Caring for Patients for 26 Years—and Still Not a Nurse — from workshift.org/ by Colleen Connolly
Arnett’s experience spending decades in a job she intended as a first step is common among CNAs, medical assistants, and other entry-level healthcare workers, many of them women of color from low-income backgrounds. Amid a nationwide nursing shortage, elevating those workers seems like an obvious solution, but the path from CNA to nurse isn’t so much a ladder as it is a huge leap.
And obstacle after obstacle is strewn in the way. The high cost of nursing school, lengthy prerequisite requirements, rigid schedules, and unpaid clinical hours make it difficult for many CNAs to advance in their careers, despite their willingness and ability and the dire need of healthcare facilities.
While there are no national statistics about the number of entry-level healthcare workers who move on to higher-paid positions, a study of federal grants for CNA training showed that only 3% of those who completed the training went on to pursue further education to become an LPN or RN. Only 1% obtained an associate degree or above. A similar study in California showed that 22% of people who completed CNA certificate programs at community colleges went on to get a higher-level educational credential in health, but only 13% became registered nurses within six years.
That reality perpetuates chronic shortages in nursing, and it also keeps hundreds of thousands of healthcare workers locked below a living wage, often for decades.








