What it takes to solve the nursing shortage

  1. 1
    Having enough nurses to meet the nation's projected nursing shortage is a mathematical improbability unless nursing schools admit more college and university students through federal support for scholarship and training grants, a new study indicates. Researchers found fewer nurses with associate's degrees achieve master's or Ph.D. degrees, exacerbating the current shortage of nursing faculty. The study's authors call for new public subsidies for nursing education to be targeted to baccalaureate and graduate education for nurses. The greatest national needs are for nurses with the qualifications to be teachers, advanced practice nurses such as nurse practitioners, and leaders in complex healthcare organizations. Currently only one-third of new nurses graduate with a degree that qualifies them for graduate study. "We are proposing increased federal funding under Title VIII and through Medicare to support nursing education so we have more nurses at the hospital bedside," the authors wrote. Administered by the Health Resources and Services Administration, Title VIII of the Public Health Service Act provides funding for nursing workforce development programs.
    Full text of the study for free here: http://content.healthaffairs.org/cgi....28.4.w620/DC1
  2. Visit  Teresag_CNS profile page

    About Teresag_CNS, PhD, CNS

    Teresag_CNS has '31' year(s) of experience and specializes in 'ICU, trauma, surgical, research'. From 'Oregon'; 56 Years Old; Joined Feb '09; Posts: 189; Likes: 364.

    48 Comments so far...

  3. Visit  hope3456 profile page
    15
    what nursing shortage?? what is the point of graduating more nsg students if hospitals will not hire them?? And nsg schools HAVE increased their student #'s in the past couple years.
    caroladybelle, PeachPie, NewTexasRN, and 12 others like this.
  4. Visit  stim3jt profile page
    8
    I have to agree What Nursing Shortage??????????????? The nursing schools are flooded by men and women because the TV glorifies nursing and says how good the money is. They fail to tell the policies to understaff and I know I feel underpaid for what I do. I don't know what you all think. We might only be in demand for advanced degrees. I personally think that Dental Hygenists are in a better situation as to working straight days, may have to give up a Saturday or two but NEVER a holiday. I also think Physical Therapists and Speech Therapists are in more of a demand, they also do not work many Saturdays or any holidays.
    NewTexasRN, iRN86, cardiacRN2006, and 5 others like this.
  5. Visit  TheCommuter profile page
    9
    How can there be a true nursing shortage when masses of new grads in certain regions are encountering difficulty with finding jobs?
  6. Visit  NewTexasRN profile page
    8
    OMG! There is no nursing shortage! Most of the new grads can't get a job right now! Give me a break!
    iRN86, cardiacRN2006, PrettyPillz, and 5 others like this.
  7. Visit  nurseinlimbo profile page
    4
    I am in Alberta, Canada. Six months ago, there were advertisements on radio, tv and print asking nurses who had left the field to return because they were desperately needed to solve an imminent nursing shortage. The projection was that by 2012 30% or more of the existing nursing workforce would be retirement age. Add to that a 50% attrition rate amongst nursing graduates within the first 5 yrs of their career and you have a significant shortfall.

    Then, magically, we have brought in a new Super Board, which has conglomerated the previous 9 (?) health regions into one, getting rid of many middle managers in the process but also implementing a hiring freeze where previously we were actively recruiting nurses from the Phillipines, and Canadian nurses to return from the US. The new CEO apparently feels there isn't a nursing shortage at all, and now all hiring and rehiring has to be approved through upper management. They say they will evaluate whether the shifts can be covered by existing staffing, or absorbed somehow. Right now, I am on my 6th of 7 shifts this week, for a total of 52 hrs, and most of my co-workers are working OT every week as well. At any time, you may be forced to work a double due to lack of staff to replace a sick call, or worse yet, a shift that just doesn't get filled and no one informs you until you are already at work that you are it for 16, or sometimes 24 hours.

    But there's no shortage???? Yes, it's hard for new grads to find work, especially in their chosen areas, but if they are willing to take nights, work weekends, holidays, casual and LTC (yes I know, you all don't think it's really nursing) there are jobs available, or at least work is available. I have been out of school now for 5.5 years, and have resigned myself to working prn only, at least I have some control over my life, and no one can force me to come in on my day off. I decide.
    HonestRN, Teresag_CNS, mochabean, and 1 other like this.
  8. Visit  karenchad profile page
    6
    I agree. there is no nursing shortage but a shortage of NURSING jobs. the ones who remain (who have not been laid off, fired for rediculious reason- which is only a smoke screen to eliminate a position or wage of the older experienced nurse, or pushed out of their position with the horific strss and harassment) are forced to take on extra work loads and work longer hours, while the money man/people of the healthcare wold sleep soundly in their beds, have enough money to hire a private duty nurse for thier own and don't give anyone else a second thought. The CEO of a small NJ catholic hospital in willingboro was heard complaining to another how he just bought a brand new $3,000 washer and dryer- isn't that something- nurses around that area a re unemployeed and have filed bankrupcy to protect themselves from loosing the homes they have lived in for 25years. Maybe he is planning on doing their laundry for free. This is a GROSS example of what is making healthcare fiscal decisions nowadays.
    iRN86, cardiacRN2006, PrettyPillz, and 3 others like this.
  9. Visit  karenchad profile page
    13
    another thing I am having a hard time understanding-The hospitals have this mysterious position called "a hiring manager"( and it must pay very well, my neighbor is one- she drives a new silver mercedes sports car/ replaced a not so old mercedes 4 door) What is the need for a hiring manager or a recruiter ??? the hospitals around here have hiring freezes- so what are these people doing , exactly, for their salaries. I got it --they must be answering call bells for the staff nurses who they refuse to hire more nurses to help with the patient load/ratios. Forgive me if I sound just a little bitter and angery. My neighbor has not seen a patient in YEARS and callls herself RN. She can't even look me in the face but runs every time she sees me.
  10. Visit  Adobo2009RN profile page
    1
    Agree.

