Want to tell another story, during the last decade 20% of German nursing schools were closed, due to an oversupply and increased costs, DRGs, less governmental funding, lobbying physicians. More than 50 000 nursing jobs were cut down.
Now we can't find competent and skilled nurses to fill in acute care jobs - we have 3 job postings open since 10/2009!
On a med/surg. floor the patient/nurse ratio is 15:1, sometimes 20:1 (morning shift) and we don't have Techs, CNAs or LPNs. We have only nursing students and service aides working 4 hours a day.
Due to that working conditions many nurses now work in Austria and Switzerland or somewhere else or switched to a BSN program to become a nurse educator or to climb up to a management position.
Therefore many hospitals and nursing homes try to recruit nurses from Eastern European countries - so how will the future be like? In ten years maybe 30 - 40% of the workforce will be imported from different countries - which doesn't really matter main point - they work, hope they will be able to speak German properly!
About 20% will retire during the next decade - and in Germany they will retire due to our social insurances including a pension plan. Don't forget about the ading population.
So we will be facing a great nursing shortage in Germany, since the skilled and experienced nurses will continue to leave Germany and everyone knows that, but the only governmental point of interest is to cut the exploding cost of our health care system by boosting premiums (every german citizen and resident has a right to receive medical care if he is insured or not and even if not insured high quality care is demanded) but without the courage to stop Pharmas expanding gains (Meds in Germany cost twice the amount than in Northern America).
The next decade will be very interesting, we recently had a change of paradigm - leading to a reformation of the nursing education - more scientific approach, more professionalism - so that we can compete internationally, having now trouble to implement knowledge and skills into the hospital setting due to understaffing - maybe in some years care will be provided like in Turkey - where patients are bathed, turned and transfered by relatives, meals are prepared at home and brought to the hospital.......