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HELP WANTED: Nurses

RALEIGH (July 14, 2021) – There’s no better time to appreciate nurses in North Carolina.

As we climb out of a global pandemic, we’ve seen nurses take incredible risks to themselves and their families. We’ve seen them hold the hands of patients as they die. We’ve seen them hold tablets for patients to see and hear goodbyes from their loved ones.

Yet even before the pandemic, we didn’t have enough nurses. And the shortage is only expected to get worse.

The Cecil G. Sheps Center for Health Services Research at UNC Chapel Hill will soon release a model that projects North Carolina could face a shortage of 10,000 registered nurses – almost 10% of the current RN workforce – by 2033. 

According to that model, the state could also face a shortage of 5,000 licensed practical nurses – more than 20% of the LPN workforce – by the same year.

“We are about to face some serious shortages,” Dr. Erin Fraher, Director of the Program on Health Workforce Research and Policy at the Sheps Center, says in the accompanying video.

Registered nurses will be most in demand at hospitals, Fraher says. And LPNs will be wanted at assisted-living centers and long-term care facilities. The center’s work was funded by the NC Board of Nursing.

THE CORONAVIRUS PANDEMIC has taken a particularly hard toll on nurses, Fraher says. What was projected to be a “sprint” to combat the virus over a few months turned into more than a year – and for some, confronting death day after day after day.

“It was a very difficult time to look at the data and watch the stories,” she says. “It’s been 14 months … and we do see more nurse burnout.”

There are multiple factors involved in North Carolina’s nursing shortage: Baby Boomers retiring. A chronic shortage of nursing faculty because they can make more money nursing than teaching people how to nurse. Increased turnover in a high-stress job – especially over the past 16 months. And a phenomenon where nurses tend to work less as our economy improves.

“We could really see our nursing supply tank in a way that we wouldn’t have predicted going back 18 months or two years ago,” Fraher says.

A countervailing force, though, could be a “9/11 effect” – as nurses finally get the respect they deserve, there could be a surge into the profession, much as there was among firefighters and law enforcement after the Sept. 11 attacks on the United States.

Fraher and others who monitor the supply of nurses already see an encouraging uptick in enrollment in nursing programs in North Carolina.

As Higher Ed Works launches this series on nursing education, we will look at how some institutions are confronting the state’s longstanding nursing shortage. We will hear about the frustrations of battling the job market to hire enough instructors to train nurses. We will learn how burnout among nurses is real – and increased during the pandemic. We will look at the critical need for nurses in rural settings. We will examine how the demand for nurses is shifting.

And we will highlight a few of the many heroes among our nurses in North Carolina.

Watch video >> 

 

UNCG: More nurses

GREENSBORO (July14, 2021) – To examine how one state university is confronting North Carolina’s nursing shortage, we need to look back six years.

“We’re turning away 140 qualified nursing students every year,” UNC Greensboro Chancellor Franklin Gilliam Jr. said in 2015. “Cone Health tells us we cannot produce nurses fast enough for them to hire.

“We need those workers…. These are high-paying jobs.”

With $105 million from the Connect NC bond issue that voters approved in March 2016, UNCG opened its new, 180,000-square-foot Nursing and Instructional Building in January. The structure offers 14 classrooms, 39 labs and nine research suites – as well as the most modern, lifelike instructional equipment available.

“We had a lot of applicants, and we just didn’t have room for them,” Gilliam says in the accompanying video. “That was the impetus for the Nursing and Instructional Building.

“But then we get a pandemic – and it becomes ever more clear how badly we need nurses and how important they are to our health-care system.” 

With a new building and a new dean – Debra Barksdale, who spent 13 years as an administrator in UNC Chapel Hill’s School of Nursing  – UNCG is poised to provide more nurses in the Piedmont Triad, which has several major hospitals and health systems. It has also launched an entirely online RN-to-BSN program to help working registered nurses to more easily earn bachelor’s degrees.

“We really have the opportunity to increase the supply, at least in our own way,” Gilliam says. “And more importantly, the supply we produce is going to be even better-prepared.”

Gilliam highlights one floor of the Nursing and Instructional Building (or NIB, as it’s known on campus) that looks like a hospital ward, complete with extremely lifelike “dummies” in the beds.

“This is going to give our nursing students really cutting-edge training,” he says. “I know our new dean is excited about that, the faculty’s excited, and the students are excited.”

Watch video >> 

 

Glossary of Nursing Terms

 

CORRECTION: Our post Friday about the damage caused to UNC Chapel Hill by the Nikole Hannah-Jones tenure controversy included an inaccurate timeline for some events. The post has been updated to remove that information. We regret the inaccuracy. 

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