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There's an acute nursing shortage in the United States, but schools are turning away thousands of qualified applicants as they struggle to expand class size and hire more teachers for nursing programs.In America, experienced nurses are retiring at a rapid clip, and there aren't enough new nursing graduates to replenish the workforce. At the same time, the nation's population is aging and requires more care."It's really a catch 22 situation," said Robert Rosseter, spokesman for the American Association of Colleges of Nursing."There's tremendous demand from hospitals and clinics to hire more nurses," he said. "There's tremendous demand from students who want to enter nursing programs, but schools are tapped out."There are currently about three million nurses in the United States. The country will need to produce more than one million new registered nurses by 2022 to fulfill its health care needs, according to the American Nurses Association estimates.That's a problem.In 2017, nursing schools turned away more than 56,000 qualified applicants from undergraduate nursing programs. Going back a decade, nursing schools have annually rejected around 30,000 applicants who met admissions requirements, according to the American Association of Colleges of Nursing."Some of these applicants graduated high school top of their class with a 3.5 GPA or higher," said Rosseter. "But the competition to get into a nursing school right now is so intense."Because of the lack of openings, nursing programs across the board -- in community colleges to undergraduate and graduate schools -- are rejecting students in droves.Erica Kay is making her third attempt to get into a nursing program offered in a community college near where she lives in southern California.Kay, 35, already is a certified surgical technician and a certified medical assistant."I've been working in health care since I was 21. This is my passion," she said. "I know I will be a great nurse and I'm studying very hard to get accepted into a program," she saidShe's taken the standardized admissions test for nursing schools twice and applied to three community colleges. She didn't get in."One school responded in a letter they had 343 applications and only accepted 60 students," she said. Another school had 60 slots for 262 applications."Some programs won't even consider you if you score less than 80% even if you meet all other criteria," she said. Kay is retaking the nearly four-hour-long test next month, hoping to better her score."It shocks and upsets me that there are so many hurdles to get into nursing school when we have a nursing shortage," said Kay. "But I am going to keep trying."Jane Kirschling, dean of the University of Maryland School of Nursing in Baltimore, said her school admits new students in the undergraduate program twice a year."We're averaging 200 applications each time for 55 slots," she said. "So we're turning away one student for every student we accept."She said the nursing profession has surged in popularity for a few reasons. "Nursing offers an entry-level living wage with which you can support a family," said Kirschling.There's built-in flexibility and mobility. "You can work three 12-hour shifts and get four days off," she said. And nurses aren't locked into a specific location, employer or specialty for the rest of their lives. "There's tremendous growth opportunity," said Kirschling.But Kirschling said increasing school class size to accommodate more students isn't easy or practical.For one thing, nursing schools are struggling to hire more qualified teachers. "The annual national faculty vacancy rate in nursing programs is over 7%. That's pretty high," said Rosseter. "It's about two teachers per nursing school or a shortage of 1,565 teachers."Better pay for working nurses is luring current and potential nurse educators away from teaching. The average salary of a nurse practitioner is ,000 compared to an average salary of ,575 for a nursing school assistant professor, according to the American Association of Nurse Practitioners.Mott Community College in Flint, Michigan, last year reduced its new admissions from 80 to 64 students accepted twice a year into its two-year associate degree in nursing program.The move was partly in response to a decision by the Michigan Board of Nursing to shrink the nursing student-to-faculty ratio for clinical training in hospitals and clinics. This was aimed at improving safety and avoiding crowded clinical settings."It changed from 10 students for one educator to 8 students. So we had to adjust our class size accordingly," said Rebecca Myszenski, dean of the division of Health Sciences at Mott Community College.Kirschling's school in Baltimore has made similar adjustments. "We used to send eight to 10 nursing students per instructor to hospitals for clinical rotations. Now it's six students," she said.Pediatrics, obstetrics and mental health are the areas where nursing students have the most unmet demand for clinical training," said Kirschling. "As we try to increase the number of nursing students, these three areas will be bottlenecks for nursing programs."Rosseter agrees that class size presents another challenge for nursing schools. "There's not enough available clinical space to train students," he said.Despite the constraints, nursing programs are thinking of ways to accommodate more students."We're expanding our program to new campuses, we're looking at new models of partnering with hospitals to allow [their] nursing staff to [be able] to teach," said Tara Hulsey, dean of West Virginia University's School of Nursing.For example, Anne Arundel Community College in Arnold, Maryland, offers an accelerated associate nursing program that allows qualified paramedics or veterans to be admitted straight into the second year of the two-year program.In Flint, Mott Community College has partnered with University of Michigan's accelerated 16-month undergraduate program designed for veterans with medical experience who want to transition into a nursing career."These bridge programs could really help with the [nursing] shortage," said Myszenski. "You have to address the nursing shortage by thinking out of the box."  6239

