The Upcoming Nursing Shortage- How You Can be Best Positioned to Capitalize

By Stephanie Larkin

There are a variety of reasons why there is a shortage of nurses, and just as many reasons for why the shortage is expected to grow. The cost of healthcare is astronomical, and continues to get higher. One way that hospitals are dealing with the rising costs of healthcare is to increase the duties that everyone performs. Jobs that used to be handled by a physician are taken care of by nurse practitioners. In addition, nurse anesthetists do much of the work that anesthesiologists did, and registered nurses are required to perform a variety of functions, from administering medicine and taking vital signs to helping a patient to the restroom.

As a nurse's responsibilities increase, it takes more nurses to run the same size hospital. While this may not seem like a way to cut costs, every duty that can be taken from a doctor and passed to a physicians assistant, nurse, or technician is a huge savings.

Another reason that there is an increasing gap between the number of nurses available and the number that is needed is because of the aging population. As the baby boomer population ages, not only does that reduce the number of nurses due to retirement, but the aging population is at greater need for healthcare services.

A final reason that there is a nursing shortage is because of all the advancements in the healthcare industry. New treatments are helping people live longer and survive illnesses that were previously thought of as death sentences. While this is wonderful news, it creates more openings in the nursing industry as new jobs open up in different sectors of the healthcare industry.

Many nurses also choose to work outside of their main career path. Many registered nurses move from the clinical setting into writing patient brochures for pharmaceutical companies or employee wellness newsletters. There are numerous careers that are open to someone with a strong medical background but do not want the stress of working in a clinical setting.

What Can I Expect in the Future?

Education is crucial to being in the best position for the nurse shortage. If you are a registered nurse, consider getting your bachelor's degree, if you have your bachelor's, think about getting a master's in a health related field, or your nurse practitioner's license. Any advanced degree will make you a more attractive candidate when job hunting.

Also, make an effort to stay up to date on new technology and new medical advancements. No one expects you to know every new development. However, by following developments in your field, if you choose to branch into management or a side career, as a writer or training coordinator, for example, you will know what is going on in the field, and will be capable to discuss it at length. Any outside research you can conduct can demonstrate a willingness to be "self-starting" and can help set you apart from the other applicants.

As more and more nursing duties are computerized, it is important to be comfortable using new technology. Many hospitals use hand held computers to enter patient information, and a computerized approach to dispensing medication, so it is important that you remain confident that you can use these computerized systems.

As more hospitals merge and are taken over by large corporations, the work environment gradually changes. The informal tone many hospitals sought after is becoming more formal. While there is no end in sight to nurses wearing scrubs, the way that nurses deal with coworkers and supervisors could become more formal. You should polish your business skills, know how to follow the chain of command and use a professional manner when speaking with those you work with. Some informality and stress induced behavior will always be part of the hospital culture, but as more hospitals become corporate enterprises, the importance of behaving professionally increases.

Due to the shortage of nurses, there is no reason for a nurse to be unable to find the right job or be stuck in a job that he or she does not like. The best way to position yourself for a lucrative healthcare career is to invest in your own education, stay up to date on new technologies, and develop your professional skills.

A Career in Psychiatric Nursing

What is Psychiatric nursing?

Psychiatric nursing is a flexible profession, which involves the application of expertise that evolves out of a wide range of knowledge and addresses many concerns. Not all mentally challenged patients receive sufficient medical care and support from family and friends, to help in effectively conveying the illness to the medical establishment. These patients have impaired ability to process information.

Psychiatric nursing is ideal to help reorganize relationships and nursing responses. The nurse is required to be engaged and self-directed in the on-going professional development. It is the responsibility of the nurse to practice leadership within the paradigms of the profession and the community at large.

Levels of Education in Psychiatric Nursing

Clinical practice of psychiatric nursing takes place at two levels.

-Basic: At this level, registered nurses work with families, individuals, communities and groups. They diagnose the mental ability and define the nursing plan. They are also responsible for putting the plan into practice and assessing the nursing care.

-Advanced: At the advanced level, psychiatric nursing requires nurses to possess Masters Degrees in Psychiatric Nursing. They take the role of Nurse Practitioner or Clinical Nurse Specialist. They evaluate, diagnose and treat families and individuals with psychiatric disorders and problems. These nurses work as researchers, professors with private agencies and programs and hospital administrators.

