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Nursing Shortage


Electronic Nursing Shortage Resources
Print Nursing Shortage Resources


Electronic Nursing Shortage Resources

Nursing Facts: Nursing Shortage
Information from the American Nurses Association detailing facts about nursing shortage indicators, contributing factors, the impact, legislation, and strategies to reverse the problem.

National Center for Health Workforce Analysis Reports - Nursing
Contains links to government-sponsored surveys and reports on the nursing workforce in the United States

Healthcare Workforce: Strategic Resources & Tools for Change
(American Hospital Association)
Contains a substantial number of full-text links to pertinent resources on the workforce shortage.

Nursing Shortage Resource Web Link
The American Association of Colleges of Nursing (AACN) have a number of links to web resources on the nursing shortage. Some of the links also appear below.

Nursing Workforce: Emerging Nurse Shortages Due to Multiple Factors [pdf]
A report made by the GAO (GAO-01-944) to Senator Nancy L. Johnson on July 10, 2001.

Nursing Workforce: Multiple Factors Create Nurse Recruitment and Retention Problems [pdf]
A report made by Janet Heinrich, Director, Health Care--Public Health Issues (GAO) to a U.S. Senate subcommittee on June 27, 2001. Summary of GAO-01-912T.

Nursing Workforce: Recruitment and Retention of Nurses and Nurse Aides Is a Growing Concern [pdf] --
Statement of William J. Scanlon, Director of Health Issues (GAO), before the Committee of Health, Education, Labor, Pensions, United States Senate on May 17, 2001.

The Nursing Shortage: Is This Cycle Different?
An entire issue (Vol. 6, #1, 2001) in The Online Journal of Issues in Nursing is devoted to the shortage of nurses. Links to other relevant sites are provided.

Facts on the Nursing Shortage
A fact sheet created by Sigma Theta Tau International on the causes, frequently asked questions, recommendations for action, and available contacts concerning the nursing shortage.

The Decreasing Supply of Registered Nurses: Inevitable Future or Call to Action?
Geraldine Bednash of the American Association of Colleges of Nursing offers a commentary on the supply of nurses in the June 14, 2000 issue (Vol. 283, #22) of JAMA.


Print Nursing Shortage Resources

Meeting Nursing Shortage Needs Through Educational Partnerships: LPN to RN Under One Roof
(Volume 18, #1, December 2005) in Home Health Care Management & Practice
Outlines a unique 1 + 1 LPN to RN program in South Dakota providing a successful educational partnership.

Nurse Licensure Compact and Nursing Shortage
(Volume 18, #1, December 2005) in Home Health Care Management & Practice
Details the implementation of nursing licensure compact between states allowing easier licensure acquisition by nurses relocating.

Nursing Shortages and International Nurse Migration
(Volume 52, #4, December 2005) in International Nursing Review
Examines the impact of nurse emigration on the healthcare infrastructures of developing countries and the developed host country of the United Kingdom.

Less Money, Less Care:  How Nurses in Long-Term Care Allocate Hours of Needed Care in a Context of Chronic Shortage
(Volume 11, #5, October 2005) in International Journal of Nursing Practice
Shows the areas that nurses reduce time spent doing (mobility and personal-care activities, and communication with patients, families and other professionals) when asked to cut 30% of the care hours because of chronic staff shortage.

Hospital RNs' and CNOs' Perceptions of the Impact of the Nursing Shortage on the Quality of Care
(Volume 23, #5, September-October 2005) in Nursing Economic$
Reveals differences and similarities between frontline nurses and nursing officers on how the nursing shortage is impacting patient care.

Though Challenged by Shortage, OR Leaders Find Ways to Cope 
(Volume 21, #9, September 2005) in OR Manager
Provides facts and figures on how the nursing shortage is affecting the OR from the 2005 OR Manager Salary/Career Survey.

