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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
TORONTO (AP) — The NHL believes all seven Canadian teams will be able to start the season playing in their home arenas.NHL Deputy Commissioner Bill Daly said Thursday the league believes it is clear to play in Canada during the second wave of the COVID-19 pandemic after discussions with the five provincial governments with NHL teams to try to gain approval to start Jan. 13.The NHL realigned its divisions for the season so that the North Division — which features all seven Canadian teams — would not have to cross the U.S.-Canada border, which remains closed to non-essential travel until at least Jan. 21.The league released its schedule Wednesday, with each team playing 56 games instead of the usual 82.On Tuesday, the league released its coronavirus-related protocols, which include coaches must wear masks at all times while behind the bench, owners can't have face-to-face meetings with players, and teams can only travel with up to 50 people, according to the Associated Press.The AP also reported that the league had asked the players not to go to restaurants, bars, and clubs and not have outside guests at their homes. 1140

Three days after Hurricane Michael unleashed its wrath in the Florida Panhandle, residents in some of the hardest hit areas are growing desperate for food and water.Long lines have formed outside fire stations, schools and Salvation Army food trucks as residents try to secure anything from bottled water and ready-to-eat meals to hot meals.PHOTOS: Hurricane Michael damageFlorida Governor Rick Scott tweeted on Saturday that millions of meals and gallons of water are already on the way to the impacted communities.The death toll from Michael has risen to at least 17 and nearly 900,000 customers remain without power in seven states. The storm that smacked Florida's Panhandle was one of the most powerful hurricanes to hit the United States, leaving a trail of destruction stretching as far as Virginia. The misery from its impact will likely linger for weeks or even months.On Saturday, emergency crews will continue descending into the coastal cities in the Panhandle, like Mexico Beach, that were wiped out and will try to reach remote areas that were isolated by downed trees and power poles. 1107
TOKYO — Shinzo Abe, Japan’s longest-serving prime minister, says he will resign because a chronic illness has resurfaced. Concerns about Abe’s health began this summer and grew this month when he visited a Tokyo hospital two weeks in a row for unspecified health checkups. Abe has acknowledged having ulcerative colitis since he was a teenager and has said the condition was controlled with treatment. Abe, whose term ends in September 2021, is expected to stay on until a new party leader is elected and formally approved by the parliament.Abe's resignation will mark the end of his second term. He served as prime minister from September 2006 to September 2007 before resigning due to health problems. He assumed office for his second term in December 2012. 767
THORNTON, Colo. – Police have arrested the suspect in a deadly shooting at a Thornton Walmart store.Scott Ostrem, 47, was taken into custody Thursday morning at 72nd and Federal.Witnesses told Thornton Police that Ostrem "nonchalantly" walked into the store Wednesday night, took out a handgun and began firing randomly at people. Two men and a woman were killed."This is a very heinous act," Avila said. "We don't know exactly what the motive of the person was, but it was certainly a terrible act."IMAGES | Photos capture chaotic scene after Thornton Walmart shootingPolice originally reported "multiple parties are down" after they were called around 6 p.m. to the store located at 9901 Grant Street in Thornton. The store was evacuated as authorities arrived on scene.Police found the victims in the south entrance. The two men were pronounced dead at the scene. The female victim was transported to Denver Health where she later succumbed to her injuries. Authorities have yet to identify the victims.No other physical injuries were reported. However, police say several people received medical attention for anxiety. Several distraught employees could be seen in the parking lot comforting each other.Investigators say there is no indication that terrorism was a motive, but have not ruled anything out at this point. They are still interviewing hundreds of witnesses and going through surveillance video.Special agents with the Bureau of Alcohol, Tobacco, Firearms and Explosives were helping police in the investigation.The shooting at the busy shopping center forced customers to either hide in the store or frantically run for the doors.Witness Harold Stevens said he was in the store with his son when he heard at least three shots. He said an employee directed him and his son to a back door where they were able to escape safely. 1890
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