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MANAGEMENT: NURSING SHORTAGES<br />

30. Liaison with other quality institutions such as Holy Family <strong>Hospital</strong>, Seventh Day, Liaquat National etc. to recruit<br />

the Nurses they are unable to hire. Implemented<br />

31. Providing educational opportunities to nurses. Implemented<br />

LOW<br />

32. Service letter from Personnel Department should not be issued to employees without Director Nursing <strong>Services</strong><br />

consultation, unless they have served at AKUH for two years. Implemented<br />

33. Continuing Education Certificates <strong>and</strong> NES checklist should not be issued to RNs unless they have completed two<br />

years services at AKUH. Implemented.<br />

hospitals, inspite of the nurses are hired from developing<br />

countries?<br />

➜ Who will bear the cost of care for patients, who<br />

themselves are responsible for their health, if nursing<br />

wages are increased in developing countries to retain<br />

nurses?<br />

In conclusion, the serious issues outlined above must be<br />

reviewed <strong>and</strong> considered by many organisations in the<br />

developed countries as to how Pakistan <strong>and</strong> other developing<br />

countries in Asia <strong>and</strong> hospitals such as AKUH can retain their<br />

nurses <strong>and</strong> provide high quality care to its customers.❑<br />

References<br />

Aiken, et al (2001). ‘Nurses’ reports on hospital care in five countries. <strong>Health</strong><br />

Affairs, 20(3), P. 43-52.<br />

Aiken L, Clarke S, Sloane D, Sochalski J, Silber J. (2002). ‘<strong>Hospital</strong> nurse staffing<br />

<strong>and</strong> patient mortality, nurse burnout, <strong>and</strong> job dissatisfaction’. Journal of the<br />

American Medical Association 288:1987-1993.<br />

Berens M. (September 10, 2000). ‘Nursing Mistakes Kill, Injure Thous<strong>and</strong>s’.<br />

Chicago Tribune. News Section. P. 20.<br />

<strong>Health</strong> Care Advisory Board (2001). Literature Review on Retention <strong>and</strong><br />

Recruitment.<br />

IOM (Institute of Medicine). 2000. To Err Is Human: Building a Safer <strong>Health</strong><br />

System. Washington, DC: National Academy Press.<br />

Khowaja, K. (1998). ‘Status of retention <strong>and</strong> turnover of registered nurse at<br />

AKUH’. Proceedings of 3rd <strong>International</strong> Conference, Brunei Darussalam.<br />

Khowaja, K., Merchant, R. J., Hirani D. (2004). ‘Registered Nurses perceptions on<br />

Job Satisfaction at a tertiary care university hospital’. Journal of Nursing<br />

Management. (publication process complete waiting for release of issue).<br />

Mathews, N., & Campbell, J., (2001). Nursing staff turnover in intensive care.<br />

Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K. (2002). ‘Nursestaffing<br />

levels <strong>and</strong> the quality of care in hospital’. The New Engl<strong>and</strong> Journal of<br />

Medicine 346(22):1715-1722.<br />

Peterson, C. A., (2001). ‘Nursing shortage: Not a simple problem – no easy<br />

answer’. Online journal of issues in nursing, 6(1), 1-14.<br />

IOM. 2001. Crossing the Quality Chasm: A New <strong>Health</strong> System for the 21st Century.<br />

Washington, DC: National Academy Press.<br />

Vol. 40 No. 4 | <strong>World</strong> <strong><strong>Hospital</strong>s</strong> <strong>and</strong> <strong>Health</strong> <strong>Services</strong> | 23

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