The Global Nursing Shortage : Development Of Strategies For Primary Focus On Nursing Staff Attraction And Retention

Nursing shortages have always occurred in cycles. Recently, the shortage has become worse due to the implications of managed care as a way of controlling escalating health care costs. While the shortage did ease some during the recession of 2009, there is still a shortage in some areas of the country (Cherry & Jacob, 2014). Increased student enrollments and government policies have helped with the shortage, but the occupational outlook for nursing jobs is expected to grow faster than any other occupation through 2018. So it is essential that the supply of nurses increases to keep up with the demand. The current shortage is due to several factors. First, new nurses are needed to replace “baby boomers” who will be retiring in the near future. Second, as the population ages, there will be a demand for more healthcare, leading to a demand for more nurses. Third, new advances in patient care will lead to more people in the healthcare system needing more specialized care, and lastly, the affordable care act places a large emphasis on preventive care, leading to more people desiring wellness visits (Cherry & Jacob, 2014). Finally, according to Dall’Ora, Chiara, Griffiths, Peter, Ball, Jane, Simon, Michael Aiken, Linda H. (2015), “shifts lasting 12 hours or longer were associated with a 40 percent greater level of job dissatisfaction and a 31 percent higher risk of planning to quit. Job satisfaction and burnout in the nursing workforce are global

Nursing shortage has been a global problem that need to be eradicated in order to promote patient care and improve care outcomes. Nursing shortage in America has caused a lot of negative impact on the nurses, patients and nursing profession. It has caused a lot of dissatisfaction on the part of the nurses and the patients (Nardi & Gyurko, 2013). Nurses are prone to injuries, stress and burn-out as a result of nursing shortages. They engaged in working long hours to compensate their coworkers and ensure completion of assigned jobs. They end up breaking down emotionally, physically and psychologically due to poor work-environment and

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

Registered nurses are an integral part of the healthcare system, and make up the largest number of healthcare professionals. According to the Bureau of Labor Statistics (2015) “The employment rate for registered nurses is expected to grow by 16% between 2014 and 2024”. This is more than double the average rate of growth for a profession. The rapid growth rate can be attributed in part to better management of chronic diseases and the baby boomer generation. The growth in the nursing profession is paramount, however the demographics of the nursing population does not mirror the demographics of the population served.

For over a decade researchers have been performing studies examining the effects patient-to-nurse ratios have on adverse outcomes, mortality rates, and failure-to-rescue rates of patients and on job dissatisfaction and burnout experiences of nurses. Aiken, Sloane, Sochalski, and Silber (2002) performed a study which showed that each additional patient per nurse increased patient mortality within 30 days of admission by 7% and increased failure-to-rescue by 7% as well. This same study also showed that each additional patient per nurse resulted in a 23% increase in nurse burnout and a 15% increase in job dissatisfaction. Additionally, Rafferty et al. (2007) performed a study in which the results showed that patients in hospitals with higher patient-to-nurse ratios had a 26% higher mortality rate and nurses were twice as likely to have job dissatisfaction and experience burnout. Blegen, Goode, Spetz, Vaughn, and Park (2011) performed a study where results showed that more staffing hours for nurses resulted in lower rates of congestive heart failure morality, infection, and prolonged hospital stays. The same study also showed that increased nursing care from registered nurses resulted in lower infection and failure to rescue rates and fewer cases of sepsis.

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.

There are many issues that affect the profession of nursing, for decades one issue that affects the nursing profession is the nursing shortage in the United States (U.S.). Even though the nursing shortage in the U.S. remains during the Great Recession of 2007 many older nurses did not retire as one normally would have while other nurses came out of retirement to help support their families (Snavely, 2016). According to Juraschek, Zhang, Ranganathan, and Lin (2012), starting in 2003 the age group of forty-five to fifty-four replaced the age group of thirty-five to forty-four as having the largest number of working registered nurses. Furthermore, the Bureau of Labor Statistics (2015) states the number of jobs available for registered nurses (RNs) is expected to grow by sixteen percent by the year 2024, which equals 439,300 RN positions in the United States. However, some regions of the United States are going to be affected more by the increase in need for RNs leading to a nursing shortage in these regions of the U.S. Moreover, the nursing shortage is going to have a negative impact on patient care, nurse satisfaction, and health care cost which further exacerbating the nursing shortage (Snavely,2016). Factors contributing to a nursing shortage in regions across the U.S. are :1) aging nurses retiring as the recession ends, 2) nurses who re-entered the workforce due to the recession are leaving the profession or returning to working part-time, 3) the aging baby boomer

