2014 Survey of Registered Nurses PowerPoint · 2019. 6. 20. · 2014 Survey of Registered Nurses...
Transcript of 2014 Survey of Registered Nurses PowerPoint · 2019. 6. 20. · 2014 Survey of Registered Nurses...
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2014 Survey of Registered Nurses
Joanne Spetz, PhD
Lela Chu, BS
Zachary Levin, BS
Ulrike Muench, PhD, RN
Dennis Keane, MPH
June 4, 2015
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BRN Surveys of RNs - background
BRN required to collect and report data on the state’s RN workforce every 2 years
Surveys conducted:
• Sporadically – 1990, 1993, 1997
• Regularly – 2004, 2006, 2008, 2010, 2012, 2014
Survey of RNs with active licenses, all years
• Survey of RNs with inactive/lapsed licenses, 2004-10
These data feed into forecasts of RN supply published by the BRN
UCSF has been the contractor since 2006
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Survey of RNs, 2014
10,000 active RNs
• Same sample size as last survey
Mailed April 4, 2014
• Paper survey with online option
Multiple reminders
• Postcard 2-3 weeks after first mailing
• Re-mailing to non-respondents 2 weeks later
• 2 more postcards
Data collection ended September 4, 2014
57% response rate (similar to 2012)
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Share of RNs that works in nursing
82.6% 89.3%
84.2% 87.5% 86.7% 86.9% 87.4% 85.1% 83.4%
17.4% 10.7%
15.8% 12.5% 13.3% 13.1% 12.6% 14.9% 16.6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1993 1997 2004 2006 2008 2010 2012 2014
Employed in nursing Not employed in nursing
14.6% of working nurses have more than one RN job.
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Share of RNs employed in nursing by age
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
< 30years
30-34years
35-39years
40-44years
45-49years
50-54years
55-59years
60-64years
65+years
2006 2008 2010 2012 2014
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Ages of working RNs Average ages
1990 – 42.9
1993 – 43.6
1997 – 44.6
2004 – 47.6
2006 – 47.1
2008 – 47.2
2010 – 46.3
2012 – 46.1
2014 – 46.7
0%
5%
10%
15%
20%
25%
Under30
30-34 35-39 40-44 45-49 50-54 55-59 60-64 65 orolder
1990
1997
2004
2008
2014
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Gender of working RNs
94.6% 94.2% 92.6% 92.6% 89.5% 85.7% 89.3% 88.4% 88.2%
5.4% 5.8% 7.4% 7.4% 10.5% 14.4% 10.7% 11.6% 11.8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1993 1997 2004 2006 2008 2010 2012 2014
Female Male
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Gender of RNs by age group
88.3% 83.8% 86.2% 87.2% 93.3%
11.0% 16.0% 12.6% 12.4% 6.1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Under 35years
35-44years
45-54years
55-64years
65+ years
Male
Female
8
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Racial/ethnic mix of working RNs
77.2% 64.5% 61.5% 58.6%
51.6%
15.9% 18.2% 18.0% 20.3%
12.7% 6.9% 7.1% 8.6% 8.6%
3.7% 4.9% 7.5% 7.5% 6.7%
1.2% 2.4% 2.9% 2.8%
7.6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1997 2004 2008 2014
Mixed/Other
Native Am.
Hispanic
Black
Asian / P.I.
Filipino
White
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Racial/ethnic mix of RNs, by age group
44.7% 38.3%
52.6% 65.9% 71.3%
18.9% 27.9%
15.4%
15.2% 9.9% 14.4% 9.6% 8.7%
4.5% 6.3% 9.7% 9.1% 7.6% 3.8%
1.4% 8.9% 9.3% 10.3% 5.4% 4.4%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Mixed/Other
Native Am.
Hispanic
Black
Asian / P.I.
