New degree program to fight nursing shortage: Cross Cultural Nursing Practice (2023)

Hof University of Applied Sciences wants to recruit foreign nursing staff, strengthen their skills and integrate them. The reason: Bavaria alone is currently losing more than 1,000 nursing staff each year, while at the same time studies by the Free State of Bavaria assume a tenfold increase in the need for nursing staff by 2050 – mainly due to an aging society. One key to countering this plight will be to recruit foreign nursing professionals. To drive this forward, the master’s program “Cross Cultural Nursing Practice M.A.” – the only one of its kind in Germany – will start at Hof University of Applied Sciences in 2024.

Now numerous representatives of different health and care facilities of the region informed themselves about it at the university yard. As university president Professor Dr. Dr. h.c.. Jürgen Lehmann said in its greeting, other german federal states are already very active regarding the recruitment of foreign care specialists and even various Headhunters are already active - especially in India."We must accelerate in Bavaria thus urgently, in order to achieve qualified migration for the care and hospital sector. That is why we want to create a pilot project at Hof University of Applied Sciences that will have a nationwide signal effect. There is not yet a comparable initiative for care migration in all of Germany.”

However, headhunters who do not take care of young people immigrating to Germany have already had a deterrent effect in India, for example, he said.

Focus on intercultural competencies, language and healing activities

(Video) Nursing Simulation Scenario: Multicultural Simulation

A tuition-free master’s degree program is to be created that is aimed at nursing staff worldwide who are already pre-qualified with a bachelor’s degree. In doing so, the university has its sights set above all on India, where the Hof University of Applied Sciences maintains excellent contacts. “More than 800 Indian students have already been integrated with us without any problems, of which about two-thirds remain in Germany as workers. With the Bavarian-Indian Center for Business and Higher Education as well as with our office in Bangalore, we are also excellently networked on the subcontinent,” says Prof. Lehmann. The focus of the training will be on teaching the language and learning intercultural skills. Therefore one wants to recruit among other things in co-operation with the catholic youth work Don Bosco also in particular among the Christian minority in the south of India for the training in Upper Franconia: This is to be seen expressly not as discrimination of other religions, but is to facilitate only the integration of humans with us. However, we will generally take a very close look at who fits in with us and who is eligible – this also applies to the examination of sufficient prior qualifications,” says the university president.

New course of study: Cross Cultural Nursing Practice

Prof. Dr. Gerald Schmola, Dean of the Faculty of Interdisciplinary and Innovative Sciences at Hof University of Applied Sciences, pointed out that Germany is by no means a paradise for potential students from abroad anymore – especially since German has to be learned here first, while Indians in English-speaking countries, for example, have a clear integration advantage. At Hof University of Applied Sciences, he said, German is already required at A2 level in the application process, and he wants to improve this to B2 (European Framework of Reference) as part of the English- and German-language studies. Matthias Drossel, himself a trained health and nursing professional and professor of applied health care, then went into detail about the core components of the new degree program: "It is not about a higher value of academic education compared to one- or three-year apprenticeships and specialized further training, but about the best possible qualification for patient care through extended competencies.”

In addition to the topics of language and culture and the teaching of additional medical and nursing competencies for direct patient care, the new students also expect to complete a master’s thesis based on at least 900 hours of work on patients during their internship. They will also be extensively prepared for the nursing knowledge exam (according to § 45 PflAPrV). “We need them all: trained and studied! Everyone brings their own special skills to the table. The combination of degrees, experience and skills, the so-called skill and degree mix, must be oriented to patient care,” says Prof. Dr. Drossel.

(Video) The Nursing Shortage

Recognition procedures to be accelerated

On behalf of the Bavarian State Ministry for Health and Care, Ministerial Councilor Dr. Gregor Jaburek took part in the event on behalf of Health Minister Klaus Holetschek. He praised the international orientation of Hof University of Applied Sciences and made clear the Bavarian state government’s goal of simplifying, standardizing and accelerating state procedures for the recognition of foreign professional qualifications in nursing. “As part of the centralization of recognition procedures at the State Office for Nursing from July 1, 2023, and numerous measures to streamline administrative procedures, we will significantly reduce the average processing time for applications,” Dr. Jaburek said. In2022, he said, a total of around 3,600 applications for recognition as a nursing professional were submitted, mainly from the Philippines, Bosnia/Herzegovina and Tunisia. The trend is clearly upward. Of around 260,000 nursing staff in Bavaria, about 20 percent are currently from abroad, he said. “A major challenge is also to keep the foreign nursing staff in Germany permanently. Therefore, the state government attaches particular importance to the issue of integration,” the ministerial councilor said. Therefore, he said, the approach of Hof University of Applied Sciences is absolutely right to place great emphasis on integration in society and the labor market at the same time as studying.”

