A Glimpse at the Nurse Shortage Rebound in Some States in the USA

Nurse shortage rebound in USA

In the tumultuous landscape of healthcare, the nurse shortage has been an ongoing concern that has only been exacerbated by the challenges of the past few years. However, there might just be a glimmer of hope on the horizon. Early data and anecdotal evidence suggest that some states are showing signs of rebounding from the nurse shortage. Although concrete data is sparse, more time is needed to confirm the trend. 

Positive Shift in Florida 

So far, the clearest evidence of this positive shift comes from the Sunshine State, Florida. According to a Florida Hospital Association Survey of over 200 hospitals, nurse vacancy rates in the state plummeted from a staggering 22 percent in 2022 to a more manageable 13 percent in 2023. Notably, the nurse turnover rate also saw a substantial decrease, dropping from 32 percent to 20 percent. Hospitals are even reporting an influx of nurses returning to their previous positions. Thus, indicating a potential reversal of the troubling trend. 

In a quest to uncover the real picture of this promising trend, we reached out to every state hospital association. However, many were unable to provide similar data as they either do not track vacancy rates. This highlights the complexity of the issue and the need for comprehensive data collection and analysis. 

Nurse Shortage Eased in Utah and Missouri

The Utah Hospital Association, for instance, cited anecdotal evidence suggesting that the nurse shortage has eased. However, they couldn’t provide concrete data to support this claim. A spokesperson for the association noted, “A lot of effort has been made to support healthcare workers as well as increase the pipeline in our state. Nevertheless, I don’t know how that is translating into actual RN vacancy rate reductions in hospitals. We are certainly graduating more RNs in our state nursing programs.” 

Meanwhile, Missouri, which experienced its highest registered nurse vacancy rate on record in 2021 at 19.8 percent, saw this figure drop to 17.4 percent in 2022. According to data from the Missouri Hospital Association. Dave Dillon, MHA’s vice president of public and media relations, cautioned against prematurely declaring a trend, stating, “It is too early to say we have a rebound if you are looking at it as a trend. We have made significant efforts, including with partners and the state government. However, we won’t know if we’re experiencing a trend until next year’s data is available. We are hopeful and continue to work on this as a significant operational threat.” 

Turnover Rate in Iowa

In Iowa, the Hospital Association couldn’t provide vacancy rates but did offer preliminary data on turnover rates that showed a decline. The turnover rate for staff nurse positions fell from 19.3 percent in 2022 to 15.4 percent in 2023, suggesting a potentially improving situation for the nursing workforce. 

However, not all states are seeing the same progress. The New Hampshire Hospital Association, for example, tracks hospital nurse vacancy rates, but their data doesn’t reveal any significant reduction. Hospitals reported a 19 percent vacancy rate in April 2022, compared to an 18.7 percent rate in April 2023. While the decrease is marginal, it underscores the variability in trends across states. 

Key Factors Contributing to Positive Shift in Nurse Shortage

One common thread among the states that did experience improvements in nurse shortages is the identification of key factors contributing to the positive shifts. These include a decline in contract rates, improved training for new nurses, and innovative nursing models that decrease administrative burden. These factors may serve as beacons of hope for states still grappling with the ongoing nurse shortage crisis. 

It’s important to note that there is not a uniform method or timeline for how or when each state’s hospital association tracks data on the nursing workforce. Nevertheless, many anticipate more concrete trends for 2023 to become available later this year. They will offer a clearer picture of whether these early positive signs will indeed evolve into a nationwide trend. 


In conclusion, while the nurse shortage remains a pressing issue in the healthcare industry, early data and anecdotal evidence from select states offer a glimmer of hope. Florida’s remarkable decline in nurse vacancy rates and turnover rates, along with similar trends in other states, suggests that concerted efforts to address the nurse shortage may be starting to pay off. However, it’s crucial to approach these positive signs with cautious optimism. As more comprehensive data and analysis are needed to confirm whether this is the beginning of a sustained rebound. In the meantime, healthcare institutions and policymakers should continue their efforts to support and bolster the nursing workforce. In order to ensure the best possible care for patients across the nation. 

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