With the nursing shortage continuing to worsen each year, we might find ourselves wondering, "when will it end?"
Updated:
Written by Morgan Curry, BSN, RN for Nursing CE Central
It feels like the nursing shortage has been around for a while, and COVID-19 has only exacerbated the issue.
Now that we have made it through what is arguably one of the most difficult seasons in our entire nursing careers, we are feeling the impacts of the nursing shortage now more than ever.
So, the question is, ‘when will the nursing shortage be over?’
The U.S. Bureau of Labor Statistics reports that the employment of RNs from 2019 to 2029 is projected to increase faster than any other occupation at 7%; the national average for all occupations is about 4%.
Healthcare systems globally have been strained by the influx of patients, lack of resources, and extreme working conditions; but there is one major outlier that we cannot prevent.
Time. No matter what we say, do, or believe, there is nothing that can stop it.
Our nursing population is aging, and more nurses are beginning to retire each year; although this is a significant problem to the industry, there are many more factors that come into play that we must address.
In order to fully understand why the nursing shortage is increasing, let’s break this down some of the most prominent contributing factors.
The American Association of Colleges of Nursing outlines that the average age for an RN is 50 years, which poses significant risks for the next several years. As the Baby Boomer and Generation X populations begin to retire from the workforce and potentially present health complications that require care, the nursing industry may be hit with more than they can handle.
A 2018 JAMA Network Open cross-sectional survey determined that out 50,000 nurses, 31.5% of respondents reported leaving the profession due to burnout.
A recent Nurse Burnout study from Nursing CE Central identified that out of over a thousand nurses, 95% of respondents claimed to be burnt-out, while 47.9% are actively searching for a less stressful position.
In the 2020 Nursing Solutions Inc. Health Care Retention Report, nurses have the highest turnover rates of all the allied healthcare professions; and it is continuing to rise. For example, the percentage of national RN turnover in 2019 was 15.9%, and 18.7% in 2020.
Rather than improving, the nursing shortage is only growing, so, unfortunately, there is no right or wrong answer to this well-deserved question.
With increased pressures of the nursing shortage, fatigue, and job dissatisfaction, nurses will only continue to leave the profession.
So, what can be done about this issue?
Through the pandemic, hospital institutions along with other employers have been incorporating hazard pay as well as retention and sign-on bonuses to serve as monetary incentives. Of course, all of these are not bad options; however, money can only go so far, and it is only a piece to the entire job satisfaction puzzle.
Nurses want to feel appreciated and respected; work environment, safety, and work-life balance are major factors that contribute to their job satisfaction.
Nursing burnout should be addressed as the leading cause of turnover first and foremost. When this national crisis is addressed by employers and hospital institutions, only then will the shortage begin to improve.
When managers and institutional executives address the root cause of the problem by taking the time to investigate shortcomings, it will allow them to strengthen their team, increase retention, and decrease burnout.
Nurses, remember why you entered the nursing profession in the first place.
Your compassion, strength, and grit for the field are unmatched and appreciated more than you know; do not lose sight of this. I know the past year has been extremely difficult for you but try your best to persevere.
Keep your patients and your nursing philosophy at the root of your care and practice.
49 minutes ago, Leonardo Del Toro said:The absurdity of our for profit health care is showing it's true colors. The moneys that pays for health care are mine and your money. Funds we allocate to take care us when we are sick. This money is not free money, meaning no one should be profiting from it. The main objective of our "health" institution is to profit from this money as if it is money they made, but this is not money they made. This is money we made. Health care is provided by nurses, so the bulk of resources should go to hire nurses but instead they extract the profit from less nurses hired, provide a lousy care and make the nursing profession a highly unsatisfying one. I'm so happy I'm about to retire. I pity the young nurses that have a whole career in front of them.
Not just hire more but pay and treat them better. They will come if you pay them and treat them with a modicum of respect! It's not a shortage of nurses; it's a shortage of those willing to take it anymore. I worry for the future. Sure I will retire before too long, but who will take care of my loved ones and me if needed? Those making such cruel decisions should have to be on the receiving end of the results. The rest of us worked hard all our lives and can't expect decent health care in our old years. It's a lot to worry over.
15 minutes ago, SmilingBluEyes said:Not just hire more but pay and treat them better. They will come if you pay them and treat them with a modicum of respect! It's not a shortage of nurses; it's a shortage of those willing to take it anymore. I worry for the future. Sure I will retire before too long, but who will take care of my loved ones and me if needed? Those making such cruel decisions should have to be on the receiving end of the results. The rest of us worked hard all our lives and can't expect decent health care in our old years. It's a lot to worry over.
