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 | |
Competition from agencies | |
Staff retirement/leaving | |
Insufficient number of staff graduating from schools | |
Hospital location makes it hard to attract staff | |
Nurses moving to advanced practice | |
Staff burnout | |
Competition from other non-hospital providers | |
Competition from non-healthcare employers | |
Other |
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 | |
Focusing on staff retention | |
Filling in with contract (agency) staff who are travelers | |
Altering care models to reduce need for the position | |
Filling in with contract (agency) staff who work on a per diem basis | |
Reducing services that require this position | |
Other |