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The U.S. needs more nurses, but nursing schools don't have enough slots or instructors

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Across the country, hospitals desperate for nurses — especially in acute care —are trying to address intense burnout among health care workers and accelerated nurse retirements by hiring new graduates. They're offering jobs to students even before they graduate, and in many cases offering bonuses and loan repayment as financial incentives. And the interest is there; enrollments and applications in baccalaureate and advanced nursing degree programs increased last year. Leaders in nursing say the trends — which predate the pandemic — are the same for certificate programs in licensed practical nursing, licensed vocational nursing and certified nursing assistants programs.

Yet — paradoxically — becoming a nurse has become more difficult, narrowing the pipeline for new nurses coming through the system.

One of the biggest bottlenecks in the system is long-standing: There are not enough people who teach nursing. Educators in the field are required to have advanced degrees yet typically earn about half that of a nurse working the floor of a hospital.

The pandemic worsened those financial strains, forcing many educators to look for more lucrative work, says Sharon Goldfarb, who has advanced degrees in nursing care, has worked as an RN and family nurse practitioner and teaches nursing at several schools near San Francisco. Her spouse lost his job during the pandemic and that is one of the most common reasons educators are leaving, she says. She surveyed 91 community colleges in California and found nursing faculty declined 30% since the pandemic began. ...

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