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Workforce Policy

This page contains links to policy-related resources concerning the nursing workforce. The resources available on this page include all types of documents available on our website such as links to policy centers, links to data sources, news stories about policy changes or submissions from our nursing network members about policy reforms they are using in the workplace, to name a few. You may SEARCH the content of this page using the search module below, or SEARCH content on the entire website by clicking the SEARCH tab above (the main SEARCH page).

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North Carolina Nursing Workforce Report: 2004
6/25/2004 by NCIOM
-Long-range forecasts of RN supply and demand in North Carolina predict a shortage of anywhere from 9,000 nurses in 2015 to almost 18,000 by 2020. Rather than wait until North Carolina is in the midst of a full-blown nursing crisis, the NCIOM, in partnership with NC Nurses Association, NC Center for Nursing, NC AHEC, the NC Board of Nursing, and the North Carolina Hospital Association, decided to act proactively to prevent a future nursing shortage. The Task Force tried to examine these issues for nurse aides, LPNs, RNs, APRNs, and other registered nurses with graduate degrees. Recommendations offered can help focus efforts of legislators, educators, employers, the nursing community, trade associations, foundations and the public to ensure an adequate supply of well-trained nursing personnel for the future.
North Carolina Institute of Medicine
6/25/2004 by
-The North Carolina Institute of Medicine is an independent, non-profit organization that serves as a non-political source of health policy analysis and advice in North Carolina. The NC General Assembly chartered the NC IOM in 1983 to provide balanced, nonpartisan information on complex and often controversial health issues in our state. Numerous health care workforce reports, including a 2004 report on preventing a nursing workforce crisis, are available.
Supply, Demand, and Use of Licensed Practical Nurses
6/11/2004 by Seago, Spetz, Chapman, Dyer, Grumbach
-A study for HRSA used data from the 1984-to-2001 Current Population Survey to describe the demographic characteristics of LPNs, and compare these to registered nurses (RNs). The data indicated key similarities and differences between LPNs and RNs. Although licensed practical nurses (LPNs) organized into professional groups as early as 1941, there has been little in the literature about the practice, work, demand for, or efficient utilization of the licensed practical nurse. Additionally, there is little guidance as to how to most effectively make use of this practitioners' skills to enhance patient care and augment the RN workforce. Recently there has been an increased interest in trying new care delivery models in acute care hospitals using LPNs.
The Endangered Health System: A Progress Report on Workforce and Work Environment Issues
5/31/2004 by OJIN
-May 31, 2004 OJIN: In April 2003, the American Journal of Nursing published an analysis of the nursing workforce crisis ( Bleich, Hewlett, Santos, Rice, Cox, & Richmeier, 2003). This analysis was culled from 15 public documents issued during or prior to 2002 and reflected various stakeholder perspectives with a national view of the nursing workforce crisis. The authors challenged the health care community to work towards a comprehensive national strategy designed to avert the nursing shortage. This OJIN topic features summaries of three of the original 15 national reports included in the 2003 analysis. Additionally, OJIN has included the manuscript, Dissipating the ‘Perfect Storm’: Responses from Nursing and the Health Care Industry to Protect the Public’s Health. This article continues the important dialogue about what is at stake in this nursing workforce crisis and what the crisis means to the public, the nursing profession, and the delivery systems that served the last several generations of care seekers.
Agency for Healthcare Research and Quality
6/1/2004 by
-The AHRQ, an agency of the U.S. DHHS, is a research unit that conducts numerous studies and compiles data on topics associated with health system quality and safety. The website provides news, publications and data sets of interest to professionals interested in health system improvement.
Data and surveys from AHRQ
6/1/2004 by
-Data and surveys from the Agency for Healthcare Research and Quality. Technical data and instructions for obtaining data from official studies. Also, good lists of publications associated with each of the major data sets.
ANA's Safety & Quality Initiative - Nursing-Sensitive Indicators for Acute Care Settings
5/25/2004 by American Nurses Association
-In 1998, ANA funded the development of the National Center for Nursing Quality and a national database to house nursing-sensitive quality indicators. The database is housed at the University of Kansas Medical Center Research Institute (KUMCRI) and of the University of Kansas School of Nursing (KUMCRI). The goals of the National Database of Nursing Quality Indicators (NDNQI) are to promote and facilitate the standardization of information submitted by hospitals across the United States on nursing quality and patient outcomes. Data on nursing-sensitive indicators are collected and stored in NDNQI. To date, more than 235 hospitals from across the United States are participating in data collection on adult medical- surgical, and critical care populations. Data are reported to the database on a quarterly basis and quarterly feedback reports are provided to the hospitals.
