November 18, 2022
FOR IMMEDIATE RELEASE
RALEIGH, NC – New survey results show the North Carolina nurse population is increasingly facing serious challenges on multiple fronts, with little reason for optimism in the short team. The pre-pandemic shortage of nurses willing to work at the bedside is worsening, workplace violence incidents continue to rise at an alarming rate, and a variety of factors are feeding into unsustainable levels of burnout.
“We cannot ignore this or continue to operate like nothing is wrong,” said NCNA President Meka Douthit Ingram. “These problems, unfortunately, feed into each other and exacerbate the situation. Warning signs have been flashing for a while and the longer it takes to address these systemic issues, the harder it will be to pull the profession out of this nosedive.”
While not a scientific survey, the results from NCNA members corroborate previous surveys’ assessment of the dire state of nursing burnout and mirror national trends. The survey was conducted from October 27-November 8 and garnered 315 respondents.
Quantifying the nursing shortage from day to day can be challenging, since facilities are not required to report their hiring data to any clearinghouse agency. Nearly 80 percent of the NCNA members responding to this survey reported a current shortage at their facility, with 37.5% indicating that shortage was “severe.”
On a scale of 1 to 10 (with 1 being no impact and 10 being high impact), respondents said the staffing shortage averaged a 5.9, with some 69 respondents (22 percent) logging a 10. Almost 58 percent of the NCNA members said staffing shortages had forced them to work longer hours or take different assignments.
A plurality of respondents (48.6 percent) said they have personally witnessed violence in the last two years, with more than 27 percent reporting that they were the victim of workplace violence. This issue is one of the greatest threats to the physical and mental well-being of nurses, and the recurring message from NCNA members is that the problem is getting worse:
In the wake of NCNA member June Onkundi’s murder last month, allegedly at the hands of a patient, workplace violence is understandably top of mind for many nurses.
“Verbal and physical abuse of nurses is reaching epidemic levels, and it is going to expedite all of our worst-case scenarios for the nursing shortage,” said NCNA CEO Tina Gordon. “Nobody should be expected to cope with this kind of violence. I expect an exodus from the profession if patients, families, employers, facilities, and law enforcement cannot come up with some real solutions to dial it down significantly and quickly.”
If there is one area with a hint of optimism, the survey results show that COVID is no longer overwhelming hospitals and other facilities the way it had been for the previous two years. That does not, however, mean the pandemic is over. NCNA has asked its members the same question about COVID’s recent impact on a scale of 1-10 since the summer of 2020; in four previous surveys, the answer had never averaged below 7.4. This time, however, it came in at just 4.2. While that is a significant and welcome improvement, it still indicates a significant impact, with 7.6 percent of respondents logging a 10.
The ongoing challenges to the nursing profession are fueling a burnout crisis that shows no signs of letting up. NCNA asked its members “On a scale of 1 to 10 (with 1 being no impact and 10 being ready to leave the nursing profession due to burnout), how is your mental and emotional well-being?” The average answer was 5.2, which is down only slightly from the 5.6 reported from the same question in February. Notably, 11.7 percent of respondents answered a 10, with nearly one third of respondents giving an 8, 9, or 10.
Some of the NCNA’s members comments summarize the plight of the profession better than any statistical analysis could do:
The results from this survey line up with findings from others at the national level and highlight the need for drastic steps. Many nurses working now may not be willing to do so for much longer. Neither the healthcare infrastructure nor the pipeline of new nurses are prepared to handle the worsening shortage. NCNA and other organizations have spent the last few years calling for systemic changes to alleviate some of the pressure on the nursing profession. We renew those calls now, with even more desperation.
Chris Cowperthwaite, APR
Director of Communications & Outreach
(919) 821-4250 or email@example.com
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