Skill mix greater use of unqualified persons to deliver care. Blurring of health provider roles, interdisciplinary. Difficulties in attracting health care personnel to rural areas and particular professions. Recruitment of personnel from least developed countries leading to the brain drain of the best and brightest from countries that can least afford it. Continuation of the feminization of healthcare.
Nurses don t feel valued.
Canada - educational funding cut back affect shortages. Taiwan shortage in the practice setting due to lack of funding for positions even though there is a surplus of nursing graduates. Canada opposite experience because better retention. Need family-friendly policies, learning culture. Recognition that nurses require lifelong learning.