In Hawaii, the deficit of nurses is expected to grow in the next 10 years to a level that is about a quarter of the projected nursing jobs needed. The issue, as it is in so many inland states, is that the nursing workforce is aging and will be retiring, and so will many nursing faculty members. So, more nursing students are needed, but so are nursing teachers to help fill hospitals with qualified staff. The Hawaii Legislature has already taken steps by providing funds to increase enrollment in state nursing programs, but recruitment and retention will be ongoing issues to effectively keep nursing jobs filled.
Clinical nurse specialists (CNSs) are advanced practice nurses that provide direct patient care and expert consultations in a chosen specialty, such as public health or neonatal nursing. To become a CNS, a licensed RN must earn a master?s and pass a certification exam in the chosen specialization, such as the exams offered by the American Nurses Credentialing Center (ANCC) that are accredited by the National Commission for Certifying Agencies and the Accreditation Board for Specialty Nursing Certification. The U.S. Bureau of Labor Statistics expects excellent, overall job growth for registered nurses?especially for CNSs, who increasingly replace physicians as more affordable primary care providers.