Principles for Nurse Staffing
5/25/2004 by American Nurses Association
-Describes nine principles for nurse staffing identified by an expert panel, and adopted by the ANA Board of Directors in 1998. Principles are grouped into three categories: patient care related, staff related, and institution or organizational related.
The Shortage of Care: How to solve the nursing shortage by treating the disease...
5/25/2004 by SEIU Nurse Alliance
-The SEIU Nurse Alliance issued a report based on data from its January 2001 study and other national studies of nurse staffing in hospitals. The Shortage of Care, describes relationships between nurse staffing and medical errors, and includes recommendations for nurse staffing. The link below opens a PDF, Executive Summary for the report, available from SEIU, www.nursealliance.org.
Condition of nursing and nursing education in Virginia
5/10/2004 by State Council for Higher Education in Virginia
-This report provides background information, including an overview of Virginia’s nursing education infrastructure and data from prior studies on the condition of nursing in the Commonwealth; examines RN supply and demand trends; and introduces broad recommendations for increasing the number of nurses educated in the Commonwealth. The report resulted from a legislative mandate (HB2818).
Nursing Workforce Digest
4/16/2004 by New Hampshire AHEC
-The Nursing Workforce Digest provides a broad compilation of nursing workforce-related information sources in a searchable format based on categories of interest. The Digest attempts to sort through and compile the most relevant information, not just academic sources, to provide an efficient means for decision-makers to stay current in nursing workforce issues.
State Nursing Boards across the U.S.
4/21/2004 by National Council of State Boards of Nursing
-The National Council of State Boards of Nursing provides a list of contact information and direct web links for the 50 states, District of Columbia and U.S. territories. More information about the NCSBN and its work is available at www.ncsbn.org.
Tennessee Center for Nursing
4/19/2004 by Ann P. Duncan
-The Tennessee Center for Nursing, Inc. (TCN), established in 1996 as a coalition of healthcare stakeholders under the Robert Wood Johnson Foundation Colleagues in Caring project, was incorporated as a 501[c]3 in March 2000. In September 2001, the Tennessee Board of Nursing voted to enter into a contract with the TCN to serve as the research arm of the board of nursing. Reports of numerous studies, including "Projection of the Supply of and Demand for Nurses in Tennessee, 2000 Through 2020 and Analyses of Current Nurse Staffing in Tennessee" can be found at the TCN website.
Health Professions Network
4/6/2004 by staff
-The Health Professions Network (HPN) provides a forum for collaboration among allied health professions on issues of common interest. The Health Professions Network affirms that effective collaboration among health professions is based on the values of commitment, cooperation, integrity, accountability and diversity-respect. The structure of the HPN is unique - a loose collaboration of individuals and organizations supporting the mission and objectives, coordinated by volunteer leaders to facilitate the group's functions.
Report of 2003 national study of longterm care workforce
4/1/2004 by Paraprofessional HealthCare Institute/NC Dept. of Health and Human Services
-The Paraprofessional HealthCare Institute and North Carolina Department of Health and Human Services has released their report of a 2003 study of direct-care workforce in longterm care across the nation. The report includes coverage of budgetary cutbacks, workforce development programs, incentive programs, the use of federal health care programs to leverage resources and other activities of states to address workforce concerns in longterm care. More information about the National Clearinghouse on the Direct Care Workforce is available at their website: http://www.directcareclearinghouse.org
Nursing Shortage Resource
3/22/2004 by American Association of Colleges of Nursing
-This special section of the AACN website provides updated information specifically about nursing workforce shortage. Here, users can find data, essays, fact sheets and coverage of studies and important policy decisions concerning the nursing shortage.
Links to rural health information from the Texas Journal of Rural Health
3/8/2004 by Texas Journal of Rural Health
-A good list of professional associations, publications, policy centers, funding organizations and other resources related to health care in rural areas. Links are provided.
The California Healthline
1/29/2004 by California HealthCare Foundation
-The California Healthline is a daily news digest of health-related news stories and events in California and concerning California. Registered users receive automatic updates of news. An archive of covered stories is available.
Nebraska Center for Nursing
3/1/2004 by
-The Nebraska Center for Nursing was created by the Nebraska legislature in 2000 to develop and implement a strategic plan to reduce the nursing shortage in Nebraska. The sixteen-member Center for Nursing board is appointed by the Governor. The Nursing area in the Credentialing Division of the Department of Health and Human Services Regulation and Licensure provides administrative support for the Center.
Michigan Center for Nursing
3/1/2004 by
-Established in part by the RWJ Colleagues in Caring initiative, the Michigan Center for Nursing fosters strategic alliances, conducts research and maintains data and builds consensus around issues related to the nursing workforce for the benefit of the people of Michigan.
