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      Próxima escasez de enfermeras en España: el problema del que no se habla Translated title: The coming shortage of nurses in Spain: an unnoticed problem

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          Abstract

          Resumen Objetivo principal: Estimar la diferencia entre la oferta y la demanda de enfermeras en España en 2020, 2030, 2040 y 2050. Metodología: Se han utilizado las proyecciones de población total, de población mayor de 65 años y de población entre 15 y 64 años para los años 2020, 2030, 2040 y 2050 facilitadas por Eurostat. Se ha estimado la oferta y la demanda de enfermeras extrapolando las ratios de 2016 a las cifras de población proyectadas para esos años. Resultados principales: se estima que en España la diferencia entre oferta y demanda de enfermeras podría ser de +21.024 (en 2020), +4.724 (en 2030), -23.155 (en 2040) y -39.510 (en 2050). Conclusión principal: Nuestras estimaciones sugieren que a partir de 2030 podría producirse escasez de profesionales de enfermería en España. Actualmente, pese a existir suficientes profesionales, dicha escasez se manifiesta de forma puntual en algunos puntos del país.

          Translated abstract

          Abstract Objective: to estimate the gap between the supply and demand of nurses in Spain for 2020, 2030, 2040 and 2050. Methods: we used the last population projections for total population and two age groups (ages 15 to 64, and older than 64) by Eurostat. Nurses supply and demand was estimated by extrapolating the 2016 nurses/population ratios for 2020, 2030, 2040 and 2050. Results: we have estimated a gap of nurses of +21.024 (2020), +4.724 (2030), -23.155 (2040) and -39.510 (2050). Conclusions: These figures suggets that there may be a shortage of nurses in Spain from 2030. However, despite there are currently enough professionals, sometimes there is a shortage of nurses in certain areas in Spain.

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          Most cited references22

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          Low-perceived work ability, ageing and intention to leave nursing: a comparison among 10 European countries.

          This paper reports a study exploring nurses' perceived work ability and its associations with age and intention to leave nursing in a representative sample of registered nurses in 10 european countries. Throughout Europe, there is now a substantial shortage of Registered Nurses and unless steps are taken to reverse this trend, numbers are likely to decline further. A study exploring nurses' perceived work ability will provide baseline evidence, which may lead to improved working conditions and increased nursing retention. A cross-sectional study design was employed. Questionnaire data were collected from 25,976 nurses in 10 member states of the European Union between October 2002 and June 2003. The response rate was 52.9% for the total investigation and varied between countries from 32.4% to 76.9%. Perceived work ability was assessed using the Work Ability Index. Intention to leave was measured by asking nurses how often they thought about leaving nursing. Data were examined using analysis of covariance and adjusted logistic regression. In all 10 European countries, scores on the Work Ability Index were significantly lower (P or=45 years). Work ability varied among countries and differences between younger and older nurses were more pronounced in some countries. In all countries, there was a significant association between low Work Ability Index and intention to leave nursing (odds ratios between 1.98 and 21.46), especially among younger nurses. The association between work ability and intention to leave was most marked for those items on the Work Ability Index which explored subjective rather than objective aspects of work ability. Attempts to redress nursing shortages could include institutional policies to sustain work ability through better working conditions, improving quality of the working environment and finding suitable alternative nursing work for those no longer able to cope in their current post. These approaches should include nurses in all age categories.
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            The effect of trends in health and longevity on health services use by older adults

            Background The effect of population aging on future health services use depends on the relationship between longevity gains and health. Whether further gains in life expectancy will be paired by improvements in health is uncertain. We therefore analyze the effect of population ageing on health services use under different health scenarios. We focus on the possibly diverging trends between different dimensions of health and their effect on health services use. Methods Using longitudinal data on health and health services use, a latent Markov model has been estimated that includes different dimensions of health. We use this model to perform a simulation study and analyze the health dynamics that drive the effect of population aging. We simulate three health scenarios on the relationship between longevity and health (expansion of morbidity, compression of morbidity, and the dynamic equilibrium scenario). We use the scenarios to predict costs of health services use in the Netherlands between 2010 and 2050. Results Hospital use is predicted to decline after 2040, whereas long-term care will continue to rise up to 2050. Considerable differences in expenditure growth rates between scenarios with the same life expectancy but different trends in health are found. Compression of morbidity generally leads to the lowest growth. The effect of additional life expectancy gains within the same health scenario is relatively small for hospital care, but considerable for long-term care. Conclusions By comparing different health scenarios resulting in the same life expectancy, we show that health improvements do contain costs when they decrease morbidity but not mortality. This suggests that investing in healthy aging can contribute to containing health expenditure growth.
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              Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review

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                Author and article information

                Journal
                index
                Index de Enfermería
                Index Enferm
                Fundación Index (Granada, Granada, Spain )
                1132-1296
                1699-5988
                December 2019
                : 28
                : 4
                : 235-239
                Affiliations
                [4] orgnameCentro de Salud de Sepúlveda España
                [1] orgnameSección Sindical CSIF-Sanidad orgdiv1Servicio de Asesoría en Investigación Sanitaria España
                [6] orgnameCSIF Castilla y León España
                [5] orgnameCentro de Salud de El Espinar España
                [7] orgnameFormación CSIF-Sanidad Castilla y León orgdiv1Unidad de Formación España
                [2] orgnameSección Sindical CSIF-Sanidad España
                [3] orgnameComplejo Asistencial de Segovia orgdiv1Unidad de Hematología y Oncología España
                Article
                S1132-12962019000300016 S1132-1296(19)02800400016
                b7d324dd-97bc-4e6e-889e-e5f20ab8b92d

                This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.

                History
                : 11 March 2019
                : 16 August 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 5
                Product

                SciELO Spain

                Categories
                Informe Especial

                Predicción,Employment/trends,Population dynamics,Dinámica poblacional,Empleo/tendencias,Dotación de enfermeras,Recursos Humanos,Forecasting,Nurses/supply and distribution,Nursing staff,Human Resources,Enfermeras/provisión y distribución

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