There are a number of programs available to pursue a career in psychiatric nursing. A two-year program for an associate degree in nursing, a hospital based three-year diploma in nursing and a university four-year bachelors degree in psychiatric nursing are just some of the available options. All graduates are eligible for the registered nurse license.

A degree in advanced practice registered nursing makes a person eligible to specialize in Forensics or Substance Abuse, Gero-psychiatric Nursing and Child-Adolescent Mental Health Nursing. There are few who specialize in consolation liaison, where they can counsel people who suffer from physical illnesses or suffer from psychiatric problems.

Many debates have been sparked over the relationship between the psychiatric patient and nurse. Besides the medical and education qualification, a psychiatric nurse should possess compassion and understanding, to create a bond of trust with the patient. A patient usually appreciates the efforts of a nurse who makes an attempt to understand his situation and works diligently towards improving it. The nurse is also expected to manage ethical dilemmas. This profession demands the patience to tackle all kinds of mental and emotional upheaval.

Salary

Like most other professions, the salary in of a psychiatric nurse depends on the experience and the size and location of the hospital or agency. Psychiatric mental health nurses usually earn $35,000 to $40,000 per year. Advanced practice registered nurses earn $60,000 and above. Nurse executives earn $100,000 and above. Teachers and faculty members earn approximately $65,000 and above.

Future of Psychiatric Nursing

The demand for psychiatric nurses is expected to rise in the coming years. At present, there is an increase in the number of students pursuing careers in psychiatric nursing. You can access lots of information from books and journals, easily available online.

An Introduction to Psychiatric Nursing

By Rachel Jackson


What do psychiatric nurses do?

Psychiatric nurses are nurses who specialize in the treatment of those with mental disorders. They are sometimes known as mental health nurses. Psychiatric nurses may treat patients on an in-patient or out-patient basis, and may see those suffering from depression, bipolar disorder and many other types of mental health conditions. Psychiatric nurses work with those who are seriously ill as well as those who are taking proactive steps to improve their health.

Psychiatric nurses receive specialized training to become familiar with different types of treatment therapies as well as methods of effectively dealing with what at times can be extremely challenging behavior or non-compliant patients.

What are the challenges of psychiatric nursing?

One of the largest obstacles that a psychiatric nurse must overcome is the fact that many of the patients they are responsible for may not wish to receive treatment. There are few other specialties in medicine where the patient may not wish to be well. This reluctance to receive treatment may be present whether the patient is working as an outpatient or is in a secure psychiatric facility. This general unwillingness to receive treatment complicates the treatment process.

What specialized training does the psychiatric nurse receive?

Psychiatric nurses are trained in the administration of different types of psychiatric medications. Not only must they be comfortable giving medicines both orally and through intramuscular (IM) injections, they must know what types of side effects to watch for with each type of medication.

While medication is commonly used when treating mental health patients, the psychiatric nurse must also be familiar with the different forms of therapy used as part of the treatment plan. While a physician or counselor will be in charge of any psychotherapy the patient receives, the nurse must understand the concepts of the therapy as well as the goal. Since the nurse sees the patient more than the doctor or counselor, she can be on the alert for changes of behavior or worrisome new developments that may affect the patient's recovery.

Jobs for psychiatric nurses

There are a variety of career paths for those nurses that are interested in the mental health field. While most people think automatically of working in an in-patient facility, there are many other areas where psychiatric nurses are employed. Out-patient hospitals are commonly used for those mental health patients that pose no immediate threat to themselves or others. Additionally, many psychiatric nurses work in rehabilitation hospitals, to help patients who have suffered a stroke or other health problem and need help to reclaim their life.

Psychiatric nurses also work in many community based health clinics. They may work with the public, in an office, or make home visits to those in need of mental health care. Psychiatric nurses that work in this capacity often run community based addiction programs, providing counseling for those struggling with alcohol or drug dependency. Psychiatric nurses also work with the incarcerated population, both before and after trial. Many psychiatric nurses work in retirement communities and assisted living homes. As the population ages, the incidences of dementia are increasing, and psychiatric nurses are often best trained to deal with the increasing demands of an elderly patient suffering from dementia.

