Essay about The Nursing Shortage

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.

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

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.

While the US has more nurses and physicians than ever before, upcoming retirements and a dysfunctional workplace are creating clinical shortages that can become more severe than the industry can bear (Woods, D. 2009). According to research, half of all nurses working today were born during the baby-boomer years. Therefore, the workforce is aging at a rapid rate. As such, in efforts to prevent a mass exodus from the profession, healthcare organizations leaders are exploring innovative ways to keep experienced nurses (Larson, J, 2009). The average age of registered nurses has risen from 41 in 2002 to 48 in 2006(Bolton-Burnes L. 2007). Even more troubling, in 2006, 45% of hospital-employed RNs

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.

The aging workforce has contributed to the nursing shortage. In the U.S the current average age of (RNs) is 45 years and almost a majority (40%) of RNs in the U.S are 50 years and older (American Nurses Association, 2011). Between 2001 and 2008, more than a majority (80%) of the

Buerhaus, Auerbach, and Staiger (2009), estimate the nursing shortage to grow to 260,000 by 2025. They pinpoint the rapidly aging workforce as a principle contributor to the projected shortage. A deficiency of this extent would be twice as large as any nursing shortage experienced in this nation since the 1960s. Further complicating the problem is the fact that a substantial portion of the nursing workforce is approaching retirement age. The U.S. Department of Health and Human Services (2013) predict that within the next 10 to 15 years, more than one million registered nurses over the age of 50 will reach retirement.

There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster

The growing number of the elderly patient has a direct impact on nursing practice. The issue of” baby boomers” having an increased life expectancy may have jobs security for the nurses in future as evidenced by multiple improvements in cardiac surgery in older population. The aging of the baby boomers is expected to produce a plethora of new nursing jobs, which could lead to higher wages, greater job security, and greater variety in types of work (Page, 2015).

nursing workforce and retirement (Oulton, 2006). As more aging nurses retire a decrease in 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

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

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).

The health care issue that I have chosen to research is how we should address the shortage of nurses. I have chosen this topic because I work in a hospital and it is very difficult to recruit new nurses especially in specialized areas. Nurses in the workplace are the largest population of health care employees at 2.7 million nurses employed in the United States according to the Bureau of Labor Statistics. This is almost double the nursing assistants employed at 1.4 million which is the second leading health care occupation in the United States. The nursing profession has the largest job growth from 2008 to 2018 with a total of projection of more than 581,500 new registered nurse positions to be created. It is also projected by 2025 to have a nursing shortage that will grow to more than 260,000 registered nurses (N.d.), Overview of BLS Statistics by Occupation, http://www.bls.gov/bls/occupation.htm

The nursing shortage is no longer a projected problem in the healthcare industry in the United States, this problem is present and is not phasing out anytime soon. Addressing this challenge would improve job satisfaction, reduce burnout in the profession and ultimately improve retention.