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The Challenge of the Nursing Shortage

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on 12 February 2014

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Transcript of The Challenge of the Nursing Shortage

Patient Care
The shortage of registered nurses, with the increased workload, is a potential threat to quality.
In a study in May 2013, it was observed that higher patient loads were associated with higher hospital readmission rates. That study found that when four patients were assigned to an RN in pediatric hospitals, the hospital re admissions increased
Every additional patient in an average nurse's workload increased the risk of death in surgical patients by 7%
Aging Faculty
In a 2013 survey by the National Council of State Boards of Nursing, 55% of the RN workforce is age 50 or older
The average age of the RN population is 47 years of age which is continuously still slowly increasing
Causes of Nursing Shortage
Global migration of nurses
An aging faculty
Reduced younger faculty hiring pool
Decreased satisfaction with patients
Lack of funding and poor salaries
A seeming persistent devaluation of faculty of academic institutions
Overall reduction in full time equivalent faculty positions
Lack of Education and Staff
One major drawback that causes nurse educators to leave the academic arena, arrive to it late, or never to enter it is that faculty salaries are not competitive with positions outside of academia (Lewallen, Crane, Jones, & Hu, 2003).
According to a study released by the Southern Regional Education Board (SREB) in February 2002, a serious shortage of nurse faculty was documented in all 16 SREB states and the District of Columbia. Survey findings show that the combination of faculty vacancies (432) and newly budgeted positions (350) points to a 12% shortfall in the number of nurse educators needed.
What is the nursing shortage?
The International Council of Nurses (ICN), the largest international health professional organization in the world, considers the global shortage of nurses a serious crisis that continues to adversely impact health care for everyone (Oulton, 2006). Over 75,000 qualified applicants to nursing programs in the United States alone are turned away each year because of a lack of nurse faculty, clinical sites, and inadequate education budgets (American Association of Colleges of Nursing [AACN], 2010).
The Challenge of the Nursing Shortage
Budget Control Act of 2011
Cut spending rather than increase debt limit.
Began on January 1. 2013
Congress American Taxpayer Relief Act of 2012
delayed sequestration until March 1, 2013
Nursing schools are forming partnerships to help expand student capacity
Cut on Federal funds for Nursing Education and Nursing Training
Limit access to healthcare in communities across the country
Health Resources Service Administration's Sequestration Operating Plan for 2013
Decrease funding of 5.28% to 6.23%
Eliminate funding for 2,725 nurses and nursing students participating with scholarships
In a report by the Joint Commission, the shortage of nurses in hospitals is putting patient lives at risk. They examined 1,609 hospital reports of patient deaths and injuries and found that low nursing staff levels are contributing to 24% of those cases.
U.S. Bureau of Labor Statistics, (2012). Employment Projections 2010-2020. Accessed August 28,2012 from http://www.bls.gov/news.release/ecopro.nr0.htm.
In 2009, the Nursing Education Capacity Summit was held to help identify and advance solutions to the shortage.
Developing more public-private partnerships, creating healthy work environments, using technology for training, and designing more roles for advanced practice nurses.
Special Report: Nursing Shortage
Nardi, D. A., & Gyurko, C. C. (2013). The Global Nursing Faculty Shortage: Status and Solutions for Change. Journal Of Nursing Scholarship, 45(3), 317-326. doi:10.1111/jnu.12030
"Nursing Faculty Shortage." American Association of Colleges of Nursing. N.p., n.d. Web. 08 Feb. 2014.
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