PROBLEMS CONFRONTING PROFESSIONAL NURSING

Burnout is a relatively common phenomenon in many fields of determination; however, it is particularly acute in the field of passe-partout oversee for (Wandelt, 1981). Burnout, together with the actions of forcefulness before this point is reached, provide to high rates of forcefulness turnover, decreased levels of productivity, and declining quality levels in duty performance. These factors cause severe managerial problems for health deal out delivery institutions, increased patient risk, and significant disruptions in the lives of the passe-partout nurses involved. Burnout leads to additional defections from the profession, and further exacerbates the professional personnel shortage.

The nursing shortage is also aggravated by a significant decline in the metrical composition of new professional nurses being provided by schools of nursing (Manthey, 1988). The decline in the output of schools of nursing is the combined result of reduced numbers of disciples entering the schools (Huey, & Hartley, 1988), and increasing attrition rates among enrolled students (Parkes, 1982).

The issue of professional autonomy is as important as is the nursing personnel shortage. The issue of who should 3control nursing is rooted in an age emeritus conflict between nurses and physicians (Weiss, 1983), and it is rooted in the contemorary restructuring of the health care delivery environment (McNerney, 1988). Physicians commit traditionally assumed a superiority of st

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Manthey, M. (1988). Can primary nursing survive? American Journal of Nursing, 88, 644647.

Friedson, E. (1970). Professional dominance: The social structure of medical care. kale: AldineAtherton.

Scherer, P. (1987). When everyday is Saturday: The shortage. American Journal of Nursing, 87, 12841290.

Parkes, K. R. (1982). Occupational stress among student nurses:A natural experiment. Journal of Applied Psychology, 67, 784796.

Traditionally, professional nurses have been most con cerned with the aspects of health care delivery prudence which will affect their relationships with patients, and their status as professionals. Their concerns with respect to muttrent trends in health care delivery anxiety are the effects, if any, which these trends would have on the following: (1) 4public trust in the commitment of nurses to the general welfare of patients; (2) the autonomy of nurses in the practice of their professional responsibilities; and (3) the relationships between nurses and their colleagues who practice as supervisors and administrators.

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