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Mayo Clinic is a nonprofit American academic medical center focused on integrated health care, education, and research. It employs over 7,300 physicians and scientists, along with another 66,000 administrative and allied health staff, across three major campuses: Rochester, Minnesota; Jacksonville, Florida; and Phoenix/Scottsdale, Arizona. The practice specializes in treating difficult cases through tertiary care and destination medicine. It is home to the top-15 ranked Mayo Clinic Alix School of Medicine in addition to many of the highest regarded residency education programs in the United States. It spends over $660 million a year on research and has more than 3,000 full-time research personnel.
HCA Healthcare, Inc. is an American for-profit operator of health care facilities that was founded in 1968. It is based in Nashville, Tennessee, and, as of May 2020, owned and operated 186 hospitals and approximately 2,000 sites of care, including surgery centers, freestanding emergency rooms, urgent care centers and physician clinics in 21 states and the United Kingdom. As of 2023, HCA Healthcare is ranked #66 on the Fortune 500 rankings of the largest United States corporations by total revenue.
Nursing in the United States is a professional health care occupation. It is the largest such occupation, employing millions of certified professionals. As of 2023, 3,175,390 registered nurses were employed, paid a median income of $86,070.
A nursing shortage occurs when the demand for nursing professionals, such as Registered Nurses (RNs), exceeds the supply locally—within a healthcare facility—nationally or globally. It can be measured, for instance, when the nurse-to-patient ratio, the nurse-to-population ratio, the number of job openings necessitates a higher number of nurses than currently available, or the current number of nurses is above a certain age where retirement becomes an option and plays a factor in staffing making the workforce in a higher need of nurses. The nursing shortage is global according to 2022 World Health Organization fact sheet.
The Pennsylvania Association of Staff Nurses and Allied Professionals (PASNAP) is a labor union in Pennsylvania that represents about 8,300 nurses and allied health professionals.
The California Nurses Association/National Nurses Organizing Committee (CNA/NNOC), an affiliate of National Nurses United, is a labor union and professional association of registered nurses in the United States. Since 2018, CNA/NNOC has been led by Executive Director Bonnie Castillo, RN.
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom, comprising the NHS in England, NHS Scotland and NHS Wales. Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The original three systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, provided without charge for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60, or those on certain state benefits, are exempt.
Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise the largest component of most healthcare environments. Shortages of qualified nurses are found in many countries.
Abbott Northwestern Hospital is a 686-staffed bed teaching and specialty hospital based in Minneapolis, Minnesota. It is a part of the Allina Health network of hospitals and clinics.
National Nurses United (NNU) is the largest organization of registered nurses in the United States. With more than 225,000 members, it is the farthest-reaching union and professional association of registered nurses in the U.S. Founded in 2009 through the merging of the California Nurses Association/National Nurses Organizing Committee, the United American Nurses, and the Massachusetts Nurses Association, the NNU focuses on amplifying the voice of direct care RNs and patients in national policy. The union's policy positions include the enactment of safe nurse-to-patient ratios, patient advocacy rights at the Executive and State level, and legislation for single-payer health care to secure "quality healthcare for all, as a human right." The organization's goal is to "organize all direct care RNs into a single organization capable of exercising influence over the healthcare industry, governments, and employers."
Northern Light Eastern Maine Medical Center is a hospital located in Bangor, Maine that serves communities throughout central, eastern, and northern Maine. NLEMMC is the second largest hospital in the state with 411 inpatient beds, serves more than 40% of the population of the state, and is the sixth largest employer in the state.
Carondelet Health Network is a large Catholic health care provider based in Tucson, Arizona. It has five facilities: Carondelet St. Mary's Hospital, Carondelet St. Joseph's Hospital, Carondelet Neurological Institute, Carondelet Heart & Vascular Institute, and Carondelet Holy Cross Hospital in Nogales, Arizona.
