PMID: 15367905Sep 16, 2004Paper

Hospital nurse wages and staffing, 1977 to 2002: cycles of shortage and surplus

The Journal of Nursing Administration
Joanne Spetz

Abstract

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 been little data analysis demonstrating the relationship between the current shortage and changes in wages and nurse staffing. Analysis of longitudinal hospital and patient data from the California Office of Statewide Health Planning and Development. Summary statistics of patient utilization, nurse staffing, and nurse wages were computed. The data demonstrate that cyclical shortages are accompanied by higher wages and employment. This has been true in recent years. However, in medical-surgical units, hours per patient day declined between 2001 and 2002, perhaps reflecting the inability of hospitals to find more nurses to meet staffing goals. Nurse staffing per patient day and per discharge have remained stable, despite concerns about low staffing levels. Improved measures of patient care needs and studies of the precise staffing requirements for different types of patients and configurations of staff are required to make recommendations...Continue Reading

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Citations

Nov 3, 2005·Journal of Child and Adolescent Psychopharmacology·Anne M Libby, Paula D Riggs
Apr 26, 2005·Annals of Surgery·Mary T HawnSelwyn M Vickers
Jan 13, 2006·The Journal of Nursing Administration·Jean Ann SeagoChristina Atwood
Aug 7, 2007·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Linda Kay Matheson, Kathleen Bobay
Jan 27, 2009·Journal of Nursing Management·Pirjo AaltoMaritta Välimäki
Aug 1, 2008·Western Journal of Nursing Research·Lynn UnruhCarol Stocks
Sep 17, 2013·Policy, Politics & Nursing Practice·Michelle Sardenberg-Hersh TellezSherly Wong
Aug 20, 2010·Western Journal of Nursing Research·Seyyed Abolfazl VagharseyyedinEesa Mohammadi
Jun 26, 2008·Policy, Politics & Nursing Practice·Lisa BlackCharlene Harrington

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