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By the year 2020, according to a recent article in Health Affairs, Auerbach, Buerhaus and Staiger (2007), estimated that the shortage in the United States may well reach 340,000. The American Association of Colleges of Nursing (AACN) cited a 2007 report from the American Hospital Association describing a national registered nurse vacancy rate of 8.1% amounting to 116,000 unfilled positions (American Association of Colleges of Nursing, 2008a). Even though AACN reported a 3.6% enrollment increase in entry-level baccalaureate programs in nursing in 2009, this increase is not sufficient to meet the projected demand for nurses. Health Resources and Services Administration (HRSA) officials' stated "to meet the projected growth in demand for Registered Nurses' services, the U.S. must graduate approximately 90 percent more nurses from U.S. nursing programs."
The problem of nursing shortage is only the tip of the iceberg. Hinshaw (2001) described
the circuitous course of the shortage in a 2001 article in the Online Journal of Issues in
Nursing noting, "The shortage of nurses requires the educational programs of the
profession to supply more graduates