Nursing Jobs Poised For Big Changes In The Future

By: Chris Tepedino - July 12, 2014

Nursing jobs are poised for a change according to Philip Greiner, professor and director of the school of nursing at San Diego State University and member of the American Association of the Colleges of Nursing’s future task force. He spoke with U-T San Diego this past week and said there are many changes on the horizon.

Due to the ever-evolving nature of technology, the aging population, and the Affordable Care Act, nursing, which has already undergone many changes, will be poised for even more changes in the future. This includes a shift of setting from hospitals to long-term care facilities or group practice settings. There will also be a push for more nurses to obtain a baccalaureate degree, rather than a two-year associate’s degree.

Greiner also notes that some hospitals are launching nurse residency programs to help nurses become more seasoned. He expects there to be shift to preventing problems before they happen, rather than treating problems after they occur.

But even with a 19 percent growth in the occupation between 2012 and 2022 according to the Bureau of Labor Statistics, some believe that there will be a shortage of nurses not in the far distant future due to the more chronic disease and the obesity epidemic.

“I can’t say there’s a nursing shortage right now,” Carolyn Yucha, the Dean of the School of Nursing at UNLV said. “I think we have a sufficient number of nurses. What we don’t have is a sufficient number of experienced nurses.

“There’s every indication it’s going to get worse.”

Cheryl Parker, a San Diego-based RN-BC added to U-T San Diego on the changing roles of nurses:

“We need more nurses specialized in care of elderly and who can work … independently as more of us are focused on ‘aging-in-place’, therefore increasing the need for home health services. As in-patient hospital length of stays decrease, more care will be provided in transitional settings and at home. … I believe we will see more primary care services provided by nurse practitioners. As more people have access to insurance coverage (under the Affordable Care Act) the focus is shifting to preventive care in order to help our population stay as healthy as possible.”

Image via Wikimedia Commons

Chris Tepedino

About the Author

Chris TepedinoChris has been a writer since about forever. Follow him on Twitter, Pinterest, and/or Google+.

View all posts by Chris Tepedino
  • emma

    Nursing is a fragmented profession. I am a nurse with 25 years of experience. My current employer harassed me to quitting so they can hire a new graduate for less money. This is problem number one. I worked for a leading hospital in Troy, Michigan and poor management has seen a decline in revenue. This is problem number two. Yes, management blames Affordable Care Act. I blame the top heavy management staff…who wants to cut jobs at the top when you are the top? Nurses who work a 12 hour shift are cancelled in 4 hour blocks of time with no on-call pay to remain available for the remainder of the shift. This is problem number three. Lack of respect and professional treatment. Education? The bachelors vs associate nurse debate was present 27 years ago at my university. This is problem number four. Current hospital systems are hiring Bachelors of Science nurses and yet community colleges do not tell their students of the difficulty getting their first job. Yes, I enjoy being a nurse. However, I am happy that my children are going in another direction for their careers. Nursing is a fragmented profession. New graduates today want to continue into graduate education and go into Nurse Practitioner or Nurse Anesthetist. I do not blame them. Nursing is a hard physical job (with the obesity epidemic, patients are heavy), pay is stagnant, and retirement benefits are none. Good luck to us all because nurses are the first hand to touch our newborn life and the last hand to touch our dying self.

    • bara

      I understand. Went to Madonna. Things aren’t much different here in Dallas.

    • Judy Hall

      When I was young, nurses were for the most part educated in hospitals. (diploma nurse), then big college and university greed took over and hospitals no longer were teaching nurses. Instead of getting excellant clinical hands on training it shifted to theory and less hands on hence pitiful nurses and nursing care has gone down the tubes. I know. I’ve seen it getting worse and worse with each graduating class. Doesn’t matter… BSN MSN ADN.. they all suck.

      • GrandOldNurse

        Agreed Judy. You are 100% right. And no understanding on how to apply all that “book knowledge!!”

  • Bert

    Not surprising that someone who works for a nursing program would claim that demand for nurses is poised for a rise. The reality, however, is far different. There are thousands of nursing school graduates who cannot find jobs to massive oversaturation of the nursing market, old nurses who put off retiring due to the economy, and better paying/less strenuous jobs in other allied health fields. Just search the nursing forums for the real scoop on people who graduate with BSN’s, outstanding grades etc and cannot even get an interview for an RN position.

