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Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
The field of political demography - the politics of population change - is dramatically underrepresented in political science. At a time when demographic changes - aging in the rich world, youth bulges in the developing world, ethnic and religious shifts, migration, and urbanization - are waxing as never before, this neglect is especially glaring and starkly contrasts with the enormous interest coming from policymakers and the media. "Ten years ago, [demography] was hardly on the radar screen," remarks Richard Jackson and Neil Howe of the Center for Strategic and International Studies, two contributors to this volume. "Today," they continue, "it dominates almost any discussion of America's long-term fiscal, economic, or foreign-policy direction." Demography is the most predictable of the social sciences: children born in the last five years will be the new workers, voters, soldiers, and potential insurgents of 2025 and the political elites of the 2050s. Whether in the West or the developing world, political scientists urgently need to understand the tectonics of demography in order to grasp the full context of today's political developments. This book begins to fill the gap from a global and historical perspective and with the hope that scholars and policymakers will take its insights on board to develop enlightened policies for our collective future.
This book examines the history behind the formulation, implementation, and evaluation of population policies in the more developed, the less developed, and the least developed countries from 1950 until today, as well as their future prospects. It links population policies with the theories of the demographic, epidemiological, and migratory transitions. It begins by summarizing the demographic situation around the world, with an emphasis on population policies and their underlying theories. Then, it reviews the early efforts to reduce mortality and fertility in the developing countries. This is followed by a description of the internationalization of the debate on population issues and the transformation of these programs into more formal population policies, particularly in the developing countries. The book reviews also the situation of the developed countries and their specific challenges – sub-replacement fertility, population aging, and immigration – and examines the effectiveness of population policies. It also explores the way forward and future prospects for population policies over the next decades. The book provides numerous concrete examples from all over the world, and show how population policies are actually implemented and what have been their successes as well as their constraints. Above all, the book highlights the importance of understanding underlying demographic trends when assessing the development prospects of any country. The book is recommended for not only demographers, social scientists, and policymakers but also economists and political scientists who are interested in social and demographic change around the world. Demography students and researchers who are interested in applying knowledge on population trends and prospects in designing and evaluating public policies will find this an invaluable reference work.
The United States is in the midst of a major demographic shift. In the coming decades, people aged 65 and over will make up an increasingly large percentage of the population: The ratio of people aged 65+ to people aged 20-64 will rise by 80%. This shift is happening for two reasons: people are living longer, and many couples are choosing to have fewer children and to have those children somewhat later in life. The resulting demographic shift will present the nation with economic challenges, both to absorb the costs and to leverage the benefits of an aging population. Aging and the Macroeconomy: Long-Term Implications of an Older Population presents the fundamental factors driving the aging of the U.S. population, as well as its societal implications and likely long-term macroeconomic effects in a global context. The report finds that, while population aging does not pose an insurmountable challenge to the nation, it is imperative that sensible policies are implemented soon to allow companies and households to respond. It offers four practical approaches for preparing resources to support the future consumption of households and for adapting to the new economic landscape.
In How Population Will Transform Our World , Sarah Harper looks at fertility rates and age structures of populations in different regions of the world against the backdrop of urbanization and climate change, drawing out the profound implications and challenges for societies, economies, and the environment in the decades to come.
Condensed into a detailed analysis and a selection of continent-wide datasets, this revised edition of World Population & Human Capital in the Twenty-First Century addresses the role of educational attainment in global population trends and models. Presenting the full chapter text of the original edition alongside a concise selection of data, it summarizes past trends in fertility, mortality, migration, and education, and examines relevant theories to identify key determining factors. Deriving from a global survey of hundreds of experts and five expert meetings on as many continents, World Population & Human Capital in the Twenty-First Century: An Overview emphasizes alternative trends in human capital, new ways of studying ageing and the quantification of alternative population, and education pathways in the context of global sustainable development. It is an ideal companion to the county specific online Wittgenstein Centre Data Explorer.
This open access book draws the big picture of how population change interplays with politics across the world from 1990 to 2040. Leading social scientists from a wide range of disciplines discuss, for the first time, all major political and policy aspects of population change as they play out differently in each major world region: North and South America; Sub-Saharan Africa and the MENA region; Western and East Central Europe; Russia, Belarus and Ukraine; East Asia; Southeast Asia; subcontinental India, Pakistan and Bangladesh; Australia and New Zealand. These macro-regional analyses are completed by cross-cutting global analyses of migration, religion and poverty, and age profiles and intra-state conflicts. From all angles, this book shows how strongly contextualized the political management and the political consequences of population change are. While long-term population ageing and short-term migration fluctuations present structural conditions, political actors play a key role in (mis-)managing, manipulating, and (under-)planning population change, which in turn determines how citizens in different groups react.
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
There is long-standing debate on how population growth affects national economies. A new report from Population Matters examines the history of this debate and synthesizes current research on the topic. The authors, led by Harvard economist David Bloom, conclude that population age structure, more than size or growth per se, affects economic development, and that reducing high fertility can create opportunities for economic growth if the right kinds of educational, health, and labor-market policies are in place. The report also examines specific regions of the world and how their differing policy environments have affected the relationship between population change and economic development.
This two-volume work explores social cohesion and the demographic challenges of low birth rates and population aging. The authors approach the topic from the perspective of citizens and key policy actors, analyzing attitudes from 14 European countries regarding the European integration process, demographic trends, and expectations towards private networks and public policies. Volume 2 focuses on demographic developments, gender issues, and aging.