San Diego nurse shortage continues to impact care delivery

KUSI News
18 Apr 202306:17
EducationalLearning
32 Likes 10 Comments

TLDRThe nursing shortage crisis, exacerbated by the pandemic, is impacting healthcare delivery with many nurses retiring or seeking alternative careers due to burnout. The average nurse is 52, and with an aging population, the demand for care is increasing. To address this, healthcare systems like Palomar Health are implementing innovative solutions, such as retention bonuses and family-friendly activities, to keep nurses on staff and improve patient care ratios. Despite efforts, the pipeline issue persists, with nursing programs turning away eligible students due to faculty shortages. The solution requires a multifaceted approach and collaboration across government, healthcare systems, and educational institutions.

Takeaways
  • πŸŒͺ️ The nursing shortage is a growing issue that has been exacerbated by the pandemic but began in 2012 with an anticipated retirement wave.
  • πŸ₯ The average age of nurses is 52, indicating a significant number of retirements over the next 15 years, coinciding with an aging population in need of care.
  • πŸ’Έ Many nurses have turned to lucrative travel nursing positions, impacting hospital budgets and staffing.
  • πŸ“‰ High turnover rates in the nursing profession, ranging from 8.8% to 37%, are attributed to factors such as burnout and career changes.
  • 🚫 The pandemic led to furloughs and some nurses permanently leaving the profession, further complicating the shortage.
  • πŸŽ“ Nursing programs turned away 92,000 eligible students due to a shortage of faculty, contributing to the pipeline issue.
  • πŸ’° Government intervention includes an $8 million investment to bolster faculty within nursing programs, though it will take 2-4 years to see the impact.
  • πŸ† Palomar Health is implementing innovative retention strategies, including a $100,000 retention bonus for nurses committing to 3 more years of service.
  • πŸŽ‰ Efforts to combat burnout include organizing family-friendly activities and events to support nurses and their families.
  • πŸ“š Palomar Health is engaging with young students through STEM education and career exposure to address the pipeline issue.
  • 🌟 Despite the challenges, there is hope that a collaborative focus on retention, pipeline, and burnout solutions will make a difference in the healthcare system.
Q & A
  • What is the current situation regarding the nursing shortage?

    -The nursing shortage is a significant issue that has been exacerbated by the pandemic. It is not just brewing but is already upon us and continues to worsen. Many nurses have become burnt out, and there is a high turnover rate due to the demanding nature of the profession.

  • When did discussions about the nursing shortage begin?

    -Discussions about the nursing shortage started around 2012, well before the pandemic. However, the situation has become much more critical in recent years.

  • How does the aging population of nurses impact the healthcare system?

    -The average age of nurses is 52 years old, which means that over the next 15 years, a significant number of nurses are expected to retire. This coincides with the aging baby boomer population that will require more healthcare services, leading to a potential mismatch between the demand for care and the available workforce.

  • What factors contribute to the high turnover rates among nurses?

    -Turnover rates among nurses are high due to a variety of factors, including burnout from the demanding nature of the job, the lucrative opportunities for travel nursing that emerged during the pandemic, and the decision of some nurses to pursue different career paths after going through nursing programs.

  • How did the pandemic affect nurses and the healthcare system?

    -During the early days of the pandemic, many nurses were furloughed as healthcare systems reduced elective surgeries to maintain capacity for potential COVID-19 patient surges. Some nurses decided to change their career paths permanently, and those who remained faced high patient-to-nurse ratios, leading to increased stress and burnout.

  • What is the status of nursing programs in terms of admitting new students?

    -Nursing programs are facing a pipeline issue, with a shortage of faculty leading to the rejection of 92,000 eligible students last year. This exacerbates the existing nursing shortage.

  • How is the government addressing the nursing shortage?

    -The government has invested $8 million to bolster faculty within nursing programs. However, it will take 2 to 4 years before these new faculty members can make a significant impact on the ground.

  • What strategies is Palomar Health implementing to retain nurses?

    -Palomar Health is focusing on retention by offering retention bonuses of up to $100,000 for nurses who commit to staying with the organization for three more years. They are also organizing family activities and events to help reduce burnout and make employees feel appreciated.

  • How is Palomar Health engaging with the community to address the nursing shortage?

    -Palomar Health is reaching out to the community by encouraging K-3rd graders to engage with STEM education, sending out STEM kits, and inviting young people to their campus to explore healthcare career possibilities through programs like the Middle School MD program.

  • What is the long-term outlook for addressing the nursing shortage?

    -Addressing the nursing shortage is a complex issue that will require ongoing efforts from healthcare systems, government, and educational institutions. While immediate solutions are needed, the full impact of current initiatives will not be felt overnight.

  • How can the experiences of burnt-out nurses be leveraged to improve the situation?

    -By turning some of the burnt-out nurses into educators and faculty members, the healthcare system can benefit from their valuable experience while also addressing the shortage of nursing instructors.

Outlines
00:00
πŸ₯ The Impact of Nursing Shortage on Healthcare Systems

This paragraph discusses the nursing shortage crisis, highlighting its exacerbation due to the pandemic. It features Kristen Gaspar, CEO of the Palomar Health Foundation, who explains the reasons behind the shortage, including the average age of nurses being 52, leading to a significant number of retirements over the next 15 years. The aging population and high burnout rates, exacerbated by the pandemic, are also discussed. The challenges of budgeting and staffing due to the increase in travel nursing positions are addressed, as well as the impact of the pandemic on elective surgeries and nurses' career choices. The paragraph emphasizes the complexity of the issue and the need for solutions at various levels, including government, health systems, and nursing programs.