In 2002, the Bureau of Labor Statistics projected that the United States would be 800,000 registered nurses short of the national need by the year 2020. Recently, this number has increased to over one million RNs short of the need by 2012. Although there has been some indication that the entry of older nurses into the profession, along with efforts to recruit foreign-born nurses, have helped to ease the shortage, scholars project that the predicted trends are likely to continue (Auerbach, Buerhaus, & Steiger, 2007; Buerhaus, Donelan, Ulrich, Norman and Dittus, 2006; Larkin, 2007). As such, the need for understanding the factors contributing to the nationwide shortage has never been greater.

Nurses make up the majority of health care staffing with over 4 million active registered nurses in the United States. Nurses are responsible for quality patient care and constantly monitoring and assessing their patients and are often providing the majority of patient care. With such a large impact on patients and their care, it is alarming to know there is shortage of nurses both state and nationwide. The demand for nurses is high but the supply is low. This is currently one of our nation’s largest health care issues. If it is not addressed, it will not only affect our current health care system but also the economic health of our nation’s future. There are several key factors that contribute to the nursing shortage; an increase in nurses who are retiring from the work field, there is a decrease in nursing educational resources and opportunities leading in to a lower number of new graduated nurses and a high level of staff turnover. An increase in nursing shortages results in decreased quality patient care and increased risk to patients.

The U.S. Bureau of Labor Statistics (USBLS) (2015) estimates an additional of 439,300 more registered nurses (RNs) for 2014 to 2024, equating to a 16% increase in employment. Approximately 30% of new RNs leave their first jobs less than a year upon hiring, while 525,000 nurses are expected to retire until 2022- a demand totaled to around 1 million jobs by 2022. The increase is attributed to retiring baby boomers, turnovers, healthcare reform, and the increasing aging population (Kiel, 2012; USBLS, 2013). Control over baby boomer retirements are unrealistic, however, nursing turnover can be regulated to aid the growing needs of the society.

In 2002, the Bureau of Labor Statistics projected that the United States would be 800,000 registered nurses short of the national need by the year 2020. Recently, this number has increased to over one million RNs short of the need by 2012 (BLS, 2004). Although there has been some indication that the entry of older nurses into the profession, along with efforts to recruit foreign-born nurses, have helped to ease the shortage, scholars project that the predicted trends are likely to continue (Auerbach, Buerhaus, & Steiger, 2007; Buerhaus, Donelan, Ulrich, Norman, & Dittus, 2006; Larkin, 2007). As such, the need for understanding the factors contributing to the nationwide shortage has never been greater.

According to the Bureau of Labor Statistics, Registered Nursing is listed among the top occupations in terms of job growth through 2022, with the demand increasing at least 19% by the year 2022 (2012). Particularly in the past decade, there is a serious shortage in the number of nurses to fill the vast amount of open positions available. Why is there such a shortage in the nursing profession, and is the nursing shortage real in this type of economy? Unexpectedly, there are many unemployed nurses today, struggling to find employment. An MPR news article by Annie Baxter stated that she had interviewed many unemployed nurses that claim the shortage is just a myth. She goes on

The United States (US) is currently facing a nursing workforce shortage that is expected to intensify as the population ages, the need for healthcare grows, and the nursing workforce ages and retires. The role of the nursing workforce is being redefined as new health care delivery models are developed and reimbursement strategies are amended. The emphasis that the Affordable Care Act has on health maintenance and illness prevention is providing new opportunities for nurses and is expected to increase the demand for Registered Nurses over the next decade (U.S. Department of Health and Human Services, 2014).

Nursing retention is a major issue within the healthcare organization and has been acknowledged internationally. With nurses comprising the largest healthcare professional group, hospital organizations depend on a viable nursing workforce to provide high quality care. According to World Health Organization statistics (2006), there is a shortage of 4.3 million healthcare workers including doctors, midwives, nurses and ancillary staff worldwide (Twigg & McCullough, 2014). This number is expected to increase by 20 percent in the next two decades with projected shortages of 285,000 nurses by 2020 and 500,000 nurses by 2025 (Spence Laschinger et al., 2009; Twigg & McCullough, 2014). As a result of the

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