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The Importance of Good Data: How the National Sample Survey of Registered Nurses Has Been Used to Improve Knowledge and Policy
10-06-11
In 1977, the federal government launched the nation’s largest and most significant program to collect data on the registered nurse (RN) workforce of the United States—the National Sample Survey of Registered Nurses (NSSRN). This survey is conducted by the U.S. Health Resources and Services...
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Survey of Nurse Employers in California - Second Quarter, 2011
09-09-11
This report summarizes the findings of a survey conducted in spring 2011 of general acute care hospital employers of registered nurses (RNs) in California to evaluate the overall demand for RNs in the state. The survey reveals variation in the demand for RNs across California, the lack of positions...
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Survey of Nurse Employers in California, Fall 2011
09-06-11
This report summarizes the findings of a survey conducted in fall 2011 of general acute care hospital employers of registered nurses (RNs) in California. This survey is the second of three annual surveys, with the last survey scheduled for fall 2012. Together, these surveys provide an opportunity...
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Staffing Changes Before and After Mandated Nurse-to-Patient Ratios in California’s Hospitals
08-01-11
California is the first state to mandate specific nurse-to-patient ratios in general acute care hospitals. These ratios went into effect January 1, 2004 and apply "at all times". Little is known about the changes in staffing that occurred subsequent to the implementation of this legislation. This...
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California Board of Registered Nursing 2010 Survey of Registered Nurses
07-06-11
The biennial California Survey of Registered Nurses provides information about the demographics, education, and employment of registered nurses in the state.
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Survey of Nurse Employers in California, Fall 2010
06-11-11
This report summarizes the findings of a survey conducted in fall 2010 of general acute care hospital employers of registered nurses (RNs) in California. This survey was designed to evaluate the overall demand for RNs in the state, and to examine the capacity of acute care hospitals to hire new RN...
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The Effect of Minimum Nurse Staffing Legislation on Uncompensated Care Provided by California Hospitals
06-01-11
This study assesses whether California’s minimum nurse staffing legislation affected the amount of uncompensated care provided by California hospitals. Using data from California’s Office of Statewide Health Planning and Development, the American Hospital Association Annual Survey and InterStudy,...
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Nurse Staffing Effects on Patient Outcomes: Safety-Net and Non-Safety-Net Hospitals
04-01-11
BACKGROUND: Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units.
OBJECTIVE: To determine the relationship between nurse staffing in general...
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Hospital RN Job Satisfaction and Nurse Unions
03-11-11
The objective of the study was to examine whether unionization is associated with job satisfaction among RNs in the United States using nationally representative surveys of RNs. Factors that predict job satisfaction for RNs in healthcare continue to be of great concern to nurse administrators and...
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The Effect of Unions on the Distribution of Wages of Hospital-Employed Registered Nurses
01-11-11
AIMS AND OBJECTIVES: We estimate the impact of unionisation on the wage structure of hospital-employed registered nurses in the USA. We examine whether unions have an effect on wage differences associated with race, gender, immigration status, education and experience, as well as whether there is...
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Assessing Workforce Needs and Opportunities for School Based Health Centers in California
12-01-10
School based health centers go beyond the traditional services of a school nurse to provide comprehensive care – including primary and mental health care – to students. The centers are seen as a way to reach populations that would otherwise not be receiving appropriate care. California has many...
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California Nurses Facts and Figures, 2010
11-01-10
Close to 300,000 actively licensed registered nurses (RNs) live in California, making nursing the largest health profession in the state. California’s RN workforce has doubled in size since 1980, and RN wage growth has been very strong compared with other health care occupations. Still, the rate...
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The Impact of National Health Care Reform on California's Health Workforce
10-11-10
Policy brief on the impact of the Affordable Care Act on demand for health professionals in California and on provisions of the Affordable Care Act that address health workforce needs.
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Is There Monopsony in the Labor Market? Evidence from a Natural Experiment
10-11-10
Recent theoretical and empirical advances have renewed interest in monopsonistic models of the labor market. However, there is little direct empirical support for these models. We use an exogenous change in wages at Department of Veterans Affairs (VA) hospitals as a natural experiment to...
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Nurses Who Do Not Nurse: Factors That Predict Non-Nursing Work in the U.S. Registered Nursing Labor Market
07-10-10
Registered nurses (RNs) who work outside of nursing have seldom been examined. This aim of this study was to compare the 122,178 (4%) of RNs who are employed outside of nursing to those who work in nursing jobs in terms of sociodemographic, market, and political variables to determine if these...
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Nurses Who Do Not Nurse: Factors that Predict Non-Nursing Work in the U.S. Registered Nursing Labor Market
07-01-10
Registered nurses (RNs) who work outside of nursing have seldom been examined. This aim of this study was to compare the 122,178 (4%) of RNs who are employed outside of nursing to those who work in nursing jobs in terms of sociodemographic, market, and political variables to determine if these...
