U. A discussion of how obligations may be calculated and met in management practice using distributive justice principles follows.
The ethical principle of autonomy gives these individuals the freedom to make the decision against personal vaccination, while allowing a broad-based vaccination program to move forward. They are routinely involved in helping to make decisions that directly touch patients and families, like helping to determine whether additional time and resources material and financial should be expended keeping a terminal patient alive, or helping to make the decision regarding which patient is the best candidate for the one available donor organ.
Macroallocation decision making takes place throughout government. Data and evidence are relevant to the normative choices that inform ethical decisions in both public and organizational contexts.
Hence, nursing education would flourish and nursing graduates Scarce resource article in nursing increase in number. Policy makers and managers may ensure the availability of a number of facilities that create choices for communities.
In situations involving chemical dependency and high-risk personal behavior, it is certainly controversial. From a public or organizational perspective, autonomy may be subordinated to the welfare of others or to society as a whole.
Defined as the potential to benefit from the additional investment of limited health care resources, merit is particularly valuable as a criterion upon which to base difficult or limited resource allocation decisions for individual and population-defined situations.
It should be noted that consistent with our social norms, the historic justification for insurance is the pooling of funds based upon a contract to allow distribution of financial resources from those using less to those using more. In many urban centers, when there is a lack of choice, what is at stake is the survival of facilities that provide an enormous volume of care for the poor.
All use some form of limited payment liability by not covering specified services or by limiting coverage to a maximum, predetermined dollar limit.
The authors make the case that nurses can most effectively meet patient needs by active engagement in decisions that involve macroallocation and microallocation of resources. This ideal requires health care organizations and health plans to provide to individual recipients the care and services that each is due.
Microallocation decision making and macroallocation decision making are connected. State regulators must exercise regulatory oversight on local institutions associated with sophisticated multi-institutional arrangements. The use of ethical principles in decision making by health care providers, policy-makers and managers varies depending upon the context.
This leaves policy-makers and managers to interpret or enforce rules governing the decision to allocate or deny resources. For managers, the ethical and equitable distribution of limited resources is no less critical than the financial solvency of the organization.
Vaccination programs are designed to provide the greatest good for the greatest number. Policy and Management Decision Challenges The idea of making treatment decisions based on the availability of resources is repugnant to many.
To overcome the challenges and consequences one must look at the demand factors and supply factor in the specific countries or regions to deal with the nursing shortage.
Under any circumstances, decisions are not easy and there is no one right answer. Justice, whether defined as equality of opportunity, equity of access, or equity in benefits is the core of public health. When maximizing retained earnings is an expectation such as in "for profit" organizationsfiduciary responsibility requires managers to distribute resources in such a way that the needs and wants of individuals may be pitted against those of the organization or plan and its shareholders.
This article provides an introduction to the complexities and challenges of making ethical resource allocation decisions about health care. Bottleneck at Nursing Schools a Key Factor. Solution or Innovation The policy makers need to come up with a motive or a solution that will bring the younger population to enter the nursing profession and be able to retain that population in the profession for a long time.Scarce resource article Nursing Shortage: An Issue of Scarce Resource The present nursing shortage is a serious issue which poses a real threat to the future of the healthcare system especially on patients.
Certainly, nursing is a very personal act, and patients and their families share information about a variety of things other than those solely associated with treatment.
Given the impact of healthcare costs on most families, it is not at all difficult to believe that the topic might be discussed, either with the nurse or when she might overhear. This article provides an introduction to the complexities and challenges of making ethical resource allocation decisions about health care.
It introduces the ethical dimensions of decision making as concerns accountability and resource allocation in a complex health care system. Resources that are commonly accepted as being scarce throughout the world include water, food and forests.
Oil and natural gas are also growing increasingly scarce. To an extent, however, resource scarcity is contextually subjective.
In wealthier places in which people can afford to pay premium. This article, grounded in the utilitarianism theory of justice, will examine macroallocation and microallocation of scarce resources in health care, participation of nurses in macroallocation and microallocation of these resources, and types of allocation challenges within health care.
Scarce Resource Article Assessment University of Phoenix Influencing the Future of Nursing and Health Care Nur Abstract The purpose of this paper is to prepare an editorial response to the article entitled, Nursing Shortage: Have We Missed the Real Problem?Download