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MANAGEMENT: NURSING SHORTAGES
Table 1: Summary of suggestions and recommendation of Nursing Task Force Committee 1998
1. Approval of a one year service agreement after graduation. Not implemented
2. Subsidised transport for nurses. Implemented
3. Provision of economy meals. Implemented
4. Five percent increment of onboard staff salary. Implemented
5. Long service increment and incentives. Implemented
6. Financial allowances for critical care. Implemented
7. Pay scales for non-AKUSON nurses based on their experiences. Implemented
8. Out station allowances for nurses. Implemented
9. Efficient utilisation of proficiency and competency testing and proper monitoring and supervision of new staff.
Implemented
10. Hiring of para-medical staff for tasks such as phlebotomist for maintaining of IV line. Not implemented
11. Floating nurses to cover the staffing needs. Implemented
12. Female hostel with all facilities to share the burden of hostilities against staff and to provide them with security.
Implemented
13. Arrange recreational activities for management of work stress. Implemented
14. Better communications between doctors and nurses, for effective team building. Implemented
15. Human resource committee to listen to employees concerns and to find solutions to problems. Implemented
16. Co-education for diploma programme. Implemented
17. Employeed, clinical nurse specialist for all areas in the hospital. Implemented
18. Joint appointment system between AKUSON, AKUH and CHS. Implemented
19. Provide staff benefits such as general shift allowance. Not implemented
20. Provision of round the clock child care centre facilities. Not implemented
21. Nursing students should spend more time in clinical areas. Implemented
22. Approach married nurses and to try to get them back by involving their families. Implemented
23. Provide sponsorships to the nursing students. Implemented
24. Faculty should also serve at clinical site. Not implemented
25. Banks should be involved in the recruitment of students. Not implemented
26. Poster and flyers should be sent to all over Pakistan by involving AKU network and government machinery.
Implemented
27. Enroll students from different diversities. Implemented
28. Involve nurses in the recruitment process. Implemented
29. Open forums should be arranged for parents and nursing candidates. Implemented
30. Continue track one programme. Implemented
31. Website could be made accessible to public at all levels in Pakistan and outside Pakistan. Implemented
32. For students from outside Pakistan, concept of host parents could be introduced. Not implemented
33. A study should be conducted to know about AKUSON graduates station and status. Implemented
34. Concept of honorary part-time staff/faculty who may be given flexibility of days and hours to work with modified
package and benefits. Implemented
35. Nurses should be rotated in different areas after specific period of time. Five years was the suggested time
period. Implemented
36. Brining non-AKUSON to up to standard, where their knowledge is concern. Implemented
37. Implement allied programmes for other nurse caregivers. Implemented
Table 2: Recommendations of the task force were derived further research studies
HIGH FOR RETENTION
1. Ensure that the one year service agreement is strictly followed, which is currently mentioned in the university
prospectus. Not implemented
2. AKUH can sponsor nurses for diploma and generic programmes against service agreement such as current Post
BScN programme. Not implemented
3. Financial assistance could be waived if nurses agree to give service to AKUH for two to three years depending
upon assistance given. Not implemented
4. Increase monetary allowances
Vol. 40 No. 4 | World Hospitals and Health Services | 21