'It's Really Gotten Worse': California Needs Thousands of Nurses
Multiple Bay Area Health Care Strikes Reflect a Workforce Under Increasing Strain
First Came Sutter Health. Next Could Be Stanford. Why Bay Area Nurses Are Walking Off the Job
Is California in a Better Place Than it Was During Last Year’s Pandemic Holidays? Depends Where You Live
U.S. Hospitals Are Desperate for More Nurses, But Nursing Schools Are Struggling to Meet Demand
Hospitals Brace for Strikes as California Workers Protest Staff Shortages
If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care
Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning?
California’s COVID-19 Surge Sparks Battle Between Hospitals and Nurses Over Workload
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But now, Hooks said, staffing issues are so bad and burnout so severe that she’s rethinking how she wants to spend the rest of her career.\u003c/p>\n\u003cp>Since the COVID-19 pandemic began, the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">number of nurses at the hospital\u003c/a> dropped from just below 500 to 330 according to her union’s roster, said Hooks, who is 53.\u003c/p>\n\u003cp>“It wasn’t even this difficult during the height of the COVID pandemic,” she said.\u003c/p>\n\u003cp>Hooks’ stress reflects the pressure many California nurses are under because of steep understaffing that she and others say is driving many professionals out of the industry.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to the Hospital Association of Southern California, nursing vacancy rates among local hospitals exceed 30%. Prior to the pandemic, the average \u003ca href=\"https://hasc.org/wp-content/uploads/sites/3/2019/10/hasc.pdf\">vacancy rate was 6% (PDF)\u003c/a>.\u003c/p>\n\u003cp>“Within the last year-and-a-half or so, it’s really gotten worse,” Hooks said.\u003c/p>\n\u003cp>Now the Legislature is looking at several ideas to address the nursing shortage by bringing more early-career nurses into the field. But so far, the groups with most to gain — or lose — are at odds over how to solve the staffing problems afflicting California’s health care workforce.[pullquote size=\"medium\" align=\"right\" citation=\"Joanne Spetz, director, Institute for Health Policy Studies at UC San Francisco\"]‘There is a lot of trauma in the nursing workforce. The numbers are not good.’[/pullquote]Labor organizations and hospitals want nursing schools to prioritize certain applicants for admission, such as people who already have experience in the industry.\u003c/p>\n\u003cp>“We don’t have enough nurses entering the system as opportunities are opening up for them to leave the system,” said Peter Sidhu, a nurse and executive vice president of United Nurses Associations of California/Union of Health Care Professionals (UNAC/UHCP).\u003c/p>\n\u003cp>But the schools say that won’t help them graduate more nurses. They need more faculty and more hands-on training opportunities to increase class sizes.\u003c/p>\n\u003cp>Hospitals and unions say they don’t have much time to waste. Estimates show California faces a shortage of about 36,000 licensed nurses, according to the \u003ca href=\"https://healthforce.ucsf.edu/LongtermCare\">UC San Francisco Health Workforce Research Center on Long-Term Care\u003c/a>.\u003c/p>\n\u003cp>Preliminary data from a statewide survey conducted in 2022 shows nurses cut back on the number of hours worked per week since 2020, and nearly half the workforce reports symptoms of burnout, said Joanne Spetz, director of the Institute for Health Policy Studies at UC San Francisco, who has studied nursing workforce issues for more than a decade.\u003c/p>\n\u003cp>More nurses, even those as young as 35, are thinking about leaving the profession entirely or retiring within the next two years, and half of the workforce had at least one patient die of COVID-19, Spetz said.\u003c/p>\n\u003cp>“There is a lot of trauma in the nursing workforce,” Spetz said. “The numbers are not good.”\u003c/p>\n\u003ch2>Union-backed bills for nursing shortage\u003c/h2>\n\u003cp>Labor advocates say the nursing shortage creates a vicious cycle. The nurses on shift wind up doing more work. They get burned out and flee the industry, worsening the problem.\u003c/p>\n\u003cp>Service Employees International Union (SEIU) and the UNAC/UHCP turned their attention to the state’s community college system, where graduates can earn degrees to become nursing assistants, licensed vocational nurses or registered nurses. Both groups say community colleges offer the most affordable and efficient way to earn a nursing degree.\u003c/p>\n\u003cp>One of their ideas aims to help high school students get into nursing schools faster. Another would give entry-level workers the chance to move into more skilled and higher-paid positions like nursing.\u003c/p>\n\u003cfigure id=\"attachment_11957012\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11957012\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02.jpg\" alt='Health Care workers hold signs that read, \"Engineers & Scientists of California United for Our Patients.\"' width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Some longtime California nurses said staffing issues are so bad and burnout is so severe that many are rethinking how they want to spend the rest of their careers. \u003ccite>(Rahul Lal/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sidhu’s union is sponsoring a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1695\">bill\u003c/a> that would create a pilot program for high school students who take extra classes to have preferential admission into a community college nursing program.\u003c/p>\n\u003cp>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB689\">second measure\u003c/a>, which is co-sponsored by SEIU and the California Hospital Association (CHA), would require community colleges to set aside 15% of enrollment slots for health care workers looking to further their education with a more advanced degree. They say helping current workers get higher-paying jobs within health care will help with retention.\u003c/p>\n\u003cp>“When we talk to our hospital members, workforce issues are the number one thing that keep them up at night,” said Jan Emerson-Shea, spokesperson for the CHA. “We also hear from employees that they’ve tried getting into community college programs, but because they’re so impacted, it can take them three, four or five years to get into the program.”\u003c/p>\n\u003ch2>California colleges skeptical of union bills\u003c/h2>\n\u003cp>But community college and some university nursing school leaders contend neither bill will boost the number of graduates. \u003ca href=\"https://calmatters.org/education/higher-education/2023/03/california-nursing-school/\">Nursing programs are full\u003c/a>, they say, and the proposals do nothing to expand the number of admission slots.\u003c/p>\n\u003cp>“These bills come up and I wonder who on earth would propose something like this to impact the community colleges without getting our input,” said Tammy Vant Hul, south region president of the California Organization of Associate Degree Nursing Program Directors.[aside label='More on California Health Care' tag='health-care']Vant Hul is also dean of nursing at Riverside City College, the second largest community college nursing program in the state. High school students would not have completed enough prerequisites to apply directly to a nursing program, much less be guaranteed admission, Vant Hul said, and existing health care workers already get additional points during the admissions process.\u003c/p>\n\u003cp>The problem isn’t generating career interest in nursing; it’s creating more spots, program leaders say.\u003c/p>\n\u003cp>Karen Bradley, president of the California Association of Colleges of Nursing, said nursing programs have an overabundance of competitive applicants.\u003c/p>\n\u003cp>“We have not had a dip at all in enrollment in my program. I have a waiting list,” said Bradley, who is also dean of California Baptist University’s nursing program. “Every dean is going to tell you that they have a waiting list or enough qualified applicants that they turn away students.”\u003c/p>\n\u003cp>About 14,000 new students enrolled in nursing programs during the 2020–21 school year, according to the \u003ca href=\"https://www.rn.ca.gov/pdfs/education/schoolrpt20-21.pdf\">Board of Registered Nursing’s annual school report (PDF)\u003c/a>. That’s about 1,000 fewer students than the previous two years due to smaller class sizes, but schools across the state received more than 55,000 applications, a 10-year record.\u003c/p>\n\u003cp>The bills’ sponsors say they have spoken with the California Community Colleges Chancellor’s Office, which has not taken a position on any of the workforce bills.\u003c/p>\n\u003cfigure id=\"attachment_11957013\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11957013\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03.jpg\" alt='Dozens of health care workers march in protest outside of a Kaiser Permanente building in Sacramento, California. One yellow and black sign reads, \"Patient Care Is In Crisis.\"' width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">According to the Hospital Association of Southern California, nursing vacancy rates among local hospitals exceed 30%. Prior to the pandemic, the average vacancy rate was 6%. \u003ccite>(Rahul Lal/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Separate from the bills, the UNAC/UHCP lobbied for a \u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/Enacted/BudgetSummary/HigherEducation.pdf\">$300 million investment (PDF)\u003c/a> over five years to double the state’s nursing school capacity. It was included in the \u003ca href=\"https://calmatters.org/politics/2023/06/california-budget-deal-what-you-need-to-know/\">state budget Gov. Gavin Newsom signed\u003c/a> earlier this summer.\u003c/p>\n\u003cp>The details of how the money will be spent have not been decided, Sidhu said, but it could be used to increase faculty salaries and overcome other factors that limit class sizes.\u003c/p>\n\u003ch2>More room needed for California nurse trainees\u003c/h2>\n\u003cp>Representatives for nursing programs say the money will be helpful, but they’re worried about other bottlenecks that they say prevent them from enrolling more students.\u003c/p>\n\u003cp>Lack of nursing faculty caps class sizes, for instance, with potential educators instead choosing to make more money working in health care. They also say hospitals are not offering enough opportunities for their students to get hands-on training.\u003c/p>\n\u003cp>“As we move forward with the nursing shortage, clinical placements are an issue. So many hospitals kind of downsized their willingness to bring on students during the pandemic, and those spots never came back,” said Linda Zorn, legislative chair for the California Organization of Associate Degree Nursing and executive director of economic and workforce development for Butte-Glenn Community College District.\u003c/p>\n\u003cp>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1577\">third proposal\u003c/a> in the Legislature attempts to clear that hurdle by guaranteeing clinical placement spots for community college students. A mix of opponents are fighting the bill, including hospitals, four-year universities and some community college advocates who say it will take spots away from other students and overwhelm nursing staff.\u003c/p>\n\u003cp>“Some hospitals aren’t big enough. They can’t take on hundreds of students. They have 25 beds,” said Sarah Bridge, senior legislative advocate for the Association of Health Care Districts, which represents primarily small, rural hospitals in the state.\u003c/p>\n\u003cp>During the 2020–21 school year, the most commonly cited reason by nursing schools for decreasing class sizes was “unable to secure clinical placements,” according to the \u003ca href=\"https://www.rn.ca.gov/pdfs/education/schoolrpt20-21.pdf\">Board of Registered Nursing’s annual school report (PDF)\u003c/a>, in part due to workforce challenges resulting from the pandemic. The report states that more than 15,000 students were impacted by restricted training spots compared to roughly 2,200 students during the 2018–19 school year.[pullquote size=\"medium\" align=\"right\" citation=\"Linda Zorn, legislative chair, California Organization of Associate Degree Nursing\"]‘So many hospitals kind of downsized their willingness to bring on students during the pandemic, and those spots never came back.’[/pullquote]Bridge said many small and \u003ca href=\"https://calmatters.org/health/2023/05/hospital-closures-california-2/\">rural hospitals also are teetering on the edge of a financial crisis\u003c/a>. It costs about $7,000 to train one student, not including the salary cost of nurses who supervise students. Multiply that by the number of student trainees accepted and some hospitals can’t foot the bill, Bridge said.\u003c/p>\n\u003cp>Zorn said nursing schools know they have to be sensitive to how many students get sent to any one hospital, which is part of the reason many are skeptical of the bill. The number of student training spots recently has been limited by the profession’s thinly stretched workforce.\u003c/p>\n\u003cp>“It can close down the rural hospitals if you don’t have the correct staffing,” Zorn said.\u003c/p>\n\u003cp>Leaders from four-year degree programs also say the proposal would displace their nursing students in favor of community college students.\u003c/p>\n\u003cp>The bill sponsors say the intent of the legislation is to create more training capacity, not to displace existing students, as some critics have claimed, said Eric Robles, legislative director for the UNAC/UHCP.\u003c/p>\n\u003cp>“If hospitals are getting bailouts, I would sure hope everybody believes our nurse workforce needs a bailout too,” Robles said. “And that bailout can come through strengthening the pipeline, growing the workforce and maintaining the workforce.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Some hospitals in Southern California have a nurse vacancy rate of 30%, stressing overworked staff and causing some to leave the industry altogether.","status":"publish","parent":0,"modified":1691005401,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":41,"wordCount":1852},"headData":{"title":"'It's Really Gotten Worse': California Needs Thousands of Nurses | KQED","description":"Some hospitals in Southern California have a nurse vacancy rate of 30%, stressing overworked staff and causing some to leave the industry altogether.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'It's Really Gotten Worse': California Needs Thousands of Nurses","datePublished":"2023-08-01T18:27:47.000Z","dateModified":"2023-08-02T19:43:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"CalMatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003ca href=\"https://calmatters.org/author/kristen-hwang/\">Kristen Hwang\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11957005/its-really-gotten-worse-california-needs-thousands-of-nurses","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ashley Hooks always planned to retire at Lakewood Regional Medical Center, where she has been a nurse for 12 years. But now, Hooks said, staffing issues are so bad and burnout so severe that she’s rethinking how she wants to spend the rest of her career.\u003c/p>\n\u003cp>Since the COVID-19 pandemic began, the \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">number of nurses at the hospital\u003c/a> dropped from just below 500 to 330 according to her union’s roster, said Hooks, who is 53.\u003c/p>\n\u003cp>“It wasn’t even this difficult during the height of the COVID pandemic,” she said.\u003c/p>\n\u003cp>Hooks’ stress reflects the pressure many California nurses are under because of steep understaffing that she and others say is driving many professionals out of the industry.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to the Hospital Association of Southern California, nursing vacancy rates among local hospitals exceed 30%. Prior to the pandemic, the average \u003ca href=\"https://hasc.org/wp-content/uploads/sites/3/2019/10/hasc.pdf\">vacancy rate was 6% (PDF)\u003c/a>.\u003c/p>\n\u003cp>“Within the last year-and-a-half or so, it’s really gotten worse,” Hooks said.\u003c/p>\n\u003cp>Now the Legislature is looking at several ideas to address the nursing shortage by bringing more early-career nurses into the field. But so far, the groups with most to gain — or lose — are at odds over how to solve the staffing problems afflicting California’s health care workforce.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘There is a lot of trauma in the nursing workforce. The numbers are not good.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Joanne Spetz, director, Institute for Health Policy Studies at UC San Francisco","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Labor organizations and hospitals want nursing schools to prioritize certain applicants for admission, such as people who already have experience in the industry.\u003c/p>\n\u003cp>“We don’t have enough nurses entering the system as opportunities are opening up for them to leave the system,” said Peter Sidhu, a nurse and executive vice president of United Nurses Associations of California/Union of Health Care Professionals (UNAC/UHCP).\u003c/p>\n\u003cp>But the schools say that won’t help them graduate more nurses. They need more faculty and more hands-on training opportunities to increase class sizes.\u003c/p>\n\u003cp>Hospitals and unions say they don’t have much time to waste. Estimates show California faces a shortage of about 36,000 licensed nurses, according to the \u003ca href=\"https://healthforce.ucsf.edu/LongtermCare\">UC San Francisco Health Workforce Research Center on Long-Term Care\u003c/a>.\u003c/p>\n\u003cp>Preliminary data from a statewide survey conducted in 2022 shows nurses cut back on the number of hours worked per week since 2020, and nearly half the workforce reports symptoms of burnout, said Joanne Spetz, director of the Institute for Health Policy Studies at UC San Francisco, who has studied nursing workforce issues for more than a decade.\u003c/p>\n\u003cp>More nurses, even those as young as 35, are thinking about leaving the profession entirely or retiring within the next two years, and half of the workforce had at least one patient die of COVID-19, Spetz said.\u003c/p>\n\u003cp>“There is a lot of trauma in the nursing workforce,” Spetz said. “The numbers are not good.”\u003c/p>\n\u003ch2>Union-backed bills for nursing shortage\u003c/h2>\n\u003cp>Labor advocates say the nursing shortage creates a vicious cycle. The nurses on shift wind up doing more work. They get burned out and flee the industry, worsening the problem.\u003c/p>\n\u003cp>Service Employees International Union (SEIU) and the UNAC/UHCP turned their attention to the state’s community college system, where graduates can earn degrees to become nursing assistants, licensed vocational nurses or registered nurses. Both groups say community colleges offer the most affordable and efficient way to earn a nursing degree.\u003c/p>\n\u003cp>One of their ideas aims to help high school students get into nursing schools faster. Another would give entry-level workers the chance to move into more skilled and higher-paid positions like nursing.\u003c/p>\n\u003cfigure id=\"attachment_11957012\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11957012\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02.jpg\" alt='Health Care workers hold signs that read, \"Engineers & Scientists of California United for Our Patients.\"' width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses02-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Some longtime California nurses said staffing issues are so bad and burnout is so severe that many are rethinking how they want to spend the rest of their careers. \u003ccite>(Rahul Lal/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sidhu’s union is sponsoring a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1695\">bill\u003c/a> that would create a pilot program for high school students who take extra classes to have preferential admission into a community college nursing program.\u003c/p>\n\u003cp>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240AB689\">second measure\u003c/a>, which is co-sponsored by SEIU and the California Hospital Association (CHA), would require community colleges to set aside 15% of enrollment slots for health care workers looking to further their education with a more advanced degree. They say helping current workers get higher-paying jobs within health care will help with retention.\u003c/p>\n\u003cp>“When we talk to our hospital members, workforce issues are the number one thing that keep them up at night,” said Jan Emerson-Shea, spokesperson for the CHA. “We also hear from employees that they’ve tried getting into community college programs, but because they’re so impacted, it can take them three, four or five years to get into the program.”\u003c/p>\n\u003ch2>California colleges skeptical of union bills\u003c/h2>\n\u003cp>But community college and some university nursing school leaders contend neither bill will boost the number of graduates. \u003ca href=\"https://calmatters.org/education/higher-education/2023/03/california-nursing-school/\">Nursing programs are full\u003c/a>, they say, and the proposals do nothing to expand the number of admission slots.\u003c/p>\n\u003cp>“These bills come up and I wonder who on earth would propose something like this to impact the community colleges without getting our input,” said Tammy Vant Hul, south region president of the California Organization of Associate Degree Nursing Program Directors.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on California Health Care ","tag":"health-care"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Vant Hul is also dean of nursing at Riverside City College, the second largest community college nursing program in the state. High school students would not have completed enough prerequisites to apply directly to a nursing program, much less be guaranteed admission, Vant Hul said, and existing health care workers already get additional points during the admissions process.\u003c/p>\n\u003cp>The problem isn’t generating career interest in nursing; it’s creating more spots, program leaders say.\u003c/p>\n\u003cp>Karen Bradley, president of the California Association of Colleges of Nursing, said nursing programs have an overabundance of competitive applicants.\u003c/p>\n\u003cp>“We have not had a dip at all in enrollment in my program. I have a waiting list,” said Bradley, who is also dean of California Baptist University’s nursing program. “Every dean is going to tell you that they have a waiting list or enough qualified applicants that they turn away students.”\u003c/p>\n\u003cp>About 14,000 new students enrolled in nursing programs during the 2020–21 school year, according to the \u003ca href=\"https://www.rn.ca.gov/pdfs/education/schoolrpt20-21.pdf\">Board of Registered Nursing’s annual school report (PDF)\u003c/a>. That’s about 1,000 fewer students than the previous two years due to smaller class sizes, but schools across the state received more than 55,000 applications, a 10-year record.\u003c/p>\n\u003cp>The bills’ sponsors say they have spoken with the California Community Colleges Chancellor’s Office, which has not taken a position on any of the workforce bills.\u003c/p>\n\u003cfigure id=\"attachment_11957013\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11957013\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03.jpg\" alt='Dozens of health care workers march in protest outside of a Kaiser Permanente building in Sacramento, California. One yellow and black sign reads, \"Patient Care Is In Crisis.\"' width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/08/CMNurses03-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">According to the Hospital Association of Southern California, nursing vacancy rates among local hospitals exceed 30%. Prior to the pandemic, the average vacancy rate was 6%. \u003ccite>(Rahul Lal/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Separate from the bills, the UNAC/UHCP lobbied for a \u003ca href=\"https://ebudget.ca.gov/2023-24/pdf/Enacted/BudgetSummary/HigherEducation.pdf\">$300 million investment (PDF)\u003c/a> over five years to double the state’s nursing school capacity. It was included in the \u003ca href=\"https://calmatters.org/politics/2023/06/california-budget-deal-what-you-need-to-know/\">state budget Gov. Gavin Newsom signed\u003c/a> earlier this summer.\u003c/p>\n\u003cp>The details of how the money will be spent have not been decided, Sidhu said, but it could be used to increase faculty salaries and overcome other factors that limit class sizes.\u003c/p>\n\u003ch2>More room needed for California nurse trainees\u003c/h2>\n\u003cp>Representatives for nursing programs say the money will be helpful, but they’re worried about other bottlenecks that they say prevent them from enrolling more students.\u003c/p>\n\u003cp>Lack of nursing faculty caps class sizes, for instance, with potential educators instead choosing to make more money working in health care. They also say hospitals are not offering enough opportunities for their students to get hands-on training.\u003c/p>\n\u003cp>“As we move forward with the nursing shortage, clinical placements are an issue. So many hospitals kind of downsized their willingness to bring on students during the pandemic, and those spots never came back,” said Linda Zorn, legislative chair for the California Organization of Associate Degree Nursing and executive director of economic and workforce development for Butte-Glenn Community College District.\u003c/p>\n\u003cp>A \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1577\">third proposal\u003c/a> in the Legislature attempts to clear that hurdle by guaranteeing clinical placement spots for community college students. A mix of opponents are fighting the bill, including hospitals, four-year universities and some community college advocates who say it will take spots away from other students and overwhelm nursing staff.\u003c/p>\n\u003cp>“Some hospitals aren’t big enough. They can’t take on hundreds of students. They have 25 beds,” said Sarah Bridge, senior legislative advocate for the Association of Health Care Districts, which represents primarily small, rural hospitals in the state.\u003c/p>\n\u003cp>During the 2020–21 school year, the most commonly cited reason by nursing schools for decreasing class sizes was “unable to secure clinical placements,” according to the \u003ca href=\"https://www.rn.ca.gov/pdfs/education/schoolrpt20-21.pdf\">Board of Registered Nursing’s annual school report (PDF)\u003c/a>, in part due to workforce challenges resulting from the pandemic. The report states that more than 15,000 students were impacted by restricted training spots compared to roughly 2,200 students during the 2018–19 school year.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘So many hospitals kind of downsized their willingness to bring on students during the pandemic, and those spots never came back.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Linda Zorn, legislative chair, California Organization of Associate Degree Nursing","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Bridge said many small and \u003ca href=\"https://calmatters.org/health/2023/05/hospital-closures-california-2/\">rural hospitals also are teetering on the edge of a financial crisis\u003c/a>. It costs about $7,000 to train one student, not including the salary cost of nurses who supervise students. Multiply that by the number of student trainees accepted and some hospitals can’t foot the bill, Bridge said.