The Nursing Shortage:  Can We Look to Teachers as a Source of Support?
(Volume 40, #3, July-September 2005) in Nursing Forum
Reveals the crucial role teachers play on the selection of nursing as a career choice by students.

Experts on Global Nursing Shortage Give Recommendations to Stem Crisis
(Volume 22, #16, August 22, 2005) in Legislative Network for Nurses
Presents international and national recommendations for action.

Projections and Trends in RN Supply:  What Do They Tell Us About the Nursing Shortage?
(Volume 6, #3, August 2005) in Policy, Politics, & Nursing Practice
Documents a more immanent and stronger decline in RN supply than initially presented; details policy actions to improve education and employment.

Winged Migration:  International Nurse Recruitment--Friend or Foe to the Nursing Crisis
(Volume 10, #2, pg. 89-95. Summer 2005) in Journal of Nursing Law
Examines the issues and concerns surrounding international recruitment.

Stack the Deck: Don't Be Hamstrung by a Single Nursing Strategy to Solve Your Nursing Shortage
(Volume 8, #6, June 2005) in HealthLeaders
Provides practical ways to address the nursing shortage.

Nursing Workforce Development: Strategic State Initiatives [RT-86.73-.C54-2005]
This 2005 monograph outlines a blueprint for designing a national change process network in response to the nursing shortage.

The Financial Impacts of the Nursing Shortage 
(Volume 31, #3, Spring 2005) in Journal of Health Care Finance
Presents the multiple factors leading to the nursing shortage and documents the financial impact of the shortage on hospitals and health care providers, the government, society and educational institutions.

Faces of the Nursing Shortage:  Influences on Staff Nurses' Intentions to Leave Their Positions or Nursing
(Volume 35, #5, May 2005) in JONA:  The Journal of Nursing Administration
Examines the relationship between organizational commitment, job satisfaction, and nurses' intention to leave their current position or nursing.

Importing Nurses: Combating the Nursing Shortage in America
(Volume 83, #2, Spring 2005) in Hospital Topics: Research and Perspectives on Healthcare
Discusses the positive and negative aspects of utilizing foreigh-educated nurses (FENs) in addressing the nursing shortage.

Is the Shortage of Hospital Registered Nurses Getting Better or Worse?  Findings from Two Recent National Surveys of RNs
(Volume 23, #2, March-April 2005) in Nursing Economic$
Outlines the present state of the nursing shortage.

California Nurse Leaders Address the State's Nurse Shortage
(Volume 3, #1, February 2005) in Nurse Leader
Documents the initiatives undertaken by the California Institute for Nursing and Health Care (CINHC) to address the lack of nurses in California.

Resolving the Nursing Shortage:  Finding Passion and Joy in Nursing
(Volume 25, #1, February 2005) in Urologic Nursing
Points out that passion and joy are needed in nursing to overcome the nursing shortage.

Nursing:  Profession in Peril
(Volume 21, #1, January-February 2005) in Journal of Professional Nursing
Strategies for institutional and individual action are advanced for the nursing faculty shortage challenge.

Using Empowerment to Build Trust and Respect in the Workplace:  A Strategy for Addressing the Nursing Shortage
(Volume 23, #1, January/February 2005) in Nursing Economic$
This study of 273 staff nurses found the higher levels of structural empowerment positively influenced perceptions of interactional justice, respect, and trust in management, which, ultimately, increased perceptions of job satisfaction and organizational commitment.

Public Policy and the Nursing Shortage
(Volume 35, #1, January 2005) in JONA:  Journal of Nursing Administration
Contains the following articles:

  • An Overview of Public Policy and the Nursing Shortage (Robert Kaestner)
  • Causes and Consequences of the Nurse Shortage:  Developing a Solution in Illinois (Joan Shaver)
  • Employment Conditions at the Bedside:  A Cause of and Solution to the RN Shortage (Lynn Y. Unruh)
  • Public Policy and Nurse Staffing:  What Approach Is Best? (Joanne Spetz)
  • The Policy Implications of Staffing-Outcomes Research (Sean P. Clarke)
  • Public Policy Initiatives and the Nursing Shortage:  A Disconnet (Noreen M. Sugrue)

The Nursing Faculty Shortage:  Hospitals Take Action
(Volume 57, #10, November/December 2004) in Trustee
Hospitals need to be involved in ensuring the viability of the nursing profession by offering strategic support of nursing educators.

