Nevada shortage of hospital staff nurses.STATEMENT OF PROBLEM/ISSUE #1
Nevada has an inadequate supply of registered nurses (RNs) to meet in-hospital demand.
1. Establish a Nevada Center for Nursing to study and make recommendations to address the hospital nursing workforce shortage. This would allow the legislature to take steps to take action; to move in a matter.
See also: Step to increase the supply of hospital nurses based on the Center's findings.
2. The NHA NHA Nha Trang, Vietnam (airport code)
NHA Nantucket Historical Association
NHA National Hydrogen Association
NHA National Health Accounts
NHA National Housing Act (Canada)
NHA National Humanities Alliance could work with its member organizations to improve the workplace environment for hospital based nurses, including encouraging them to obtain American Nurses Credentialing Center The American Nurses Credentialing Center (ANCC) provides individuals and organizations throughout the nursing profession with the tools they need on their journey to excellence. Magnet designation, increase wages to meet housing and cost of living challenges, and address nurse-patient ratios to meet safe staffing recommendations.
1. The US Health Resources and Services Administration's (HRSA's) Bureau of Health Professions identifies the following Nevada counties as having a nursing shortage, based on data from the American Hospital Association American Hospital Association (AHA),
n.pr a nonprofit national organization of individuals, institutions, and organizations engaged in direct patient care. The association works to promote the improvement of health care services. (http://bhpr.hrsa.gov/ nursing/shortage.htm): Humboldt, Lander, Lincoln, Lyon, Nye, Pershing, White Pine. Note that this list does not include either Clark or Washoe counties.
2. According to according to
1. As stated or indicated by; on the authority of: according to historians.
2. In keeping with: according to instructions.
3. a University of Nevada University of Nevada could refer to either of the universities in the Nevada System of Higher Education:
3. A 2005 survey of Nevada RNs by the Medical Education Council of Nevada (University of Nevada Medical School) found that there were 20,494 persons licensed as RNs in the state in 2004 (http://www. nvha.net/papers/nursesurvey.pdf). Of these, about 15,000 were residents of the state. Approximately 66% resided in the urban south. Although the number of RNs grew between 1999 and 2004, the number per capita [Latin, By the heads or polls.] A term used in the Descent and Distribution of the estate of one who dies without a will. It means to share and share alike according to the number of individuals. has declined due to rapid population growth. Rural areas have the worst per capita statistics. Only 25% of respondents to the survey reported getting their original license in Nevada; most came from other states. Slightly more than half (58%) of the RNs were employed in inpatient care inpatient care Managed care Services delivered to a Pt who needs physician care for > 24 hrs in a hospital ; this parallels national statistics. Approximately 9% held a master's or higher degree. Less than a third of hospital-based nurses (29.8%) reported being "very satisfied" with their jobs compared to nearly half (47.7%) of RNs not employed in hospitals. An estimated 16% of southern Nevada nurses reported dissatisfaction with their jobs versus 8.6% in northern Nevada and 9% in rural/ frontier areas.
4. The etiology of nursing shortages is complex. Some reasons for the national bedside nursing shortage include:
* Sweeping layoffs of RNs by hospitals in the 1990s as cost-cutting moves; those RNs found alternate employment and have not returned to the bedside.
* More prestigious, better paid professions opening up to women in the 1980s
* Failure of state and federal legislatures to fund expansion of nursing education programs
* Wages that have not kept pace with inflation and the cost of living
* Rapidly increasing elderly population increasing the demand for hospital care
* Poor working conditions and risk of injury in hospital environments discourages RN employment in those settings.
5. In addition to the above, some Nevada-specific reasons for the bedside nursing shortage include:
* Rapid increase in housing costs making this state unattractive for RNs to stay after graduation or to relocate here. For example, according to the National Association of Home Builders The National Association of Home Builders (NAHB) is one of the largest trade associations in the United States. Headquartered in Washington, DC, the association organizes one of the largest conventions in North America, The International Builders' Show, which draws more than in 2006, Las Vegas Las Vegas (läs vā`gəs), city (1990 pop. 258,295), seat of Clark co., S Nev.; inc. 1911. It is the largest city in Nevada and the center of one of the fastest-growing urban areas in the United States. ranked 168th out of the 199 regions in housing affordability, which means those earning a median income of $58,200 can afford to buy only 16% of the single family homes sold in the first quarter of 2006. http://www.reviewjournal. com/lvrj_home/2006/Sep-03-Sun-2006/ opinion/9364632.html
* RN wages have not increased to reflect the cost of living in Nevada. According to a 2004 study of average RN salaries adjusted for cost of living, Nevada ranks 21st in purchasing power Purchasing Power
1. The value of a currency expressed in terms of the amount of goods or services that one unit of money can buy. Purchasing power is important because, all else being equal, inflation decreases the amount of goods or services you'd be able to purchase.
2. . (Texas is ranked #1, Washington State #3, Utah #5, Oregon #11, Colorado #14, Arizona #16, and California #44.) http://www.ga.unc.edu/NCCN/research/ quickfacts/Salary%20adjustment%20table.pdf
* Job dissatisfaction with hospital work, particularly in southern Nevada, where a unionized RN labor action just occurred, reportedly over nurse-patient ratios.
