Where are the nurses? Aging Europe faces a serious shortage of health workforce

Europe Faces Critical Nurse Shortage Amid Aging Population

Europe is grappling with a significant shortage of healthcare professionals, particularly nurses. With an aging population across EU countries, the shortage is estimated at 1.2 million, including doctors, nurses, and midwives, with nurses being the most affected. Many experienced nurses are approaching retirement, and few younger individuals are entering the profession to fill the gap.

Challenging Working Conditions for Nurses

Nurses throughout Europe are working under difficult conditions, including long hours, high patient-to-staff ratios, low salaries, and emotional strain, leading to burnout and discouraging young people from pursuing a career in nursing. The competition among EU countries to attract and retain healthcare professionals is also exacerbating the crisis. In response, the European Union is launching a three-year initiative aimed at improving training programs to attract more students into the nursing field.

Bulgaria’s Healthcare Struggles

Bulgaria, in particular, is facing a severe nursing shortage. Over the past decade, the country has lost more than 10% of its nursing workforce, with many nurses moving to other EU countries in search of better pay and working conditions. Elza, a nurse at Blagoevgrad State Hospital in southwestern Bulgaria, shares her experience. “We receive very little money, and for this, we are forced to work at multiple jobs,” she says. “I’m really getting tired. A lot of work scares young nurses away. So one by one, they just disappear.”

Elza highlights the personal toll of the profession, with long hours, limited time off, and financial strain contributing to burnout. The hospital operates below the standard of two nurses per doctor, despite some improvements in staffing.

Solutions to the Nurse Shortage

Bulgaria is currently short of an estimated 17,000 nurses, which is severely affecting the efficiency of its healthcare system. Milka Vassileva, President of the Bulgarian Association of Healthcare Professionals, is calling for a substantial increase in nurses’ salaries, suggesting that the starting wage should be at least three times the minimum national wage to help retain nurses in Bulgaria.

Experts agree that solving the nursing shortage requires more than just financial support. They emphasize that significant improvements in recruitment, planning, training, working conditions, and professional development are also essential for addressing the crisis at the EU level.

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