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Nursing shortage in united states
Nursing shortage in united states
Nurse shortage usa
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The United States Department of Labor identifies the current trends of employment that affect the nursing world. “Registered Nurses (RN) at this time represent the largest occupation in health care, with 2.5 million jobs” (Vallano, 2008, p.169). Vallano (2008) proceeds to summarize the employment trends in nursing by giving percentages of the present nursing rate in the hospital setting and the employment rate for the future of nursing. The percentage of nurses in the hospital setting is standing at 59 percent and the employment rate for nursing is expected to reach 23 percent from the year 2006 to the future year of 2016, this rate is said to be faster than the average for all occupations (Vallano, 2008, p.169).
With the positive statistics mentioned above, how is it that a steady rise of employment for nurses can last for decades and then suddenly decline for years? Researchers have discovered some of the factors that are found to be the cause for the trends of employment in nursing. These include: nursing shortages, wages, and location of employment, gender, marital status and differences between novice and expert nurses. These factors have been researched and explained on how they affect nursing employment and also helps give an idea of the future employment trends in the nursing world.
Discussion of Pertinent Professional Literature
It is important for new graduates, present nurses, foreign nurses, and nurses who may no longer work in a health care atmosphere to understand the current and future employment trends in nursing. In the book, Your Career in Nursing: Manage Your Future in the changing world of Healthcare, Vallano (2008) identifies six criteria that any of the nurses that were mentioned above should observe i...
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...ay’s world: Trends, issues, and
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Jeffreys, M.R. (2006). Teaching cultural competence in nursing and health care. [ElectronicVersion]. Retrieved from http://books.google.com/books
Spetz, J., Rickles, J., Chapman, S., & Ong, P. (2008). Job and industry turnover for registered and licensed vocational nurses. JONA. 38(9). p. 372-87. doi: 10.1097/01.NNA.0000323957.44791.b9
Vallano, A. (2008). Your career in nursing: Manage your future in the changing world of
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“In 2010, the US Department of Labor Statistics (DLS) projected a 22 percent increase in the demand for RNs or 581,500 new jobs by 2018, to total a projected 1,039,000 jobs needed to be filled by 2018” (Cottingham, DiBartolo, Battistoni, and Brown, 2011, p. 250). It is imperative that strategies be implemented to improve the recruitment of nurses to meet the needs. Without improvements in the recruiting of new grads or seasoned nurses, organizations will need to rely on expensive agencies and traveling nurses; therefore, causing a financial burden on organizations (Cottingham et al., 2011).
Health care reform has been a major issue over the past decade. The Nursing industry has in particular experienced a period of unpredictable change. On Dec 24, 2009, a landmark measure was passed in the senate by a vote of 60 to 39. This decision to pass the health care reform will change America forever. Nurses will constitute the largest single group of health care professionals. They will have a huge impact on quality and effectiveness in health care. The nursing industry will help hold this new program together by acting as the glue (The nursing industry will be the glue holding the new health care in tact.) It is estimated that by 2015 the number of nurses will need to increase to over 4 million. Nurses are the backbone of the health care industry thus creating better polices for this profession will help ease the workload and high demand. A nurse’s main concern is always to insure quality care and the safety of their patients. Under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. One program is designed to fund scholarships and loan programs to offset the high costs of education. Nursing shortages and the high turnover has become a serious epidemic. Health care reform is supposed going to solve many of these problems.
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
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 needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
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 health and prevent disease.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
This is a research paper conducted on the very highly pursuited field of nursing. Nursing is a profession in the healthcare field that focuses or assisting others. Not to mention, nurses are heroes because of the many lives they save every day. This is an example that one doesn’t need tights or a cape to be a hero. Never the less, there are many reasons one may want to become nurse. Some of those reasons may be for personal gain or the greater good. However, before becoming a nurse one needs to be educated about educational requirements, licenses and certifications, projected salaries, and the projected job outlook for the next five – ten years for nursing. This research paper will provide thorough information on those four major aspects of
According to the Bureau of Labor Statistic’s Employment Projections 2012-2022 released in January 2014, the Registered Nursing workforce is the top occupation in terms of job growth through 2022. It is expected that the number of employed nurses will grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19 percent. Growth will take place for a number of reasons: demand for health care services due to increasing life expectancy; chronic conditions, such as arthritis, dementia, diabetes, and obesity; and the number of individuals who have access to health services.
As the nursing career is expected to grow, several job openings are expected in the next ten years. These several job openings will increase job security. Also, their career has flexible schedules. Basically meaning a nurse “can constantly rotate what days he or she works or just set a schedule so he or she may have a four day weekend” (1 Registered). Because nurses manage patients on a daily basis treating and diagnosing, they are rewarded mentally and at times physically. “People are constantly thankful and truly realize the impact of a nurse” (1
Nurses have always been an undervalued asset to the health care industry; however, there is always a great need for them. With more uninsured Americans requiring safe, affordable medical care, the pressing issue of nursing education is not a priority (Aiken, 2011). Recently, there have been modifications taken place toward the current nursing shortage, the decrease of nursing graduates, a workforce that is becoming older, and other factors that influence nurse educator shortage (Baker, Fitzpatrick, & Griffin, 2011). Nurse educators are required to advise students, complete research, and perform committee work all while teaching (Baker, Fitzpatrick, & Griffin, 2011). They also have multiple jobs outside of practicing nursing and teaching. Nurse educators have stressful roles that hold many expectations, yet there is no independence in making their own decisions concerning things. Aiken (2011) suggests that the best way to begin combatting this shortage should include increasing the number of nurses who hold a bachelor’s degree in nursing from 50% to 80% by 2020 (p. 196). Forty-eight percent of nurse instructors are expected to be aged 55 and older and are predicted to retire by this time. (Baker, Fitzpatrick, & Griffin, 2011).
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
As new nursing graduates begin the process of transition into the nursing practice. There are many challenges and issues which are associated throughout the transition. New graduates may embark their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss and critically reflect nursing key challenges that student nurses may face, throughout the process of the transition phase. The nursing key challenges chosen for this essay include professionalism, preparation, personal factors, competency factors, patient- centered care and job satisfaction. These nursing challenges will be thoroughly discussed and supported by current evidenced based research and nursing literature.
Nurses need a seat at the table to ensure they have a voice to influence and shape their future. Nursing is constantly evolving and changing, and employers continue to raise the bar for nursing. Nurses understand early in their career the importance of continuing education to enhance future career opportunities. Professional development relates to how nurses continue to broaden their knowledge, skills, and expertise throughout their career, therefore enhancing their professional practice. This advanced knowledge is not only career boosting, but also opens a seat at the table giving nurses the power to make decisions and effect changes. Professional development and continuing education are more important to nurses now than ever before to keep up with the rapid changes in healthcare today. Numminen, Leino-Kilpi, Isoaho and Meretoja’s (2017) article contends professional development enhances personal satisfaction, rejuvenates the love of nursing, builds confidence and credibility. There are many avenues to pursue
Several years ago in 2008 the RWJF and the IOM collaborated for two years to discern the future needs of the nursing profession. Most importantly, the objective was to outline the critical actions needed to ensure nursing was ready to seamlessly move towards the future. This was no easy task as nurses work in such diverse settings such as outpatient areas, acute care settings, the community, and long term settings to name a few. Couple this with the fact that nurses have a variety of educational avenues such as the associates, diploma, or bachelor’s degree open to them to achieve the status of registered nurse (Institute of Medicine, 2010). All of this considered, the committee did design four key messages regarding the future of nursing as key in the transformation of health care as evidenced in their "Future of Nursing" report.