* Lack of any American Nurses Credential Center Magnet-designated hospital in Nevada. Magnet designation indicates a facility is an employer of choice for RNs. (There are only 5 other states that lack a Magnet hospital magnet hospital Hospital care A hospital that features flat organization structure, unit-based decision making, investment in education; MH nurses have less burnout, Pts have better care, ↓ time in hospital and in ICU : Arkansas, Delaware, Mississippi, New Mexico, and Wyoming.)
* Lack of any legislature-designated Center for Nursing, similar to ones set up in many other states (see below) to address nursing workforce issues.
* Legislative inattention in·at·ten·tion
Lack of attention, notice, or regard.
Noun 1. inattention - lack of attention
basic cognitive process - cognitive processes involved in obtaining and storing knowledge to providing adequate resources to expand state-funded nursing schools
* Rapid increase in the state's population, particularly the elderly who need more medical care, increasing the demand for hospital services
* Perception of unsafe nurse-patient ratios. A recent survey of new Nevada RN graduates found that 57% of respondents had left their first position in nursing by 2 years. "Patient care issues, such as unsafe nurse-patient ratios, were perceived as the most negative aspects and the most frequent reason for leaving." Bowles, C., & Candela candela (kăndĕ`lə), in weights and measures: see candle.
A unit of measurement of the intensity of light. Part of the SI system of measurement, one candela (cd) is the monochromatic radiation of 540THz with a radiant intensity , L. (2005). Journal of Nursing Administration, 35(3), 130-7.
6. Centers for Nursing. Many state legislatures concerned about the impact of bedside nursing shortages on the health of their residents have established and funded centers to conduct research and make recommendations on nursing workforce issues; e.g.,
Mississippi Office of Nursing Workforce: http://www.monw.org
North Carolina North Carolina, state in the SE United States. It is bordered by the Atlantic Ocean (E), South Carolina and Georgia (S), Tennessee (W), and Virginia (N). Facts and Figures
Area, 52,586 sq mi (136,198 sq km). Pop. Center for Nursing: http://www.nursenc.org/about/mission.htm
Florida Center for Nursing: http://www.flcenterfornursing.org/
Oregon Center for Nursing: http://www.oregoncenterfornursing.org/
Washington Center for Nursing: http://www.wacenterfornursing.org/
Michigan Center for Nursing: http://www.michigancenterfornursing.org/about.cfm
STATEMENT OF PROBLEM/ISSUE #2
State Senator Joe Heck has stated he will file a Bill Draft Request that would either require or allow schools of nursing in the state to employ BSN-prepared RNs as clinical faculty without going through the current Nevada State Board of Nursing's (NSBN's) waiver process.
Nurses would view the Nevada legislature as supportive if it avoided passing statutes that over-rule or weaken the standards set by the NSBN NSBN New Schools Better Neighborhoods .
A new Nevada Center for Nursing (see above) could make recommendations that would support and encourage more master's and PhD-educated faculty in the state.
1. Allowing BSN BSN
Bachelor of Science in Nursing nurses who are currently at the bedside to leave to become teaching faculty will only worsen the hospital nurse shortage by robbing Peter to pay Paul.
2. The National Council of State Boards state boards Examinations administered by a US state board of medical examiners to license a physician in a particular state; these examinations play an ever-decreasing role in state medical licensure, as these bodies now rely on standardized national examinations of Nursing's Model Nurse Practice Act stipulates that all professional nursing faculty members have graduate degrees. Nevada would be out of compliance with this national standard if by legislative fiat, its Nurse Practice Act and rules are changed.
3. Such a legislative action will further worsen the climate for RNs in Nevada, as it takes away the right of nursing to regulate and set standards for itself.
4. Lowering the education requirement for nursing faculty may put accreditation of the state's nursing schools in jeopardy. For example, the National League for Nurses (NLN NLN National League for Nursing. ), an accrediting body, asserts that the nurse educator role requires specialized preparation beyond a baccalaureate degree, which is considered an entry level degree. The NLN states: "There is specialized knowledge and preparation that is essential for practice as a nurse educator." http://www.nln.org/aboutnln/PositionStatements/ prepofnursed02.htm To be a Certified Nurse Educator, applicants must hold a graduate degree in nursing.
5. The legislature's role is to enact laws that are progressive, not ones that lower standards in a state that already compares poorly to other states for health outcomes.
INTERIM EDITOR'S COMMENT:
In recent months, several stakeholders in the state's registered nurse (RN) workforce have identified specific issues affecting the sufficiency of the supply of RNs to meet the needs of hospitalized Nevada residents. The Nevada Nurses Association presents below its comments on those issues, as well as recommendations it supports. NNA NNA National Notary Association (Chatsworth, California)
NNA National Newspaper Association
NNA Nissan North America Inc.
NNA National News Agency (Lebanon)
NNA Nebraska Nurses Association believes nursing can be a formidable force to ensure this growing state continues to have an adequate supply of the most trusted professionals-nurses. Betty Razor RN, BSN, CWOCN CWOCN Certified Wound, Ostomy and Continence Nurse (professional nurse certification)