Surviving the Nursing Shortage:  Developing a Nursing Orientation Program to Prepare and Retain Intensive Care Unit Nurses
(Volume 35, #6, November/December 2004) in The Journal of Continuing Education in Nursing
A hospital developed an educational program so comprehensive that they were able to increase their nursing staff by 20%.

The Nursing Shortage and Its Impact on Retention and Recruitment
(Volume 21, #3, Fall 2004) in SCI Nursing
The involvement of many organizations is needed to overcome the shortage of nurses.

Reduce the Nursing Shortage:  Help Inactive Nurses Return to Work
(Volume 35, #5, pg. 211-215, September/October 2004) in The Journal of Continuing Education in Nursing
Shows the importance of flexibility for refresher courses allowing inactive nurses to return to work.

Nursing a Shortage:  Vacancies Dip, But Lack of Instructors Adds to Woes
(Volume 34, #36, pg. 14, September 6, 2004) in Modern Healthcare
The lack of nursing faculty contributes to nursing schools turning away qualified applicants.

Nurse Shortage or Nursing Shortage:  Have We Missed the Real Problem?
(Volume 22, #4, pg. 200-2003, July-August 2004) in Nursing Economic$
The use of technological tools employed by the nurse as positional leverage in reducing the effects of the nursing shortage.

Recruitment and Retention of Nurses:  Challenges Facing Hospital and Community Employers.
(Volume 17, #3, pg. 79-92.  July 2004) in Canadian Journal of Nursing Leadership
Successful recruitment and retention initiatives depend on the ability and willingness of healthcare organizations to address the concerns of nurses and develop attractive work environments for newly graduated nurses and experienced nurses.

Creating a Desirable Future for Nursing, Part 1: The Nursing Shortage Is a Lack of Creative and Systemic Thinking
(Volume 34, #4, pg. 163-166, April 2004) in JONA: Journal of Nursing Administration
The authors of this article argue for a qualitative approach to the nursing shortage problem.

Where Have All the Nurses Gone?: The Impact of the Nursing Shortage on American Healthcare. 2004.
This 2004 book provides a compelling call for action to counter the nursing shortage and ensure that "caring" regains its premium status in healthcare.

Saving Nurses, Saving Patients: Responses to the Labor Crisis
(Volume 19, #4, pg. 193-197, January/February 2004) in Journal of Medical Practice Management
Documents the efforts taken by various organizations to address the nursing shortage.

Caring for Our Aging Population: Strategies for Confronting the Nursing Shortage.
(Volume 2, #2, pg. 99-115, Fall/Winter 2003) in Nursing and Health Policy Review.

Nursing Supply Through an International Lens. (Volume 2, #2, pg. 117-126, Fall/Winter 2003) in Nursing and Health Policy Review.

Nursing Leadership and Strategy Reports: Future for Hospital Nursing. Revitalizing the Nursing Profession: Strategies for Addressing the Nursing Shortage and Reclaiming the Quality High Ground. 2003.
This 2003 book provides the best emerging ideas for enlarging the nursing supply.

Nursing Leadership Forum (Volume 8, #1, Fall 2003)
Contains the following articles:

  • Combating the Nursing Shortage: Vermont 's Call to Action
  • Tackling the Nursing Shortage in Rural America ...
  • A Rural State's Response to the Nursing Shortage: Nevada 's Story
  • A Specialty Organization Addresses the Nursing Shortage
  • A Collaborative Effort Between Nurse Leaders to Address the Hospital Nursing Shortage
  • Addressing the Shortage: Strategies for Building the Nursing Workforce
  • Career Development Programs at Landspitali University Hospital

The Nursing Shortage: Strategies for Recruitment and Retention in Clinical Practice and Education. 2003.
This 2003 book edited by a nursing professor presents an overview of innovative initiatives to combat the nursing shortage.