    Quote from stepcmpb
    OMG! There is no nursing shortage! Most of the new grads can't get a job right now! Give me a break!
    cardiacRN2006 likes this.
  11. Visit  lindarn profile page
    13
    Quote from stim3jt
    I have to agree What Nursing Shortage??????????????? The nursing schools are flooded by men and women because the TV glorifies nursing and says how good the money is. They fail to tell the policies to understaff and I know I feel underpaid for what I do. I don't know what you all think. We might only be in demand for advanced degrees. I personally think that Dental Hygenists are in a better situation as to working straight days, may have to give up a Saturday or two but NEVER a holiday. I also think Physical Therapists and Speech Therapists are in more of a demand, they also do not work many Saturdays or any holidays.

    PTs, OTs, SPs, are in demand because they hve graduate levels of entry into practice. This additional educational education discourages individuals who are looking for a "quick" career to make the bucks.

    I have has PTs, OTs, all tell me that they are glad that the entrance requirements have been increased. They know that this works to keep their numbers down and their services in demand, which increases their pay.

    Their governing body works to keep them in demand and to keep the numbers low. In other words, unlike nursing, they look out for their members. Imagine that.

    Things will never change in nursing until we are no longer a dime a dozen, and we increase our educatgional levals. It has worked for other professions, and it can work in nursing. It will also act as a unifying force which we so desparately need. JMHO and my NY $0.02.

    Lindarn, RN, BSN, CCRN
    Spokane, Washington
    ok2bme, Moogie, ♪♫ in my ♥, and 10 others like this.
  12. Visit  wonderwomanchels profile page
    5
    Quote from stim3jt
    I have to agree What Nursing Shortage??????????????? The nursing schools are flooded by men and women because the TV glorifies nursing and says how good the money is. They fail to tell the policies to understaff and I know I feel underpaid for what I do. I don't know what you all think. We might only be in demand for advanced degrees. I personally think that Dental Hygenists are in a better situation as to working straight days, may have to give up a Saturday or two but NEVER a holiday. I also think Physical Therapists and Speech Therapists are in more of a demand, they also do not work many Saturdays or any holidays.

    i agree - the tv needs to stop running ads saying that healthcare is a stable career...i got my BSN and have been job hunting for a year, and every day i hear from people about how shocked they are that i'm having so much difficulty - nobody knows about this problem outside of the community! when is oprah gonna do a show on the glut of new grads against an aging population within the nursing workforce that can't retire because their 401K has disappeared? i'm just getting sick of explaining it to people, and i hope to god the people who are looking into medical assisting or nursing as a career to help advance their families are given all of the information before they start paying for a degree that they'll have a damn hard time using.
  13. Visit  karenchad profile page
    4
    to try to answer the original question- what does it take to solve... I think it will take our nursing managers(from all over the country NOT just 1 person, 1 hospital But ALL) being BRAVE, DARING, COHESIVE, TOUGH, UNYEILDING, DEFIENT and "IN THEIR FACE" to the hospital administration when it comes to staffing and opening up more positions. I think it should be done with as much vigor and strenght as the bugetary restraints have been done to nursing. I don't think this is something that the staff nurse(s) are going to be able to battle and win ALONE. There is going to have to be some powerful, influentual people behind them- some one who can force a CEO out or fire him/her for the jeopardy to patient saftey and the toll on the health and wellbeing of the nurses they are creating and successfully doing so with terrorzing and intimidating tactics and the freedom to do so unchallenged. When we(licensed nurses ) think about what does a financial officer with an MBA know about OUR job and responsibilities-the safety of patients and our ability to practice safe patient care, yet these are the very people who are REALY controlling how we practice. There needs to be an abandonment of all their "junk words and phrases"- (ISSUES/their called problems, "under the umbrella of" or 'micro manage' 'the continium of care', 'medication reconciliation) Basically I think Nurses have to take back the control over our profession and how we are supposed to/ were taught to practice and stop letting those with no business jepordize, threaten safe care. If these MBA's want to practice medicine and nursing I suggest they go back to the appropriate "HALLS of ACADEMIA" to learn how or they need to themselves be a patient for a while - not just 1 day. Staffing ratios need to be regulated and done so as a law- if violated fines, close the place down or jail time. manadory overtime needs to be followed- labor laws. This focus on customer service is nonsence- who in their right mind is going to travel 40-50 miles to get admitted to a hospital because one has a better customer service rating or a message therapist on staff- if your sick you want competent medical and nursing attention- not a haircut and highlights. Healthcare has abandoned COMMON SENCE.
    MissPiggy, HonestRN, hope3456, and 1 other like this.
  14. Visit  SC*RN profile page
    4
    Quote from wonderwomanchels
    every day i hear from people about how shocked they are that i'm having so much difficulty - nobody knows about this problem outside of the community! when is oprah gonna do a show on the glut of new grads ...
    I am a 2nd degree BSN new grad. The nurses in my community are working overtime, the hospital is understaffed but with a "hiring freeze"- won't take me on, not even to train for free. Experienced nurses only and the postings are months old. Being a new grad in CA is a stigma. First thing they ask when I finally talk to a recruiter-are you a new grad? We're not taking applications or resumes from new grads. This is my community, my home. I'm willing to work any shift, any unit, any facility. There are no openings for me. I ask-where do you expect "new grads" to get experience? Where is this nursing shortage? This is ridiculous... so much lost talent and enthusiasm. What a waste of resources. We are fresh and bright eyed-ready to make a difference in the delivery of care... turned away. Where is Oprah when we need her?
    iRN86, HonestRN, lindarn, and 1 other like this.

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