Care monitoring: regional answers important

Michael Wittmann, managing director of the Association of Caregivers in Bavaria (VdPB), agreed:“One challenge is that many caregivers who have moved to Germany will not be happy here as long as there is a lack of support in the private sector. That, too, needs to be addressed.”

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His colleague Bernhard Krautz then presented the authoritative findings of the VdPB’s current “Monitoring Nursing Staff Requirements.” He concluded that vacancies often remain unfilled for months, that there is no longer any balance between supply and demand, and that employers are experiencing enormous competition in their efforts to recruit nursing staff. In addition, the mobility radius of the nursing staff is very small at 20 to 25 kilometers: “But it is also understandable that no one wants to travel long distances after hours of physically demanding work.

However, the average length of stay in the profession is 16 to 20 years, which is longer than is often assumed. Another positive aspect is the high density of care within Bavaria, with hospitals, inpatient and outpatient care, and a large number of rehabilitation facilities. Due to very heterogeneous requirements across all administrative districts, the question of where and when how many personnel will be needed in the future is very difficult to answer: “The supply and also the requirements are extremely different from region to region and must therefore be planned on a very small scale,” says Krautz. In addition, the goal must be to reduce personnel-intensive forms of care such as full inpatient accommodation and to fundamentally upgrade the role of nursing.


The event was followed by a wide-ranging discussion with the representatives of the healthcare facilities present. Many of them signaled their willingness to provide internships for students. Dr. Michael Schneider from the State Office for Nursing also contributed to the discussions and supports the study program with his team on the topic of recognition procedures and knowledge examinations.

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The Hof University of Applied Sciences in Bavaria is looking for foreign nurses to combat the nursin ...

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How can we solve the nursing shortage problem? ›

  1. 1 | Listening to Nurses Concerns. ...
  2. 2 | Prioritizing Workplace Culture Increases Retention. ...
  3. 3 | Prioritizing Nurse Retention Levels. ...
  4. 4 | Increasing Diversity in the Nursing Student Body. ...
  5. 5 | Addressing the Need for More Nurse Educators. ...
  6. 6 | Using Innovation to Address the Nursing Shortage.

What is being done to address the nursing shortage? ›

In response to this national shortage, states have examined a variety of options to recruit and retain nurses. Specific policy levers include loosening licensing requirements, changing scope of practice laws, bolstering educational programs, and offering monetary incentives.

How long will the nursing shortage last? ›

According to the United States Registered Nurse Workforce Report Card and Shortage Forecast published in the September/October 2019 issue of the American Journal of Medical Quality, a shortage of registered nurses is projected to spread across the country through 2030.

What are the barriers to the nursing shortage? ›

The nursing profession continues to face shortages due to a lack of potential educators, high turnover, and inequitable workforce distribution. The causes related to the nursing shortage are numerous and issues of concern.

What is the biggest contributing cause to the nursing shortage? ›

The American Association of Critical-Care Nurses referred to the inadequate staffing of nurses as “an epic catch-22”. Understaffed facilities rely heavily on their nurses to take on an impossible workload, leading to burnout and turnover, which fuels the nursing shortage.

What are the common factors contributing to the nursing shortage? ›

While many factors play a part in the nursing shortage, four are key:
  • An Aging Patient Population. ...
  • An Aging Nursing Workforce. ...
  • Low Nursing School Enrollment. ...
  • Burnout. ...
  • Other Articles in This Series.

Which state has the highest nursing shortage? ›

California has the worst nursing shortage in the United States. It's predicted that by 2030, California will be in need of over 44,000 nurses.

How can we fix the shortage of healthcare workers? ›

5 ways to address the shortage of health care workers
  1. Increase the number of doctors, nurses, and other health care professionals being educated. ...
  2. Intentionally recruit and train more students who reflect communities. ...
  3. Encourage newly minted health care workers to practice in underserved areas.
Feb 17, 2023

How do you deal with staffing shortages in healthcare? ›

Adjusting staff schedules, hiring additional HCP, and rotating HCP to positions that support patient care activities. Cancel all non-essential procedures and visits. Shift HCP who work in these areas to support other patient care activities in the facility.

