Nursing Faculty Shortage Fact Sheet (2024)

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Faculty shortages at nursing schools across the country are limiting student capacity at a time when the need for professional registered nurses continues to grow. Budget constraints, an aging faculty, and increasing job competition from clinical sites have contributed to this crisis. To minimize the impact of faculty shortages on the nation’s nursing shortage, the American Association of Colleges of Nursing (AACN) is leveraging its resources to secure federal funding for faculty development programs, collect data on faculty vacancy rates, identify strategies to address the shortage, and focus media attention on this important issue.

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  • According to AACN’s report on2021-2022 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, U.S. nursing schools turned away 91,938 qualified applications from baccalaureate and graduate nursing programs in 2021 due to an insufficient number of faculty, clinical sites, classroom space, clinical preceptors, and budget constraints. Most nursing schools responding to the survey pointed to faculty shortages as a top reason for not accepting all qualified applicants into their programs.
  • According to aSpecial Survey on Vacant Faculty Positionsreleased by AACN in October 2022, a total of 2,166 full-time faculty vacancies were identified in a survey of 909 nursing schools with baccalaureate and/or graduate programs across the country (84.4% response rate). Besides the vacancies, schools cited the need to create an additional 128 faculty positions to accommodate student demand. The data show a national nurse faculty vacancy rate of 8.8%. Most of the vacancies (84.9%) were faculty positions requiring or preferring a doctoral degree.

A wave of faculty retirements is expected across the U.S. over the next decade.

  • According to AACN's report on2021-2022 Salaries of Instructional and Administrative Nursing Faculty, the average ages of doctorally prepared nurse faculty holding the ranks of professor, associate professor, and assistant professor were 62.5, 56.7, and 50.6 years, respectively. For master's degree-prepared nurse faculty, the average ages for professors, associate professors, and assistant professors were 55.0, 54.7, and 48.6 years, respectively.
  • According to an article published inNursing OutlookonRetirements and Succession of Nursing Faculty in 2016-2025by Drs. Di Fang and Karen Kesten, one third of the current nursing faculty workforce in baccalaureate and graduate programs are expected to retire by 2025. This finding underscores the urgency for the nursing education community to address the impending exodus of senior faculty and to develop younger faculty for succession.

Higher compensation in clinical and private-sector settings is luring current and potential nurse educators away from teaching.

According to the latestNurse Salary Research Reportissued by Nurse.com, the median salary across advanced practice registered nurse roles is $120,000. By contrast, AACN reported in March 2022 that the average salary for a master’s-prepared professors in schools of nursing is $87,325.

Master’s and doctoral programs in nursing are not producing a large enough pool of potential nurse educators to meet the demand.

In April 2022,AACN reportedthat for the first time since 2001, enrollment inmaster’s programsdecreased by 3.8%, which translates to 5,766 fewer students enrolled in 2021 than in 2020.In addition, enrollment in PhD nursing programs were also down. Since PhD program enrollment began to dip in 2013, enrollment in these programs have decreased by 13%, from 5,145 students in 2013 to 4,476 students in 2021.

Further, efforts to expand the nurse educator population are frustrated by the fact that thousands of qualified applicants to graduate nursing programs are turned away each year. In 2021, AACN found that 9,574 qualified applicants were turned away from master's programs, and 5,169 qualified applicants were turned away from doctoral programs. The primary reasons for not accepting all qualified students were a shortage of faculty, preceptors, and clinical education sites.