\u003c/p>\n\u003cp>Zorn said nursing schools know they have to be sensitive to how many students get sent to any one hospital, which is part of the reason many are skeptical of the bill. The number of student training spots recently has been limited by the profession’s thinly stretched workforce.\u003c/p>\n\u003cp>“It can close down the rural hospitals if you don’t have the correct staffing,” Zorn said.\u003c/p>\n\u003cp>Leaders from four-year degree programs also say the proposal would displace their nursing students in favor of community college students.\u003c/p>\n\u003cp>The bill sponsors say the intent of the legislation is to create more training capacity, not to displace existing students, as some critics have claimed, said Eric Robles, legislative director for the UNAC/UHCP.\u003c/p>\n\u003cp>“If hospitals are getting bailouts, I would sure hope everybody believes our nurse workforce needs a bailout too,” Robles said. “And that bailout can come through strengthening the pipeline, growing the workforce and maintaining the workforce.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11957005/its-really-gotten-worse-california-needs-thousands-of-nurses","authors":["byline_news_11957005"],"categories":["news_457","news_8"],"tags":["news_18538","news_28920","news_28642","news_29546","news_683","news_24939","news_21789","news_27660","news_214"],"affiliates":["news_18481"],"featImg":"news_11957011","label":"source_news_11957005"},"news_11929860":{"type":"posts","id":"news_11929860","meta":{"index":"posts_1591205157","site":"news","id":"11929860","score":null,"sort":[1666657847000]},"guestAuthors":[],"slug":"multiple-strikes-in-bay-area-health-care-reflect-a-workforce-decimated-by-labor-shortage","title":"Multiple Bay Area Health Care Strikes Reflect a Workforce Under Increasing Strain","publishDate":1666657847,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Nearly 2,000 registered nurses at Alta Bates Summit Medical Center campuses in Oakland and Berkeley began a five-day strike Monday in response to high turnover rates, staff shortages and workplace safety issues.\u003c/p>\n\u003cp>The nurses, represented by the California Nurses Association and National Nurses United, called on Sutter Health to implement workplace violence prevention plans, increase staffing and provide more robust safety resources, including better access to medical-grade safety equipment.\u003c/p>\n\u003cp>\"I am seeing nurses leave the medical center for other nursing positions on a regular basis. We have nurses working overtime, and even double shifts, day after day to keep the hospital running,\" said Mike Hill, a nurse in Sutter's intensive care unit.\u003c/p>\n\u003cp>Hill said that while workplace violence in hospitals — mostly of patients toward staff — has always been a concern, there was an uptick in incidents during the pandemic, when many patients didn’t have the family support they needed.\u003c/p>\n\u003cp>\"Sometimes it’s intentional. Other times, it’s from anger, fear or a medical condition that causes them to lash out at staff. Either way, it’s dangerous for us as professionals,\" said Hill. \"It's not just physical violence. Sometimes it's verbal threats.\"\u003c/p>\n\u003cp>When workplace violence occurs, hospitals announce \"code gray\" on the intercom system to alert security, Hill said. But like the nursing team, the security department at Alta Bates is understaffed, and in some cases it takes too long for guards to arrive at the scene, Hill said, forcing other nurses to step in to help their colleagues. Hill said more security guards are needed both inside the hospital and in the parking garage, to prevent vehicle break-ins, thefts and attacks on staff.\u003c/p>\n\u003cp>Those concerns about violence, he added, are compounded by the hospital failing to take the necessary measures to effectively protect nurses from COVID exposure and other diseases.\u003c/p>\n\u003cp>Last year, the California Division of Occupational Safety and Health (Cal/OSHA) fined Sutter Health for violations tied to COVID-related workplace safety issues after an investigation was launched in response to the July 2021 \u003ca href=\"https://www.nationalnursesunited.org/press/calosha-finds-alta-bates-summit-medical-center-guilty-eight-serious-violations\">death of an Alta Bates nurse\u003c/a>, who contracted the disease.\u003c/p>\n\u003cp>“Sutter must create working conditions to enhance patient care while also providing a safe work environment that retains nurses,\" said Hill.\u003c/p>\n\u003cp>Ann Gaebler, a registered nurse of over 40 years, said she has never seen Sutter \"act this disrespectfully\" toward nurses, and it's causing experienced health care providers to leave.\u003c/p>\n\u003cp>\"Without proper mentorship, we see young nurses suffering the moral injury and the moral distress of having to care for patients without the support they need, and so they leave,\" Gaebler said in a statement. \"This is not how you grow the next generation of nurses or how to take care of a community. We need Sutter to step up to address our concerns about retention, so we can continue to provide excellent care to our patients.\"[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Joanne Spetz, director, Philip R. Lee Institute for Health Policy Studies, UCSF\"]'I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we're hearing from physicians and nurses and other health care professionals.’[/pullquote]\u003c/p>\n\u003cp>In response to the walkout, Sutter management faulted local leaders in the nurses unions, accusing them of putting \"politics above the patients and the nurses they represent\" despite Sutter being willing to bargain, a spokesperson said in a statement on Monday.\u003c/p>\n\u003cp>“Our attention remains on providing safe, high-quality care to the patients and communities we’re honored to serve, and we are confident in our ability to manage this disruption,\" the statement said. \"We are hopeful the union shares our desire to reach an agreement and enable our nurses to turn their focus back to the patients the union has asked them to walk away from.”\u003c/p>\n\u003cfigure id=\"attachment_11930036\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg\">\u003cimg class=\"size-medium wp-image-11930036\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg\" alt=\"People holding yellow and red signs and wearing red nurse outfits walk across the street.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses begin a five-day strike at Alta Bates Summit Medical Center in Oakland on Oct. 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sutter Health's proposed contract includes a pay increase of more than 20% over four years and a commitment to pursuing initiatives aimed at promoting diversity and advancing equity among its employees, along with continued health coverage for nurses and their families.\u003c/p>\n\u003cp>The Sutter nurses strike is just the latest in a slew of labor actions in recent months among health care workers throughout the Bay Area, mirroring a larger nationwide trend.\u003c/p>\n\u003cp>The walkout comes less than a week after some 2,000 Kaiser Permanente mental health care employees approved \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/new-4-year-agreement-ratified\">a four-year contract\u003c/a>, ending an unprecedented, grueling 10-week strike over staffing shortages, wages and patient care, and just days after the Valley Physicians Group, a union representing about 450 doctors employed by Santa Clara County, announced its intention to hit the picket line on November 1 over similar issues.[aside postID=\"news_11929713,news_11924980\" label=\"Related Posts\"]Even though \u003ca href=\"https://www.bls.gov/opub/ted/2020/union-membership-rate-8-point-6-percent-in-manufacturing-23-point-4-percent-in-utilities-in-2019.htm#:~:text=Bureau%20of%20Labor%20Statistics,-The%20Economics%20Daily&text=In%202019%2C%20the%20union%20membership,hunting%3B%20and%20finance%20and%20insurance.\">less than 7% of health care workers nationwide were unionized\u003c/a> as of 2020, the health care sector \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/11/955128562/for-health-care-workers-the-pandemic-is-fueling-renewed-interest-in-unions\">also has seen renewed interest in unionization since the pandemic\u003c/a>.\u003c/p>\n\u003cp>“I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we're hearing from physicians and nurses and other health care professionals,” Dr. Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, told KQED.\u003c/p>\n\u003cp>The pandemic, she added, also laid bare the extent of labor shortages across a wide range of essential jobs within health care settings, including custodial staff, nursing assistants, food-service workers and delivery people.\u003c/p>\n\u003cp>“When those jobs are all in short supply, that puts even more pressure on physicians, nurses and others,” Spetz said.\u003c/p>\n\u003cp>And many health care workers are finding that their most common demands — for reduced workloads, more support services, more time for administrative tasks and, in a growing number of instances, tougher security measures — are often not sufficiently met by employers, who often cite nationwide labor shortages and rising costs of doing business.\u003c/p>\n\u003cp>Unionization is more popular than it’s ever been, even across political lines, with \u003ca href=\"https://news.gallup.com/poll/398303/approval-labor-unions-highest-point-1965.aspx\">a recent Gallup poll showing that 71% of Americans approve of labor unions\u003c/a>, the highest approval rating since 1965.\u003c/p>\n\u003cp>But questions remain over how financially well positioned hospitals are to hire and train more people and meet their employees’ increasingly vocal — and organized — demands.\u003c/p>\n\u003cp>“Health care is competing against a lot of other industries and sectors that also are having difficulty recruiting,” Spetz said.\u003c/p>\n\u003cp>“A skilled trade or retail or a restaurant can change their prices pretty quickly, but for health care, they are in these often multiyear insurance contracts and they cannot immediately drum up more revenue in order to pay those higher wages,” said Spetz. “They're likely to be going back to the insurance industry in the next few years as their contracts come up for renegotiation and ask for more money. And then the insurance companies eventually are going to need to figure out how to pass that on in the price of higher premiums.”\u003c/p>\n\u003cp>And, Spetz added, the pressure of keeping costs down at a time of rampant inflation in a labor-intensive field like health care is exacerbated by the rising costs of supplies and equipment.\u003c/p>\n\u003cp>“Because it takes a while to have the ability to raise revenue … that just puts more financial pressure,” Spetz said, adding that as the pandemic relief money fades, hospitals will be facing financial shortfalls and worrying about “how the money's going to play out for them.”\u003c/p>\n\u003cp>“A lot of it comes down to building a workplace where health care workers really feel valued, are able to use all their skills, are respected as professionals, regardless of what level they work within the organization … and have the autonomy to use their knowledge and skills to the highest ability,” Spetz said. “You need to be adequately staffed in general. And so that's going to be the big challenge for employers, is how to create that healthy, supportive work culture. And you have to do that while you’re dealing with labor shortages and plugging all the holes that need to be plugged.”\u003c/p>\n\u003cp>\u003cem>Additional reporting was contributed by Bay City News and KQED's Laura Klivans.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Thousands of nurses at Alta Bates Summit Medical Center went on strike Monday, marking the latest in a slew of recent actions among health care workers throughout the region.","status":"publish","parent":0,"modified":1666827960,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1424},"headData":{"title":"Multiple Bay Area Health Care Strikes Reflect a Workforce Under Increasing Strain | KQED","description":"Thousands of nurses at Alta Bates Summit Medical Center went on strike Monday, marking the latest in a slew of recent actions among health care workers throughout the region.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Multiple Bay Area Health Care Strikes Reflect a Workforce Under Increasing Strain","datePublished":"2022-10-25T00:30:47.000Z","dateModified":"2022-10-26T23:46:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11929860 https://ww2.kqed.org/news/?p=11929860","disqusUrl":"https://ww2.kqed.org/news/2022/10/24/multiple-strikes-in-bay-area-health-care-reflect-a-workforce-decimated-by-labor-shortage/","disqusTitle":"Multiple Bay Area Health Care Strikes Reflect a Workforce Under Increasing Strain","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]/e3861ac6-5a6e-44bf-896d-af36000bd3d2/audio.mp3?download=true","excludeFromSiteSearch":"Include","path":"/news/11929860/multiple-strikes-in-bay-area-health-care-reflect-a-workforce-decimated-by-labor-shortage","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 2,000 registered nurses at Alta Bates Summit Medical Center campuses in Oakland and Berkeley began a five-day strike Monday in response to high turnover rates, staff shortages and workplace safety issues.\u003c/p>\n\u003cp>The nurses, represented by the California Nurses Association and National Nurses United, called on Sutter Health to implement workplace violence prevention plans, increase staffing and provide more robust safety resources, including better access to medical-grade safety equipment.\u003c/p>\n\u003cp>\"I am seeing nurses leave the medical center for other nursing positions on a regular basis. We have nurses working overtime, and even double shifts, day after day to keep the hospital running,\" said Mike Hill, a nurse in Sutter's intensive care unit.\u003c/p>\n\u003cp>Hill said that while workplace violence in hospitals — mostly of patients toward staff — has always been a concern, there was an uptick in incidents during the pandemic, when many patients didn’t have the family support they needed.\u003c/p>\n\u003cp>\"Sometimes it’s intentional. Other times, it’s from anger, fear or a medical condition that causes them to lash out at staff. Either way, it’s dangerous for us as professionals,\" said Hill. \"It's not just physical violence. Sometimes it's verbal threats.\"\u003c/p>\n\u003cp>When workplace violence occurs, hospitals announce \"code gray\" on the intercom system to alert security, Hill said. But like the nursing team, the security department at Alta Bates is understaffed, and in some cases it takes too long for guards to arrive at the scene, Hill said, forcing other nurses to step in to help their colleagues. Hill said more security guards are needed both inside the hospital and in the parking garage, to prevent vehicle break-ins, thefts and attacks on staff.\u003c/p>\n\u003cp>Those concerns about violence, he added, are compounded by the hospital failing to take the necessary measures to effectively protect nurses from COVID exposure and other diseases.\u003c/p>\n\u003cp>Last year, the California Division of Occupational Safety and Health (Cal/OSHA) fined Sutter Health for violations tied to COVID-related workplace safety issues after an investigation was launched in response to the July 2021 \u003ca href=\"https://www.nationalnursesunited.org/press/calosha-finds-alta-bates-summit-medical-center-guilty-eight-serious-violations\">death of an Alta Bates nurse\u003c/a>, who contracted the disease.\u003c/p>\n\u003cp>“Sutter must create working conditions to enhance patient care while also providing a safe work environment that retains nurses,\" said Hill.\u003c/p>\n\u003cp>Ann Gaebler, a registered nurse of over 40 years, said she has never seen Sutter \"act this disrespectfully\" toward nurses, and it's causing experienced health care providers to leave.\u003c/p>\n\u003cp>\"Without proper mentorship, we see young nurses suffering the moral injury and the moral distress of having to care for patients without the support they need, and so they leave,\" Gaebler said in a statement. \"This is not how you grow the next generation of nurses or how to take care of a community. We need Sutter to step up to address our concerns about retention, so we can continue to provide excellent care to our patients.\"\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we're hearing from physicians and nurses and other health care professionals.’","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dr. Joanne Spetz, director, Philip R. Lee Institute for Health Policy Studies, UCSF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In response to the walkout, Sutter management faulted local leaders in the nurses unions, accusing them of putting \"politics above the patients and the nurses they represent\" despite Sutter being willing to bargain, a spokesperson said in a statement on Monday.\u003c/p>\n\u003cp>“Our attention remains on providing safe, high-quality care to the patients and communities we’re honored to serve, and we are confident in our ability to manage this disruption,\" the statement said. \"We are hopeful the union shares our desire to reach an agreement and enable our nurses to turn their focus back to the patients the union has asked them to walk away from.”\u003c/p>\n\u003cfigure id=\"attachment_11930036\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg\">\u003cimg class=\"size-medium wp-image-11930036\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg\" alt=\"People holding yellow and red signs and wearing red nurse outfits walk across the street.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses begin a five-day strike at Alta Bates Summit Medical Center in Oakland on Oct. 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sutter Health's proposed contract includes a pay increase of more than 20% over four years and a commitment to pursuing initiatives aimed at promoting diversity and advancing equity among its employees, along with continued health coverage for nurses and their families.\u003c/p>\n\u003cp>The Sutter nurses strike is just the latest in a slew of labor actions in recent months among health care workers throughout the Bay Area, mirroring a larger nationwide trend.\u003c/p>\n\u003cp>The walkout comes less than a week after some 2,000 Kaiser Permanente mental health care employees approved \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/new-4-year-agreement-ratified\">a four-year contract\u003c/a>, ending an unprecedented, grueling 10-week strike over staffing shortages, wages and patient care, and just days after the Valley Physicians Group, a union representing about 450 doctors employed by Santa Clara County, announced its intention to hit the picket line on November 1 over similar issues.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11929713,news_11924980","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Even though \u003ca href=\"https://www.bls.gov/opub/ted/2020/union-membership-rate-8-point-6-percent-in-manufacturing-23-point-4-percent-in-utilities-in-2019.htm#:~:text=Bureau%20of%20Labor%20Statistics,-The%20Economics%20Daily&text=In%202019%2C%20the%20union%20membership,hunting%3B%20and%20finance%20and%20insurance.\">less than 7% of health care workers nationwide were unionized\u003c/a> as of 2020, the health care sector \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/11/955128562/for-health-care-workers-the-pandemic-is-fueling-renewed-interest-in-unions\">also has seen renewed interest in unionization since the pandemic\u003c/a>.\u003c/p>\n\u003cp>“I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we're hearing from physicians and nurses and other health care professionals,” Dr. Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, told KQED.\u003c/p>\n\u003cp>The pandemic, she added, also laid bare the extent of labor shortages across a wide range of essential jobs within health care settings, including custodial staff, nursing assistants, food-service workers and delivery people.\u003c/p>\n\u003cp>“When those jobs are all in short supply, that puts even more pressure on physicians, nurses and others,” Spetz said.\u003c/p>\n\u003cp>And many health care workers are finding that their most common demands — for reduced workloads, more support services, more time for administrative tasks and, in a growing number of instances, tougher security measures — are often not sufficiently met by employers, who often cite nationwide labor shortages and rising costs of doing business.\u003c/p>\n\u003cp>Unionization is more popular than it’s ever been, even across political lines, with \u003ca href=\"https://news.gallup.com/poll/398303/approval-labor-unions-highest-point-1965.aspx\">a recent Gallup poll showing that 71% of Americans approve of labor unions\u003c/a>, the highest approval rating since 1965.\u003c/p>\n\u003cp>But questions remain over how financially well positioned hospitals are to hire and train more people and meet their employees’ increasingly vocal — and organized — demands.\u003c/p>\n\u003cp>“Health care is competing against a lot of other industries and sectors that also are having difficulty recruiting,” Spetz said.\u003c/p>\n\u003cp>“A skilled trade or retail or a restaurant can change their prices pretty quickly, but for health care, they are in these often multiyear insurance contracts and they cannot immediately drum up more revenue in order to pay those higher wages,” said Spetz. “They're likely to be going back to the insurance industry in the next few years as their contracts come up for renegotiation and ask for more money. And then the insurance companies eventually are going to need to figure out how to pass that on in the price of higher premiums.”\u003c/p>\n\u003cp>And, Spetz added, the pressure of keeping costs down at a time of rampant inflation in a labor-intensive field like health care is exacerbated by the rising costs of supplies and equipment.\u003c/p>\n\u003cp>“Because it takes a while to have the ability to raise revenue … that just puts more financial pressure,” Spetz said, adding that as the pandemic relief money fades, hospitals will be facing financial shortfalls and worrying about “how the money's going to play out for them.”\u003c/p>\n\u003cp>“A lot of it comes down to building a workplace where health care workers really feel valued, are able to use all their skills, are respected as professionals, regardless of what level they work within the organization … and have the autonomy to use their knowledge and skills to the highest ability,” Spetz said. “You need to be adequately staffed in general. And so that's going to be the big challenge for employers, is how to create that healthy, supportive work culture. And you have to do that while you’re dealing with labor shortages and plugging all the holes that need to be plugged.”\u003c/p>\n\u003cp>\u003cem>Additional reporting was contributed by Bay City News and KQED's Laura Klivans.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11929860/multiple-strikes-in-bay-area-health-care-reflect-a-workforce-decimated-by-labor-shortage","authors":["11812","257","11784"],"categories":["news_1758","news_457","news_8","news_13"],"tags":["news_17606","news_683","news_21790","news_2109","news_793","news_21789"],"featImg":"news_11930035","label":"news"},"news_11911519":{"type":"posts","id":"news_11911519","meta":{"index":"posts_1591205157","site":"news","id":"11911519","score":null,"sort":[1650576055000]},"guestAuthors":[],"slug":"first-came-sutter-health-next-could-be-stanford-why-bay-area-nurses-are-walking-off-the-job","title":"First Came Sutter Health. Next Could Be Stanford. Why Bay Area Nurses Are Walking Off the Job","publishDate":1650576055,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Across Northern California, over 8,000 Sutter Health nurses and other workers at 15 facilities went on a one-day strike Monday. Another 5,000 workers from Stanford Health Care and Lucile Packard Children’s Hospital are set to walk off the job next Monday, after contract negotiations came to a halt. \u003c/span>\u003c/p>\n\u003cp>The Sutter strike caused the nonprofit to hire temporary workers to make up for the staffing shortage. The nurses’ labor contract with Sutter expired in February, and negotiations have been ongoing since June 2021. Some of the issues being discussed are \u003ca href=\"https://www.kqed.org/news/11901728/nurses-concerned-about-working-conditions\">workplace protections\u003c/a> related to the pandemic, including personal protective equipment, minimal staffing and contact tracing. [pullquote size=\"medium\" align=\"right\" citation=\"Joanne Spetz, director, Philip R. Lee Institute for Health Policy Studies at UCSF\"]'Two years of working through pandemic conditions and all of the death and the stress and, in some cases, hostile patients and families and other experiences that nurses have had, a lot of them are saying, we need to be better compensated and have better protections in our work environments to feel like we want to stay in these jobs.'[/pullquote]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED's Natalia Navarro sat down with Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, to talk more about what's causing the labor issues in the nursing profession.\u003c/span>\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>NATALIA NAVARRO: \u003c/strong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p0-0\"}]'>\u003cstrong>Can you just set up the basic stakes for us here? What are health workers asking for that they're not getting?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>JOANNE SPETZ\u003c/strong>: \u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p1-0\"}]'>Health workers had a very difficult and challenging time through the pandemic. They frequently were short-staffed — not necessarily that their employers intended to short-staff, but with so many people going out on quarantine and how difficult it was to get traveling and temporary staff to fill in the gaps, there has been a lot of stress and a lot of short-staffing and a lot of concern about turnover and the long-term sustainability of the workforce. \u003c/span>[aside postID=\"news_11892581\" label=\"Related Posts\"]\u003cstrong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p2-0\"}]'>Along that vein, we have been hearing about a California nursing shortage. A 2021 CalMatters story said that \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">the understaffing was at a \"crisis point,\"\u003c/a> and that was a year ago. Can you talk to me about some of the driving factors behind this issue? \u003c/span>\u003c/strong>\u003c/p>\n\u003cp>We did a survey in late 2020, and what we found at that point is a lot of nurses that were close to retirement already left. I think there were a lot of nurses within a year or two of retirement who looked at the situation and said, \"I'm older, I'm at higher risk, I don't want to work in these circumstances,\" and they left the workforce. So that left hospitals already with short-staffing issues.\u003c/p>\n\u003cp>And then when we had the more contagious variants, we had a lot of concerns about nurses going out on basically quarantines. And that left the nurses who were not on quarantine with even fewer nurses to help out with the work. In the long term, two years of working through pandemic conditions and all of the death and the stress and, in some cases, hostile patients and families and other experiences that nurses have had, a lot of them are saying, \"We need to be better compensated and have better protections in our work environments to feel like we want to stay in these jobs.\"\u003c/p>\n\u003cp>The analysis that we did based on that 2020 data suggested that we may have a pretty significant shortage for the next five or six years, but we're waiting for newly graduated nurses to come online and take up the jobs that have been so rapidly vacated. And that was more than a year ago that we did that analysis. So we don't know yet if things have gotten worse or, perhaps, as things are beginning to settle down with the pandemic, maybe things are going to start looking a little bit better. Hopefully, we'll be able to get some data to learn more about that over the next six or nine months or so.