Rx for the Nursing Shortage: A Guidebook. 2003.
This 2003 book by two nurse executives provides strategies for recruiting and retaining nurses.

Surviving the Nursing Shortage: Strategies for Recruitment and Retention. 2003.
This 2003 book offers "how-to" tips and tools to attract and retain nurses.

Analysis of the Nursing Workforce Crisis: A Call to Action
(Volume 103, #4, pg. 66-74, April 2003) in AJN: American Journal of Nursing
Provides an integrative review of previous reports on the nursing shortage and presents recommendations after an analysis has been done.

Policy, Politics, & Nursing Practice (Volume 3, #4, November 2002)

Contains the following articles:

  • Nurse Staffing and Quality of Care in Hospitals in the United States
  • Health Care's Human Crisis: The American Nursing Shortage
  • Nursing Human Resource Planning in Alberta : What Went Wrong?

New HHS Report Forecasts Worsening Nursing Shortage
(July 2002, Bureau of Health Professions, Health Services and Resource Administration, U.S. Department of Health and Human Services) -- Shows supply and demand projections for nurses from 2000 to 2020.

Nursing in the Crossfire
(Volume 346, #22, May 30, 2002 of New England Journal of Medicine)
The state of nursing is assessed in this health policy report.

Policy, Politics, & Nursing Practice (Volume 3, #2, May 2002)
This issue has 2 articles on the nursing shortage.

Health Care's Human Crisis: The American Nursing Shortage 2002. This Robert Wood Johnson Foundation report by Bobbi Kimball and Edward O'Neil outlines the cross-sector changes being implemented to deal with the American nursing shortage.

JONA's Healthcare Law, Ethics, and Regulation (Volume 3, #4, December 2001)
This issue provides several articles on the nursing shortage.

Russ Coile's Health Trends (Volume 14, #1, November 2001)
This special report outlines solutions to the labor shortage in nursing and healthcare.

Policy, Politics & Nursing Practice (Volume 2, #4, November 2001)
The particular issue above has 2 articles on the nursing workforce shortage.

Policy, Politics, & Nursing Practice (Volume 2, #3, August 2001)
This Perspectives on the Nursing Shortage issue has 9 articles.

Implications of an Aging Registered Nurse Workforce
A study by Buerhaus, Staiger, and Auerbach in the June 14, 2000 issue (Vol. 283, #22) of JAMA.
Documents the demographic graying of the RN workforce and its impact on workforce requirements.

Nurses' Reports on Hospital Care in Five Countries
This article by Linda Aiken et al. in the May/June 2001 issue (Volume 20, #3) of Health Affairs is available in pdf. Cross-national comparisons in 5 countries reveal a high level of dissatisfaction and role strain among nurses.

Perspectives on the Nursing Shortage: A Blueprint for Action. 2000.
This 2000 monograph is published by the American Organization for Nurse Executives (AONE).

Nursing Staff in Hospitals and Nursing Homes: Is It Adequate? 1996.
This book from the Institute of Medicine in 1996 describes the state of affairs for nurse staffing.


The list of resources on this page is not intended to be complete or comprehensive. The selected resources included are representative of the subject area covered and are an excellent starting point for further research. Additional print and electronic information can be found by conducting your own literature search, consulting other library collections, or contacting a professional librarian/informationist for assistance. Please check with your local library to determine availability of these resources and local library access to national interlibrary loan networks for resources not owned locally. This list of resources is updated regularly as new resources are identified by the Mayo Clinic Libraries, Mayo Clinic College of Medicine.

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