Yes, but unfortunately there are those young ones who will submit to anything in order to keep their job. They pit nurses against nurses. It is child abuse in my view. What is the difference between a 25 year old and a child? No much.
1 minute ago, Leonardo Del Toro said:Yes, but unfortunately there are those young ones who will submit to anything in order to keep their job. They pit nurses against nurses. It is child abuse in my view. What is the difference between a 25 year old and a child? No much.
Well yes and no. Except younger nurses are not sticking around long. That should worry us all.
I've been on my unit for 2 months and now have the most seniority on my shift, that's how many people have left in the past few weeks.
Pay is quite good.
Benefits are very good.
Staffing is kept dangerously lean on all units yet standards for care and mainly documentation continue to increase. Our 12 hour shifts become 16 hour shifts of non-stop running trying to take care of people without the resources to do it.
Patients are becoming increasingly verbally and physically abusive and this is tolerated by the facility and by society as a whole.
I don't feel burned out, I feel exploited, trampled on.
I'm sick to death about how nurses need to be so compassionate, strong, selfless, and how nursing is a "calling".
I feel compassion towards most of my patients not because I'm a nurse but because I'm a human and so are they. Notice I said most, not due to lack of empathy but due to too much empathy it becomes overwhelming caring for so many people so I do have to compartmentalize.
We have been manipulated into thinking that the only way to care for others is to take away from ourselves and that simply isn't true.
Why don't the CEO's and companies making billions in money off of people's illnesses, misery, and death get preached to about being "compassionate". Why don't they get told they need to have a "calling" to do what they do?
44 minutes ago, TheMoonisMyLantern said:I've been on my unit for 2 months and now have the most seniority on my shift, that's how many people have left in the past few weeks.
Pay is quite good.
Benefits are very good.
Staffing is kept dangerously lean on all units yet standards for care and mainly documentation continue to increase. Our 12 hour shifts become 16 hour shifts of non-stop running trying to take care of people without the resources to do it.
Patients are becoming increasingly verbally and physically abusive and this is tolerated by the facility and by society as a whole.
I don't feel burned out, I feel exploited, trampled on.
I'm sick to death about how nurses need to be so compassionate, strong, selfless, and how nursing is a "calling".
I feel compassion towards most of my patients not because I'm a nurse but because I'm a human and so are they. Notice I said most, not due to lack of empathy but due to too much empathy it becomes overwhelming caring for so many people so I do have to compartmentalize.
We have been manipulated into thinking that the only way to care for others is to take away from ourselves and that simply isn't true.
Why don't the CEO's and companies making billions in money off of people's illnesses, misery, and death get preached to about being "compassionate". Why don't they get told they need to have a "calling" to do what they do?
You've touch so many important points here. Have no doubt about it, this whole compassion BS is just that: BS. How convenient is that? If you run a car factory you can't call your workers compassionate to the cars and that's why they have to work harder under any circumstance. But it's easy with nurses because "nurses are compassionate". And yes, CEO's are not demonstrating any compassion as they plunder into public moneys as they see fit, making *** loads of insane profits.
The insanity begins with what I always say, health care for profit is pure and simple insanity, actually is immoral and cruel.
I work in a nursing facility that is small and like a family owned shop. I love the people I work with. This small shop treat their employees way better than what I've seen at these big corporate hospitals. Still the same profit system but so much better than these corporate swine.
On the bright side HR 3165 just got more cosponsors!
Come on Nurses keep calling and filling petitions:
https://www.nursestakedc.com/legislative-information
Go to your saved search titled: Nurse Patient Ratios
Results with Changes:
1 item with recent changes in your saved search:
1.H.R.3165 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021
Sponsor: Rep. Schakowsky, Janice D. [D-IL-9] (Introduced 05/12/2021)
Cosponsor: 07/29/2021: Rep. Lowenthal, Alan S. [D-CA-47]
Cosponsor: 07/29/2021: Rep. Higgins, Brian [D-NY-26]
Cosponsor: 07/29/2021: Rep. Price, David E. [D-NC-4]
Cosponsor: 07/29/2021: Rep. Omar, Ilhan [D-MN-5]
Cosponsor: 07/29/2021: Rep. Torres, Ritchie [D-NY-15]
46 minutes ago, AtomicNurse said:On the bright side HR 3165 just got more cosponsors!