05:01
πŸŽ“ Pipeline, Burnout, and Retention Solutions in Healthcare

The second paragraph focuses on the strategies being implemented to address the nursing shortage, particularly at Palomar Health. It discusses the efforts to engage young students in STEM education and the initiatives to retain existing nurses, such as offering retention bonuses. The paragraph also highlights creative measures taken to appreciate employees and their families, like hosting family activities and events. The speaker expresses hope that these efforts, if adopted by other health systems, can make a significant difference in the nursing shortage crisis. The paragraph concludes with a call for continued action and the understanding that solutions will take time to manifest.

Mindmap
Keywords
πŸ’‘Nursing Shortage
A nursing shortage refers to a situation where there is an insufficient number of nurses to provide adequate care to patients. In the context of the video, it is highlighted as a significant issue that has been exacerbated by the pandemic, leading to many nurses retiring or seeking other career paths due to burnout.
πŸ’‘Health Care System
The health care system encompasses all the organizations, institutions, and resources dedicated to providing medical care, health services, and facilities to individuals and communities. In the video, the impact of the nursing shortage on the health care system is discussed, emphasizing the challenges in delivering care due to the lack of nurses.
πŸ’‘Burnout
Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. It is particularly relevant to the video as it is cited as a major factor contributing to the nursing shortage, with nurses experiencing high levels of stress and patient-to-nurse ratios during the pandemic.
πŸ’‘Travel Nurses
Travel nurses are registered nurses who move from one location to another to fill temporary staffing gaps in healthcare facilities. The video discusses how the pandemic made becoming a travel nurse more lucrative, leading some nurses to switch from permanent positions to these temporary roles.
πŸ’‘Turnover Rates
Turnover rates refer to the rate at which employees leave a company or organization and need to be replaced. In the video, high turnover rates in the nursing profession are discussed as a contributing factor to the nursing shortage, with rates varying depending on specialty and geographic location.
πŸ’‘Aging Population
An aging population refers to a demographic trend where the median age of a population increases over time, leading to a higher proportion of older individuals. The video connects this trend to the nursing shortage, as the increasing number of elderly individuals will require more healthcare services, thus increasing the demand for nurses.
πŸ’‘Elective Surgeries
Elective surgeries are medical procedures that are scheduled in advance and are not considered emergencies. In the context of the video, elective surgeries were initially halted during the pandemic to maintain hospital capacity for potential COVID-19 patients, which impacted the nursing workforce and contributed to the shortage.
πŸ’‘Retention Bonus
A retention bonus is a financial incentive offered to employees to encourage them to stay with an organization beyond a certain period. In the video, it is mentioned as a strategy by Palomar Health to retain nurses by offering significant financial rewards for extended commitment.
πŸ’‘Pipeline Issue
A pipeline issue refers to a problem in the supply chain or, in the context of the video, the process of training and preparing individuals for a profession. The nursing pipeline issue discussed in the transcript relates to the inability to admit all eligible students to nursing programs due to a shortage of faculty.
πŸ’‘STEM Education
STEM education stands for Science, Technology, Engineering, and Mathematics education. It is a pedagogical approach that integrates these fields to promote critical thinking and problem-solving skills. In the video, STEM education is used as a strategy to engage young students in healthcare careers, potentially addressing future nursing shortages.
πŸ’‘Workforce Solutions
Workforce solutions refer to strategies and initiatives designed to address challenges related to employment and staffing within an organization or industry. In the video, workforce solutions are discussed in the context of tackling the nursing shortage through various measures such as retention bonuses, pipeline programs, and improving work-life balance for nurses.
Highlights

The nursing shortage is a growing issue that has been exacerbated by the pandemic but began in 2012.

The average age of nurses is 52, indicating a significant number will retire over the next 15 years.

The aging population will increase the demand for healthcare services, coinciding with the expected nurse retirements.

High turnover rates in the nursing profession, ranging from 8.8% to 37%, contribute to the shortage.

Burnout is a major factor in the nursing shortage, especially during the pandemic with high patient-to-nurse ratios.

Many nurses were furloughed during the pandemic, and some chose not to return to the profession.

Nursing programs turned away 92,000 eligible students due to a shortage of faculty.

Health systems must adapt and adjust to the changing landscape, including government intervention with funding.

Palomar Health is implementing innovative methods to retain nurses, such as retention bonuses.

The Palomar Health Foundation is focusing on employee appreciation and family inclusion to combat burnout.

Palomar Health is engaging in out-of-the-box thinking, such as hosting family activities and events to support staff.

Efforts are being made to encourage young students in STEM education and healthcare career paths.

The Middle School MD program is bringing young students to explore healthcare careers.

The solution to the nursing shortage is challenging and will require a multifaceted approach.

Health systems within the region are focusing on addressing the pipeline, burnout, and retention issues.

The nursing shortage is a critical issue that requires immediate attention and long-term solutions.

There is hope that collaborative efforts between health systems can make a significant difference in the nursing shortage.

Transcripts
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