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Feb 24, 2016
Nursing ShortageBy: Jessica Klahm & Christine NguyenWhat comes to mind when you think about, Nursing Shortages? Ask the class this question and let them give their answers and reasons for a few minutes. There are many reasons for nursing shortages! There is no single reason.
All those answers are valid. There isnt a SINGLE reason of why there is a low # of nurses around the world. Shortages could be caused by ANYTHING. There has been a shortage in nurses for as long as we can remember. Even as the profession of nursing grows and develops, there is still a shortage of nurses globally. Why?? History of Nursing Shortages There have been shortages of nurses in this country since the 1960's This nursing shortage, which began in 1998, not only persists but is expected to get a lot worseNumber of NCLEX takers has declined consistently since 1994(Fackelmann, 2001)ICN considers this global shortage of nurses a serious crisis
There have been: Shortages before todays have always resolved themselves fairly quickly.ICN stands for The International Council of NursesLargest international health professional organization in the worldConsiders todays global shortage of nurses a serious crisis that continues to adversely impact health care for everyone
Present Nursing ShortageRegistered nurses are at the top of the list in employment growth (Fox, 2009)Shortage is lack of filling vacant spots The Registered Nurse Safe Staffing Act H.R 1821 (Nursing Shortage, n.d)Committees for nurse staffingUnit by unit placement based on several factorsPlace limits on floating nursesKeeps RNs in areas they are experienced inCut costsNearly $3 billion; 4 million avoided extra stay daysKeep patients safeAdding RNs to unit staffing eliminate nearly of all hospital deathsThe Registered Nurse Safe Staffing Act is a bill was sent to legislature in May of 2013 Commitiees: This bill would require hospitals to institute committees that would create unit by unit nurse staffing plans based on multiple factors such as the number of patients on the unit, severity of the patients conditions, experience and skill level of the RNs, and availability of support staff. Costs: Increasing the number of RNs yields a cost savings of nearly $3 billion, which is the result of more than 4 million avoided extra stay days for adverse patient events, such as infection and bleeding occurring in the hospital Keeping: Adding and to reduce the relative risk of adverse patient events. Future ProjectionsNeed for more nurses in the coming years Generation of aging nurses Aging populationRecent Healthcare ReformsMore nurses and health professionals neededAnticipated strengthening of the economyAging of nurse facultyImpacts ability of nursing schools to accommodate sufficient numbers of studentsEnrollment in nursing programs would have to increase at least 40% (Nursing Shortage, n.d)There are fewer nurses available to replace those who retire or leave for other opportunitiesExpected to get a lot worseBureau of Labor Statistics Employment Projections 2010-2020 Employed nurses will grow from 2.74 million in 2010 to 3.45 million in 2020, an increase of 712,000 (26%) (Potera, 2009)Need to replace 495,500 = 1.2 million by 2020 (Potera, 2009)Need for moreThe median age of nurses is 46. More than 50% of the nursing workforce is close to retirement. America is also seeing increases in the number of people over 65. This age group has many medical and health needs, and will put a strain on our health system.Recent reforms Will give millions of people access to the healthcare system Anticipated Recent reforms combined with an anticipated strengthening of the economy, will create a continued shortage for nurses. When people have a higher income, they tend to go to their healthcare providers, and tend to their health more readilyNurse faculty According to the American Association of Colleges of Nursing (AACN), nursing school associate professors and assistant professors are an average age of 52 and 49 years. Enrollment: 40% annually to replace the nurses expected to leave the workforce through retirement alone There are: Currently, the ratio of RNs in their 40s to RNs in their 20s is four to oneExpected to get a lot worse By 2020, there will be at least 400,000 fewer nurses available to provide care than will be neededBureau of Labor RN workforce is the top occupation in terms of job growth through 2020 495,500, bringing the total number of job opening for nurses from to growth and replacements to 1.2 million by 2020
