Marketing alternatives for hospitals to the nursing crisis.
The current nursing shortage problem as defined in this article, is the result of a supply and demand imbalance. The demand for nurses is growing at a faster rate than the supply. If strategies are not implemented to correct this imbalance the demand for nurses will continue to surpass the supply, negatively affecting access to and delivery of quality patient care. Factors contributing to the increased demand for nurses and the dwindling supply must be examined if solutions to the problem are to be found and implemented. Factors contributing to the growing demand for nurses include the decreasing use of ancillary personnel by hospitals in an effort to tighten their budgets; the impact of Medicare's prospective payment system on hospital lengths of stay; the increase in patient acuity with advances in medical technology; and alternative health care opportunities pulling nurses away from the hospital setting. The supply of RNs is shrinking in relation to demand because of low retention rates; declining nursing school enrollment; non-competitive wages; poor working conditions; alternative career opportunities for women; and the lack of power and support within the nursing profession. An active marketing approach that relies on this assessment of contributing factors has been formulated in an attempt to resolve the problem and meet the increasing demand. Recommendations have been made and ranked in the order of their priority and pros and cons established for each. The strategies developed have been divided into four basic marketing categories of product, price, place, and promotion. If the problem is to be resolved these strategies must be marketed to hospitals, their administrators, nurses, other allied health professionals, third party payors, educators, and the general public. The nursing profession itself must find the unity and strength within its own group of professionals to build political and economic powers to enhance their product. Nursing is at a crossroad. Much depends on how we cope with the current shortage and its related issues. Nurses have the opportunity to shape their future. Hopefully, with proactive strategies, the profession will transform from a passive role to an active, vital force of the health care environment. The authors believe that through our marketing approaches this can be accomplished.
Goldman
R L
RL
School of Health Services Management, Golden Gate University, San Francisco.
Bates
D P
DP
Bradbury
M
M
Breaux
D K
DK
Caron
M
M
Gerardo
C
C
Copoulos
S
S
Hansen
L L
LL
Oien
S M
SM
Semones
C
C
D004649:Employee Incentive Plans; D005260:Female; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D007588:Job Satisfaction; D009741:Nursing Staff, Hospital / Q000600:supply & distribution*; D010557:Personnel Administration, Hospital / Q000379:methods*; D010561:Personnel Staffing and Scheduling; D010934:Planning Techniques; D011641:Public Relations; D012456:Salaries and Fringe Benefits; D014481:United States