Category Archives: Workforce supply and demand
The federal government announced on July 7 it had awarded more than $83 million to expand access to care by training hundreds of new primary care providers.
The money will be used to support primary care residency programs in family medicine, internal medicine, pediatrics, obstetrics and gynecology, psychiatry, geriatrics, and general dentistry at 60 health centers across the country. The expanded residency programs will help train more than 550 residents in coming academic year—about 200 more than were trained in the previous academic year, according to the U.S. Department of Health and Human Services (HHS). The funds will also be used to boost the number of states with teaching health centers from 21 to 24.
“This program not only provides training to primary care medical and dental residents, but also galvanizes communities,” said Mary K. Wakefield, PhD, RN, head of the Health Resources and Services Administration, a division of HHS. “It brings hospitals, academic centers, health centers, and community organizations together to provide top-notch medical education and services in areas of the country that need them most.”
A growing demand for acute care nurse practitioners (ACNPs) has created significant opportunity in this field, as well as a significant need for postgraduate residency programs, according to an article in the Journal for Nurse Practitioners.
Faced with issues such as the mandated reduction of work hours for residents, hospitals are turning to ACNPs to boost patient safety and satisfaction, writes Catherine Harris, PhD, MBA, CRNP, director of the ACNP program at Thomas Jefferson University in Philadelphia. Yet ACNP education emphasizes care across the life span instead of focusing on specialties—such as trauma, critical care, and cardiology—that hospital patients count on.
Health care may have some of the nation’s most promising career opportunities. But it also promises a lot of stress to go along with those jobs, according to a survey from CareerBuilder and its health-care-focused website.
Health care workers topped the list of most stressed workers in the United States, with 69 percent reporting that they feel stress in their current jobs. Next are workers in professional and business services, retail, financial services, information technology, leisure and hospitality, and manufacturing. Health care also had the highest percentage (17) of workers reporting that they are “highly stressed.”
“Stress is part of the environment in many health care settings, but high levels sustained over a long period of time can be a major detriment to employee health and ultimately stand in the way of providing quality care to patients,” CareerBuilder Healthcare President Jason Lovelace said in a news release.
Nearly 40 percent of the country’s 100 most promising employment opportunities are in health care, according to the Best Jobs of 2014 list recently published by U.S. News & World Report.
Although the health care sector dominates the list, it did lose the No. 1 spot (to technology) for the first time since U.S. News launched the annual rankings in 2012. The top 10 jobs include dentist (at No. 3), nurse practitioner (4), pharmacist (5), registered nurse (6), physical therapist (7), physician (8), and dental hygienist (10).
Other health care jobs on the list include occupational therapist, phlebotomist, physical therapy assistant, diagnostic medical sonographer, respiratory therapist, licensed practical and licensed vocational nurse, optician, home health aide, and paramedic.
The Robert Wood Johnson Foundation (RWJF) Human Capital Blog published nearly 400 posts in 2013. Which were your favorites? Today and tomorrow, as the year comes to an end, we’re taking another look at the posts published on this Blog in 2013 that attracted the most traffic.
A Closer, More Dispassionate Look at Obesity RWJF Scholar in Health Policy Research alumna Abigail Saguy, PhD, discusses how fatness went from being considered a fashion problem to a social problem, a medical problem, and finally the public health crisis we see it as today. She says social perceptions of weight have affected medical interpretations, and shares her concern that some efforts to promote healthy lifestyles will exacerbate weight-based discrimination. Saguy’s interview was also the post most-shared on social media this year, generating more than 2,200 “likes” on Facebook.
A Chief Nursing Officer Who Does Not Have a BSN-Only Hiring Policy in Place In a blog that is both personal and provocative, RWJF Executive Nurse Fellow alumnus Jerry Mansfield, PhD, RN, shares his journey to become a nurse, the setbacks he overcame, and how he has fulfilled his commitment to lifelong learning. He also addresses how he reconciled his support for the Institute of Medicine’s future of nursing education recommendations with the steps he had to take to meet demand for nurses at his institution. Mansfield is chief nursing officer at University Hospital and Richard M. Ross Heart Hospital, and a clinical professor at Ohio State University College of Nursing.
