Research has shown that when you cultivate a healthy work environment for nurses, you also improve the quality of overall health care for patients.
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Nurse with patient at Johns Hopkins Hospital, in Baltimore, Md. (Photo: Karen Kasmauski)

Registered nurses (RNs) are on the frontlines delivering quality health care 24/7 across the country. In hospitals and clinics, physician offices and nursing homes, patients' homes, community health centers and schools, the public depend on and trust nurses. According to an annual Gallup survey, the public has rated nursing as the most honest and ethical profession in America, for 14 years straight.

This year, the American Nurses Association (ANA) has made it a priority to raise awareness about the need for safe work environments for nurses through its Culture of Safety campaign. During National Nurses Week (May 6-12), the annual observance recognizing the valuable contributions nurses make in health care, the theme also focuses on safety. A culture of safety is defined as, "core values and behaviors resulting from a collective and sustained commitment by organizational leadership, managers, and health care workers to emphasize safety over competing goals." As the population ages and more people have increased access to health care under the Affordable Care Act, the U.S. may need up to one million new nurses by the year 2022 -- in less than 10 years. To help the public learn more about nurses, here are a few common myths that persist about the largest group of health care workers in the nation:

1.Nurses report to doctors.

Nurses are licensed, highly qualified professionals who work closely with physicians and other health care professions. Each nurse must obtain a professional license, which differs by state, and adhere to a code of ethics similar to doctors.

In addition to working with physicians, nurses lead and participate in health care teams and often have the most direct contact with patients and caregivers. Their work includes assessment, critical thinking, enhanced care coordination, care plan development, clinical interventions and medication administration, as well as preventive care and chronic disease management. Advanced Practice Registered Nurses (APRNs) hold advanced degrees and provide a range of primary care and other health services, and states are increasingly removing regulatory barriers that prevent patients from fully benefiting from their expertise.

2.All nurses are the same.

As health care has become more specialized and diverse, so has nursing. Today, nurses practice in over 200 different specialties, such as anesthesia, mental health, school nursing, cardiac care, pediatrics, surgery, oncology, obstetrics and geriatrics. To become certified in a specialty, nurses must gain additional education and clinical hours, pass an exam, and periodically renew their credentials. The field of nursing has also seen more entrants with diverse backgrounds. Over the last 20 years, the number of minority RNs has tripled. Minority backgrounds represent more than 19 percent of the registered nurse workforce in the U.S., according to a 2015 National Nursing Workforce Study conducted by the National Council of State Boards of Nursing (NCSBN), and approximately 10 percent of nurses are male. Still, more needs to be done to boost the number of future minority nurses such as providing mentoring, academic and financial support, and encouragement from their peers and communities.

3.The country has enough nurses.

With the population aging and living longer, more than one million nurses will be needed in less than a decade to fill new job openings and a wave of retirements to meet the demand for health care services. By the year 2030, Americans age 55+ will make up 31 percent of the population, or 107 million people, according to the National Council on Aging. Employment of registered nurses is projected to grow more than 19 percent from 2014 to 2024, much faster than the average for all occupations, according to the U.S. Bureau of Labor Statistics.

Half of all nurses are over the age of 50. This presents a challenge of adequately replenishing the pipeline of students, meeting the market demand for nurses and replacing those who are retiring. This presents an opportunity for colleges and universities to create new academic nursing programs and expand existing ones, from pre-licensure programs to master's and doctoral programs.

4.Nursing is an easy job.

Nursing is hard both physically and emotionally. Each year, tens of thousands of nurses suffer debilitating pain and often career-ending musculoskeletal injuries from manually lifting patients-- an estimated 3,600 pounds per shift. Nurses rank fifth among all occupations for the highest rates of musculoskeletal injuries resulting in missed work days. Nurses also sustain approximately half of all accidental needle stick injuries. Other "on-the-job" hazards include exposure to disease and chemicals, workplace violence, bullying and fatigue.

Research has shown that when you cultivate a healthy work environment for nurses, you also improve the quality of overall health care for patients.

karen kasmauski
Nurse with patient at Johns Hopkins Hospital, in Baltimore, Md.

Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, is president of the American Nurses Association, the premier organization representing the interests of the nation's 3.4 million registered nurses.

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