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Physician Assistant and Nurse Practitioner Staffing Patterns in California's Licensed Community Clinics: 2005 - 2008
06-01-10
Physician assistants (PAs) and nurse practitioners (NPs) play a critical role in the delivery of primary care in California’s licensed community clinics. Between 2005 and 2008, however, clinics increasingly relied on PAs and NPs as care providers. The use of PAs increased more than the use of NPs....
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Implications of the California Nurse Staffing Mandate for Other States
05-01-10
Objectives To determine whether nurse staffing in California hospitals, where state-mandated minimum nurse-to-patient ratios are in effect, differs from two states without legislation and whether those differences are associated with nurse and patient outcomes.
Data Sources Primary survey data from...
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2008-2009 Annual School Report: Data Summary and Historical Trend Analysis
03-24-10
Each year, the California Board of Registered Nursing (BRN) requires all pre-licensure registered nursing programs in California to complete a survey detailing statistics of their programs, students and faculty. The survey collects data from August 1 through July 31 of the following year....
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Recent Findings about California’s RN Workforce
02-10-10
The 2008 Survey of Registered Nurses gathered data on the licensed nursing workforce in California, including race/ethnicity, education, hours worked, and job satisfaction. This presentation shares findings from this survey as well as the 2009 Forecasts of the Registered Nursing Workforce in...
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Staffing Patterns in California’s Licensed Community Clinics: Registered Nurses, Licensed Vocational Nurses, and Medical Assistants
02-01-10
This issue brief describes utilization of Registered Nurses (RN), Licensed Vocational Nurses (LVN), and medical assistants (MA) over the period 2005-2008. We found that the proportion of clinic sites reporting utilization of RNs and LVNs generally did not change during this period, while use of...
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Comparative Snapshot of Four Allied Health Occupations in California: Community Health Workers, Medical Assistants, Certified Nurse Assistants and Home Health Aides
11-17-09
Community health workers (CHWs), medical assistants (MAs), certified nurse assistants (CNAs), and home health aides (HHAs) are among California’s most highly demanded and largest allied health groups. This issue brief summarizes the estimated numbers, average wages, employment settings, duties, and...
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Addressing Children's Oral Health in the New Millennium: Trends in the Dental Workforce
11-01-09
Oral Health in America: A Report of the Surgeon General (SGROH) and National Call to Action to Promote Oral Health outlined the need to increase the diversity, capacity, and flexibility of the dental workforce to reduce oral health disparities. This paper provides an update on dental workforce...
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How Have Mandated Nurse Staffing Ratios Impacted Hospitals? Perspectives from California Hospital Leaders
10-01-09
In 2004, California became the first state to implement minimum-nurse-staffing ratios in acute care hospitals. We examined the wages of registered nurses (RNs) before and after the legislation was enacted. Using four data sets — the National Sample Survey of Registered Nurses, the Current...
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Forecasts of the Registered Nurse Workforce in California, 2009
09-29-09
This report presents supply and demand forecasts for the Registered Nurse (RN) workforce in California from 2009 through 2030. These forecasts are based on data from the 2008 California Board of Registered Nursing (BRN) Survey of Registered Nurses, the US Bureau of Health Professions (BHPr) 2004...
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Can a Four-Dimensional Model of Occupational Commitment Help to Explain Intent to Leave the Emergency Medical Service Occupation?
09-01-09
Using a sample of 854 emergency medical service (EMS) respondents, this study supported a four-dimension model of occupational commitment, comprised of affective, normative, accumulated costs, and limited alternatives. When personal and job-related variables were controlled, general job...
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Evaluation of the Centralized Clinical Placement System (CCPS) and the Centralized Faculty Resource Center (CFRC)
08-01-09
Nursing schools have reported a lack of clinical placement sites and insufficient numbers of qualified nursing faculty as two of the prominent barriers to expansion of their nursing programs. The Centralized Clinical Placement System (CCPS) and the Centralized Faculty Resource Center (CFRC) are two...
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Do Wages Matter? A Backward Bend in the 2004 California RN Labor Supply
08-01-09
Using data from the 2004 California Board of Registered Nursing Survey, a two-stage least-square equation was estimated to examine the effect of wages on hours worked by female registered nurses. Wages were found to have a nonlinear effect on hours worked, with a backward bending supply curve....
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California Board of Registered Nursing 2008 Survey of Registered Nurses
07-06-09
The biennial California Survey of Registered Nurses provides information about the demographics, education, and employment of registered nurses in the state.
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The Utilization of Medical Assistants in California’s Licensed Community Clinics
07-01-09
Medical Assistants (MAs) play a key role as clinical support staff in California’s licensed community clinics. This issue brief examines patterns in community clinic utilization of MAs over the period 2005-2007. Key themes presented include overall community clinic growth (clinic sites &...