{"id":2980,"date":"2023-09-02T20:40:09","date_gmt":"2023-09-02T20:40:09","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/schools\/?p=2980"},"modified":"2023-09-06T21:10:35","modified_gmt":"2023-09-06T21:10:35","slug":"a-critical-balancing-act","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/schools\/2023\/09\/02\/a-critical-balancing-act\/","title":{"rendered":"A critical balancing act"},"content":{"rendered":"<h3>How UT Health San Antonio is addressing the growing local and statewide shortage of nurses<\/h3>\n<h6><em>By Rosanne Fohn<\/em><\/h6>\n<p>It\u2019s no secret that there is a nurse shortage \u2014 nationally, statewide and locally. And this shortage has been building for at least a decade. More nurses are retiring at the same time more baby boomers are expected to live longer with chronic conditions, increasing the number of those who need care. Add to that imbalance the nurses who have left or are taking a break from the profession following the stress and pressures of the COVID-19 pandemic.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-3030 alignright\" src=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2023\/08\/Shortage-398x300.png\" alt=\"Two nurses in full personal protective equipment sit exhausted in a clinic hallway.\" width=\"375\" height=\"269\" \/>This year in Texas alone, the <a href=\"https:\/\/healthdata.dshs.texas.gov\/dashboard\/health-care-workforce\/hprc\/workforce-supply-and-demand\" target=\"_blank\" rel=\"noopener\">shortfall of full-time registered nurses<\/a> is projected to be 33,340, and by 2030, the shortfall is expected to be 49,946, according to the Texas Department of State Health Services\u2019 Workforce Demand and Supply Projections. In South Texas, <a href=\"https:\/\/healthdata.dshs.texas.gov\/dashboard\/health-care-workforce\/hprc\/workforce-supply-and-demand\" target=\"_blank\" rel=\"noopener\">965 more full-time nurses<\/a> are needed this year, and 1,942 will be in demand in 2030.<\/p>\n<p>Another sobering statistic: Texas ranks near the very bottom in a state-by-state breakdown of the number of nurses per 1,000 residents. According to recent data published by <a href=\"https:\/\/nursejournal.org\/articles\/the-us-nursing-shortage-state-by-state-breakdown\/\" target=\"_blank\" rel=\"noopener\"><em>NurseJournal<\/em><\/a>, only Georgia and Utah have a lower comparison than Texas, at 7.47 nurses per 1,000 residents. Among the contributing factors cited for the shortage in addition to an aging workforce and burnout is a lack of educators.<\/p>\n<p><strong>Local workforce demand<\/strong><\/p>\n<p>In San Antonio, the construction and expansion of several hospitals slated for completion within the next few years will push the local demand for nurses to a new high.<\/p>\n<p>One of the five new hospitals coming online in San Antonio to serve the city\u2019s growing population is the <a href=\"https:\/\/uthealthsahospital.org\/\" target=\"_blank\" rel=\"noopener\">UT Health San Antonio Multispecialty and Research Hospital<\/a>, expected to open at the end of 2024. The hospital will require 600 nurses, according to hospital Chief Nursing Officer Nancy Doolittle, DNP, MBA, RN, NE-BC.<\/p>\n<p>\u201cIt is imperative for the School of Nursing to produce as many [baccalaureate] BSN nurses as possible to care for the citizens of San Antonio,\u201d said School of Nursing Dean Sonya Hardin, PhD, MBA\/MHA, APRN, FAAN.<\/p>\n<p>\u201cIncreasing the number of RNs and higher-level nurses is important, but the elephant in the room is that we can\u2019t increase our number of nursing students without adding the funding for more teaching faculty,\u201d said Sara Gill, PhD, RN, FAAN, professor and associate dean for graduate studies.<\/p>\n<p><strong>Grant to address faculty shortage<\/strong><\/p>\n<p>Fortunately, the School of Nursing received a $425,000 grant in February from The Texas Higher Education Coordinating Board to address the shortage of nursing faculty members by retraining non-teaching faculty, recruiting and training full-time adjunct faculty to become teachers and exposing more graduate students to teaching by becoming graduate teaching assistants.<\/p>\n<p>Gill, along with Cynthia O\u2019Neal, PhD, RN, and James Cleveland, PhD, MSN, RN, are co-principal investigators of the one-year grant. O\u2019Neal is a professor and associate dean of undergraduate studies. Cleveland is an assistant professor and director of the Center for Simulation Innovation in the School of Nursing.<\/p>\n<p>\u201cThe American Association of Colleges of Nursing reported that in 2020, baccalaureate nursing programs denied admission to 66,274 qualified applicants. The primary reason reported for denying admission to these applicants was insufficient faculty numbers,\u201d said O\u2019Neal, adding that 419 qualified undergraduate nursing students were denied admission to UT Health San Antonio\u2019s nursing program last year due to a lack of funding for faculty.