Thanks to Jeff from TravelNursingBlogs for posing the following questions:
“Is there a nursing shortage in Australia? What is the industry like there? Has the global recession hit it?”
The short answer to your questions is yes – Australia is suffering with quite a severe shortage of nursing staff, and yes the recession has changed things around a little.
It gets a little complicated when examining data though, particularly as census figures only are made available every few years.
On a personal note, I’ve worked in both the private and public sectors in Australia over the last ten years, and I’ve always felt as if my job was very secure. The nursing profession in general never downsizes – it simply can’t afford to. There are always jobs available in some area or other, and while specialty areas fluctuate at times with job availability, there always seems to be nursing jobs available for those who are looking for work.
In fact, for the last few years there have been incentive and bonus programs in place to try and lure retired or non-working nurses back to the profession.
Regarding staffing – most hospitals frequently use casual staff to back fill sick leave and roster shortages, and use agency staff when desperate. I have noticed however that agency staff are being used less in the hospital where I work. Possibly this is due to the costs involved – agency staff are traditionally always paid higher than regular staff or casuals. Cutting back (unless really desperate) & employing more casual staff is therefore a likely implementation of some cost cutting measures.
But getting back to your questions – let me quote a few paragraphs from a recent QNU Federal Budget submission from January 2009, it might just give you a glimpse into nursing conditions in Queensland:
“In Queensland, there remains a critical shortage of nurses across public and private hospitals and aged care facilities (conservative estimates put this at around 1400 nurses) resulting from years of neglect of recruitment and retention strategies.
Currently in Queensland there are shortages in most areas of nursing including accident and emergency, critical/intensive care, midwifery, mental health, community care, aged care and indigenous health (Department of Education, Employment and Workplace Relations, 2008). The significant migration to this state and its consequent demand on health services, especially in the south east corner, has exacerbated these shortages.
ABS 2006 Census figures on the rate of nurses per 100,000 population by state or territory reveal Queensland is well below the Australian average of 1107 nurses per 100,000 population with just 1025.3 nurses per 100,000 population. As the population continues to rise in Queensland, the QNU’s data modelling indicates we can expect a shortfall of 14,000 nurses by 2014 across the public, private and aged-care sectors.
In the public sector, Queensland Health’s conservative shortage estimates are based only on maintaining the current service status and fail to take into account significant predicted retirements from the profession, backfill requirements for leave and training, as well as increases in services—such as new beds coming online—which all have a direct impact on the number of additional nurses required.
Aged care figures are difficult to determine without reliable information on staffing shortages. However, the QNU estimates shortages are even more acute in this sector due to the poor wages and conditions on offer and the lack of incentives. According to the Australian Institute for Health and Welfare (AHWI) (2005), based on a predicted retirement age of 65, over the next 20 years Australia will lose 60% of the existing employed registered and enrolled nurse labour force through retirement.
Nearly 15 per cent of nurses are retiring every five years—creating a projected cumulative exodus of 90,000 nurses by 2026 (Australian Health Workforce Institute, 2008). Unfortunately, new graduates from existing educational programs are not adequately replacing these nurses and it seems future planning for the huge exodus of nurses from the health system is severely lacking. To keep experienced nurses in the health system, employers and government should provide transition to retirement programs to retain nurses and knowledge for longer.”
So there’s a glimpse of the general conditions surrounding the Nursing Profession in Queensland, and I believe the figures are similar in the rest of the states and territories in Australia.
It’s difficult for me to say how this differs from the rest of the world as I have only nursed in Australia before. Additionally, the article above paints a bleak picture that is correct in terms of data and numbers, however the day to day conditions (in terms of staffing and patient loads etc) in the hospitals I have worked at, are not quite as dire as they sound.
In critical care areas and particularly emergency nursing where I work, staffing is critical & receives a fairly high priority in order to maintain a safe level of care. Because of this, my personal experiences probably don’t reflect the greater picture of nursing shortages in Australia. Occasionally in the department where I work there are days where too many are off sick, or for some reason we have a higher than usual casual-to-regulars ratio making skill mix a bit of an issue, but again this is not the norm. What is the norm though, is difficult, busy shifts made more difficult by overcrowding, ramping of ambulances, and bed block issues.
Unfortunately, as the quote from the article above suggests, this is not always the case in every hospital, and certainly not always the case when it comes to ward nursing or other specialty areas. For example, my sister who works as a Registered Nurse recently joined a casual pool at a hospital she had never worked at before (pool nurses work anywhere in the hospital, rather than staying permanently in one ward).
On her second shift she was sent to a ward (orthopaedics, I believe) to discover that not only was she supposed to be in charge as the most senior person on, the only other Registered Nurse present was a casual who had never worked there before! Needless to say she was not too thrilled….
What are your experiences with nursing shortages & the effect it has on staff or patients?
Hi I’m Cristina a registered nurse who have worked in the Philippines from november 16,2006 to May 2011 and now I’m currently working here in Singapore at kk women and children’s hospital.. I’m really interested in working in australia, do you have direct hiring? please do send me the details on how to apply there directly as a registered nurse.. Thank you so much…
Hi I have found that trying to tranfer internally in the public hospital system is an absolute nightmare
I will hopefully get a placement after 4mths. Someone needs to address this situation as it can ruin
ones self esteem and bank balance
How about hiring some RN new grads? I’ve 6 years experience as an EEN and currently work 2 x casual jobs. I have completed my Ba Nursing and have no new grad program and no one will hire me. My partner (who works as a clinical facilitator for QLD Health) told me not to take the 2 NSW rural grad programs I was offered as I’d get a job with QLD Health etc. Well I didn’t. It looks like I’m an EEN for at least another 10-12 months. At least I have a job as most grads have nothing or work as AIN’s. What a joke, wards are always short staffed and this is how the future of the health care industry is treated! I can’t even get a job overseas due to lack of experience. All I have to say from this point forth is explicit so I will not bother…….
