- This study examines the demand, supply, utilization, and scope of practice of LPNs in the United States. Particular attention is paid to educational issues, career mobility, geographic distribution, and the ability of LPNs to substitute for registered nurses.
- OBJECTIVE: The author reviews the causes of nursing shortages and surpluses and examines data from California hospitals to demonstrate how these cycles are expressed in the demand for and wages of nurses. BACKGROUND: Nursing shortages have been reported cyclically for more than 50 years in the…
- The author reviews the causes of nursing shortages and surpluses and examines data from California hospitals to demonstrate how these cycles are expressed in the demand for and wages of nurses. Nursing shortages have been reported cyclically for more than 50 years in the United States. There has…
- This article reports on an audit of clinical supervision in one primary care trust (PCT). Data were collected by telephone interviews with 44 respondents from a range of professions occupying different clinical and managerial grades in the organization. Clinical supervision was varied both in terms…
- OBJECTIVE: The purpose of this study is to describe the relationship between nurse staffing and owner type or specific corporate owner in California acute care hospitals. BACKGROUND: Little empirical data exist regarding nurse staffing as it relates to owner type or specific corporate…
- Public health nursing (PHN) practice is defined by an emphasis on population health issues rather than individually focused clinical interventions, but the actual scope and focus of PHN practice have not been well documented. The purpose of this survey was to investigate the practice activities,…
- This report provides a descriptive overview of the nursing labor market with a focus on the institutions and regulations that affect the labor market. The authors provide in-depth information about the demand for nurses, and explore the types of health care providers that employ nurses and the…
- In recent years the U.S. media have been reporting a shortage of registered nurses (RNs). In theory, labor-market shortages are self-correcting; wage increases will bring labor markets into equilibrium, and policy intervention is not necessary. In this paper we develop a simple forecasting model…
- Most analyses of California's nursing shortage find that too few nurses are being educated to meet future demand. Coffman and Spetz (1999) estimate that state nursing programs need to educate an additional 3,600 students per year between 2000 and 2010, and 5,000 more per year between 2010 and 2020…
- A number of federal and state laws address the need to provide health care in a language that the patient understands. This two-page overview of major California and Federal lists requirements for health care providers to provide language assistance to patients who require these services. The…
- Minimum Staffing Ratios: The California Workforce Initiative Survey
- This report provides data on the demographics of the PHN workforce in five counties in California; the educational preparation of the PHN workforce; the job market and employment issues for the PHN workforce; and the scope of PHN practice. Although the study was limited to five counties, these…
- Public health nurses (PHNs) make up the largest group of public health workers and are important health care providers for a variety of underserved populations, yet data about PHN demographics and practice are limited. This report provides data on the demographics of the PHN workforce in five…
- Many registered nurses believe that nurse staffing in acute care hospitals is inadequate. In 1999 California became the first state to mandate minimum nurse-to-patient ratios in hospitals. State officials announced draft ratios in January 2002 and expect to implement the legislation by July 2003.…
- Registered nurse pre-licensure education in California.
- This paper assesses the relative value to employers and Registered Nurses (RNs) of different types of basic education in nursing: the associate degree; the baccalaureate degree; and the nursing diploma. Using the National Sample Surveys of Registered Nurses the determinants of nursing wages are…
- Lack of clarity in definitions of shortages of hospital registered nurses may cause problems for effective policy making, particularly if different measures for identifying a nurse shortage lead to different conclusions about which hospitals and regions are experiencing a shortage. The authors…
- The objective of the study was to examine the characteristics of acute-care hospitals that report registered nurse shortages when a widespread shortage exists and when a widespread shortage is no longer evident. The authors used secondary data from the American Hospital Association's Nursing…
- The racial and ethnic composition of the registered nurse (RN) workforce in California is not at parity with the composition of the population. We find that the underrepresentation of African Americans in nursing in California appears to be due to lower overall educational attainment among African…
- In 1999, California passed the first legislation in the United States to establish minimum staffing levels in hospitals for registered nurses (RNs) and licensed vocational nurses. The author provides estimates of the increase in RN expenditures required by this mandate, by hospital size and for…
- Today, for a host of internal and external factors, many of the health professions appear to be losing their appeal to potential workers. Nursing, nationwide and in California, has become a pressing example. The state faces severe nursing shortages, particularly in some geographic areas and within…
- For a host of complex and interrelated reasons California may not have adequate numbers of nurses with appropriate skills over the coming decades. This problem is just rising to the attention of the profession, nursing educators, and managers in the health system. Increasingly, it will affect the…
- As California implements its minimum staffing legislation, it becomes increasingly important that researchers continue to examine the relationship between RN staffing and quality of care. Research does not support the general assumption that more RN staffing is always better; policymakers and…
- In a March 1998 Journal of Nursing Administration article, I reported that nurse staffing did not, in fact, decline through 1996 in California, where concerns about nurse staffing have been prominent. In this article, I provide a data update indicating an increase in the number of hours worked by…
- CONTEXT: Many rural and inner-city communities in the United States have persistent shortages of health professionals. In addition, health services are increasingly delivered in community-based settings by interdisciplinary teams. Yet, health professions students in the US continue to receive most…
- Nurse practitioners (NPs), physician assistants (PAs) and certified nurse midwives (CNMs) play growing roles in the health care workforce. Experts recommended in the mid-1990s that their numbers be increased to address concerns about an inadequate supply and mal-distribution of primary care…
- OBJECTIVE: To examine the effects of managed care and the prospective payment system on the hospital employment of registered nurses (RNs), licensed practical nurses (LPNs), and aides. DATA SOURCES: Hospital-level data from California's Office of Statewide Health Planning and Development…
- Over the past 2 years, concerns have arisen about the adequacy of the supply of RNs in California and the rest of the United States. Nurse leaders have called upon the California State Legislature to respond to concerns by increasing funding for RN education at public colleges and universities. The…
- This fourth and final major report of the Pew Health Professions Commission comes at the end of the most dynamic decade ever faced by the nation’s health professionals. As disruptive as this period has been, however, it may only have been the prelude. The health care system in the US will continue…
- Health care workforce regulation plays a critical role in consumer protection. For most of this century, the state regulation of health care occupations and professions has established a minimum standard for safe practice and removed the egregiously incompetent. To become a more viable element of…
