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These problems have not received the attention they deserve, especially the lack of capacity within institutions of higher education to educate enough nurses. This report examines factors behind the current nursing shortage and discusses why nursing is a crucial occupation for improving health, economic security, and racial equity in this country. It also explores the problems inhibiting higher education from educating more nurses and inhibiting more cohesive management of nursing shortages.

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COVID-19 has strained the health care system to its seams, and nurses have borne much of that pressure. Remarkably, amid a vast increase in the number of patients, employment levels for registered nurses declined by 3 percent between 2020 and 2021, the largest decline in at least 20 years.8 Chief nursing officers have consistently reported staffing as their greatest challenge throughout the pandemic, with vacancy rates as high as 30 percent.9 The American Nurses Association has urged the U.S. Department of Health and Human Services to declare the nursing shortage a national crisis.10

Yet as evidenced by calls to address nursing shortages throughout the 20th century, supply was often still not sufficient to meet demand.29 Pay and working conditions have often been factors, as have major historical events. For example, during World War II, 25 percent of civilian nurses joined military efforts, creating extreme shortages in domestic health care settings.30

Nursing shortages have a significant impact on patient outcomes. Fewer nurses means that each nurse must care for more patients, which can lead to errors and reduced ability to monitor patients; conversely, adequate staffing levels can result in reduced mortality, shorter hospital stays, and reduced incidence of adverse patient events such as infection.35 These improved patient outcomes also bring significant cost savings to health care institutions and taxpayers.36

ADN and BSN programs prepare nurses with technical skills to work at the bedside, but BSN nurses have more opportunities for advancing into management roles, pursuing graduate education, and developing a nursing specialty. As such, there is a wage disparity: In 2021, the average wage of a registered nurse with an ADN was about $60,000, while the average wage of an RN with a BSN was approximately $73,000.48

Other conditions also affect the pipeline into teaching.71 There are not enough nurses with doctoral degrees to meet the demand for faculty, and even within doctoral programs, students may not get adequate preparation for faculty careers. More nurses are pursuing practice-focused doctor of nursing practice programs rather than teaching- and research-focused programs that offer a doctor of philosophy in nursing.72 Similarly, there are more career options for nurses today due to the growth in nurse specialties and opportunities in the private sector,73 which may draw away some of the nurses who in the past may have considered teaching.74

Retaining nursing faculty is also challenging.75 Because nursing faculty typically work in the field before starting teaching careers, they are older when they become faculty and thus tend to have shorter teaching careers; waves of retirements exacerbate the educator shortage. In addition, nursing faculty report low satisfaction with their jobs, citing not just low pay but also the heavy workloads that come with teaching, research, publishing, maintaining clinical licensure, and earning tenure and promotion.76

It is also important to look at clinical sites as an aspect of equity in training nurses, to ensure that students from under-resourced institutions, such as community colleges, have access to the clinical sites that will prepare them best for their future work with diverse patient populations.

The heightened nursing shortage during the pandemic spurred a wave of nursing program expansions, and to take on more students, colleges and universities have had to construct new buildings for nursing and other health sciences programs. Recent capital projects have been funded by voter-approved bonds,89 state legislatures,90 private donations,91 and partnerships with health systems.92 The variety in funding strategies among these examples alone warrants attention for identifying the most effective models through which to fund and scale improvements to college nursing facilities.

If policymakers at all levels think more ambitiously about solving the nursing shortage and improving racial equity, more workers will have equitable access to a high-quality, well-paid profession; more patients will have equitable access to high-quality nursing services; and a healthier population will have better educational and life outcomes and be able to build stronger communities.

If the prize draw has actually taken place and you have actually participated in the lottery, you will be addressed by your name (or the number of the lottery ticket that you purchased), and the letter will contain the address and the name of the company that organized the lottery.

Fake lottery win notifications may come in a variety of shapes and sizes. A lot of them contain bad spelling mistakes. This is a sure sign of a fraudulent message. Serious lottery companies have editors and copywriters to make sure their letters are written properly.

