Less than a decade ago, people who were enrolling in nursing school were being told that they were crazy. Career nursing jobs were not considered to be viable. They were told that the job was brutal, and that there simply were no jobs out there for nurses straight out of the Registered Nurse training programs.
Shortly before the turn of the century, however, the situation began to change in reality, as people who had studied the practice of nursing had long suggested it might. All of a sudden, hospitals, nursing homes, and other places that depend on nurses to run realized that staff members who left the job were not being replaced by new people. The result was a shortage of nurses that continues to get worse each year. One of the biggest problems for the United States is that the shortage of nurses is not localized; it is a global problem. In order to ensure an adequate supply of nurses nationally competition must be faced far beyond regional considerations.
What the nursing shortage should amount to, in the long run, is a much more improved working environment for nurses in the future. In the short term, however, this shortage is proving to be difficult to overcome and may actually contribute to the frustrations many nurses feel which cause them not only to leave their jobs but also to discourage others from taking up the profession.
In order to ensure that the current crisis in nursing does not continue much further into the future, the two areas of retention and recruitment need to be addressed. This article will take a look at some of the topics that come up among nurses when it comes to addressing these issues.
Making sure that nurses are happy within their current jobs so that they stay in the profession is vital to stabilize the crisis. With anywhere from 25-40% of nurses are expected to retire over the next ten years, ensuring that younger members of the work force stay at their jobs is more important than ever.
The general public is coming to the realization that nurses play just as important a role in the healthcare system as doctors and other medical professionals do, and the industry is starting to realize it, as well. Many nurses complain that they are not accorded the level of respect they deserve, as nursing is seen as less of a “profession” and more of a “job”. Physicians are often guilty of this, making nurses feel as if they are simply there to mechanically carry out the doctor’s orders, and nothing more. As the system loses more and more nurses, it will become more and more important to grant those remaining the appropriate level of respect.
A benefit of the current nursing shortage (if you can consider it a benefit) is that non-nurses are finally starting to realize how rigorous the training and testing processes for becoming an RN are. It takes just as long to become a nurse as it does to earn a B. A., B.S., or any other undergraduate degree!
Another oft-cited concern of professional nurses is that the conditions in their places of work are very poor. In this case, work conditions do not apply to the many different situations a nurse will have to put up with from patients during a course of a day; rather, they concern areas of the job that are directly informed by management policy, such as hours of work, nurse to patient ratio, the use of support staff, and the condition of equipment.
A standard nurse’s schedule includes a combination of both day and night shifts. Clearly, it’s impossible to run a medical facility without nurses, so it isn’t as if the night shift can just be eliminated. However, some suggestions for parity include paying extra for nurses that work the night shift, or adding a third “swing shift” to the rotation so that the night shift is not as long as the day shift is.
As the government continues to ramp up medical spending, the concerns of nurses with regards to support staff and equipment will gradually alleviate. Nursing is a job that requires a lot of lifting, so it’s important that hospital equipment is available to assist nurses with this endeavor, if they are to work the full span of a nursing career at a healthy level of fitness. Often, nurses report that they are taking care of duties that could be better performed by a receptionist or orderly and healthcare providers are going to have to juggle their budgets to be able to afford the support staff that their nurses need.
In the short term, the nurse to patient ratio will continue to be the biggest problem concerning both nurses and patients. The nursing shortage means that most facilities cannot fill vacant positions needed in order to bring the ratio down to a level that nurses are comfortable with. However, by properly addressing the issue, there is hope that this situation can be resolved.
It’s going to be vital to recruit nurses heavily, as well. There will be marked attempts to train more nurses, as well as healthcare organizations making deals to attract nurses to work for them. If medical providers don’t start paying attention, they will soon find themselves without any nurses to run their facilities!
It’s of no small concern that colleges and universities are not producing enough nursing graduates to fill the current demand, or even enough to replace those that are currently leaving the profession. A parallel concern is that of those who DO graduate nursing programs, ever increasing numbers are choosing to work at relatively lower levels of stress and higher levels of pay in institutions such as prisons and nursing homes.
In order to improve the patient to nurse ratio that is such a common complaint among nurses, it is vital to increase the number of students coming out of nursing schools across the country. Universities and colleges need to have the funding available to create these spaces. In addition, facilities and governments will have to offer programs such as student loan forgiveness programs in order to attract potential students to the profession.
Over the last 10 years, several “secondary industries” targeted towards nurses have come to the forefront. Industries such as travel nursing programs and nursing agencies hire their own nurses and then contract them out. These nurses generally make more money than those that choose more traditional employment and they have the added benefit of a constantly-changing workplace, often with all travel expenses paid. Healthcare organizations are going to have to take a long hard look at matching these kinds of benefits if they want to attract quality nursing personnel.
As far as the nursing profession goes, the long term future is bright. The current shortage allows a graduating nurse to virtually write his or her own ticket. In addition, the shortage is expected to grow worse, which has pushed the concerns of nurses into the public spotlight. In order to alleviate the shortage, governments and facilities will have no choice but to meet the concerns of nurses in order to keep them at their jobs.
Alternatively, the future of the nursing profession may lie within nursing agencies. Unless facilities and governments realize that the concerns of nurses need to be met at the ground level, new and established nurses alike will continue to gravitate towards the pay and flexibility that these agencies offer.
I hope you’ve found this discussion useful, and it’s obvious that a career in nursing is something that needs to be thought about pretty seriously. Good luck!
