- Browse
- » The future of the nursing workforce in the United States: data, trends, and implications
The future of the nursing workforce in the United States: data, trends, and implications
Author
Publisher
Jones and Bartlett Publishers
Publication Date
c2009
Language
English
Description
Loading Description...
Table of Contents
From the Book
Preface
Acknowledgments
About the Authors
Section 1. Introduction and Overview
Chapter 1. Introduction and Overview
Focus on Registered Nurses
Economic Perspective
Ominous Outlook
Overview of Book
Section 1. Introduction and Overview
Section 2. Factors That Influence the Demand for RNs
Section 3. Factors That Influence the Supply of RNs
Section 4. Shortages of Hospital RNs, Impact on Quality, and RN Working Conditions
Section 5. Implications and Recommendations
Data on the Nursing Workforce
Current Population Survey (CPS)
National Sample Survey of Registered Nurses (NSSRN)
Privately Funded National Surveys
A Final Comment
Appendix 1-1. Detailed Information About Data Sources
Current Population Survey
National Sample Survey of Registered Nurses (NSSRN)
National Surveys Conducted for the Johnson & Johnson Campaign for Nursing's Future
Resources
References
Chapter 2. Key Trends in the Healthcare Industry and the Nursing Workforce
Overview of the Healthcare System and RN Employment
RN Employment
Labor Force Characteristics of RNs
Participation in the Workforce, Hours Worked, and Key Demographic Characteristics
Earnings of Registered Nurses
Educational Preparation
Comparing Key Trends Between RNs and Other Professions
Chapter Summary
References
Chapter 3. A Brief Primer on Demand and Supply
The Demand for Labor
The Supply of Labor
Equilibrium in a Competitive Labor Market
Equilibrium When Multiple Markets Compete for the Same Type of Labor
Labor Market Shortage as Disequilibrium
Chapter Summary
Section 2. Factors That Influence the Demand for RNs
Chapter 4. The Demand for Health Care and the Derived Demand for Registered Nurses
Society's Demand for Health Care Changes in the Health, Size, and Age Composition of the Population
Sociocultural Characteristics
Economic Factors
Changes in the Organization of the Healthcare System
Technology
Healthcare Organizations' Demand for Registered Nurses
Factors That Determine Organizations' Demand for RNs
Projections of the Future Demand for Nurses
BLS Projections to 2014
HRSA's Projections Through 2020
Chapter Summary
References
Chapter 5. Managed Care and the Nurse Labor Market
Overview of Managed Care
The Impact of Managed Care on the Demand for Registered Nurses
Identifying States That are Early Adopters of Managed Care
Trends in the Employment and Earnings of Nurses in Early Adopter and Laggard States
Trends in the Employment of RNs by Sector in Early Adopter and Laggard States
Chapter Summary
References
Section 3. Factors That Influence the Supply of RNs
Chapter 6. The Short-Run Supply of Registered Nurses
Economic and Noneconomic Factors That Determine the Short-Run Supply of RNs
Economic Factors Impacting RNs' Decisions to Participate in the Nurse Labor Market and Number of Hours Worked
Impact of Noneconomic Factors on the Short-Run Labor Supply of RNs
Changes in Hospital RN Employment Associated with RN Wages and Nonwage Income
RN Employment Changes in "Bust" versus "Boom" Years
Recent Changes in RN Employment
Changing Composition of the RN Workforce in the United States
Increasing Proportion of Foreign-Born RNs
An Aging RN Workforce
Chapter Summary
References
Chapter 7. The Long-Run Supply of Registered Nurses
Overview of Trends in Nursing Education
Factors That Determine the Long-Run Supply of RNs
Changes in the Population
Changes in Societal Preferences for a Career in Nursing (the Cohort Effect)
Influence of RN's Age (Age Effects)
Alternative Sources of RNs
Economic Factors and the Decision to Become an RN
Number and Capacity of Nursing Education Programs
Previous Projections of the Long-Run Supply of RNs: 2000 to 2020
Overview of Authors' 2000 Projection Model and Estimates of the Long-Run Supply of RNs Through 2020
Overview of HRSA's 2002 Projection Model and Estimates of the Long-Run Supply of RNs Through 2020
Chapter Summary
Appendix 7-1. The Influence of Economic Factors in Determining the Choice of Nursing Education Programs and Expanding the RN Workforce
References
Chapter 8. Changing Preferences for a Career in Nursing
Data on Career Choices of Young People
Declining Interest in Nursing
Explanations for the Decline in Interest in Nursing
What Is Behind the Recent Rise in Interest in Nursing?
