A Coming Storm : Arizona 's Nursing Shortage

Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care

Finkelman, A. (2013). Critical Healthcare Issue: Why we don't have enough nurses. In Professional Nursing Concepts (Second ed., pp. 429-460). Burlington: Jones & Bartlet Learning.

It is no secret that the United States is currently experiencing a shortage of nurses . “The U.S. Department of Labor, Bureau of Labor Statistics ( 2009 ) estimated that more than one million new and replacement nurses will be needed by 2018 to meet the increased demands of the health care workforce” (). The stressful conditions under which nurses work, due in part to the nursing shortage, are among the risk factors that contribute to nurses’ abuse of illicit drugs and alcohol. Nurses are unique in that they work in an environment where they not only have access to controlled substances, but also are exposed to critically ill patients, traumatic situations, death and dying, the stress of which can increase the risk of substance abuse. (Epstein, Burns, & Conlon, 2010). Unfortunately, it is the patient that suffers the most.

The US healthcare system is no stranger to nursing shortages. It is a recurring problem we have been faced with for the past seven decades. However, what we will be faced with between now and 2025 is a predicament of far greater proportion than ever encountered before. “Considering the impact this prolonged shortage will have on the USA health care system, nursing and other health-related organizations have even brought their concerns to lawmakers in the central government for immediate consideration” (Janiszewski Goodin 335). This quote is from 2003 and sadly, the state of today’s nursing shortage is still blatantly apparent. Not necessarily because nothing was done back in 2003 to fix it, but

Why the dramatic shortfall in nurses? There are at least ten influencing factors associated with this looming crisis, and

The United States healthcare industry faces many challenges everyday, such as the rising cost of care, medical errors, access and quality problems etc. Within the next few years, the United States will experience a shortage of Register Nurses (RNs). “Registered Nurses are considered one of the largest health professions in the health care industry. The Nurses duty is to provide direct patient care and can be done in a hospital, public health facility, nursing home and many other different settings. Other services included are patient education on disease prevention, administering treatments and promoting a healthy lifestyle.” ("The Future of the Nursing Workforce: National- and State- Level Projections 2012-2025”) The shortage will occur due to Baby Boomers aging and the demand for health care will dramatically rise. With the baby boomers aging, Registered Nurses are at the top of the list for demand in health care. Unfortunately the supply and demand does not meet. “According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013, RNs will increase of about 526,800 within that time frame but will still have job openings of 1.05 million by 2020)”("Nursing Shortage") Indicating that there is no growth between 2012- 2022. There are multiple factors to this shortage and one of them is that nursing schools across the nation are struggling to increase the capacity of students to meet the rising demand. Considering the fact

upon nurses which might be expected to increase their work related stress and reduce the

The American healthcare system is severely impacted by the shortage of nursing personnel. According to the American Nurses Association (2014), the nursing shortage has compromised patient safety, patient care and patient health outcomes. The nursing shortage can also cause medical errors, result in fatigue, injury and job dissatisfaction. The nursing shortage has been influenced by several factors. The purpose of this paper is to discuss the factors that influence nursing shortage in the U.S, present two strategies to address the issue and my personal recommendation.

In 1960, Virginia Avenel Henderson a nurse and a theorist in the same time, defined nursing, “the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to a peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible”. It is a noble function and to be fulfilled at the highest levels, it takes time, patience and the devotion. When the number of people given this care is much lower than that of people who must receive the care, then a crisis occurs. The phenomenon is acute not only in America but all around the world. Even if the nursing is considered a meaningful work, the country is facing a nursing shortage that grows more with each passing year. Nursing shortages in America affect all parts of the health care delivery system.

The national nursing shortage is an ever-growing concern, and it is essential for healthcare organizations to confront the looming issue. Possible solutions to the nursing shortage include retaining older nurses who are looking to retire, increasing the amount of students graduating from nursing schools, and drawing nurses back to the bedside who have left the nursing workforce (Hatcher, 2006). Leaders must assess the nursing turnover in their organization, and they must strategize on ways to retain those nurses. Organizations must implement techniques to retain older nurses to help combat the national nursing shortage and prevent a national healthcare disaster (Keller & Burns, 2010). The purpose of this paper is to identify the demographic breakdown of an organization, explain how the organization’s environment is conducive and non-conducive for older workers, and describe tactics to retain older workers.

According to an article submitted by Rosenfeld, 2009, the growing trends of an aging population require the need for more nursing services. In addition, there are insufficient numbers of facilities to train new nurses (Rosenfeld, 2009). The above issues pertaining to nursing shortages have created what is called a “nursing crisis” which have caused and will continue to cause dramatic shortages on a national basis.

It is likely that most people have heard about the nursing shortage for years now, and perhaps they believe it’s been fixed. However, the nursing profession is experiencing a reoccurring deficiency. According to Brian Hansen, (2002), there was a nation wide shortage in 2001 of 126,000 full-time registered nurses, but the shortage will surge to 808,000 by 2020 if something isn't done. This pattern is a persisting cycle of high vacancies followed by layoffs and a high over supply of registered nurses. Various factors contribute to the lack of nurses within the health care facilities, but today’s shortages are a little different. Many feel that this scarcity is severe and long-drawn-out. The four major issues contributing to

One important result that is occurring because of the lack of staff is the neglecting of tasks and more responsibility. Nurses are reporting that a lot of nursing tasks that are applicable to patient safety and good nursing are being left out. Nurses discussed how patient and family preparation for

Nursing education has progressed throughout history from one of uneducated lay persons to the current standards we know today. As the career has progressed it has become apparent that there is a need for a skilled labor forced trained to deal with the sick and dying, “the provision of nursing care by American women…demonstrated the effectiveness of skilled nursing on improving outcomes for sick and injured soldiers” (Creasia & Friberg, 2011, p. 4). However, as the career progresses so does the need for more specialized training amongst nurses to help them deal with the changing atmosphere of patient care. The future

According to Paller (2012), the nursing shortage in different countries for example the United States tends not to be the only growing problem, but has also become a complex one. Nursing shortage and nurse's turnover has become the worsening predicament in the health care industry in the United