  • AACN is taking steps to address the nurse faculty shortage by working with the Jonas Philanthropies to support doctoral nursing students; by advocating for new federal legislation and increased funding for graduate education; hosting an annual faculty development conference; collecting data to quantify the scope of the shortage; promoting faculty careers through the Graduate Nursing Student Academy; and collaborating with national nursing organizations and practice partners to help identify solutions.
  • Since 2008, the Jonas Philanthropies has focused on expanded the nation’s supply of doctoral-prepared nurses available to serve as faculty, scientists, and clinicians. Administered in collaboration with AACN, theJonas Nurse Leaders Scholar Programhas provided financial support and leadership development to more than 900 Scholars in all 50 states.
  • Many statewide initiatives are underway to address the shortage of nurse educators. For example, the Maryland Higher Education Commission has provided nearly $27 million to support 938 nurse faculty members through a variety of programs, including theNew Nurse Faculty Fellowship Program. This program is funded by the Maryland Health Services Cost Review Commission and supported by an annual percentage of Maryland hospitals’ patient revenue. In October 2022, Hawaii Governor David Igeannouncedthat $1.75 million would be included in his budget request to hire 39 new instructor positions to help address the state’s severe faculty shortage and support nursing programs statewide. Read more about initiatives underway inMissouri,South Carolina,Virginia, andWisconsin.
  • To increase the number of clinical nurse educators, which are also known as preceptors, several states includingColorado,Georgia,Hawaii,Maryland, South Carolina, andVirginiaoffer tax incentives for nurses serving in these teaching roles. Legislations has also been introduced or is pending in New Mexico, New York, Oregon, and Rhode Island.
  • Schools of nursing are forming academic-practice partnerships and working collaboratively with other stakeholders to bridge the faculty gap. For example, in April 2022 HCA Healthcareannounced a $1.5 million partnershipwith Florida International University to address national nursing faculty shortage.
  • In January 2021, the National Advisory Council on Nurse Education and Practice (NACNEP) has released its 17th annual report to Congress titledPreparing Nurse Faculty and Addressing the Shortage of Nurse Faculty and Clinical Preceptors. NACNEP is calling on a public-private response to develop, support, and fund a wide range of initiatives to address the shortage of nurse faculty and enhance nursing education and training. The NACNEP report calls on Congress to focus on three priorities to fully address this perennial concern, including:
    • Provide funding to programs that increase the number of nurse faculty and clinical preceptors and support nurse faculty development.
    • Provide funding for the Health Resources and Services Administration to develop a nurse faculty residency program that emphasizes strategies to improve faculty recruitment, preparation, development, and retention.
    • Create a national center devoted to nursing education and the development of nurse faculty and clinical preceptors.
  • The federal government administers several programs specifically targeted to addressing the nurse faculty shortage:
    • Administered by the Health Resources and Services Administration (HRSA), theNurse Faculty Loan Programassists graduate students pursing faculty careers. Students must agree to teach at a school of nursing in exchange for cancellation of up to 85% of their educational loans, plus interest, over a four-year period.
    • TheFaculty Loan Repayment Programadministered by HRSA’s Bureau of Health Workforce provides up to $40,000 in loan repayment for individuals from disadvantaged backgrounds who serve as faculty at eligible health professions schools for a minimum of two years.
    • HRSA’sNurse Corps Repayment Programprovides nurse faculty who commit to working in an eligible nursing school with up to 60% in debt cancellation for two years of services, and an additional 25% for a third year of service.
    • In October 2022, the Department of Labor announced a new $80 million initiative, theNursing Expansion Grant Program, which includes funding for the Nurse Education Professional Track to prepare experienced current or former nurses for teaching roles.
    • The Department of Education routinely identifies programs that prepare nurse faculty as eligible for funding through theGraduate Assistance in Areas of National Need (GAANN) program.
  • AACN operates NursingCAS, the nation’s centralized application service for prelicensure and graduate nursing programs. One of the primary reasons for launching NursingCAS was to ensure that all vacant seats in schools of nursing are filled. In 2021, more than 14,700 vacant seats were identified in master’s and doctoral nursing programs alone. NursingCAS provides a mechanism to fill these seats and maximize the educational capacity of schools of nursing.

Updated: October 2022

Contact

Robert Rosseter
rrosseter@aacnnursing.org

Nursing Faculty Shortage Fact Sheet (2024)

FAQs

What are factors contributing to nursing faculty shortage? ›

Faculty shortages at nursing schools across the country are limiting student capacity at a time when the need for professional registered nurses continues to grow. Budget constraints, an aging faculty, and increasing job competition from clinical sites have contributed to this crisis.

