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Nurses call for change as many reveal they're ‘extremely likely’ to leave profession: ‘Emotional, stressful'

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Nurses call for change as many reveal they're ‘extremely likely’ to leave profession: ‘Emotional, stressful'

Nurses aren’t optimistic that this year will be any better than last year — and more than one-third of them are “extremely likely” to change jobs.

That’s according to a new survey by AMN Healthcare, a health care workforce solutions company based in Texas.

The majority of nurses (80%) said they think 2024 will be either “no better or worse” for the profession than 2023 — while 38% said it will be worse.

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Only 20% said they believe this year will be better than last year. 

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In light of this, 35% of the nurses surveyed said it is extremely likely that they will change jobs in 2024, and the majority (55%) said it is very likely or somewhat likely.

More than one-third of the nurses who took part in a recent survey of 1,155 nurses across the U.S. are “extremely likely” to change jobs. (iStock)

The survey gathered responses from 1,155 nurses across the U.S.

“The concerns that many nurses have about their profession were not created by COVID-19 and have not gone away now that the crisis has passed,” Robin Johnson, group president of nursing solutions at AMN Healthcare, who administered the survey, told Fox News Digital. 

“Many nurses still feel overworked and undercompensated. What they want to see is a change in their daily working conditions — better hours, fair compensation and more time with their patients,” she continued.

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“This is not just a nurse morale issue. It’s a public health issue.”

A more engaged, productive nurse workforce means better care and better outcomes for the patients they serve, according to Johnson.

“While the health care industry is acutely aware of this, the survey shows that more work needs to be done.”

“The number of nurses that are currently leaving the profession is the highest level I have ever seen,” a longtime nurse told Fox News Digital. (iStock)

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Gretchen Berlin, RN, senior partner at McKinsey & Company in Washington, D.C., noted that the company’s research has shown some concerning trends about nursing.

“We’ve surveyed nurses regularly over the past four years, and the data consistently shows that around 30% want to leave their roles in direct patient care,” she told Fox News Digital.

“We’ve also done additional analysis and have projected a shortage of nurses in patient care, which is also concerning.”

“This is not just a nurse morale issue. It’s a public health issue.”

Sabrina Korentager, a registered nurse and adviser to ImpediMed in Kansas, has been a nurse for 28 years.

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“The number of nurses that are currently leaving the profession is the highest level I have ever seen,” she told Fox News Digital.

“Even more concerning is the level of nurses leaving the bedside for non-traditional nursing. If this trend continues, we face a significant shortage of nurses to provide care to our aging society.”

Reasons for nurses’ burnout

There are many reasons for nurses’ high levels of burnout, Korentager noted.

“Nurses are called on daily to perform in stressful situations that are emotional and physically demanding,” she told Fox News Digital. 

Many patients are asked to work longer hours with less resources, and are asked to care for more patients than they feel they can safely accommodate, experts say. (Martin Barraud via Getty Images)

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“They are asked to work longer hours with less resources for providing care. Often, nurses are asked to care for more patients than they feel they can safely [accommodate].”

Nurses are also being encouraged to obtain higher-level degrees to continue working for the same pay and same conditions, Korentager said.

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Other contributors to burnout and job frustration include high patient-to-nurse ratios and heavy workloads, long hours and shift work, emotional and mental stress, inadequate staffing, and a lack of autonomy and recognition. That’s according to Dr. Jane Tang, PhD, professor and dean of the Frances M. Maguire School of Nursing and Health Professions at Gwynedd Mercy University in Pennsylvania.

Pay inequity across the U.S. is also a big challenge, according to Tang.

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Ensuring adequate staffing levels can reduce the workload on individual nurses — enabling them to deliver better care and alleviate stress, according to an expert in the field. (iStock)

“For example, in southern states, nurses may be paid less than nurses in California,” she told Fox News Digital. 

“Without equitable pay, underserved regions and populations face heightened vulnerability.”

Violence in the workplace has also dramatically increased, Tang said. 

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“This isn’t a popular topic to talk about, but it’s a huge threat to the nursing and health professions,” she said.

“The physical and psychological abuse nurses and health professionals endure on a daily basis is unlike [the conditions of] any other profession.”

