Sales A, Sochalski J, Li Y, Sharp N; AcademyHealth. Meeting (2003 : Nashville, Tenn.).
Abstr AcademyHealth Meet. 2003; 20: abstract no. 922.
VA Puget Sound Health Care System, HSR&D (152), 1660 S. Columbian Way, Seattle, WA 98108 Tel. (206) 764-2368 Fax (206) 764-2935
RESEARCH OBJECTIVE: To describe differences in geographic distribution, work setting, and wages between RNs graduating from non-US schools of nursing compared with RNs graduating from US programs. STUDY DESIGN: Cross-sectional descriptive study. All inference testing was conducted using techniques to control for survey design; all results are corrected for the probability of being included in the sample using population weights. Analyses were conducted using survey estimation commands from Stata v7.0. Covariates in the wage equations used for adjustment included years of experience and its square; marital status; gender; race; rural/urban location; two dummy variables indicating RN worked in hospital or nursing home; 10 dummy variables for region of the country; and four dummy variables for position title. POPULATION STUDIED: Registered nurses responding to the National Sample Survey of Registered Nurses in 2000. The NSSRN is a probability sample of the RN population of the United States conducted every 4 years. Response rate was 71.7%. PRINCIPAL FINDINGS: Overall, 1300 respondents representing 101,491 RNs in the US, reported graduating from a non-US school of nursing. This compares to 33420 US-trained RNs in the sample, representing over 2.6 million RNs. Non-US graduates were more likely to be diploma or baccalaureate prepared than US graduates; they had more years' experience in nursing, and were found primarily in New York state (15.0 vs. 6.9%), California (22.4 vs. 7.6%), Florida (10.9 vs. 5.7%), and Texas (10.9 vs. 5.3%). Wage rates appeared higher for non-US graduate RNs but this difference became insignificant once the effects of work setting, years of experience, position, and region of the country were controlled. Non-US graduates were more likely to work in either hospitals or nursing homes than other work settings. Non-US graduates were much more likely to be in urban settings (95% vs. 83%). CONCLUSIONS: Non-US graduate RNs appeared to be working in the settings most in need of RN recruits in 2000. However, they tended to cluster in very few places in the US, and almost exclusively in urban centers. This geographic distribution probably exacerbates the existing disparity between urban and rural areas in terms of RN shortages. IMPLICATIONS FOR POLICY, DELIVERY OR PRACTICE: Improved understanding of recruitment of non-US graduate RNs into the US will assist in planning for future workforce needs. Disparities in workforce access for rural parts of the US could be addressed by targeted recruitment of non-US RNs.
Publication Types:
Keywords:
- California
- Cross-Sectional Studies
- Data Collection
- Demography
- Florida
- Forecasting
- Health Services Needs and Demand
- Income
- New York
- Nurses
- Salaries and Fringe Benefits
- Texas
- United States
- Workplace
- education
- nursing
- supply & distribution
- hsrmtgs
Other ID:
UI: 102275891
From Meeting Abstracts