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Nursing faculty shortage a barrier to nurse training

Nursing faculty shortage a barrier to nurse training

March 11, 2009 | Patty Enrado, Contributing Editor

Related Links

  • American Association of Colleges and Nursing
  • The National Council of State Boards of Nursing
  • Nurses for a Healthier Tomorrow
  • NEED Act
  • National Health Services Corp.

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WASHINGTON – While the nursing shortage has been a glaring problem nationwide for the last few years, the nursing faculty shortage may be an even bigger issue.

Nearly 50,000 qualified applicants were denied entrance to professional nursing programs in 2008, and the nursing faculty shortage was one of the main reasons, according to survey data released by the American Association of Colleges of Nursing.

Despite the dismal faculty numbers, nursing associations and advocacy groups are hoping that federal and state initiatives and partnerships will drive creative solutions and reverse the situation.

A handful of states are creating innovative programs, said Nancy Spector, RN, director of education for the National Council of State Boards of Nursing.

For instance, Oregon is trying to seamlessly integrate its associates degree and baccalaureate nursing programs and build a statewide curriculum between the two programs to enable faculty sharing.

The Massachusetts Dept. of Higher Education is exploring the possibility of establishing a faculty center that would include a substitute educator pool of retired or part-time instructors.

Boards of nursing that approve programs and faculty have to work together to come up with creative initiatives, Spector said. One such program has practice settings provide adjunct faculty to teach classes free of charge.

A number of states are waiving faculty qualifications, and allowing 10 percent of the faculty to be on waiver. "We don't necessarily want to see a decrease in standards, but it is a necessity," said Spector.

On the federal level, the recent economic stimulus legislation - the American Recovery and Reinvestment Act of 2009 - has allocated $500 million for healthcare workforce training, with $300 million for loans and scholarships under the National Health Services Corp. and $200 million divided between the Title VII and Title VIII Nursing Workforce Programs.

Increasing loans, scholarships and training under Title VIII, which is the largest source of federal dollars for nursing education, would enable students to get their degrees quicker and keep others from defaulting on student loans, said Suzanne Begeny, director of government affairs for the American Association of Colleges of Nursing, or AACN.

The Health Resources and Services Administration, or HRSA, has 90 days to map out a final plan, and AACN is advocating that some of the funding for Title VIII go toward nursing faculty, she said.

One of the strongest methods to address the nursing shortage is to have the Nurse Education, Expansion, and Development (NEED) Act, introduced by Sen. Richard Durbin (D-Ill.), passed, said Begeny.

First introduced in 2004 and following the concept of the Nurse Training Act of 1971 for a comprehensive solution, the NEED Act would provide grants to schools of nursing, as well as have the General Accounting Office make recommendations to Congress on how to increase participation in the nurse faculty profession.

If Title VIII funds increase and are allocated quickly, Begeny thinks that we could see results in fiscal year 2009-2010.

The AACN also supported President Obama's remarks at his healthcare reform summit last Thursday, March 5th, on the nursing shortage and the need to educate more nursing faculty, which underscored his understanding of the "pipeline barrier," Begeny said.

Related Topics:
  • Nancy Spector
  • National Health Services Corp.
  • Nursing
  • Oregon
  • Suzanne Begeny
  • Washington

Reader Comments (8)Login to Post a Comment

doctor dre says:

September 25, 2009 | 11:36AM GMT

Nursing education is often a

Nursing education is often a topic of heated debate - nursing educators take a long time to be trained, and demand far outstrips supply. This prevents qualified nurses from being educated, so because of this there is a constant nursing shortage. With the advent of online nursing degree programs, however, hopefully a dent will be made in the nursing shortage.

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dmdbsn says:

March 12, 2009 | 8:34PM GMT

Nursing Faculty Shortage

I graduated 26 years ago with a BSN. I always thought I would eventually teach nursing, but now I do not feel I will ever realize that dream. I would gladly take on the expense of a master's degree but once achieved, I could not afford to take the pay cut I would have as a nursing faculty member. In researching teaching salaries, I found the teacher at the community college level with 15 years teaching experience makes half of what I earn. Who can afford to cut their salary like that?? As a nurse I can afford to pay my mortgage and put my kids through college. As a teacher without a dual income (no spouse) this would be impossible. A young nurse (less than 6 years experience)at my work place just finished her master's and is now teaching at the community college. What does her experience offer the students?? She has never worked in a hospital. I would rather learn from someone that has been there, not someone that has heard about it.

