Task 6

1. Describe some facts about the shortage of staff in the health care sector in
European countries
a. What are the main reasons that led to this situation? (at least 4 reasons)
b. Why is the rate of nursing-students decreasing in the EU
Create a clearly arranged concept-map

In de afgelopen jaren is er een opkomende duwen naar de ontwikkeling van een

meer hoogst-opgeleide verpleegkundige beroepsbevolking. In 1950, omhoog tot
92% van VS geregistreerde verpleegsters werken in ziekenhuizen waren
ziekenhuis diploma programma afgestudeerden; door 2001, slechts 3% gehouden
diploma's, 61% had associate graden en 36% waren baccalaureaat programma
afgestudeerden (Aiken et al. 2003). Met de toename van nursing baccalaureaat
programma's, zijn veel begonnen met de vraag of een hoogst-opgeleide
verpleegkundige beroepsbevolking echt patintenoutcomes voordelen. Deze
twijfel is behandeld in een groot deel van de relevante literatuur, waaruit een
negatieve correlatie tussen het aantal verpleegkundigen met baccalaureaat
graden en ziekenhuis patint sterfte (Aiken et al. 2003, 2011 blijkt; Kutney-Lee et
al. 2013). Ondanks de duidelijke voordelen van een goed opgeleide
verpleegkundige beroepsbevolking, nursing school ingeschreven geweest op een
neerwaartse trend in de afgelopen jaren.
(Heinen, 2013) (Wu, 2015) (FOCHSEN, 2005)
2. Find solutions that are discussed in policy and research.
- Increase financial remuneration
- Career fairs
- More platforms

1. Measure health system performance from the perspective of the patient.

2. Minimise training times.
3. Regulate tasks (competencies), not professions.
4. Match rewards and indemnity to the levels of skill and risk required to perform a
particular task, not professional title.
5. Ensure that practitioners have all the skills they need to perform the tasks required to
work in the environment in which they work
6. Enable practitioners to work to their full scope of practice delegate tasks where
required
These proposed principles will challenge some of the existing social norms around health-
care delivery; however,many of these principles

(Nancarrow, 2015)

3. How could people with a migration background be supported to work in the health
care sector, e.g. as a nurse? (NGO, companies, governments)

Using two different measures of immigrant labour-market integration (the ratio between immigrant
unemployment to native unemployment, and the ratio of employment rate among natives and
immigrants) this paper tests six suggested explanations of why immigrants are less likely than natives
to be working in most OECD-countries: Intolerance, the education of immigrants, welfare state
generosity, employment protection laws, union power and the share of immigrants in the population.
Using bivariate and multivariate analysis, two significant patterns are found. First, welfare state
generosity keeps immigrants away from the labour force. Second, given that immigrants enter the
labour force, collective bargaining agreements explain immigrant unemployment. No other factors are
statistically significant in cross-country regressions.

A simple economic intuition suggests that higher social assistance benefits lead
to weaker incentives to find a job.

NGOs are organisation that help people find a job, learn laguenge and education
for example. As we just saw there are a couple of laws which block the
intergration of migrants. Like if you have a higher social assistance leads to
weaker incentives to find a job. Most of the people who have higher social
assistance are migrants, thats why it s harder for them to find a job. Maybe the
government should investigate about that more and maybe they can offer
migrant more civic integration courses. Maybe it already happened, but NGOs
have also a big part in that, but I think the government should takte more
attention to it.
(Bergh, 2013)
B. INNOVATIVE TASK
Question 1:
When all of the health care professional universities are academic,
would influence students to go study nurse, OT, PT, etc?

Should we ask the patients more what they want in health care?