The Chicago Tribune recently had an article talking about the shortage of qualified and compassionate nurses in Indiana.  The article states that Indiana’s nursing homes are facing critical shortages of registered nurses and nurses aides.  An industry survey found nursing homes in this state had the nation’s highest vacancy rate for registered nurses last year, and the rate for vacant aide positions was the eighth highest in the nation.

Advocates for seniors agreed with the urgent need for more nurses and aides. An AHCA survey released last month found 26.0 percent, or more than a quarter, of registered nurse positions in nursing homes were vacant last year on June 30. The survey found that 13.7 percent of certified nurses’ aides slots – about one in seven – also were empty on that day. The national vacancy rate for nurses was 16.3 percent and for nurses aides, 9.5 percent.  This hurts the quality of care since many nursing homes will hire anybody and not fire anyone even if caught abusing or neglecting residents.

What we’re seeing over and over again is there’s a direct link between quality and staffing.   With unqualified or incompetent staff, many nurses get burnt out or over worked which leads to high turnover rates. The AHCA report estimated the two-thirds of RNs in nursing homes left their jobs last year and that 93 percent of aides did.

Michelle Niemier, executive director of the advocacy group United Senior Action of Indiana, agreed nursing homes needed more RNs and aides, but said those staffs also had to have the training, supervision and consistent hours to adequately serve residents and their families.

“The number one concern of family members is the number of well qualified, well trained, well supervised staff in nursing homes,” Niemier said.


0 Thoughts on “Shortage of nurses causes understaffing


  2. Ray Mullman on January 6, 2009 at 12:51 pm said:

    I have never worked in a nursing home but I have been in plenty. Our associate (and frequent contributor to the blog) Lara Harrill worked in a nursing home for years. She says understaffing and burn out are the leading causes of neglect in homes. I wish minimum staffing levels were increased and staff given proper breaks and relief to lessen the effects of burn out and frustration.

    We would love to hear your stories of being employed at a nursing home.

  3. I am a LPN. Graduated 4 years ago and work in Pediatric Home Health. I hear that facilities are doing away with us and want only RNs. What are LPNs suppose to do if this happens. I paid for my education.

  4. Where did you hear that? RNs are typically more expensive and during these tough economic times, many facilities hire more LPNs instead of RNs. There are plenty of jobs for LPNs in the nursing home industry. Most facilities advertise, go to job fairs, and offer incentives for LPNs to work in nurisng homes.

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