Health Workforce

“The future of public health in our nation is dependent upon a reliable, well-trained public health workforce. A well-trained workforce is in the most effective interest of all these concerned with sustaining a wholesome society.” (IOM, 2003). As society’s pushing for a demand in greater education, we’re seeing the requirements for nursing enhance as well. As most facilities are phasing out the Licensed Practical Nurse (LPN), the Associates degree RN is turning into the entry level of nursing.

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Many services are already requiring a minimal of a Bachelor’s diploma for nurses earlier than even contemplating them for hire.

I really feel one of the major setbacks in nursing is its lack of educational requirements. Often occasions the nurse being the first care giver is the least educated in the patients’ healthcare staff. As of right now, the Bachelors of Science in Nursing (BSN) diploma just isn’t a requirement for bedside nursing. It isn’t till lately that the push for the BSN has turn into extra prevalent.

At current, the developmental role for the Associates degree RN is clinically oriented (Saccomono & Pinto-Zip 2011). The educational necessities are related particularly to the clinical setting. For example; Anatomy and Physiology, Microbiology, Pharmacology and associated math’s, but it lacks particular leadership teachings. Unfortunately Associate degree RNs find themselves poorly prepared to delegate or preform in supervisory roles.

Even as nursing college students, we are taught the way to assess sufferers, monitor very important indicators, and administer intramuscular and intravascular drugs. We are advised that we’re supervisors to LPNs and Certified Nurse Assistants (CNA) but the program lacks lessons specifically designated to management and delegation.

Even in the medical setting whereas we are putting all of our classroom data to the check, the medical setting is about growing bedside nursing and assessment abilities. As a outcome, workers nurses are sometimes thrust into managerial positions however have not been sufficiently ready in their nursing education schemes. This gap between instructional preparation and the complicated requirements of current follow settings leaves nurses unprepared to operate effectively as front-line managers (Heller, Drenkard, & Esposito-Herr 2004). There is no opportunity to develop management expertise. But as soon as we graduate as RNs, we are anticipated to delegate duties to CNAs and other ancillary staff. Some individuals naturally have good management skills, but most new graduate ADNs don’t.

I can say from private experience from either side of this example. I began my nursing profession as an LPN. I’ve had good managers and Team Leaders, in addition to bad ones. Most of them have been at the ADN degree and I don’t think any of them had formal leadership teaching.

Depending on the type of delegation and leadership skills every had, directly related to the emotional milieu of the unit. One explicit manager would walk into the unit and you could really feel the stress instantly improve as she would start barking out orders to everyone and utterly doing the precise opposite of what the cost nurse had delegated us to do. She could be assigning beds to patient from the Emergency Room or Operating Room without informing the charge nurse. It would create absolute chaos from her lack of know-how of what was transpiring on the unit and from a complete lack of communication along with her charge nurse. I really feel that if she would have had extra steering and educating in Leadership and efficient communication and delegation, that it might help her develop her administration type in another way and that she may lead extra appropriately. I was also on the other the aspect of the leadership function as nicely.

I was a Charge nurse of the Medical and Surgical Intensive Care Unit. I entered the supervisory function of my friends without any formal coaching. However, I was not new nurse by any means when I was chosen for that function. By that point, I had developed good leadership abilities by assisting my peers with out being requested after I may see they had been overwhelmed, and through Code Blues I would often assign and delegate tasks to the opposite workers and ancillary staff members. I was additionally a preceptor and mentored employees transitioning into critical care. But if I had correct training in management, delegation, conflict decision and effecitive commuication my transition into a supervisory function in addition to my preceptor function would have been much easier.

As we’re transitioning in to the BSN position, the education steps out of the bedside and instructing is more focused on management roles and it encompasses a grander view of the affected person and of the nurse. Throughout the BSN curriculum, it focuses on patient schooling within the medical setting in addition to in neighborhood health. It also focuses on scientific & scientific determination making, humanistic abilities, nursing management and management (AACN 2014.) One of the main components of the nursing metaparidigm is particular person.

The BSN reaches out to the group through teaching and education by improving and tailoring care plans particular to the affected person, household, and communities. As healthcare is trending away from acute inpatient hospital therapy, the demand for larger educated nursing and a higher number of scientific specialists are needed to supply care in different outpatient centers and in neighborhood clinics. These accelerated modifications have created a demand for a higher educated nursing personnel who can perform extra independently in medical decision making and carry out the traditional function of the care giver. The BSN should have the ability to effectively communicate with sufferers and different healthcare professionals. They should additionally have the ability to present a broader competency as a supplier, manager, and care coordinator (AACN 2014.)


  1. Gebbie, K., Rosenstock,L., Hernande, M., (2003) Institute of Medicine (IOM): Who will hold the common public healthy? Educating public well being professionals for the 21st century. Workshop abstract. In (Eds.): Committee on Educating Public Health Professionals for the 21st Century, Board on Health Promotion and Disease Prevention, Institute of Medicine of the National Academies. Washington DC: The National Academies Press
  2. Cherry,B. Jacob,S.R. (2014) Contemporary Nursing: Issues, Trends, and Management. 6th Edition, St. Louis: Mosby, an imprint of Elsevier Inc.
  3. Saccomano,S.J., Pinto-Zip,G. (2011) Registered Nurse management type and confidence In delegation, Journal of Nursing Management, p522-523.
  4. Heller,B., Drenkard,K., Esposito-Herr,M. (2004) Educating Nurses for Leadership Roles, Journal of Continuing Education in Nursing; Vol. 35 Issue 5, p203-210
  5. American Association of Colleges of Nursing (2014). The Baccalureate Degree in Nursing as Minimal Preparation for professional Practice. Retrieved October eleven,2014.