Illinois Coalition for Nursing Resources
3/1/2004 by
-The ICNR is a unique federation of individuals and organizations working together to achieve a shared mission and vision — to ensure Illinois has the nursing resources it needs. ICNR grew out of a 1999 Illinois Hospital Association task force composed of leaders from nursing service and education, and human resources departments. In February of 2000, IHA facilitated the formation and development of a group of organizations, a federation, to address the issues causing the shortage of nursing personnel in Illinois hospitals. The federation of organizations was set up with two main objectives: 1. To efficiently, effectively and positively affect the growing gap between the supply of and demand for nurses. 2. To address the long-term nursing resources and care needs of the people of Illinois. The Task Force invited over seventy representatives from state and national nursing organizations to form a permanent coalition to address nursing resource needs on an ongoing basis.
Florida Center for Nursing
3/1/2004 by
-The Florida Legislature established the Florida Center for Nursing to address issues of supply and demand for nursing, including issues of recruitment, retention, and utilization of nurse workforce resources. The Legislature believes that the Center will repay the state's investment by providing an ongoing strategy for the allocation of the state's resources directed towards nursing.
Henry J. Kaiser Family Foundation
2/18/2004 by
-The Kaiser Family Foundation produces numerous studies each year related to health and health care policy in the U.S., in addition to special focus areas on Africa and the AIDS crisis worldwide. Students and researchers interested in learning more about the U.S. health care system and about health conditions that have a direct affect on care delivery will find timely information on the KFF website.
Nursing Workforce Requirement for the Needs of Michigan Needs of Michigan Citizens
9/3/2003 by Rothert M, Wehrwein T, Andre J
-Published by the Institute for Public Policy & Social Research and Institute for Health Care Studies at Michigan State University, this report is one in a series to inform the public about health policy issues. The report provides descriptive information about the Michigan nursing workforce as well as recommendations for policy to address current challenges.
Crossing the Quality Chasm: A New Health System for the 21st Century
9/3/2003 by Institute of Medicine
-A pivotal report from the Committee on the Quality of Health Care in America recommended fundamental changes to close the quality gap and redesign the American health care system, and overarching principles for for policymakers, health care leaders, clinicians, regulators, purchasers, and others. The report contains a set of performance expectations for health systems, suggested rules to guide patient-clinician relationships, and an organizing framework to better align inherent incentives in payment and accountability with improvements in quality.
Safe Staffing Bill Introduced in Senate
8/1/2003 by Chris Donnellan, AJN
-The Registered Nurse Safe Staffing Act of 2003, S 991, was introduced by Senator Daniel Inouye (D-HI) on May 5. This legislation, supported by ANA, would require nursing input on staff structuring, emphasizing institution-specific conditions that ensure safety.
Joint Commission Announces 2004 National Patient Safety Goals
8/4/2003 by JCAHO Press Release
-Many of the new JCAHO National Patient Safety Goals are directly associated with the work of hospital nurses. This JCAHO press release outlines the goals.
CDC American's Use of Ambulatory and Emergency Care
8/12/2003 by Centers for Disease Control (CDC)
-The Centers for Disease Control released ambulatory and emergency visit data for 2000-01. These data can be helpful in determining major health conditions, tracking trends, and in matching staffing to patient usage patterns.
The Nursing Shortage: Can Technology Help?
8/8/2003 by California HealthCare Foundation and First Consulting Group
-This report commissioned by the California HealthCare Foundation in June 2002 analyzed major considerations in applying technology to solving nursing workforce problems. Through a series of interviews at 22 hospitals across the U.S., authors evaluated successful strategies and myths about the role of technology.
Understanding California's Nursing Crisis
3/1/2001 by California HealthCare Foundation
-Understanding California's Nursing Crisis synthesizes findings from three studies about the nursing crisis and discusses necessary changes in nursing practice, education, recruitment, and retention. Issues such as diversity, age distribution, and staffing ratios are highlighted.
Nursing in California: A Workforce Crisis
8/4/2003 by Coffman, J, Spetz, J, Seago JA, Rosenoff E, & O'Neil E.
-This report synthesizes information regarding California's RN workforce and the factors that affect California's ability to recruit and retain an adequate number of RNs. The report also presents recommendations for the health care industry, unions, nursing schools, nursing organizations and policymakers.
State Labor Market Information Centers - U.S. Bureau of Labor Statistics
8/1/2003 by
-Access to LMI Centers for all states - The U.S. Bureau of Labor Statistics designates a lead organization in each state and territory to collect and report labor market (workforce) information for states and counties. This information is useful for educational and workforce planning.
State Data Centers - U.S. Bureau of Census
8/1/2003 by
-Access to all the data centers - The U.S. Bureau of Census designates a lead organization in each state and territory to collect and report population and economic data that can be useful in informing program or policy changes.