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>These two groups, these two unions of nurses that are either striking or considering striking very soon, one of their big concerns is access to PPE, other protective equipment. Tell me, what is the issue with that at this point in the pandemic?\u003c/strong>\u003c/span>\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Well, fortunately, a lot of those concerns did calm down after the first six or nine months or so when PPE was so impossible to get ahold of. That said, these kinds of concerns can continue to exist. And I think for a lot of health care workers, they may have concerns about relaxing some of the restrictions that may bring family members in who aren't required to have equipment. And if that's happening, then the nursing staff and the other health professionals may feel like they want more protection because the people around them may be less protected. I think that is going to be an ongoing concern, especially about the quality of the equipment and its availability and trying to move into a more sustainable pattern of of use.\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Depending on the situation, the strikes coming up are generally registered nurses and generally in hospitals. But there are other settings like nursing homes that have been hit really hard, and there was a long period of time where family members were really not allowed to go into nursing homes. What people haven't really talked about for nurses and nursing assistants in those settings is how much extra workload that put on those staff. Often, family members go in and help take a meal with a loved one and help feed them and help provide other services or other support to their family member, which relieve some of the workload and the burden for the paid staff in a nursing home setting. When the family members were kicked out, the nursing staff had all that extra work that they needed to do, and there was no emotional support for the family members beyond the staff, so it's incredibly burdensome. So I think that's another area where we don't see any strikes coming up in the next week or two, but I think we really need to keep a close eye on what's going to happen in nursing homes next.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>Let's talk about the responses from hospital administrators. Stanford Health Care has doubled down on their plan to cut off health insurance coverage for the nurses if they go through with the strike next week. Of course, there's been a big backlash to that decision. Have you seen any responses from hospitals or hospital systems that have worked at improving conditions for nurses?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>I think a lot of those systems are trying to make various improvements, although it's not always advertised what improvements that they're making until there are allegations about problems. I'm at University of California, San Francisco, and so of course, I may be somewhat biased, but I know that our leadership has been putting a lot of work into trying to have adequate staffing and trying to promote a really highly respectful culture and make sure that staff understand how appreciated they are. But I can't entirely speak to the responses in the other organizations cutting off health benefits. First, there may be some practical and legal issues about trying to do that with any rapidity. But the last time Stanford had a big strike, that strike went on for more than a year. So they and the administration there may be really wanting to come down hard in trying to deter a strike because the last one was so drawn out and so painful for them.\u003c/p>\n\u003cp>\u003cem>KQED's Natalia Navarro, Sara Hossaini and Mary Franklin Harvin contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Across Northern California, over 8,000 Sutter Health nurses and other workers at 15 facilities went on a one-day strike on Monday over staffing and workplace conditions related to the pandemic.","status":"publish","parent":0,"modified":1657153999,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":1331},"headData":{"title":"First Came Sutter Health. Next Could Be Stanford. Why Bay Area Nurses Are Walking Off the Job | KQED","description":"Across Northern California, over 8,000 Sutter Health nurses and other workers at 15 facilities went on a one-day strike on Monday over staffing and workplace conditions related to the pandemic.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"First Came Sutter Health. Next Could Be Stanford. Why Bay Area Nurses Are Walking Off the Job","datePublished":"2022-04-21T21:20:55.000Z","dateModified":"2022-07-07T00:33:19.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11911519 https://ww2.kqed.org/news/?p=11911519","disqusUrl":"https://ww2.kqed.org/news/2022/04/21/first-came-sutter-health-next-could-be-stanford-why-bay-area-nurses-are-walking-off-the-job/","disqusTitle":"First Came Sutter Health. Next Could Be Stanford. Why Bay Area Nurses Are Walking Off the Job","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]f-aaef00f5a073/60bf4074-d161-4ffa-96f0-ae7c000bdd89/audio.mp3","excludeFromSiteSearch":"Include","path":"/news/11911519/first-came-sutter-health-next-could-be-stanford-why-bay-area-nurses-are-walking-off-the-job","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Across Northern California, over 8,000 Sutter Health nurses and other workers at 15 facilities went on a one-day strike Monday. Another 5,000 workers from Stanford Health Care and Lucile Packard Children’s Hospital are set to walk off the job next Monday, after contract negotiations came to a halt. \u003c/span>\u003c/p>\n\u003cp>The Sutter strike caused the nonprofit to hire temporary workers to make up for the staffing shortage. The nurses’ labor contract with Sutter expired in February, and negotiations have been ongoing since June 2021. Some of the issues being discussed are \u003ca href=\"https://www.kqed.org/news/11901728/nurses-concerned-about-working-conditions\">workplace protections\u003c/a> related to the pandemic, including personal protective equipment, minimal staffing and contact tracing. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Two years of working through pandemic conditions and all of the death and the stress and, in some cases, hostile patients and families and other experiences that nurses have had, a lot of them are saying, we need to be better compensated and have better protections in our work environments to feel like we want to stay in these jobs.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Joanne Spetz, director, Philip R. Lee Institute for Health Policy Studies at UCSF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED's Natalia Navarro sat down with Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, to talk more about what's causing the labor issues in the nursing profession.\u003c/span>\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>NATALIA NAVARRO: \u003c/strong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p0-0\"}]'>\u003cstrong>Can you just set up the basic stakes for us here? What are health workers asking for that they're not getting?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>JOANNE SPETZ\u003c/strong>: \u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p1-0\"}]'>Health workers had a very difficult and challenging time through the pandemic. They frequently were short-staffed — not necessarily that their employers intended to short-staff, but with so many people going out on quarantine and how difficult it was to get traveling and temporary staff to fill in the gaps, there has been a lot of stress and a lot of short-staffing and a lot of concern about turnover and the long-term sustainability of the workforce. \u003c/span>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11892581","label":"Related Posts "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p2-0\"}]'>Along that vein, we have been hearing about a California nursing shortage. A 2021 CalMatters story said that \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">the understaffing was at a \"crisis point,\"\u003c/a> and that was a year ago. Can you talk to me about some of the driving factors behind this issue? \u003c/span>\u003c/strong>\u003c/p>\n\u003cp>We did a survey in late 2020, and what we found at that point is a lot of nurses that were close to retirement already left. I think there were a lot of nurses within a year or two of retirement who looked at the situation and said, \"I'm older, I'm at higher risk, I don't want to work in these circumstances,\" and they left the workforce. So that left hospitals already with short-staffing issues.\u003c/p>\n\u003cp>And then when we had the more contagious variants, we had a lot of concerns about nurses going out on basically quarantines. And that left the nurses who were not on quarantine with even fewer nurses to help out with the work. In the long term, two years of working through pandemic conditions and all of the death and the stress and, in some cases, hostile patients and families and other experiences that nurses have had, a lot of them are saying, \"We need to be better compensated and have better protections in our work environments to feel like we want to stay in these jobs.\"\u003c/p>\n\u003cp>The analysis that we did based on that 2020 data suggested that we may have a pretty significant shortage for the next five or six years, but we're waiting for newly graduated nurses to come online and take up the jobs that have been so rapidly vacated. And that was more than a year ago that we did that analysis. So we don't know yet if things have gotten worse or, perhaps, as things are beginning to settle down with the pandemic, maybe things are going to start looking a little bit better. Hopefully, we'll be able to get some data to learn more about that over the next six or nine months or so.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>These two groups, these two unions of nurses that are either striking or considering striking very soon, one of their big concerns is access to PPE, other protective equipment. Tell me, what is the issue with that at this point in the pandemic?\u003c/strong>\u003c/span>\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Well, fortunately, a lot of those concerns did calm down after the first six or nine months or so when PPE was so impossible to get ahold of. That said, these kinds of concerns can continue to exist. And I think for a lot of health care workers, they may have concerns about relaxing some of the restrictions that may bring family members in who aren't required to have equipment. And if that's happening, then the nursing staff and the other health professionals may feel like they want more protection because the people around them may be less protected. I think that is going to be an ongoing concern, especially about the quality of the equipment and its availability and trying to move into a more sustainable pattern of of use.\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Depending on the situation, the strikes coming up are generally registered nurses and generally in hospitals. But there are other settings like nursing homes that have been hit really hard, and there was a long period of time where family members were really not allowed to go into nursing homes. What people haven't really talked about for nurses and nursing assistants in those settings is how much extra workload that put on those staff. Often, family members go in and help take a meal with a loved one and help feed them and help provide other services or other support to their family member, which relieve some of the workload and the burden for the paid staff in a nursing home setting. When the family members were kicked out, the nursing staff had all that extra work that they needed to do, and there was no emotional support for the family members beyond the staff, so it's incredibly burdensome. So I think that's another area where we don't see any strikes coming up in the next week or two, but I think we really need to keep a close eye on what's going to happen in nursing homes next.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>Let's talk about the responses from hospital administrators. Stanford Health Care has doubled down on their plan to cut off health insurance coverage for the nurses if they go through with the strike next week. Of course, there's been a big backlash to that decision. Have you seen any responses from hospitals or hospital systems that have worked at improving conditions for nurses?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>I think a lot of those systems are trying to make various improvements, although it's not always advertised what improvements that they're making until there are allegations about problems. I'm at University of California, San Francisco, and so of course, I may be somewhat biased, but I know that our leadership has been putting a lot of work into trying to have adequate staffing and trying to promote a really highly respectful culture and make sure that staff understand how appreciated they are. But I can't entirely speak to the responses in the other organizations cutting off health benefits. First, there may be some practical and legal issues about trying to do that with any rapidity. But the last time Stanford had a big strike, that strike went on for more than a year. So they and the administration there may be really wanting to come down hard in trying to deter a strike because the last one was so drawn out and so painful for them.\u003c/p>\n\u003cp>\u003cem>KQED's Natalia Navarro, Sara Hossaini and Mary Franklin Harvin contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11911519/first-came-sutter-health-next-could-be-stanford-why-bay-area-nurses-are-walking-off-the-job","authors":["11784","11756"],"categories":["news_457","news_8"],"tags":["news_21789","news_1901","news_18093"],"featImg":"news_11911761","label":"news"},"news_11897294":{"type":"posts","id":"news_11897294","meta":{"index":"posts_1591205157","site":"news","id":"11897294","score":null,"sort":[1637795104000]},"guestAuthors":[],"slug":"is-california-in-a-better-place-than-it-was-during-last-years-pandemic-holidays-depends-where-you-live","title":"Is California in a Better Place Than it Was During Last Year’s Pandemic Holidays? Depends Where You Live","publishDate":1637795104,"format":"standard","headTitle":"CALmatters | KQED News","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2021/11/otra-temporada-festiva-con-covid-esta-california-en-una-mejor-posicion-este-ano/\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>The holidays are here and people are ready to gather, hug and feast. But is California in a better place this year when it comes to COVID-19?\u003c/p>\n\u003cp>Last year, as Thanksgiving approached, infections were creeping up, culminating in a brutal winter surge, and the governor implemented an emergency curfew to slow the spread of the virus.\u003c/p>\n\u003cp>[aside postID=\"news_11897123\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/pexels-cottonbro-5791658-1536x1024.jpg\"]Overall the state as a whole is now doing better than a year ago, before vaccines were available. But a closer look at each county shows that “better” isn’t the case for all: At least 18 counties have more hospitalized COVID-19 patients today than they did this time last year. Another five have just as many.\u003c/p>\n\u003cp>The vast majority of the ones faring worse are in the Central Valley and rural Northern California, which are still recovering from bad summer surges. Humboldt, Madera and Lassen counties have the biggest year-over-year increases. In Madera, the 7-day average stood at 32 hospitalized patients on Sunday, compared to 13 a year ago. Humboldt had 11 hospitalizations on Sunday compared to three on the same date last year.\u003c/p>\n\u003cp>It’s a different — and far better — situation in California’s urban counties. Of the state’s 10 most populous counties, all except Fresno have fewer COVID patients in the hospital today than a year ago.\u003c/p>\n\u003cp>Los Angeles, Alameda and Contra Costa counties are reporting less than half of the COVID-19 hospitalizations of last year. San Diego, Orange, Riverside, Santa Clara, San Bernardino and Sacramento counties have about 30% less.\u003c/p>\n\u003cp>Last year’s winter surge was harsh for most of the state. But for some counties — including Butte, Humboldt, Mendocino, Shasta and Placer — this summer and fall were even worse. Some saw more patients hospitalized in summer and fall than they did last winter.\u003c/p>\n\u003cp>In the Central Valley some local hospitals are still strained. And experts say that’s a dangerous situation going into the holidays when another wave of cases is expected.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Gary Herbst, CEO, Kaweah Health Medical Center\"]'In June or July, we literally only had four COVID positive patients in the hospital … but that quickly changed in August.'[/pullquote]“We hope this surge, which we’re just trending down from now, is an indication that hopefully we won’t have another surge. But an increase in cases wouldn’t be terribly unlikely,” said Lisa Almaguer, communications director at Butte County Public Health.\u003c/p>\n\u003cp>At Kaweah Health Medical Center in Visalia, the seat of Tulare County, 73 COVID-19 infected patients were being treated as of Nov. 16. Although the number is high, Chief Executive Officer Gary Herbst said it is a welcome relief from the 100-plus infected patients hospitalized there since late summer.\u003c/p>\n\u003cp>“The Delta variant has been much more contagious, a bit more severe, where we are seeing more patients require critical care, require significant oxygen, unfortunately,” Herbst said. “In June or July, we literally only had four COVID positive patients in the hospital and were in a bit of a celebratory mood. But that quickly changed in August as we saw our numbers start increasing exponentially.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Why are some counties still struggling?\u003c/strong>\u003c/h3>\n\u003cp>According to the California Department of Public Health, from Oct. 24 to Oct. 30, unvaccinated people were 11.9 times more likely to be hospitalized with COVID-19 than those fully vaccinated.\u003c/p>\n\u003cp>Experts say the main driving force behind the increased hospitalizations in some counties is their low vaccination rate. Counties with a smaller portion of vaccinated residents are continuing to see higher hospitalization numbers. For example, Shasta and Merced have vaccination rates of about 50% and both have more COVID-infected people in their hospitals today than this time last year.\u003c/p>\n\u003cp>[aside postID=\"news_11859829\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/RS48434_GettyImages-1310034178-qut.jpg\"]However, that’s not true for all counties: In Humboldt County, about 76% of the eligible population is at least partially vaccinated — about the same as the state’s average. But Humboldt also had more people in the hospital there this weekend than a year ago.\u003c/p>\n\u003cp>The reopening of businesses and return to normal activities may be fueling the infections in some counties.\u003c/p>\n\u003cp>“We’ve also been more open this year, that may be part of the explanation,” said Andrew Noymer, an epidemiologist at UC Irvine who focuses on mortalities during pandemics. With more activity and less masking, infections and hospital rates are likely to remain significant in those counties that have insufficient vaccination.\u003c/p>\n\u003cp>“In rural counties, population density ought to be a protective factor, but we’ve seen time and time again that rural locations are not spared. They might get hit later, but they can get hit hard,” Noymer said.\u003c/p>\n\u003cp>Noymer, however, is hopeful that most counties have seen the worst of it — either last winter or in the summer. “But we do have some tough sledding ahead, and even if the worst is past us it doesn’t mean this winter won’t be tough.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Andrew Noymer, Epidemiologist, UC Irvine\"]'[Rural counties] might get hit later, but they can get hit hard.'[/pullquote]The number of new infections in most counties have been steadily declining since the summer wave.\u003c/p>\n\u003cp>Still, in 27 counties the 7-day daily average of new cases last week exceeded 10 infections per 100,000 people — a rate that once signaled widespread transmission and triggered the “purple zone” restrictions on businesses.\u003c/p>\n\u003cp>Compared to last year, however, infections are down in the vast majority of California. Only four small counties: Inyo, Mariposa, Mono and Sierra had a higher daily case rate on Friday than one year ago.\u003c/p>\n\u003cfigure id=\"attachment_11897335\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg class=\"size-full wp-image-11897335\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-scaled.jpg\" alt=\"The nurses stand in a hospital hallway and put their scrubs on and other protective gear.\" width=\"2560\" height=\"1707\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-2048x1365.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Two registered nurses prepare to check a patient with Covid-19 at the Cardiovascular Intensive Care Unit at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, near Los Angeles on September 2, 2021. Vaccinated patients at the hospital are typically older, but the COVID-19 effects amongst those vaccinated are much milder compared to the unvaccinated patients that have more severe symptoms. \u003ccite>(Apu Gomes/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Hospitals still under siege\u003c/strong>\u003c/h3>\n\u003cp>Fresno County health officials said on Friday that they are preparing for another potentially challenging winter. Hospitals there are operating consistently above capacity, and it’s often difficult to transfer patients to hospitals in other regions, said Dr. Rais Vohra, Fresno County’s health officer.\u003c/p>\n\u003cp>“If we need to transfer patients out to keep our hospital operational, we should really be able to do that with one or two phone calls. That’s not the situation right now, and that’s a point of frustration we’re hearing from multiple facilities,” Vohra said.\u003c/p>\n\u003cp>Nurse shortages, also, are an ongoing issue as nurses quit the workforce over labor concerns and burnout. At Kaweah in Visalia, Herbst said that there are 650 open positions at the hospital; 145 of them are for bedside nurses.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Gary Herbst, CEO, Kaweah Health Medical Center\"]'[Nurses] are exhausted, and that’s our number one worry.'[/pullquote]Nurses are working four or five 12-hour shifts a week and Herbst worries that staff will burn out as a result of the extended summer surge, which leaves little time for recovery between now and the holiday season.\u003c/p>\n\u003cp>“They are exhausted, and that’s our number one worry,” Herbst said.\u003c/p>\n\u003cp>Local health officials are now pushing for boosters as immunity wanes and the holidays approach. While usually milder, breakthrough cases have been a growing concern in hospitals. In Fresno County, the share of those vaccinated who are hospitalized recently went from 5 to 10% of hospitalizations to 15 to 20%, Vohra said.\u003c/p>\n\u003cp>Despite some confusing messaging at the federal level about who “should” and who “may” get boosters, local health officials are encouraging boosters for all adults who completed their first series of shots more than 6 months ago, or 2 months for those who received the Johnson & Johnson vaccine. “I would say for all practical purposes, boosters are not optional,” Vohra said.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='coronavirus']One glimpse of hope: an uptick in people who are getting their first dose ahead of the holidays.\u003c/p>\n\u003cp>“Last week we saw 1.4 million people get a vaccine, 58% were for boosters, but that’s encouraging because 42% of folks were getting those first doses as well,” Newsom said during a vaccine event on Monday.\u003c/p>\n\u003cp>Some county officials also are optimistic that the hard summer could mean that natural immunity will offer some community protection — at least enough to evade another devastating winter.\u003c/p>\n\u003cp>“We live on hope here,” Herbst said.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A few days before Thanksgiving, eighteen counties, mostly rural ones, have more hospitalized COVID-19 patients today than a year ago. But urban counties are faring better.","status":"publish","parent":0,"modified":1637882840,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1531},"headData":{"title":"Is California in a Better Place Than it Was During Last Year’s Pandemic Holidays? Depends Where You Live | KQED","description":"A few days before Thanksgiving, eighteen counties, mostly rural ones, have more hospitalized COVID-19 patients today than a year ago. But urban counties are faring better.","ogTitle":"Another Holiday Season in the Pandemic: Is California in a Better Place This Year?","ogDescription":"","ogImgId":"","twTitle":"Another Holiday Season in the Pandemic: Is California in a Better Place This Year?","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Is California in a Better Place Than it Was During Last Year’s Pandemic Holidays? Depends Where You Live","datePublished":"2021-11-24T23:05:04.000Z","dateModified":"2021-11-25T23:27:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11897294 https://ww2.kqed.org/news/?p=11897294","disqusUrl":"https://ww2.kqed.org/news/2021/11/24/is-california-in-a-better-place-than-it-was-during-last-years-pandemic-holidays-depends-where-you-live/","disqusTitle":"Is California in a Better Place Than it Was During Last Year’s Pandemic Holidays? Depends Where You Live","nprByline":"\u003ca href=\"https://calmatters.org/author/anaibarra/\">Ana B. Ibarra\u003c/a>, \u003ca href=\"https://calmatters.org/author/hannah-getahun/\">Hannah Getahun\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","path":"/news/11897294/is-california-in-a-better-place-than-it-was-during-last-years-pandemic-holidays-depends-where-you-live","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2021/11/otra-temporada-festiva-con-covid-esta-california-en-una-mejor-posicion-este-ano/\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>The holidays are here and people are ready to gather, hug and feast. But is California in a better place this year when it comes to COVID-19?\u003c/p>\n\u003cp>Last year, as Thanksgiving approached, infections were creeping up, culminating in a brutal winter surge, and the governor implemented an emergency curfew to slow the spread of the virus.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11897123","hero":"https://ww2.kqed.org/app/uploads/sites/10/2021/11/pexels-cottonbro-5791658-1536x1024.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Overall the state as a whole is now doing better than a year ago, before vaccines were available. But a closer look at each county shows that “better” isn’t the case for all: At least 18 counties have more hospitalized COVID-19 patients today than they did this time last year. Another five have just as many.\u003c/p>\n\u003cp>The vast majority of the ones faring worse are in the Central Valley and rural Northern California, which are still recovering from bad summer surges. Humboldt, Madera and Lassen counties have the biggest year-over-year increases. In Madera, the 7-day average stood at 32 hospitalized patients on Sunday, compared to 13 a year ago. Humboldt had 11 hospitalizations on Sunday compared to three on the same date last year.