(This scenario draws from a talk that Vanderbilt University’s Peter Buerhaus gave two weeks ago at

This month s wretched  jobs report tells a now-familiar tale: Employment has risen nicely in health care (a net gain of more than 340,000 jobs between May 2011 and May 2012). But almost every other sector has been  flat or worse .
In many U.S. cities, especially on the west coast, there's real evidence of a nursing glut. The most recent survey conducted by the National Student Nurses' Association found that more than 30 percent of recent graduates had failed to find jobs.
While demand for nurses has been rising, it actually hasn't insurance for rental cars in europe risen as fast as most scholars had projected. Meanwhile, the supply of nurses has spiked unexpectedly, at both ends of the age scale: Older nurses have delayed retirement, often because the recession has thrown their spouses out of work. And people in their  early twenties are earning nursing degrees at a rate not seen in decades. We're now in the sixth year in which health-care insurance for rental cars in europe employment has far outshone every other sector, and college students have read those tea leaves.
(This scenario draws from a talk that Vanderbilt University's  Peter Buerhaus gave two weeks ago at the U. of Maryland School of Nursing. Buerhaus insurance for rental cars in europe still sees a shortage coming, though a less severe one than the shortage that he and two colleagues had predicted in a  widely-cited 2000 paper .)
In June 2012, the Supreme Court upholds the  Affordable Care Act , and Republicans never manage to do much to weaken the law. Tens of millions of Americans gain access to insurance, insurance for rental cars in europe and the demand for nurses rises in tandem.
insurance for rental cars in europe Some time around 2014, the general labor market finally recovers. There's less desperation in the air. Sixty-year-old nurses are more likely to retire, and twenty-year-old college students who aren't actually that interested in nursing go back to majoring in anthropology or accounting or whatever, because they're reasonably sure they'll find jobs.
In June, the Supreme Court strikes insurance for rental cars in europe down the ACA's insurance mandate. Mitt Romney wins the 2012 election and pushes his health proposals through Congress. In this scenario, at least  45 million fewer people have health insurance than would have been the case with an intact ACA.
The EU zone  goes to hell , and the ensuing financial crisis means that the U.S. labor market  stays miserable for years . College students continue to pour into health care fields, because that's the one sector with better-than-zero growth.
Changes in health care delivery don't lead to a relative increase in the deployment of nurses and nurse practitioners. insurance for rental cars in europe Accountable Care Organizations use social workers and other non-nurses to coordinate patients' care across providers.
We had better hope that it is something close to halfway insurance for rental cars in europe in between. Both shortages and gluts are bad for patients and bad for the nursing profession. Nursing shortages, because patients are  even more likely than usual to face understaffed units and overstretched nurses. Nursing gluts, because nurses are so afraid of unemployment that they don't  speak up about problems on their units.
I thought that we had a nurse shortage. From what I read earlier last year and this year it seems that we have plenty of jobs but not enough people to fill them. I have friends that are taking 2 3 shifts every few days because the facilities can t staff it!
If they would hire new grads it wouldn t be a shortage. The problem is that no one is willing to train new grads. There is a shortage of experience insurance for rental cars in europe nurses, but many new grad nurses are desperate for work!
The hospitals insurance for rental cars in europe are not hiring because they have nurses who will take extra shifts. It is far more expensive to hire a New Grad and train them than to stretch your existing staff. New Graduates are not ready for the clinical setting and often require 6 months of hand holding. That means that a hospital has to staff an experienced RN with every one to two New Graduates it hires for nothing else but to train them in unit work and organization, something they no longer get in school.
I am a new grad had a job for 5 days one day in class room orientation and 4 days on the floor 12 hr shifts i beg for more trianing before i started working the shifts I pick up no phone calls no replys I qiut now i cant find anything. I wish the ltc facility would have trained me the right way not push me into 20 or more patients by myself for with only being there for 4 days.
Same happened to me. New Grad, started at an LTC (that just went on strike!). After 3 days, they put me on my own with 33 pts on dementia unit. I tried, IMPOSSIBLE! Gave me 4 more days of orientation, then I resigned. Everyone I speak to wants 1 yr experience, call when I get it . I m so broke, I m on foodstamps! I could stop using tax payers money if I could get a job! Not to mention, I can no longer work as a CNA and every minimum wage job I apply for I m over qualified (and still have $70,000 of school loan debt. would go back to school, but can t afford it and why, if I can t get employed in my field anyway!!
