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Original Article

Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication

Taewha Lee1, Kyeong Hwa Kang2, Yu Kyung Ko3, Sung-Hyun Cho4, Eun-Young Kim5
Journal of Korean Academy of Nursing Administration 2014;20(1):106-116.
Published online: January 29, 2014

1College of Nursing, Nursing Policy Research Institute, Yonsei University, Korea.

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Corresponding author: Kim, Eun-Young. Department of Nursing, Dong-A Uiversity, 32 Daesingongwon-ro, Seo-gu, Busan 602-714, Korea. Tel: +82-51-240-2785, Fax: +82-51-240-2920, eykim@dau.ac.kr
• Received: November 14, 2013   • Revised: December 18, 2013   • Accepted: December 23, 2013

Copyright © 2014 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    In this paper issues and challenges of the workforce policy for nursing were explored and appropriate policy responses identified.
  • Results
    Many countries, including South Korea, are facing a shortage of nurses. In South Korea, the number of practicing registered nurses is about half the average for Organization for Economic Cooperation and Development (OECD) member countries. The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses. The present nurse workforce policies are to increase number of nursing schools, to reduce the length of training, and to replace nurses with nursing assistants. However, the findings of many studies have shown that these attempts resulted in a worsening of patient outcomes and increasingly low quality of care.
  • Conclusion
    The findings in this study indicate that nurse workforce policy should have a multi-faceted approach in order to address the many factors affecting nurse shortages.
  • Key Words: Nurse education; Nurse staffing; Skill-mix; Nursing policy

This research was supported by the Korean Academy of Nursing Administration Research Fund.

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Table 1
Korean Registered Nurses and Nurse Aids
jkana-20-106-i001.jpg

Source: Ministry of Health & Welfare (2013).

Table 2
Distribution of Population, Inpatient Days, and Practicing Registered Nurses (RNs) by Administrative District
jkana-20-106-i002.jpg

Source: Statistics Korea (2010) & Statistics Korea (2011).

Table 3
Korean Nurses' Turnover Rate
jkana-20-106-i003.jpg

Source: Noh et al. (2011).

Figure & Data

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    Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication
    J Korean Acad Nurs Adm. 2014;20(1):106-116.   Published online January 31, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.1.106
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    Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication
    J Korean Acad Nurs Adm. 2014;20(1):106-116.   Published online January 31, 2014
    DOI: https://doi.org/10.11111/jkana.2014.20.1.106
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    Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication
    Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication

    Korean Registered Nurses and Nurse Aids

    Source: Ministry of Health & Welfare (2013).

    Distribution of Population, Inpatient Days, and Practicing Registered Nurses (RNs) by Administrative District

    Source: Statistics Korea (2010) & Statistics Korea (2011).

    Korean Nurses' Turnover Rate

    Source: Noh et al. (2011).
    Table 1 Korean Registered Nurses and Nurse Aids

    Source: Ministry of Health & Welfare (2013).

    Table 2 Distribution of Population, Inpatient Days, and Practicing Registered Nurses (RNs) by Administrative District

    Source: Statistics Korea (2010) & Statistics Korea (2011).

    Table 3 Korean Nurses' Turnover Rate

    Source: Noh et al. (2011).

    Table 1

    Table 2

    Table 3

    J Korean Acad Nurs Adm : Journal of Korean Academy of Nursing Administration

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