A Public Health Nursing Shortage
A Public Health Nursing Shortage
In 1980 there were 219 public health nurses per 100,000 people; by 2000 this number had dropped to 158 per 100,000, according to a 2008 report by the Robert Wood Johnson Foundation. Fewer nurses are entering this fieldâ€”even as their services are in greater demand. Last yearâ€™s Patient Protection and Affordable Care Act and Health Care and Education Reconciliation Act extend the provision of prevention and wellness services that are often provided by public health nurses. In light of a predicted general shortage of 1 million nurses by 2020, the Institute of Medicine, in its recentÂ Future ofÂ Nursing report, stressed the importance of â€œattracting and retaining well-prepared nurses in multiple care settings,â€ including those in public health. A Public Health Nursing Shortage
Although a bachelor of science inÂ nursingÂ (BSN) degree isnâ€™t universally required for entry into public healthÂ nursing, itâ€™s practically essential. The U.S. military, U.S. Department of Veteranâ€™s Affairs, U.S. Public Health Service, many hospitals, and some states require a bachelorâ€™s degree as the minimum educational preparation for nurses. Yet most RNs with diplomas or associateâ€™s degrees donâ€™t continue their education and are thus ineligible to work in public health. TheÂ 2008 National Sample Survey of Registered NursesÂ found that only 12.4% of nurses who obtained a diploma or associateâ€™s degree between 2001 and 2004 went on to earn an additional degree.
Unfortunately, recruiting nurses to BSN programs for the study of public health isnâ€™t as simple as hanging a â€œhelp wantedâ€ sign. Among the formidable barriers is a lack of information about public healthÂ nursingÂ in associateâ€™s degree program curricula, which typically expose students to hospital-based and long-term careÂ nursingÂ almost exclusively. Associateâ€™s degree students may be more likely to consider completing a BSN and working in this field if theyâ€™re taught about the role of public health nurses as educators and case managers and learn about the potential advantagesâ€”autonomous practice and flexible hours, for instanceâ€”of a career in public health.
Other barriers facing students who seek to further their education include a significant outlay of time and money, personal and family issues related to these challenges, and the complexity of the application process. Structured advising and professional mentoring that focuses on each studentâ€™s particular needs can help address these concerns.
TheÂ nursingÂ student support staff at the University of Wisconsinâ€“Green Bay Professional Program inÂ Nursing, which specializes in RN-to-BSN education, speak to students earning their associateâ€™s degrees in the classroom and at educational fairs, for instance, emphasizing that professional options are more plentiful for nurses who attain a BSN. In addition, these students are offered guidance on the procedures to follow when transferring credits. Two BSN-levelÂ nursingÂ courses, Community HealthÂ NursingÂ andÂ NursingÂ Research, are also offered to select students before they formally matriculate into the BSN-completion program, speeding up the time it takes to achieve this degree.
We must nurture in all students the belief that an associateâ€™s degree is just the first step on the way to a BSN or more advanced degree. Doing so will enable us to develop a public healthÂ nursingÂ workforce that meets the intensifying demands placed on this field.