The COVID-19 pandemic exacerbated all of these challenges, experts agreed.

What needs to change?

To alleviate the challenges nurses face, Berlin of Washington, D.C., stressed the need to help nurses manage their workloads through delegating certain tasks and offering new technologies. 

“One example is implementing technology to support flexible scheduling, which can free up much-needed time for nurses on and off the job,” she told Fox News Digital. 

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“While it is truly a gift to be a nurse, the feeling of not having enough resources to care for your patients can be overwhelming.”

“In our analysis, we found the potential to free up to 15% of nurses’ time through these types of efforts — time that we could give back to nurses to spend on the aspects of their work that bring them the most joy and satisfaction.”

Mentoring is another way to support new nurses, multiple experts noted.

“Mentoring helps nurses navigate the emotional and stressful challenges they can experience daily.” (iStock)

“Mentoring helps nurses navigate the emotional and stressful challenges they can experience daily,” Korentager said.

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“It allows nurses to have guidance and support throughout their careers, which can help with frustration and burnout while providing clarity for career progression.”

Ensuring adequate staffing levels can reduce the workload on individual nurses, enabling them to deliver better care and alleviate stress, according to Tang. 

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“Workplace safety is also paramount for the physical and mental well-being of nurses, as is offering mental health support to help nurses navigate the emotional challenges of their profession and prevent burnout,” she said. 

“Recognizing and appreciating the hard work and dedication of nurses in meaningful ways further enhances morale and job satisfaction.”

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Signs of positive change

Some organizations are optimistic about improvements they’re seeing in the nursing field.

Advent Health, for example, has seen a rebound in nursing staff since the COVID pandemic.

Since 2020, the Florida-based health system has seen 10,000 registered nurses hired across its Central Florida hospitals and clinical care locations since 2020, according to a press release.

“We’ve made incredible strides in fortifying our nursing workforce,” said a representative of AdventHealth. (iStock)

“We knew we needed to make recruitment and retention our organization’s top priority, and so we pledged to invest in our team members like never before and sought to inspire and mentor a new generation of nurses,” said Cathy Stankiewicz, chief nursing officer for AdventHealth’s hospitals in Orange, Osceola and Seminole counties, in the release.

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She said the group has made great strides “in fortifying our nursing workforce.” 

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AdventHealth also said it has cut turnover in half since 2020 and reduced reliance on travel nurses by 98% since the peak of the pandemic.

“Hearing directly from RNs about their needs and working together to make meaningful changes was paramount to overcoming the challenges posed by the pandemic and nursing shortage,” said Michele Goeb-Burkett, chief nursing officer for AdventHealth’s hospitals in Flagler, Lake and Volusia counties, in the release.

The group has made great strides “in fortifying our nursing workforce.” 

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Overall, the experts agreed that nurses’ well-being is integral to patient care.

“While it is truly a gift to be a nurse, the feeling of not having enough resources to care for your patients can be overwhelming,” Korentager told Fox News Digital.

The continued demands to do more with less can negatively impact nurses’ career performance, health and personal life, she warned. 

“This may manifest in medical errors, inattention or an overall negative attitude toward the patients. All of these can negatively affect patient outcomes and well-being.” 

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Aging process could accelerate due to ‘forever chemicals’ exposure, study finds

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Aging process could accelerate due to ‘forever chemicals’ exposure, study finds

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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”

The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.

PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted. 

Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.

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Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.

A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)

The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.

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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.

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Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.

“People should not panic.”

The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.

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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital. 

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“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”

The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)

Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.

Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.

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While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure. 

That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.

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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.

The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)

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Study limitations

The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.

“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.

The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.

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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.

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Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.

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Melissa Joan Hart, 49, Opens up About Weight Loss in Perimenopause

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.

The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.

Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.

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The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)

“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release. 

“Our new results uncovered new biology while also opening doors for new drug targets.”

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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted. 

“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said. 

The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)

That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.

In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.

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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.

The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.

“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)

“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.

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Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.

Limitations and caveats

The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.

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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.

Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.

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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”

“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”

The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.

It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.

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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.

Fox News Digital reached out to the drug manufacturer and the researchers for comment.

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