Date of Award

1988

Document Type

Thesis

Degree Name

Master of Science

First Advisor

Jack Kirk

Second Advisor

Michael Wood

Third Advisor

Stella Spalt

Abstract

This paper examines the issues which have encompassed the nursing profession for many years, thus making it a difficult career in which to attract and retain members. The nursing shortage, many say, has returned, but did it really go away? The shortage experienced in the 1970's was coupled with high admission rates and high employee turnover causing a shortage of nurses, particularly experienced ones. Then, hospitals faced the emergence of the federal government making major changes in reimbursement to hospitals. This caused a major shift in the cash flow system of hospitals. Also, costs were no longer reimbursed on a "fee for service" basis, but rather on a fixed rate. With the resulting shift of many services to an outpatient basis, the inpatient services have shown an increase in the acuity of illnesses seen and cared for by the nursing staff.

Included in

Nursing Commons

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