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首页> 外文期刊>Nursing forum >A critical examination of the U.S. nursing shortage: contributing factors, public policy implications.
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A critical examination of the U.S. nursing shortage: contributing factors, public policy implications.

机译：对美国护理短缺的严格审查：影响因素，对公共政策的影响。

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BACKGROUND. Despite short-lived periods of adequacy in nurse availability, the nursing shortage has endured. In order to better understand the myriad factors that influence the current shortage of nurses, as well as possible solutions, this project addresses the influence of social factors and government policy on nurse staffing inadequacy. When the government intervenes in a philosophically free-market economy, the assumption is that a problem, such as the current nursing shortage, could not be solved without such intervention. PURPOSE. Nursing care arguably falls into the realm of protecting the common good, and therefore requires government oversight. We provide a critical analysis of policy intervention efforts into the nursing shortage debate by examining the passage of legislation, the provision of educational assistance, and the establishment of minimum staffing requirements and minimum quality standards for reimbursement, which all impact nursing supply and demand. RESULTS. Arguments supporting and opposing policy intervention in general, and its impact on the overall provision of nursing care in the United States, were examined. Without policy incentive to place financial value on the quality of care provided by nurses, a simple increase in the number of available nurses is unlikely to solve the current problem. IMPLICATIONS. Important considerations that should be factored into policy creation include measurement and compensation for quality care, the nature of recruitment efforts of new nurses, and the complex nature of a nursing work.
机译：背景。尽管在短期内无法获得足够的护士，但护理短缺仍然存在。为了更好地了解影响当前护士短缺的各种因素以及可能的解决方案，该项目解决了社会因素和政府政策对护士人员配备不足的影响。当政府干预哲学上的自由市场经济时，人们的假设是，如果没有这种干预，就无法解决当前的护理短缺之类的问题。目的。护理可以说是保护共同利益的领域，因此需要政府的监督。我们通过检查立法的通过，提供的教育援助以及建立最低人员配备要求和最低报销质量标准的方式，对护理短缺辩论中的政策干预措施进行了批判性分析，这些都会影响护理供求。结果。总体上支持和反对政策干预的论点及其对美国护理总体提供的影响。如果没有政策激励将财务价值放在护士提供的护理质量上，则仅增加可用护士的数量就不可能解决当前的问题。含义。制定政策时应考虑的重要考虑因素包括质量护理的衡量和补偿，新护士招聘工作的性质以及护理工作的复杂性。

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