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Health Care
in America
Carol Cornwell Strickland, PhD, RN
Associate Professor of Nursing Georgia Southern University School of Nursing
HEALTH STATISTICS
- GEORGIA vs. National
- Per capita spent on health care
- Uninsured populations
US & GA Uninsured 2003
Per Capita Uninsured Spending Under Age 65 Children Total
11.8%
US $5247 36.6% 15.6%
GA $4891 41.2% 16.3%
Source: Healthcare Georgia Foundation
HEALTH CARE IN
AMERICA
¾Types of Occupations
¾Health Care Settings
¾Levels of Prevention
Levels of Care
- Primary
- Secondary
- Tertiary
US Nursing Shortage
¾The Nursing Shortage
¾Why do we have a shortage?
¾How do education and
staffing affect patient care?
¾How will we address the
nursing shortage?
Nursing Shortage
¾US Bureau of Labor Statistics:
By 2012, shortage will = 1 million RN’s = Top occupation for job growth now until 2012
¾Health Resources & Service
Administration (HRSA)
30 States had shortages of RNs in 2000 44 States will have RN shortage by 2020
Nursing Shortage
¾NCSBN
- The number of RNs sitting for State Boards decreased by 10% from 1995 to
¾American Hospital Association
- 126,000 RNs needed now!
- 75% of all hospital vacancies are for RN positions.
Why Do We Have An RN Shortage?
¾ Enrollments
- Enrollments in school are not growing fast enough to meet projected demand for nurses over the next 10 years
¾ Faculty Shortages
- In 2004-5, schools turned away 32,797 students because there were not enough faculty.
- In the South, there is a 12% shortfall in the number of faculty needed.
Number of Candidates Decreases Number of Candidates Taking the NCLEX-RN® Exam First-Time, US Educated Candidates Only Program 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Diploma 7,335 6,346 5,240 3,978 3,161 2,679 2,310 2,424 2,565 3,
Baccalaureate 31,195 32,278 31,828 30,142 28,107 26,048 24,832 25,806 26,630 30,
Associates 57,908 55,554 52,396 49,045 45,255 42,665 41,567 42,310 47,423 53,
Total 96,438 94,178 89,464 83,165 76,523 71,392 68,709 70,540 76,618 87,
Why Do We Have An RN Shortage?
¾ Graying of the Workforce Fewer enrollments = OLDER RN workforce. In 3/2000: Mean age of RNs = 43.3 yo RNs under 30 yo:
How do education
and staffing affect
patient care?
