Four Challenges Facing the Nursing Workforce in the United States

Four challenges face the nursing workforce of today and tomorrow: the aging of the baby boom generation, the shortage and uneven distribution of physicians, the accelerating rate of registered nurse retirements, and the uncertainty of health care reform. This article describes these major trends and examines their implications for nursing. The article also describes how nurses can meet these complex and interrelated challenges and continue to thrive in an ever-changing environment.

Keywords

  1. Nursing workforce
  2. physician shortage
  3. registered nurse retirements

Get full text access

Log in, subscribe or purchase for full access.

References

Administration on Aging

Issue brief #11: Reaching diverse older adult populations and engaging them in prevention services and early interventions

Retrieved from Alzheimer’s Association Alzheimer’s disease facts and figures Alzheimer’s and Dementia. 2016; 12 Retrieved from Antos, J. ∙ Capretta, J. Republicans should take the time necessary to improve the American Health Care Act Retrieved from Association of American Medical Colleges

2017 update. The Complexities of physician supply and demand: Projections from 2015 to 2030. Final report. 2017;, 2017 Retrieved from

Auerbach, D. ∙ Buerhaus, P. ∙ Staiger, D. How fast will the RN workforce grow through 2030? Projections in nine regions of the country Nursing Outlook. 2017; 65:116-122 Auerbach, D. ∙ Buerhaus, P. ∙ Staiger, D. Will the RN workforce weather the retirement of the baby boomers? Medical Care. 2015; 53:850-856 Auerbach, D. ∙ Buerhaus, P. ∙ Staiger, D.

Registered nurses are delaying retirement, a shift that has contributed to recent growth in the nurse workforce

Health Aff (Millwood) Web Exclusive. 2014; 33:1474-1480 Baernholdt, M. ∙ Yan, G. ∙ Hinton, I. .

Quality of life in rural and urban adults 65 years and older: Findings from the National Health and Nutrition examination survey

The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association. 2012; 28:339-347

Bohmer, R.M.J. Leading clinicians and clinicians leading New England Journal of Medicine. 2013; 368:1468-1470 Buerhaus, P.I. ∙ Auerbach, D.I. ∙ Staiger, D.O. How should we prepare for the wave of retiring baby boomer nurses? Retrieved from Buerhaus, P. ∙ DesRoches, C. ∙ Dittus, R. . Practice characteristics of primary care nurse practitioners and physicians Nursing Outlook. 2015; 63:144-153

Buerhaus, P. I., Skinner, L., Staiger, D., & Auerbach, D. (In press). State of the RN workforce as a new era of health reform emerges. Nursing Economic$.

Buerhaus, P. ∙ Staiger, D. ∙ Auerbach, D. Implications of a rapidly aging registered nurse workforce JAMA. 2000; 283:2948-2954 Centers for Medicare and Medicaid Services Medicare program – general information Retrieved from Centers for Medicare and Medicaid Services NHE projections 2016–2025 Retrieved from Centers for Disease Control and Prevention The state of aging and health in America. 2013; 2013 Retrieved from Champlin, L. Maldistribution of primary care workforce challenges efforts [Press release] Retrieved from Colby, S.L. ∙ Ortman, J.M. The baby boom cohort in the United States: Population estimates and projections Retrieved from

DesRoches, C., Clarke, S., Perloff, J., O’Reilly-Jacob, M., & Buerhaus, P. (In press). The quality of primary care provided by nurse practitioners to vulnerable Medicare beneficiaries. Nursing Outlook.

DesRoches, C. ∙ Gaudet, J. ∙ Perloff, J. . Using Medicare data to assess nurse practitioner provided care Nursing Outlook. 2013; 61:400-407 Donelan, K. ∙ DesRoches, C. ∙ Dittus, R. . Perspectives of physicians and nurse practitioners on primary care practice The New England Journal of Medicine. 2013; 368:1898-1906 Goldman, D. ∙ Gaudette, É.

Strengthening medical care for 2030: Health and health care of Medicare beneficiaries in 2030. 2015;, 2015 Retrieved from

Graves, J. ∙ Mishra, P. ∙ Dittus, R. .

Role of geography and nurse practitioner scope-of-practice in efforts to expand primary care system capacity: Health reform and the primary care workforce

Medical Care. 2016; 54:81-89 Gudbranson, E. ∙ Glickman, A. ∙ Emanuel, E.J. Reassessing the data on whether a physician shortage exists Health Resources and Services Administration National and regional projections of supply and demand for primary care practitioners: 2013–2025 Retrieved from Institute of Medicine The future of nursing: Leading change, advancing health Retrieved from King, D.E. ∙ Matheson, E. ∙ Chirina, S. . The status of baby boomers’ health in the United States JAMA Internal Medicine. 2013; 173:385 Kirch, D.G. ∙ Petelle, K. Addressing the physician shortage JAMA. 2017; 317:1945-1946 Macy, Jr., Josiah ∙ Foundation Registered nurses: Partners in transforming primay care Retrieved from Ortman, J.M. ∙ Velkoff, V.A. ∙ Hogan, H. An aging nation: The older population in the United States current population reports Retrieved from Perloff, J. ∙ DesRoches, C. ∙ Buerhaus, P.

Comparing the cost of care provided to medicare beneficiaries assigned to primary care nurse practitioners and physicians

Health Services Research. 2016; Pittman, P. ∙ Forrest, E. The changing roles of registered nurses in pioneer accountable care organizations Nursing Outlook. 2015; 63:554-565 Pew Research Center, Washington, DC, 2016 Retrieved from Staiger, D. ∙ Auerbach, D. ∙ Buerhaus, P. Registered nurse labor supply and the recession—are we in a bubble? The New England Journal of Medicine. 2012; 366:1463-1465 U.S. Census Bureau 2014 national population projections Retrieved from West, L. ∙ Cole, S. ∙ Goodkind, D. . U.S. Census Bureau, P23-212, 65 + in the United States: 2010 U.S. Government Printing Office, Washington, DC, 2014 Retrieved from

Article metrics

Related Articles

Peter I. Buerhaus , PhD, RN, FAAN, FAANP(h) Affiliations

Center for Interdisciplinary Health Workforce Studies, College of Nursing, Montana State University, Bozeman

Lucy E. Skinner , BA Affiliations Center for Interdisciplinary Health Workforce Studies David I. Auerbach , PhD Affiliations Montana State University Douglas O. Staiger , PhD Affiliations Department of Economics, Dartmouth College, Hanover, New Hampshire National Bureau of Economic Research, Cambridge, Massachusetts

Show all references Expand All Expand Table

The content on this site is intended for healthcare professionals.

We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the Cookie Settings for this site.

All content on this site: Copyright © 2024 Elsevier Inc., its licensors, and contributors.
All rights are reserved, including those for text and data mining, AI training, and similar technologies.
For all open access content, the Creative Commons licensing terms apply.

RELX