A. The nursing Labor market: Demand, Supply and wages 1.

Salary The money received by an employee for services rendered under contract between the employer and the employee 2. Factors affecting nursing salaries a) Experience b) Breaks in service Seniority is measured by years of uninterrupted nursing experience which makes significant differences in the nurses pay. Breaks in the service include frequent changes in employment state, long periods of unemployment and part – time work c) Education A nurse’s educational background has a relatively significant impact on wage rates. Nurses who have post baccalaureate degree experience a higher return than a baccalaureate degree. d) Setting and specialty Acute care setting offered the highest pay among various work setting. e) Higher wages for over time, nights and weekends Higher overtime pay is a traditional source of extra income for nurses. Overtime work, weekend work and night duties are less desirable than regular work during the day. Employers typically pay more to attract employees to fill these irregular time slots f) Part time nurses Part time nurses earn less than full time nurses g) Union membership and geographic location h) Demand trends Demand trend: the historical pattern of the number of the nurses hired at different points in time for the country as a whole or to the different regions in the country Factors:  Population continues to grow  The population, including nurses, is getting older  Technology is more complex  Large waves of teen agers and risky behaviors  Government interventions to increase insurance coverage in the country  Managed care i) Supply trends

b) Home health care Home – care agencies provide care to patients in their homes Home health care nursing: (ANA. An increase in supply or decrease in the demand can eliminate the shortage a) More frequent floating of nurses from one unit or department to another b) Substitution of less expensive and lesser trained personnel c) Emphasis on cross training of nursing and other personnel to make them more adaptable to the needs of their work environment B. integrating family/caregiver. More students are entering the masters program 3. and of equal or lower cost. it requires a higher level of expertise in training and skills because of the increasing severity of illness of the hospitalized patient Acute care nurse can substitute for medical residents by providing care that is within the residents scope of practice. hence a decrease in nursing graduates Trend in the graduate nursing programs i. of comparable quality. Risks and Opportunities for the Future Nurses a) Acute care There is still an ongoing demand for hospital nurses.being The comparative cost per day of home health care versus hospital care demonstrates a lower cost of service for home health care c) Hospice care Hospice care is a setting that provides practice opportunities for nurses interested in the end of life care. environmental. A decrease in the admission of nursing students. 1998) It is holistic and is focused on the individual client. Nursing Labor Excess: Nursing in the global environment 1. however. Labor shortage Labor shortage results when the demand for labor outstrips the supply. and community resources to promote an optimum level of client well .  Trend in the undergraduate nursing programs i. The hospice movement views dying as a natural part of life .

e) Public health and Community health nursing This includes health departments. social and public health services It is the synthesis of nursing practice and public health practice applied to and promoting and preserving the health of populations (ANA. g) School health It was established to promote and protect the health of school aged children      Value of School Nursing Immunizations Communicable disease management Interdisciplinary team planning Medication administration Comprehensive health education . and early return to work. including the control and prevention of occupational diseases. 1986) The cost effectiveness of health promotion and prevention activities is demonstrated when the activities can prevent costly illness.The demand for hospice care services in increasing as evidenced by the increasing number of patient’s served and the number of agencies providing hospice care d) Extended care that can occur in the home setting(subacute care) This includes basic and skilled nursing facilities in nursing homes. non –profit agencies and other community based agencies Public Health Nursing: the practice of promoting and protecting the health of populations using knowledge from nursing. Case management in occupational health is directed to the early detection and treatment of illness and injury to promote early recovery. f) Occupational nursing Occupational health practice is concerned with the health of the working population. decreased health care cost.

respond to it and exploit it as an opportunity Nurse intraprenuer: creative and self directed people who nurture entrepreneurial activities within the organization in which they are employed.h) Parish nursing Parish Nursing involves the promotion of wellness by a parish nurse who is part of the ministerial team of the congregation. and preventive care for patients and families. offering. They work with staff and direct their talents toward the goals of the organization 2. changing products of value to others  Marketing opportunities o Nurses’ careers o Entrepreneurship . diagnosis of acute illness. providing a holistic approach to the physical. emotional. The nurse practicing in this setting functions independently and must be self directed k) Nurse owned business Nurse owned business are created by individuals who use their nursing expertise to create a solution to some patient or other health care need and who assume a financial risk to implement their vision. and spiritual needs of the congregation members i) Correctional health Correctional health nursing provides opportunity to assess inmates for physical and psychological problems. Correct identification and appropriate treatment can lead to decreased health care cost. Global challenges Facing Nursing a) The impact of global Trade b) Job opportunities across borders c) Global markets for nursing services  Marketing A social and managerial process by which individuals and groups obtain what they need and want through creating. Prevention of illness and appropriate disease management can reduce the overall cost of care j) Ambulatory care This focuses on systematic assessment. Nurse entrepreneur: always search for change.

 o Direct reimbursement o Consumer driven services o Partnerships Marketing Tools o Product  What the firm offers to the market  The attractive attributes of what is offered by a business firm o Price  Amount of money that the consumers are asked to pay  Pricing: the use of price as a strategic tool to promote a product o Place  Refers to the various things a firm does to make the product more accessible to the market o Promotion  Refers to the various activities that the firm undertakes to communicate the value of the service or the product to the target costumers .

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