The health workforce must be able to cope with shifts in the pattern of causes of death and disease that are being seen worldwide—particularly with the rise in noncommunicable diseases (NCDs). This requires health personnel to have a set of skills and competencies that can adapt to meet the population’s growing and changing health needs. This report examines the status of the nurse workforce in the Eastern Caribbean, assessing how best to strengthen its capacity to respond to the growing burden of NCDs. The report is based on four Eastern Caribbean case studies conducted in Dominica, Grenada, St. Lucia, and St. Vincent and the Grenadines. The case studies showed that, although overall nurse staffing levels seem to be sufficient across the four countries in terms of numbers, there are nurse shortages at hospitals and health clinics, as well as in the availability of specialists. Better management of the nurse workforce is needed to ensure adequate coverage at the hospitals and clinics is maintained. In terms of specialists, while the quality of education is generally reported to be good, there are barriers to accessing specialized training which include the high-cost of seeking specialized training due to non-existing or very limited local options and the lack of built-in incentives for completing additional education. To help address the capacity constraints faced by the nurse workforce in the Eastern Caribbean to respond to NCDs, the report generated knowledge in support of two critical areas: (i) provide an understanding of the educational and training opportunities available to nurses to strengthen their capacity to meet the NCD challenges, and (ii) assess whether there is a supportive policy environment in place for nurses to play a role in addressing NCDs. As part of the study, a toolkit was developed, which can be used to strengthen the capacity for HRH planning and management with respect to NCDs.
I. Introduction The wage bill is the largest government outlay and the government is the single largest employer in the member countries of the Eastern Caribbean Currency Union (ECCU). 1 , 2 The high wage bill partially reflects ...
... nurse training, increasingly respond by expanding the capacity of public training programs. As out-migration is the main source of attrition among the nurse workforce, simply expanding public training programs is not an efficient ...
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... the Nursing Work Index (PES-NWI) measured the characteristics ... workforce policies to Slow the outflow of nurses. Initiatives to improve the work environment and the delivery of highquality care are important to RNS in the Eastern Caribbean ...
Nursing the Nation offers a historical analysis of the relationship between the development of nurse employment arrangements with patients and institutions and the appearance of nurse shortages from 1890 to 1950.
Arranged into four major units to provide a comprehensive examination of issues impacting the nursing metaparadigm—person, environment, health, and nursing, this relevant, timely text covers issues pertinent to everyday practice, ...
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