Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Health Serv Res. 2001 Oct;36(5):831-52.

Hospital registered nurse shortages: environmental, patient, and institutional predictors.

Author information

  • 1Department of Community Health Systems, University of California, San Francisco 94143-0608, USA.

Abstract

OBJECTIVE:

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.

DATA SOURCE:

Secondary data from the American Hospital Association's Nursing Personnel Survey from 1990 and 1992 were used. The study population was all acute-care hospitals in the United States.

STUDY DESIGN:

Outcome variables included whether a hospital experienced a shortage in 1990, when many hospitals reported a nursing shortage, or whether a hospital reported a shortage in both 1990 and 1992. Predictor variables included environmental, patient, and institutional characteristics. Associations between predictor and outcome variables were investigated using probit analyses.

PRINCIPAL FINDINGS:

Location in the South, a high percentage of nonwhite county residents, a high percentage of patients with Medicaid or Medicare as payer, a higher patient acuity, and use of team or functional nursing care delivery consistently predicted hospitals reporting shortages both when there was a widespread shortage and when there was no widespread shortage.

CONCLUSIONS:

Although some characteristics under the direct control of hospitals, such as nursing care delivery model, are associated with their reporting a shortage of nurses, shortage is also strongly associated with broader population characteristics such as minority communities and a public insurance payer mix. Awareness of these broader factors may help inform policies to improve the distribution of nurse supply.

PMID:
11666106
[PubMed - indexed for MEDLINE]
PMCID:
PMC1089263
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk