Shortage or Maldistribution: Shifting the Conversation About Oregon’s Nursing Workforce

Misconceptions about a statewide nursing shortage often overshadow a more pressing issue: maldistribution. This analysis reveals how workforce imbalance affects rural regions and non-hospital settings. OCN’s research encourages targeted action by identifying critical disparities in nurse availability across Oregon.
Workforce Imbalance Insights

Shortage or Maldistribution: Shifting the Conversation About Oregon’s Nursing Workforce

Concerns about a looming nursing shortage have dominated discussions among Oregon’s healthcare leaders, yet current data suggest these fears may be misplaced. Through detailed analysis of licensure trends and age demographics, this report reveals a robust nursing workforce, strengthened by a steady influx of younger professionals and nurses relocating to Oregon from other states.

The real issue lies not in overall supply, but in how nurses are distributed across the state and within various care settings. Long term care and public health employers report vacancy and turnover rates more than double those of hospitals, particularly for staff RN roles, exposing a stark practice-setting imbalance. Geographically, RN-to-population ratios reveal vast disparities between counties, with some rural areas experiencing critical undersupply despite an overall statewide surplus.

These findings shift the narrative from generalized shortage to localized distribution challenges. The report calls for nuanced, region-specific strategies to address underlying causes—from gaps in local education infrastructure to community-level barriers—underscoring the need for customized solutions rather than one-size-fits-all approaches to workforce planning.

What's Inside

60%

RNs who endorsed Oregon licensure between 2013–2017 neither live nor work in the state

35%

Turnover rate among RNs in long term care, nearly triple that of hospital settings

48%

Licensed RNs in 2018 were aged 25–44, up from 33% in 2010
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WORKFORCE INSIGHT

Oregon's Lens on the Nursing Workforce

Related Work

Cover page of Oregon’s Nurse Vacancy Crisis brief, published by the Oregon Center for Nursing in 2024.
BRIEF: Oregon’s Nurse Vacancy Crisis
Oregon’s nursing workforce is growing, yet critical care roles remain unfilled. Traditional shortage narratives fail to capture deeper retention challenges affecting direct care. This brief reframes the problem and outlines…
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