Filipino
White
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Initial nursing education for working RNs
20.9% are
internationally-
educated
32.3% 28.1% 23.6% 18.5% 15.7% 14.2% 11.1% 10.3% 8.7%
39.0% 43.0% 44.3% 47.3% 47.3% 46.8% 45.0% 45.8% 45.0%
28.6% 28.6% 31.7% 33.4% 35.5% 37.5% 39.1% 39.0% 41.0%
0%
20%
40%
60%
80%
100%
1990 1993 1997 2004 2006 2008 2010 2012 2014
Diploma program Associate degree
Baccalaureate degree Master's or Doctorate Degree
30 unit program
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Highest level of nursing education of working RNs
26.6% 22.9% 18.4% 13.7% 9.6% 9.5% 8.4% 7.0% 5.4%
33.9% 38.7% 36.7% 39.7%
36.3% 36.7% 38.5% 39.8% 33.2%
33.6% 33.7% 38.0% 38.1%
40.9% 41.6% 41.7% 42.3% 44.9%
5.8% 5.6% 6.8% 8.5% 13.2% 12.2% 11.5% 10.9% 16.6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1993 1997 2004 2006 2008 2010 2012 2014
Diploma program Associate degree
Baccalaureate degree Master's or Doctorate Degree
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Job titles of RNs for primary positions
62.6% 62.1% 61.2% 59.8% 50.8%
16.6%
17.2% 16.3% 14.6% 18.8% 13.0%
2.7% 5.6% 5.6% 5.3% 7.1%
8.8% 7.7% 7.5% 8.6% 4.7%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1997 2006 2010 2014
Other
Case manager/UR/QI
Educator
NP/CNM/CRNA
Clinical nursespecialist
Management/chargenurse
Staff nurse + chargenurse
Direct patient care/staff nurse
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Work settings of RNs for primary nursing position
67.9% 60.2% 60.9% 64.4% 66.8%
5.6% 7.1% 4.4%
3.8% 8.5%
11.8% 9.0%
10.8% 9.3% 5.4%
7.5% 14.2% 18.5% 17.4% 14.1%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1997 2004 2008 2014
Other
Ambulatory care
Public/communityhealth agency
Home health
Skilled nursing
Acute hospital
2.4% work for a temporary/traveling agency
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Departments within hospitals for hospital-employed RNs
55.6% 56.3% 53.4% 53.6% 50.5%
4.8% 5.5% 7.8% 7.9% 10.1%
0.0% 0.7% 0.4% 0.0% 4.4%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1997 2004 2008 2014
Other type ofhospital dept.
Ancillary unit inhospital
Ambulatory caredept. in hospital
Nursing home unitwithin hospital
Acute carehospital unit
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Use of information technology in primary nursing job, 2014
92% 93% 76% 71%
53%
89%
8% 7% 24% 29%
47%
11%
0%
20%
40%
60%
80%
100%
No
Yes
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Average income from all nursing positions
$31,504
$42,163 $45,073
$59,937
$73,542
$81,428 $82,134
$89,940 $93,911
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$90,000
$100,000
1990 1993 1997 2004 2006 2008 2010 2012 2014
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Highest job satisfaction ratings
Interactions with patients
Nursing profession overall
Feeling that work is meaningful
Job overall
Relations with other non-nursing staff
Teamwork between coworkers was in the top 5 in 2012, but was replaced by Nursing profession overall in 2014.
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Lowest job satisfaction ratings
Involvement in policy and management decisions
Amount of paperwork required
Non-nursing tasks required
Employer-supported education/training programs
Quality of preceptor/mentor programs
Relations with agency/registry nurses was in the bottom 5 in 2012 but was replaced with employer-supported education training programs in 2014.