  • cavee

    The state of California has been over saturated with nurses of Pilipino decent. They came over years ago as travelers and the market has since been over saturated with nurses educated in the Philippines (in bogus schools), folks who claim they were doctors in the Philippines and they have taken the RN board because their medical education does not live up to US standards. Nursing care has diminished in California because of this influx of lousy nurses. New grads have to leave California to get a start in the field. I left a long time ago and do not miss California nursing. Please find another profession to go into. There is very little respect in the field.

    • Sade

      Excuse me! But if Filipino nurses are lousy, then California hospitals should not be filled with Filipino nurses otherwise nobody will hire them. That just simply tells you that they’re hard working people and they’re good on what they’re doing. Also, there’s a lot of great nursing schools in the Philippines that produces great nurses hence a lot of American employer go to Philippines and hire Filipino nurses there. And you don’t only see them in America but throughout the world. That’s because they’re known to be good and even great nurses. Know your facts before you write something stupid! Besides, if you’re a good nurse, one of hundreds of hospital in California should hire you. But then maybe you’re the lousy one!

      • cavee

        Lousy nurse because I am exposing the truths about the majority of those nurses.I was hoping that one of you would respond to the post. The hospitals that did hire them are now trying to bring some diversity and changes of nurses working in the hospitals. Have you heard? The BRN in California has stopped allowing foreign grads from taking the board. Filipino nurses have been the biggest reason that this change was made. Excuse me! American nurses should be posting on this blog and tell the truth. I meant what I said and if you have the guts to do so, ask your fellow nurses just how they really feel.

      • Terri Holliday

        Why are you so judgmental???
        No one said anything about Filipino nurses being lousy…..

    • Terri Holliday

      I find your comments very interesting…. I moved from Florida to California to work as a nurse and was totally discriminated against and pushed out by the nurses at Cedars Sinai…. the majority Filipino….. I was appalled…. being discriminated against in my own country by people from another country.. !!! and they will be dishonest, and whatever they need to do to push the American nurses out….. this is something that needs to be publicized……. there are plenty of American nurses who want and need a job…. I am sorry you left California for it is the best state to be a nurse in terms of pay and benefits…… people in this country need to stand up…….for their rights….. That is not to say all Filipinos are that way…. however, I found in that situation, Cedars must condone the behavior because it was so blatant… I do not even know why they hire American nurses at Cedars because they are all harassed, targeted and pushed out…… but, we as Americans and nurses need to stick together…. the more we become afraid and quit, which is what is happening, the more we are giving away our rights and freedoms…… I’ve thought that we do not have to worry about them sending our jobs over seas, we are screwed right here in our own country….

      • GrandOldNurse

        OMGosh Terry, I never thought I would ever see in print, someone saying the very same thing I’ve said for over 30+ years! I loved floor nursing. I lived and breathed working the floor. Couldn’t get enough, so in addition to shifts at MY hospital, I signed up for registry shifts. I worked all over SoCal/South Bay. Cedars, Centinela, UCLA, USCMC, HUCLAMC, DFH, LBM, Whittier, Lynwood…. Everywhere, the Filipinos were already “taking over” and clearly resented anyone who wasn’t Filipino working with them. I was treated like S#$%. My nursing supervisor took a position at Kaiser Sunset and I desperately wanted to follow her but she told me “No, you don’t! You would not like it. They’re all Filipinos….” One 7P-7A shift at Lynwood, I found myself all alone on a multiple bed tele floor. By 2100, every other nurse AND the monitor-tech (all Filipino) were gone. And I had no idea where. Their call-lights pinged all night, I simply could not do all my work and theirs, so I took care of my patients. They all wandered back around 5:30-6:00 AM after a good night’s sleep!! It was also the ONLY place I ever worked where the Night Supervisor never made an appearance all shift– She was Filipino also!!

        • Terri Holliday

          Hi GrandOldNurse:

          I am often afraid of leaving my name because I know very well retaliation of every kind is right around the corner… I hope others will follow suit….