\u003c/p>\n\u003cp>It’s a different — and far better — situation in California’s urban counties. Of the state’s 10 most populous counties, all except Fresno have fewer COVID patients in the hospital today than a year ago.\u003c/p>\n\u003cp>Los Angeles, Alameda and Contra Costa counties are reporting less than half of the COVID-19 hospitalizations of last year. San Diego, Orange, Riverside, Santa Clara, San Bernardino and Sacramento counties have about 30% less.\u003c/p>\n\u003cp>Last year’s winter surge was harsh for most of the state. But for some counties — including Butte, Humboldt, Mendocino, Shasta and Placer — this summer and fall were even worse. Some saw more patients hospitalized in summer and fall than they did last winter.\u003c/p>\n\u003cp>In the Central Valley some local hospitals are still strained. And experts say that’s a dangerous situation going into the holidays when another wave of cases is expected.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'In June or July, we literally only had four COVID positive patients in the hospital … but that quickly changed in August.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Gary Herbst, CEO, Kaweah Health Medical Center","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We hope this surge, which we’re just trending down from now, is an indication that hopefully we won’t have another surge. But an increase in cases wouldn’t be terribly unlikely,” said Lisa Almaguer, communications director at Butte County Public Health.\u003c/p>\n\u003cp>At Kaweah Health Medical Center in Visalia, the seat of Tulare County, 73 COVID-19 infected patients were being treated as of Nov. 16. Although the number is high, Chief Executive Officer Gary Herbst said it is a welcome relief from the 100-plus infected patients hospitalized there since late summer.\u003c/p>\n\u003cp>“The Delta variant has been much more contagious, a bit more severe, where we are seeing more patients require critical care, require significant oxygen, unfortunately,” Herbst said. “In June or July, we literally only had four COVID positive patients in the hospital and were in a bit of a celebratory mood. But that quickly changed in August as we saw our numbers start increasing exponentially.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Why are some counties still struggling?\u003c/strong>\u003c/h3>\n\u003cp>According to the California Department of Public Health, from Oct. 24 to Oct. 30, unvaccinated people were 11.9 times more likely to be hospitalized with COVID-19 than those fully vaccinated.\u003c/p>\n\u003cp>Experts say the main driving force behind the increased hospitalizations in some counties is their low vaccination rate. Counties with a smaller portion of vaccinated residents are continuing to see higher hospitalization numbers. For example, Shasta and Merced have vaccination rates of about 50% and both have more COVID-infected people in their hospitals today than this time last year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11859829","hero":"https://ww2.kqed.org/app/uploads/sites/10/2021/04/RS48434_GettyImages-1310034178-qut.jpg","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>However, that’s not true for all counties: In Humboldt County, about 76% of the eligible population is at least partially vaccinated — about the same as the state’s average. But Humboldt also had more people in the hospital there this weekend than a year ago.\u003c/p>\n\u003cp>The reopening of businesses and return to normal activities may be fueling the infections in some counties.\u003c/p>\n\u003cp>“We’ve also been more open this year, that may be part of the explanation,” said Andrew Noymer, an epidemiologist at UC Irvine who focuses on mortalities during pandemics. With more activity and less masking, infections and hospital rates are likely to remain significant in those counties that have insufficient vaccination.\u003c/p>\n\u003cp>“In rural counties, population density ought to be a protective factor, but we’ve seen time and time again that rural locations are not spared. They might get hit later, but they can get hit hard,” Noymer said.\u003c/p>\n\u003cp>Noymer, however, is hopeful that most counties have seen the worst of it — either last winter or in the summer. “But we do have some tough sledding ahead, and even if the worst is past us it doesn’t mean this winter won’t be tough.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'[Rural counties] might get hit later, but they can get hit hard.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Andrew Noymer, Epidemiologist, UC Irvine","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The number of new infections in most counties have been steadily declining since the summer wave.\u003c/p>\n\u003cp>Still, in 27 counties the 7-day daily average of new cases last week exceeded 10 infections per 100,000 people — a rate that once signaled widespread transmission and triggered the “purple zone” restrictions on businesses.\u003c/p>\n\u003cp>Compared to last year, however, infections are down in the vast majority of California. Only four small counties: Inyo, Mariposa, Mono and Sierra had a higher daily case rate on Friday than one year ago.\u003c/p>\n\u003cfigure id=\"attachment_11897335\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg class=\"size-full wp-image-11897335\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-scaled.jpg\" alt=\"The nurses stand in a hospital hallway and put their scrubs on and other protective gear.\" width=\"2560\" height=\"1707\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-scaled.jpg 2560w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-2048x1365.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/11/GettyImages-1235025045-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">Two registered nurses prepare to check a patient with Covid-19 at the Cardiovascular Intensive Care Unit at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, near Los Angeles on September 2, 2021. Vaccinated patients at the hospital are typically older, but the COVID-19 effects amongst those vaccinated are much milder compared to the unvaccinated patients that have more severe symptoms. \u003ccite>(Apu Gomes/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Hospitals still under siege\u003c/strong>\u003c/h3>\n\u003cp>Fresno County health officials said on Friday that they are preparing for another potentially challenging winter. Hospitals there are operating consistently above capacity, and it’s often difficult to transfer patients to hospitals in other regions, said Dr. Rais Vohra, Fresno County’s health officer.\u003c/p>\n\u003cp>“If we need to transfer patients out to keep our hospital operational, we should really be able to do that with one or two phone calls. That’s not the situation right now, and that’s a point of frustration we’re hearing from multiple facilities,” Vohra said.\u003c/p>\n\u003cp>Nurse shortages, also, are an ongoing issue as nurses quit the workforce over labor concerns and burnout. At Kaweah in Visalia, Herbst said that there are 650 open positions at the hospital; 145 of them are for bedside nurses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'[Nurses] are exhausted, and that’s our number one worry.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Gary Herbst, CEO, Kaweah Health Medical Center","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Nurses are working four or five 12-hour shifts a week and Herbst worries that staff will burn out as a result of the extended summer surge, which leaves little time for recovery between now and the holiday season.\u003c/p>\n\u003cp>“They are exhausted, and that’s our number one worry,” Herbst said.\u003c/p>\n\u003cp>Local health officials are now pushing for boosters as immunity wanes and the holidays approach. While usually milder, breakthrough cases have been a growing concern in hospitals. In Fresno County, the share of those vaccinated who are hospitalized recently went from 5 to 10% of hospitalizations to 15 to 20%, Vohra said.\u003c/p>\n\u003cp>Despite some confusing messaging at the federal level about who “should” and who “may” get boosters, local health officials are encouraging boosters for all adults who completed their first series of shots more than 6 months ago, or 2 months for those who received the Johnson & Johnson vaccine. “I would say for all practical purposes, boosters are not optional,” Vohra said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"coronavirus"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>One glimpse of hope: an uptick in people who are getting their first dose ahead of the holidays.\u003c/p>\n\u003cp>“Last week we saw 1.4 million people get a vaccine, 58% were for boosters, but that’s encouraging because 42% of folks were getting those first doses as well,” Newsom said during a vaccine event on Monday.\u003c/p>\n\u003cp>Some county officials also are optimistic that the hard summer could mean that natural immunity will offer some community protection — at least enough to evade another devastating winter.\u003c/p>\n\u003cp>“We live on hope here,” Herbst said.\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11897294/is-california-in-a-better-place-than-it-was-during-last-years-pandemic-holidays-depends-where-you-live","authors":["byline_news_11897294"],"categories":["news_457","news_8"],"tags":["news_311","news_27350","news_29058","news_27989","news_29566","news_18659","news_21789","news_27660","news_29941","news_17615"],"affiliates":["news_18481"],"featImg":"news_11897333","label":"news_18481"},"news_11893652":{"type":"posts","id":"news_11893652","meta":{"index":"posts_1591205157","site":"news","id":"11893652","score":null,"sort":[1635200914000]},"guestAuthors":[],"slug":"nursing-schools-struggle-to-meet-the-demand-in-the-u-s","title":"U.S. Hospitals Are Desperate for More Nurses, But Nursing Schools Are Struggling to Meet Demand","publishDate":1635200914,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Struggle is nothing new to Foxx Whitford.\u003c/p>\n\u003cp>He grew up desperately poor in Fairfield, losing a beloved brother to epilepsy and getting evicted from his home as a child. As a teenager, he joined the Marines to help put himself through college and completed a harrowing tour in Afghanistan. All of that hardship, he says, prepared him for one of his biggest life challenges: getting into and through nursing school during a pandemic.\u003c/p>\n\u003cp>\"Every time things get hard, I always think about all those losses and hard times,\" says Whitford, a nursing student at California State University, East Bay.\u003c/p>\n\u003cp>And everything about his nurse training has been hard. Whitford, a C-average student in high school, says he spent sleepless nights in community college, studying and teaching himself to learn. After nearly failing an anatomy course, he eventually made the dean's list and won student-athlete awards. Still, when he tried to transfer to a four-year Bachelor of Science in nursing program, he lost out. There were some 800 others applying for 64 slots.\u003c/p>\n\u003cp>He waited a year to reapply and finally got in. Then the pandemic hit, making it even more difficult to get the clinical experience he needs to graduate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Across the country, hospitals desperate for nurses — especially in acute care —are trying to address intense burnout among health care workers and accelerated nurse retirements by hiring new graduates. They're offering jobs to students even before they graduate, and in many cases offering bonuses and loan repayment as financial incentives. And the interest is there; \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">enrollments and applications in baccalaureate and advanced nursing degree programs increased last year\u003c/a>. Leaders in nursing say the trends — which predate the pandemic — are the same for certificate programs in licensed practical nursing, licensed vocational nursing and certified nursing assistant programs.\u003c/p>\n\u003cp>Yet — paradoxically — becoming a nurse has become more difficult, narrowing the pipeline for new nurses coming through the system.\u003c/p>\n\u003ch3>A lack of instructors is part of the problem\u003c/h3>\n\u003cp>One of the biggest bottlenecks in the system is long-standing: There are not enough people who teach nursing. Educators in the field are required to have advanced degrees, yet typically earn about half that of a nurse working the floor of a hospital.\u003c/p>\n\u003cp>The pandemic worsened those financial strains, forcing many educators to look for more lucrative work, says \u003ca href=\"http://www1.marin.edu/news/new-administrative-appointments\">Sharon Goldfarb\u003c/a>, who has advanced degrees in nursing care, has worked as an RN and family nurse practitioner and teaches nursing at several schools near San Francisco. Her spouse lost his job during the pandemic — one of the most common reasons educators are leaving, she says. She surveyed 91 community colleges in California and found that nursing faculty declined 30% since the pandemic began.\u003c/p>\n\u003cp>\"To lose an additional 30% has been devastating,\" she says. \"There is not a school I know of that isn't desperately looking for nursing faculty.\"\u003c/p>\n\u003cp>That desperation is compounded by an aging demographic. With so many in their late 50s and 60s, \u003ca href=\"https://www.nursingoutlook.org/article/S0029-6554(16)30314-1/fulltext\">the country's nursing faculty is continuing to decline, to about two-thirds what it was in 2015\u003c/a>.\u003c/p>\n\u003cp>Taken together, those factors are severely limiting the number of students that schools can accept, and in some cases it disrupts classes themselves.\u003c/p>\n\u003cp>\"Some schools went on hiatus. Some schools reduced their enrollment, so they took even fewer students. Some schools ... scrambled so much, they actually have to extend semesters,\" Goldfarb says.\u003c/p>\n\u003ch3>The pandemic curtailed training programs\u003c/h3>\n\u003cp>In addition, since the beginning of the pandemic, nursing students have had a harder time getting the clinical or hands-on training required to graduate, because hospitals curtailed their training programs to control the risk of infection.\u003c/p>\n\u003cp>\"Faculties and schools have found ways to innovate, to educate students by the use of the internet, distance learning and simulation labs,\" says \u003ca href=\"https://www.montana.edu/nursing/directory/bozeman/1791290/peter-buerhaus\">Peter Buerhaus\u003c/a>, a professor and health economist at Montana State University's College of Nursing who studies the nursing workforce. Those innovations have helped mitigate the impact of the pandemic on education, he says, but schools aren't like factories that can ramp up their production.\u003c/p>\n\u003cp>The nursing shortage, he says, was more acute in the 1990s, when hospitals drastically cut back on staff to cut costs. But with the retirement of baby boomers, the influx of new nurses needs to keep up.\u003c/p>\n\u003cp>Last year, enrollment in baccalaureate and higher-level nursing degree programs increased, but colleges and universities (not including community college nursing programs) \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">still turned away more than 80,000 qualified applicants due to shortages of faculty, clinical sites and other resources\u003c/a>, according to the American Association of Colleges of Nursing.\u003c/p>\n\u003ch3>How one applicant persevered\u003c/h3>\n\u003cp>Whitford, the nursing student aiming to become an RN, is getting even more specialized training as an ER nurse. He says many people ask him how he has persevered through the gauntlet of nursing school. \"'Everything I have, I've always had to work extremely hard for,'\" he says he tells them.[aside label=\"related coverage\" tag=\"nurses,covid-19,health care\"]\u003c/p>\n\u003cp>At age 10, shortly after his brother — whom he describes as his \"best friend\" and idol — died of epilepsy, Whitford started working at a bowling alley to supplement his father's truck-driving income. \"We had to struggle a lot when I was growing up, in terms of getting food on the table,\" he says.\u003c/p>\n\u003cp>His early childhood tested him, he says, and ultimately deepened his resolve.\u003c/p>\n\u003cp>\"Pursuing nursing,\" he says, \"was my ticket to doing everything that I wanted.\" And that meant getting out of poverty and into meaningful work he loved.\u003c/p>\n\u003cp>His childhood experiences also made him feel comfortable in chaos. So when the pandemic hit, Whitford became even more eager to join the front lines: \"I like being in tents outside in [expletive] conditions — terrible stuff that people don't want to do,\" he says. \"I'm not always the strongest in those conditions, but I like working through them, so that way I can learn how to be strong in those situations. Because I feel like, a lot of times when things go wrong, people would look to me for answers.\"\u003c/p>\n\u003cp>For many others, though, the path to nursing is too steep.\u003c/p>\n\u003ch3>Financial strain often gets in the way\u003c/h3>\n\u003cp>Over the past 15 years, Nathan Ballenger, 46, has tried three separate times to enroll in nursing school. He's harbored lifelong dreams of a career in medicine, which the Colorado native considers heroic work. During the pandemic, he even got certified as an emergency medical technician, hoping that would give him a foot in the door and an advantage over his fellow nursing school applicants.\u003c/p>\n\u003cp>But the cost and difficulties of a nursing degree program and training — and the pay cut he would have had to take compared to what he earns at his current sales job — meant he simply couldn't afford to go in that direction.\u003c/p>\n\u003cp>\"It's hard for me to say that I see a path toward that,\" he says, \"regardless of the fact that I hold it in my mind and in my heart as something that I sure wish I could have done in this lifetime.\"\u003c/p>\n\u003cp>Hospitals recognize the need to lower some of the barriers to becoming a nurse, while maintaining high standards of education, training and patient care.\u003c/p>\n\u003cp>Hospitals are not only offering full scholarships and loan repayment to recruit registered nurses these days, but many also are offering to put new graduates through intensive training to acquire special skills, says Robin Begley, CEO of the American Organization for Nursing Leadership and chief nursing officer and senior vice president of workforce for the American Hospital Association. Many hospitals also are partnering with nursing schools to do what they can to widen the pipeline by allowing hospital nurses to take time off to teach, for example.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"We really have to put a real emphasis on the pipeline and making sure that everybody who wants to become a nurse has the opportunity to be able to secure a position in a nursing program,\" Begley says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+U.S.+needs+more+nurses%2C+but+nursing+schools+don%27t+have+enough+slots&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Across the country, hospitals are desperate for RNs and specialty nurses. Yet, paradoxically, the nursing pipeline has slowed, with educators retiring or returning to clinical work themselves.","status":"publish","parent":0,"modified":1635276362,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1360},"headData":{"title":"U.S. Hospitals Are Desperate for More Nurses, But Nursing Schools Are Struggling to Meet Demand | KQED","description":"Across the country, hospitals are desperate for RNs and specialty nurses. Yet, paradoxically, the nursing pipeline has slowed, with educators retiring or returning to clinical work themselves.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"U.S. Hospitals Are Desperate for More Nurses, But Nursing Schools Are Struggling to Meet Demand","datePublished":"2021-10-25T22:28:34.000Z","dateModified":"2021-10-26T19:26:02.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11893652 https://ww2.kqed.org/news/?p=11893652","disqusUrl":"https://ww2.kqed.org/news/2021/10/25/nursing-schools-struggle-to-meet-the-demand-in-the-u-s/","disqusTitle":"U.S. Hospitals Are Desperate for More Nurses, But Nursing Schools Are Struggling to Meet Demand","source":"NPR","sourceUrl":"https://www.npr.org","nprImageCredit":"Houston Cofield","nprByline":"Yuki Noguchi","nprImageAgency":"Bloomberg via Getty Images","nprStoryId":"1047290034","nprApiLink":"http://api.npr.org/query?id=1047290034&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2021/10/25/1047290034/the-u-s-needs-more-nurses-but-nursing-schools-have-too-few-slots?ft=nprml&f=1047290034","nprRetrievedStory":"1","nprPubDate":"Mon, 25 Oct 2021 13:32:00 -0400","nprStoryDate":"Mon, 25 Oct 2021 05:00:26 -0400","nprLastModifiedDate":"Mon, 25 Oct 2021 13:32:05 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2021/10/20211022_me_pipeline_of_nurses.mp3?orgId=1&topicId=1128&d=384&story=1047290034&ft=nprml&f=1047290034","nprAudioM3u":"http://api.npr.org/m3u/11048568329-b6d49b.m3u?orgId=1&topicId=1128&d=384&story=1047290034&ft=nprml&f=1047290034","path":"/news/11893652/nursing-schools-struggle-to-meet-the-demand-in-the-u-s","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2021/10/20211022_me_pipeline_of_nurses.mp3?orgId=1&topicId=1128&d=384&story=1047290034&ft=nprml&f=1047290034","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Struggle is nothing new to Foxx Whitford.\u003c/p>\n\u003cp>He grew up desperately poor in Fairfield, losing a beloved brother to epilepsy and getting evicted from his home as a child. As a teenager, he joined the Marines to help put himself through college and completed a harrowing tour in Afghanistan. All of that hardship, he says, prepared him for one of his biggest life challenges: getting into and through nursing school during a pandemic.\u003c/p>\n\u003cp>\"Every time things get hard, I always think about all those losses and hard times,\" says Whitford, a nursing student at California State University, East Bay.\u003c/p>\n\u003cp>And everything about his nurse training has been hard. Whitford, a C-average student in high school, says he spent sleepless nights in community college, studying and teaching himself to learn. After nearly failing an anatomy course, he eventually made the dean's list and won student-athlete awards. Still, when he tried to transfer to a four-year Bachelor of Science in nursing program, he lost out. There were some 800 others applying for 64 slots.\u003c/p>\n\u003cp>He waited a year to reapply and finally got in. Then the pandemic hit, making it even more difficult to get the clinical experience he needs to graduate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Across the country, hospitals desperate for nurses — especially in acute care —are trying to address intense burnout among health care workers and accelerated nurse retirements by hiring new graduates. They're offering jobs to students even before they graduate, and in many cases offering bonuses and loan repayment as financial incentives. And the interest is there; \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">enrollments and applications in baccalaureate and advanced nursing degree programs increased last year\u003c/a>. Leaders in nursing say the trends — which predate the pandemic — are the same for certificate programs in licensed practical nursing, licensed vocational nursing and certified nursing assistant programs.\u003c/p>\n\u003cp>Yet — paradoxically — becoming a nurse has become more difficult, narrowing the pipeline for new nurses coming through the system.\u003c/p>\n\u003ch3>A lack of instructors is part of the problem\u003c/h3>\n\u003cp>One of the biggest bottlenecks in the system is long-standing: There are not enough people who teach nursing. Educators in the field are required to have advanced degrees, yet typically earn about half that of a nurse working the floor of a hospital.\u003c/p>\n\u003cp>The pandemic worsened those financial strains, forcing many educators to look for more lucrative work, says \u003ca href=\"http://www1.marin.edu/news/new-administrative-appointments\">Sharon Goldfarb\u003c/a>, who has advanced degrees in nursing care, has worked as an RN and family nurse practitioner and teaches nursing at several schools near San Francisco. Her spouse lost his job during the pandemic — one of the most common reasons educators are leaving, she says. She surveyed 91 community colleges in California and found that nursing faculty declined 30% since the pandemic began.\u003c/p>\n\u003cp>\"To lose an additional 30% has been devastating,\" she says. \"There is not a school I know of that isn't desperately looking for nursing faculty.\"\u003c/p>\n\u003cp>That desperation is compounded by an aging demographic. With so many in their late 50s and 60s, \u003ca href=\"https://www.nursingoutlook.org/article/S0029-6554(16)30314-1/fulltext\">the country's nursing faculty is continuing to decline, to about two-thirds what it was in 2015\u003c/a>.\u003c/p>\n\u003cp>Taken together, those factors are severely limiting the number of students that schools can accept, and in some cases it disrupts classes themselves.\u003c/p>\n\u003cp>\"Some schools went on hiatus. Some schools reduced their enrollment, so they took even fewer students. Some schools ... scrambled so much, they actually have to extend semesters,\" Goldfarb says.\u003c/p>\n\u003ch3>The pandemic curtailed training programs\u003c/h3>\n\u003cp>In addition, since the beginning of the pandemic, nursing students have had a harder time getting the clinical or hands-on training required to graduate, because hospitals curtailed their training programs to control the risk of infection.\u003c/p>\n\u003cp>\"Faculties and schools have found ways to innovate, to educate students by the use of the internet, distance learning and simulation labs,\" says \u003ca href=\"https://www.montana.edu/nursing/directory/bozeman/1791290/peter-buerhaus\">Peter Buerhaus\u003c/a>, a professor and health economist at Montana State University's College of Nursing who studies the nursing workforce. Those innovations have helped mitigate the impact of the pandemic on education, he says, but schools aren't like factories that can ramp up their production.\u003c/p>\n\u003cp>The nursing shortage, he says, was more acute in the 1990s, when hospitals drastically cut back on staff to cut costs. But with the retirement of baby boomers, the influx of new nurses needs to keep up.\u003c/p>\n\u003cp>Last year, enrollment in baccalaureate and higher-level nursing degree programs increased, but colleges and universities (not including community college nursing programs) \u003ca href=\"https://www.aacnnursing.org/News-Information/Press-Releases/View/ArticleId/24802/2020-survey-data-student-enrollment\">still turned away more than 80,000 qualified applicants due to shortages of faculty, clinical sites and other resources\u003c/a>, according to the American Association of Colleges of Nursing.\u003c/p>\n\u003ch3>How one applicant persevered\u003c/h3>\n\u003cp>Whitford, the nursing student aiming to become an RN, is getting even more specialized training as an ER nurse. He says many people ask him how he has persevered through the gauntlet of nursing school. \"'Everything I have, I've always had to work extremely hard for,'\" he says he tells them.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"nurses,covid-19,health care"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>At age 10, shortly after his brother — whom he describes as his \"best friend\" and idol — died of epilepsy, Whitford started working at a bowling alley to supplement his father's truck-driving income. \"We had to struggle a lot when I was growing up, in terms of getting food on the table,\" he says.