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Free Download Article Solving the Nursing Shortage through Higher Wages
Every year, our hospitals need more registered nurses. Between 2004 and 2014, more than 1.2 million nursing positions will become open, either to meet the growing demand for medical care or to replace nurses who retire or leave the field. Hospital administrators are voicing concerns about a nurse shortage—some are even declaring a crisis in nurse staffing. Nurses themselves are increasingly worried about the impact of understaffing on the quality of patient care. This report looks in detail at trends in nurse employment and wages. It focuses on bedside nurses, who work in hospitals, since hospitals employ three-fifths of all registered nurses and are the primary health care setting experiencing a nurse shortage. In particular, the report examines how nurses’ pay and working conditions affect hospitals’ ability to meet their staffing needs. It reviews recent analyses of the nurse workforce, evaluating the policy options offered for solving the nurse shortage. And it offers new data analysis exploring the impact of collective bargaining on nurses’ pay. The report concludes with recommended practices to ensure both an adequate supply of nurses and high-quality patient care through competitive, transparent wage-setting, collective bargaining, and nurse/patient ratio standards.
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