Nursing Industry Desperate To Find New Hires
Nursing Industry Desperate To Find New Hires Save Email Print
Posted: 4:50 AM Jan 6, 2009
Last Updated: 4:50 AM Jan 6, 2009

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Please, please accept a high-paying job with us. In fact, just swing by for an interview and we'll give you a chance to win cash and prizes.

Sounds too good to be true, especially in an economy riddled with job cuts in nearly every industry. But applicants for nursing jobs are still so scarce that recruiters have been forced to get increasingly inventive.

One Michigan company literally rolled out a red carpet at a recent hiring event. Residential Home Health, which provides in-home nursing for seniors on Medicare, lavished registered nurses and other health care workers with free champagne and a trivia contest hosted by game-show veteran Chuck Woolery. Prizes included a one-year lease for a 2009 SUV, hotel stays and dinners.

"We're committed to finding ways to creatively engage with passive job seekers," said David Curtis, president of the Madison Heights-based company.

Recruiters like Curtis may have little choice. The long-standing U.S. nurse shortage has led to chronic understaffing that can threaten patient care and nurses' job satisfaction, and the problem is expected to worsen.

The shortage has been operating since World War II on an eight- to 10-year cycle, industry experts say. Each time the number of nurses reaches a critical low, the government adds funding and hospitals upgrade working conditions. But as the deficit eases, those retention efforts fade and eventually the old conditions return, often driving nurses into other professions.

"We recently had a hiring event where, for experienced nurses to interview — just to interview — we gave them $50 gas cards," said Tom Zinda, the director of recruitment at Wheaton Franciscan Healthcare in the Milwaukee-area city of Glendale. "We really try to get as creative as we can. It's a tough position to fill."

Recruiters across the country have tried similar techniques, offering chair massages, lavish catering and contests for flat-screen TVs, GPS devices and shopping sprees worth as much as $1,000.

Even strong salaries aren't doing the trick. Registered nurses made an average of $62,480 in 2007, ranging from a mean of $78,550 in California to $49,140 in Iowa, according to government statistics. Including overtime, usually abundantly available, the most experienced nurses can earn more than $100,000.

The U.S. Bureau of Labor Statistics predicts about 233,000 additional jobs will open for registered nurses each year through 2016, on top of about 2.5 million existing positions. But only about 200,000 candidates passed the Registered Nurse licensing exam last year, and thousands of nurses leave the profession each year.

Several factors are in play: a lack of qualified instructors to staff training programs, lack of funding for training programs, difficult working conditions and the need for expertise in many key nursing positions.

Cheryl Peterson, the director of nursing practice and policy for the American Nurses Association in Silver Spring, Md., said employers must raise salaries and improve working conditions.

"The wages haven't kept up with the level of responsibility and accountability nurses have," said Peterson, whose organization represents nurses' interests. Chronic understaffing means nurses are overworked, she said, and as burned-out nurses leave the situation spirals for the colleagues they leave behind.

Some hospital departments where experience is vital, such as the emergency room or intensive-care unit, simply cannot hire newly minted nurses. So managers in those areas have even fewer staffing choices.

Nurses qualified to teach aspiring nurses are scarce chiefly because they can make at least 20 percent more working at a hospital, experts said.

"It can be hard to turn down that extra money," said Robert Rosseter, the associate executive director of the American Association of Colleges of Nursing in Washington, D.C.

Many recruiters have looked for employees overseas, and about one-fourth of the nurses who earned their licenses in 2007 were educated internationally, most in the Philippines and India.

Some health organizations go out of their way to recruit as many nurses as possible even when they're overstaffed.

Residential Home Health, the home-nursing company in Michigan, is always looking to hire, Curtis said. Even with 375 clinical professionals on staff, his recruiters are eager to sign up as many as 50 more nurses and therapists, hence the Chuck Woolery event.

Zinda, the Milwaukee-area recruiter, said creative recruiting helps to introduce nurses to his hospital. Besides offering interviewees $50 gas cards, he has provided $100 gift cards to the local mall, and created a Facebook page to target younger nurses.

Attracting good candidates is about offering good working conditions, he said, but creative recruiting goes a long way in generating a buzz.

"Bottom line, you need to get people excited about what you're offering," he said. "If you don't, they can easily go elsewhere."

Copyright 2009 by The Associated Press. All Rights Reserved.

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Posted by: starrysmile on Jan 8, 2009 at 09:54 AM
Anonymous ER Nurse, I'm really glad that you love your job. You must work for an exceptional hospital. As for doing it for the money, I don't know any nurses who do this job just for the money! We are not martyrs. We have bills to pay, families to support, and we live in the same bad economy as everyone else who is trying to make ends meet. To "Unbelievable"...walk a mile in a nurses' shoes before you accuse us of "whining"...