The SEIU Healthcare 1199NW strike of 2014 was a 24-hour strike called by the Service Employees Union healthcare Local 1199NW. The strike was begun on Tuesday, November 18, 2014, at 7:00 A.M. There were 1,100 workers at two Pierce County hospitals operated by CHI Franciscan Health in Tacoma who participated in the strike event. The two hospitals are St. Joseph Medical Center in Tacoma and St. Clare Hospital in Lakewood. Nurse assistants, licensed practical nurses, unit secretaries, dietary workers, housekeepers, sterile processors, technical workers and other services of the two hospitals walked off the job to participate in the strike. The strike did not include nurses and doctors. The union members were demanding CHI Franciscan Health to improve wages, improve on health care, improve on their charity care policy, and end unfair labor practices.
Shortages related to the COVID-19 pandemic are pandemic-related disruptions to goods production and distribution, insufficient inventories, and disruptions to workplaces caused by infections and public policy.
The COVID-19 pandemic has impacted hospitals around the world. Many hospitals have scaled back or postponed non-emergency care. This has medical consequences for the people served by the hospitals, and it has financial consequences for the hospitals. Health and social systems across the globe are struggling to cope. The situation is especially challenging in humanitarian, fragile and low-income country contexts, where health and social systems are already weak. Health facilities in many places are closing or limiting services. Services to provide sexual and reproductive health care risk being sidelined, which will lead to higher maternal mortality and morbidity. The pandemic also resulted in the imposition of COVID-19 vaccine mandates in places such as California and New York for all public workers, including hospital staff.
The 2020 University of Illinois Hospital strikes were the result of a breakdown in contract negotiations between labor unions and hospital management over salaries, staffing levels, and access to personal protective equipment.
The 2021–22 Saint Vincent Hospital strike was a labor strike involving nurses at the Saint Vincent Hospital in Worcester, Massachusetts, United States. The strike began on March 8, 2021, following disputes between the Massachusetts Nurses Association, which represents about 800 nurses at the hospital, and the hospital regarding staffing levels, and ended on January 3, 2022, after the nurses ratified an agreement with the hospital.
Since May–June 2022, a series of labour strikes and industrial disputes have occurred in various industries of the United Kingdom's economy as workers walked out over pay and conditions. The strikes took place with rising inflation, and demands for pay increases that would keep pace with this inflation.
There has been a nursing shortage in Canada for decades. This became more acute in the period between 1943 and 1952 as Canada's health services were expanding, and the number of hospital beds increased along with the number of hospitalizations. By the mid-1940s across Canada the shortage, estimated at 8,700, led to a re-organization and re-conceptualization of nursing in Canada, according to a 2020 journal article in BC Studies. The nature of nursing was changing with new and time-consuming responsibilities, such as the administration of penicillin. During that period, there was no unemployment for nurses, especially if they were willing to be mobile. However, working conditions for nurses were very poor, with low wages combined with long hours; nursing force retention was challenging. As well, since almost all nurses were women, they had responsibilities at home they had to manage. In response to the shortage of nurses, women who had trained as registered nurses (RNs) but had left the workforce when they married, were encouraged to return to work; volunteers were engaged; nursing courses were accelerated; and new categories of regulated nursing were added to registered nursing—"practical nurses" and "nursing assistants." At that time, a "utopia of nursing" referred to teams of nursing staff which included registered nurses and other regulated nursing and hospital worker support personnel. Some of these auxiliary positions were also open to First Nations women and other racialized groups.
References
- ↑ "One-day strike by Minnesota nurses to defend patient care". WSWS.org. 2010-06-11. Retrieved 2013-09-23.
- ↑ Broaddus, Chris Isidore,Adrienne (2022-09-12). "Massive health care strike: 15,000 Minnesota nurses walk off the job | CNN Business". CNN. Retrieved 2022-09-14.
{{cite web}}: CS1 maint: multiple names: authors list (link) - ↑ "Largest private-sector nurses strike in U.S. history begins in Minnesota". Washington Post. ISSN 0190-8286 . Retrieved 2022-09-14.
- ↑ Muller, Madison; Ceron, Ella (2022-09-12). "Thousands of Nurses Strike in Minnesota Over Staff Shortages". Bloomberg. Retrieved 2022-09-13.
- ↑ "15,000 nurses just walked out of work. Here's what you need to know about one of the profession's largest strikes in history". Fortune. Retrieved 2022-09-14.
- ↑ "Thousands of Minnesota nurses launch 3-day strike over pay". ca.finance.yahoo.com. Retrieved 2022-09-14.