  • bara

    I went to a 4 year program in Michigan. I have nearly 40 years in the profession. Todays new nurses are pitiful. They know all the theory but can’t do a patient assessment without 16 pieces of equipment. Experience is valuable, however hospitals aren’t willing to pay for it. I didn’t retire; I became disable after years of fighting druggies and drunks (years of working ER/trauma).
    I did my home health nursing rotation in the ghetto of Detroit. After being accosted on my first visit (little white nurse who grew up in Detroit), I learned real fast how avoid future problems. My parents did work hard to get us out of Detroit only for me to go back as a nursing student.
    Good luck to anyone who gets a new, unseasoned nurse as their health care provider.

    • Terri Holliday

      Then why don’t you help and support the nurses to do better assessments, rather than judge them???? We need an attitude change with our co-workers…… and ourselves…..

  • Jeff Martin

    Seems like a lot of bitterness towards new nurses from the experienced of the field. I myself am going into nursing, and can definitely say its not for the money, but for the fact I’ve seen what happens first thing in a hospital setting. I also have a mother who has 40 yrs experience as a nurse and she is less bitter than some of these comments from so called experienced nurses. Why not try fixing the problem by actually teaching future nurses rather than talking down about them….after all you will be in those elderly shoes one day. shame on anyone who has the nerve to criticize anyone for going into a field they care about.

    • Tom Thumb

      “I myself” ??? = white trash

      • Jeff Martin

        If you are referring to me as white trash that is pretty interesting considering you dont know me ..

    • Tammy Lynn McCurdy

      The old saying is true “Nurse’s do eat their young”

      • Chill

        True Story!

  • Tom Thumb

    Obamacare STRIKES again

  • GrandOldNurse

    I’ve been a nurse for 30 years. In the 80’s I was part of a nationwide study looking at the nursing profession’s future. We encountered the same issues we are discussing now. 1) The estimation was that there would be a shortage of over 300,000 nurses by the end of the century. 2) Nurses were leaving the workforce because they were retiring, underpaid, under appreciated, over worked, or burned-out. 3) hospitals were reducing the number of older nurses who were at the top of the pay range in favor of inexperienced new nurses who were cheaper. And the experience of those years was lost. 4) Nurses habitually “ate-their-own!” 5) The “powers that be” said all nurses should be BSN’s or above. The Associate Degree nurses should be phased out. Why? Really!
    Twenty-five + years and we are still dealing with the same problems!! Nothing has changed!

    Think about it… if you have a shortage, why not turn out more nurses
    in the shorter time frame and then offer a BSN stepladder? To those who want it. But don’t
    underestimate the value of a nurse who only has a 2-year degree. Just
    because someone “only has an AA” degree doesn’t mean they’re stupid!! Or
    worth less. In fact three of the dumbest nurses I ever worked with were BSN trained!! One was my nurse manager!! Two of the sharpest people I ever worked with
    were….. CNA’s!

    But if anything is going to change, we need to stop having the same debate, make a plan, and carry it out!! Maybe involve a couple of AA nurses in the process!!

    • Chill

      There is no shortage, when I graduated in 2008 over half my class could not find jobs. YES some were dumb/no people skills, but the scary part was that many of them just enrolled in Graduate programs. And yes nurses eat their own. I didn’t stay at a level I trauma center for that very reason, loved the work but I was left hanging by my co-workers many of them older “experienced” nurses who didn’t want to take the time to train a new nurse.

  • Dan

    Being a nurse myself, it is sad to see new nurses coming into the field only because it pays better than McDonalds or Walmart. There is nothing wrong with being an employee at those places, either, but if you don’t have the “heart” to be a nurse, you should not be one. Schools and hospitals do not do enough screening before hiring. I have worked with some that should never have made it through the first semester of nursing school. This is unfair to the ones that really do want to be there. Oh, and if you want to know how you can tell if someone doesn’t need to be in health care, watch how they treat their peers, how they present themselves, and how they treat the clients as students. Make them be out on the units and a blind man can soon see how well some of these students treat others, be it client or peer. At this point, the should be black listed from every local and area school. This is a sad epidemic I’ve noticed, along with the other problems that nurses have with trying to please management, poor pay, argument over degree (ADN vs BSN) and long hours. Even then, nursing is one of the best jobs ever.