Wage Deflation In Nursing

Some nurses who have been in the profession for many years have observed deflationary forces and downward pressure on nursing wages during the past few years. The intended purpose of this article is to explore wage deflation in the nursing profession. Nurses Announcements Archive Article

While recently conducting a Google search on the topic of stagnating and deflating wages in the healthcare sector, I honestly did not unearth much scholarly information on the topic. However, many nurses and other healthcare workers in the U.S. have certainly been impacted by wages that have either flattened or outright decreased during the past few years.

Therefore, I believe that wage deflation in the nursing profession is a very real phenomenon that has been taking place for quite some time, even if a lack of formal data exists to help bolster my claims. Wage deflation is defined as an overall decrease in pay rates, whereas wage stagnation would be described as a general lack of growth in pay rates. Although some nurses and healthcare workers have been fortunate enough to have been shielded from downward pressure on their earnings, others have not been so lucky.

Several things have been happening that have placed downward pressure on nursing wages over the past four or five years. First of all, a surplus of nurses now exists in many job markets across the U.S., so many healthcare facilities now have the upper hand when negotiating wages. After all, if the nurse who has been unemployed for nine months does not accept the pay rate that HR is offering him or her, many others will take the job without hesitation even if the wage is not really competitive. The job candidate is not in a favorable position to negotiate for a higher pay rate if HR has several hundred applications submitted per job opening.

Second of all, schools of nursing have been graduating new nurses into local employment markets at a rate much faster than new job openings are being created. Many nursing schools have been created in recent years; in addition, some existing nursing programs have expanded to allow the admission of many more students.

The end result is that more new nurses are graduating than ever, while fewer nursing positions are becoming available due to people who are delaying retirement out of necessity or clinging to their jobs to support unemployed spouses.

Third, some middle-aged nurses with decades of experience have reported that their workplaces had terminated their employment to replace them with cheaper labor. In this economic climate, hospitals and other healthcare facilities are now able to hire nurses with less than five years of experience to replace employees with many years of experience who have topped out on the pay grid.

A hospital can save money by laying off 25 experienced nurses who had been earning more than $40 hourly and fill the job openings with 25 less-experienced nurses who will work for less than $30 hourly.

Some nurses who have been in the profession for many years have observed deflationary forces on wages during the past few years. Is this downward pressure on nursing pay rates going to become a 'new normal' to which we must become accustomed?

I do not know, nor do I pretend, to offer any solutions to what appears to be a complex issue.

Wage deflation and benefits erosion should not be unexpected. For at least the last five years, nursing schools have been turning out record numbers of graduates. That alone would tend to cause at least wage stagnation, if not outright deflation, but at the same time, many experienced nurses were forced to postpone their retirements as their 401k's dropped in value along with those of their spouses. In some cases, the spouse lost his or her job and if they were lucky enough to find a new job, it almost certainly paid less and offered fewer benefits than the previous one. Many large health care and hospital corporations either saw their patient insurance reimbursements drop, putting severe strain on profits. Most made decisions to preserve those profit levels by reducing costs, often in the form of reducing nursing staff (thus increasing patient-nurse ratios). So we really have a perfect storm in place in terms of nursing wages ( nursing is far from alone in this - most other occupations and professions are experiencing something similar).

I've posted this before but in my region - the fifth largest metro area in the country - the BLS data show that nursing employment declined from 43,740 in 2005 to 42,820 in 2009. At the same time, the PA Board of Nursing website showed that there were 1,822 new grad RN's in the region in 2005 rising to 2,142 in 2009. Keep in mind that these are first time NCLEX test pass numbers and the actual number of new RN's is likely to be somewhat higher than the figues used above. It's also relevant to note that the population in the region grew slightly over that period. With a clear oversupply of nurses, significant downward pressure on nursing wages and benefits has to be the inevitable result. I have not looked at other parts of the country but the anecdotal evidence I've seen leads me to believe that something similar is occuring in most larger SMSA's.

It is also worth noting that nursing school enrollment, and presumably the number of new RN's, continues to grow. Since there is little changed about the economy, we should not expect to see nurses retiring in great numbers. And there is continued pressure to increase corporate profits. Nursing wage deflation and the erosion of benefits should continue and perhaps even accelerate for the foreseeable future.

Specializes in Clinical Research, Outpt Women's Health.

Yep. The employers are very lucky.

Time will tell how lucky these nursing employers are.