Types of psychiatric nurses

Licensed practical nurses and licensed psychiatric technicians are permitted to dispense medications to psychiatric patients. They also help maintain the patient's records. A registered nurse, or a specialized registered psychiatric nurse, can perform the same duties of the LPN, and also help with assessments and provide counseling (if trained). The RN that goes on to complete their masters or doctorate degree can work as a psychiatric nurse practitioner. In addition to other duties, the psychiatric nurse practitioner can provide psychiatric diagnosis and prescribe medications. In some states the psychiatric nurse practitioner can work independently, while in others they work under a physician.

Job outlook

The job outlook for psychiatric nursing, like many other types of nursing, is good. Several reasons for this are: Our aging population may increase the number of psychiatric nurses required in assisted living homes. As the cost of health care continues to increase, more insurance companies and private pay patients can make the decision to see a trained nurse rather than a more expensive doctor or counselor.

For those interested in taking on the challenge of working in this field, the career path is wide open. The job is well suited for those who enjoy a challenge, have the ability to think on their feet, and those who enjoy seeing their work directly help others. If you believe that this is the career path for you, talk to others in the field. They can give you insight on a typical day and tell you the particular challenges and rewards of working in the field of psychiatric nursing.

Hybrid Mentoring Solution to Nursing Shortage

A productive nurse mentoring program requires time, effort, and commitment - resources no registered nurse or healthcare-related organization can afford to waste these days. With web-based mentoring software, it cuts attrition in half in less than six months and streamlines the administration of nursing mentorship in direct care, education, administrative and research work environments.

Mentoring new nurses helps acclimate them to their new job roles and corporate environment. It boosts JCAHO compliance scores, nursing recruitment, nurse retention, staff nursing development, and ultimately, the quality of patient care. Also, a mentoring nursing program has a potential expense reduction of $50,000 per retained nurse (based on average turnover costs) according to a 1999 Nursing Economics financial implications analysis. In addition, a nurse mentoring program is an important criterion to attain Magnet Hospital status. Unfortunately, with the current nursing shortage, there aren't enough nurses to do patient care, let alone mentoring.

A successful mentoring program has many positive benefits and outcomes. In spite of that, it has its pitfalls. A blend of traditional face-to-face mentoring and eMentoring addresses two major issues found in mentoring situations - time constraints and distance constraints. This "hybrid" Mentoring in Healthcare Management System is "a personalized, on-demand collaborative mentoring experience that uses web-enabled technology and integrated knowledge sharing and management to quickly build knowledge, nursing skills, and capability to optimize human performance, anytime, anywhere, while providing the ability to track and measure results". Mentoring partners should use HIPAA compliant collaboration tools, such as e-mail, video conferencing, Instant Messenger and file transfer to discuss patient information, maintain patient confidentiality, and to carry out aspects of mentoring.

Hospitals, long-term care facilities, home health agencies, associations, schools and other healthcare-related organizations need customized mentoring solutions precisely tailored to their requirements. This solution would be used enterprise-wide or for a small group to automate the process of filling out forms, templates, and reports typically used to coordinate time-consuming and antiquated paper-based nursing mentoring programs. With a web-based system, after a nurse mentor or nurse preceptor completes a profile, a sophisticated matching algorithm will find a perfect match based upon such factors as skills, personality, personal information, and career background. The mentee or preceptee should choose his or her own nursing mentor or nursing preceptorship.

Best-practice mentoring guidelines need to be based on nursing research gleaned from the most respected nursing journals and nursing articles. Also, nursing staff development and training to manage and close gaps in organizational knowledge, nursing competency, and skills across an enterprise needs to be provided. Ideally, mentoring partners would be able to pick and choose from thousands of web-based staff training courses such as "JCAHO regulations", "JCAHO inspection", and other nursing contact hours.

A web-based platform needs to be easily adaptable and would also help administer a nursing preceptor program as well as a coaching, learnership, externship, internship, apprenticeship, residency, diversity, and tutoring program for nurses, new nurse graduates, nursing students, physicians, medical students, residents, pre-med students, and allied health professionals.

With a hosted, pay-as-you-go, and collaborative mentoring software solution, the system would need to be delivered on-demand from secure servers without any hardware, infrastructure or IT people necessary.

