this is why people still think there's a nursing shortage!

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aarggghhh! more of a rant than anything else. my mother is a nurse (NP actually). growing up, the expectation was always made very clear that my brother and I were to go into healthcare, and that nothing else would be an acceptable career choice. (He's a successful sous chef, and my mother didn't talk to him for two years after she realized he wasn't ever going to medical school and is serious about doing what he enjoys).

Now our younger brother is being pushed in the same direction - he's 15 and he has no interest or particular aptitude for nursing or healthcare. His talent and passion is languages -he's in 10th grade and is taking French and Russian at a local university after testing out of honors language classes at his school, and teaching ESL at a nonprofit center for immigrant services.

Last night he mentioned to our parents that he was thinking about majoring in linguistics at college. My mother flipped out and started telling him that healthcare is the only profession you can count on, that he would be stupid to walk away from the chance to earn a ton of money and how there's such a need for nurses that he would be able to write his own ticket and get work easily in any specialty. All the myths were trotted out - big money, easy to find a job, make your own schedule, you can go right into the ER or any other popular specialty area right out of school, etc.

This is at least one reason why people are going into nursing/healthcare with expectations that are not at all reality-based. Where are they hearing that there's big money, easy money, flexible scheduling, loads of cushy or high-profile jobs? Someone is telling these people to expect that, and sometimes it's not Yahoo! Answers giving them the wrong idea- but rather experienced, working nurses who should know better!

tbh I really want to show him the AN forums so he can get a different perspective.

I am in grad school to earn my MSN. Every nursing book that I have read ever since ADN nursing school states that there is a nursing shortage.

And I do see that there is a shortage for BSN and higher degree nurses. Especially the educators in nursing schools. I personally don't go by the people on online forums like here. I trust the statistics more, which the books rather state. So, yes, there is a shortage, still.

I work in Canada where there are only degree programmes for RNs and LPNs do 2plus years at college (the old RN course). There is no shortage. There is a shortage of jobs that people want.

Taken from Wikipedia's article on the nursing shortage:

However, other research findings report a projection of opposite trend. Although the demand for nurses continues to increase, the rate of employment has slowed down since 1994 because hospitals were incorporating more less-skilled nursing personnel to substitute for nurses. With the decrease in employment, the earnings for nurses also decreased. Wage among nurses leveled off in correlation with inflation between 1990 and 1994. The recent economic crisis of 2009 has further decreased the demand for RN's.

I am in grad school to earn my MSN. Every nursing book that I have read ever since ADN nursing school states that there is a nursing shortage.

And I do see that there is a shortage for BSN and higher degree nurses. Especially the educators in nursing schools. I personally don't go by the people on online forums like here. I trust the statistics more, which the books rather state. So, yes, there is a shortage, still.

Nursing textbooks are written enough years in advance and kept in circulation long enough that they cannot possibly give accurate predictions. All they can do is what everyone else has been doing, giving *projected* numbers based upon whatever data they choose to use.

Far more accurate information regarding a "nursing shortage" comes from federal and state labour and other departments charged with conducting hiring surveys. That is those whom actually deal with administrators and others about their projected hiring for a given period. The other obvious source of information comes from newly licensed RNs and the information they report regarding their search for employment.

In a country as vast as the United States it is not truly accurate to say there is a national "nursing shortage" since local conditions on the ground have a dramatic effect on nursing employment. That is to say being a new grad in New York City may be a totally different experience looking for work than say in some rural area of the Mid-West.

Every nursing school knows what happened the last time nursing fell out of favour as a career choice (1970's through part of the 1980's), places closed. This was also around the last period there was anything remotely like a "nursing shortage" in many parts of the United States. But even there that phrase had a different meaning.

What truly happened in the ground was that there wasn't so much a shortage of nurses, but of those willing to put up with the nonsense hospitals and other facilities were dishing out. Working conditions usually stunk or hadn't changed much since the days of starched whites and caps, with pay not much better than you couldn't get working in an office. The latter offered usually better working conditions and no holidays, nights, or weekends either.

Word of all this began to trickle down to those considering entering nursing schools and many chose other career options, hence the shutting down of programs.

As hospitals responded to all this by changing working conditions and more importantly increasing pay, offering singing bonuses, etc... the nursing shortage largely vanished as everyone and their mother ran to what was and still is being billed as one of the few "safe" career choices left in the United States employment market. Just before the recession/credit crisis nursing programs in the United States were producing historical all time high levels of new grads.

Then the music stopped.

