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Nurse Recruitment and Retention Remain Top Priorities in 2003
"Frankly, you can't talk about patient safety or homeland security without adequately addressing the nation's nursing shortage," she said. "Nurses are integral to homeland security."
-- Jo Ann Webb, Director of Federal Relations and Policy for the American Organization of Nurse Executives (AONE)
With the nation's nursing shortage projected to persist for the foreseeable future, national nursing organizations are starting the year with aggressive agendas focused on nurse recruitment and retention.
"Our board met in December and developed an agenda for 2003 and at the top of that list is getting the Nurse Reinvestment Act (NRA) fully funded," said Jo Ann Webb, Director of Federal Relations and Policy for the American Organization of Nurse Executives (AONE), headquartered in Washington, D.C. "The Act is designed to provide money for nursing schools, money for nursing students, as well as funds for those already in the health care workforce seeking to advance into the nursing profession. Although the Act was passed in August of 2002, it was never funded.”
Funding the Nurse Reinvestment Act tops the 2003 legislative agenda for the D.C.-based American Nurses Association (ANA), too, said ANA President Barbara Blakeney. "There are several groups working on getting the NRA fully funded," said Blakeney. "We've been major players first in getting the bill passed. Now, the focus is on funding and we believe there needs to be $250 million in new dollars budgeted to properly address this law."
According to Blakeney, besides providing funds to nursing students and health care workers pursuing undergraduate or graduate degrees in nursing, the Act needs to receive enough funding to help rebuild the nursing education infrastructure.
"With so many nursing faculty nearing retirement age, we've got a nationwide shortage of faculty looming. In fact, in some states, 25-30 percent of the nursing school faculty is eligible to retire right now," said Blakeney. "This faculty crisis has to be addressed in order for us to address the nursing shortage."
This year, AONE, the ANA, and 56 other organizations that compose ANSR --- Americans for Nursing Shortage Relief --- will be focusing on another piece of legislation related to nurse recruitment and retention.
"The Higher Education Act is up for reauthorization this session and we're interested in following a model used by the teaching profession to address the nursing shortage. We would like to see if monies could be added to the Higher Education Act for students pursuing careers in nursing. That money would go directly to the students as loans or grants,” explained Webb. “This would be an additional funding stream outside of HHS. This would be from the Department of Education."
AONE is also very interested in the Nurse Education Act (NEA), a Title VIII program which also comes up for reauthorization this session. "AONE, along with other groups, will be seeking a change in the formula for funding the NEA," said Webb. "The Act provides scholarships and grants and currently over 70 percent of the dollars provided go to the advanced practice community. We would like to see Congress shift a greater percentage of the resources to increasing the diversity of the nursing profession and to basic nursing education. We want to see more money for the two and three year programs and also the four year baccalaureate nursing programs so we can grow the nation's [overall] supply of nurses. All levels of nursing practice are critical but you've got to first get more people into the nursing pipeline before you can talk about getting them into advanced practice."
Do these new funding initiatives have any hope of success considering the nation's growing budget deficit?
Webb thinks so. "Frankly, you can't talk about patient safety or homeland security without adequately addressing the nation's nursing shortage,” she said. “Nurses are integral to homeland security. They're key among first responders although a group that has been overlooked. And now that we're talking about smallpox inoculation, an effort in which nurses will play a key role, addressing the nursing shortage quickly is even more critical."
Delaying Retirement
Identifying and remedying the reasons older nurses retire is another path the ANA plans to pursue this year in its efforts to address the present and future nursing shortage.
"Forty percent of America's nurses will be over 50 by 2010 and we know that working conditions have an impact on nurses' decisions to continue working after age 50," explained Betsey Snow, director of workplace advocacy for the ANA. "Remedying those conditions that prompt nurses to retire may help us retain these nurses longer than we otherwise would.”
This year, the ANA will be surveying nurses age 40 years old and older to see what their needs are and what, if changed or improved, might keep them in the profession.
"Of course,” added Snow, “we also want to find out how we can help and support those planning to retire with pension programs and health insurance."
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