On any given day, Mary Ellen Pratt, CEO of St. James Parish Hospital in rural Lutcher, Louisiana, doesn’t know how she’s going to staff the 25-bed hospital she manages.
Across the country, thousands of hospitals are overwhelmed with critically ill patients, prompting many overburdened nurses to change careers or retire early. The shortages are particularly dire in rural areas, rural health experts say, because of the aging workforce and population, smaller salaries and intense workload.