Right now the healthcare landscape is changing with hospitals closing and or facilities reducing inpatient beds. Once that happens you do not need the same numbers of nurses in a local area as before. Here in NYC in the last twenty years or so at least fourteen hospitals and countless nursing homes have closed. Yet the number of nursing programs has actually increased if you add all the new ABSN degrees. Leaving aside staffing issues, how can any market support the same number of employees when the number of major employers decrease? It didn't work for big steel and it isn't working for nursing.

Regarding the shortage of nursing educators, yes you will hear lots on that front. But there are two sides to that story as well.

First the sort of clinically experienced nurse with her/his masters and or doctorate that would make an excellent candidate for teaching can earn *way* more money today at the bedside. In parts of California where you hear the loudest noise about nursing instructor shortages, you also have bedside nurses pulling >$100K per year. This in contrast to what nursing educators can earn which is less and many school systems including the formerly well regarding CAL State system under great financial strain.

The other problem is sorting out if churning more nursing graduates to solve a nursing shortage that may or may not exist is a wise idea. New grads have a finite shelf life. If they do not land acute care positions within about a year or so after licensing it becomes more difficult on average to find a hospital gig.

Nursing education and hospitals/facilities/employers are often on two separate tracks in the United States. Just because nursing programs scream there is or will be a "nursing shortage" and are producing graduates, it does not hold that facilities are beholden to hire. In most nurse employment markets today when hospitals say there is a "nursing shortage" they mean of the experienced variety, preferably in the exact same specialty (or close enough to it), that she or he will only require minimal seasoning to get started upon hire.

Specializes in Peds/outpatient FP,derm,allergy/private duty.
I am in grad school to earn my MSN. Every nursing book that I have read ever since ADN nursing school states that there is a nursing shortage.

And I do see that there is a shortage for BSN and higher degree nurses.

Perhaps you are confusing the stated goals of the IOM Committee for an increase in the percentage of BSN grads to 80% by 2020 with a shortage of available BSN grads. In it's response to CNN Money reporter Annalyn Kurtz article of last year For nursing jobs, new grads need not apply the AACN itself presented a best-case scenario of 88% of BSN grads securing employment 4-6 months after graduation and only 57% offered jobs at the time of graduation. Even if we accept their numbers at face value, that is not a shortage. Here is their Research Brief, where you'll find statistics that are relevant.

One of the most prominent experts on the nursing labor force, Peter Buerhaus, PhD, RN, FAAN spoke a few weeks ago in Texas where he said, among other things, that the long predicted nursing shortage may have been averted. He also stated that the number of new grads has doubled in the last 10 years, which might lead one to question whether there is really a shortage of educators. His name is familiar to anyone who reads AACN statements on the nursing shortage, which I think adds credence to his opinion. Here is the article if anyone is interested.

The last point is made by David Williams in an article where he states that "workforce projections rarely take into account long-term technological change, but simply assume that nurses will be used as they are today". I think many of us are seeing changes there as well with increased numbers of UAPs and fewer RNs.

Specializes in Acute Care, Rehab, Palliative.
aarggghhh! more of a rant than anything else. my mother is a nurse (NP actually). growing up, the expectation was always made very clear that my brother and I were to go into healthcare, and that nothing else would be an acceptable career choice. (He's a successful sous chef, and my mother didn't talk to him for two years after she realized he wasn't ever going to medical school and is serious about doing what he enjoys).

Now our younger brother is being pushed in the same direction - he's 15 and he has no interest or particular aptitude for nursing or healthcare. His talent and passion is languages -he's in 10th grade and is taking French and Russian at a local university after testing out of honors language classes at his school, and teaching ESL at a nonprofit center for immigrant services.

Last night he mentioned to our parents that he was thinking about majoring in linguistics at college. My mother flipped out and started telling him that healthcare is the only profession you can count on, that he would be stupid to walk away from the chance to earn a ton of money and how there's such a need for nurses that he would be able to write his own ticket and get work easily in any specialty. All the myths were trotted out - big money, easy to find a job, make your own schedule, you can go right into the ER or any other popular specialty area right out of school, etc.

This is at least one reason why people are going into nursing/healthcare with expectations that are not at all reality-based. Where are they hearing that there's big money, easy money, flexible scheduling, loads of cushy or high-profile jobs? Someone is telling these people to expect that, and sometimes it's not Yahoo! Answers giving them the wrong idea- but rather experienced, working nurses who should know better!

tbh I really want to show him the AN forums so he can get a different perspective.

I feel sorry for your poor brother. I hope he has the strength to stand up for himself.