Nurse Salaries for Different Nursing Fields

By Robyn Knapp


Many new graduate nurses are readily offered jobs prior to graduation. The positions that they are offered are usually those with the title graduate nurse or GN. For the most part, new graduates are looking for employment near their home. Since the general nursing student is now in their early to late thirties, they have already established a secure family base. While jobs for graduate nurses are plentiful it helps to have some idea of how many jobs are actually offered throughout the United States. The wonderful fact of being a nurse is that they can work just about anywhere.

The following information should be helpful in getting some idea of the pay for different nursing fields. Hospital Nurse Recruiters will inform the new graduate nurse that obtaining a bachelor degree in nursing is favored. Many hospitals will offer some form of tuition reimbursement for those nurses who seek to obtain a BSN degree. Tuition reimbursement can go as high as one hundred percent to fifty percent. For nurses who work in hospitals, there is a world of opportunity to move into many different nursing specialties. As the nurse gains more experience in their field, their salary will also increase. The salaries listed below are not all inclusive, but merely present to the reader a general idea of the salary range that exists. The reader should keep in mind that each hospital will be unique in what type of salary is offered depending on the nurse’s qualifications and prior work experience.

Just as you might think, large cities like New York, Los Angeles, and Chicago hold the top spots for the number of nursing jobs available. The larger cities also have higher salaries and better benefits for their nurses. The tradeoff is longer hours and more stress in large city nursing jobs versus the small community jobs where hours are usually better and the number of patients to serve is lower.

The median expected salary for a typical Staff Nurse - RN in *Detroit**, MI*, is *$65,817*. This basic market pricing report was prepared using our Certified Compensation Professionals' analysis of survey data collected from thousands of HR departments at employers of all sizes, industries and geographies.

Job Description

Staff Nurse - RN:

Evaluates, plans, implements, and documents nursing care for an assigned patient population. Assists physician during examinations and procedures. Performs various patient tests and administers medications within the scope of practice of the registered nurse. Promotes patient's independence by establishing patient care goals and teaching patient and family to understand condition, medications, and self-care skills. Requires an associate's degree and is certified as a registered nurse. Familiar with standard concepts, practices, and procedures within a particular field. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A wide degree of creativity and latitude is expected. Typically reports to a manager or head of a unit/department.

Registered Nurse Salaries

Staff RNs working in the United States average a median base salary of $41,642. Half of all US RN's are expected to earn between $38,792 and $44,869. Nearly 67% of nurses are employed in hospital inpatient and outpatient settings. 32% of all nurses are employed in medical offices and clinics, home healthcare agencies, nursing homes, temporary help agencies, academia, and government agencies.

Learn more about nursing education at The Nursing Entrance Test Study Guide.

5 Strategies for Stress Reduction for Nurses

By: Michael Roth Dc

Do you feel as if you are being stalked by a grizzly bear? Is your system always on high alert? Do you experience headaches, body aches, digestive distress, anxiety, or sleeplessness? The common culprit behind these symptoms could be....STRESS!

What are the stressors in your life? Do you have neck or low back pain from lifting and transporting patients? Do you feel pulled in different directions, trying to meet the needs of your patients and their doctors? Are you trying to get more done in less time? "Stress" has become such a common household word that we use it to describe everything from the rush of the morning commute to the hours of homework our children complete after their mandatory club soccer practices.

Stress is harmful because stress imbalances every hormone system in your body. To achieve optimum health and an ideal body composition, you must focus on regular stress management. When you experience a stressor, there are three phases to your response: 1) the stressful event, 2) your inner appraisal of it, and 3) your body's reaction. The stress response is difficult to handle because once it begins, the mind has no control over it. Sitting in traffic or being criticized at work can trigger a stress response 'the "fight-or-flight" reaction ' that has no hope of being physically carried out, thus dissipating the hormones that create the body's call to action.

Although you may not be able to control the stressful event -- or your body's reaction to it -- your inner appraisal of it, the link between the event and your reaction, is up to you. The totally personal way in which you filter all events determines how stressful they are. Everyone has a different level of stress tolerance. What seems to create the greatest perceived threat in any given situation are these three factors: 1) lack of predictability, 2) lack of control, 3) lack of outlets for frustration.

5 Strategies to Manage Stress

1. Receive some bodywork. Massage therapy or chiropractic sessions can reduce the muscular and skeletal stress that result from tense, overwrought muscles. Caring for the physical body helps reset the emotional self as well.