Efforts to increase the percentage of baccalaureate-educated nurses in West Virginia are getting a boost from a new online RN-to-BSN program at the University of Charleston (UC) in the state capital. The program, which will begin in the spring, will allow registered nurses (RNs) to complete requirements for a bachelor of science in nursing (BSN) degree in as little as 18 months.
The university’s president, Ed Welch, PhD, said in a news release that the program “answers an immediate need of West Virginia’s health care facilities. By completing their bachelor’s degree at UC in just 18 months, and continuing to work full time, nurses are able to advance their careers and better serve patients in the field.”
Robert Wood Johnson Foundation Executive Nurse Fellows program alumnus Duane Napier, MSN, RN-BC, formerly executive director of the West Virginia Center for Nursing, is the UC RN-BSN program coordinator. “We’ve had a great response since announcing the program,” Napier said in an interview. “It's the state's first online program that doesn't require any campus sessions, so it's truly designed for the working nurse.”
This is part of the December 2013 issue of Sharing Nursing's Knowledge.
More male nurses are needed to diversify the nursing workforce and help curb a looming shortage of nurses, but U.S. TV producers aren’t helping.
That’s the conclusion of a recent study of male nurse characters on televised medical dramas in the United States. Shows including Grey’s Anatomy, HawthoRNe, Mercy, Nurse Jackie, and Private Practice reinforced stereotypes, often in negative ways, about men in nursing, the study found. It was published in August in the Journal of Advanced Nursing.
“The men were often subject to questions about their choice of career, masculinity and sexuality, and their role usually reduced to that of prop, minority spokesperson, or source of comedy,” the authors write.
Men are joining the profession in increasing numbers, but negative portrayals of male nurses on television undermine efforts to recruit and retain male nurses, they add.
What’s on the minds of this year’s medical school graduates? Among top concerns for the country’s future physicians are uncertainty about health care reform, practice choices, and debt repayment, according to the 2013 Medical School Graduation Questionnaire administered by the Association of American Medical Colleges (AAMC). Overall, most medical students say they are satisfied with their education.
The 2013 graduates in the new survey report an average premedical education debt of $11,849, which is about eleven percent more than students reported in 2012. This ends a four-year trend in which the average premedical debt had been decreasing. In addition, the 2013 graduates report an average medical education debt of $135,084—an increase of two percent from 2012 graduates. Nearly two in five graduates this year (38.1%) say they plan to enter a loan-forgiveness program.
Fewer than 2 percent of 2013 graduates say they plan to go into full-time solo practice. Twenty percent have their sights set on a group practice of three or more. Nine percent expect to pursue hospital work.
Graduates of entry-level baccalaureate and master’s nursing programs are much more likely to have job offers by graduation or soon after, compared with graduates from other fields, according to new data from the American Association of Colleges of Nursing (AACN). A national survey of deans and directors from U.S. nursing schools found that 59 percent of new bachelor of science in nursing (BSN) graduates had job offers at the time of graduation.
That’s substantially higher than the national average across all professions (29.3 percent). At four to six months after graduation, the survey found that 89 percent of new BSN graduates had secured employment in the field.
“Despite concerns about new college graduates finding employment in today’s tight job market, graduates of baccalaureate nursing programs are finding positions at a significantly higher rate than the national average,” said AACN President Jane Kirschling. “As more practice settings move to require higher levels of education for their registered nurses, we expect the demand for BSN-prepared nurses to remain strong as nurse employers seek to raise quality standards and meet consumer expectations for safe patient care.”
Mirroring national trends, the California State University (CSU) system is turning away qualified nursing school applicants due to faculty shortages, reports the Los Angeles Daily News, and CSU officials fear that the situation will worsen the nurse shortage in a state that already has one of the country’s lowest numbers of nurses per capita.
This fall, CSU Long Beach had a nursing program acceptance rate of 18 percent, having received 450 applications for 82 slots. CSU Northridge had a “very highly qualified” pool of 300 applicants but could only accept 60. CSU Chico had to turn down 86 percent of its fully qualified applicants, while CSU San Marcos turned away nearly 89 percent.
“Let me put it this way, we have over 1,200 pre-nursing students,” Dwight Sweeney, interim chairman of nursing at CSU San Bernardino, told the Daily News. “I can only take about 108 a year. In the fall, we had over 600 applicants for 44 positions. Realistically, we are turning away people with 3.6 and 3.7 GPAs. And I think that story is playing out on CSU campuses everywhere.”