Kontakt 2022, 24(1):64-72 | DOI: 10.32725/kont.2021.043

Nurses and midwives in Slovakia - important trends and ageing of the nursing workforceNursing - Original article

Silvia Megyesiová
University of Economics in Bratislava, Faculty of Business Economy with seat in Košice, Košice, Slovak Republic

Introduction: Nurses and midwives play an important role in society and are essential for each human being. In Slovakia, nurses and midwives constitute the most significant group of employees in the health care institutions.

Methods: The data regarding the number of nurses and midwives in Slovakia were collected from 2000 to 2019. Chain indexes and/or fixed-base indexes were used to follow the changes of the nursing workforce. The ageing of nurses and midwives was determined by mean age and age structure. Correlation analysis was selected to detect the association between the living standard and number of nursing workforce per 1,000 people in the EU.

Results: The total number of nurses and midwives in Slovakia decreased from 40,380 in 2000 to 33,041 in 2019. This decline of the nursing workforce by 18.2% is a negative signal for the Slovak health care system. Ageing of the nursing workforce is the second negative sign for health system in Slovakia. The age structure of nurses and midwives has changed significantly. The number of nurses over 60 years of age was more than 13 times higher in 2019 compared to the year 2000. The changed age structure resulted in an increase of the mean age of the nursing workforce. The mean age of nurses increased from 37.2 in 2000 to 46.9 in 2019. In the case of midwives, the average age increased from 40.9 to 47.4.

Conclusions: The decrease of the nursing workforce along with the ageing of nurses and midwives could result in a nursing shortage in Slovakia. To stop this trend towards a nursing shortage, the Slovak government should more actively solve the problem of renumeration, create a better work environment for the nursing workforce, and promote the importance and status of nurses and midwives in Slovakia.

Keywords: Ageing; European Union; Midwives; Nurses; Slovakia
Conflicts of interest:

The author has no conflict of interests to declare.

Received: April 28, 2021; Revised: July 31, 2021; Accepted: October 4, 2021; Prepublished online: October 13, 2021; Published: March 15, 2022  Show citation

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Megyesiová S. Nurses and midwives in Slovakia - important trends and ageing of the nursing workforce. Kontakt. 2022;24(1):64-72. doi: 10.32725/kont.2021.043.
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References

