The Impact of the Nursing Shortage on the Profession of Nursing Nurses make up the single largest health profession in the U.S. Nurses perform many different patient care task and deliver critical health care services in many different settings, including hospitals, nursing homes, ambulatory care clinics, hospice, home health care and public health facilities. The distinction among the different types of nursing reflects education, role and medical background. Registered nurses have different levels of educational degrees. Every graduate nurse must pass the national exam, The NCLEX-RN, before they are licensed to practice. Registered nurses provide direct care services at many different levels, such as designing a plan of care for individual patients, educating patients on disease process and prevention, administering treatment and promoting health for patients, families and communities The projected 29 percent shortage in 2020 is the result of a 40 percent increase in demand between 2000 and 2020 in comparison to a projected 6 percent growth in supply (Projected Supply, Demand, and Shortages of Nurses, 2002). One of the biggest components is the increasing numbers in the elderly population. According to the University of Illinois College of Nursing, a report was issued stating that "the ratio of potential caregivers to the people most likely to need care, the elderly population, will decrease by 40% between 2010 and 2030" (Nursing Institute at the University of
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
In 2000, it was estimated that there were 110,000 open nursing positions, by 2025, it is projected that the open nursing positions will grow to 260,000. The shortage is due to many aspects including, rising population, decreasing of new students in nursing school, decline in nursing earnings compared to other growing occupational fields, aging of nursing workforce and the aging population that will need health care services in the near future. A survey found that 55% of registered nurses intend to retire between 2011 and 2015. This is primarily the
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 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
The demand for Advance Practice Registered Nurses over the next ten years anticipated growth to be 31%, according to The Occupational Outlook Handbook. The relativity of the growth can be contributed to adults living much longer lives, preventative health care, and changes in health care laws. As of 2014,
It is not a secret that for many years there has been a detrimental nursing shortage in the United States. Factors that contribute to the unfortunate decrease in availability of nurses and other health care professionals can be attributed to a shortage of nursing school instructors which impacts enrollment into nursing schools, and many in the health care profession are nearing retirement age. The need for health care continues to steadily increase as the baby boomer generation ages. In order to meet these demands, there has to be adequate staff in the workplace. After an extended amount of time dealing with unsafe staff to patient ratio it has come the time to take action and devise solutions rather than letting patient care suffer. After comparing a variety of possible solutions, the most feasible was to create and implement a clear updated set of regulations, and formulate a law to enforce the same. The proposed solution will address the ineffectiveness of current health care staffing regulations, propose a law that will enforce safe staff to patient ratios, mandate that all parties involved in developing health care laws be members of the health care field themselves, and work to maintain a strict continuous reassessment phase to ensure that all changes remain beneficial. With the help of the entire health care community the implementation of this proposed solution will create a dramatic decrease in adverse patient outcomes while increasing patient and staff
The American Nurses Association say the shortage is the product of several trends, including: a diminishing pipeline of new students to nursing, a decline in RN/CNA earnings in comparison to other career option, aging nursing workforce and an aging population that will require health care services (Writer, 2016). With the shortage of staff and the baby boomers turning sixty and many already in retirement, healthcare staff members are going to have to pick up more shifts and a tougher workload. Healthcare industries need to focus on recruiting and retaining staff because hiring more nursing staff is expensive in the short term. But having too few staff leads to being burned out. Having the right amount of CNAs and nurses is essential for manageable workload distribution. Facilities need to prevent and protect current employed nursing staff from being overworked and stressing out because good health care workers only quit when they are overwhelmed. Most are afraid that they are not providing the best care anymore and feel like they can not do what they love the most anymore (Cimiotti, 2017).
The nursing shortage has been influenced by the aging workforce, shortage of nursing faculty, professional alternatives, poor working conditions and poor nursing image. By 2020, there will be an increase in demand for registered nurses (RNs) due to the increase need for healthcare services to meet the needs of the baby boom generation (Keenan & Kennedy, 2003). It is estimated that the nursing shortage will range from 400,000 to 808,000 full-time equivalents (FTE) RNs. The nursing shortage has impacted the intensive care units (ICU), medical surgical units and operating rooms (Keenan & Kennedy).
With over 2 million jobs, registered nurses represent the largest health care occupation (Windle, 2008, p. 209). Although nurses are the biggest health care occupation, there continues to be a shortage in the United States. The shortage has worsened because of rising healthcare costs and a focus on cost containment, which has negatively impacted nurse work environments (Keeler and Cramer, 2007, p. 350). With demand for healthcare expecting to continue to increase and financial pressures becoming more burdensome, these shortages will likely become even more critical in coming years if not adequately addressed (Love et al., 2006, p. 558). The U.S. Bureau of Labor Statistics estimates 1.2 million nurses will be required to fill new and vacated nursing positions by the end of 2014 (Windle, 2008, p. 209).
One of the few careers left in the United States that is said to be everlasting, seems to be getting a taste of reality. What once was a thriving career has steadily begun to struggle with a call to arms. Hospitals around the world are finding that the need for nurses is increasing as new nurse graduates are decreasing. Nursing schools are unable to produce enough new graduates to meet the need. Which causes a need for adequate instructors with the knowledge necessary to educate nursing students. Even with the rate of nurses graduating each year with Bachelors and Associates, why are we in such a drastic need for nurses? Has the population and illness increased so fast that our current
31,000 were prelicensure applicants” (as cited in Ganley & Sheets, 2009, p. 401). As more
By 2010, unless many more young people become nurses, about 40 percent of the nursing work force will be over age 50, according to the General Accounting Office (“Nursing Workforce”, 2001).
Rachel Gotbaum did an interview on nursing shortage in 2007. There were multiple interviews with health care professionals through her interviews she found that “In the next decade 80 million people will retire. She has stated that since health care changes constantly that nurses need to continue their education no matter how old or how many years they have been in the medical field. When medicine is involved you should always be up-to-date on the latest technology and diagnosis. Nurses may become suddenly ill or injured were they are no longer able to give care anymore. You can never plan if an
Hospitals nationwide are experiencing nurse shortage and increased workloads because of shorter hospital stays, fewer support resources and higher acuity in patients (Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S. P., & Vargas, D., 2004). Higher nurse workloads are directly associated with job burnout and job dissatisfaction which in turn causes more voluntary nurse turnover and relates to the increased nursing shortage. According to the Missouri Hospital Association the turnover rate of nurses has increased by fourteen percent in the last five years (Browning M., 2012). Nursing shortage is a real threat to the patient population. According to the Quality Health Outcomes Model by the American Academy of Nursing by Donabedian, effects of the healthcare interventions are characterized by the environment the staff works in (Vahey et al., 2004). Donabedian describes that quality metrics can be divided into three broad categories, structural, process, and clinical.
Nurses occupy a central role in the delivery of health care in all countries though countries have different health care systems and methods of payment options. Unfortunately research on the nursing experience carried out in some countries has indicated high levels of job dissatisfaction, burnout and intention to leave the profession. Many countries are facing nursing shortages, worsened by the fact that richer nations are luring nurses away from poorer ones, and that the nursing profession has lost popularity among younger women and men as a career option (Burke et al., 2012).