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Another View: Creativity needed to recruit nursing students

Shelley Conroy, the Salt lake Tribune
October 20, 2003



As Weber State University 's nursing program prepares to celebrate its 50th anniversary Friday, the program faces -- and continues to address -- challenges similar to those that prompted its creation a half-century ago. The occasion is an opportunity to consider how WSU and the entire nursing education system will produce enough nurses to care for a growing number of elderly.


History is repeating itself, but the reasons have changed. Whereas World War II and the Korean War siphoned off civilian nurses, creating the nursing shortage of the late '40s and early '50s, today's shortage is primarily because women have more career options. Young girls are encouraged to become scientists, engineers, mathematicians -- or any number of occupations where women once were scarce. While we applaud women's unlimited career choices, the reality is fewer are becoming nurses.
America 's aging baby boomers, who will begin to require more health-care services, compound the problem. Seniors 65 and older typically use health-care resources 60-70 percent more than other groups. The problem will be aggravated in the next 15 years as boomers reach their 80s -- about the time half of Utah 's practicing nurses will retire.
In 1953, one approach to deal with the nursing shortage was a novel experiment in nursing education. Weber College was one of seven U.S. colleges that piloted a new associate (two-year) degree in nursing. Dr. Mildred Montag, director of Adelphi College 's School of Nursing in Brooklyn , N.Y. , proposed the idea because the three-year hospital-based diploma programs and four-year university-based, bachelor's degree programs were slow to replace the nurses who had gone to war.


The experiment was a success nationally and for Weber. Now more than 885 schools offer associate-degree nursing programs, which supply more than 60 percent of nursing graduates. Weber State graduates approximately 240 associate degree nurses annually. Besides the two-year degree, WSU offers a one-year licensed practical nurse certificate for students who opt to graduate and join the workforce quickly, and a four-year bachelor's program in preparation for nursing management. This career-ladder system allows students to move easily from one level to the next -- and rapidly into the job market at different levels where they are needed. WSU offers this curriculum through distance education at more than 13 Utah sites, in response to requests from these communities for more nurses.


What does this worsening nursing shortage mean for you and me? Nurses may have to work more hours, spreading their skills across more patients -- leading to errors, burnout and poorer health outcomes. Also, when you need to place ailing parents or a spouse in an assisted-care facility, you might have to wait longer because there are too few nurses to care for more residents. The shortage will force hard choices about the availability, quality and cost of health care for all of us.


WSU's nursing program has long partnered with Utah to meet the health care needs of its citizens. For example, in 1972 the nursing program pioneered Utah 's only accredited distance nursing-education program. In 1993, the nursing faculty developed one of the nation's first Internet-based associate degree programs.


WSU's Dr. Ezekiel R. Dumke College of Health Professions, which houses the nursing program, also partners with the federal government. Last summer, the college received federal monies to consult with neighboring states on ways to offer our nursing curriculum in their rural communities. Additionally, last year the college became the host site of the Northern Utah Area Health Education Center to recruit more individuals for health careers in geographical areas with a critical need.


To educate more nurses, additional funds are vital to recruit and retain WSU nursing faculty. In these economic times, money for new faculty is not readily available from traditional funding sources. We are undertaking an initiative to create an endowment, using the income to hire more nursing faculty. It is difficult to attract nurse educators, who typically earn far less than their peers in private practice with a master's degree. By the year 2005, experts predict a 22 percent vacancy nationwide for nursing educators. We hope to offset the disparity with these endowment funds, ensuring that as our faculty starts to retire, WSU will continue its tradition of educational excellence.


The same kind of courage and creativity that Dr. Montag exhibited 50 years ago is essential today to combat our nursing shortage. We still have a long way to go to solve the dilemma, but partnerships and initiatives like the ones at Weber State 's Dumke College are a good start at making a difference in health care for Utahns.


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