Maldistribution or scarcity of nurses? The devil is in the detail

Maldistribution or scarcity of nurses? The devil is in the detail INTRODUCTIONIn order to reduce the costs of care and to meet the needs of an ageing population and chronic disease burden, most Western countries are shifting health care services from hospital care towards community and home care (Ashley, Halcomb, & Brown, ; Genet, Boerma, Koimann, Hutchenson, & Saltman, ; Tourangeau et al., ). In their integrative review of transitioning experiences of hospital nurses, Ashley et al. (), for example argue for recruiting new graduate nurses and encouraging experienced nurses to move from employment in hospital care to community and home care to meet the increasing demands for skilled home and community nurses.This call for nurses to be repositioned to meet the increasing needs of community and home care nurses implies that nursing shortages in community and home care are caused by maldistribution of nurses. Maldistribution of nurses is defined as the imbalanced distribution of nurses in the health care system. Imbalanced distribution refers to particular inequities in the allocation of nurses as to a standard or social norm of a certain staff density. From this perspective, a balanced distribution of nurses can be realized by allocating nurses according to the need for health care services (Dussault & Franceschini, ; Munga & http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Nursing Management Wiley

Maldistribution or scarcity of nurses? The devil is in the detail

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 John Wiley & Sons Ltd
ISSN
0966-0429
eISSN
1365-2834
D.O.I.
10.1111/jonm.12531
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONIn order to reduce the costs of care and to meet the needs of an ageing population and chronic disease burden, most Western countries are shifting health care services from hospital care towards community and home care (Ashley, Halcomb, & Brown, ; Genet, Boerma, Koimann, Hutchenson, & Saltman, ; Tourangeau et al., ). In their integrative review of transitioning experiences of hospital nurses, Ashley et al. (), for example argue for recruiting new graduate nurses and encouraging experienced nurses to move from employment in hospital care to community and home care to meet the increasing demands for skilled home and community nurses.This call for nurses to be repositioned to meet the increasing needs of community and home care nurses implies that nursing shortages in community and home care are caused by maldistribution of nurses. Maldistribution of nurses is defined as the imbalanced distribution of nurses in the health care system. Imbalanced distribution refers to particular inequities in the allocation of nurses as to a standard or social norm of a certain staff density. From this perspective, a balanced distribution of nurses can be realized by allocating nurses according to the need for health care services (Dussault & Franceschini, ; Munga &

Journal

Journal of Nursing ManagementWiley

Published: Jan 1, 2018

Keywords: ; ; ;

References

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