<\/p>\n<p>\u201cMany PhD programs only minimally prepare students for teaching, and teaching is not included in most DNP [Doctor of Nursing Practice] programs,\u201d Gill said. \u201cThis grant will help us encourage our junior and mid-career, non-teaching faculty members to consider teaching by providing a 12-session teaching program provided by our university \u2014 UTeach \u2014 a certification program focused on in-person and virtual teaching and mentoring to help these faculty members make the transition to teaching,\u201d Gill said.<\/p>\n<p>The same program will be offered to full-time adjunct faculty members they plan on recruiting through the grant, she added.<\/p>\n<p>On the other end of the spectrum, the grant will also fund the hiring of more graduate teaching assistants to work with undergraduate faculty and students.<\/p>\n<p>\u201cThis will offer graduate students an opportunity to experience academic teaching,\u201d Gill said. \u201cWe hope it will help increase the pool of qualified candidates for our faculty teaching program.\u201d<\/p>\n<p>The grant also funds several new support positions, including a third staff member to negotiate more clinical rotation positions for UT Health San Antonio nursing students at area hospitals.<\/p>\n<p><strong>Stronger clinical partnerships <\/strong><\/p>\n<p>Doolittle said the new hospital will work with the university\u2019s School of Nursing to provide clinical education opportunities.<\/p>\n<p>\u201cWe will be actively partnering with the nursing programs at UT Health San Antonio to ensure the successful education and transition of our students into their clinical nursing careers,\u201d said Doolittle.<\/p>\n<p>That is welcome news to O\u2019Neal.<\/p>\n<p>\u201cWe have been seeking to increase the content of oncological nursing in our curriculum and look forward to opportunities for collaboration with Mays Cancer Center and the UT Health San Antonio Multispecialty and Research Hospital,\u201d said O\u2019Neal.<\/p>\n<p>Devising a transition to practice pathways for graduates with potential clinical placement opportunities will provide rich learning for undergraduate students, she added.<\/p>\n<p>O\u2019Neal noted that the school\u2019s undergraduate program already has strong clinical partnerships with the major hospital systems in San Antonio, including Baptist Health System, Methodist Healthcare, University Health and Audie L. Murphy Memorial Veterans\u2019 Hospital.<\/p>\n<p>\u201cFurthermore, we are excited about the unique and innovative clinical models we have developed with Christus Santa Rosa Westover Hills, Methodist Healthcare, University Health and Audie L. Murphey Memorial Veterans\u2019 Hospital,\u201d said O\u2019Neal.<\/p>\n<p>The <a href=\"https:\/\/uthscsa.edu\/nursing\/\" target=\"_blank\" rel=\"noopener\">School of Nursing\u2019s Bachelor of Science in Nursing program<\/a> ranks in the <a href=\"https:\/\/news.uthscsa.edu\/ut-health-san-antonio-school-of-nursings-undergraduate-program-ranks-in-top-5-on-u-s-news-world-report-list-2\/\" target=\"_blank\" rel=\"noopener\">top 5%<\/a> of all BSN programs nationally.<\/p>\n<hr \/>\n<h2>New hospital, new opportunities<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3031 alignright\" src=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2023\/09\/Hospital-450x226.png\" alt=\"A artist's rendering of the new UT Health San Antonio Multispecialty and Research Hospital.\" width=\"450\" height=\"226\" srcset=\"https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2023\/09\/Hospital-450x226.png 450w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2023\/09\/Hospital-850x427.png 850w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2023\/09\/Hospital-768x386.png 768w, https:\/\/magazines.uthscsa.edu\/schools\/wp-content\/uploads\/sites\/11\/2023\/09\/Hospital.png 977w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/>With the projected opening of the new <a href=\"https:\/\/uthealthsahospital.org\/\" target=\"_blank\" rel=\"noopener\">UT Health San Antonio Multispecialty and Research Hospital<\/a>, set for late 2024, the recruitment of key leaders and directors is underway.<\/p>\n<p>\u201cWe will begin hiring front-line clinical staff in the next fiscal year,\u201d said the hospital\u2019s Chief Nursing Officer Nancy Doolittle, DNP, MBA, RN, NE-BC. As with any new hospital, nurses will be the core of the workforce.<\/p>\n<p>\u201cIdeally, we will want all levels of registered nurses and advanced practice nurses, including MSNs, DNPs and PhDs,\u201d said Doolittle<\/p>\n<p>The $470 million, 144-bed, in-patient facility owned by the university will offer cancer care, including immunologic and stem cell therapies. Interdisciplinary research also will be a strong emphasis at the new hospital.<\/p>\n<p>With the choice of several new hospitals opening in the region in the next several years, why should nurses consider working at UT Health San Antonio Multispecialty and Research Hospital?