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bufo69 says:

December 14, 2009 | 1:58PM GMT

You're right

Hi, I have been teaching part time for almost 12 years now and what you say is absolutely true. I made much more money working as an ADN bedside nurse on med/surg than I do now with my Master's teaching at the community college or the local university. You have to love teaching AND have low bills or a working spouse to support the teaching habit, as I call it. For those who can't physically tolerate nursing anymore, however, teaching is an option even if it is low-paying. There have been some semesters when I kept track of my hours for my own personal interest and calculated that I made about $4.83/hr. These facts are not going to help with the faculty shortage but most folks recognize that teaching never has been a high-paying career and likely won't change.

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browniesrn says:

March 12, 2009 | 9:52AM GMT

shortage of nursing instructors

Nursing is one of the few professions that are not rewarded for experience and education. In my opinion, the reason for the shortage of nursing educators stems from the low pay scale. Most nurses would take a serious pay cut to become a nursing educator.

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Katelyn says:

March 12, 2009 | 9:45AM GMT

Using technology to alleviate healthcare's growing problems

With the current nursing shortage only expected to get worse due to a lack of faculty (and therefore emerging nurses), as this article describes, healthcare is facing some critical issues in the future.

Garland, your comment about turning towards more online coursework is a helpful suggestion. Technology can help to alleviate some of the staffing issues associated with healthcare in another aspect as well. Some of my colleagues at GE Global Research (the research and development branch of General Electric Company) have developed advanced computer algorithms that analyze the current staff and patient flows of hospitals and suggest actions that could maximize the efficiency of the workforce and the operations of the hospitals.

We’ve been blogging about this issue and how GE is working to solve it over at the GE Global Research blog “From Edison’s Desk”. We plan to continue to discuss the topic of today’s healthcare system and what we’re doing to create “hospitals of the future” so if you’d like more in depth information you can get it here: http://www.grcblog.com/?p=496.

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LHARRIS says:

March 12, 2009 | 9:45AM GMT

nursing education

I recently looked into getting my Masters and PhD in nursing because I would like to teach. However, since my Bachelor's is in Business Administration, they would not let me in to the school without completing the BSN portion. Even though I have been an RN for 30 years-most of that time spent at bedside. Plus I have been working with Information Systems for several years now and feel that should also be a large part of nursing education now. I already have over 150 hours of college credit and have a 3.75 grade point.

The reason for not getting a BSN in the past was that they were at the time requiring me to take classes I had already taken and had a 4.0 in. I had in the 80's been within 9 hours of completing my BSN and had to move due to husband's job. New schools wanted me to repeat classes. I did not want to waste my time or money on repeating something I already knew when I could learn new things and expand my opportunities.

I am sure I am not the only one that is being hampered by these rules.

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bufo69 says:

December 14, 2009 | 2:04PM GMT

Me too

Hi, I had my ADN and a BS in business administration as well and encountered the same situation as you describe. I finally decided to go to University of Phoenix online to get my MSN as it only required a 3- undergrad BSN course "bridge". This didn't feel too bad to me and now I've got my MSN and am qualified for when the next tenure-track teaching position comes up. You might consider something like this. It is expensive, but there are lots of scholarships or loan reimbursement plans out there.

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Garland says:

March 11, 2009 | 2:14PM GMT

Catch up with the times

I understand the shortage of nursing instructors parallels the shortage of practicing nurses. But the education of nurses must adapt to take advantage of technology when it makes sense. For instance, why can't Introductory Nursing courses or other foundational courses (A&P, Nutrition, etc.) be taken on-line with labs and practicums delivered thru regional schools of nursing or other monitored settings?

It's interesting you can get a BSN/MSN on-line but can't complete many of the courses needed for an RN on-line. I understand the need to instruct and train nurses with hands on skills. But the courses around those skills can be offered on-line with the labs and clinical rotations done thru proctored sites and local hospitals. Personally, I feel if on-line options were offered there would be a flood of new, motivated, students ready for the challenges of nursing.

The drop out rate may also be positively affected because of the flexibility offered parents and working adults. I work with a nurse with 30+ years experience and she frequently says: "Most nursing school graduates don't know what they don't know for a year or more after graduation." I agree. If the current system is not turning out "ready to work" nurses then it's time to think about what system will. Experimentation is the key...now is a good time to try.

Until this problem is approached with new solutions we can only expect more of the same. Some school will bring technology to bare on the problem and they will see an increased enrollment, with the same number of instructors leveraging their ability to teach more students with better tools.

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