\u003c/p>\n\u003cp>His early childhood tested him, he says, and ultimately deepened his resolve.\u003c/p>\n\u003cp>\"Pursuing nursing,\" he says, \"was my ticket to doing everything that I wanted.\" And that meant getting out of poverty and into meaningful work he loved.\u003c/p>\n\u003cp>His childhood experiences also made him feel comfortable in chaos. So when the pandemic hit, Whitford became even more eager to join the front lines: \"I like being in tents outside in [expletive] conditions — terrible stuff that people don't want to do,\" he says. \"I'm not always the strongest in those conditions, but I like working through them, so that way I can learn how to be strong in those situations. Because I feel like, a lot of times when things go wrong, people would look to me for answers.\"\u003c/p>\n\u003cp>For many others, though, the path to nursing is too steep.\u003c/p>\n\u003ch3>Financial strain often gets in the way\u003c/h3>\n\u003cp>Over the past 15 years, Nathan Ballenger, 46, has tried three separate times to enroll in nursing school. He's harbored lifelong dreams of a career in medicine, which the Colorado native considers heroic work. During the pandemic, he even got certified as an emergency medical technician, hoping that would give him a foot in the door and an advantage over his fellow nursing school applicants.\u003c/p>\n\u003cp>But the cost and difficulties of a nursing degree program and training — and the pay cut he would have had to take compared to what he earns at his current sales job — meant he simply couldn't afford to go in that direction.\u003c/p>\n\u003cp>\"It's hard for me to say that I see a path toward that,\" he says, \"regardless of the fact that I hold it in my mind and in my heart as something that I sure wish I could have done in this lifetime.\"\u003c/p>\n\u003cp>Hospitals recognize the need to lower some of the barriers to becoming a nurse, while maintaining high standards of education, training and patient care.\u003c/p>\n\u003cp>Hospitals are not only offering full scholarships and loan repayment to recruit registered nurses these days, but many also are offering to put new graduates through intensive training to acquire special skills, says Robin Begley, CEO of the American Organization for Nursing Leadership and chief nursing officer and senior vice president of workforce for the American Hospital Association. Many hospitals also are partnering with nursing schools to do what they can to widen the pipeline by allowing hospital nurses to take time off to teach, for example.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We really have to put a real emphasis on the pipeline and making sure that everybody who wants to become a nurse has the opportunity to be able to secure a position in a nursing program,\" Begley says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=The+U.S.+needs+more+nurses%2C+but+nursing+schools+don%27t+have+enough+slots&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11893652/nursing-schools-struggle-to-meet-the-demand-in-the-u-s","authors":["byline_news_11893652"],"categories":["news_457","news_8"],"tags":["news_27504","news_683","news_21789"],"featImg":"news_11893653","label":"source_news_11893652"},"news_11892581":{"type":"posts","id":"news_11892581","meta":{"index":"posts_1591205157","site":"news","id":"11892581","score":null,"sort":[1634427409000]},"guestAuthors":[],"slug":"hospitals-brace-for-strikes-as-california-workers-protest-staff-shortages","title":"Hospitals Brace for Strikes as California Workers Protest Staff Shortages","publishDate":1634427409,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Labor advocates are calling it “Striketober.”\u003c/p>\n\u003cp>As weary health care workers across California enter the 19th month of the pandemic, thousands are walking off the job and onto the picket line, demanding more staffing.\u003c/p>\n\u003cp>The strikes and rallies threaten to freeze hospital operations that have been inundated by the COVID-19 delta surge as well as patients seeking long-delayed care.\u003c/p>\n\u003cp>More than two dozen hospitals across the state — including some Kaiser Permanente and Sutter Health facilities and Keck Medicine of USC — have experienced strikes by engineers, janitorial staff, respiratory therapists, nurses, midwives, physical therapists and technicians over the past four months.\u003c/p>\n\u003cp>This week, nearly a third of all California hospitals reported “\u003ca href=\"https://healthdata.gov/Hospital/COVID-19-Reported-Patient-Impact-and-Hospital-Capa/g62h-syeh\">critical staffing shortages\u003c/a>” to the federal government, with more predicting shortages in the coming week. Hospitals are unable to meet the state’s required staff-to-patient ratios for nurses or schedule adequate numbers of other critical personnel.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the Central Valley, the region hit hardest by the delta surge, \u003ca href=\"https://www.bakersfield.com/news/latest-national-guard-dispatch-boosts-deployment-at-kern-hospitals-to-38/article_032cf096-2568-11ec-9fab-d73434e9cee0.html\">National Guard medics have been deployed\u003c/a> since September to assist area hospitals.\u003c/p>\n\u003cp>The reason for the shortages? Record patient volumes at the same time that many workers have been driven away from the bedside by burnout and the seemingly unending stress of the pandemic, with some taking early retirement.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://flo.uri.sh/visualisation/7533111/embed?auto=1\" width=\"1000\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>SEIU-United Healthcare Workers West estimates that about 10% of its members — close to 10,000 people — have retired, left the profession, or taken extended leaves of absence during the pandemic.\u003c/p>\n\u003cp>“What’s really important is that 10% doesn’t turn into 15%, does not turn into 20%. There’s not enough temporary staff out there to fix what’s going on,” said Dave Regan, president of SEIU-UHW.\u003c/p>\n\u003cp>The shortages are an untenable scenario, unions say — one that has persisted for many years brought to a boiling point by the pandemic.\u003c/p>\n\u003cp>Since the pandemic began, union grievances with hospitals are increasingly about inadequate staffing, although bargaining over pay remains a key issue.\u003c/p>\n\u003cp>Money matters when it comes to holding onto workers, they say, especially because temporary staff brought on for pandemic response often make more than regular employees. In some instances, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">traveling nurses have been paid $10,000 per week\u003c/a> at California hospitals with severe staffing needs.\u003c/p>\n\u003cp>“You’re paying exorbitant amounts for travelers while the existing workforce makes exactly the same amount [as before the pandemic],” Regan said.\u003c/p>\n\u003ch3 id=\"h-striking-to-stop-the-bleeding\">Striking to 'stop the bleeding'\u003c/h3>\n\u003cp>Early in the pandemic, Gov. Gavin Newsom announced efforts to expand the health care workforce through \u003ca href=\"https://apnews.com/article/us-news-sacramento-coronavirus-pandemic-california-gavin-newsom-0bb89e503a1c34e00cb42b808855f503\">a volunteer health corps\u003c/a>. Although tens of thousands signed up, most people didn’t have the necessary medical skills, and only 14 volunteers worked out.\u003c/p>\n\u003cp>The California Department of Public Health also signed a $500 million contract to help hospitals pay for emergency health care workers like traveling nurses. That contract expired in June.\u003c/p>\n\u003cp>Unions say those efforts are a Band-Aid on a larger problem. Instead, they say policymakers should get hospitals to try harder to retain their current employees.\u003c/p>\n\u003cp>“Right now, hospitals, the health industry, the state of California, you need to do a lot more so that it doesn’t get worse,” Regan said. “We’re doing very little as a state to support this workforce that has been under a really unique set of pressures.”\u003c/p>\n\u003cfigure id=\"attachment_11841463\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11841463 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg\" alt='Two nurses wearing red wave and hold signs that say, \"Nurses Essential for Patient Care.\"' width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Hospital nurses cheer as cars honk in support during a march at the hospital on Oct. 7, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an early attempt to stop the churn, SEIU-UHW sponsored a bill that would have provided \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB650\">hazard pay retention bonuses\u003c/a> to health care workers. Opposed by the hospital association, the bill stalled before it was voted upon by the Assembly and did not make it to the Senate.\u003c/p>\n\u003cp>Assemblymember Al Muratsuchi, a Democrat from Torrance who introduced the bill, said the hospitals’ claims that they couldn’t afford hazard pay were unfounded since they received billions in federal pandemic funds, some “specifically earmarked for hazard pay and bonuses for frontline workers.”\u003c/p>\n\u003cp>“The state made a decision that they were not going to provide financial incentives to recognize and retain health care workers, and we think that’s shortsighted,” Regan said.\u003c/p>\n\u003cp>Over the summer, \u003ca href=\"https://www.latimes.com/business/story/2021-07-14/usc-keck-norris-cancer-hospital-nurses-strike-over-staffing-safety\">hundreds of nurses\u003c/a> at hospitals, including USC’s Keck Medicine, San Francisco’s Chinese Hospital and Riverside Community Hospital, staged strikes over inadequate staffing and safety concerns.\u003c/p>\n\u003cp>Now more than \u003ca href=\"https://abc7news.com/kaiser-strike-update-workers-october-2021-oakland-protest/11067308/\">700 hospital engineers \u003c/a>employed by Kaiser Permanente facilities in Northern California have been striking for four weeks, demanding higher wages.\u003c/p>\n\u003cp>In Antioch, more than \u003ca href=\"https://www.nbcbayarea.com/news/local/hospital-workers-at-sutter-delta-in-antioch-go-on-strike-over-staffing-shortages/2672740/\">350 workers at Sutter Delta\u003c/a> ended a week-long strike over inadequate staffing Friday but have yet to reach a contract agreement with their employer.\u003c/p>\n\u003cp>In the Victor Valley and Roseville, hundreds of workers staged recent rallies and \u003ca href=\"https://www.sacbee.com/news/local/health-and-medicine/article254790672.html?utm_campaign=CHL%3A%20Daily%20Edition&utm_medium=email&_hsmi=167669774&_hsenc=p2ANqtz-_2AE2fAr8Bp5e94jGgd-stwYau3xftHKNe4QQWrG_4u41nC1oNTAb3baXHHvY_nt_gfBybwys-onpgO2q0uR5ucWFS3w&utm_content=167669774&utm_source=hs_email\">vigils\u003c/a> to highlight what they’re calling a “worker crisis.” Advocates say their upcoming schedules are packed with pickets planned in solidarity with other unions.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dave Regan, SEIU-United Healthcare Workers West\"]\"We're doing very little as a state to support this workforce that has been under a really unique set of pressures.\"[/pullquote]\u003c/p>\n\u003cp>And perhaps the strongest flexing of union muscle has come in Southern California, where members of the United Nurses Associations of California/Union of Health Care Professionals, or UNAC/UHCP, \u003ca href=\"https://www.latimes.com/business/story/2021-10-11/kaiser-permanente-southern-california-workers-vote-to-authorize-strike\">voted overwhelmingly \u003c/a>to approve a strike against Kaiser Permanente if negotiations remain at a standstill. Should a strike materialize in the coming weeks, more than 24,000 members would walk out of the health care giant’s medical centers and clinics in more than a dozen cities.\u003c/p>\n\u003cp>Although the dollars and cents of bargaining vary from union to union, the common thread is clear: They want employers to “stop the bleeding” of health care workers fleeing the profession and invest more in recruiting and retaining staff.\u003c/p>\n\u003cp>The union found that 72% of its members — which includes nurses, occupational and physical therapists, midwives and other medical staff — were struggling with anxiety and burnout, and between 42%-45% reported depression and insomnia. About 74% said staffing was a primary concern.\u003c/p>\n\u003ch3 id=\"h-how-hospitals-are-responding-to-shortages\">How hospitals are responding to shortages\u003c/h3>\n\u003cp>Hospitals say it is not as easy as hiring more employees. With so many people leaving the workforce, there aren’t enough candidates to fill the gap. Even support staff like janitors, cafeteria workers, clerks and assistants are in short supply.\u003c/p>\n\u003cp>“There is no question there is a shortage of health care workforce. We have far fewer people in the workforce today than we did when the pandemic started,” said Jan Emerson-Shea, spokesperson for the California Hospital Association.\u003c/p>\n\u003cp>Many hospitals have offered employees shift bonuses, child care subsidies and temporary housing to keep them from spreading the virus to family members while keeping them at patients’ bedside. But it hasn’t been enough.\u003c/p>\n\u003cp>“I don’t know that it’s anybody’s first choice, but we are in a situation where we have to rely on the travelers [traveling nurses],” Emerson-Shea said. “Hospitals would much rather have their permanent staff, but in this situation, with as long as it has been and the workforce dynamics so complex, we need both.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jan Emerson-Shea, California Hospital Association\"]\"We have far fewer people in the workforce today than we did when the pandemic started.\"[/pullquote]\u003c/p>\n\u003cp>The state hospital association has asked state Health and Human Services Secretary Dr. Mark Ghaly to \u003ca href=\"https://calhospital.org/wp-content/uploads/2021/09/Sec-Ghaly-9-15-21-FINAL.pdf\">assist hospitals with workforce concerns\u003c/a> in part by reinstating funding for traveling workers and making it easier for hospitals to get exemptions from the state’s strict nurse-to-patient ratios. In a \u003ca href=\"https://calhospital.org/wp-content/uploads/2021/09/Ghaly-CHA-Letter-9.16.2021-FINAL.pdf\">written response\u003c/a>, Ghaly said the state would continue helping designated surge hospitals pay for extra staff and was working to expedite nursing ratio waivers for heavily affected regions.\u003c/p>\n\u003cp>“There’s no resolution yet, but the conversations are occurring, which is important because we are not through the pandemic,” Emerson-Shea said.\u003c/p>\n\u003cp>Like many industries, hospitals rely on historic averages to predict the need for employees. The average number of patients in a given time period determines how many employees will be scheduled each day. The problem, workers say, is that using the average means frequently they are working with minimal staff.\u003c/p>\n\u003cp>“There needs to be a massive paradigm shift of how hospitals treat clinicians, and that’s less just-in-time staffing and less just-in-time supplies,” said Gerard Brogan, director of nursing practice at the California Nurses Association and National Nurses United.\u003c/p>\n\u003cp>Peter Sidhu, a former intensive care nurse at the Kaiser Woodland Hills Medical Center, said the union has filed staffing grievances each year for the past seven years. During the pandemic, the strain has gotten worse. Woodland Hills Medical Center is one of the facilities that may be affected by a strike. [aside tag=\"nurses\" label=\"Related coverage\"]\u003c/p>\n\u003cp>“Between the first surge and second surge, we had several months where there was zero planning. There were no new grad programs, there was no new hiring,” Sidhu said.\u003c/p>\n\u003cp>“So going into that second surge, which was really bad here in California, we knew we were in trouble,” Sidhu said. With adequate staffing prior to the pandemic and efforts to increase staff levels in between surges, workers would not have burned out so rapidly, he contends.\u003c/p>\n\u003cp>Bargaining over salaries and benefits between Kaiser and Alliance of Health Care Unions, which includes the Southern California group UNAC/UHCP, stalled at the end of September after five months. The strike authorization is the first of its kind for UNAC/UHCP in the past 26 years, and members say long-standing staffing issues and burnout contributed to employee dissatisfaction.\u003c/p>\n\u003cp>“The vote to authorize a strike by union members is disappointing, especially because our members and communities are continuing to face the challenges of the ongoing pandemic,” Arlene Peasnall, Kaiser’s senior vice president of human resources, said in a statement. “In the event of any kind of work stoppage, our facilities will be staffed by our physicians along with trained and experienced managers and contingency staff.”\u003c/p>\n\u003ch3 id=\"h-burnout-can-only-be-getting-worse\">'Burnout can only be getting worse'\u003c/h3>\n\u003cp>In a \u003ca href=\"https://healthworkforce.ucsf.edu/publication/impact-covid-19-pandemic-ca-registered-nurse-workforce-preliminary-data\">recent study\u003c/a> by the UC San Francisco Health Workforce Research Center on Long-Term Care, the number of nurses age 55 to 64 planning on quitting or retiring in the next two years jumped nearly 14% between 2018 and 2020, setting up the field for a five-year shortage.\u003c/p>\n\u003cfigure id=\"attachment_11886462\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg class=\"wp-image-11886462 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses.jpeg\" alt=\"Two nurses dressed in blue scrubs, masks, and blue disposable hospital booties stand in a beige hallway. One looks at the other, one looks at the camera.\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses.jpeg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-800x533.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-1020x680.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-160x107.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-1536x1024.jpeg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-1920x1280.jpeg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">In the past seven months, every COVID patient that Janet Stovall (left) and Candace Brim treated has died. \"We took care of about 65 COVID patients in Brawley and not a single one made it,\" Stovall said. \"We coded one every night ... Before [COVID], you could make a difference in someone's life. Now I will do anything for a patient, and it does not make a difference.\" \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joanne Spetz, director of the center and the study's lead author, said new graduates before the pandemic sometimes struggled to find employment while employers frequently complained about not being able to find enough experienced nurses to hire. But the overall number of nurses in the workforce was enough then.\u003c/p>\n\u003cp>Now, with nurses reducing their hours or quitting, the state is in a more tenuous position. About 7% fewer nurses reported working full-time in 2020 compared to 2018, and sharp declines in employment were seen among nurses age 55 and older, according to the study.\u003c/p>\n\u003cp>“We’re looking at having a shortage in the short term,” she said. “The wild card is, with the pandemic lasting this long, burnout can only be getting worse. What if we have a bunch of 30- to 35-year-old nurses who say ‘screw this’? Then we’re losing a lot of years of working life from these nurses.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Peter Sidhu, former intensive care nurse\"]\"One day you walk in and your unit is full, and two days later you walk in and a large portion of those patients have passed away.\"[/pullquote]\u003c/p>\n\u003cp>Sidhu is one of those experienced nurses who found himself reeling from the dual forces of COVID-19’s \u003ca href=\"https://calmatters.org/health/coronavirus/2021/09/covid-california-deaths/\">brutal emotional toll\u003c/a> and short staffing.\u003c/p>\n\u003cp>He had volunteered to work with the first COVID-19 patient that arrived at his ICU in March 2020. That first patient quickly turned into dozens each day, with many dying.\u003c/p>\n\u003cp>“One day you walk in and your unit is full, and two days later you walk in and a large portion of those patients have passed away. You’re double-stacking body bags,” Sidhu said.\u003c/p>\n\u003cp>He struggled with anxiety, anger and insomnia before his shifts, knowing there would be more patients than nurses could care for, and that they would have no time for breaks. He said he was told that under the state’s \u003ca href=\"https://calmatters.org/health/coronavirus/2021/01/hospitals-rules-nursing-patient-discharge/\">temporary emergency waiver of nurse-to-patient ratios\u003c/a> he would have to take on more patients.\u003c/p>\n\u003cp>A year into the pandemic, Sidhu called it quits and now works as the union’s treasurer. Of the eight members in his original ICU nursing team, only two remain working, he said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“I’m 42, and I was planning on working at the bedside until I turn 60,” Sidhu said. “And then after COVID, I said, ‘I am done.’ I was super done.\"\u003c/p>\n\n","blocks":[],"excerpt":"Nearly a third of all California hospitals reported \"critical staffing shortages\" to the federal government, with more predicting shortages in the coming week.","status":"publish","parent":0,"modified":1634599810,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://flo.uri.sh/visualisation/7533111/embed"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":56,"wordCount":2312},"headData":{"title":"Hospitals Brace for Strikes as California Workers Protest Staff Shortages | KQED","description":"Nearly a third of all California hospitals reported "critical staffing shortages" to the federal government, with more predicting shortages in the coming week.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Hospitals Brace for Strikes as California Workers Protest Staff Shortages","datePublished":"2021-10-16T23:36:49.000Z","dateModified":"2021-10-18T23:30:10.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11892581 https://ww2.kqed.org/news/?p=11892581","disqusUrl":"https://ww2.kqed.org/news/2021/10/16/hospitals-brace-for-strikes-as-california-workers-protest-staff-shortages/","disqusTitle":"Hospitals Brace for Strikes as California Workers Protest Staff Shortages","source":"CalMatters","sourceUrl":"http://www.calmatters.org","nprByline":"Kristen Hwang","path":"/news/11892581/hospitals-brace-for-strikes-as-california-workers-protest-staff-shortages","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Labor advocates are calling it “Striketober.”\u003c/p>\n\u003cp>As weary health care workers across California enter the 19th month of the pandemic, thousands are walking off the job and onto the picket line, demanding more staffing.\u003c/p>\n\u003cp>The strikes and rallies threaten to freeze hospital operations that have been inundated by the COVID-19 delta surge as well as patients seeking long-delayed care.\u003c/p>\n\u003cp>More than two dozen hospitals across the state — including some Kaiser Permanente and Sutter Health facilities and Keck Medicine of USC — have experienced strikes by engineers, janitorial staff, respiratory therapists, nurses, midwives, physical therapists and technicians over the past four months.\u003c/p>\n\u003cp>This week, nearly a third of all California hospitals reported “\u003ca href=\"https://healthdata.gov/Hospital/COVID-19-Reported-Patient-Impact-and-Hospital-Capa/g62h-syeh\">critical staffing shortages\u003c/a>” to the federal government, with more predicting shortages in the coming week. Hospitals are unable to meet the state’s required staff-to-patient ratios for nurses or schedule adequate numbers of other critical personnel.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the Central Valley, the region hit hardest by the delta surge, \u003ca href=\"https://www.bakersfield.com/news/latest-national-guard-dispatch-boosts-deployment-at-kern-hospitals-to-38/article_032cf096-2568-11ec-9fab-d73434e9cee0.html\">National Guard medics have been deployed\u003c/a> since September to assist area hospitals.\u003c/p>\n\u003cp>The reason for the shortages? Record patient volumes at the same time that many workers have been driven away from the bedside by burnout and the seemingly unending stress of the pandemic, with some taking early retirement.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://flo.uri.sh/visualisation/7533111/embed?auto=1\" width=\"1000\" height=\"600\" scrolling=\"yes\" class=\"iframe-class\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>SEIU-United Healthcare Workers West estimates that about 10% of its members — close to 10,000 people — have retired, left the profession, or taken extended leaves of absence during the pandemic.\u003c/p>\n\u003cp>“What’s really important is that 10% doesn’t turn into 15%, does not turn into 20%. There’s not enough temporary staff out there to fix what’s going on,” said Dave Regan, president of SEIU-UHW.\u003c/p>\n\u003cp>The shortages are an untenable scenario, unions say — one that has persisted for many years brought to a boiling point by the pandemic.\u003c/p>\n\u003cp>Since the pandemic began, union grievances with hospitals are increasingly about inadequate staffing, although bargaining over pay remains a key issue.\u003c/p>\n\u003cp>Money matters when it comes to holding onto workers, they say, especially because temporary staff brought on for pandemic response often make more than regular employees. In some instances, \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">traveling nurses have been paid $10,000 per week\u003c/a> at California hospitals with severe staffing needs.\u003c/p>\n\u003cp>“You’re paying exorbitant amounts for travelers while the existing workforce makes exactly the same amount [as before the pandemic],” Regan said.\u003c/p>\n\u003ch3 id=\"h-striking-to-stop-the-bleeding\">Striking to 'stop the bleeding'\u003c/h3>\n\u003cp>Early in the pandemic, Gov. Gavin Newsom announced efforts to expand the health care workforce through \u003ca href=\"https://apnews.com/article/us-news-sacramento-coronavirus-pandemic-california-gavin-newsom-0bb89e503a1c34e00cb42b808855f503\">a volunteer health corps\u003c/a>. Although tens of thousands signed up, most people didn’t have the necessary medical skills, and only 14 volunteers worked out.\u003c/p>\n\u003cp>The California Department of Public Health also signed a $500 million contract to help hospitals pay for emergency health care workers like traveling nurses. That contract expired in June.\u003c/p>\n\u003cp>Unions say those efforts are a Band-Aid on a larger problem. Instead, they say policymakers should get hospitals to try harder to retain their current employees.\u003c/p>\n\u003cp>“Right now, hospitals, the health industry, the state of California, you need to do a lot more so that it doesn’t get worse,” Regan said. “We’re doing very little as a state to support this workforce that has been under a really unique set of pressures.”\u003c/p>\n\u003cfigure id=\"attachment_11841463\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11841463 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg\" alt='Two nurses wearing red wave and hold signs that say, \"Nurses Essential for Patient Care.\"' width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45251_013_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Hospital nurses cheer as cars honk in support during a march at the hospital on Oct. 7, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an early attempt to stop the churn, SEIU-UHW sponsored a bill that would have provided \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB650\">hazard pay retention bonuses\u003c/a> to health care workers. Opposed by the hospital association, the bill stalled before it was voted upon by the Assembly and did not make it to the Senate.