How can we solve the nursing faculty shortage? ›

Encouraging younger nurses to achieve graduate-level degrees may alleviate the nursing faculty shortage. Currently, half of all doctoral graduates are ages 4554 (AACN, 2005). Also, building a nursing education component into graduate programs can prepare nurses better for a career in academia. 3.

Is there a shortage of nursing instructors? ›

Western states, from Colorado to California, including Alaska and Hawaii, are the only region where the nursing shortage and the nursing faculty shortage data match. With a 10% vacancy rate, they have the largest nursing faculty shortages. They also have low nurse-to-patient ratios.

What's really behind the nursing shortage? ›

Facts About the U.S. Nursing Shortage

More than half of current RNs are over the age of 50. In 2021, U.S. nursing schools turned away more than 91,000 qualified applicants due to a lack of faculty, education space, and resources.

What are the two main reasons for the nurse shortage? ›

An increase in the demand for care of the aging population. Many senior nurses approaching retirement age. A high nurse turnover rate. A lack of educators and faculty in the nursing field.

What are 5 current strategies to address the nursing shortage? ›

  • 1 | Listening to Nurses Concerns. ...
  • 2 | Prioritizing Workplace Culture Increases Retention. ...
  • 3 | Prioritizing Nurse Retention Levels. ...
  • 4 | Increasing Diversity in the Nursing Student Body. ...
  • 5 | Addressing the Need for More Nurse Educators. ...
  • 6 | Using Innovation to Address the Nursing Shortage.

How does nursing shortage affect nursing practice? ›

Nursing shortages can significantly impact staffing levels, which is critical to delivering quality care. To deal with staffing shortages, hospitals may reduce the number of nurses they employ at any time. This can result in understaffing and nurse fatigue, both of which contribute to hospital errors and accidents.

What is the ratio of faculty to students in clinical nursing? ›

RN Rule 215.10(i)(1) Clinical Learning Experiences requires that “In clinical learning experiences where a faculty member is supported by a clinical teaching assistant, the ratio of faculty to students shall not exceed two to 15 (one faculty plus one clinical teaching assistant to 15 students).”

What is the least stressful nursing department? ›

Institutional Nurses

These nurses administer more basic care and typically don't have to work long hours and overnight shifts, so this field of nursing tends to be low-stress. Even with less excitement, these nurses find fulfillment in providing basic and family care to those in need.

What is the hardest job in nursing? ›

The most stressful nursing jobs include ICU nurse, ER nurse, and NICU nurse. In these roles, nurses work in an intense environment with high stakes. They manage emergency situations and care for critically ill patients. Other stressful nursing jobs include OR nursing, oncology nursing, and psychiatric nursing.

How long will the nursing shortage last? ›

According to the United States Registered Nurse Workforce Report Card and Shortage Forecast published in the September/October 2019 issue of the American Journal of Medical Quality, a shortage of registered nurses is projected to spread across the country through 2030.

Why is there a nursing shortage 2023? ›

The COVID-19 pandemic pushed these shortages to crisis levels, with demand outweighing supply nearly everywhere.

Do nurse preceptors get paid more? ›

The five states where Nurse Preceptor jobs get higher salaries in the United States are: District of Columbia, California, New Jersey, Alaska, and Massachusetts. Compared with the average salary of a Nurse Preceptor in the United States, the state of District of Columbia with the highest job income for this job.

What percentage of nurses have left the profession? ›

Per the data, 4.2% (or an estimated 33,811) of licensed practical nurses/licensed vocational nurses left the workforce in the past two years—an issue compounded by “considerable and somewhat unprecedented disruptions” to prelicensure nursing education programs during the past few years.

How to solve nursing shortage and burnout? ›

Tips on Preventing Nurse Burnout
  • Develop Strong Interpersonal Relationships. ...
  • Set Boundaries Between Work and Personal Life. ...
  • Get Enough Sleep. ...
  • Care for Your Physical and Mental Health. ...
  • Seek Out Regular Therapy or Assistant Programs.

How many nurses do we need by 2030? ›

According to the report, as many as 13 million more nurses may be needed by 2030; the world's current nursing workforce totals approximately 28 million. The report explains that taking action to sustain and retain workers could minimize the shortage.

