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Literature Review Part 1

Chapter 2: Literature Review

The purpose of doing this study was to gain insight on how the FHT leadership can increasingly retain their nursing personnel by at least 15 present annually over the next three years.  In the year 2012, the Bureau of Labor and Statistics conducted a survey and reported that the need for registered nurses between the year 2010 and 2020 would increase from 2,737,400 to 3,449,300, and an increase of 26% (***, Willis, & Coustasse, 2014). That increase in the need for registered nurses is because of the rise in the baby-boomer population. A recent surge has seen the baby-boomer population turning the age of 65 years at are around 10,000 persons per day that make up 79 million people or 26 percent of the total American population.

Also, in the year 2008, the American Healthcare Association released their findings from a survey that had been completed in 2007 showing that 110,000 medical practitioner positions were vacant with the lack of enough qualified staffs to fill those positions. The association also reported that this necessity to fulfill those vacant positions would continually rise as a number of present vacancies will also continue to increase which by the year 2025 the shortage of registered nurses shortage is expected to rise to over 260,000.  It is not only that the baby-boomers are retiring, but various literature also indicates that other nursing professionals just quit the job willingly/opt out (Macken & Hyrkas, 2014; Morgan & Somera, 2014; Oh & Gastmans, 2015). The lack of enough direct care staffs and the nurses have also made the few to burnout due to too many tasks they are required to carry out (Zhang, Huang, & Guan, 2014).  Hence, the nursing problem is a problem that will continue to be experienced unless something is done to address the problem.


The themes that have been developed above resulted from the current knowledge as well as the ideas of various scholars regarding the problem at hand. They were also driven by the problem statement, the purpose of the study, the scope of the study, and the research questions developed in chapter one. The literature review was obtained by conducting a search of scholarly articles, journals, conference papers, and other publications that would provide relevant information specific to the topic under research. The researcher had to type the keywords, “nursing shortage:” dealing with the impact in healthcare.” When there was no literature written within the specified period of three years, the researcher truncated the phrase to find specific articles or the other scholarly publications discussing the nursing shortage.  The search was performed in the school library as well as on the Google Scholar database that contains numerous scholarly articles on various topics.

In this literature review, several themes will be examined with the aim of understanding the work that has been accomplished so far in informing this problem of the nursing shortage, especially in the US. These various themes will be examined with the aim of having a detailed understanding of the situation at hand and the solutions that have been proposed, those that may work and those that may not work. The thematic approach helps to address each issue effectively and adequately. These themes used in the literature include the aging of registered nurses, the effect on nurse educators, the declining enrollment, the change of work climate, the global situation, the poor image of nurses, patient demographics, experience, expanded opportunities and opt-outs, and hiring efforts.


***, P., Willis, W. K., & Coustasse, A. (2014). The American Epidemic: The US Nursing Shortage and Turnover Problem.  Management, Marketing and MIS, 3, 1-2.

Macken, L., & Hyrkas, K. (2014). Retention, fatigue, burnout and job satisfaction: new aspects and challenges. Journal of nursing management, 22(5), 541-542.

Morgan, D., & Somera, P. (2014). The future shortage of doctoral prepared nurses and the impact on the nursing shortage. Nursing administration quarterly, 38(1), 22-26.

Oh, Y., & Gastmans, C. (2015). Moral distress experienced by nurses: a quantitative literature review. Nursing ethics, 22(1), 15-31.

Zhang, X. C., Huang, D. S., & Guan, P. (2014). Job burnout among critical care nurses from 14 adult intensive care units in northeastern China: a cross-sectional survey. BMJ open, 4(6), e004813.

Carolyn Morgan is the author of this paper. A senior editor at MeldaResearch.Com in research paper writing services if you need a similar paper you can place your order from Top American Writing Services.

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