Nursing Shortage This Work in Writing Research Proposal

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Nursing Shortage

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This work in writing will take under consideration the fact that there has been a nursing shortage and will attempt to answer the question of whether nursing has been positively or negatively affected by this shortage of nurses. This work will also examine the changes needed in the future to deal with or alleviate the shortage of nursing professionals. The American Association of Colleges of Nursing states that the U.S. is "in the midst of a nursing shortage that is expected to intensity as baby boomers age and the need for health care grows. Compounding the problem is the fact that nursing colleges and universities across the country are struggling to expand the enrollment levels to meet the rising demand for nursing care." (2008) the Council on Physician and Nurse Supply released a statement March 2008 relating that 30,000 additional nursing graduates are needed annually if the expanding healthcare needs of the future are to be met. Projections recently stated by the U.S. Bureau of Labor Statistics in the November 2007 Monthly Labor Review are for the need of one million nurses, both new and replacement by 2016 while the estimations of government analysts are that there will be 587,000 new nursing positions created through the year 2016. Negative affects of the nursing shortage on the nursing profession are stated to include the raised stress level of nurses due to insufficient staffing which results in lowering the rate of job satisfaction among nurses and even in driving many nursing professionals to leave the nursing profession altogether. There are still issues of debate among policymakers in addressing the current nursing shortage however, a focus on recruitment and retention strategies have been identified as being key toward increasing the level of individuals who enter the nursing profession as well as those who remain in the nursing profession following graduation from college. There is no 'pat' answer or simple solution to solving the current nursing professional shortage however, answers and solutions are critically necessary just as are bringing about an increase in both recruitment and retention of nursing professionals in the future workforce.

Research Proposal on Nursing Shortage This Work in Writing Will Assignment

NURSING SHORTAGE

Introduction

This work in writing will take under consideration the fact that there has been a nursing shortage and will attempt to answer the question of whether nursing has been positively or negatively affected by this shortage of nurses. This work will also examine the changes needed in the future to deal with or alleviate the shortage of nursing professionals.

I. 2008 Report of the American Association of Colleges of Nursing (AACN)

The American Association of Colleges of Nursing states that the U.S. is "in the midst of a nursing shortage that is expected to intensity as baby boomers age and the need for health care grows. Compounding the problem is the fact that nursing colleges and universities across the country are struggling to expand the enrollment levels to meet the rising demand for nursing care." (2008) the American Association of College of Nursing (AACN) states that the shortage of registered nurses (RNs) in the United States may reach as high as 500,000 by 2025 as reported by Buerhaus et al. (2008) in the work entitled: "The Future of the Nursing Workforce in the United States: Data, Trends and Implications" and in fact that the "demand for RNs is expected to grow by 2% to 3% each year." (AACN, 2008)

II. Council on Physician and Nurse Supply Report (2008)

The Council on Physician and Nurse Supply released a statement March 2008 relating that 30,000 additional nursing graduates are needed annually if the expanding healthcare needs of the future are to be met. Projections recently stated by the U.S. Bureau of Labor Statistics in the November 2007 Monthly Labor Review are for the need of one million nurses, both new and replacement by 2016 while the estimations of government analysts are that there will be 587,000 new nursing positions created through the year 2016. In fact, the nursing profession is the top profession for projected job growth. (Dohn and Shniper, 2007 in AACN, 2008) the American Hospital Association released a report in July 2007 that stated that hospitals in the United States will need "…approximately 116,000 RNs to fill vacant positions nationwide. This translates into a national RN vacancy rate of 8.1%. (AACN, 2008)

III. Nursing Management Aging Workforce Study

Findings stated by the 'Nursing Management Aging Workforce Study' in July 2006 states that of the nurses surveyed 55% report that they intend to retire between the years 2011 and 2020 and that the majority of these nurses are nurse managers. A report released in April 2006 by the 'Health Resources and Services Administration (HRSA) states that there would be a shortage of more than one million nurses by 2020 and that all fifty U.S. states will experience nursing shortages by 2015.

IV. Contributing Factors Affecting the Shortage of Nursing Professionals

The American Association of College of Nursing states that enrollment in nursing schools "…is not growing fast enough to meet the projected demand for nurses over the next ten years." Although a 5.4% enrollment increase was reported by the ACCN in entry-level baccalaureate programs in nursing in 2007 over the year 2006 it is stated that this increase "is not sufficient to meet the projected demand for nurses" and in fact according to HRSA officials the graduation rate of RNs in the U.S. must increase by 90% in order to meet the projected demand for nursing professionals in the future. Stated as a contributing factor to the nursing shortage is a "…shortage of nursing school faculty is restricting nursing program enrollments. Additionally reported by the AACN in its report "2007-2008 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing" is that U.S. nursing schools "…turned away 40,285 qualified applicants from baccalaureate and graduate nursing programs in 2007 due to insufficient number of faculty, clinical sites, classroom space, clinical preceptors, and budget constraints. Almost three quarters (71.4%) of the nursing schools responding to the 2007 survey pointed to faculty shortages as a reason for not accepting all qualified applicants into entry-level nursing programs." (AACN, 2008)

Additionally it is reported by the AACN that a study that was released in February 2002 by the 'Southern Regional Board of Education' states that there is a serious nursing faculty shortage in 16 SREB states and the District of Columbia and specifically that survey findings have shown "…that the combination of faculty vacancies (432) and newly budgeted positions (350) points to a 12% shortfall in the number of nurse educators needed. Unfilled faculty positions, resignations, projected retirements, and the shortage of students being prepared for the faculty role pose a threat to the nursing education workforce over the next five years. With fewer new nurses entering the profession, the average age of the RN is climbing." (AACN, 2008)

V. 2004 National Sample Survey of Registered Nurses

The '2004 National Sample Survey of Registered Nurses' (2007) states that the average age of the RN population as of March 2004 was 46.8 years of age and that the RN population under the age of 30 dropped from 9.0% of the nursing population in 2000 to 8.0% in 2004." (AACN, 2008) the American Association of College of Nursing states that the total population of registered nurses is growing at a much slower rate.

V. Negative Affects of Nursing Shortage on Nursing Profession

Negative affects of the nursing shortage on the nursing profession are stated to include the raised stress level of nurses due to insufficient staffing which results in lowering the rate of job satisfaction among nurses and even in driving many nursing professionals to leave the nursing profession altogether. Buerhaus, et al. (2005) state in a March-April 2005 issue of Nursing Economics that findings state that over 75% of registered nurses "…believe the nursing shortage presents a major problem for the quality of their work life, the quality of patient care, and the amount of time nurses can spend with patients. Looking forward, almost all surveyed nurses see the shortage in the future as a catalyst for increasing stress on nurses (98%), lowering patient care quality (93%) and causing nurses to leave the profession (93%)." (in AACN, 2008) a study reported in the October 2002 Journal of the American Medical Association, nurses reported greater job dissatisfaction and emotional exhaustion when they were responsible for more patients than they can safely care for. Researcher Dr. Linda Aiken concluded that "failure to retain nurses contributes to avoidable patient deaths." (in AACN, 2008) Access to health care is reported by Kovner et al. (2007) to be affected by the high turnover rates and high job vacancy rates of nursing professionals and specifically reported is that "13% of newly licensed RNs had changed principal jobs after one year, and 37% reported that they felt ready to change jobs." A report released by PricewaterhouseCoopers Health Research Institute in July 2007 states that although "the average nurse turnover rate in hospitals was 8.4%, the average voluntary turnover rate… [END OF PREVIEW] . . . READ MORE

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