Nurses : Experiencing Nursing Shortage

As the general population continues to age and grow, the nursing workforce is aging alongside. Approximately half of the current nursing workforce is apart of the baby boomer generation (Mion). RNs are eligible to retire at age 55, which will affect the majority of “baby boomer” nurses between 2005 and 2010 (Mion). According to the Nursing Management Aging Workforce Survey in 2006, “55% of surveyed nurses reported their intention to retire between 2011 and 2020” (Nursing Shortage). The demand for skilled nurses is growing at an exponential rate. According to information from the U.S. Department of Health and Human Services, the supply of nurses has been

According to Canadian Nurses Association(2009), human health resources have stated that by the end of 2011 Canada will experience shortage of 78 000 registered Nurses (RN) and shortage of 113 000 nurses by the end of 2016. Globally there will be shortage of 4.3 million health care workers. It was also shown that approximately 38% of new graduate nurses leave their workforce within the first year of employment (Lavoie-Tremblay, Wright, Desforges, Gelinas, Drevniok & Marchionni, 2008). According to registered Nurses Association of Ontario (2011), full time positions of RN dropped to 57.9 % in 2010 from 58.9% in 2009. With the current trend it is expected that the Canadian Nursing shortage will increase significantly. In

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

The shortage of nurses in the United States has been discussed often and has been fully reported in the media over the past several decades. There have been reports of shortages so critical that they actually have become "…a national security concern" (Nelson, 2002). Moreover, the reasons for the shortages and potential solutions for this crisis are extremely well covered in the scholarly literature. In this paper, an article in the peer-reviewed Health Marketing Quarterly points to how the nursing shortage can be addressed using marketing strategies. In addition, other scholarly articles will be reviewed in order to address the challenges and consequences that could result if this crisis is not addressed immediately.

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

quality of work. The supply of nurses in Canada has declined for the first time in almost 20

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 nursing shortage began in the 1940’s during the World War II and has not changed over many decades. Predominantly females staffed the nursing field until the 1980-1990’s era. That is when the nursing profession was regarded as a less attractive career as other professions opened up to women that were once ruled by males. Between the 1990-2000’s, the shortage of nurses happened as a result of the implementation of managed care. The government and private insurer reimbursements declined and health care cost dramatically increased. Since reimbursements were reduced hospitals and health care corporations had to reduce staff in order to manage budgets. The nursing shortage of today is considered plentiful and complex (Huston, 2014).

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.

Between you and I we have said it all, you brought up the element of putting more doctors into the system, however, I read one study that stated MDs would rather work in major cities and not small towns. So, I believe the shortage will be handled by Nurse Practitioners (NPs) and Physician Assistants (PAs).

Another growing issue that Canada faces in regard to the state of its healthcare is the global shortage of physicians and nurses. With the population continually getting larger, and older, medical personnel, in particular nurses, are becoming completely overwhelmed. Not only is the global nursing shortage having a negative effect on patients, nurses are being overworked to compensate for lack of staff. Since 2002, “...the nursing shortage has been termed a global crisis.”. (Sage Publications). The “supply and demand” of nurses must be met appropriately to ensure the future of Canada’s current healthcare

Population in Canada continues to increase as per Statistics Canada (2013). To provide quality nursing services for such a population we need sufficient nursing workforce. According to Little (2007), by 2016, Canada will face a nursing shortage of 100,000 nurses. The major reasons for this being unemployment of immigrated internationally educated nurses in Canada and emigration of Canadian-educated nurses to countries like USA. According to College of Nurses of Ontario [CNO]a (2007), as stated in Blythe, J, et al. (2009), in 2007, 11% of registered nursing workforce in Ontario constitutes Internationally Educated Nurses (IEN). Most of the IENs are left unemployed after they migrate to Canada because of rigid requirements of language skills, licensure exams, variability in nursing education across countries etc. (Blythe et al., 2009). Between 1997 and 2000, of the 25 506 foreign-educated nurses applying for licensure in the USA, approximately 22% were Canadian applicants, most of whom were new graduates (Buchan et al. 2003 as in Hall et al., 2009). If immigration of IENs can be made more beneficial to Canada and Canadian nurses are provided better incentives to practice in Canada, then nursing shortage that we are currently facing can be avoided.

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

As the population begins to age in Ontario so does the age of our nurses. The objective of this report is to outline the job prospects for nurses as a result of our ageing population, and the challenges that are presented with these opportunities. With an ever increasing number of nurses retiring, there are fewer graduates to replace them. There was a time in the 1990's when jobs were hard to come by for nurses. Almost 25 years later we are heading towards a shortage that is pointing towards a strain on our healthcare system, with an ageing population and an increase in chronic disease. A large percentage of the population is both ageing and falling ill with fewer nurses by the decade to care for them. According to Statistics Canada the number of seniors will jump to 9.8 million by 2036. There was a time when the number of nursing grads would out number the nurses who were retiring. We are now looking at the pendulum swinging in opposite direction, the number of nurses retiring is projected to outnumber new graduates. If this trend continues “Canada will be short almost 60,000 full-time equivalent RN's by 2022.” (CN-aii.ca).

The global nursing shortage is resulting in the need to find multiple solutions to providing adequate numbers of nursing personnel. The shortage is exacerbated by nurses leaving the profession and their current positions. Globally, nursing turnover rates range from 10–21% per year, with countries such as the USA and Australia reporting turnover rates of over 20% per year. Retaining nurses in their current positions will reduce the magnitude of consequences associated with the nursing shortage (Cowden and Cummings, 2012).