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The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Many authorities believe that a major nursing shortage lies in the near future. This study was designed to investigate, over a broad spectrum of practice, what dimensions of the overall work environment nurses found most significant when they were evaluating their own job satisfaction. This basic information would be crucial to a more efficient utilization of resources in an effort to make the profession more appealing. A twelve item instrument that included various aspects of overall work environment, (intrinsic, extrinsic, administrative, and relationship items) was distributed to registered nurses in a variety of work settings: hospital, home health, and ambulatory care. Each item was scored from 1 - very unimportant, to 7- very important. Using the factor analysis method of statistical analysis, items that were highly correlated were grouped together into factors to facilitate analysis. The findings identify the intrinsic aspects of the work situation as being most important. This finding reinforces the findings of Fredrich Herzberg. In light of the increasing shortage of registered professional nurses, additional research is required in this area.
In the recent past, health care provision in government hospitals in LDCs has turned into something akin of a sham. Myriad problems abound ranging from low morale among health care service providers, lack of equipments, poor working environment and inappropriate policies among others. Considerable interest has been expressed globally in the quality of work done in various professions including nursing. The study observed organizational policies and administrative practices, professional status and qualifications of the nurses, conditions and schemes of service, physical facilities and lastly work relationships with other health care workers using 'snapshot' of responses with regard to job satisfaction. Majority of the nurses were not satisfied with terms and conditions, environmental facilities and working relationship with other health care workers. Whereas there was a significant difference in satisfaction across the hospital with regard to organization policies, administrative practice of the job, environmental facilities and working relationship, no significant difference in job satisfaction was seen across nurses' qualifications.