06Jun

Despite a nursing shortage that existed well before the COVID-19 pandemic turned it desperate, colleges are turning away tens of thousands of applicants to nursing programs.

An article by the nonprofit education news organization The Hechinger Report cites Long Beach (Calif.) City College as a stark example. The college this year accepted only 32 students out of 1,200 nursing applicants. Another California college accepted none.

COVID is to blame for worsening the situation by forcing schools to limit in-person instruction, substituting simulations and telehealth care for the clinical work required of student nurses.

Hospitals where students would normally get the hands-on clinical experience are turning them down, according to the report, because they are too busy to provide the training and can’t spare the personal protective equipment.

“It’s very shortsighted of them,” Sigrid Sexton, chair of the nursing program at Long Beach City College, told Hechinger reporter Matt Krupnick. “We’re very supportive of the hospitals’ needs to protect patients, but we’d like to see them be more supportive of students.”

Even when students are able to find a facility willing to accept them, many are required to buy their own personal protective equipment and pay for their own COVID tests.

“When you start putting extra costs on the students and the programs, that becomes a barrier,” said John Cordova, a nurse who directs California’s Health Workforce Initiative.

Problems with nurse training have been developing for years, notes the report. Faculty shortages kept many schools from increasing enrollment to meet the demand. Other schools had to limit enrollment even before COVID for lack of faculty.

Sharon Goldfarb, dean of health sciences at the College of Marin and a regional president of the California Organization of Associate Degree Nursing, said a third of the state’s nursing schools have lost faculty since March. The average age of those remaining is 62.

A key reason is the relatively low pay of teachers, especially when compared to practicing nurses. In California, the average annual pay for an experienced RN is $113,000. Indeed puts the average pay for junior college instructors in California at $65,748. The majority of nurses are trained in junior and community colleges.

Between the shortage of clinical opportunities and the lack of in-person teaching, educators fear many new graduates may not be sufficiently prepared.

“It would be naive to say, ‘Oh, no, this won’t affect them at all,’ ” said Renae Schumann, dean of the Houston Baptist University nursing school in Texas. “Yes, we all worry about it.”

Photo by Luis Melendez on Unsplash

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Jun 6, 2023

The New ‘Normal’ Is Not 98.6

December 22nd, 2020

When mom took your temperature and decided that at 98.6 F you were fine, she might very well have been wrong.

She was relying on a 150 year old standard that a growing number of studies are finding is too high by about a degree.

It’s not that German physician Carl Wunderlich was wrong. It’s that the average body temperature has declined since he first published the figure in 1868.

“Our temperature’s not what people think it is,” said Dr. Julie Parsonnet, a professor of medicine and health research at Stanford Medical School. “What everybody grew up learning, which is that our normal temperature is 98.6, is wrong.”

She and a group of her colleagues earlier this year published an analysis of body temperature trends in the US since the Civil War. It confirm what other studies found — our body temperature has been going down for decades. They determined the body temperature of men born in the early to mid-1990s is on average 1.06 F lower than that of men born in the early 1800s and that of women of the same time periods is on average 0.58 F lower.

The researcers offered a number of possible reasons for the decline ranging from better hygiene and healthcare to lower rates of inflammation and improved diets. Even modern heating and air conditioning were mentioned as contributing factors.

Now, a study of an indigenous population of forager-horticulturists in the Bolivian Amazon has come up with similar findings.

Published in Science Advances, a multinational team of physicians, anthropologists and local researchers found that over 16 years of study the average body temperature among the Tsimane declined by .09 F a year to a current average of 97.7 F.

“In less than two decades we’re seeing about the same level of decline as that observed in the U.S. over approximately two centuries,” said lead researcher Michael Gurven, UC Santa Barbara professor of anthropology and chair of the campus’s Integrative Anthropological Sciences Unit.

Though the Bolivian Amazon is thousands of miles and a lifestyle away from the US, the researchers suspect some of the same factors may be responsible for the declining body temperature. Health care has improved and infection and inflammation have been reduced.

Said Gurven, “It’s likely a combination of factors — all pointing to improved conditions.”

Photo by The New York Public Library on Unsplash

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