美国国家公共电台 NPR--Nurses are waiting months for licenses as hospital staffing shortages spread

Nurses are waiting months for licenses² as hospital staffing shortages spread

Transcript³

Three hours spent on hold. That's how long Courtney Gramm waited one day, all so that she might get her license¹ from the state of California to work as a nurse.

That morning was just a snapshot from a long ordeal⁴. "Panicked, anxious, frustrated⁵, mad even," Gramm describes how she felt as she called over and over. "I just couldn't get any information out of them."

Gramm waited seven months for her nurse practitioner⁶ license at a time when COVID-19 cases were skyrocketing across the U.S. and hospitals were desperate to keep nurses on staff.

Her story is a familiar one for nurses throughout the country. Nursing boards, meant as a safeguard, have become an obstacle, preventing qualified⁷ nurses from getting into the workforce⁸ for months when basic vetting⁹ should take only weeks.

An NPR examination of license applications found that nurses fresh out of school and those moving to new states often get tangled¹⁰ in bureaucratic¹¹ red tape for months, waiting for state approval to treat patients.

Almost 1 in 10 nurses who were issued new licenses last year waited six months or longer, according to an analysis of licensing¹² records from 32 states. More than a third of these 226,000 registered nurses and licensed¹³ practical nurses waited at least three months.

Some states with lots of nurses are particularly slow: California, Pennsylvania, Texas, Ohio and others stretched average processing times for certain types of licenses to almost four months.

Wait times in some states underestimate the problem. NPR's investigation¹⁴ found that states often start the clock on processing times only after an application is marked complete. But nurses NPR spoke¹⁵ with described scenarios¹⁶ where they spent weeks or longer arguing that their applications were in fact complete. Many state boards don't count that lost time when measuring how long it takes to process an application.

Several large states have refused to join an interstate agreement that allows nurses to use licenses across state lines — sort of like a driver's license lets you drive across borders. One reason is that nursing boards make most of their money, sometimes tens of millions of dollars, from licensing fees.

"Huge bottlenecks¹⁷" is the phrase Morris Kleiner, a licensing expert who researches labor¹⁸ economics at the University of Minnesota, used to describe NPR's findings.

"Patients will have much less access and will have to wait longer when they are asking for the services of nurses. And this is especially true during a pandemic," Kleiner adds, concluding that delays could lead to sicker patients or even death.

1 license   

n.执照，许可证，特许；v.许可，特许

参考例句：

• The foreign guest has a license on the person.这个外国客人随身携带执照。
• The driver was arrested for having false license plates on his car.司机由于使用假车牌而被捕。

2 licenses   

n.执照( license的名词复数 )v.批准，许可，颁发执照( license的第三人称单数 )

参考例句：

• Drivers have ten days' grace to renew their licenses. 驾驶员更换执照有10天的宽限期。 来自《现代汉英综合大词典》
• Jewish firms couldn't get import or export licenses or raw materials. 犹太人的企业得不到进出口许可证或原料。 来自辞典例句

3 transcript   

n.抄本，誊本，副本，肄业证书

参考例句：

• A transcript of the tapes was presented as evidence in court.一份录音带的文字本作为证据被呈交法庭。
• They wouldn't let me have a transcript of the interview.他们拒绝给我一份采访的文字整理稿。

4 ordeal   

n.苦难经历，（尤指对品格、耐力的）严峻考验

参考例句：

• She managed to keep her sanity throughout the ordeal.在那场磨难中她始终保持神志正常。
• Being lost in the wilderness for a week was an ordeal for me.在荒野里迷路一星期对我来说真是一场磨难。

5 frustrated   

adj.挫败的，失意的，泄气的v.使不成功( frustrate的过去式和过去分词 )；挫败；使受挫折；令人沮丧

参考例句：

• It's very easy to get frustrated in this job. 这个工作很容易令人懊恼。
• The bad weather frustrated all our hopes of going out. 恶劣的天气破坏了我们出行的愿望。 来自《简明英汉词典》

6 practitioner   

n.实践者，从事者；(医生或律师等)开业者

参考例句：

• He is an unqualified practitioner of law.他是个无资格的律师。
• She was a medical practitioner before she entered politics.从政前她是个开业医生。