What are the 5 factors affecting nursing practice? ›

  • Abstract.
  • Introduction.
  • Method.
  • Results.
  • Work experience.
  • Type of nursing environment.
  • Educational level achieved.
  • Adherence to professionalism.

What are 7 obstacles to using nursing research in practice include lack of? ›

Several studies on the factors that hinder nurses' participation and utilization of research identified lack of time on the job, lack of knowledge, lack of funding, nurses poor attitude/perception towards research and lack of research support services as the key constraints [7,8, 10-14 ].

How can nurses improve staffing issues? ›

Hire more nurses: If possible, hire more nurses to provide adequate cover for each shift. Another option is to work with a staffing agency to bring on nurses as needed. If your facility has a large enough pool, it's unlikely you'll have difficulty getting enough people to work each shift.

What are the 6 Rs in nursing? ›

Six Rights of Medication Administration
  • Identify the right patient. ...
  • Verify the right medication. ...
  • Verify the indication for use. ...
  • Calculate the right dose. ...
  • Make sure it's the right time. ...
  • Check the right route.

What are the 5 nursing priorities? ›

  • The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. Assessment. ...
  • Diagnosis. ...
  • Outcomes / Planning. ...
  • Implementation. ...
  • Evaluation.

What is the ethical dilemma of nursing shortage? ›

Because of this shortage, many nurses complain that they experience emotional distress and job dissatisfaction and end up not providing quality care to their patients. Such nurses end up in an ethical dilemma, whereby they must choose between caring for their own welfare or the needs of their patients.

How does nursing shortage lead to burnout? ›

The shortage causes understaffing and overcrowding in emergency rooms, hospitals, and other medical facilities. To help fill the gaps caused by the shortage, nurses may end up extending themselves too far and working more shifts than they're physically and emotionally capable of.

How is nursing shortage measured? ›

Analyzing shortage at the regional level also permits investigation of one measure of nursing shortage that, by definition, is only available at a regional level: the number of nurses (employed and unemployed) relative to the overall population of a geo- graphic area.

When did the nursing shortage begin? ›

The Beginning of the Shortage

This is exactly what happened in the mid-1930s, when several technological, economic, and health care-related events combined to increase the demand for registered nurses and to lay the groundwork for a shortage.

What is a typical faculty to student ratio? ›

In public California colleges, the student faculty ratio is 22 to 1 and private schools' ratio is 12 to 1. By school levels, the students to faculty ratio at four-years colleges is 14 to 1 and community colleges' ratio is 21 to 1 in California.

What is the best practice nursing ratio? ›

The right nurse-to-patient staffing ratio

For example, the nurse-to-patient ratio in a critical care unit must be 1:2 or fewer at all times, and the nurse-to-patient ratio in an emergency department must be 1:4 or fewer at all times that patients are receiving treatment, the law states.

How many patients should a RN have? ›

What Is the Nurse-to-Patient Ratio Recommendation? Generally, the nurse-to-patient ratio recommendation is one nurse to every four patients. According to a National Nurses United report, there are currently no federal mandates that regulate the number of patients registered nurses (RNs) can care for simultaneously.

What factors affect nursing education today? ›

Sources of external factors in a nursing program include financial funding, rules and regulations, accreditation, availability of clinical sites, and institutional factors. Let's look at these in more detail.

What are the factors impacting on the nursing profession? ›

Six factors were identified that affected the development of nursing competence in our systematic review: (1) work experience, (2) type of nursing environment, (3) educational level achieved, (4) adherence to professionalism, (5) critical thinking, and (6) personal factors.

What is the impact of nursing shortage on the profession of nursing? ›

Nursing shortages have a high impact on working environments, patient outcomes, and the long-term health of nurses, leading to longer shifts and higher nurse-to-patient ratios. This shortage increases stress, fatigue, and the risk of injury to nurses. It can also reduce patient care.

What factors are contributing to the nursing shortage quizlet? ›

The nursing shortage is limited primarily to the United States. Downsizing for cost containment by hospitals contributed to the shortage. The use of unlicensed assistive personnel helped to supplement staffing shortages.

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