  1. Aiken LH, Clarke SP, Cheung RB, Sloane DM, Silber JH (2003). Educational levels of hospital nurses and surgical patient mortality. JAMA 290(12): 1617-1623. DOI: 10.1001/jama.290.12.1617. Go to original source... Go to PubMed...
  2. Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Griffiths P, Busse R, et al. (2014). Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. Lancet 383(9931): 1824-1830. DOI: 10.1016/s0140-6736(13)62631-8. Go to original source... Go to PubMed...
  3. Bahna M (2012). Odchody za prácou v období ekonomickej krízy: Slovenské opatrovateľky v Rakúsku. Bratislava: Slovak Academy of Science. Institute for Sociology, pp. 1-3. [online] [cit. 2021-01-20]. Available at: http://www.sociologia.sav.sk/cms/uploaded/1384_attach_podklady_pre_tk_31012012.pdf
  4. Directive 2005/36/EC of the European Parliament and of the Council of 7 September 2005 on the recognition of professional qualifications (2005) [online] [cit. 2021-01-20]. Available at: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32005L0036&from=EN
  5. Eurofound (2011). Free Movement of Workers. [online] [cit. 2021-01-20]. Available at: https://www.eurofound.europa.eu/observatories/eurwork/industrial-relations-dictionary/free-movement-of-workers
  6. Eurostat. Database. [online] [cit. 2021-02-03]. Available at: https://ec.europa.eu/eurostat/databrowser/view/nama_10_pc/default/table?lang=en
  7. Graham EM, Duffield C (2010). An Ageing Nursing Workforce. Aust Health Rev 34(1): 44-48. DOI: 10.1071/ah09684. Go to original source... Go to PubMed...
  8. Gurková E, Soósová MS, Haroková, S, Žiaková K, Šerfelová R, Zamboriová M (2013). Job satisfaction and Leaving intentions of Slovak and Czech nurses. Int Nurs Rev 60(1): 112-121. DOI: 10.1111/j.1466-7657.2012.01030.x. Go to original source... Go to PubMed...
  9. Haegdorens F, Van Bogaert P, De Meester K, Monsieurs KG (2019). The impact of nurse staffing levels and nurse's education on patient mortality in medical and surgical wards: An observational multicentre study. BMC Health Serv Res 19(1). DOI: 10.21203/rs.2.13088/v3. Go to original source... Go to PubMed...
  10. Institute of Medicine (2011). The future of nursing: Leading change, advancing health. Washington, DC: The National Academic Press, 700 p. DOI: 10.17226/12956. Go to original source... Go to PubMed...
  11. Ivanová K, Vévoda, J, Nakládalová M, Marečková J (2013). Trends of job satisfaction in nurses. Kontakt 15(2): 115-127. DOI: 10.32725/kont.2013.015. Go to original source...
  12. Kox JHAM, Groenewoud JH, Bakker EJM, Bierma-Zeinstra SMA, Runhaar J, Miedema HS, Roelofs /DDM (2020). Reasons why Dutch novice nurses leave nursing: A qualitative approach. Nurse Educ Pract 47:102848. DOI: 10.1016/j.nepr.2020.102848. Go to original source... Go to PubMed...
  13. Kutney-Lee A, Sloane DM, Aiken LH (2013). An increase in the number of nurses with baccalaureate degrees is linked to lower rates of postsurgery mortality. Health Aff (Millwood) 32(3): 579-586. DOI: 10.1377/hlthaff.2012.0504. Go to original source... Go to PubMed...
  14. Langhamrová J, Fiala T, Hulík V, Miskolczi M, Kačerová E (2010). Prognóza lidského kapitálu obyvatelstva České repuliky do roku 2050. Demografie 52(3): 181-196.
  15. Lavizzo-Mourey R (2012). The Nurse Education Imperative. J Nurs Educ 51(5): 243-244. DOI: 10.3928/01484834-20120419-01. Go to original source... Go to PubMed...
  16. Lee E (2019). Why newly graduated nurses in South Korea leave their first job in a short time? A survival analysis. Hum Resour Health 17(1): 61. DOI: 10.1186/s12960-019-0397-x. Go to original source... Go to PubMed...
  17. Marć M, Bartosiewicz A, Burzyńska J, Chmiel Z, Januszewicz P (2019). A nursing shortage - a prospect of global and local policies. Int Nurs Rev 66(1): 9-16. DOI: 10.1111/inr.12473. Go to original source... Go to PubMed...
  18. Maresova P, Prochazka M, Barakovic S, Baraković Husić J, Kuca K (2020). A shortage in the number of nurses - A case study from a selected region in the Czech Republic and International Context. Healthcare, 8(2), 152. DOI: 10.3390/healthcare8020152. Go to original source... Go to PubMed...