Why are nurses leaving the profession 2023? ›

To no surprise, 89% of those considering leaving the profession cited burnout as the primary reason. These statistics confirm what is now common knowledge: clinician burnout is a real threat to the stability of the US health care system.

Why are so many nurses quitting? ›

Nurses also said their jobs offer little flexibility over their schedules, leaving them with little time to spend with friends and family and not enough opportunities to advance in their careers. More time off could help improve nurses work performance and alleviate burnout, the report said.

Is there a nursing shortage 2023? ›

The 2023 State of Nursing Findings

The survey revealed that nurses continue to feel burnt out, overwhelmed with continued staffing shortages, and uncertain about the future.

Why is it hard to find nurses? ›

Around California — and the nation — nurses are trading in high-pressure jobs for a career change, early retirement or less demanding assignments, leading to staffing shortages in many hospitals.

What is the average age nurses retire? ›

So, what is the best age for a nurse to retire? The average retirement age is 62, but the best age for a nurse to retire depends on the individual nurse. There are 3 criteria you need to check to determine when you should retire. 1) When you want to retire.

What percentage of nurses leave the profession? ›

There are many reasons that nurses leave the profession and there are many overlapping systems within healthcare. But, one study found that a staggering 17% - 30% of new nurses leave their job within the first year and up to 56% leaving within the second year.

What is the average age of a nurse? ›

Average Age Of Nurses

The average age of a registered nurse in the United States is 44, though this may change as the demand for nurses increases.

What do you think the future of the nursing workforce will look like in 50 years? ›

The Bureau of Labor Statistics expects nursing job growth of 12 percent through 2028—much faster than the average occupation. That's around 200,000 new RN positions that will need to be filled every year through 2026.

How many nurses are needed by 2025? ›

The health care industry could be short 2.1 million nurses by 2025, according to an analysis from The Josh Bersin Co. and Eightfold, in today's bite-sized hospital and health industry news from California, Minnesota, and Mississippi.

What state has the lowest paying nurses? ›

The highest-paying states by median NP salary are California ($151,830), Hawaii ($111,070), Oregon ($99,410), Alaska ($99,910), and Washington ($96,980). The lowest-paying states are South Dakota ($60,540), Alabama ($61,920), Mississippi ($63,130), Iowa ($64,990), and Arkansas ($65,810).

What states pay nurses the least? ›

The five states with the lowest average annual salary for nurses are:
  • South Dakota, at $58,340;
  • Mississippi, at $58,490;
  • Iowa, at $59,130;
  • Alabama, at $59,470; and.
  • Arkansas, at $60,780.
Nov 5, 2019

How the nursing shortage is affecting nurses? ›

Nursing shortages can significantly impact staffing levels, which is critical to delivering quality care. To deal with staffing shortages, hospitals may reduce the number of nurses they employ at any time. This can result in understaffing and nurse fatigue, both of which contribute to hospital errors and accidents.

What can we do to improve the healthcare system? ›

5 Ways to Improve Health Care for the Future
  1. Surprise Medical Billing. ...
  2. Increasing Competition to Reduce Drug Prices. ...
  3. Expanding Adoption of Health Care Innovations. ...
  4. Transparency for Patients Without the Risk. ...
  5. Protecting Medicare Advantage and Medicaid.
Mar 23, 2020

What is the nursing shortage by 2025? ›

The United States could see a deficit of 200,000 to 450,000 registered nurses available for direct patient care by 2025, a 10 to 20 percent gap that places great demand on the nurse graduate pipeline over the next three years.

What can nurses do about short staffing? ›

Inform and involve nursing administration

Inform your nurse-manager when staffing is inadequate. He may be able to call in staff, offer overtime or incentive pay, reallocate staff, or employ staff from an agency.

What are the six challenges in staffing? ›

Common Staffing Challenges and How to Solve Them
  • Technological Advances.
  • Job Candidate Advantage.
  • Slow Hiring.
  • Candidates Fielding Multiple Offers.
  • Lack of Customer-Facing Candidates.
  • Making Sure Candidates are a Good Fit.
  • Ghosting.
  • Increasing Remote Work.

