US Nurse Shortage: Coping Strategies and Solutions

The United States is currently grappling with a significant and increasingly severe shortage of nurses. This, in turn, is placing immense pressure on the healthcare system and adversely affecting patient care.

As stated in a Nursing Times article, the US Bureau of Labor Statistics has projected a substantial need for over 275,000 additional nurses. This demand is expected between 2020 and 2030. Notably, the employment prospects for nurses are anticipated to outpace all other occupations, with a growth rate of 9% projected from 2016 to 2026.

Addressing this crisis necessitates the implementation of creative solutions and a collective commitment from healthcare institutions, educators, policymakers, and the nursing community. In this article, we will delve into a range of strategies and remedies aimed at managing the nurse shortage in the United States.

Expand Nursing Education Programs

The University of Indianapolis notes that one of the primary strategies for addressing the nurse shortage is the expansion of nursing education programs.

This expansion involves increasing the capacity of nursing schools, hiring more experienced faculty, and enhancing clinical placement opportunities for students. Moreover, the integration of online and hybrid education models can play a pivotal role in making nursing education more accessible.

It’s worth noting that online nursing classes provide significant flexibility for students to complete their coursework. This flexibility also allows registered nurses (RNs) to pursue advanced degrees while continuing in their current jobs.

It’s noteworthy that there has been a significant increase in the availability of online courses among nursing schools in the United States.

Currently, 254 schools provide online RN to BSN programs, and 149 schools offer online graduate nursing programs. Furthermore, over 900 schools hold accreditation from the Accreditation Commission for Education in Nursing (ACEN).

Retention Strategies

In 2020, there was an 18.7% turnover rate for registered nurses, and the average job vacancy rate stood at 9%. However, within a single year, the turnover rate increased significantly by 8.4 points, soaring to 27.1% in 2021.

Hospitals and healthcare facilities should prioritize the implementation of effective retention strategies.

These strategies may include providing competitive salaries and offering flexible scheduling. Additionally, establishing mentorship programs and creating ongoing professional development opportunities are essential to ensure nurses remain engaged and satisfied in their roles.

Embracing Generational Transition

In 2020, the nursing workforce had a median age of 52 years. A significant portion, more than one-fifth, expressed their intention to retire from nursing within the next five years. This demographic shift underscores the critical need to focus on the recruitment and development of the younger generation to bridge the impending gap.

Simultaneously, tapping into the wealth of experience held by retired nurses is vital. Their expertise is invaluable, and they can play a pivotal role as nurse educators.

They can pass on their accumulated knowledge to the next generation of nurses, ensuring the preservation of essential skills and insights within the field. This benefits not only their professional fulfillment but also the continuity of nursing excellence.

Policy and Legislative Action

Government intervention is essential to tackle the nurse shortage. Policymakers should focus on initiatives to increase funding for nursing programs and offer incentives for nurses to work in underserved areas. Additionally, addressing scope-of-practice laws is crucial to enable nurse practitioners (NPs) to practice to their full potential.

Encourage Workplace Well-Being

Addressing nurse burnout is essential for retaining experienced nurses, and it is a pressing concern.

The elevated stress levels experienced by today’s nurses are not solely attributed to the pandemic or the need for urgent decision-making. It’s a combination of various factors, including long working hours, that contributes to their heightened stress levels.

Moreover, ongoing budget constraints have forced healthcare facilities to cut staff levels. This has resulted in an imbalanced workload for the remaining nursing staff, particularly during the pandemic. Many hospital employees were required to switch from their regular roles to assist in the intensive care of COVID-19 patients.

To mitigate burnout and support nurses’ well-being, healthcare institutions should prioritize initiatives like mental health support, reasonable work hours, and stress reduction programs.

Additionally, acknowledging the hard work and dedication of nurses can go a long way in retaining and motivating them. Regular recognition and appreciation events can boost morale and foster a sense of belonging within the nursing community.


Coping with the expanding nurse shortage in the US is a multifaceted challenge that necessitates the collective effort of diverse stakeholders.

By working together, we can strive to establish a more sustainable healthcare system. It is crucial for each of us to contribute to addressing this critical issue. Our collective efforts are vital to ensure that patients receive the essential care they need and deserve. Find out how to reduce stress with one chief exercise, squats, in the book “How Squats Can Change Your Life”, now on Amazon!

Jennifer Dawson

Jennifer Dawson is an experienced freelance writer who specializes in food and nutrition. Working in fitness marketing previously gave her a good feel for the industry and since going freelance she has been able to explore her preferred topic areas such as diet types, nutrition and food. Outside of work, Jen enjoys traveling, swimming and spending time with her young family.

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