Crisis in the Nursing Workforce: Issues and Strategic Initiatives

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Crisis in the Nursing Workforce Issues and
Strategic Initiatives
Brenda L Cleary, PhD, RN, FAANDirector, Center
to Champion Nursing in America

• NY-SAAN 9/18/08

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Overview

• Critical Nursing Workforce Issues
• IOM Workforce Report Implications for Nursing
• Todays Strategic Initiatives at the State and
  National Levels
• Challenges for the Future

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Critical Nursing Workforce IssuesEmerging
shortage driven by limitations in educational
capacityDiversity (includes men in
nursing)Educational mix, including
APRNsInitial and sustained competence
Workplace issues
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Implications of IOM Report for NursingNursing
Workforce Shortage Threatens Quality of Care,
especially among Populations requiring Greater
Nursing Intensity.All Providers Should Be
Competent in Geriatric Care.Higher Salaries,
Financial Incentives - along with More Leadership
Needed.
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Todays Strategic Initiatives at the State and
National LevelsHartford InitiativesRWJF
Wisdom at Work Forum of State Nursing Workforce
CentersTechnology Targets
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Center to Champion Nursing in AmericaAligning
with Consumers and Other Stakeholders Addressing
Challenges for the Future
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Hurdles to Expanding Nursing Education

• Need to focus on demand side of the faculty issue
  as well as supply
• Insufficient clinical rotation space and
  placements
• Insufficient clinical instructors
• Turnover rates of first year nurses

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