A recent Kaiser Family Foundation/Washington Post survey found that 60% of front-line healthcare worker respondents said the pandemic negatively impacted their own mental health. Almost a third of respondents needed mental health services or medication but didn't get them – with their reasons ranging from workload and inability to get time off to the cost of treatment or simply worrying about the embarrassment of it all. 

That’s not acceptable in a modern society where nurses handle so much of the front-line care for all of us, and where we need to expand the nursing workforce every year to meet growing demand.

The Future of Nursing 2020-2030 calls not only for a permanent broadening of NPs’ scope of practice nationwide, but also for nurses earning bachelor’s and doctoral degrees to be prepared not just for primary care settings (as many are now) but also for other fields where they are critically needed, including long-term care, behavioral health, and public and community health. They must be ready to deal with issues of health equity, racial disparities and social determinants of health, and make better use of technology, the report advises.

Also, as the report notes, we need to broaden the composition of our nursing program faculties – now mostly white and female – to better reflect that of students and patients. This will help lead us away from our history of discrimination and implicit bias in healthcare.

The COVID-19 pandemic already is forcing reassessment of how we prepare for and deal with healthcare crises. It’s also an opportunity to address shortcomings in the way we prepare and manage the healthcare workforce – particularly among the nurses at the heart of the system.