Perhaps you are confusing the stated goals of the IOM Committee for an increase in the percentage of BSN grads to 80% by 2020 with a shortage of available BSN grads. In it's response to CNN Money reporter Annalyn Kurtz article of last year For nursing jobs, new grads need not apply the AACN itself presented a best-case scenario of 88% of BSN grads securing employment 4-6 months after graduation and only 57% offered jobs at the time of graduation. Even if we accept their numbers at face value, that is not a shortage. Here is their Research Brief, where you'll find statistics that are relevant.

One of the most prominent experts on the nursing labor force, Peter Buerhaus, PhD, RN, FAAN spoke a few weeks ago in Texas where he said, among other things, that the long predicted nursing shortage may have been averted. He also stated that the number of new grads has doubled in the last 10 years, which might lead one to question whether there is really a shortage of educators. His name is familiar to anyone who reads AACN statements on the nursing shortage, which I think adds credence to his opinion. Here is the article if anyone is interested.

The last point is made by David Williams in an article where he states that "workforce projections rarely take into account long-term technological change, but simply assume that nurses will be used as they are today". I think many of us are seeing changes there as well with increased numbers of UAPs and fewer RNs.

Speak of the devil (Mr. Peter Buerhaus, PhD, RN)... http://thehealthcareblog.com/blog/2012/06/04/why-new-nurses-cant-find-jobs-no-really/

To the original poster :

Your brother sounds amazing, I could not , for the life of me, sit down and learn another language. ( I am too lazy!) He sonds like he is well on his way to be successful. Money isn't everything.

I know I first got the idea of nursing in my head well before high school, and was well fueled by the belief that there was a nursing shortage. (Government websites, schools, news)

After the insane journey that was nursing school, I don't regret it, but I know that the job prospects look grim.

I graduated from an ADN and will graduate from my BSN in about a year but it doesn't look pretty for any graduates the in the NYC area. From what I am hearing things are picking up, but not quickly enough for the sheer volume of nurses graduating in the area.

Specializes in ICU.

@mhy12784. Communications and journalism have never been lucrative career choices. Liberal arts? That could be anything. I wouldn't compare those degrees with a nursing degree. Completely different. Some people just want an easy degree, without having to study very hard. Some people simply don't like healthcare, and have their own personal reasons for why they pick what they do. My SIL has a master's in early childhood education. She can only teach Preschool! but she brags and brags about her "master's degree" as if it is really special. She can't find a job with it, and the most she ever made was $25,000 a year. She chose it because it was the easiest way to get a master's degree without having to actually do much work to earn it. The hardest class in the curriculum was basic algebra. This degree will not even allow her to teach kindergarten!

@mhy12784. Communications and journalism have never been lucrative career choices. Liberal arts? That could be anything. I wouldn't compare those degrees with a nursing degree. Completely different. Some people just want an easy degree, without having to study very hard. Some people simply don't like healthcare, and have their own personal reasons for why they pick what they do. My SIL has a master's in early childhood education. She can only teach Preschool! but she brags and brags about her "master's degree" as if it is really special. She can't find a job with it, and the most she ever made was $25,000 a year. She chose it because it was the easiest way to get a master's degree without having to actually do much work to earn it. The hardest class in the curriculum was basic algebra. This degree will not even allow her to teach kindergarten!

I wasnt comparing those degrees with a nursing degree.

I was suggesting that college is a VERY expensive investment. A significant amount of time, effort, and money. Some degrees offer better returns on those investments, notably healthcare jobs (which includes nursing).

Others offer poor or terrible returns on those investments, such as communications, journalism, and liberal arts.

Im not suggesting that someone picks healthare because it offers more money, but rather finds a way to do something that they will enjoy in a manner that it offers a good return on its investment.

If someone likes languages, they can do languages, but they need to find a reasonable feasible career path in which they wont end up with a crap ton of debt useless degree and struggling to pay off mountains of student loans.

Never heard the words "nursing shortage" before deciding on nursing school... Honestly, when I went to a MD visit, or to the ER with a broken this or that, or saw a nurse in the community 9 times out of 10 they looked rich. Bling rings, Yukon Denali, nice homes. Maybe they had rich husbands (because now I know the reality)? Either way, they looked like they weren't hurting and I though nursing=rich and went for it. Luckily I love my job and found a passion for helping people rather than my original plan of cashing out.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

He sure gets around.eh? :)Let us hope the prediction of a recovery in the job market this year actually happens!

Specializes in Emergency/Cath Lab.

The US will always have enemies/business partners, both of which require people fluent in their language. I don't see how thats a bad idea at all.

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