\u003c/p>\n\u003cp>Assemblymember Al Muratsuchi, a Democrat from Torrance who introduced the bill, said the hospitals’ claims that they couldn’t afford hazard pay were unfounded since they received billions in federal pandemic funds, some “specifically earmarked for hazard pay and bonuses for frontline workers.”\u003c/p>\n\u003cp>“The state made a decision that they were not going to provide financial incentives to recognize and retain health care workers, and we think that’s shortsighted,” Regan said.\u003c/p>\n\u003cp>Over the summer, \u003ca href=\"https://www.latimes.com/business/story/2021-07-14/usc-keck-norris-cancer-hospital-nurses-strike-over-staffing-safety\">hundreds of nurses\u003c/a> at hospitals, including USC’s Keck Medicine, San Francisco’s Chinese Hospital and Riverside Community Hospital, staged strikes over inadequate staffing and safety concerns.\u003c/p>\n\u003cp>Now more than \u003ca href=\"https://abc7news.com/kaiser-strike-update-workers-october-2021-oakland-protest/11067308/\">700 hospital engineers \u003c/a>employed by Kaiser Permanente facilities in Northern California have been striking for four weeks, demanding higher wages.\u003c/p>\n\u003cp>In Antioch, more than \u003ca href=\"https://www.nbcbayarea.com/news/local/hospital-workers-at-sutter-delta-in-antioch-go-on-strike-over-staffing-shortages/2672740/\">350 workers at Sutter Delta\u003c/a> ended a week-long strike over inadequate staffing Friday but have yet to reach a contract agreement with their employer.\u003c/p>\n\u003cp>In the Victor Valley and Roseville, hundreds of workers staged recent rallies and \u003ca href=\"https://www.sacbee.com/news/local/health-and-medicine/article254790672.html?utm_campaign=CHL%3A%20Daily%20Edition&utm_medium=email&_hsmi=167669774&_hsenc=p2ANqtz-_2AE2fAr8Bp5e94jGgd-stwYau3xftHKNe4QQWrG_4u41nC1oNTAb3baXHHvY_nt_gfBybwys-onpgO2q0uR5ucWFS3w&utm_content=167669774&utm_source=hs_email\">vigils\u003c/a> to highlight what they’re calling a “worker crisis.” Advocates say their upcoming schedules are packed with pickets planned in solidarity with other unions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"\"We're doing very little as a state to support this workforce that has been under a really unique set of pressures.\"","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Dave Regan, SEIU-United Healthcare Workers West","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And perhaps the strongest flexing of union muscle has come in Southern California, where members of the United Nurses Associations of California/Union of Health Care Professionals, or UNAC/UHCP, \u003ca href=\"https://www.latimes.com/business/story/2021-10-11/kaiser-permanente-southern-california-workers-vote-to-authorize-strike\">voted overwhelmingly \u003c/a>to approve a strike against Kaiser Permanente if negotiations remain at a standstill. Should a strike materialize in the coming weeks, more than 24,000 members would walk out of the health care giant’s medical centers and clinics in more than a dozen cities.\u003c/p>\n\u003cp>Although the dollars and cents of bargaining vary from union to union, the common thread is clear: They want employers to “stop the bleeding” of health care workers fleeing the profession and invest more in recruiting and retaining staff.\u003c/p>\n\u003cp>The union found that 72% of its members — which includes nurses, occupational and physical therapists, midwives and other medical staff — were struggling with anxiety and burnout, and between 42%-45% reported depression and insomnia. About 74% said staffing was a primary concern.\u003c/p>\n\u003ch3 id=\"h-how-hospitals-are-responding-to-shortages\">How hospitals are responding to shortages\u003c/h3>\n\u003cp>Hospitals say it is not as easy as hiring more employees. With so many people leaving the workforce, there aren’t enough candidates to fill the gap. Even support staff like janitors, cafeteria workers, clerks and assistants are in short supply.\u003c/p>\n\u003cp>“There is no question there is a shortage of health care workforce. We have far fewer people in the workforce today than we did when the pandemic started,” said Jan Emerson-Shea, spokesperson for the California Hospital Association.\u003c/p>\n\u003cp>Many hospitals have offered employees shift bonuses, child care subsidies and temporary housing to keep them from spreading the virus to family members while keeping them at patients’ bedside. But it hasn’t been enough.\u003c/p>\n\u003cp>“I don’t know that it’s anybody’s first choice, but we are in a situation where we have to rely on the travelers [traveling nurses],” Emerson-Shea said. “Hospitals would much rather have their permanent staff, but in this situation, with as long as it has been and the workforce dynamics so complex, we need both.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"\"We have far fewer people in the workforce today than we did when the pandemic started.\"","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Jan Emerson-Shea, California Hospital Association","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The state hospital association has asked state Health and Human Services Secretary Dr. Mark Ghaly to \u003ca href=\"https://calhospital.org/wp-content/uploads/2021/09/Sec-Ghaly-9-15-21-FINAL.pdf\">assist hospitals with workforce concerns\u003c/a> in part by reinstating funding for traveling workers and making it easier for hospitals to get exemptions from the state’s strict nurse-to-patient ratios. In a \u003ca href=\"https://calhospital.org/wp-content/uploads/2021/09/Ghaly-CHA-Letter-9.16.2021-FINAL.pdf\">written response\u003c/a>, Ghaly said the state would continue helping designated surge hospitals pay for extra staff and was working to expedite nursing ratio waivers for heavily affected regions.\u003c/p>\n\u003cp>“There’s no resolution yet, but the conversations are occurring, which is important because we are not through the pandemic,” Emerson-Shea said.\u003c/p>\n\u003cp>Like many industries, hospitals rely on historic averages to predict the need for employees. The average number of patients in a given time period determines how many employees will be scheduled each day. The problem, workers say, is that using the average means frequently they are working with minimal staff.\u003c/p>\n\u003cp>“There needs to be a massive paradigm shift of how hospitals treat clinicians, and that’s less just-in-time staffing and less just-in-time supplies,” said Gerard Brogan, director of nursing practice at the California Nurses Association and National Nurses United.\u003c/p>\n\u003cp>Peter Sidhu, a former intensive care nurse at the Kaiser Woodland Hills Medical Center, said the union has filed staffing grievances each year for the past seven years. During the pandemic, the strain has gotten worse. Woodland Hills Medical Center is one of the facilities that may be affected by a strike. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"nurses","label":"Related coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Between the first surge and second surge, we had several months where there was zero planning. There were no new grad programs, there was no new hiring,” Sidhu said.\u003c/p>\n\u003cp>“So going into that second surge, which was really bad here in California, we knew we were in trouble,” Sidhu said. With adequate staffing prior to the pandemic and efforts to increase staff levels in between surges, workers would not have burned out so rapidly, he contends.\u003c/p>\n\u003cp>Bargaining over salaries and benefits between Kaiser and Alliance of Health Care Unions, which includes the Southern California group UNAC/UHCP, stalled at the end of September after five months. The strike authorization is the first of its kind for UNAC/UHCP in the past 26 years, and members say long-standing staffing issues and burnout contributed to employee dissatisfaction.\u003c/p>\n\u003cp>“The vote to authorize a strike by union members is disappointing, especially because our members and communities are continuing to face the challenges of the ongoing pandemic,” Arlene Peasnall, Kaiser’s senior vice president of human resources, said in a statement. “In the event of any kind of work stoppage, our facilities will be staffed by our physicians along with trained and experienced managers and contingency staff.”\u003c/p>\n\u003ch3 id=\"h-burnout-can-only-be-getting-worse\">'Burnout can only be getting worse'\u003c/h3>\n\u003cp>In a \u003ca href=\"https://healthworkforce.ucsf.edu/publication/impact-covid-19-pandemic-ca-registered-nurse-workforce-preliminary-data\">recent study\u003c/a> by the UC San Francisco Health Workforce Research Center on Long-Term Care, the number of nurses age 55 to 64 planning on quitting or retiring in the next two years jumped nearly 14% between 2018 and 2020, setting up the field for a five-year shortage.\u003c/p>\n\u003cfigure id=\"attachment_11886462\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg class=\"wp-image-11886462 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses.jpeg\" alt=\"Two nurses dressed in blue scrubs, masks, and blue disposable hospital booties stand in a beige hallway. One looks at the other, one looks at the camera.\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses.jpeg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-800x533.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-1020x680.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-160x107.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-1536x1024.jpeg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/08/Traveling-Nurses-1920x1280.jpeg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">In the past seven months, every COVID patient that Janet Stovall (left) and Candace Brim treated has died. \"We took care of about 65 COVID patients in Brawley and not a single one made it,\" Stovall said. \"We coded one every night ... Before [COVID], you could make a difference in someone's life. Now I will do anything for a patient, and it does not make a difference.\" \u003ccite>(Anne Wernikoff/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joanne Spetz, director of the center and the study's lead author, said new graduates before the pandemic sometimes struggled to find employment while employers frequently complained about not being able to find enough experienced nurses to hire. But the overall number of nurses in the workforce was enough then.\u003c/p>\n\u003cp>Now, with nurses reducing their hours or quitting, the state is in a more tenuous position. About 7% fewer nurses reported working full-time in 2020 compared to 2018, and sharp declines in employment were seen among nurses age 55 and older, according to the study.\u003c/p>\n\u003cp>“We’re looking at having a shortage in the short term,” she said. “The wild card is, with the pandemic lasting this long, burnout can only be getting worse. What if we have a bunch of 30- to 35-year-old nurses who say ‘screw this’? Then we’re losing a lot of years of working life from these nurses.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"\"One day you walk in and your unit is full, and two days later you walk in and a large portion of those patients have passed away.\"","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Peter Sidhu, former intensive care nurse","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sidhu is one of those experienced nurses who found himself reeling from the dual forces of COVID-19’s \u003ca href=\"https://calmatters.org/health/coronavirus/2021/09/covid-california-deaths/\">brutal emotional toll\u003c/a> and short staffing.\u003c/p>\n\u003cp>He had volunteered to work with the first COVID-19 patient that arrived at his ICU in March 2020. That first patient quickly turned into dozens each day, with many dying.\u003c/p>\n\u003cp>“One day you walk in and your unit is full, and two days later you walk in and a large portion of those patients have passed away. You’re double-stacking body bags,” Sidhu said.\u003c/p>\n\u003cp>He struggled with anxiety, anger and insomnia before his shifts, knowing there would be more patients than nurses could care for, and that they would have no time for breaks. He said he was told that under the state’s \u003ca href=\"https://calmatters.org/health/coronavirus/2021/01/hospitals-rules-nursing-patient-discharge/\">temporary emergency waiver of nurse-to-patient ratios\u003c/a> he would have to take on more patients.\u003c/p>\n\u003cp>A year into the pandemic, Sidhu called it quits and now works as the union’s treasurer. Of the eight members in his original ICU nursing team, only two remain working, he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I’m 42, and I was planning on working at the bedside until I turn 60,” Sidhu said. “And then after COVID, I said, ‘I am done.’ I was super done.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11892581/hospitals-brace-for-strikes-as-california-workers-protest-staff-shortages","authors":["byline_news_11892581"],"categories":["news_457","news_8"],"tags":["news_27626","news_30084","news_21789","news_30083"],"featImg":"news_11892582","label":"source_news_11892581"},"news_11888480":{"type":"posts","id":"news_11888480","meta":{"index":"posts_1591205157","site":"news","id":"11888480","score":null,"sort":[1631655009000]},"guestAuthors":[],"slug":"if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care","title":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care","publishDate":1631655009,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>Should Gavin Newsom survive the Republican-driven attempt to oust him from office, the Democratic governor will face the prospect of paying back supporters who coalesced behind him.\u003c/p>\n\u003cp>And the leaders of California’s single-payer movement will want their due.\u003c/p>\n\u003cp>Publicly, union leaders say they’re standing with Newsom because he has displayed political courage during the coronavirus pandemic by taking actions such as imposing the nation’s first statewide stay-at-home order. But behind the scenes, they are aggressively pressuring him to follow through on his 2018 campaign pledge to establish a government-run, single-payer health care system.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of the National Union of Healthcare Workers, which is urging Newsom to get federal permission to fund such a system.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Stephanie Roberson, California Nurses Association\"]'This is about life or death for us. It’s not only about single-payer. It’s about infection control.'[/pullquote]Another union, the California Nurses Association, is pushing Newsom to back state legislation early next year to do away with private health insurance and create a single-payer system. But “first, everyone needs to get out and vote no on this recall,” said Stephanie Roberson, the union’s lead lobbyist.\u003c/p>\n\u003cp>“This is about life or death for us. It’s not only about single-payer. It’s about infection control. It’s about Democratic and working-class values,” she said. “We lose if Republicans take over.”\u003c/p>\n\u003cp>Together, the unions have made hundreds of thousands of dollars in political contributions, \u003ca href=\"https://youtu.be/DUxw0PbHefI\">funded anti-recall ads\u003c/a> and phone-banked to defend Newsom. The \u003ca href=\"https://www.politico.com/states/california/story/2021/09/02/newsom-has-strong-support-in-latest-california-recall-survey-1390636\">latest polling indicates Newsom will survive\u003c/a> Tuesday’s recall election, which has become a battle between Democratic ideals and Republican angst over government coronavirus mandates. The Democratic Party closed ranks around the governor early and kept well-known Democratic contenders off the ballot, leaving liberal voters with little choice other than Newsom.\u003c/p>\n\u003cp>“This is a crucial moment for Newsom, and for his supporters who are lining up behind him,” said Mark Peterson, a professor of public policy, political science and law at UCLA who specializes in the politics of health care. “They’re helping him stay in office, but that comes with an expectation for some action.”\u003c/p>\n\u003cp>But it’s not clear that Newsom — who will face competing demands to pay back other supporters pushing for stronger action on homelessness, climate change and public safety — could deliver such a massive shift.\u003c/p>\n\u003cp>Reorganizing the health system under a single-payer financing model would be tremendously expensive — \u003ca href=\"https://khn.org/news/tab-for-single-payer-proposal-in-california-could-run-400-billion/\">around $400 billion a year\u003c/a> — and difficult to achieve politically, largely because it would require tax increases.\u003c/p>\n\u003cp>[aside label ='More on Health Care' tag='health-care']The concept already faces fierce opposition from some of Newsom’s strongest supporters, including insurer \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1147130&session=2021&view=activity\">Blue Shield of California\u003c/a> and the \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1146797&session=2021&view=activity\">California Medical Association\u003c/a>, which represents doctors.\u003c/p>\n\u003cp>No state has a single-payer system. Vermont tried to implement one, but its former governor, a Democrat, \u003ca href=\"https://www.vpr.org/vpr-news/2014-12-17/shumlin-its-not-the-right-time-for-single-payer\">abandoned his plan in 2014\u003c/a> partly because of \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article201541734.html\">opposition to tax increases\u003c/a>. California would not only need to raise taxes, but also likely would have to seek voter approval to change the state constitution, and \u003ca href=\"https://www.healthaffairs.org/do/10.1377/hblog20190207.806149/full/\">get permission from the federal government\u003c/a> to use money allocated for Medicare and Medicaid to help fund the new system.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">last big push for single-payer in California ended in 2017\u003c/a> because it did not adequately address financing and other challenges. Leading up to the \u003ca href=\"https://www.politico.com/states/california/story/2018/11/29/how-newsoms-big-win-gives-him-a-mandate-on-health-care-715530\">2018 gubernatorial election\u003c/a>, Newsom campaigned on single-payer health care, telling supporters “you have my firm and absolute commitment as your next governor that I will lead the effort to get it done,” and \u003ca href=\"https://www.youtube.com/watch?v=8YuReziwss0\">“single-payer is the way to go.”\u003c/a>\u003c/p>\n\u003cp>In office, though, Newsom has distanced himself from that promise as he has expanded the existing health care system, which relies on a mix of public and private insurance company payers. For instance, he and Democratic lawmakers imposed a health insurance mandate on Californians and expanded public coverage for lower-income people, both of which enrich health insurers.\u003c/p>\n\u003cp>Newsom has, however, \u003ca href=\"https://www.chhs.ca.gov/healthycaforall/\">convened a commission to study single-payer\u003c/a> and in late May \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/Letter-to-President-Biden_05.25.2021.pdf\">wrote to President Joe Biden\u003c/a>, asking him to work with Congress to pass legislation giving states freedom and financing to establish single-payer systems. “California’s spirit of innovation is stifled by federal limits,” Newsom wrote.\u003c/p>\n\u003cfigure id=\"attachment_11888489\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg class=\"size-full wp-image-11888489\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg\" alt='Protesters hold up a sign that reads, \"Medicare for All! Defeat the Recall! Healthy California Now.\"' width=\"1350\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg 1350w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-160x107.jpg 160w\" sizes=\"(max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Activists, including those from the National Union of Healthcare Workers (NUHW), demonstrate in Sacramento on June 15, 2021, to push Gov. Gavin Newsom to enact single-payer health care and defend him from the Republican-driven recall campaign. “I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of NUHW. \u003ccite>(Angela Hart/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Newsom’s recall campaign, asked about his stance on single-payer, referred questions to his administration. The governor’s office said in prepared comments that Newsom remains committed to the idea.\u003c/p>\n\u003cp>“Governor Newsom has consistently said that single-payer health care is where we need to be,” spokesperson Alex Stack wrote. “It’s just a question of how we get there.”\u003c/p>\n\u003cp>Stack also highlighted \u003ca href=\"https://khn.org/news/article/california-medicaid-makeover-newsom-california-medi-cal-homeless-public-funds/\">a new initiative that will build up the state’s public health insurance program, Medi-Cal\u003c/a>, saying it “paves a path toward a single-payer principled system.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Brandon Harami, Democratic Party’s Progressive Caucus\"]'Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.'[/pullquote]Activists say Newsom has let them down on single-payer but are standing behind him because he represents their best shot at obtaining it. However, some say they’re not willing to wait long. If Newsom doesn’t embrace single-payer soon, liberal activists say, they will look for a Democratic alternative when he comes up for reelection next year.\u003c/p>\n\u003cp>“Newsom is an establishment candidate, and we as Democrats aren’t shy about ripping the endorsement out from under someone who doesn’t share our values,” said Brandon Harami, Bay Area vice chair of the state Democratic Party’s Progressive Caucus, who opposes the recall. “Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.”\u003c/p>\n\u003cp>State Assemblymember Ash Kalra (D-San José), who also opposes the recall, will \u003ca href=\"https://khn.org/news/article/new-single-payer-bill-intensifies-newsoms-political-peril/\">reintroduce his single-payer bill\u003c/a>, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\">AB 1400\u003c/a>, in January after he paused it earlier this year to work on a financing plan. Its chief sponsor is the California Nurses Association.\u003c/p>\n\u003cp>Using lessons learned from the \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">failed 2017 attempt to pass single-payer legislation\u003c/a>, the nurses union is deploying activists to pressure state and local lawmakers into supporting the bill. \u003ca href=\"https://clkrep.lacity.org/onlinedocs/2021/21-0002-S83_reso_03-24-21.pdf\">Resolutions have been approved or are pending\u003c/a> in multiple cities.\u003c/p>\n\u003cp>“This is an opportunity for California to lead the way on health care,” Los Angeles City Councilmember Mike Bonin said before an 11-0 vote backing Kalra’s single-payer bill in late August.\u003c/p>\n\u003cp>Kalra argued that support from Los Angeles shows his bill is gaining momentum. He also is preparing a new strategy to take on doctors, hospitals, health insurers and other health industry players that oppose single-payer: highlighting their profits.\u003c/p>\n\u003cp>“They are the No. 1 obstacle to this passing,” Kalra said. “They’re going to do whatever they can to discredit me and this movement, but I’m going to turn the mirror around on them and ask why we should continue to pay for wild profits.”\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='recall']An industry coalition called Californians Against the Costly Disruption of Our Health Care was instrumental in killing the 2017 single-payer bill and is already lobbying against Kalra’s measure. The group again argues that single-payer would push people off Medicare and private employer plans and result in less choice in health insurance.\u003c/p>\n\u003cp>Single-payer would “force these millions of Californians who like their health care into a single new, untested government program with no guarantee they could keep their doctor,” coalition spokesperson Ned Wigglesworth said in a statement.\u003c/p>\n\u003cp>Bob Ross, president and CEO of the California Endowment, a nonprofit that works to expand health care access, is on Newsom’s single-payer commission. He said it will work through “tension” in the coming months before issuing a recommendation to the governor on the feasibility of single-payer.\u003c/p>\n\u003cp>“We have a camp of single-payer zealots who want the bold stroke of getting to single-payer tomorrow, and the other approach that I call bold incrementalism,” Ross said. “I’m not ruling out any bold stroke on single-payer. I would just want to know how we get it done.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"During the recall election, health care unions strongly supported Gov. Gavin Newsom and they are now expecting that if he wins, he makes single-payer health care a reality in California.","status":"publish","parent":0,"modified":1631665843,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1549},"headData":{"title":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care | KQED","description":"During the recall election, health care unions strongly supported Gov. Gavin Newsom and they are now expecting that if he wins, he makes single-payer health care a reality in California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care","datePublished":"2021-09-14T21:30:09.000Z","dateModified":"2021-09-15T00:30:43.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11888480 https://ww2.kqed.org/news/?p=11888480","disqusUrl":"https://ww2.kqed.org/news/2021/09/14/if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care/","disqusTitle":"If Newsom Survives the Recall, the Health Care Unions Who Backed Him Expect a Push for Single-Payer Health Care","source":"Kaiser Health News","sourceUrl":"https://khn.org/","nprByline":"\u003ca href=\"https://khn.org/news/author/angela-hart/\">Angela Hart\u003c/a>","path":"/news/11888480/if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Should Gavin Newsom survive the Republican-driven attempt to oust him from office, the Democratic governor will face the prospect of paying back supporters who coalesced behind him.\u003c/p>\n\u003cp>And the leaders of California’s single-payer movement will want their due.\u003c/p>\n\u003cp>Publicly, union leaders say they’re standing with Newsom because he has displayed political courage during the coronavirus pandemic by taking actions such as imposing the nation’s first statewide stay-at-home order. But behind the scenes, they are aggressively pressuring him to follow through on his 2018 campaign pledge to establish a government-run, single-payer health care system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of the National Union of Healthcare Workers, which is urging Newsom to get federal permission to fund such a system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'This is about life or death for us. It’s not only about single-payer. It’s about infection control.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Stephanie Roberson, California Nurses Association","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Another union, the California Nurses Association, is pushing Newsom to back state legislation early next year to do away with private health insurance and create a single-payer system. But “first, everyone needs to get out and vote no on this recall,” said Stephanie Roberson, the union’s lead lobbyist.\u003c/p>\n\u003cp>“This is about life or death for us. It’s not only about single-payer. It’s about infection control. It’s about Democratic and working-class values,” she said. “We lose if Republicans take over.”