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However, Sebastian noted that it’s easier to predict supply than demand, and there’s no end in sight. No matter what happens with the Affordable Care Act, which the Republican-led Congress and President Donald Trump have vowed to repeal and replace, changes in the health care system already are off and running, she said, with a focus on increasing efficiency, reducing costs and bolstering quality and safety. Part of that effort includes a growing focus on deploying health care professionals in communities to help people get healthy and stay healthy. Catherine Todero, dean of Creighton University’s College of Nursing, said cycles in supply and demand are not new in the nursing field. While nursing generally is considered recession-proof, the last downturn was so deep in some parts of the country that it did have an impact on nursing jobs. Graduates in some places had trouble finding jobs. Now the tide has turned again. “We’re starting to see the numbers tick back up again,” she said. “The word is out: Nurses are getting jobs, they’re getting good jobs, they’re being recruited.” Aubray Orduña, dean of nursing at Clarkson College, said the school’s graduates typically have “quite a few” job opportunities. The Nebraska Hospital Association’s 2016 workforce report noted a 10.6 percent vacancy rate for registered nurses at hospitals statewide in 2015, an uptick from 5 percent or less the preceding six years. Sebastian said the shortage is particularly hard on rural areas.

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