I got a lottery mail from SONY UK. It claim i have won some amount of money and Phone. I have sent some information like name, address, Photo. not card details, It is so because this mail had sent from sony-lotto@consultant.com. Further after reading that it is a scam i got scared. will they do anything with it?

I have received a messege about the lottery on gmail. They are claiming that they are samsung electronics limited from united states .and many things else as they are telling that they always choose lucky winners from different parts of the world and this time you are the lucky winner from India. Can anyone will tell me that they are real or not. I will even forward the lottery email to their respective mail account when ypu want to see it. Pls help me .the problem is that i was particupated in that lottery somedays ago. So i am thinking it could be real. Guys pls give me your own opinion

i need your help, i have recieved a free ticket lottery super lotto 6/45 and submited, i [was told i won money and was requested to pay certain amounts for certain fees, i did so and i was told the money will be deposited in three days, i was inquiring if all that was fraud, have i lost my money?

Hello I received an sms says that I won a 350 ooo from coca cola promo and asked me to send my details then I have send them but no money in account but they said I must pay 2500 for trasnfering the money but I did not and what will they do with my empty baking details so far need some help

I got a lottery mail from SONY UK. It claims I have won some amount of money and a Phone. I have sent some information like name, address, Photo., not card details, It is so because this mail had sent from a domain like thelotteryresults[.]uk. Further after reading that it is a scam, I got scared. will they do anything with it?

I also received the email that i have won sum of R126000000 from uk internet Lottery promotion so they send the fund to South Africa receive bank .i must contact minister of finance Tito mboweni, and i did contact him through email, he said the fund is there so i must send my banking details and identification details so that they can trasfer the fund. Please advise

Hi there I am Ete Sione I have a call from someone 2 weeks ago and tell me I won a prize money but she asked for $200 steam card to process my price but I still waiting nothing come please can you check if it true please

I have recieved a message + a mail that says i have won a lucky draw in Mini Cooper virtual lucky draw 2021.it is sent to me by a person named MC Barry. I think its fake but what do you think? Give your views for the same

Base on the information you have provided, I am pleased to inform you that you have been officially approved by our Payment and Settlement Department (PASD) to receive your Relief fund award amount of the sum of FOUR HUNDRED AND THIRTEEN THOUSAND GREAT BRITISH POUNDS ONLY (413,000.00 GBP) which is equivalent to Rs.4, 25, 00,000.00 (FOUR CRORE TWENTY FIVE LAKH RUPEES) ONLY in this Mini Cooper UK COVID-19 Solidarity Response Fund Charity Promo Award.

I have received message that leads me to play a superlotto..then I palyed it with a free ticket then I won..they ask my account and a fee for a money transfer transaction..should I trust them??though I played it with a free ticket..need an answer plss.. thank you

I have won $300.00 from Google but they told me to call the number given to me.so I called how many question needs to be answered till no more fund on the phone. So I thought only five questions needs to be answered but more they given it to be answered while they said only five questions to be answered and u will be the winner.but they given more then five questions till no fund .

I have been trying most of time to play box so one day night I was sleeping on the process I wake up opening my data I found congratulations I won iPhone bt I been tracing where I can get but am defeated imagine I need I help where to get it

This sounds like a scam. Someone tells you he's sending a box of gifts, or gold or treasure that he found somewhere, and asks you to pay for shipping. He sends pictures to get you excited about the gifts you'll get soon. Then, you get a call or email from "customs" or the "shipping company" or someone else, and they demand money before you can have the box. Your friend didn't warn you this was going to happen, and he might start pressuring you - or begging you - to pay the fees to get the box.

Same-day registration (SDR) complements AVR, allowing eligible citizens to register and vote on the same day. It is particularly useful to people who have not interacted with government agencies or whose information has changed since they last did so. And because it allows eligible Americans to vote even if their names are not on the voter rolls, SDR safeguards against improper purges, registration system errors, and cybersecurity attacks. 041b061a72