Think about it, if your were a new grad, who can't get a jov because no one will put out the money to orient you for your profession and you had major student loan bills due 6 month post graduation, would you hang around in a dead end profession? Waiting for the preverbial economy to turn around, which economists and other analysts say won't be for another 5 years, and the predictors of the nursing job outlook to look to inprove in the year 2020.? That's 8 years from now- By that time, how much orienting and residency programs do one thinks that going to take- that 2012 new grad could have done 2 more 4 year cycles in a BSN program for god sakes.

How many people are going to hang around waiting for 8 years for job? Then when you think about all the bad media that is going to creat, who is going to want to invest their money, take out loans for nursing education.

How many nurses are going to seek costly advanced degrees to be paid peanuts. Nurse don't aquire advanced degrees- NP, MSN's and DCS or DNP's to take 7AM nursing report on these moron employers hospital units, to clean poop, give out meds, answer call lights and haggle with the pharm, lab, xray, take crap from the patients, t and the patient's family,.the disrespect from their employers- talked down to like nincompoops about customer service skills, nit picking, manipulated by hair brain Nursing mangers who are kissing corporate butts. So what ever mind altering drugs these hospital CEO's and board of directors are on they best get off of and check into rehab.

I have had quite afew nurse's with their MSN 's tell me- why do you think I got an MSN, or I didn't get an MSN to wipe butt.

How many doctors are going to take on these job position- are we going to ask an establish physican to now start drawning their own labs, doing their own EKG's, taking their turn doing night shift inhouse rotations for days on end like that of their residency years, how many lawyers are going to take over the jobmarket and fill positions of paralegals and law clerks. while the MBA's puppeteer and orchestrate the smarter more intelligent professions. Don't tell me it takes high intellect to be a Business major- bookkeeping, accounting, basic math skills- non advanced the math skills of calculus and trig: Oh wait- project management- any stay at home mom or dad,or any kid who has ever planned a party for their friends or who has ever planned a birthday part can project manage. Any one who manages the budget in their own home can budge direct!! Any one with any common sense knows if they have $3,000/month to pay mortgage/rent/ electric/food/car payment and insurance, one can't spend 2500 dollars on new clothes for themself, movie tickets, dinners out and expect to pay the same bills with what's left over. Great intellectual geniuses don't tend to go into business administration-

Business majors have always been those looking for the easier routes out of a college education, it is the easiest of all the nursing MSN's- it is more difficult, mentally taxing and challenging to take on an NP program, than an administration track. Sorry but it's true.

In my day- the kids who went into the business majors were the goof offs, those that were not going to sacrifice their social life for the hard sciences. I don't recall any validictorian of any of my kids classes or mine ever being a business major- They were the physics, engineering, medical school bound or nursing majors. Business majors were not the high achievers. they always made fun of the science high achiever crowd and it was mostly because the science kids were so intellectual and studious aka NERDS. Business majors= party animals, easy street, fun seeking. The CEO's are no different. It's me, me, me! and the heck with you,you,you!

How many students of today are going to persue a nursing career when they can get jobs in the IT- computer world or "green jobs in industry" making $120.000 and up compared to a nursing salary of $30/hr and work as hard as a nurse? My answer- Not many.

They can need nurses all they want- but if the salary isn't there- tough luck healthcare- let some one else do it.

consultant to a software company $100,000-$300,000/yr, Nurse $30/hr- wiping butt.!!

No butts. Just bytes!!!

I predict- the healthcare systems of this country is going to be employing mostly UAP on these patient units. The licensed nursing is going to go the same way the medical students did- fewer and fewer going into mediine/doctors due to the pay and lawsuits compared to the cost of an education- not worth it!!!!!!!!!!!!!!!!!

Specializes in PICU, NICU, L&D, Public Health, Hospice.

Nothing will change r/t nursing wages and work load as long as profit drives our health care system...nothing.

Sorry y'all if this sounds like a bitter pill! There is a solution to wage deflation. It's a novel concept called "unionizion"!!!!!! Ever heard of California Nurses Association?
Hear, hear! I'm in a union and am guaranteed a raise every year. I can't imagine NOT getting

a raise. How can any employer have the nerve not to reward loyalty and longevity in it's employees?? I'm very pleased in pointing out to my non union RN former coworkers who work in the hospital that I make more than most of them. And most of them have Batchelors degrees. If that's not incentive to unionize, I don't know what is....

