The nursing shortage is something that all
The nursing shortage is something that all members of the public should be concerned about as nursing makes up the majority of health care professionals in most healthcare systems. There are several factors that have lead to the current shortage, they include, aging of existing workforce, lack of nursing educators, and changes in population demographics that require nurses with skill sets here for to unrequired. Additionally, the lack of adequate staffing for a sustained period of times has lead to an increase in dissatisfaction in active nurses leading more to leave the profession all together (Grand Canyon University, 2018). There is evidence to show that patients have better outcomes if the nurses who care for them are better trained. This can also contribute to a nursing shortage if healthcare organizations no longer hire nurses with Associates Degree training but begin to require Bachelor or higher degrees. This may work well if AND’s can still work in long-term care settings, however changes in the Affordable Care Act may also affect this model. One way that the nursing profession can help manage the nursing shortage moving forward is through expansion of nurse intern and nurse residency programs. Much like doctors who participate in an internship while getting their MD and then participate in a residency in their chosen profession after medical school, nursing could implement a similar idea (AACN Fact Sheet – Nursing Shortage, n.d.). In my own career I was nearly caught up in a cycle that would have prevented me from working in my current career. As I work in an ICU setting the hospital system requires that all nurses in the ICU be BSN trained or higher. An exception was made for me because I had done a preceptorship on the unit and they were familiar with me. Additionally, the whole hospital did not, at the time, allow anyone to start without passing the NCLEX first, basically no internships allowed. What happened locally is that other hospitals were hiring in nurses as graduate nurses, pre-NCLEX, and Children’s was missing out of good qualified candidates. Changes were made, and my unit specifically brought in two nursing students who work as nurse interns. When they are done, they will begin our in house Nurse Residency program which lasts 6 months but will prepare them to be nurses in a Cardiac ICU. It is also beneficial to create incentives for those that are already nurses to consider an educational track. Many bedside nurses leave the bedside to become managers and totally remove themselves from patient care areas. Incentivizing people to look at teaching would go a long way to helping mitigate the shortage. More staff means more students and more students means a more robust workforce. How would you respond?
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