So what trends have we seen throughout time that has caused or influenced nursing shortages? Everyone is susceptible to media influences... Like mentioned before, what really is the main determinator of the nursing field? Ask the class: how many of you have watched a commercial promoting something and want to go out and buy it or try it too? Everyone, no matter if they realize it or not is influenced by the media. And almost all of our beliefs, ideas, and perceptions are somehow influenced by social media.Unfortunately, this is how our society is and frankly, we are more concerned about who won the voice than politics - things that actually matter. This includes how the world views nurses which affects how many people enter the field and how governments and society supports the nursing profession. The way society as a whole views the nursing profession makes a huge impact on the shortage of nurses. The media alone affects how many people enter the field and how willing the government and society is to increase the nursing workforce.Common Social Perception of Nurses Nurses do the dirty work, they only clean people Nurses have no autonomy - submissive helpers Nurses are only and should only be females - male nurses are all gay RNs are MD wannabes (failed doctors)Being a nurse is way too stressful
All these negative social viewings of nurses makes a huge impact on how people view nurses and the number of people who actually want to enter the field. Many people think being a nurse is a dirty job because we are tasked with cleaning, bathing, touching, and coming into contact with so many people. Many are discouraged because they feel there is no autonomy with being a nurse. With mostly only girls entering the nursing field, that cuts the # of people that can enter the field in half. No one wants to be a failure - not as smart
As much as I hate to believe it, i really think the governments decisions as well as hospital decisions are influenced by the social media as well. They dont realize how essential nurses are to patients that they undermine them and look past the idea of increase the number of nursing jobs. Nurses influence the health of a patient more than a doctor does - nurses are with a patient the entire time. This image shows the most common stereotype of an all female profession
The image i liked the most was the one of what the hospital thinks - which is another big reason why there is a nursing shortage. Nursing Stereotypes Male Nursing Stereotypes: http://www.youtube.com/watch?v=XGQhCas1Tp8
General Nursing Stereotypes: http://www.youtube.com/watch?v=hmHIioSCd8Q
As you can see, these are everyday shows that we watch and the stereotypes are subtly embedded within the shows.Some of the shows were filmed recently such as the clip from glee which shows that even today those same stereotypes persist and exist.
Notice how sue clearly says Being a female football coach is like being a male nurse, sin against nature
In the 2nd video, the very first clip was probably filmed ages ago and even back then you can see how people thought nurses were unimportant and went around unnoticed
Extremely Demanding ProfessionEveryone knows that nursing is one of the most stressful and demanding jobs Although it is extremely rewarding, many cannot handle it Stress causes many people to leave the profession So out of all the stereotypes mentioned, this is one stereotype that most can say is actually true. Because the jobs is known to be stressful, many try to avoid this job. Many enter the field and end up leaving because they cannot handle it Nurses stress is caused by hospitals overworking them and their peers expecting too much out of them with little appreciation. If there were more on staff nurses, the workload would lessen, therefore lessening the stress. Heres a cartoon that represents how many nurses feel Shortage of Nursing FacultyThe #1 reason why qualified students are turned away (McDermid, 2012) The shortage of nursing school faculty is limiting the number of students able to attend nursing schoolIn 2011-2012, U.S. nursing schools denied 75,587 exceptional applicants from entering a baccalaureate and graduate level nursing program (McDermid, 2012)Causes: Aging population of faculty, reducing hiring of younger facultyLack of faculty, clinical sites, and inadequate education budget Another major contributor to the nursing shortage is the limited number of seats in nursing programs. There are plenty of qualified applicants that get denied from nursing school each year. AACN officials found a study showing 1,181 faculty jobs open at 662 nursing schools.
Baby Boomers The U.S. projects a massive nursing shortage as baby boomers age and the need for new health care providers grow.Aging of NursesRNs median age is 43.3 (Rosseter, 2012) RNs less than 30 y/o represents only 10% (Rosseter, 2012)
Besides the media, there is another major contributor to the projected spike in nursing shortage. This new spike in needed RNs will create one of the biggest shortages US has seen As baby boomers begin to age a