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Largest changes in job satisfaction, 2012-2014
Improved:
• Leadership from nursing administration
• Amount of paperwork required
• Opportunities for advancement
• Relations with physicians
Worsened:
• Support of other nurses with whom you work
• Adequacy of RN staffing where you work
• Quality of preceptor and mentor programs
• Adequacy of clerical support services
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Changes in employment setting in past year
Percent of
RNs who
experienced
a change,
2012
Percent of
RNs who
experienced
a change,
2014
Added secondary nursing job 14.3% 18.1%
Added secondary non-nursing job 1.2% 2.0%
Stopped secondary nursing job * 8.9%
Stopped secondary non-nursing job * 2.0%
Not working as RN now, but was earlier this year 6.5% 4.4%
Working as an RN now, but was not working
earlier this year 7.5% 7.4%
New Position, Same Employer 29.5% 27.4%
Same Position, New Employer 14.3% 11.8%
New Position, New Employer 20.6% 27.0%
Other 17.2% 6.8%
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Changes in hours worked in past year
Percent of RNs who
experienced a
change, 2012
Percent of RNs who
experienced a
change, 2014
Did not work in past year 19.8% 17.3%
Increase in hours, imposed
by employer 11.0% 13.6%
Increase in hours, by choice 28.9% 28.1%
Decrease in hours, imposed
by employer 14.1% 12.6%
Decrease in hours, by choice 21.4% 28.7%
Other 11.1% 18.1%
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Reasons for employment changes
Reasons for changes in work status, employer, or position:
• Desire to use skills or learn new skills
• Salary
• Stress on the job
• Benefits
• Other family responsibilities
Reasons for changes in work hours:
• Salary
• Other family responsibilities
• Desire to use skills or learn new skills
• Benefits
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Plans for next 5 years for working RNs
14.6% 9.7% 14.0% 15.5% 11.5% 14.4% 16.0%
6.7% 8.5%
7.2% 10.1% 13.1% 11.5% 11.2%
32.7% 24.7% 22.1%
19.8% 15.2%
21.0% 19.9%
46.1% 57.1% 56.7% 54.6% 60.2%
53.1% 53.0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1990 1997 2004 2008 2010 2012 2014Leave nursing/retire Increase hours
Reduce hours Work as much as now
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Employment status of active RNs who do not have a nursing job
22.7% 33.9%
25.4% 26.9% 27.5% 26.3%
77.3% 66.1%
74.6% 73.1% 72.4% 73.7%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2004 2006 2008 2010 2012 2014
Working outside nursing Not working outside nursing
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“Very important” reasons for not having RN job
Family responsibilities (33.5%)
Non-job-related illness/injury (20.0%)
Childcare responsibilities (18.2%)
Moving to a different area (15.8%)
Travel (14.5%)
Retirement (14.4%)
Increase between 2012 and 2014 in the share who said they are not working because they were laid off (5.9% in 2012 and 11.9% in 2014)
Decreases in the shares reporting that it was difficult to find a nursing position or to find a desired position
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Intentions of non-retired RNs not working in nursing (5 years)
4.7%
4.4%
20.3%
23.0%
15.9%
30.1%
19.8%
14.1%
13.8%
15.4%
15.6%
33.7%
32.8%
33.1%
41.3%
16.0%
12.9%
6.8%
7.5%
6.0%
33.7%
29.1%
26.1%
22.6%
6.0%
0% 20% 40% 60% 80% 100%
2006
2008
2010
2012
2014
Currently seeking employment in nursingPlan to return to nursing in the futureRetiredDefinitely will not return to nursing, but not retiredUndecided at this time
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Summary of key findings
Age distribution is fairly “flat” – similar numbers in each age group
Diversity of nursing workforce is slowly increasing
Employment settings have been relatively stable
• More hospital-employed RNs in ambulatory care
More than 60% of RNs have a BSN or higher degree
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Summary of key findings
Employment rate dropped again in 2014
• Dropped to 83.4% in 2014, from 87.4% in 2010
• Fewer RNs hold multiple jobs
Employment rates for younger RNs still lower than historic averages
Fewer nurses want to increase hours of work
• A higher share is planning to retire within 5 years
Salaries are continuing to rise
Job satisfaction dropped in many areas
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