{"id":11722,"date":"2020-04-17T19:20:11","date_gmt":"2020-04-17T23:20:11","guid":{"rendered":"https:\/\/advertise.nurse.com\/?p=11722"},"modified":"2025-08-12T12:17:20","modified_gmt":"2025-08-12T16:17:20","slug":"surge-of-nps-lead-shortage-of-rns","status":"publish","type":"post","link":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns","title":{"rendered":"Will the Surge of NPs Lead to a Shortage of RNs?"},"content":{"rendered":"<h2>Increasing numbers of NPs leads to a shortage of RNs<\/h2>\n<p>The number of full-time equivalent (FTE) nurse practitioners in the U.S. has more than doubled in recent years, according to researchers, with an increase of 109%. Will this surge of NPs lead to a shortage of RNs?<\/p>\n<p>While the nurse practitioner population increased by 109% from 2010-2017\u2014going from 91,000 to 190,00\u2014the number of RNs and physicians has declined, according to a February 2020 <a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2019.00686\" target=\"_blank\" rel=\"noopener noreferrer\">Health Affairs<\/a> study. RN numbers increased by only 22% in that same time period and physicians a mere 9%. The explosive growth of licensed NPs is great news for policy leaders who recommended they could fill the care gaps during the current shortage of primary care providers. However, the unintended consequence of this trend is its contribution to a shortage of approximately 80,000 practicing RNs nationwide, especially in acute care.<\/p>\n<p>Researchers David I. Auerbach and his colleagues Peter I. Buerhaus and Douglas O. Staiger found the number of NPs increased in every region of the U.S., and was fueled by the swift growth of NP programs which attracted large numbers of <a href=\"https:\/\/advertise.nurse.com\/5-key-strategies-to-recruit-millennial-nurses\/\">millennial<\/a> RNs.<\/p>\n<p>\u201cThe number of NP programs increased from 356 in 2010 to 467 in 2017,\u201d said Auerbach, MS, PhD health economist and external adjunct professor for the Center for Interdisciplinary Health Workforce Studies at Montana State University in Bozeman, Mont.<\/p>\n<p>Other key findings:<\/p>\n<ul>\n<li>\n<blockquote><p>Employment for NPs grew at similar rates in different settings with the fastest growth seen in outpatient clinics<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Hospitals, physician offices and outpatient centers employed 83% of NPs in 2017 (a growth from 116% to 142%)<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Inflation adjusted earnings for NPs grew 5.5% from 2010-17<\/p><\/blockquote>\n<\/li>\n<li>\n<blockquote><p>Less than 1% of all NPs were not employed<\/p><\/blockquote>\n<\/li>\n<\/ul>\n<h3>PCP demand remains high<\/h3>\n<p>The demand for primary care providers is high, but the supply of MDs is growing slowly and not keeping up with the demand, Auerbach said.<\/p>\n<p>\u201cIt has been easier to increase the capacity of NP programs versus MD programs as the training time is shorter,\u201d he said.<\/p>\n<p>Another reason it\u2019s easier to ramp up NP education programs is they don\u2019t require residencies as MD programs do, said Auerbach.<\/p>\n<p>\u201cThere are real limitations regarding the residency process,\u201d he said. \u201cThe number of residencies available is dependent on the number of hospitals offering them. This places another set of constraints on the whole process.\u201d<\/p>\n<p>Auerbach and his colleagues found the growth in the numbers of NPs per capita from 2010-17 varied, depending on the region in the U.S. being examined.<\/p>\n<p>\u201cThe rates differed \u2013 from 49% in the South Atlantic region to more than 150% in the East South Central and West South Central regions,\u201d he said.<\/p>\n<p>Adding fuel to the fire \u2013 baby boomer RNs are leaving the nursing profession and retiring at various rates depending on the region of the country, Auerbach said.<\/p>\n<p>\u201cCouple RN retirements, along with RNs leaving to become NPs and this leads to nursing shortages,\u201d he said. \u201cHospitals and acute care have been impacted the most by this.\u201d<\/p>\n<p>One finding that was consistent with other research \u2013 the more restrictive the state\u2019s NP scope-of-practice laws, the lower the rate of growth of additional NPs, Auerbach said. \u201cStates in which NPs have full practice authority saw a rate of growth of 133% versus 100% growth in states with more restrictive practice regulations,\u201d he said.<\/p>\n<h3>Recruitment and retention efforts can help stem the loss of RNs<\/h3>\n<p>With the huge number of baby boomer generation nurses in the midst of retiring across the U.S., it could behoove healthcare organizations to find ways to retain these nurses a bit longer Auerbach said.<\/p>\n<p>\u201cTwo options that could be considered are identifying less physically demanding roles for baby boomer nurses, along with looking at positions that are part-time,\u201d he said. \u00a0\u201cThese strategies could possibly lead to more of these nurses being willing to stay on longer with an organization, rather than retire.\u201d<\/p>\n<p>Other job-related factors Auerbach said he has qualitatively observed as important to many nurses are salary, benefits and working conditions.<\/p>\n<p style=\"text-align: left;\">\u201cEmployers looking to actively recruit nurses and those who hope to retain nurses in their employ longer, will want to look at <a href=\"https:\/\/advertise.nurse.com\/job-perks-nurses-want-job-offer\/\">factors<\/a> that are important to nurses,\u201d he said.<\/p>\n<p>Working conditions Auerbach highlighted include:<\/p>\n<ul>\n<li>Competitive salaries<\/li>\n<li>Comprehensive benefits packages<\/li>\n<li>Staffing to patient ratios \u2013 many nurses feel they are stretched too thin<\/li>\n<li>Autonomy<\/li>\n<li>Overall work environment \u2013 work culture<\/li>\n<\/ul>\n<p>In Massachusetts, where Auerbach is based, he said there are many new RNs coming right out of <a href=\"https:\/\/advertise.nurse.com\/how-attract-advertise-nursing-students\/\">nursing school<\/a> to work in hospitals, and experienced RNs leaving the profession.