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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

Thousands of Americans descended upon Washington D.C. Friday for a "March on Washington." The event was organized following the death of George Floyd earlier this year. "It's just too much injustice," Beth Wagner, who traveled from New Jersey to participate in the march, said. Wagner has two black sons. "I am always in fear they could be at the wrong place at the wrong time," Wagner added. Andre Miller traveled from Portland, Oregon, with his 14-year-old son. Miller showed the scars he received after being recently shot by police with a tear gas canister. Miller came to D.C. for his son, who has been called the N-Word in school. "If my kids get called the N-word, we want a suspension or something," Miller said. Andre Junior says the speakers serve as motivation. "Just to hear their messages are so inspiring," Miller Junior added. The event was organized by Rev. Al Sharpton and Martin Luther King III. "The only way we are going to resolve these issues is by doing it together," Luther King III said. 1022

Three years ago, Megan Yaeger bought her first professional camera.“It was like my first love. Ya know, when you pick it up and an angel chorus sings in the background,” Yaeger said.However, it wasn’t a purchase she had been planning for. She had been saving money to go to Disneyland and was forced to cancel due to all of the smoke from fires back in 2017. Yaeger says her lungs can’t handle smoke.“Remember kind of like back in school when they’d force you to run and you’d be really really out of shape? And you’d just be sitting there, kind of feeling like you’re dying? That’s what it feels like but you’re sitting there with the smoke and you can almost feel the particles going into your lungs and you just can’t get full expansion of your lungs and it’s the worst feeling," Yaeger said. She says her lungs are very weak because she lives with a connective tissue disease.“So like your whole body is made of connective tissue – your vascular system, your heart, your lungs, your joints, your eyes – and my body kind of chooses to attack all of it,” Yaeger said.Yaeger lives in a rural town in Utah. But with all the wildfires burning in the western U.S., she’s concerned about the smoke in the air.“Even like campfire smoke I can’t be around, so I can’t imagine people with my condition who are living like right next to the fires,” Yaeger said.It’s not just people with chronic conditions who can be impacted by prolonged exposure to wildfire smoke, especially during the COVID-19 pandemic. According to the CDC, people who currently have or who are recovering from COVID-19 may be at an increased risk of health effects from exposure to wildfire smoke due to compromised heart and-or lung function related to the disease.“We know air pollution exposure causes inflammation and cellular damage in our lungs, we know that air pollution just wreaks havoc on our lungs, and so all of this hints at wildfire smoke also doing the same,” said Erin Landguth, an associate professor with the Center for Population and Health Research at the University of Montana.She was the lead author in a study that looked at the delayed effect of small particles from wildfire smoke that gets into your lungs and irritates it. Her team wanted to understand how it may impact the following flu season in Montana.“We basically show that across these 10 years of data, after a bad fire season, one would expect to see three to five times worse flu seasons,” Landguth said.Landguth says this leads researchers to believe wildfire smoke could make people more susceptible to contracting the flu, but she says more in-depth studies need to be done to confirm that. COVID-19 is different from influenza, but considering COVID impacts the lungs, Landguth says there’s cause for concern as wildfires rage in several states.“The hypothesis that air pollution can act both as a carrier of the infection of COVID-19 and as a factor that can worsen the health impact of the COVID-19 disease has been a hot research topic,” Landguth said.Landguth emphasizes correlation doesn’t necessarily mean causation -- meaning higher flu numbers the same years as large wildfires doesn’t mean the wildfires cause worse flu seasons. However, she says they’re actively trying to learn more by expanding the study to other states. In the meantime, Landguth says vulnerable and sensitive groups should keep an eye on air quality alerts and stay inside with a proper air filter. Yaeger is doing exactly that.“Staying inside, and if I’m feeling really wheezy, doing a lot of breathing treatments and just listening to my body,” Yaeger said.No matter what comes her way, Yaeger says she chooses to remain optimistic.“When you’re faced with death so many times, you either have the choice to just be miserable, or find joy even in the smallest moments. It’s kind of almost a survival mechanism I think, optimism," she said. 3887

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Three freshmen on the UCLA men's basketball team accused of shoplifting in the Chinese city of Hangzhou could be months away from returning home while the legal process in their case plays out.ESPN, citing a source with firsthand knowledge, reported Wednesday that LiAngelo Ball, Cody Riley and Jalen Hill were released on bail after being questioned about stealing sunglasses from a Louis Vuitton store near the team hotel. ESPN's Los Angeles-based reporter Arash Markazi is covering the team from China.Chinese officials wouldn't confirm the ESPN report that Ball, Riley and Hill were arrested. Hua Chunying, a spokeswoman for China's Foreign Ministry, said the case had been reported to US authorities. 713

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