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Saturday, March 2, 2024
March 2, 2024

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State’s nursing programs swamped with applicants, short on space

Lack of clinical opportinity, faculty limits admissions


SPOKANE — More than 100 students applied for 40 seats in Eastern Washington University’s new four-year nursing program for this fall.

The inaugural class begins Aug. 21.

In 2022, the Legislature funded $6.1 million over two years for EWU to expand from a two-year to a four-year program. Legislators cited the need to train more nurses, as the COVID-19 pandemic worsened health care worker shortages. A second EWU class of 40 will be admitted in spring 2024.

“This is the worst nursing shortage that I’ve seen in my career,” said Donna Bachand, EWU’s nursing program director. “The pandemic just sort of intensified the workforce shortage. Some nurses just grew fatigued or disillusioned.”

It’s typical to see a large pool of bachelor’s of science in nursing applicants each year, Bachand said. There is room for another regional option, she said. Other BSN programs are at Washington State and Gonzaga universities. “That application to the upper division is always competitive at every school.”

There are other issues, however, that limit admission of more students to regional BSN programs, including faculty and clinical training availability.

This fall, 257 students applied to WSU’s nursing program, but only 228 met requirements for studies at Tri-Cities, Yakima and Spokane campuses.

That pool will narrow to about 120 students, said Gail Oneal, WSU clinical associate professor and interim BSN director. The finalists include spots for 20 Whitworth University students per semester through a consortium agreement. Previously, WSU accepted a cohort of EWU students under that consortium.

Gonzaga receives more than 700 nursing applicants seeking its direct-admit program each year, meaning students are admitted to nursing and the university simultaneously, said Joan Owens, Gonzaga associate dean. Based on available clinical training resources, Gonzaga can enroll about 85 nursing students a year.

“We only do admissions once a year in the fall, not per semester; the 700 is for the upcoming fall semester,” Owens said.

“The clinical spaces are negotiated for all of the regional nursing programs through a consortium so that opportunities at facilities are shared and the facilities are not overloaded.”

“While we would love to increase our enrollment to accept more of the annual applicants, we are not able to do so at this time based solely on the spaces offered to us for clinical practice at our community partner facilities,” Owen said.

Oneal at WSU cited two challenges to its program — training availability at hospitals and clinical sites, and a nationwide faculty shortage.

“One of the problems of trying to grow out programs and make them larger is that there are just not enough people willing to become nursing faculty,” Oneal said.

The American Association of Colleges of Nursing said that for more than a decade, nursing programs have struggled to increase enrollment primarily because of shortages in faculty and clinical placement opportunities for students.

Recruiter Nursing Solutions Inc. found registered nurses exited the bedside at an alarming rate in 2021, as hospitals shed more than 2 percent of their RN workforce. An experienced nurse typically supervises student nurses for hospital training. Oneal said medical schools unaffiliated with a university hospital system face similar challenges.

“It’s not just for nursing, but also other health professions,” Oneal said. “When you have a nurse student needing to learn how to take care of a hospital patient, if we don’t have a hospital willing to take a student and let them learn how to do that, then the student is at a disadvantage.”

Some solutions being explored nationally include having BSN programs pay hospitals to have their students do on-site training with nurses, Oneal said, partially to help cover some of the nurse preceptors’ time. But there’s a paradox.

“There is a problem in that there are not enough nurses in the first place to be able to precept the student or to give up the hours of taking care of the patients,” Oneal said.

“A lot of the older nurses left during COVID, so a lot of the hospitals are working with nurses who maybe have two or three years’ experience. They are still getting their feet on the ground, really, to get that depth of experience so that they’re comfortable precepting a student.”

Oneal said she also understands that hospitals are trying to protect nurses from burnout.

“Before COVID, up to 50 percent of nurses were only lasting two to three years after graduation. Then COVID hit.”