Wayne State Proposes ‘Three Bucket’ Solution to Address Healthcare Shortage
2024年4月16日
Wayne State University officials Monday proposed to an appropriations subcommittee a three-part proposal to address the state’s “critical healthcare workforce shortage” by recruiting clinicians to work as adjunct faculty, creating a supportive nurse residency program and exploring other solutions.
Wayne State trains about half of Michigan’s healthcare professionals with the country’s largest single-campus medical school, 博士说. Laurie Lauzon Clabo, Wayne State University provost and senior vice president for academic affairs, to the House Department of Health and Human Services Appropriations Subcommittee.
Her statements were echoed by the Detroit Regional Chamber, which 报道 that approximately 40 percent of physicians in Michigan specifically have ties to Wayne State.
Clabo presented about programs designed to address the healthcare workforce shortage, which often focus on increasing the number of people going into healthcare, 或者“(医疗保健)管道”.”
然而, 她说, oftentimes these programs don’t use evidence-based strategies to improve access, and end up limiting both access and retention.
Clabo, also the former College of Nursing dean, proposed a “three-bucket” initiative to improve access to the healthcare pipeline and boost retention, starting with increasing nursing faculty numbers.
She said one major limiting factor when it comes to the enrollment of additional students is a shortage of nursing faculty.
According to an American Association of Colleges of Nursing (AACN) 报告 on 2021-2022 enrollment and graduation numbers, U.S. 护理学校拒绝了91人,938 qualified applicants from nursing programs in 2021 due to an insufficient number of faculty, 临床基地, classroom space and budget constraints.
“Most nursing schools responding to the 调查 pointed to faculty shortages as a top reason for not accepting all qualified applicants into their programs,AACN写道.
另一个AACN 调查 于2022年10月发布,166 full-time faculty vacancies at 909 nursing schools across the country and schools citing the need to create an additional 128 faculty positions to accommodate student demand.
The AACN also found in the same 调查 that the vacancy rate increased by 0.8 percent from 2021 to 2022, from a flat 8 percent in 2021 to 8.2022年8%.
Clabo说 less than 1 percent of nurses in the United States currently possess the credentials required to serve as a nursing faculty member in a baccalaureate or graduate program.
Of the schools 调查ed by the AACN, 85 percent of vacancies required or preferred a doctoral degree, and the most common issues schools 报道 related to faculty recruitment were difficulty finding faculty with the right specialty mix (538 schools at 59.2 percent) and non-competitive salaries (606 schools at 66.7%).
Clabo说 this shortage could be addressed by topping off the salaries of clinicians that also choose to serve as educators for a single day a week, allowing them to serve as adjunct faculty and provide clinical education with a reward.
对于第二个桶, she proposed adopting jointly-designed academic practice residency programs, which place new nurses in residency with a faculty member and clinician, allowing them additional support when they start their career.
Nurse residency programs in general are not required for new graduates, but some Michigan hospitals offer them. Most programs in effect now are between six and 12 months long.
Clabo说 as many as 40 percent of new graduates leave their job in the first year, 还有那些离开的人, 20 percent leave the profession entirely.
Programs that pair new nurses with support personnel are shown to address turnover by over 50 percent, Clabo说.
她提案的第三部分, Clabo suggested conducting new research to address clinical education possibilities in existing nursing programs.
“We propose a rigorous program of research that would direct new models of clinical education to support our critical workforce shortage,Clabo说.
Article courtesy MIRS 新闻 for SBAM’s Lansing Watchdog newsletter