A majority of US nurses this year say the nursing shortage has gotten worse; however, 81% said they are satisfied with their jobs, according to a survey of 20,000 registered nurses in the US by AMN Healthcare Services Inc. (NYSE: AMN).

The survey found that 52% of nurses in 2019 said the nurse shortage has gotten worse; that compares to 48% in 2017 and 37% in 2015.

On top of that, the survey found 86% of baby boomer nurses plan to retire in the next five years.

Other concerns in the survey: 44% of nurses say they are considering quitting their jobs, and 41% say they don’t usually have the time they need to spend with their patients.

Work-life balance and workplace violence were also issues looked at by the study.

It found one in five nurses have second jobs, and 273,000 nurses have two full-time jobs.

In terms of violence, 41% of nurses reported they were victims of bullying, incivility or other workplace violence. In addition, 27% have witnessed workplace violence.

On the other hand, 81% of nurses are satisfied with their career choice, and 65% said they are satisfied with their current jobs.