<\/p>\n<p>\u201cNew grad programs require a lot of investment from hospitals,\u201d he said. \u201cHospitals will want to consider finding ways to make the training process for new grads an easier transition to go from nursing student to working nurse, to help with retention efforts.\u201d<\/p>\n<p>If the current trend and rate of growth of the NP profession continues, Auerbach said there is a danger of possibly having too many NPs in the future. What can we expect if an influx of NPs leads to shortage of RNs?<\/p>\n<p>\u201cIf this should happen,\u201d Auerbach said, \u201cwe may see NP earnings drop and their unemployment levels rise.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Increasing numbers of NPs leads to a shortage of RNs The number of full-time equivalent (FTE) nurse practitioners in the U.S. has more than doubled in recent years, according to researchers, with an increase of 109%. Will this surge of NPs lead to a shortage of RNs? While the nurse practitioner population increased by 109% [&hellip;]<\/p>\n","protected":false},"author":107,"featured_media":11724,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"quote","meta":{"_acf_changed":false,"footnotes":""},"categories":[27],"tags":[],"coauthors":[1426],"class_list":["post-11722","post","type-post","status-publish","format-quote","has-post-thumbnail","hentry","category-nursing-recruitment","post_format-post-format-quote"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Will the surge of nurse practitioners lead to a shortage of RNs?<\/title>\n<meta name=\"description\" content=\"Will the surge of NPs lead to a shortage of RNs? 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The number of FTE nurse practitioners in the U.S. has more than doubled in recent years.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns\" \/>\n<meta property=\"og:site_name\" content=\"Nurse.com Solutions\" \/>\n<meta property=\"article:published_time\" content=\"2020-04-17T23:20:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-12T16:17:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2020\/04\/NP-photoshop-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Carole Jakucs\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Carole Jakucs\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns\"},\"author\":{\"name\":\"Carole Jakucs\",\"@id\":\"https:\/\/www.nurse.com\/solutions\/#\/schema\/person\/2b16edab349ed4806684ac72accb14ae\"},\"headline\":\"Will the Surge of NPs Lead to a Shortage of RNs?\",\"datePublished\":\"2020-04-17T23:20:11+00:00\",\"dateModified\":\"2025-08-12T16:17:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns\"},\"wordCount\":850,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.nurse.com\/solutions\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2020\/04\/NP-photoshop-scaled.jpg\",\"articleSection\":[\"Nursing recruitment\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns\",\"url\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns\",\"name\":\"Will the surge of nurse practitioners lead to a shortage of RNs?\",\"isPartOf\":{\"@id\":\"https:\/\/www.nurse.com\/solutions\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2020\/04\/NP-photoshop-scaled.jpg\",\"datePublished\":\"2020-04-17T23:20:11+00:00\",\"dateModified\":\"2025-08-12T16:17:20+00:00\",\"description\":\"Will the surge of NPs lead to a shortage of RNs? 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The number of FTE nurse practitioners in the U.S. has more than doubled in recent years.","og_url":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns","og_site_name":"Nurse.com Solutions","article_published_time":"2020-04-17T23:20:11+00:00","article_modified_time":"2025-08-12T16:17:20+00:00","og_image":[{"width":2560,"height":1707,"url":"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2020\/04\/NP-photoshop-scaled.jpg","type":"image\/jpeg"}],"author":"Carole Jakucs","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Carole Jakucs","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#article","isPartOf":{"@id":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns"},"author":{"name":"Carole Jakucs","@id":"https:\/\/www.nurse.com\/solutions\/#\/schema\/person\/2b16edab349ed4806684ac72accb14ae"},"headline":"Will the Surge of NPs Lead to a Shortage of RNs?","datePublished":"2020-04-17T23:20:11+00:00","dateModified":"2025-08-12T16:17:20+00:00","mainEntityOfPage":{"@id":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns"},"wordCount":850,"commentCount":0,"publisher":{"@id":"https:\/\/www.nurse.com\/solutions\/#organization"},"image":{"@id":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#primaryimage"},"thumbnailUrl":"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2020\/04\/NP-photoshop-scaled.jpg","articleSection":["Nursing recruitment"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns","url":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns","name":"Will the surge of nurse practitioners lead to a shortage of RNs?","isPartOf":{"@id":"https:\/\/www.nurse.com\/solutions\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#primaryimage"},"image":{"@id":"https:\/\/www.nurse.com\/solutions\/blog\/surge-of-nps-lead-shortage-of-rns#primaryimage"},"thumbnailUrl":"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2020\/04\/NP-photoshop-scaled.jpg","datePublished":"2020-04-17T23:20:11+00:00","dateModified":"2025-08-12T16:17:20+00:00","description":"Will the surge of NPs lead to a shortage of RNs? 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