Chapter Summary
References
Chapter 9. Associate Degree Graduates and the Rapidly Aging Registered Nurse Workforce
Rise in Associate Degree Graduates
Explaining the Increase in the Percentage of Associate Degree RN Graduates
Changing Patterns of Ages of Graduates
Cohort Effects as an Explanation for Patterns and Trends Observed for Associate Degree Graduates
Older Age of New Graduates
Chapter Summary
References
Chapter 10. Forecast of the Supply and Age of Registered Nurses Through 2025
Overview of Forecasting Model and Key Results
Components of Our Forecast Model
Cohort, Population, and Age Effects
Prior Workforce Supply Model and Forecasts
Updating Our Forecast
Age and Supply Forecasts Through 2025
Implications of the Resourgence of the 1970s Cohorts
Chapter Summary
Appendix 10-1. How the Projection Model Was Estimated
Estimating the Model
Forecasting Using the Model
Incorporating Recent Changes in Age Effects
References
Section 4. Shortages of Hospital RNs, Impact on Quality, and RN Working Conditions
Chapter 11. Shortages of Registered Nurses: Then and Now
Defining, Explaining, and Measuring Hospital Shortages of RNs
Economic Definition of a Hospital RN Shortage (and Surplus)
Measuring Hospital RN Shortages
The Development of Hospital RN Shortages in the United States
Inflexible RN Wages and Hospital RN Shortages in the 1960s and 1970s
Demand-Driven RN Shortages in the 1980s
The RN Labor Market in the 1990s: Another Shock in Demand
Deterioration in Hospital RN Working Conditions
Influence of a Changing Age Composition of the RN Workforce in the Development of the Current Shortage of RNs
Aging RN Workforce
RN Shortages in Intensive Care Units and Operating Rooms
Changes in RN Wages and Reported Hospital Vacancy Rates: 2002 to 2006
Chapter Summary
Appendix 11-1. Why Hospitals Are Often Slow to Increase RN Wages When Experiencing a Shortage of RNs
Hospitals Might Not Realize a Shortage Exists Hospitals Do Not Know How Much to Raise Wages
Fear That Raising Wages Might Actually Decrease Employment
Less Costly Alternatives
Collusion Among Hospitals
References
Chapter 12. Impact of the Current Shortage of Hospital Registered Nurses
Overview of the Quality and Safety Improvement Environment
Development of a National Movement to Improve Quality and Safety
Patient Outcomes Associated with Hospital Nurse Staffing
Complexity of Studies of Hospital Nurse Staffing and Patient Outcomes
Summary of Results of Hospital Nurse Staffing Studies and Patient Outcomes
Impact of the Current Shortage of Hospital RNs: Perceptions of Physicians, RNs, and Hospital Executives
Surveys of RNs, Physicians, Hospital CEOs, and Hospital CNOs
Survey Findings
Chapter Summary
References
Chapter 13. Registered Nurses' Perceptions of the Hospital Workplace Environment, 2002 to 2006
Overview of National RN Surveys
Survey Themes and Data
Characteristics of RN Samples
Survey Results
Prevalence, Severity, and Impact of the Current Hospital RN Shortage
Causes of the Nursing Shortage and RNs' Views of How to Solve the Shortage
Characteristics of the Hospital Work Environment Job and Career Satisfaction
Likelihood of Advising a Career in Nursing
Chapter Summary
References
Section 5. Implications and Recommendations
Chapter 14. Long-Term Implications of an Aging RN Workforce
The Aging RN Workforce and Its Impact on the Future Supply of RNs
The Growing Demand for Health Care and Its Impact on the Future Demand for RNs
The Unprecedented Shortage of RNs That Is on the Horizon
Implications for Hospitals and Other Employers of RNs
Implications for Quality, Safety, and Access to Care
Implications for RNs Themselves
Implications for Nursing Education Programs
Chapter Summary
References
Chapter 15. Strategies to Ensure a Better Future for the RN Workforce
Transition Policy Strategies
Transition Demand Side Strategies
Transition Supply Side Strategies
Transition Policies Involving RN Wages
Long-Run Policies
Reducing Barriers to Enter the Nursing Profession in the United States
Nursing as an Undervalued Social Benefit
Chapter Summary
References
Index
Excerpt
Loading Excerpt...
Author Notes
Loading Author Notes...
More Details
Contributors
ISBN
9780763756840
Staff View
Loading Staff View.
