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The shortage of nurses and nurse aides
is rapidly reaching the crisis point and is threatening
the quality of patient care,
witnesses told a Senate Committee on May 17.
"The public's demand for the highest
quality patient care at the lowest possible cost has come
face to face with the tightest
labor market in the past 30 years,"
Sister Mary Roch Rocklage, testifying on behalf of the American
Hospital Association, told the Senate Health, Education,
Labor and Pensions Committee.
"For example, government predictions
state that the nation will need 1.7 million nurses by 2020.
But just more than 600,000 will be available, making up
35% of the nurses that will be needed to care for the people
of this nation," she said.
Bill Scanlon of the Government Accounting
Office told the committee that several factors have combined
to create the current shortage.
They include
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the
aging of the current nursing workforce
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fewer
nurses and aides in the training "pipeline."
This is due to the availability of better-paying,
less stressful occupations, as well as job dissatisfaction
that is not only prompting nurses to leave the profession,
he said, but "also discouraging others from joining."
Although lawmakers have introduced several
bills aimed at beefing up recruitment and training of nurses
and nurse aides, witnesses said that working conditions
must be addressed at the same time.
"There
will be no solving today's nurse shortage without improving
the overall working conditions of nurses,"
Gerald Shea of the AFL-CIO, told the committee.
Michael Elsas, CEO of Cooperative Homecare
Associates of the Bronx, New York, told the committee that
the problem is even worse for the home-care aides he employs.
"Direct-care jobs have always been
of such poor quality that many paraprofessional workers
have long endured poverty-level wages, part-time hours,
and no benefits -- relegated to the bottom rung of respect
within the healthcare workforce hierarchy," Elsas testified.
"Now, however, the shortages and
high turnover are forcing a downward cycle of deteriorating
job quality. Those who do show up are forced to work 'short'
or able to offer only 'drive-by home care' as they rush
from one home across town to another," Elsas said.
The nation must start treating its paraprofessional healthcare
workforce "as the scarce resource that it is,"
he added.
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