2007-2009 Biennial Report of Achievements

Nursing Shortage Nursing Shortage

With a persistent nursing shortage in Washington State, WSNA has taken a comprehensive approach to the growing crisis with a strategy that encompasses both recruitment and retention of nurses.

WSNA has worked to expand access to education, improve the workplace, increase funding for nursing faculty, grow capacity in nursing education programs and advance the Master Plan for Nursing Education.

Age distribution for RNs in Washington State

The Center for Health Workforce Studies at the University of Washington recently estimated that the RN shortfall in this state, without changes in health and education policy and practices, would reach nearly 25,000 RNs by 2020. Our increasing dependence on nurses educated in other states or foreign countries will likely pose a major problem as the national nursing shortage worsens.

One of WSNA’s top legislative priorities is to increase access and capacity of nursing education with the following strategies:

Increasing funding for enrollments slots specifically for nursing students at state universities & community colleges.

Increasing funding for nursing faculty salaries in order to recruit and retain qualified, experienced nursing educators.

Increasing funding for expanding nursing program capacity through capital budget allocation for both community colleges and universities.

Increasing funding for scholarship and loan repayment/ forgiveness programs for nursing students and RNs pursuing a Master’s Degree in Nursing in order to fill the increasing demand for nursing faculty in our schools.

Despite a clear and critical need for more registered nurses, there are simply not enough resources devoted to nursing education programs to meet demand. An aging faculty workforce and lower salaries for nursing faculty compared to nurses providing direct patient care only compound this increasing problem. In fact, without sufficient faculty, many nursing programs are already limiting their enrollments at the very time that expansion is needed to accommodate the growing shortage.

Care Settings in Washington State

In addition to education, investing in nurse retention is financially responsible now and for the future. It costs $80,000 - $100,000 to replace a nurse. Creating a workplace where nurses are valued, respected and fulfilled reduces burnout, promotes retention, saves the employer money and reduces inefficiency in the economy as a whole. WSNA has worked through our collective bargaining agreements and in the legislature to improve working conditions for nurses. Our participation in the 2009 ‘Promise of Nursing’ event raised more than three hundred thousands dollars for nursing scholarships, faculty development and nursing program capacity expansion in Washington State.

Master Plan for Nursing Education Advances

As a key participant in the Washington Center for Nursing, WSNA was active in the development of the Master Plan for Nursing Education. This plan is a comprehensive approach to ensuring that we have a streamlined, student-friendly, affordable, high-quality nursing education system that produces a sufficient supply of well-prepared nursing professionals to care for our residents. We want to attract and retain the best nurses and nursing faculty. Major components of the plan include:

  • By 2010, LPN programs will have formal agreements with at least one public or private Associate Degree Program (ADN) approved in Washington State so that students can move easily from LPN to RN and reduce duplication of classes.
  • By 2012, the Associate Degree Programs (ADN) will have formal agreements with at least one public or private Bachelor’s Degree in Nursing program approved in Washington State.
  • Expansion of existing RN-to-BSN programs and possible creation of more RN-to-BSN programs designed for working nurses to complete part-time, on-line or in the workplace so that students can move easily to that level of education.
  • Recommended guideline that by 2020, all newly licensed RNs in Washington State will have a BSN or must acquire a Bachelor’s degree in nursing within 10 years of licensure. This recommendation will not affect nurses currently practicing at that time.
  • Expanding capacity of Master’s and Doctoral degree programs to educate teachers so that we have more nurse educators.
  • Increased funding for nursing enrollment slots, scholarships and loan repayment/forgiveness programs.
  • Increased diversity in the student and faculty populations.

Washington State Nurse Licensing Data


Founded in 1908, WSNA is the professional organization representing more than 15,000 registered nurses in Washington State. WSNA effectively advocates for the improvement of health standards and availability of quality health care for all people; promotes high standards for the nursing profession; and advances the professional and economic development of nurses.

More Information

Washington State Nurses Association
575 Andover Park West, Suite 101
Seattle, WA 98188
206-575-7979 | 206-575-1908 Fax
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