\u003c/p>\n\u003cp>Together, the unions have made hundreds of thousands of dollars in political contributions, \u003ca href=\"https://youtu.be/DUxw0PbHefI\">funded anti-recall ads\u003c/a> and phone-banked to defend Newsom. The \u003ca href=\"https://www.politico.com/states/california/story/2021/09/02/newsom-has-strong-support-in-latest-california-recall-survey-1390636\">latest polling indicates Newsom will survive\u003c/a> Tuesday’s recall election, which has become a battle between Democratic ideals and Republican angst over government coronavirus mandates. The Democratic Party closed ranks around the governor early and kept well-known Democratic contenders off the ballot, leaving liberal voters with little choice other than Newsom.\u003c/p>\n\u003cp>“This is a crucial moment for Newsom, and for his supporters who are lining up behind him,” said Mark Peterson, a professor of public policy, political science and law at UCLA who specializes in the politics of health care. “They’re helping him stay in office, but that comes with an expectation for some action.”\u003c/p>\n\u003cp>But it’s not clear that Newsom — who will face competing demands to pay back other supporters pushing for stronger action on homelessness, climate change and public safety — could deliver such a massive shift.\u003c/p>\n\u003cp>Reorganizing the health system under a single-payer financing model would be tremendously expensive — \u003ca href=\"https://khn.org/news/tab-for-single-payer-proposal-in-california-could-run-400-billion/\">around $400 billion a year\u003c/a> — and difficult to achieve politically, largely because it would require tax increases.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"More on Health Care ","tag":"health-care"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The concept already faces fierce opposition from some of Newsom’s strongest supporters, including insurer \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1147130&session=2021&view=activity\">Blue Shield of California\u003c/a> and the \u003ca href=\"https://cal-access.sos.ca.gov/Lobbying/Employers/Detail.aspx?id=1146797&session=2021&view=activity\">California Medical Association\u003c/a>, which represents doctors.\u003c/p>\n\u003cp>No state has a single-payer system. Vermont tried to implement one, but its former governor, a Democrat, \u003ca href=\"https://www.vpr.org/vpr-news/2014-12-17/shumlin-its-not-the-right-time-for-single-payer\">abandoned his plan in 2014\u003c/a> partly because of \u003ca href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article201541734.html\">opposition to tax increases\u003c/a>. California would not only need to raise taxes, but also likely would have to seek voter approval to change the state constitution, and \u003ca href=\"https://www.healthaffairs.org/do/10.1377/hblog20190207.806149/full/\">get permission from the federal government\u003c/a> to use money allocated for Medicare and Medicaid to help fund the new system.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">last big push for single-payer in California ended in 2017\u003c/a> because it did not adequately address financing and other challenges. Leading up to the \u003ca href=\"https://www.politico.com/states/california/story/2018/11/29/how-newsoms-big-win-gives-him-a-mandate-on-health-care-715530\">2018 gubernatorial election\u003c/a>, Newsom campaigned on single-payer health care, telling supporters “you have my firm and absolute commitment as your next governor that I will lead the effort to get it done,” and \u003ca href=\"https://www.youtube.com/watch?v=8YuReziwss0\">“single-payer is the way to go.”\u003c/a>\u003c/p>\n\u003cp>In office, though, Newsom has distanced himself from that promise as he has expanded the existing health care system, which relies on a mix of public and private insurance company payers. For instance, he and Democratic lawmakers imposed a health insurance mandate on Californians and expanded public coverage for lower-income people, both of which enrich health insurers.\u003c/p>\n\u003cp>Newsom has, however, \u003ca href=\"https://www.chhs.ca.gov/healthycaforall/\">convened a commission to study single-payer\u003c/a> and in late May \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2021/09/Letter-to-President-Biden_05.25.2021.pdf\">wrote to President Joe Biden\u003c/a>, asking him to work with Congress to pass legislation giving states freedom and financing to establish single-payer systems. “California’s spirit of innovation is stifled by federal limits,” Newsom wrote.\u003c/p>\n\u003cfigure id=\"attachment_11888489\" class=\"wp-caption alignnone\" style=\"max-width: 1350px\">\u003cimg class=\"size-full wp-image-11888489\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg\" alt='Protesters hold up a sign that reads, \"Medicare for All! Defeat the Recall! Healthy California Now.\"' width=\"1350\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer.jpg 1350w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/09/depori9ofucejcwer-160x107.jpg 160w\" sizes=\"(max-width: 1350px) 100vw, 1350px\">\u003cfigcaption class=\"wp-caption-text\">Activists, including those from the National Union of Healthcare Workers (NUHW), demonstrate in Sacramento on June 15, 2021, to push Gov. Gavin Newsom to enact single-payer health care and defend him from the Republican-driven recall campaign. “I expect him to lead on California accomplishing single-payer and being an example for the rest of the country,” said Sal Rosselli, president of NUHW. \u003ccite>(Angela Hart/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Newsom’s recall campaign, asked about his stance on single-payer, referred questions to his administration. The governor’s office said in prepared comments that Newsom remains committed to the idea.\u003c/p>\n\u003cp>“Governor Newsom has consistently said that single-payer health care is where we need to be,” spokesperson Alex Stack wrote. “It’s just a question of how we get there.”\u003c/p>\n\u003cp>Stack also highlighted \u003ca href=\"https://khn.org/news/article/california-medicaid-makeover-newsom-california-medi-cal-homeless-public-funds/\">a new initiative that will build up the state’s public health insurance program, Medi-Cal\u003c/a>, saying it “paves a path toward a single-payer principled system.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Brandon Harami, Democratic Party’s Progressive Caucus","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Activists say Newsom has let them down on single-payer but are standing behind him because he represents their best shot at obtaining it. However, some say they’re not willing to wait long. If Newsom doesn’t embrace single-payer soon, liberal activists say, they will look for a Democratic alternative when he comes up for reelection next year.\u003c/p>\n\u003cp>“Newsom is an establishment candidate, and we as Democrats aren’t shy about ripping the endorsement out from under someone who doesn’t share our values,” said Brandon Harami, Bay Area vice chair of the state Democratic Party’s Progressive Caucus, who opposes the recall. “Newsom has been completely silent on single-payer. A lot of us are really gunning to see some action on his part.”\u003c/p>\n\u003cp>State Assemblymember Ash Kalra (D-San José), who also opposes the recall, will \u003ca href=\"https://khn.org/news/article/new-single-payer-bill-intensifies-newsoms-political-peril/\">reintroduce his single-payer bill\u003c/a>, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1400\">AB 1400\u003c/a>, in January after he paused it earlier this year to work on a financing plan. Its chief sponsor is the California Nurses Association.\u003c/p>\n\u003cp>Using lessons learned from the \u003ca href=\"https://www.latimes.com/politics/la-pol-sac-single-payer-shelved-20170623-story.html\">failed 2017 attempt to pass single-payer legislation\u003c/a>, the nurses union is deploying activists to pressure state and local lawmakers into supporting the bill. \u003ca href=\"https://clkrep.lacity.org/onlinedocs/2021/21-0002-S83_reso_03-24-21.pdf\">Resolutions have been approved or are pending\u003c/a> in multiple cities.\u003c/p>\n\u003cp>“This is an opportunity for California to lead the way on health care,” Los Angeles City Councilmember Mike Bonin said before an 11-0 vote backing Kalra’s single-payer bill in late August.\u003c/p>\n\u003cp>Kalra argued that support from Los Angeles shows his bill is gaining momentum. He also is preparing a new strategy to take on doctors, hospitals, health insurers and other health industry players that oppose single-payer: highlighting their profits.\u003c/p>\n\u003cp>“They are the No. 1 obstacle to this passing,” Kalra said. “They’re going to do whatever they can to discredit me and this movement, but I’m going to turn the mirror around on them and ask why we should continue to pay for wild profits.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"recall"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>An industry coalition called Californians Against the Costly Disruption of Our Health Care was instrumental in killing the 2017 single-payer bill and is already lobbying against Kalra’s measure. The group again argues that single-payer would push people off Medicare and private employer plans and result in less choice in health insurance.\u003c/p>\n\u003cp>Single-payer would “force these millions of Californians who like their health care into a single new, untested government program with no guarantee they could keep their doctor,” coalition spokesperson Ned Wigglesworth said in a statement.\u003c/p>\n\u003cp>Bob Ross, president and CEO of the California Endowment, a nonprofit that works to expand health care access, is on Newsom’s single-payer commission. He said it will work through “tension” in the coming months before issuing a recommendation to the governor on the feasibility of single-payer.\u003c/p>\n\u003cp>“We have a camp of single-payer zealots who want the bold stroke of getting to single-payer tomorrow, and the other approach that I call bold incrementalism,” Ross said. “I’m not ruling out any bold stroke on single-payer. I would just want to know how we get it done.”\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11888480/if-newsom-survives-the-recall-the-health-care-unions-who-backed-him-expect-a-push-for-single-payer-health-care","authors":["byline_news_11888480"],"categories":["news_457","news_8","news_13"],"tags":["news_28642","news_16","news_24939","news_20482","news_29901","news_21789","news_28963","news_21509","news_29647","news_22597","news_29900","news_794"],"featImg":"news_11888487","label":"source_news_11888480"},"news_11865975":{"type":"posts","id":"news_11865975","meta":{"index":"posts_1591205157","site":"news","id":"11865975","score":null,"sort":[1616528992000]},"guestAuthors":[],"slug":"nursing-schools-turned-to-computer-simulations-during-the-pandemic-are-students-learning","title":"Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning?","publishDate":1616528992,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>Dressed in a white gown and hooked to an IV pump, Tina Jones was sitting on a hospital bed when nursing student Erin Abille greeted her.\u003c/p>\n\u003cp>Glancing at Jones’ chart, Abille saw that the patient came into the hospital for a foot infection and had a penicillin allergy.\u003c/p>\n\u003cp>“Are you in any pain?” Abille asked.\u003c/p>\n\u003cp>“Oh, OK,” Jones responded.\u003c/p>\n\u003cp>The bizarre response wasn’t the only unusual thing, Abille noted. The patient also had stilted facial and hand movements.\u003c/p>\n\u003cp>But those symptoms weren’t due to a medical condition — they were because Jones is not a real patient but a computer avatar in Shadow Health, a virtual simulation that has been widely adopted by nursing education programs across California since the start of the coronavirus pandemic.\u003c/p>\n\u003cp>The pandemic has restricted the number of clinical placements available to nursing students in hospitals, forcing them to practice their skills instead on mannequins, virtual patients like Jones, or at home with relatives and even stuffed animals.\u003c/p>\n\u003cp>California has relaxed regulations to allow for more virtual education, but some nursing students say they feel less confident in their skills, and others have had their graduation delayed, at a time when the state arguably needs nurses more than ever.\u003c/p>\n\u003cp>Hospitals have been reluctant to place nursing students at risk by having them enter a workplace filled with COVID patients, and more experienced nurses have been too busy with patient care to supervise them, said Loretta Melby, president of the California Board of Registered Nursing, a state agency that regulates nursing education.\u003c/p>\n\u003cp>“It was really difficult for all of our students when the facilities that they’ve relied on for years to do their clinical practice said, ‘We can’t have you here anymore,’ ” she said.\u003c/p>\n\u003ch3>What Practicing at Home Means\u003c/h3>\n\u003cfigure id=\"attachment_11866000\" class=\"wp-caption alignright\" style=\"max-width: 768px\">\u003cimg class=\"size-full wp-image-11866000\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg\" alt=\"\" width=\"768\" height=\"1152\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg 768w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10-160x240.jpg 160w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Nursing student Erin Abille finds new ways to learn medicine by practicing techniques on a stuffed animal in Mulberry Park in Chula Vista on Jan. 23, 2021. \u003ccite>(Arlene Banuelos for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Prior to the pandemic, nursing students were required to spend at least 75% of their clinical time providing direct care to patients in hospitals. The Board of Registered Nursing \u003ca href=\"https://edsource.org/2020/new-california-nursing-waiver-will-allow-some-students-to-complete-training-but-leaves-others-out/628170\">relaxed its regulations\u003c/a> in April 2020 to allow students to fulfill half of their clinical hours in simulated scenarios, but said it will reverse that decision when the pandemic is over.\u003c/p>\n\u003cp>For Abille, that means that instead of checking her patients’ vital signs with her stethoscope and thermometer, she now relies on the electronic health records shown at the bottom of her laptop screen.\u003c/p>\n\u003cp>Caring for faux-patient Jones, she said, is a stark contrast to the close relationships she developed with patients when working as a certified nursing assistant at a skilled nursing facility. There, she had emotional conversations with elderly patients on the geriatrics floor, many of whom were reflecting on the choices they’d made in life as they neared its end.\u003c/p>\n\u003cp>Abille wasn’t able to do that with Jones. “I couldn’t pry into her personal life, I couldn’t pry into her worries, I couldn’t pry even into her pain,” she said.\u003c/p>\n\u003cp>Before the pandemic, Abille would have received one-on-one mentorship from a senior nurse on how to do sensitive procedures, such as inserting a catheter into a patient’s urethra. Now, with her college’s skills lab closed and even mannequins unavailable, she practices at home. A unicorn Pillow Pet stands in as her patient and she uses a water bottle to replicate the urethra.\u003c/p>\n\u003cp>Abille said she worries that she might accidentally reinforce mistakes because she doesn’t have her instructor to immediately correct her. Having a catheter inserted is a scary procedure for many patients, who often wonder whether the procedure will hurt. That’s not a conversation she can have with her unicorn.\u003c/p>\n\u003cp>In person, nursing students can use all of their senses when caring for patients, but with simulations, they miss out on the physical cues that patients give to signify pain or discomfort, said Melby of the BRN.\u003c/p>\n\u003cp>“When I worked in the ICU, I could smell various things like a gastrointestinal bleed,” she said. In a simulation, “you’re not getting that kind of input. Your mannequin can’t grimace.”\u003c/p>\n\u003cfigure id=\"attachment_11866001\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg class=\"wp-image-11866001 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES.png\" alt=\"\" width=\"1024\" height=\"581\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES.png 1024w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES-800x454.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES-1020x579.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES-160x91.png 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from a simulated patient interaction in Shadow Health, a computer program that colleges are using to train nurses during the pandemic. \u003ccite>(CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>'A Real-Life Situation in a Non-Threatening Environment'\u003c/h3>\n\u003cp>Despite the drawbacks, virtual simulations do have some upsides, said KT Waxman, director of the California Simulation Alliance at HealthImpact, a nonprofit focused on health workforce development.\u003c/p>\n\u003cp>Students can still develop their critical thinking and clinical judgement. When instructors create clinical scenarios over Zoom or show a video of a heart failure, debriefing allows students to grow more confident in their ability to handle those situations, Waxman said.\u003c/p>\n\u003cp>“You expose the students to a real-life situation in a non-threatening environment, where students know if they make a mistake that the life of the patient is not at stake,” said Salima Allahbachayo, director of the nursing program at Citrus College, which has relied on computer simulation to continue teaching during the pandemic.\u003c/p>\n\u003cp>She says her students were able to learn more through Zoom scenarios because repetition allows them to correct their mistakes.\u003c/p>\n\u003cp>Besides spurring a move toward more simulation, the pandemic has shrunk the number of available slots in colleges’ nursing programs, said Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF.\u003c/p>\n\u003cp>Some nursing programs in California didn’t admit any new students this year, at a time when the state is projected to have \u003ca href=\"https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nchwa-hrsa-nursing-report.pdf\">a shortage of 44,500 full-time registered nurses by 2030\u003c/a>, according to the National Center for Health Workforce Analysis. And around one in 10 nursing programs in California has suspended admissions for 2021-2022, according to preliminary data from a survey Spetz is conducting.\u003c/p>\n\u003cp>“For those students, that’s another semester or quarter where they’re not able to get started,” said Spetz. “It slows down their graduation, and overall slows down the supply of nurses into our workforce.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>A Growing Demand for Nurses\u003c/h3>\n\u003cp>Alexis Hawkins, a nursing student at Grossmont College in El Cajon, said her nursing program paused classes halfway through the spring 2020 semester. She had to redo the entire first semester online and missed out on learning how to give IV injections, a skill that’s only taught in person and that she should have learned her first year.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Joanne Spetz, director of Philip R. Lee Institute for Health Policy Studies at UCSF\"]'If we end up losing a bunch of nurses who are in their 30s, those are nurses who had another 20 or 30 years of working life available for us and that’s a much bigger loss for the workforce.'[/pullquote]Coming back for her second semester, she said, was like trying to keep up with a moving conveyor belt; she was expected to perform as if she’d had clinical rotations her first semester, and ended up quitting her job to study harder.\u003c/p>\n\u003cp>“I do feel that my education is compromised,” Hawkins said. “I’m not getting the best education that I think I would be getting if we were in person.”\u003c/p>\n\u003cp>Even before the pandemic, nursing programs were \u003ca href=\"https://hechingerreport.org/when-nurses-are-needed-most-nursing-programs-arent-keeping-up-with-demand/\">reporting record numbers of applicants\u003c/a> but struggling to accommodate more students.\u003c/p>\n\u003cp>“Nursing is a particularly resource-heavy field,” said Rehman Attar, director of health care workforce development at California State University. Colleges need to find space for labs, attract faculty away from other well-paying jobs and compete with other schools for limited clinical placements, Attar said.\u003c/p>\n\u003cp>At the same time, the last year on the front lines of COVID-19 has led many older nurses to retire early and younger nurses to quit. Spetz said hospital leaders are concerned that senior nurses currently in the workforce will burn out before new graduates can be hired.\u003c/p>\n\u003cp>“Hospitals are losing nurses close to retirement a few years early ... but we knew that they were going to retire,” Spetz said. “But if we end up losing a bunch of nurses who are in their 30s, those are nurses who had another 20 or 30 years of working life available for us and that’s a much bigger loss for the workforce.”\u003c/p>\n\u003cp>The situation is more acute in high-demand areas such as the emergency room and intensive care unit, Spetz said. Those departments have been off-limits to nursing students during the pandemic — and that’s experience that can’t be replicated in a virtual scenario.\u003c/p>\n\u003ch3>'You Cannot Simulate the Fear and Dread of Some People'\u003c/h3>\n\u003cp>Even with clinical experience, the transition from being a nursing student to being a nurse working in a hospital can be jarring, said Gerard Brogan, the director of nursing practice at the California Nurses Association, a labor union that represents registered nurses.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='nurses']“Lack of access to these specialty units, and this more generic simulation-based education, is not going to prepare these nurses on their own for a major shock,” Brogan said. He likened it to soldiers learning warfare on simulators, which has been linked to significant increases in post-traumatic stress disorder.\u003c/p>\n\u003cp>Union members are also concerned that colleges will rely heavily on virtual simulations even after the pandemic because software is cheaper than staff, Brogan said. Instruction that doesn’t prepare students to connect with patients on a human level, he said, threatens to compromise safety.\u003c/p>\n\u003cp>“You cannot simulate the fear and dread of some people,” Brogan said. “And frankly, we’re worried about the attempt to do so.”\u003c/p>\n\u003cp>Experts say the availability of clinical placements has recently begun to increase in California as \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/california-milestone-reopening-today/\">more vaccines are distributed\u003c/a> and coronavirus cases decline.\u003c/p>\n\u003cp>But Waxman, of the nonprofit California Simulation Alliance, agreed that the state is likely to see an expanded use of technology in nurse training post-pandemic, including a wider adoption of virtual reality that will replace some clinical experience.\u003c/p>\n\u003cp>Though cost has limited the use of virtual reality in nursing programs — each headset costs around $300, not including the price of the software — it overcomes some of the shortcomings of the 2D virtual simulations that colleges currently use, Waxman said, because it is immersive and students can use their sense of touch when practicing physical assessments and hands-on skills such as immunization.\u003c/p>\n\u003cp>“Once the pandemic is over, I believe that students will need to get back into the hands-on skills lab. I don’t think that will go away,” Waxman said. “But education is going to change dramatically.”\u003c/p>\n\u003chr>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/author/shehreen-karim/\">Shehreen Karim\u003c/a> is a fellow with the \u003ca href=\"https://calmatters.org/projects/college-journalism-network/\">CalMatters College Journalism Network\u003c/a>, a collaboration between CalMatters and student journalists from across California. \u003ca href=\"https://calmatters.org/author/charlotte-west/\">Charlotte West\u003c/a> contributed reporting. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Nursing schools have turned to virtual simulations during the coronavirus pandemic to keep teaching. But students say this type of distance learning lacks many real-world elements.","status":"publish","parent":0,"modified":1616537923,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":1894},"headData":{"title":"Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning? | KQED","description":"Nursing schools have turned to virtual simulations during the coronavirus pandemic to keep teaching. But students say this type of distance learning lacks many real-world elements.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning?","datePublished":"2021-03-23T19:49:52.000Z","dateModified":"2021-03-23T22:18:43.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11865975 https://ww2.kqed.org/news/?p=11865975","disqusUrl":"https://ww2.kqed.org/news/2021/03/23/nursing-schools-turned-to-computer-simulations-during-the-pandemic-are-students-learning/","disqusTitle":"Nursing Schools Turned to Computer Simulations During the Pandemic. Are Students Learning?","source":"CalMatters","sourceUrl":"https://calmatters.org/","audioUrl":"https://www.kqed.org/.stream/anon/radio//2021/03/ShehreenKarimNursingStudents.mp3","nprByline":"\u003ca href=\"https://calmatters.org/author/shehreen-karim/\">Shehreen Karim\u003c/a>","path":"/news/11865975/nursing-schools-turned-to-computer-simulations-during-the-pandemic-are-students-learning","audioDuration":299000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dressed in a white gown and hooked to an IV pump, Tina Jones was sitting on a hospital bed when nursing student Erin Abille greeted her.\u003c/p>\n\u003cp>Glancing at Jones’ chart, Abille saw that the patient came into the hospital for a foot infection and had a penicillin allergy.\u003c/p>\n\u003cp>“Are you in any pain?” Abille asked.\u003c/p>\n\u003cp>“Oh, OK,” Jones responded.\u003c/p>\n\u003cp>The bizarre response wasn’t the only unusual thing, Abille noted. The patient also had stilted facial and hand movements.\u003c/p>\n\u003cp>But those symptoms weren’t due to a medical condition — they were because Jones is not a real patient but a computer avatar in Shadow Health, a virtual simulation that has been widely adopted by nursing education programs across California since the start of the coronavirus pandemic.\u003c/p>\n\u003cp>The pandemic has restricted the number of clinical placements available to nursing students in hospitals, forcing them to practice their skills instead on mannequins, virtual patients like Jones, or at home with relatives and even stuffed animals.\u003c/p>\n\u003cp>California has relaxed regulations to allow for more virtual education, but some nursing students say they feel less confident in their skills, and others have had their graduation delayed, at a time when the state arguably needs nurses more than ever.\u003c/p>\n\u003cp>Hospitals have been reluctant to place nursing students at risk by having them enter a workplace filled with COVID patients, and more experienced nurses have been too busy with patient care to supervise them, said Loretta Melby, president of the California Board of Registered Nursing, a state agency that regulates nursing education.\u003c/p>\n\u003cp>“It was really difficult for all of our students when the facilities that they’ve relied on for years to do their clinical practice said, ‘We can’t have you here anymore,’ ” she said.