I am a new grad nurse and I am looking for work. I ve applied to hundreds insurance for rental cars in europe of nursing positions and I had ONE interview in which the LTC facility ended up choosing someone with more experience. I have been on the job hunt for over 7 months.
Graduated September 2010, RN license November 2010. One job (read above), hundreds of applications, no calls back. When I finally reach people (and get fellow RN s with jobs asking for me), not enough experience or too new . Very frustrating, in deed!
Another possible reason is the success of nursing unions. Higher starting salaries, insurance for rental cars in europe protected employment and threat of future strikes causes healthcare employers to minimize their nursing workforces. insurance for rental cars in europe I am sure that a number of the 30% who were unable to find a nursing job would have been happy to accept less compensation than required by union contracts, and that the healthcare employers would have been happy to hire more nurses and pay less.
Don t even get me started with the unions! OMG. I do think they re bad and wrong Unions were great when they were conceived 80 years ago. Not so much today. insurance for rental cars in europe I expect that they ll eventually be a thing of the past.
Wrong, Random Observer. I am sure that no nurse would be happy to accept lower pay for a job that is already so stressful, so demanding, and so shorthanded that many currently employed in the field are experiencing burnout in a matter of two to three years.
The idea that employers would take the money that would theoretically be saved from hiring non-union labor and use it to enhance the satisfaction of their employees is short-sighted and ignorant. Where would health insurance for rental cars in europe benefits go? What about sick leave? Without unions these would quickly disappear, and NOBODY insurance for rental cars in europe would be better insurance for rental cars in europe for it.
Union bashers think Those guys make too much, we can get people to do that work for less , but in their next breath utter, but my compensation is inadequate. . When are you gonna wake up and realize NO ONE is getting rich working as a nurse !! The extra buck or two you make as a union employee helps to offset the high stress, no lunch, mandated over time position.
There s no union here in Pensacola, FL, and hospitals are still short staffed. insurance for rental cars in europe I hear from many new grad RN s that they can t get hired, because they have no experience! Nobody wants to train new grads! Personnel salaries are the largest expense in health care institutions, and the first things to limit when times are tight. Until we reign in the grotesque excesses of the health insurance industry, and the massive competitive metastasis of non-profit health care systems and focus on keeping people healthy, we will never be able to balance the scales for safe nurse/patient ratios, or fully utilize the skills and talents of our nurses.
I would have to agree with you Dixie! salaries take over 50 60% of most businesses operating costs. And you re right, in a tight economy, nobody wants to spend time or resources training insurance for rental cars in europe and bringing up staff up to the appropriate skill-level but somebody s gotta do it. Otherwise the new nurses will just forget what they learned and go to a crappy flippin-burgers job. And the cycle will never end.
Nurse Nancy: I couldn t agree with you more. I worked in ONE union hospital (small community insurance for rental cars in europe hospital) and they did nothing for the nurses except take our money. I did work short term in a psych hospital which was unionized and these nurses behaved like they were in the military .counting the days until they can collect their pension. The union was more for administration, NOT THE NURSES! I ve been out of work for a little over a year and can not find a job because of the BSN requirement hospitals are imposing on nurses, yet they are recruiting foreign nurses right out of school with a BSN. The market is flooded here with new grads and a nurse like myself with 19 yrs of experience am told oh you don t have your BSN, or you ve been out of the hospital insurance for rental cars in europe for three years. I ve worked in every ICU there is, PACU, intensive home care cases. I applied several yrs ago to a local hospital insurance for rental cars in europe and they offered me a salary subtracting four years of experience. When I asked why, I was told by the Nsg. Admin. It s the union s policy .they don t count travel nursing. I told her I wasn t working in a pet shop. YES, unions are what suck the lifeblood out of top-performers. insurance for rental cars in europe BUT, hiring a foreign nurse is very lucrative I quoted that because that is what i read. Sickening.
I ve been looking for a job as an RN since August of 2011 in NY without any luck. I chose nursing as a career change and this was my second Bachelor s (I am not in my 20s). I am feeling very discouraged and feel like I ve already forgotten most of what I ve learned in school. No one wants to hire new RNs. Unfortunately, if you don t work in a hospital already in some other department or know people insurance for rental cars in europe in high places, it seems that a BSN is obsolete. It s unfortunate that I spent all of my savings paying insurance for rental cars in europe for this BSN. I recommend insurance for rental cars in europe that nursing students try to get a job in any other department