Posted by: Anonymous on Jan 7, 2009 at 08:57 PM
i am an ER nurse and i love my job, if you do it for the money you're in it for the wrong reason

Posted by: nc nurse Location: kinston on Jan 7, 2009 at 01:55 PM
to unbelievable, until you know what we put up with everyday, don't assume you know and can tell us what to do. I would like to know where any nurses you know work and have 4 days off? unless its that they work 12 hour shifts, no breaks, tons of paperwork that never gets caught up, and don't forget, we work every holiday, and are on call on our days off! That's not even going into the patients themselves or the families who think they are our only patient and who we have to spend twice as much time as they need so they will quit whining and complaining or the insurance case manager who needs to go over every word we have charted, or a pharmacy who needs clarification on an order, or the doctors who demand our time. We are over worked, UNDER paid for the work we do, and rarely thanked. But, that is ok. Because we do it because we do care about our patients and if whining is what we do to get by, you can get over it and be glad we don't leave this profession, or who would look after you?

Posted by: RN Instructor Location: Washington, NC on Jan 7, 2009 at 11:38 AM
We admit the number of students that we can handle. There are only so many instructors. These students have a certain number of classroom and clinical hours they have to complete. Instructors are needed for both. In the clinical situation, you have 1 instructor that is responsible for 7 or more students and these students are working off of that instructors license. This means that the instructor is responsible for the actions of each student, right or wrong. Ideally, to give the students the best clinical and learing experience, the instructor should not have that many students. The students have to have the instructor with them to complete any invasive task. Meds have to be checked with the instructor before given. Then the instructor has to go with that student to pass those meds. Nursing school is tough. You have to maintain a certain GPA to get in and stay in. Not all we admit will pass. Remember, the students of today will care for you and yours in the future.

Posted by: Leigh Location: Chocowinity on Jan 7, 2009 at 11:12 AM
Sorry, ran out of room. The RN's, LPN's and assistants being the ones that suffer most. 12 hour shifts, on your feet all day, forget a lunch break most days. The amount of paper work is unbelievable. I went to school to take care of people, not paperwork. When we changed to computers, we were told that it would improve pt care, leaving us more time to care for our pts. I'd love to know what planet they thought that up on. Our patient care has suffered tremendously since our computer charting started. Meds that were once passed in an hour or so for 6 pts now may take twice as long due to scanning the med, the armband, your badge. I understand the safety reasons behind that, but, come on administration, there has got to be a better way. This is where the ones that sit behind the desk and make all these decisions need to work out on the floors for a while. Most don't have any idea what pt care consists of. I do love nursing, I just wish I had more time to nurse.

Posted by: Leigh Location: Chocowinity on Jan 7, 2009 at 11:05 AM
Starrysmile, I agree with you completely. I have been an RN for 12 yrs. All my experience since graduating has been in 2 local hospitals. Anyone who thinks nursing is a glamorous job is crazy. Don't get me wrong, I love nursing. It's the other "things" we have to deal with that I don't like. We have family members that think their person is the only patient we have. Most staff nurses have as many as 7 pts during the day and more at night. Most of these are total care pts that require a great deal of care, feeding, bathing, turning. We have irate doctors that think you are there at their beck and call, some even ask you to do the dialing for their telephone calls. I even had one doctor that stood over me while I was taking off orders and charting, tapping his fingers on the counter, finally tell (not ask) me to get up so he could sit with his one chart. Most hospitals are concentrating on "the bottom" line. Operating with as little expense as possible.

Posted by: Unbelievable Location: NC on Jan 7, 2009 at 10:58 AM
Listen to all this whining, moaning and complaining! Nurses are very well paid compared to other people with similar or more education, and have excellent benefits, and OUGHT TO BE GLAD THEY ARE PAID SO HIGH AND HAVE SUCH BENEFITS! Their jobs, for the most part, are secure and will be secure, and nurses OUGHT TO BE GLAD FOR THAT JOB SECURITY! Any job in which a girl barely out of high-school with a two-year degree can immediately start making a wage well above what most workers in NC make, WITH FULL BENEFITS AND RETIREMENT, is a pretty good job. I'm sick of all this crying and weeping. If you don't want to do the work, get out of the profession and let someone have the job who will BE GRATEFUL for the opportunity. Whoever heard of wet-behind-the-ears graduates, green as grass and brand new, pulling down well over thirty grand with benefits, retirement and four days off at a time? Get real! If you lived in reality, you'd have something to complain about! Give working folks a break!

Posted by: Rn Location: Greenville on Jan 7, 2009 at 10:48 AM
Not Trying to scare anyone just trying tell it the way it is

Posted by: Student Location: NC on Jan 7, 2009 at 09:43 AM
Wow. I recently decided to change my major from teaching to nursing, and now, after reading all of your comments, you have me scared.

Posted by: None Location: NC on Jan 7, 2009 at 09:04 AM
If they need nurses so bad then why don't they admit more students into programs every year and change some of the requirements!

