The financial impact of the nationwide nursing shortage: Hospitals pay billions to recruit and retain nurses

http://www.fiercehealthcare.com/finance/financial-impact-nationwide-nursing-shortage-hospitals-pay-billions-to-recruit-and-retain

money

A new Reuters analysis finds that collectively, hospitals have been paying billions to recruit and retain nurses—offering higher salaries, signing bonuses and even repaying student loans—to address the nationwide nurse shortage.

The problem is only going to get worse. With many Baby Boomer nurses set to retire, and an aging population that will need healthcare services, the Bureau of Labor Statistics projects that there will be more than a million openings for registered nurses by 2024.

Although the industry has faced shortages before, the current shortfall is more difficult to address, according to the Reuters report.

“I’ve been a nurse 40 years, and the shortage is the worst I’ve ever seen it,” Ron Moore, who recently retired as vice president and chief nursing officer for West Virginia’s Charleston Area Medical Center, told the news service. To help attract nurses—and get them to stay—the organization will reimburse their tuition if they agree to work at the hospital for two years.

While some hospitals try to meet staffing needs by employing foreign nurses, the current political climate has caused delays in issuing visas. Healthcare advocates are pushing Congress to pass proposed legislation to open the door for 8,000 international nurses to get the necessary visas to help alleviate the nursing shortage.

In the meantime, Reuters notes that some hospitals have turned to travel nurses to fill the gaps. Staffing Industry Analysts told Reuters that so far healthcare organizations have paid $4.8 billion for travel nurses in 2017.

But the costs are hitting rural hospitals hard. Reuters reports that J.W. Ruby Memorial Hospital in Morganstown, West Virginia, has paid more than $10 million this year to hire and retain nurses. That money is used in part to give $10,000 signing bonuses and free housing for nurses who live more than 60 miles away from the hospital.

And that’s just the beginning. To entice longtime nurses to continue to stay in West Virginia and work at the hospital, next year J.W. Ruby Memorial may begin to pay college tuition for their family members.

Healthcare experts say other hospitals may want to follow J.W. Ruby Memorial Hospital’s lead and prepare in advance for potential shortages.  Among their suggestions: develop a succession plan now, and see if experienced nurses will consider delaying retirement if they can take on new roles in patient navigation or education or decrease their hours.

 

 

Analysis: Nurse force to grow 36% by 2030, thanks to millennials

http://www.healthcaredive.com/news/analysis-nurse-force-to-grow-36-by-2030-thanks-to-millennials/506539/

Dive Brief:

  • Millennials are becoming registered nurses at nearly twice the rate of baby boomers, but that still won’t necessarily prevent a nursing shortage as boomers retire, a new analysis in Health Affairs concludes.
  • The number of younger RNs nearly doubled to 834,000 in 2015, after dropping to 440,000 in 2000 when Generation Xers were joining the workforce.
  • The number of millennials entering the space has leveled off recently, however, suggesting only modest growth over the next decade. Still, millennials will dominate the nurse workforce in the 2020s, the article says.

Dive Insight:

The average age of the nursing workforce in 2005 was 44, spurring widespread predictions of a nursing shortage as baby boomers retired from the field, according to the authors.

They attribute millennials’ embrace of nursing to several factors. The profession offers stable lifetime earnings and low unemployment as well as opportunities for advancement and relocation. And it can be parlayed in myriad ways across the healthcare industry.

“Considering the acceleration in retirement of the baby boomers and the stabilization of the entering cohort sizes among millennials, we expect the nurse workforce to grow 36%, to just over four million RNs, between 2015 and 2030, a rate of 1.3% annual per capita growth,” the authors write. “This is a rate of per capita growth similar to that observed from 1979 to 2000, but half the rate observed in the rapid-growth years of 2000-15.”

Whether that growth rate is enough to meet demand as baby boomer nurses retire is hard to gauge.

While nursing may be enjoying a surge in popularity, as professions go, retention is a growing problem. In a recent Medscape poll, about one in five nurses said they would not make the same career choice again. Nurses with more than 21 years in the profession were more likely to be dissatisfied than those who were new to the practice.

To retain nurses, hospitals need to provide opportunities for upward mobility and changing roles. They also need to address clinician burnout associated with increasing regulatory and administrative tasks. Allowing nurses to practice at the top of their licenses can also increase workplace satisfaction — not to mention helping address the problem of physician burnout.

The Nursing Shortage? It’s Complicated

http://www.healthleadersmedia.com/nurse-leaders/nursing-shortage-its-complicated?spMailingID=10548476&spUserID=MTY3ODg4NTg1MzQ4S0&spJobID=1120254532&spReportId=MTEyMDI1NDUzMgS2#

Image result for the nursing shortage

A workforce data analysis predicts a national nursing surplus of 340,000 registered nurses by 2025. But there is more to this story.

 

Insight Report: Nursing Shortages Demand ‘Disruptive’ Action

http://www.healthleadersmedia.com/nurse-leaders/insight-report-nursing-shortages-demand-disruptive-action?spMailingID=10299296&spUserID=MTY3ODg4NTg1MzQ4S0&spJobID=1082069222&spReportId=MTA4MjA2OTIyMgS2

Image result for nursing shortage

Nurse leaders say the standard recruitment and retention methods of sign-on bonuses, pay increases, and retention incentives won’t be effective in improving the current nursing shortage.