This is the street party/protest that is on the back part of the @WhiteHouse at 15th and Constitution - lotta loudspeakers & a live band jamming out of this bus pic.twitter.com/r3cR3hN6Iz— Elizabeth Landers (@ElizLanders) August 28, 2020 249

TIJUANA, Mexico (AP) — Migrants approaching the U.S. border from Mexico were enveloped with tear gas Sunday after a few tried to breach the fence separating the two countries.U.S. agents shot the gas, according to an Associated Press reporter on the scene. Children were screaming and coughing in the mayhem.Honduran migrant Ana Zuniga, 23, said she saw migrants open a small hole in concertina wire at a gap on the Mexican side of a levee, at which point U.S. agents fired tear gas at them."We ran, but when you run the gas asphyxiates you more," she told the AP while cradling her 3-year-old daughter Valery in her arms.RELATED: Caravan marches toward US border in show of forceMexico's Milenio TV also showed images of several migrants at the border trying to jump over the fence. Yards away on the U.S. side, shoppers streamed in and out of an outlet mall.U.S. Border Patrol helicopters flew overhead, while U.S. agents held vigil on foot beyond the wire fence in California. The Border Patrol office in San Diego said via Twitter that pedestrian crossings have been suspended at the San Ysidro port of entry at both the East and West facilities. All northbound and southbound traffic was halted.Earlier Sunday, several hundred Central American migrants pushed past a blockade of Mexican police who were standing guard near the international border crossing to pressure the U.S to hear their asylum claims. They appeared to easily pass through without using violence, and some of the migrants called on each other to remain peaceful.RELATED: Woman with child injured while scaling border fenceThe migrants carried hand-painted American and Honduran flags and chanted: "We are not criminals! We are international workers!"A second line of Mexican police carrying plastic riot shields stood guard outside a Mexican customs and immigration plaza.That line of police had installed tall steel panels behind them outside the Chaparral crossing on the Mexican side of the border.Migrants were asked by police to turn back toward Mexico.More than 5,000 migrants have been camped in and around a sports complex in Tijuana after making their way through Mexico in recent weeks via caravan. Many hope to apply for asylum in the U.S., but agents at the San Ysidro entry point are processing fewer than 100 asylum petitions a day.Irineo Mujica, who has accompanied the migrants for weeks as part of the aid group Pueblo Sin Fronteras, said the aim of Sunday's march toward the U.S. border was to make the migrants' plight more visible to the governments of Mexico and the U.S."We can't have all these people here," Mujica told The Associated Press.Tijuana Mayor Juan Manuel Gastelum on Friday declared a humanitarian crisis in his border city of 1.6 million, which he says is struggling to accommodate the crush of migrants.U.S. President Donald Trump took to Twitter Sunday to express his displeasure with the caravans in Mexico."Would be very SMART if Mexico would stop the Caravans long before they get to our Southern Border, or if originating countries would not let them form (it is a way they get certain people out of their country and dump in U.S. No longer)," he wrote.Mexico's Interior Ministry said Sunday the country has sent 11,000 Central Americans back to their countries of origin since Oct. 19. It said that 1,906 of them were members of the recent caravans.Mexico is on track to send a total of around 100,000 Central Americans back home by the end of this year.RELATED: 3488

Top 5 texts (or derivations of) that I receive after posting my number:1) Skamtebord2) Do you know Joe?3) Is this the Krusty Krab?4) Is this really you?5) You look like Tony Hawk— Tony Hawk (@tonyhawk) November 9, 2019 232

This booking photo provided by the Glynn County Sheriff’s Office shows William “Roddie” Bryan Jr., who was jailed Thursday, May 21, 2020, in Brunswick, Ga., on charges of felony murder and attempted false imprisonment. Bryan is the third person charged in the fatal shooting of Ahmaud Arbery on Feb. 23, when a white father and son armed themselves and pursued Arbery after seeing him running in their neighborhood. (Glynn County Sheriff’s Office via AP) 463

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