Dr. Peter I. Buerhaus, senior associate dean for research and Valerie Pott er Professor of Nursing at Vanderbilt University School of Nursing, is a coauthor of " Nurse Staffing in Hospitals: Is There a Business Case for Quality? " published in Health Affairs, 25, no. 1 (2006): 204-211. In this excerpt from an interview with Marie Manthey, Dr. Buerhaus talks about his projections for the nursing profession in the near and long term. Marie Manthey: In the long run, where do you see the demand for nursing going? Peter Buerhaus: North. Straight north. In the short run, the demand for nurses is going to increase. But if the supply doesn ' t catch up with the demand, that demand will shift to other [roles]. What I would like to suggest is that there are no good substitutes. That ' s maybe not the best choice of words, but there are not good substitutes for nurses. Therefore the demand will continue to rise as more and more baby boomers are aging. They are now beginning to turn 65, but the really big wave will come in another 7 to 9 years. All through the next decade we are going to see this steady march of people. Marie: That ' s just the replacement factor, though, isn ' t it? Peter: No, this is on the demand side. All these people are turning older and consuming more health care, and the demand for health care and nursing will continue to rise. Not only are there large numbers of people gett ing older; they will be wealthier. They will have more income to spend on care, and the variety of ways for them to spend it is only increasing. Marie: That will increase the entrepreneurial opportunities for nurses to capitalize personally on that. Peter: Absolutely. Marie: Some of your latest work indicates that the shortage is not going to be as bad as we had been predicting-that the increases in supply have happened pretty quickly. Am I reading that correctly? Peter: Yes. The big story is that our previous forecasts, if we accepted the demand estimates as accurate, showed us facing a shortage of around 800,000 nurses by the year 2020. Our recent forecasts have reduced that figure to about 340,000. It's a significant improvement, but I would say that, instead of a category 5 hurricane, we now have a category 4, and it can still kill you. We still project that graduation rates would need to rise by 50% to meet the increased demand and make up for impending retirements. Marie: Are you as amazed as I am at the popularity of the postbaccalaureate programs that are growing up? The second and third career choices? Peter: Absolutely. There?s a combination of factors responsible for this upturn in interest in nursing. When 9/11 occurred, a lot of people paused and considered what they were doing: their careers, their jobs. …
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