How do you encourage employees when short staffed? ›

Communicate with your staff

A positive way to maintain morale amongst your employees while working short-staffed is to remain honest with them throughout the situation. Keep them updated about being understaffed and the efforts you're making to resolve it.

How many new grads quit nursing? ›

Over 50% of nurses quit within the first five years.

What are the biggest issues facing nurses today? ›

8 nurse challenges
  • Long shifts. Nurses often work 10- or 12-hour shifts. ...
  • Changing schedules. ...
  • Emotional involvement. ...
  • Physical demands. ...
  • Exposure to illness and chemicals. ...
  • Lack of nurses. ...
  • Changing technology. ...
  • Poor treatment from patients.
Mar 10, 2023

Why do nursing students quit? ›

Some of the common reasons nurses drop out of nursing school include poor time management skills, overwhelming stress, bad study habits, and difficulty taking the new NCLEX-style questions on exams.

Is it normal to not want to be a nurse anymore? ›

Maybe you're feeling overworked and underpaid, or maybe you're just ready for a change. Whatever the reason, it's normal to feel like nursing isn't always the best fit.

Why do nurses divorce so much? ›

Being a nurse is a high stress occupation, so it is not shocking that many marriages among nurses don't last. Trying to juggle family and highly demanding nursing shifts leads to high rates of divorce. That's true even if the other spouse also works in the healthcare field.

Is being a RN worth it? ›

Becoming a Registered Nurse is a solid career choice when it comes to job security, salary potential, and fulfillment. For nurses who plan to work in California, the rewards and opportunities are even more promising. The average registered nurse salary in California is often higher than any other state!

What is the highest paying state for RN? ›

In the United States overall, the average registered nurse salary is $82,750 and the median (50th percentile) is $77,600. California, with RN salaries averaging $124,000, is the highest-paying state for nurses as of May 2021 (according to the Bureau of Labor Statistics).

Where will nurses be in 10 years? ›

Job Outlook

Employment of registered nurses is projected to grow 6 percent from 2021 to 2031, about as fast as the average for all occupations. About 203,200 openings for registered nurses are projected each year, on average, over the decade.

Which state has the most nurses? ›

California contains the most professionally active registered nurses in the U.S. with 337,738 RNs, according to a ranking from the Kaiser Family Foundation.

What type of nurse is most in demand? ›

BSN-prepared nurses are the most sought-after RNs in the job market and can advance to leadership and management roles more quickly than the ASN nurse.
2. Registered nurse (RN)
EducationASN (required) or BSN (recommended)
CertificationsMust pass the NCLEX-RN exam
1 more row

Where is it easiest to become a nurse? ›

Easiest states to become a nurse – Length of licensing process
  • Maine: 1-2 weeks.
  • Maryland: 2-3 days.
  • Missouri: 2 weeks.
  • Nevada: 1-2 weeks.
  • North Carolina: 1-2 weeks.
  • North Dakota: 1-2 weeks.
  • Texas: 2 weeks.
  • Vermont: 3-5 business days.

Will nursing ever get easier? ›

Nursing school will have semesters that are easier than others. The good news is that the longer you are in nursing school, the easier it gets. The coursework may remain about the same, but it will get easier due to: The fact that you'll be used to it after a semester or two and you'll know what it takes to succeed.

What age do most nurses graduate? ›

The average age of ADN nursing students at community colleges is 26-40 years old. BSN programs have an average age of early-mid 20s. Students in RN-to-BSN programs are typically in their late 30s.

What is the oldest age to become a nurse? ›

What is the oldest age to become a nurse? As long as you're mental and physically able to do the work, you can become a nurse at any age.

Can you be a nurse at 70? ›

With everyone living and working longer these days, you're never too old to start a career in nursing.

What can I do if I quit nursing? ›

  1. Healthcare Writer. ...
  2. Clinic Manager. ...
  3. Medical or Pharmaceutical Sales Rep. ...
  4. Blogger. ...
  5. Real Estate Agent. ...
  6. Become a Teacher. ...
  7. Become a photographer. ...
  8. Health Coach.

Why do older nurses leave the profession? ›

Early Retirement and Burnout

This is on top of those who are already close to retirement age. Most nurses have decided to retire early due to physical and emotional demands. The demand for nurses has only increased, causing many to burn out and leave to maintain their physical and mental health.