2. Develop a practice of breath work. Breathing seems such a natural event; we often don't realize when our breath has become shallow and limited. When we breathe fully and deeply, expanding the air into the bottom of our lungs, we receive the full benefit of oxygenating our brain and body. Our brain is 2% of our body's weight and uses 20% of our body's oxygen! Lack of oxygen increases feelings of helplessness, fatigue, and uneasiness. Full, deep breaths help balance the nervous system.

3. Meditate. Make time once or twice a day to turn within and commune with the still small voice that is the "you" inside your physical body. Even if it is only for five minutes, turning your attention within can help reset your thoughts and feelings and refresh your perspective.

4. Exercise. Move your body! Walking, biking, swimming or dancing all get the blood moving, carrying fresh oxygen to all parts of your brain and body. The "fight or flight" response shared by humans and animals is extremely helpful when you are faced with physical danger, like that grizzly bear in the first paragraph. If the problem can be solved by "fighting," taking action to scare the bear away, or by "flight," running away so fast the bear can't harm you, the solution itself dissipates the stress and bodily functions return to normal. When stress is caused by a problem, situation, or condition that can't be solved through such a response, the impact extends for a longer period. Exercise helps dissipate the hormones that accumulate in the body when it is stressed.

5. Be here now. Keep your thoughts focused on the present moment. It is really all that you have. Fretting about past events or worrying about what may happen in the future both sap your ability to enjoy where you are right now. Reviewing the past and planning for the future are two abilities of higher reasoning that humans have that differentiate us from other mammals. Don't let circumstances take over your opportunity to see the gift that this moment brings you—that's why it's called the "present!"

Our bodies are wired for health and vitality, not for illness and disease. Health is how our bodies function, not how they feel. Health comes from the inside out. And, importantly, the choices we make play a part in our health and well-being. For more information on health and wellness, stress management, weight loss, and releasing emotional blocks that may be sabotaging your health, go to www.drmichaelroth.com or www.rothwellnesscenter.com.

Becoming a Nurse Educator is a Wonderful Career Choice

Registered nurses are teachers already! RNs teach patients and their families how to manage their illness or injury, including post-treatment home care needs, diet and exercise programs, and self-administration of medication and physical therapy. RNs mentor and precept new graduates and new hire staff as well as develop and implement ongoing continuing education activities within clinical settings. RNs combine their clinical expertise and passion for teaching others in thousands of ways every time they work. Nurse Educators make use of that same clinical expertise and passion for teaching to guide and shape the future of the nursing profession- one student at a time!

Do you want to be doing direct patient care when you're 63 and still waiting to be old enough to retire? I say leave bedside nursing to the younger nurses, give your sore back a rest, and turn your talents towards building the next generation of nurses instead!

Some RNs choose to advance their nursing career by moving into administrative or management positions, but the responsibilities and stress of management isn't for everyone. For those RNs who would enjoy keeping in touch with direct patient care and in shaping the future of nursing the best career path to think about is becoming a nurse educator!

Given the growing shortage of nurse educators, the career outlook is strong for nurses interested in teaching careers. Nursing schools nationwide are struggling to find new faculty to accommodate the rising interest in nursing among new students.

Teaching Nursing Offers Outstanding Career Flexibility

Most nurse educators work in colleges and universities that offer associate and baccalaureate programs in nursing, and some work as instructors for LPN courses while educators involved in clinical education also work at collaborating health care facilities.

A Master's degree in nursing is typically required to become a faculty member at a university but RNs with a Bachelors degree in nursing and clinical experience are the minimum basic requirements for clinical instructors.Nurse educators can work as full time faculty with all the benefits including tenure and retirement, or may choose to work as part time faculty while still continuing clinical employment and direct patient care. Nurse educators play a vital role in preparing and shaping future generations of nurses!

Earn a Master's in Nursing Education While You Work

You can earn an accredited Master's Degree in Nursing with a specialization in education or in health education online while maintaining your current job by investing just a few hours of study time per week through several schools.

Don't have a BSN Degree?

There's a fully accredited RN to MS in Nursing bridge program that allows busy nurses to take the fast track to earning their Masters in Nursing. Students earn both degrees in a fraction of the time at 1/2 the cost of traditional programs and don't have to give up their job to do it.

Make a difference today that will impact the entire profession for years to come. Become a Nurse Educator!