\u003c/p>\n\u003ch3>What Practicing at Home Means\u003c/h3>\n\u003cfigure id=\"attachment_11866000\" class=\"wp-caption alignright\" style=\"max-width: 768px\">\u003cimg class=\"size-full wp-image-11866000\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg\" alt=\"\" width=\"768\" height=\"1152\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10.jpg 768w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/012321_NursingStudent_AB_10-160x240.jpg 160w\" sizes=\"(max-width: 768px) 100vw, 768px\">\u003cfigcaption class=\"wp-caption-text\">Nursing student Erin Abille finds new ways to learn medicine by practicing techniques on a stuffed animal in Mulberry Park in Chula Vista on Jan. 23, 2021. \u003ccite>(Arlene Banuelos for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Prior to the pandemic, nursing students were required to spend at least 75% of their clinical time providing direct care to patients in hospitals. The Board of Registered Nursing \u003ca href=\"https://edsource.org/2020/new-california-nursing-waiver-will-allow-some-students-to-complete-training-but-leaves-others-out/628170\">relaxed its regulations\u003c/a> in April 2020 to allow students to fulfill half of their clinical hours in simulated scenarios, but said it will reverse that decision when the pandemic is over.\u003c/p>\n\u003cp>For Abille, that means that instead of checking her patients’ vital signs with her stethoscope and thermometer, she now relies on the electronic health records shown at the bottom of her laptop screen.\u003c/p>\n\u003cp>Caring for faux-patient Jones, she said, is a stark contrast to the close relationships she developed with patients when working as a certified nursing assistant at a skilled nursing facility. There, she had emotional conversations with elderly patients on the geriatrics floor, many of whom were reflecting on the choices they’d made in life as they neared its end.\u003c/p>\n\u003cp>Abille wasn’t able to do that with Jones. “I couldn’t pry into her personal life, I couldn’t pry into her worries, I couldn’t pry even into her pain,” she said.\u003c/p>\n\u003cp>Before the pandemic, Abille would have received one-on-one mentorship from a senior nurse on how to do sensitive procedures, such as inserting a catheter into a patient’s urethra. Now, with her college’s skills lab closed and even mannequins unavailable, she practices at home. A unicorn Pillow Pet stands in as her patient and she uses a water bottle to replicate the urethra.\u003c/p>\n\u003cp>Abille said she worries that she might accidentally reinforce mistakes because she doesn’t have her instructor to immediately correct her. Having a catheter inserted is a scary procedure for many patients, who often wonder whether the procedure will hurt. That’s not a conversation she can have with her unicorn.\u003c/p>\n\u003cp>In person, nursing students can use all of their senses when caring for patients, but with simulations, they miss out on the physical cues that patients give to signify pain or discomfort, said Melby of the BRN.\u003c/p>\n\u003cp>“When I worked in the ICU, I could smell various things like a gastrointestinal bleed,” she said. In a simulation, “you’re not getting that kind of input. Your mannequin can’t grimace.”\u003c/p>\n\u003cfigure id=\"attachment_11866001\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg class=\"wp-image-11866001 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES.png\" alt=\"\" width=\"1024\" height=\"581\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES.png 1024w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES-800x454.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES-1020x579.png 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/03/TINA-JONES-160x91.png 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from a simulated patient interaction in Shadow Health, a computer program that colleges are using to train nurses during the pandemic. \u003ccite>(CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>'A Real-Life Situation in a Non-Threatening Environment'\u003c/h3>\n\u003cp>Despite the drawbacks, virtual simulations do have some upsides, said KT Waxman, director of the California Simulation Alliance at HealthImpact, a nonprofit focused on health workforce development.\u003c/p>\n\u003cp>Students can still develop their critical thinking and clinical judgement. When instructors create clinical scenarios over Zoom or show a video of a heart failure, debriefing allows students to grow more confident in their ability to handle those situations, Waxman said.\u003c/p>\n\u003cp>“You expose the students to a real-life situation in a non-threatening environment, where students know if they make a mistake that the life of the patient is not at stake,” said Salima Allahbachayo, director of the nursing program at Citrus College, which has relied on computer simulation to continue teaching during the pandemic.\u003c/p>\n\u003cp>She says her students were able to learn more through Zoom scenarios because repetition allows them to correct their mistakes.\u003c/p>\n\u003cp>Besides spurring a move toward more simulation, the pandemic has shrunk the number of available slots in colleges’ nursing programs, said Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF.\u003c/p>\n\u003cp>Some nursing programs in California didn’t admit any new students this year, at a time when the state is projected to have \u003ca href=\"https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/data-research/nchwa-hrsa-nursing-report.pdf\">a shortage of 44,500 full-time registered nurses by 2030\u003c/a>, according to the National Center for Health Workforce Analysis. And around one in 10 nursing programs in California has suspended admissions for 2021-2022, according to preliminary data from a survey Spetz is conducting.\u003c/p>\n\u003cp>“For those students, that’s another semester or quarter where they’re not able to get started,” said Spetz. “It slows down their graduation, and overall slows down the supply of nurses into our workforce.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>A Growing Demand for Nurses\u003c/h3>\n\u003cp>Alexis Hawkins, a nursing student at Grossmont College in El Cajon, said her nursing program paused classes halfway through the spring 2020 semester. She had to redo the entire first semester online and missed out on learning how to give IV injections, a skill that’s only taught in person and that she should have learned her first year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'If we end up losing a bunch of nurses who are in their 30s, those are nurses who had another 20 or 30 years of working life available for us and that’s a much bigger loss for the workforce.'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Joanne Spetz, director of Philip R. Lee Institute for Health Policy Studies at UCSF","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Coming back for her second semester, she said, was like trying to keep up with a moving conveyor belt; she was expected to perform as if she’d had clinical rotations her first semester, and ended up quitting her job to study harder.\u003c/p>\n\u003cp>“I do feel that my education is compromised,” Hawkins said. “I’m not getting the best education that I think I would be getting if we were in person.”\u003c/p>\n\u003cp>Even before the pandemic, nursing programs were \u003ca href=\"https://hechingerreport.org/when-nurses-are-needed-most-nursing-programs-arent-keeping-up-with-demand/\">reporting record numbers of applicants\u003c/a> but struggling to accommodate more students.\u003c/p>\n\u003cp>“Nursing is a particularly resource-heavy field,” said Rehman Attar, director of health care workforce development at California State University. Colleges need to find space for labs, attract faculty away from other well-paying jobs and compete with other schools for limited clinical placements, Attar said.\u003c/p>\n\u003cp>At the same time, the last year on the front lines of COVID-19 has led many older nurses to retire early and younger nurses to quit. Spetz said hospital leaders are concerned that senior nurses currently in the workforce will burn out before new graduates can be hired.\u003c/p>\n\u003cp>“Hospitals are losing nurses close to retirement a few years early ... but we knew that they were going to retire,” Spetz said. “But if we end up losing a bunch of nurses who are in their 30s, those are nurses who had another 20 or 30 years of working life available for us and that’s a much bigger loss for the workforce.”\u003c/p>\n\u003cp>The situation is more acute in high-demand areas such as the emergency room and intensive care unit, Spetz said. Those departments have been off-limits to nursing students during the pandemic — and that’s experience that can’t be replicated in a virtual scenario.\u003c/p>\n\u003ch3>'You Cannot Simulate the Fear and Dread of Some People'\u003c/h3>\n\u003cp>Even with clinical experience, the transition from being a nursing student to being a nurse working in a hospital can be jarring, said Gerard Brogan, the director of nursing practice at the California Nurses Association, a labor union that represents registered nurses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Coverage ","tag":"nurses"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Lack of access to these specialty units, and this more generic simulation-based education, is not going to prepare these nurses on their own for a major shock,” Brogan said. He likened it to soldiers learning warfare on simulators, which has been linked to significant increases in post-traumatic stress disorder.\u003c/p>\n\u003cp>Union members are also concerned that colleges will rely heavily on virtual simulations even after the pandemic because software is cheaper than staff, Brogan said. Instruction that doesn’t prepare students to connect with patients on a human level, he said, threatens to compromise safety.\u003c/p>\n\u003cp>“You cannot simulate the fear and dread of some people,” Brogan said. “And frankly, we’re worried about the attempt to do so.”\u003c/p>\n\u003cp>Experts say the availability of clinical placements has recently begun to increase in California as \u003ca href=\"https://calmatters.org/health/coronavirus/2021/03/california-milestone-reopening-today/\">more vaccines are distributed\u003c/a> and coronavirus cases decline.\u003c/p>\n\u003cp>But Waxman, of the nonprofit California Simulation Alliance, agreed that the state is likely to see an expanded use of technology in nurse training post-pandemic, including a wider adoption of virtual reality that will replace some clinical experience.\u003c/p>\n\u003cp>Though cost has limited the use of virtual reality in nursing programs — each headset costs around $300, not including the price of the software — it overcomes some of the shortcomings of the 2D virtual simulations that colleges currently use, Waxman said, because it is immersive and students can use their sense of touch when practicing physical assessments and hands-on skills such as immunization.\u003c/p>\n\u003cp>“Once the pandemic is over, I believe that students will need to get back into the hands-on skills lab. I don’t think that will go away,” Waxman said. “But education is going to change dramatically.”\u003c/p>\n\u003chr>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/author/shehreen-karim/\">Shehreen Karim\u003c/a> is a fellow with the \u003ca href=\"https://calmatters.org/projects/college-journalism-network/\">CalMatters College Journalism Network\u003c/a>, a collaboration between CalMatters and student journalists from across California. \u003ca href=\"https://calmatters.org/author/charlotte-west/\">Charlotte West\u003c/a> contributed reporting. This story and other higher education coverage are supported by the College Futures Foundation.\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11865975/nursing-schools-turned-to-computer-simulations-during-the-pandemic-are-students-learning","authors":["byline_news_11865975"],"programs":["news_72"],"categories":["news_18540","news_457","news_8"],"tags":["news_18538","news_27350","news_27666","news_27669","news_4418","news_21789","news_2116"],"affiliates":["news_18481"],"featImg":"news_11865987","label":"source_news_11865975"},"news_11852678":{"type":"posts","id":"news_11852678","meta":{"index":"posts_1591205157","site":"news","id":"11852678","score":null,"sort":[1608818457000]},"guestAuthors":[],"slug":"californias-covid-19-surge-sparks-battle-between-hospitals-and-nurses-over-workload","title":"California’s COVID-19 Surge Sparks Battle Between Hospitals and Nurses Over Workload","publishDate":1608818457,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Telemetry nurses in California normally take care of four patients at once. But after the state relaxed California’s unique nurse-to-patient ratios in mid-December, Nerissa Black has to keep track of six.\u003c/p>\n\u003cp>And those six patients are really sick: They all need constant electronic monitoring and many of them are being treated simultaneously for a stroke and COVID-19, or a heart attack and COVID-19. Black says she's worried she’ll miss something or make a mistake.\u003c/p>\n\u003cp>“We are given 50% more patients and we're expected to do 50% more things with the same amount of time,” says Black, who has worked at the Henry Mayo Newhall Hospital in Valencia, California for the last seven years. “I go home and I feel like I could have done more. I don't feel like I'm giving the care to my patients like a human being deserves.”[pullquote align=\"right\" size=\"medium\" citation=\"Nerissa Black, telemetry nurse\"]'We are given 50% more patients and we're expected to do 50% more things with the same amount of time'[/pullquote]As COVID-19 patients continue to flood California emergency rooms, hospitals are increasingly desperate to find enough staff to care for all of them. Now the state is asking nurses to take care of more patients at once than they normally would, watering down their union’s most sacrosanct job protection: a nurse-to-patient ratio law that exists only in California.\u003c/p>\n\u003cp>“We need to temporarily — very short-term, temporarily — look a little bit differently in terms of our staffing needs,” said Gov. Gavin Newsom on Dec. 11, after quietly allowing hospitals to shift their nurse-to-patient ratios without first getting approval from the state.\u003c/p>\n\u003cp>Since then, 170 hospitals, mainly in Southern California, have been operating under the new pandemic ratios: ICU nurses can now care for three patients instead of two. Emergency room and telemetry nurses can now care for six patients instead of four. Medical-surgical nurses are looking after seven patients instead of five.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nurses have taken to the streets in protest, holding socially distant demonstrations across the state, shouting and carrying posters that read “Ratios Save Lives.” The union — the California Nurses Association — says the staffing shortage is a result of bad hospital management: It accuses hospitals of putting profits over preparing for a surge by laying off nurses over the summer, then not hiring or training enough for the winter.\u003c/p>\n\u003cp>“It seems hospitals have been more reactive than proactive in their staffing,” Black said.\u003c/p>\n\u003cp>But hospitals say this is an unprecedented pandemic that has spiraled beyond their control. Now, in the current surge, four times as many Californians are testing positive for the coronavirus as did during the summer peak. Up to 7,000 new coronavirus patients could soon be coming to California hospitals every day, according to Carmela Coyle, president and CEO of the California Hospital Association.\u003c/p>\n\u003cp>“This is catastrophic and we cannot dodge this math,” Coyle said. “We are simply out of nurses, out of doctors, out of respiratory therapists.”\u003c/p>\n\u003cfigure id=\"attachment_11852718\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\">\u003cimg class=\"size-full wp-image-11852718\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nerissa Black, a telemetry nurse at Henry Mayo Newhall Hospital in Valencia, California on December 13, 2020. 'As you can see,' she said, 'that's a lot of PPE that we're donning and doffing in between each patient. It takes time to remove them safely (so we don't contaminate ourselves), and then put a new set for the next patient.' \u003ccite>(Courtesy of Nerissa Black)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state has asked the federal government to send additional staff, including 200 medical personnel from the U.S. Department of Defense. It’s also tried to revive the California Health Corps, an initiative to recruit retired health workers to come back to work, but that has yielded few people with the qualifications needed to care for COVID-19 patients.\u003c/p>\n\u003cp>And hiring contract nurses from temporary staffing agencies or other states is all but impossible, Coyle says.\u003c/p>\n\u003cp>“Because California surged early during the summer and other parts of the United States then surged afterwards,” she said, “those travel nurses are taken.”\u003c/p>\n\u003cp>The next step for hospitals is to try team nursing, Coyle says, which entails pulling nurses from other departments, like the operating room, for example, and partnering them with experienced critical care nurses to help care for COVID-19 patients.\u003c/p>\n\u003cp>Joanne Spetz, an economics professor and expert in health care workforce issues at UCSF, says hospitals should have started training nurses for team care over the summer in anticipation of a winter surge, but they didn’t, either because of costs – hospitals lost a lot of revenue from canceled elective surgeries that could have paid for training – or because of excessive optimism.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"icu-capacity\"]“California was doing so well,” she said. “It was easy for all of us to believe that we kind of got it under control, and I think there was a lot of belief that we would be able to maintain that.”\u003c/p>\n\u003cp>The nurses union has reason to be defensive of the patient ratio law, Spetz says. It took 10 years before it was passed by the Legislature in 1999, then several more to get through multiple court challenges, including one from then-Gov. Arnold Schwarzenegger.\u003c/p>\n\u003cp>“\u003cspan style=\"font-weight: 400\">I'm always kicking their butt, that’s why they don’t like me\u003c/span>,” Schwarzenegger famously said of nurses, drawing broad ire from the union and its allies.\u003c/p>\n\u003cp>Nurses prevailed, in both the court of public opinion and the law, and the ratios took effect in 2004. But the long battle has made the union fiercely protective of its win. It's even accused hospitals of “disaster capitalism;” using the pandemic to try to roll back ratios for good. Hospitals deny this and Spetz says it’s unlikely.\u003c/p>\n\u003cp>The public can see that nurses are overworked and burned out by the pandemic, she says, so there would be little support for cutting back their job protections once it’s over.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“To go in and say, ‘Oh, you clearly did so well without ratios when we let you waive them, so let's just eliminate them entirely,’ I think would be just adding insult to moral injury to nurses,” Spetz said.\u003c/p>\n\n","blocks":[],"excerpt":"California's powerful nurses union is pushing back against recent state rules that temporarily relax the state's unique nurse-to-patient ratios amid staffing shortages. ","status":"publish","parent":0,"modified":1609193275,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":1080},"headData":{"title":"California’s COVID-19 Surge Sparks Battle Between Hospitals and Nurses Over Workload | KQED","description":"California's powerful nurses union is pushing back against recent state rules that temporarily relax the state's unique nurse-to-patient ratios amid staffing shortages. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California’s COVID-19 Surge Sparks Battle Between Hospitals and Nurses Over Workload","datePublished":"2020-12-24T14:00:57.000Z","dateModified":"2020-12-28T22:07:55.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11852678 https://ww2.kqed.org/news/?p=11852678","disqusUrl":"https://ww2.kqed.org/news/2020/12/24/californias-covid-19-surge-sparks-battle-between-hospitals-and-nurses-over-workload/","disqusTitle":"California’s COVID-19 Surge Sparks Battle Between Hospitals and Nurses Over Workload","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2020/12/DemboskyNursePatientRatios.mp3","path":"/news/11852678/californias-covid-19-surge-sparks-battle-between-hospitals-and-nurses-over-workload","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Telemetry nurses in California normally take care of four patients at once. But after the state relaxed California’s unique nurse-to-patient ratios in mid-December, Nerissa Black has to keep track of six.\u003c/p>\n\u003cp>And those six patients are really sick: They all need constant electronic monitoring and many of them are being treated simultaneously for a stroke and COVID-19, or a heart attack and COVID-19. Black says she's worried she’ll miss something or make a mistake.\u003c/p>\n\u003cp>“We are given 50% more patients and we're expected to do 50% more things with the same amount of time,” says Black, who has worked at the Henry Mayo Newhall Hospital in Valencia, California for the last seven years. “I go home and I feel like I could have done more. I don't feel like I'm giving the care to my patients like a human being deserves.”\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'We are given 50% more patients and we're expected to do 50% more things with the same amount of time'","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Nerissa Black, telemetry nurse","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>As COVID-19 patients continue to flood California emergency rooms, hospitals are increasingly desperate to find enough staff to care for all of them. Now the state is asking nurses to take care of more patients at once than they normally would, watering down their union’s most sacrosanct job protection: a nurse-to-patient ratio law that exists only in California.\u003c/p>\n\u003cp>“We need to temporarily — very short-term, temporarily — look a little bit differently in terms of our staffing needs,” said Gov. Gavin Newsom on Dec. 11, after quietly allowing hospitals to shift their nurse-to-patient ratios without first getting approval from the state.\u003c/p>\n\u003cp>Since then, 170 hospitals, mainly in Southern California, have been operating under the new pandemic ratios: ICU nurses can now care for three patients instead of two. Emergency room and telemetry nurses can now care for six patients instead of four. Medical-surgical nurses are looking after seven patients instead of five.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nurses have taken to the streets in protest, holding socially distant demonstrations across the state, shouting and carrying posters that read “Ratios Save Lives.” The union — the California Nurses Association — says the staffing shortage is a result of bad hospital management: It accuses hospitals of putting profits over preparing for a surge by laying off nurses over the summer, then not hiring or training enough for the winter.\u003c/p>\n\u003cp>“It seems hospitals have been more reactive than proactive in their staffing,” Black said.\u003c/p>\n\u003cp>But hospitals say this is an unprecedented pandemic that has spiraled beyond their control. Now, in the current surge, four times as many Californians are testing positive for the coronavirus as did during the summer peak. Up to 7,000 new coronavirus patients could soon be coming to California hospitals every day, according to Carmela Coyle, president and CEO of the California Hospital Association.\u003c/p>\n\u003cp>“This is catastrophic and we cannot dodge this math,” Coyle said. “We are simply out of nurses, out of doctors, out of respiratory therapists.”\u003c/p>\n\u003cfigure id=\"attachment_11852718\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\">\u003cimg class=\"size-full wp-image-11852718\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2020/12/IMG_20201213_131326961-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nerissa Black, a telemetry nurse at Henry Mayo Newhall Hospital in Valencia, California on December 13, 2020. 'As you can see,' she said, 'that's a lot of PPE that we're donning and doffing in between each patient. It takes time to remove them safely (so we don't contaminate ourselves), and then put a new set for the next patient.' \u003ccite>(Courtesy of Nerissa Black)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state has asked the federal government to send additional staff, including 200 medical personnel from the U.S. Department of Defense. It’s also tried to revive the California Health Corps, an initiative to recruit retired health workers to come back to work, but that has yielded few people with the qualifications needed to care for COVID-19 patients.\u003c/p>\n\u003cp>And hiring contract nurses from temporary staffing agencies or other states is all but impossible, Coyle says.\u003c/p>\n\u003cp>“Because California surged early during the summer and other parts of the United States then surged afterwards,” she said, “those travel nurses are taken.”\u003c/p>\n\u003cp>The next step for hospitals is to try team nursing, Coyle says, which entails pulling nurses from other departments, like the operating room, for example, and partnering them with experienced critical care nurses to help care for COVID-19 patients.\u003c/p>\n\u003cp>Joanne Spetz, an economics professor and expert in health care workforce issues at UCSF, says hospitals should have started training nurses for team care over the summer in anticipation of a winter surge, but they didn’t, either because of costs – hospitals lost a lot of revenue from canceled elective surgeries that could have paid for training – or because of excessive optimism.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"icu-capacity"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“California was doing so well,” she said. “It was easy for all of us to believe that we kind of got it under control, and I think there was a lot of belief that we would be able to maintain that.”\u003c/p>\n\u003cp>The nurses union has reason to be defensive of the patient ratio law, Spetz says. It took 10 years before it was passed by the Legislature in 1999, then several more to get through multiple court challenges, including one from then-Gov. Arnold Schwarzenegger.\u003c/p>\n\u003cp>“\u003cspan style=\"font-weight: 400\">I'm always kicking their butt, that’s why they don’t like me\u003c/span>,” Schwarzenegger famously said of nurses, drawing broad ire from the union and its allies.\u003c/p>\n\u003cp>Nurses prevailed, in both the court of public opinion and the law, and the ratios took effect in 2004. But the long battle has made the union fiercely protective of its win. It's even accused hospitals of “disaster capitalism;” using the pandemic to try to roll back ratios for good. Hospitals deny this and Spetz says it’s unlikely.\u003c/p>\n\u003cp>The public can see that nurses are overworked and burned out by the pandemic, she says, so there would be little support for cutting back their job protections once it’s over.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“To go in and say, ‘Oh, you clearly did so well without ratios when we let you waive them, so let's just eliminate them entirely,’ I think would be just adding insult to moral injury to nurses,” Spetz said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11852678/californias-covid-19-surge-sparks-battle-between-hospitals-and-nurses-over-workload","authors":["3205"],"categories":["news_457","news_8","news_13"],"tags":["news_28642","news_27350","news_27504","news_27626","news_18659","news_28925","news_28924","news_21789","news_28963","news_28964"],"featImg":"news_11852717","label":"news"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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