CEO Survey

Addressing Registered Nurse Shortages in Hospitals

Results by ACHE’s Executive Office, Research

 

In January 2024, ACHE conducted a survey of hospital leaders to learn more about causes of shortages and how hospitals are addressing them. Of the 1,633 who received the survey, 350 responded for an overall response rate of 21%.

Hospital CEOs were asked to name the top three staffing shortages they were experiencing. They reported their top staffing shortages as follows: 71% of responses indicated a shortage of registered nurses, 50% identified a lack of medical technicians and 35% mentioned a shortage of physicians. Among physicians, 18% specified a shortage of specialists and 17% of primary care physicians.

The reason for registered nurse shortages in hospitals, as reported by survey respondents, are listed in Table 1. The most common ways in which hospitals are addressing these shortages are listed in Table 2.

ACHE wishes to thank the leaders who responded to this survey for their time, consideration, and service to their profession and to healthcare leadership research.

Table 1. Reasons for registered nurse staffing shortages.

Reason for Shortage of Registered Nurses                         Percentages or Numbers Indicated
by CEOs (N=248)
Competition from other hospitals
77%
Competition from agencies
64%
Staff retirement/leaving
59%
Insufficient number of staff graduating from schools
56%
Hospital location makes it hard to attract staff
44%
Nurses moving to advanced practice
44%
Staff burnout
43%
Competition from other non-hospital providers
40%
Competition from non-healthcare employers
16%
Other
3%

 

Table 2. How organizations are addressing registered nurse staffing shortages.

Strategies to Address Shortage of Registered Nurses                         Percentages or Numbers Indicated by CEOs (N=248)
Focusing on staff recruitment
92%
Focusing on staff retention
90%
Filling in with contract (agency) staff who are travelers
72%
Altering care models to reduce need for the position
47%
Filling in with contract (agency) staff who work on a per diem basis
38%
Reducing services that require this position
12%
Other
8%