Nursing Shortage Reaching Crisis Proportions

In mid-May, the Senate Health, Education, Labor and Pensions Committee heard testimony from a variety of witnesses attesting to the fact that the shortage of nurses and home health aides is rapidly reaching the crisis level and threatening the quality of patient care. According to Bill Scanlon of the Government Accounting Office, the primary factors contributing to the shortage are: the aging of the current nurse workforce; fewer nurses and aides in the training "pipeline" due to the availability of better paying, less stressful jobs; and job dissatisfaction that is prompting nurses to leave the profession and discourage others from joining.

Here are excerpts from some of the testimony presented.

"The public's demand for the highest quality patient care at the lowest possible cost has come face-to-face with the tightest labor market in the past 30 years. For example, government predictions state that the nation will need 1.7 million nurses by 2020. But just more than 600,000 will be available, making up 35% of the nurses that will be needed to care for the people of this nation."
- Sister Mary Roch Rocklage, American Hospital Association

"There will be no solving today's nursing shortage without improving the overall working conditions of nurses. We must challenge the notion that the principal problem is an inadequate supply of nurses and make sure we pay sufficient attention to the poor working conditions that drive nurses out of the hospital setting."
- Gerald Shea ALF-CIO

"Direct-care jobs [for example, home health aides] have always been of such poor quality that many paraprofessional workers have long endured poverty-level wages, part-time hours, and no benefits-relegated to the bottom rung of respect within the health-care workforce hierarchy. Now, however, the shortages and high turnover are forcing a downward cycle of deteriorating job quality. Those who do show up are forced to work 'short' or able to offer only 'drive-by home care' as they rush from one home across town to another. [The nation must start treating its paraprofessional workforce] as the scare resource that it is."
- Michael Elsas, Cooperative Home Care Associates

From the May 17 article, "Nursing Shortage Said to Be Reaching Crisis Stage," on Medscape.com