The top three issues of nurse staffing include: heavy increment in the turnover rate of nurse staff, lower number of staff and higher number of patients especially in those health care facilities that look after acute patients and compensation issues in accordance to the level of care required or provided (Wunderlich, 1996, . Discussion The turnover rate in health care and nursing facilities is very high. The problem of high nurse turnover rate experienced by nursing issue is caused because nursing institutions pay less to their nurses than hospitals on hourly basis. Nurses are provided training and certification in the field of nursing by the government as well as nursing organizations. After obtaining training, nurses leave these institutions for high pay offered by hospitals. The overall health care system is facing hi9gh nurse turnover rate because these nurses switch field as soon as the economy starts growing and other jobs become available. For example: when the tourism industry experiences a boom, nurses switch industry as well as jobs and gain employment as cleaners or waitresses. Due to these staffing issues, many health care organizations especially those that provide care to acute patients hire nursing assistants (NA). These NAs try at their optimum ability to provide high quality care to but the problem is that the numbers of NAs available are too low. Due to these issues patients are experiences various physical as well as mental problems. The number of problems increases especially during weekends. Issues reported by patients of health care facilities include: bed sores due to less movement of the patient in the bed, patient left on the toilets for longer intervals and the psychological needs of patients not being fulfilled on time. It has also been reported that due to lower level of wages, very less people work as NAs, especially in areas where economic conditions are worse (Hall, 2005). In these areas NAs are paid less than what they can receive as welfare and even health insurance coverage provided to them is less than the amount of medic aid. Due to lower level of wages offered in the field of nursing, NAs work permanently in other jobs and some even have jobs as permanent NAs. Low compensation and heavy work load which drains NAs both emotionally and physically have contributed to the high turnover rate experienced by the field of nursing. In certain health care facilities, the organizations experience a continuous process of training, hiring new nurses and recruiting new ones as in these organizations, nurse turnover rate is very high. Although NAs have to serve and provide aid to acute patients and they are paid less, they still try to provide the best help. Various reasons have led to the retention of NAs although they are not paid well and their job is demands high amount of emotional as well as physical contribution. One reason that contributes to this retention is the NAs personal commitment towards those who require help (Byers, 2004) . Various health care facilities in nursing facilities have made efforts to retain their nurses. Efforts made by them include: assigning one NA to one patient on full time basis, acknowledging the efforts incorporated by NAs and assigning leadership positions and responsibilities especially to NAs who have reached senior level. Some monetary benefits include: assisting NAs financially in obtaining higher education and certification, offering bonuses for their efforts, keeping a
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