I predict- the healthcare systems of this country is going to be employing mostly UAP on these patient units. The licensed nursing is going to go the same way the medical students did- fewer and fewer going into mediine/doctors due to the pay and lawsuits compared to the cost of an education- not worth it!!!!!!!!!!!!!!!!!
That's what we get for abandoning the RN/LPN team nursing model. Having a RN only primary nurse model was NEVER economically viable. That's why hospitals are crawling with various "techs" now. Mark my words, we're gonna see the creation of such titles as "wound techs", "admission/discharge specialists", "IV techs", UAPs who are "trained" to pass meds. All unlicensed and all working under the RN resulting in the RN taking a much larger pt load in med surg. Have fun....
Then when you think about all the bad media that is going to create, who is going to want to invest their money, take out loans for nursing education.

As long as people's ideas of nursing reflects the reality of 2000, egged on by nursing school marketing, people will line up for their ADNs and BSNs. I'm surprised at how little research people do before committing themselves to 3 to 5 years of intensive studying, and running up a large personal debt.

How many students of today are going to persue a nursing career when they can get jobs in the IT- computer world or "green jobs in industry" making $120.000 and up compared to a nursing salary of $30/hr and work as hard as a nurse? My answer- Not many.

They can need nurses all they want- but if the salary isn't there- tough luck healthcare- let some one else do it.

consultant to a software company $100,000-$300,000/yr, Nurse $30/hr- wiping butt.!!

No butts. Just bytes!!!

That is the same kind of fantastical thinking so many people have about nursing careers. A lot of those high-paying jobs have been offshored, and for technical reasons, not as many engineers are needed as use to be the case. There are a lot of disappointed STEM graduates.

The same kind of games have for a long time been in play in engineering fields as you are citing in nursing, with lots of propaganda about shortages of engineers, which encouraged too many people to get engineering degrees and seek jobs in the "cool" areas. (How many people are needed to create code video games? How many new weapons systems are there going to be as the military budget shrinks?) Beyond that, congress drank the artificial shortage Kool Aid and cranked up the number of H1-B visa recipients to further depress wages. It's a scandal, how much below prevailing wages an H1-B visa holder from a poor country would work for.

Engineers, though, are an independent lot, and unionization was among the furthest things from their minds.

In fact, there are probably many, many more hospital administrators (some with degrees in medical fields, most with business degrees) making big bucks than there are high-tech folks making that kind of money. That, long after it has become obvious that an MBA degree is of limited utility, other than as a checkoff item on a resume.

The problem is, if you're graduating high school and are pondering which career to choose, there are not a lot of good choices right now. While high-tech may be doing well in a few particular areas, and no one knows how things will be four years from now, you still need certain skills for high tech. What would you advise a high school senior to do? It's a difficult question.

The problem is those with the money usually outlast those without. It usually goes back to a cost/benefit analysis, can they save more by going on and on with litigation until the bank of the opponent is broken or will a "settlement" get them out with less from their coffers.

Unions may help here, but I have seen more money going to lobbying for the "right law" rather than protecting their union members in most cases. Priorities are mixed up and off base in many arenas of the health care business. Fix those issues and we fix the healthcare money shortage (in my humble opinion)

Specializes in Med/surg, Quality & Risk.

But you can pay someone 20 bucks an hour and hope she knows what she's doing without any long-term staff around, or you can pay me 30 an hour and I can tell you to get the crashcart just by knowing what that cough is moments before the person drowns in their own CHF fluids. Your choice.

Seriously!!!! I often wonder, do they care about anyone that stays put AT ALL?

Specializes in Trauma, Teaching.

Not only did I not get a raise, I took a pay cut last contract. Yes, we are union. Our community hospital was bought out by a huge corporation, who brought in 400 nurses ready to take over if we voted strike.

Our contract was gutted. We are ignored, and the PTB have threatened, in oh so nice language, that no one should ever say anything negative about the corp. on social media. The voice we were to have on the staffing grids has been ignored, with the proviso if we can't come to agreement the CNO gets the final say. We did not strike, preserving the union presence, but crippled. What we did preserve was not getting fired without several steps and warnings, can't just get fired.

Our staffing ratios have suffered, and we have lost ancillary staff. No daily overtime, only if you go over 40 hours. For we part timers, even picking up extra shifts is not overtime. Staying over is no overtime. Full timers work 3 12's, no overtime for them either, until the magic 40 hours.