<\/p>\n<p>\u201cWe will value and support the success of all nurses from new graduates to experienced, expert nurses,\u201d Doolittle said. \u201cWe will support professional development with certifications, tuition reimbursement and a clinical ladder to advance our team members,\u201d she added.<\/p>\n<p>\u201cWith this new facility comes the opportunity for nurses and team members to support the creation of a unique and different culture, one they have always wanted,\u201d said Doolittle. \u201cEmployees will have the opportunity to find fulfillment, camaraderie and a true sense of contribution and accomplishment here.\u201d<\/p>\n<hr \/>\n<h2>Retention is key to addressing nursing demand<\/h2>\n<p><em>$3 million grant to enhance mentoring, engagement\u00a0<\/em><\/p>\n<p>When she first came to the School of Nursing, Lauren Zambrano said she felt a little lost and confused. She was glad to learn there was a mentoring program in place.<\/p>\n<p>\u201cIt helps to have a mentor guiding you along the way,\u201d said the first-generation college student from Houston, who has been both mentored and hired to mentor students through the School of Nursing\u2019s Student Success Center. She said both experiences helped her acclimate to a new school and city.<\/p>\n<p>With a new five-year grant of almost $3 million from the U.S. Department of Education, the School of Nursing aims to boost Hispanic, low-income student engagement at a time of peak nursing demand.<\/p>\n<p>The <a href=\"https:\/\/news.uthscsa.edu\/ut-health-san-antonio-school-of-nursing-receives-3-million-federal-grant-to-further-boost-hispanic-engagement-2\/\" target=\"_blank\" rel=\"noopener\">Developing Hispanic-Serving Institutions Program grant<\/a> will increase research and clinical mentorship, expand students\u2019 well-being through counseling and wellness programs and address a need for data regarding Hispanic student success. Vanessa Meling, EdD, MBA, associate dean for admissions, student success and engagement, and assistant professor for research with the School of Nursing, is the principal investigator for the grant.<\/p>\n<p>The Student Success Center will accomplish these goals through enhancements to existing programs such as the Summer Undergraduate Research Immersion Experience, which includes a seven-week research experience. The 10 SUNRISE scholars will receive a $2,700 stipend for participating in and presenting at regional and national conferences and will be matched with a research faculty member who will serve as mentor.<\/p>\n<p>The grant also will create a new program, the Nursing Advancement in Clinical Translational Science, which includes a weeklong clinical research immersion program. At the end of the program, participants will continue to meet for an hour each month during the academic year for guidance and mentorship on research topics. In addition to being assigned a UT Health San Antonio research mentor, participants will give presentations on their discoveries at University Health Research Day and at regional conferences.<\/p>\n<p>Funding from the new grant will increase the number of students mentoring their peers from 39 to 85 annually, and some will see stipend pay increases \u2014 as high as $400 per semester, according to Meling.<\/p>\n<p>Because attending college is a major life change for first-generation students in particular, students will have access to a psychologist and a financial aid counselor to improve their financial literacy. All these changes will help students like Zambrano, who identifies as Hispanic, to more confidently navigate new educational challenges.<\/p>\n<p>Zambrano said the new program should help keep more nursing students in school and will create a community of lifelong friendships.<\/p>\n<p>\u201cI\u2019ve made so many connections here. A lot of people come here and don\u2019t know anyone. But through clinicals, you form friendships. As long as you put yourself out there, you will form impactful friendships.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Texas grapples with a significant nurse shortage affecting health care systems. Schools of Nursing, like UT Health San Antonio, address the crisis through faculty training and collaboration.<\/p>\n","protected":false},"author":599,"featured_media":3023,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"magazine":[24],"issue-year":[49],"featured-story":[36,37],"class_list":["post-2980","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-care","magazine-tribute","issue-year-49","featured-story-homepage","featured-story-landing-page"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A critical balancing act - Magazines of the Schools at UT Health San Antonio<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/magazines.uthscsa.edu\/schools\/2023\/09\/02\/a-critical-balancing-act\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A critical balancing act - Magazines of the Schools at UT Health San Antonio\" \/>\n<meta property=\"og:description\" content=\"Texas grapples with a significant nurse shortage affecting health care systems. 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