Agencies should be sued heaps for their advertisements. So many shifts that cannot be filled?? Liars. Only dreaming of misconception. More nurses, more shifts to send employees to, more profit. Advertisements are lies to put profits into their pockets. They have no consideration of us as humans. Seeing the ads, I simply quit my good job status. Liars. Agencies should be sued. Give me back my life.
Nursing shortage in Australia?? Why then have they made it so hard then for us to return to the profession? Having left work 11 years ago to have and raise my children, I was devastated to find out that to return to my job I had to fully retrain. In short 4 years back at Uni to regain my nursing/midwifery registration. Even had I been 5-10 years out it would still mean relocating to one of the southern states ( I am a Queenslander) for 3-6 months and paying up to $10000 up front to do a re entry course. So I put the question out there How serious are they about providing our hospital system with adequate and well trained nursing staff? A shortage yes, but not because we aren’t out there to return….
I have been EEN for 10 years and have work casual basis within Q-Health. Now they only accept contract work on a short term basis which that is stupid. In some hosptial, If you are not good enough, they will not extent your employment if you are happy where you are .No wonder they cannot get long term staff. Now I am working in NSW thru agency nursing because I cannot get a permanent part time position unless I sign their contract again. Qld health is getting beyond the joke when it is comming to staffing employment. I am thinking twice now should I completed and finish my third year study in Bachelor of Nursing.
I graduated in December 2010 as an endorsed enrolled nurse and entered into uni to do my RN’s. I have found it so difficult to gain a position without 12 months plus experience. Is there anyone out there who is willing to employ newly graduated nurses and give them a go aswell? They dont mind taking all that money is costs for education and teaching facilities tell students there is so much work out there to suck us in when there is a shortage of places who will give new nurses jobs. I have applied in all fields of nursing, including agencies and aged care and they all ask for 12 mths plus experience. How do we get that? Do we work for nothing? No one will do that either so something has to change out there. I know when I have completed my uni degree in 12mths time that I will have the same problem unless I am lucky enough to get into a grad program, and thats not easy.
I am in the same boat as Michele. I let my registration lapse and after 15 years would like to return to Nursing only to find that they don’t offer any re-entry courses in Qld! I have four children and simply cannot leave them to go to Sydney to complete a $10 000 course for 3 – 6 months! I think it is just disgusting that Qld Health does not offer anything in Queensland to those who want to return to nursing after a lengthy absence. I am sure there are plenty of us in the same situation…
Have done some more research today and called CAS Central Queensland University at Rockhampton in Qld. Ph. 07 4930 6934. They are in the process of writing a re-entry course which will be finished at the end of March and it will be Online! The placement too can be done in Brisbane. It’s great news for those of us who want to get back into nursing after a lengthy absence. Hope Michele (above post) gets this info.
Well another year has passed and the story has become worse for us graduate nurses. Our university told us half way through our second year of a three year DIV ! course, that the hospitals are hiring Div 2 medication endorsed nurses as they are cheaper…and that “many of our graduates last year missed out on a grad year due to this”.
Well guess what…I and many thousands of nursing students (and also 300 medical grads)cannot find a grad year which gives us experience.We cannot even go for any other advertised positions because they all want experience. So where is the nursing shortage? there is none. I was told by a nurse in charge, there are no jobs available because “they recruited heavily from overseas about two years ago so now all the positions are filled”. Additionally, the agencies are encouraging overseas nurses to apply for positions in Australia and even offering incentives!. Why could this incentive money be put towards looking after our graduates and supporting more places?
I have personally witnessed terrible bullying within the wards towards young graduates. A small group of Internationally trained nurses in a local government hospital bullied two graduate nurses. The huge problem is..these bullies are actually entrusted to be final year preceptors and can actually have the power to fail a student just by providing negative feedback…be it true or not, the final crunch comes when a student has to go through the review process which is precariously close to a fail.
Anyhow, my attitude now is three years of hard slog has lead to putting up with bullies, putting up with their lies and not having a chance of getting any sort of job even if I do pass. The university is getting mighty rich pumping out international students that seem to land these hard to find positions.
Miracles do happen, some do get jobs, but many Government hospitals appear to be selecting nurses from overseas rather than here. Bad news.Maybe I should move overseas to improve my chances? oh yes the brain drain..it doesn’t seem to matter that Australia
has anyone read the selection criteria for a job in NSW and in regional areas, it spans 2 pages of pre requisites not inclusive of the particulars relating to the new risk assessment policy and how hard it is for ward managers to actually be granted permission to advertise and meet the local health district key performance indicators set down by the federal government , and if you look deeper into the finances , an audit into profit and loss ,indicators and actual trust accounts some data required for final analysis is not by regulation required to be available even the ,graphs for hospital admissions and longevity are not correctly determined , it negates several chronic conditions and KPI’s are based FYI on Emergency in and out targets, day stays not on targets related to the greatest financial and logical strain on the health budget ,chronic disease and palliative care , Price Waterhouse Coopers being the auditor of choice there in