Posted by: starrysmile on Jan 7, 2009 at 07:29 AM
I'm sad to say that if I had it to do all over again I'd not have become a nurse. I've been an RN for over 30 years.The job is not worth the money we are paid. We are expected to do the work of 3 people when the units are busy and full, yet if the patient census goes down, they cancel staff without regard to the acuity of the patients on the unit or the number of new patients being admitted. The staff that are canceled have to use their vacation time to get a full paycheck, or go without pay if they have no vacation time available.RN's are required to get down and scrape poop off the floor before housekeepers can or will clean up the area.Delegation is not supported by management, therefore, within the same shift of duty,we will be doing the work of a nurse, secretary, nurse's aide, housekeeper,dietitian,food service worker,social worker,pharmacist,AND,many times, doctor! Patients and their families may be rude, nasty,uncooperative,and abusive,yet we must be perfect "angels of mercy"

Posted by: RN Location: Greenville on Jan 7, 2009 at 06:03 AM
Hospitals are constantly trying to involve and empower family's in the patient's care. While this idea may sound good, here are some examples of what a nurse has to deal with regarding this situation. 1. 10 family members in a room that is 10x10 that refuse to move so you can do patient care when asked, and threaten to go to management. (which will back them 100%). 2. A complaint that you did not get into mother's room fast enough to turn her even though you had a patient in the adjacent room who was actively in resp distress, and stopped breathing. This complaint you will have to answer to 2 month's later so you best remember the exact details of that day. 3. Family members holding you accountable for an Md not calling you back immediately.(should I go to the OR put a rope around him/her and pull them to the floor?)I can go on and on. I'll sum it up - Stress,stress, stress. You are accountable for everything but have little power to rectify many situations.

Posted by: Anonymous on Jan 7, 2009 at 04:04 AM
Unless nursing school has changed in the last 20 or so years, my hat is off to the 19 or 20 year old that made it through. Wouldn't it be nice if the hospitals would quit tying our hands and let us do what we were trained to do.

Posted by: NurseMom Location: Greenville on Jan 6, 2009 at 09:13 PM
I hear constantly about the nursing shortage across the country. I have been a LPN for almost 10 years and I love the profession, and have been continuing my education to finish my RN degree, I get frustrated at the constant shortage when the schools offering these degrees are not admitting more students for one reason or another and have all of these unnecessary requirements for those of us who are not right out of high school. It is frustrating that a fresh high school graduate with no real life experience can get into these nursing programs faster than those of us with actual medical experience. I'm not sure that I want a 19 or 20 year old nursing graduate assessing me or my family when it comes to life or death. If there is a need for nurses, expand the programs. Bottomline!

Posted by: Burnout Location: Nursing on Jan 6, 2009 at 08:39 PM
I always wanted to help and care for people so I decided on a career in nursing, little did I know. This is a very stressful and demanding job. After six years I have gone back to school and changed careers, still in healthcare but not nursing. I am thankful for those that can handle it. Tod and RN I agree completely with your posts.

Posted by: ashley Location: Washington on Jan 6, 2009 at 04:05 PM
Let me have this offer in about year and half...i want to work at St. Judes

Posted by: Tod Location: the hills on Jan 6, 2009 at 03:31 PM
There is a good reason for the shortage, nursing is damn hard work. It can be very rewarding and it feels good to help people in need, but it is stressful and the bad often outweighs the good. The salary sounds good, I have been an RN for 15 years and could make 100,000 with OT but dont work that much cause of the stress. The hospitals act like they own you and force mandatory overtime, 16 plus hour shifts with no breaks , always threaten you with insubordination or that they will go after your hard earned license if you speak up about conditions.. They lie to new recruits to get them in the door and then hit them with reality, so there is a lot of turnover, which just makes it worse for the staff that try to tough it out. The money does not grow with the constantly added on responsibility and liability, and have up to 25 pts. There is little time for pts after doing paperwork for 25 , but we are held responsible for EVERYTHING, BUT TREATED LIKE CRAP

Posted by: Dawn Location: Dillsboro on Jan 6, 2009 at 12:57 PM
Iaahve 2 friends who are RN's.One got Hep-C the other has not quiet gotten over a STAFF infection where she had to have a 3"x6" cut from her side.Thanks,BUT,no thanks.

Posted by: TW Location: Pitt on Jan 6, 2009 at 11:12 AM
Hospitals are all about recruiting new RNs, but do very little to retain them long term. It would be more cost effective if the hospitals showed some love to their current staff than to break their budgets on lavish recruiting trips.

Posted by: RN Location: Greenville on Jan 6, 2009 at 09:18 AM
Glad this was posted Iv'been an Rn for many years in a hospital enviornment. The real scoop on nursing is that the pay does not comensurate with the liabilities and risks of the job. Rn's are constantly being threatened by management,and families. Constant threats of lawsuits, and license revoking, not to mention how nurses can be treated by some Md's. The interdisciplinary model between the two professions is poor at best. If you do not believe this- I wish I could tell you the way myself and other Rn's have been talked to and treated when calling some Md's regarding a patient's care. So much for patient advocate. I hope I don't sound bitter I truly love nursing, but theses are the cold hard facts sorry.


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