7 qualified   

adj.合格的，有资格的，胜任的，有限制的

参考例句：

• He is qualified as a complete man of letters.他有资格当真正的文学家。
• We must note that we still lack qualified specialists.我们必须看到我们还缺乏有资质的专家。

8 workforce   

n.劳动大军，劳动力

参考例句：

• A large part of the workforce is employed in agriculture.劳动人口中一大部分受雇于农业。
• A quarter of the local workforce is unemployed.本地劳动力中有四分之一失业。

9 vetting   

n.数据检查[核对，核实]v.审查（某人过去的记录、资格等）( vet的现在分词 )；调查；检查；诊疗

参考例句：

• Scripts had to be submitted to Ministry of Information officials for vetting. 必须把脚本提交给信息部官员审查。 来自互联网
• Their purpose in clicking deeper into a site is one of vetting. 他们深入点击网站的目的是一种诊疗。 来自互联网

10 tangled   

adj. 纠缠的，紊乱的 动词tangle的过去式和过去分词

参考例句：

• Your hair's so tangled that I can't comb it. 你的头发太乱了，我梳不动。
• A movement caught his eye in the tangled undergrowth. 乱灌木丛里的晃动引起了他的注意。

11 bureaucratic   

adj.官僚的，繁文缛节的

参考例句：

• The sweat of labour washed away his bureaucratic airs.劳动的汗水冲掉了他身上的官气。
• In this company you have to go through complex bureaucratic procedures just to get a new pencil.在这个公司里即使是领一支新铅笔，也必须通过繁琐的手续。

12 licensing   

v.批准，许可，颁发执照( license的现在分词 )

参考例句：

• A large part of state regulation consists of occupational licensing. 大部分州的管理涉及行业的特许批准。 来自英汉非文学 - 行政法
• That licensing procedures for projects would move faster. 这样的工程批准程序一定会加快。 来自辞典例句

13 licensed   

adj.得到许可的v.许可，颁发执照(license的过去式和过去分词)

参考例句：

• The new drug has not yet been licensed in the US. 这种新药尚未在美国获得许可。
• Is that gun licensed? 那支枪有持枪执照吗？

14 investigation   

n.调查，调查研究

参考例句：

• In an investigation,a new fact became known, which told against him.在调查中新发现了一件对他不利的事实。
• He drew the conclusion by building on his own investigation.他根据自己的调查研究作出结论。

15 spoke   

n.（车轮的）辐条；轮辐；破坏某人的计划；阻挠某人的行动 v.讲，谈（speak的过去式）；说；演说；从某种观点来说

参考例句：

• They sourced the spoke nuts from our company.他们的轮辐螺帽是从我们公司获得的。
• The spokes of a wheel are the bars that connect the outer ring to the centre.辐条是轮子上连接外圈与中心的条棒。

16 scenarios   

n.[意]情节；剧本；事态；脚本

参考例句：

• Further, graphite cores may be safer than non-graphite cores under some accident scenarios. 再者，根据一些事故解说，石墨堆芯可比非石墨堆芯更安全一些。 来自英汉非文学 - 环境法 - 环境法
• Again, scenarios should make it clear which modes are acceptable to users in various contexts. 同样，我们可以运用场景剧本来搞清楚在不同情境下哪些模式可被用户接受。 来自About Face 3交互设计精髓

17 bottlenecks   

n.瓶颈( bottleneck的名词复数 )；瓶颈路段（常引起交通堵塞）；（尤指工商业发展的）瓶颈；阻碍

参考例句：

• Roadworks are causing bottlenecks in the city centre. 道路施工导致市中心交通阻塞。 来自《简明英汉词典》
• At five o'clock in the afternoon the city streets are a series of bottlenecks. 下午五点市中心的街道就成了拥挤不堪的窄路。 来自《现代英汉综合大词典》

18 labor   

n.劳动，努力，工作，劳工；分娩；vi.劳动，努力，苦干；vt.详细分析；麻烦

参考例句：

• We are never late in satisfying him for his labor.我们从不延误付给他劳动报酬。
• He was completely spent after two weeks of hard labor.艰苦劳动两周后，他已经疲惫不堪了。