The World Health Statistics Report (WHO, 2013) indicates that there are 3.9 million nurses and midwives in the United States. According to the US Bureau of Labor Statistics (2018), 1.1 million additional nurses are projected to be in need to avoid a further shortage. As of 2013, about 54% of Ohio’s nurses held Bachelors degrees or higher. However, several reasons for those nurses who do not hold Bachelors degrees or higher are due to age or stage in career, currently satisfied with their level of practice, financial barriers, personal and/or work schedules, family obligations, plan to leave/retire from/no longer desire to work in nursing, out of school for a prolonged period and find difficulty going back to school, and lack of accessible program. Not all nurses work full-time. According to the 2017 RN Workforce Data Summary Report, 135,358 registered nurses worked full-time, while 24,147 registered nurses worked part-time and 9,868 registered nurses worked per diem. The number of registered nurses working in primary practice settings in 2017 in Ohio were 68,567 worked at in-patient hospital settings (this data excludes those registered nurses working in hospital emergency departments, operating rooms and hospital out-patient settings) while 10,602 worked at nursing homes/extended care facilities/assisted living centers, for example. Per the American Nurses Association, the nursing profession continues to face shortages due to issues with high turnover, a lack of potential educators and an inequitable distribution of the workforce pertaining to an aging population, family, regions within the U.S., violence in the health care settings, technological advancements, and staffing ratios. In turn, nursing shortages lead to errors, higher morbidity and mortality rates, dissatisfaction and experiencing burnout from high patient-to-nurse ratios.