What do nurses do when they leave the profession? ›

What Are the Most Common Career Changes for Nurses?
  • Nurse Educator. Projected Job Growth (2021-2031): 22% ...
  • Social Worker. Projected Job Growth (2021-2031): 9% ...
  • Clinical Manager. ...
  • Director of Case Management. ...
  • Clinical Documentation Specialist. ...
  • Nursing Quality Improvement Coordinator. ...
  • Clinical Informatics Specialist.

How can nurses improve retention? ›

Focus your retention efforts with these 7 retention strategies:
  1. Be strategic during recruitment.
  2. Establish a nurse residency program.
  3. Make career development a top priority.
  4. Promote a culture of learning.
  5. Offer a flexible work schedule.
  6. Provide competitive compensation and benefits.
  7. Recognize and reward your nurses.
Mar 7, 2023

How do you solve nursing process? ›

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation. Assessment is the first step and involves critical thinking skills and data collection; subjective and objective.

How do I fix Bloomberg nursing shortage? ›

Congress should expand funding for tuition reimbursement for nurses who teach and those who commit to work in shortage areas. Public-private partnerships, meanwhile, would better integrate schools and workplaces to facilitate clinical training. Foreign-trained nurses are another underused resource.

What strategies can all nurses implement to improve their professional development? ›

Professional development: Five strategies to support nurses'...
  • Motivational interviewing. ...
  • Bring education to the nurses. ...
  • Encourage shared governance. ...
  • Promote self-care. ...
  • Create a mentorship program.
Aug 29, 2022

How do you keep current in the nursing field? ›

Strategies to stay current
  1. Attend local and national educational meetings and conferences.
  2. Join professional organizations.
  3. Listen to podcasts to learn on the go.
  4. Set aside time for learning — even taking 30 minutes once or twice a week to review a case or journal will advance your knowledge base.
Feb 10, 2022

How can nurses improve professional development? ›

Through motivational interviewing, elimination of professional development barriers, and encouragement of shared governance, a nurse leader can promote individual nurse professional development that will support health care growth and optimal patient outcomes.

How do you retain new graduate nurses? ›

Here are five strategies that help new graduates through the transition and ensure that they are engaged, long-term employees.
  1. Provide a competency-based orientation. ...
  2. Offer a nurse residency program. ...
  3. Encourage mentoring. ...
  4. Ensure good managers. ...
  5. Recognize and support.
Jul 5, 2011

What are the best practices for retention? ›

Effective Employee Retention Strategies
  • Invest In Employees' Careers. ...
  • Focus on Managers. ...
  • Recognize Employees' Contributions. ...
  • Reassess Compensation. ...
  • Consider Your Benefits Package. ...
  • Prioritize Work-Life Balance. ...
  • Create Pathways for Growth. ...
  • Improve Organizational Culture.
Jan 1, 2023

How to retain nurses 2023? ›

However, here are some basic yet effective retention ideas for nurses.
  1. 1) Use exit interviews. ...
  2. 2) Anticipate burnout. ...
  3. 3) Acknowledge nurse contribution. ...
  4. 4) Provide some downtime. ...
  5. 5) Mentoring. ...
  6. 6) Provide mental health resources. ...
  7. 7) Create a comprehensive onboarding process.

What are the 5 nursing interventions? ›

  • The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. Assessment. ...
  • Diagnosis. ...
  • Outcomes / Planning. ...
  • Implementation. ...
  • Evaluation.

What is an example of problem-solving in nursing practice? ›

We use problem-solving approach in daily activities and nursing practice. For example, you use problem solving in deciding what to wear, when it is raining or while nursing a tracheotomy patient how to communicate. The problem solving process and the nursing process are cyclic (Burns and Grove, 1987).

What are the three types of nursing interventions? ›

There are three types of nursing interventions: independent, dependent, and collaborative.

Where is the highest nursing shortage? ›

California has the worst nursing shortage in the United States. It's predicted that by 2030, California will be in need of over 44,000 nurses. Other states with major hospital staff shortages include New Mexico, Vermont, Rhode Island, West Virginia, and Arizona.

Is there truly a nurse shortage? ›

The national nursing shortage dates back decades, but the COVID-19 pandemic pushed it to crisis levels. One study predicts that, in the next two years, there will be a shortage of up to 450,000 bedside nurses in the U.S. In countries around the world, medical workers are pleading for more support.


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