Come on Nurses keep calling and filling petitions:https://www.nursestakedc.com/legislative-information
Go to your saved search titled: Nurse Patient Ratios
Results with Changes:
1 item with recent changes in your saved search:
1.H.R.3165 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021
Sponsor: Rep. Schakowsky, Janice D. [D-IL-9] (Introduced 05/12/2021)
Cosponsor: 07/29/2021: Rep. Lowenthal, Alan S. [D-CA-47]
Cosponsor: 07/29/2021: Rep. Higgins, Brian [D-NY-26]
Cosponsor: 07/29/2021: Rep. Price, David E. [D-NC-4]
Cosponsor: 07/29/2021: Rep. Omar, Ilhan [D-MN-5]
Cosponsor: 07/29/2021: Rep. Torres, Ritchie [D-NY-15]
It's really only been in the past few years that I've come to accept that many of the problems in nursing will only be solved through activism and forcing the hand of politicians. In my young doe-eyed days I used to believe that if we just got the right leaders in place in these organizations that these facilities could change and conditions could improve. The truth is that most leadership positions that nurses have regular contact with are forced to manage with their hands tied behind their backs and have little to no real power. The whole system is toxic, the tree is poison and it's high time that we cut it down.
Our nursing "associations" that charge us hundreds of dollars in membership fees each year have done a laughable job at advocating for us, they are either too out of touch/ignorant or too corrupt to actually fight for meaningful change in working conditions for nurses.
The pandemic has truly proven that as a profession, we are on our own. Our "compassion" has been exploited to cripple us into accepting substandard working conditions and regular abuse from patients, families, doctors, administration, and each other. That will continue unless we say, no more.
The impending geriatric invasion with our aging society, the dramatic increase in dementia, the lack of resources for the increasing rates of mental illness and substance abuse, the increase in co-morbidities within our patients, is going to destroy our healthcare system unless there is a strong workforce of nurses at the bedside providing advocacy and increasing the health of our patients.
We keep going business as usual and no one will be at the bedside.
45 minutes ago, klightwood said:And yet I'm having zero luck finding a job as a new grad with a BSN....
This is an example of the Hiring Shortage part of the problem. HR cries nurse shortage but then says RNs need experience. This way the get to pay one nurse to do the job of two. I'd be persistent. See if there are nurse residencies. It makes no sense that in these times a nurse can't get hired. When they pass HR3165, they will be forced to hire. I believe the bill states within 2 years the ratios need to be applied. 4 in rural hosp. (so I won't be working in rural hosp) Please get as many people to sign the petition as I'm sure nurses are awaiting this relief. https://www.nursestakedc.com/legislative-information
NNU.org has be active in getting this passed too. They sent lobbyist in May. Rehabs and SNFs will be getting a lot of relief. No more sticking a nurse with an insane amount like 28, 32, or 41 patient to one nurse.
36 minutes ago, AtomicNurse said:This is an example of the Hiring Shortage part of the problem. HR cries nurse shortage but then says RNs need experience. This way the get to pay one nurse to do the job of two. I'd be persistent. See if there are nurse residencies. It makes no sense that in these times a nurse can't get hired. When they pass HR3165, they will be forced to hire. I believe the bill states within 2 years the ratios need to be applied. 4 in rural hosp. (so I won't be working in rural hosp) Please get as many people to sign the petition as I'm sure nurses are awaiting this relief. https://www.nursestakedc.com/legislative-information
NNU.org has be active in getting this passed too. They sent lobbyist in May. Rehabs and SNFs will be getting a lot of relief. No more sticking a nurse with an insane amount like 28, 32, or 41 patient to one nurse.
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I think we still a long way from having nurses being hired again like it used to be before 2008. Only if there is a total collapse of the system needing a gov. intervention or take over in some way or another. As long as health care has a car factory production values, the money is what rules. Keep nurses out since they are a big part of hospital expenses. Every nurse not hired is money in the pocket. There is no nursing shortage.
On 7/29/2021 at 5:42 PM, gcupid said:go on a short strike during this pandemic delta stuff and let's see what happens...
The hospital areas that have horrible staffing before the delta variant even arrives are going to be in an even bigger problem problem months from now.
You will likely be fired. The employer will use travelers if they can get them. And there seems to always be plenty of scabs willing to step in and take our jobs.
Normally I think that strikes and unions are essential to get better treatment for nurses. Right now, during the pandemic, I pause and am hesitant to cheer too loudly for striking.
The main issue, IMO, is that most nurses are not willing to ever speak up to management about what changes they need. They always want someone else to do that.
Leonardo Del Toro, RN
1 Article; 730 Posts
The absurdity of our for profit health care is showing it's true colors. The moneys that pays for health care are mine and your money. Funds we allocate to take care us when we are sick. This money is not free money, meaning no one should be profiting from it. The main objective of our "health" institution is to profit from this money as if it is money they made, but this is not money they made. This is money we made. Health care is provided by nurses, so the bulk of resources should go to hire nurses but instead they extract the profit from less nurses hired, provide a lousy care and make the nursing profession a highly unsatisfying one. I'm so happy I'm about to retire. I pity the young nurses that have a whole career in front of them.