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Nursing Shortage

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Allison Poff

on 8 December 2015

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Transcript of Nursing Shortage

Where Have All The
Nurses Gone?

BABY BOOMERS
REFERENCES
GENERATION
X
TEACHER SHORTAGE
By
Florina Ross
Whitney Porter
Allison Poff

Nursing Shortage
Solutions
Demographics are changing

78 million people getting close to retirement age

People are living longer lives with chronic conditions

400,000 nurses leaving the field by 2020, creating a significant shortage

3 million people on Medicare by 2030
Baby boomers are retiring along with their peer nurses, creating a gap in providing healthcare

They also make up the largest population of nurses, especially in leadership positions

> 40% over age 50
AGING NURSING POPULATION
EDUCATION
A shortage of nursing school faculty is restricting nursing program enrollments.
unfilled positions
projected retirements
shortage of students prepared to fill educator role
Between 1965 and 2006 only 400 doctoral
nursing degrees awarded
Heavy work load

NURSE TO PATIENT RATIO
THE EFFECT ON PATIENT CARE
So much to do, no time to connect
Less time with patients
lack of personal connection
less time for teaching
increased number of re-admits
References

Abarra, J. (2015, April). 9 Facts They’re Not Telling You About The Nursing
Shortage. Retrieved from www.nursebuff.com: http:/
www.nursebuff.com/2015/04/nursing-shortage/

America, C. (Director). (Mar 6, 2015). US Health care industry suffers
nursing shortage [Motion Picture]. Retrieved from https:/
www.youtube.com/watch?v=trvhesDhg3w

Health Care at the Crossroads. (2015, January 18). Retrieved from
www.jointcommission.org: http://www.jointcommission.org
assets/1/18/health_care_at_the_crossroads.pdf

Krans, B. (2015, September 28). The Nursing Shortage: Where Are We
Going to Find 1 Million New Nurses in the Next Five Years? Retrieved
from www.healthline.com: http://www.healthline.com/health-news
where-are-we-going-to-find-1-million-new-nurses-in-the-next-five
years-092815

Nursing Shortage . (2014, April 24) Retrieved from http:/
www.aacn.nche.edu/media-relations/fact-sheets/nursing-shortage

Rodgers, L. (2012, October 24). Nation Needs to Address Nursing Educator
Shortage, Yesterday. Retrieved from http://www.huffingtonpost.com
laura-rodgers/nursing-educator-shortage_b_1822193.html

Sherman, R. O. (2006, May 02). Leading a Multigenerational Nursing
Workforce: Issues, Challenges and Strategies. Retrieved from
www.nursingworld.org: http://www.nursingworld.org
MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN
TableofContents/Volume112006/No2May06/tpc30_216074.html

All lives are touched by the nursing profession
Support and comfort over a lifetime

Shortage in the field brings significant impact on the entire country
126,000 nursing positions unfilled in hospitals
What nursing shortage?
Just have them do MORE!
Significantly less people in this generation to contribute to the workforce

Less people in this generation choosing nursing as their career
Wishing you all a Merry Christmas!
1.6 million new nursing jobs in next 5 years

A shortage of 200,000 remains
great number of highly skilled and experienced nurses retiring
Baby boomers requiring more healthcare
many nursing educators retiring
younger nurses leaving the bedside due to stressful working conditions
THE BOTTOM LINE
LAWSUITS
The majority of nurses (74%) said they would stay at their jobs if changes were made. Top among the identified desirable changes were increased staffing, less paperwork, and fewer administrative duties.
-Joint commission
patient and nurse safety
patient accidents
medication errors
falls
changes in status
maintaining sterility
nurse accidents
needle sticks
injuries

A nursing shortage is defined as:
1. Under staffing units
2. The discrepancy between supply and demand for RNs
3. A lack of graduating nursing students
4. A high turnover rate

Stressed Out Nurses --> Burnout
According to a press ganey report: direct
correlation between employee and patient
satisfaction
more medication errors

more patient and family complaints

missed changes in patient condition
ANSWER: 2. The discrepancy between supply and demand for RNs
Rationale:
The hallmark of a nursing shortage is the discrepancy between the supply and
demand of the RNs. A nursing shortage is not just a matter of under staffing; in fact, under staffing can occur in conditions of shortage, equilibrium, or surplus, depending on local factors such as tight budgets or poor working conditions. A lack of graduating nursing students is one of the many causes that lead to a nursing shortage. A nursing shortage has been known to have adverse effects, including decreased access to care, decreased job satisfaction, and increased turnover.


NCLEX Prep
2012- 79,659 qualified applicants turned away
clinical sites
classroom space
clinical preceptors
budget constraints
faculty
Recruitment
Technology integration
Workload
The aging of nursing faculty and inability of schools of nursing to meet
educational demands is an example of:
1. Nursing shortage.
2. A factor contributing to nursing shortage.
3. A recruitment strategy.
4. Increased workload.


The nursing shortage cycles over the past few decades have been
primarily driven by six factors:

1. Aging of current nurses in the network and their preparation for
retirement
2. Lower numbers of students entering nursing as a career
3. A shift in need for both BSN- and MSN/DNP- prepared nurses
4. Aging of nursing faculty and inability of nursing to meet education
demands
5. Aging of the American population and struggles to expand capacity to meet demand for care
6. Significant changes in health care delivery system as the nation moves into health care reform
The scenario in the question is not an example of a nursing shortage, a
recruitment strategy, or increased workload.

NCLEX Prep
Answer: 2. A factor contributing to nursing shortage.
Which of the following phenomena underlie the present and predicted nursing
shortage in the United States? Select all that apply.

1. Aging of the American population
2. Increased prevalence and incidence of chronic illness
3. Decreased health literacy among Americans
4. Increased average lengths of hospital stays
5. Increased prevalence and incidence of disabilities
6. Decreased enrollment in school of nursing

NCLEX Prep
The aging of the American population coupled with increases in both chronic illness and disabilities are expected to exacerbate the nursing shortage over the next decade. Hospital stays are shorter than in the past and this is not expected to change. Neither the health literacy of Americans nor enrollment in schools of nursing is predicted to significantly decline in the future.
Answer: 1, 2, 5
1. Aging of the American population
2. Increased prevalence and incidence of chronic illness
5. Increased prevalence and incidence of disabilities
Insufficient staffing is raising the stress level of nurses, impacting job satisfaction, and patient care
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