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Up Front

Hard lessons
Why we cannot afford to ignore the nursing shortage
Tim Graham, Editorial Director
March 12 , 2001

For three days in January, our editorial staff fled the distractions of the office and gathered at a hotel near our headquarters in Sunnyvale, Calif., to chart a course for 2001. The meetings brought together our four RN editors, who collectively bring more than a century of nursing wisdom and leadership experience to our growing network of regional publications.
They include Carol Bradley, MSN, RN, editor of our California edition; Barbara Brown, Ed.D., RN, FAAN, editor of our Mountain West edition; JoEllen Koerner, Ph.D., RN, FAAN, editor of our Midwest edition; and Beth Ulrich, Ed.D., RN, editor of our South Central edition.

Our single most important task was to determine our editorial goals for the rest of the year. As you might have guessed from our cover story this issue, we have identified coverage of the worsening national nursing shortage as our top editorial priority.

For some of you, news about the shortage may be as tiresome as the TV commercial where the bunny keeps beating the drum, and beating it and beating it. Nurses keep getting older. Fewer young people are enrolling in nursing schools. Nurses do not get enough respect in a rapidly changing health care system. They are overworked. And, of course, they are underpaid.

But, consistent with our mission to serve as a voice for nurses and the nursing profession, and as an advocate for public policy decisions that recognize the critical role of nurses in the delivery of health care, we simply cannot afford to ignore the bad news.

In considering our role in addressing the shortage, I'm reminded of what an early mentor of mine, William R. Burleigh, a terrific newspaper editor and recently retired CEO of the E.W. Scripps Co., said of illiteracy and declining student achievement in the nation's public schools. When these issues emerged as urgent matters of concern during the late 1970s and early 1980s, some school board members and administrators preferred to blame the messenger.

Responding to criticism that we were playing up the problems to boost circulation, Burleigh responded, "We're not writing about literacy and schools to sell newspapers today, but so we can tomorrow."

That's where we are at NurseWeek today when it comes to the nursing shortage. We simply cannot afford to ignore it, and we do so at our own peril.

After more than 20 years in the newspaper business, I see many parallels between nursing and teaching. Both of these traditionally female professions are experiencing staffing shortages, in large part because women have more options today than a generation or two ago.

But it seems to me that public awareness of the need to increase teacher salaries, for instance, is much greater than the awareness level about the nursing shortage and its importance. It's almost universally acknowledged that teachers are underpaid, but few realize nursing salaries have stopped dead in their tracks.

According to the newly released findings of the National Sample Survey of Registered Nurses, the average annual salary of RNs employed full time in 2000 was $46,782. When changes in the purchasing power of the dollar were factored, however, the "real" salaries of RNs have stayed the same since 1992, after rising 11 percent from 1988 to 1992.

The point isn't to compare the relative worth of teachers and nurses, but to suggest nursing may have farther to go in building support for public policy decisions aimed at reversing trends that, in the end, threaten the health and safety of all of us.
You can help by dropping us a line at editor@nurseweek.com or visit www.nurseweek.com/nursingshortage. Tell us how the nursing shortage is affecting you, or what you're doing to address it.

We certainly do not promise to solve the nursing shortage. But we do hope that by drawing on the collective wisdom and experiences of our 1.3 million readers in 28 states, we can help point the way to some solutions.


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