  19. Ministry of Health of the Slovak Republic (2006). Education of Healthcare Professionals in the Slovak Republic. Bratislava, pp. 1-18.
  20. NCZI (2001). Health Statistics Yearbook of the Slovak Republic 2000. Bratislava: Národné centrum zdravotníckych informácií, 193 p.
  21. NCZI (2002). Health Statistics Yearbook of the Slovak Republic 2001. Bratislava: Národné centrum zdravotníckych informácií, 185 p.
  22. NCZI (2003). Health Statistics Yearbook of the Slovak Republic 2002. Bratislava: Národné centrum zdravotníckych informácií, 183 p.
  23. NCZI (2004). Health Statistics Yearbook of the Slovak Republic 2003. Bratislava: Národné centrum zdravotníckych informácií, 209 p.
  24. NCZI (2005). Health Statistics Yearbook of the Slovak Republic 2004. Bratislava: Národné centrum zdravotníckych informácií, 197 p.
  25. NCZI (2006). Health Statistics Yearbook of the Slovak Republic 2005. Bratislava: Národné centrum zdravotníckych informácií, 213 p.
  26. NCZI (2007). Health Statistics Yearbook of the Slovak Republic 2006. Bratislava: Národné centrum zdravotníckych informácií, 201 p.
  27. NCZI (2008). Health Statistics Yearbook of the Slovak Republic 2007. Bratislava: Národné centrum zdravotníckych informácií, 197 p.
  28. NCZI (2009). Health Statistics Yearbook of the Slovak Republic 2008. Bratislava: Národné centrum zdravotníckych informácií, 207 p.
  29. NCZI (2010). Health Statistics Yearbook of the Slovak Republic 2009. Bratislava: Národné centrum zdravotníckych informácií, 214 p. Go to original source...
  30. NCZI (2011). Health Statistics Yearbook of the Slovak Republic 2010. Bratislava: Národné centrum zdravotníckych informácií, 230 p.
  31. NCZI (2012). Health Statistics Yearbook of the Slovak Republic 2011. Bratislava: Národné centrum zdravotníckych informácií, 256 p.
  32. NCZI (2014). Health Statistics Yearbook of the Slovak Republic 2012. Bratislava: Národné centrum zdravotníckych informácií, 255 p.
  33. NCZI (2015). Health Statistics Yearbook of the Slovak Republic 2013. Bratislava: Národné centrum zdravotníckych informácií, 241 p.
  34. NCZI (2016). Health Statistics Yearbook of the Slovak Republic 2014. Bratislava: Národné centrum zdravotníckych informácií, 242 p.
  35. NCZI (2021). Zdravotnícka ročenka Slovenskej republiky 2019. Bratislava: Národné centrum zdravotníckych informácií, 242 p.
  36. Nehls N, Barber G (2012). A prebaccalaureate PhD option: shaping the future of research-focused doctoral education. J Nurs Educ 51(1): 50-53. DOI: 10.3928/01484834-20111116-06. Go to original source... Go to PubMed...
  37. Pacáková V, Labudová V, Sipková Ľ, Šoltés E, Vojtková M (2009). Štatistické metódy pre ekonómov. Bratislava: Iura Edition, 405 p.
  38. Ribeiro JS, Conceição C, Pereira J, Leone C, Mendonça P, Temido, M, et al. (2014). Health professionals moving to… and from Portugal. Health Policy 114(2-3): 97-108. DOI: 10.1016/j.healthpol.2013.05.009. Go to original source... Go to PubMed...
  39. Sherman RO, Chiang-Hanisko L, Koszalinski R (2013). The ageing nursing workforce: A global challenge. J Nurs Manag 21(7): 899-902. DOI: 10.1111/jonm.12188. Go to original source... Go to PubMed...
  40. Simoens S, Villeneuve M, Hurst J (2005). Tackling Nurse Shortages in OECD Countries. OECD Health Working papers, pp. 1-58. [online] [cit. 2021-01-20]. Available at: https://www.oecd.org/health/health-systems/34571365.pdf
  41. The International Council of Nurses (2002). Nursing Definitions. [online] [cit. 2021-01-15]. Available at: https://www.icn.ch/nursing-policy/nursing-definitions
  42. Uthaman T, Chua TL, Ang SY (2016). Older nurses: A literature review on challenges, factors in early retirement and workforce retention. Proc Singapore Healthc 25(1): 50-55. DOI: 10.1177/2010105815610138. Go to original source...
  43. WHO (2000). Munich Declaration. Nurses and midwives: A Force for Health, 2000. WHO Regional Office for Europe. Copenhagen. Denmark, pp. 1-4. [online] [cit. 2021-01-20].
  44. Available at: https://www.euro.who.int/__data/assets/pdf_file/0007/53854/E93016.pdf

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