Did you know...?
There are nearly 2.7 million registered nurses in the United States.
And, 2.2 million of them are actively employed.
National Nurses Week has a distinctive history.
The American Nurses Association was founded in 1896
Isabel Adams Hampton Robb was the first president of the American
Nurses Association
As of November 2001, the Bureau of Labor Statistics projects that
more than one million new nurses will be needed by the year 2010. The report
projects that total employment will increase by 22.2 million jobs during
the 2000-2010 period, rising to 167.8 million. Health care practitioners
and technical occupations are expected to account for 1.6 million new jobs
during that period. Registered nurses, which represent the largest occupation
in this group, should account for more than a third of those new jobs.
The nation's registered nurse (RN) workforce is aging significantly
and the number of full-time equivalent RNs per capita is forecast to peak
around the year 2007 and decline steadily thereafter, according to Peter
Buerhaus of Vanderbilt University's nursing school. Buerhaus also predicted
that the number of RNs would fall 20 percent below the demand by 2010.
(Journal of the American Medical Association, June 14, 2022)
There are over 196,000 advanced practice nurses in the United States.
Of these, approximately 88,100 are nurse practitioners, 54,300 are clinical
nurse specialists, 14,600 are both nurse practitioners and clinical nurse
specialists, 9,200 are nurse midwives, and 29,800 are nurse anesthetists.
Research indicates that advanced practice nurses can provide 60 to
80 percent of primary care services as well as or better than physicians
and at a lesser cost.
49 states and the District of Columbia allow advanced practice nurses
to prescribe medications.
The January 5, 2000, edition of the Journal of the American Medical
Association (JAMA) reported the results of a study which revealed patients
fared just as well when treated by nurse practitioners as they did when
treated by physicians.
The nation's nurses rank second for their honesty and integrity,
with 84 percent of Americans rating them "high" or "very high," according
to a 2001 CNN/USA Today/Gallup Poll. Firefighters, who were given high
ratings by 90 percent of Americans, displaced nurses from the poll's top
slot this year, following the Sept. 11 terrorist attacks. Nurses had previously
rated first for two years in a row after being added to the list in 1999.
According to a 1989 study published by the New England Journal of
Medicine(325 (25), 1720-1725), hospitals with more registered nurses on
staff and higher ratios of nurses to patients had 6.3 fewer deaths per
1,000 patients than hospitals that did not have those characteristics.
The American Nurses Association consists of 54 state and territorial
associations, whose mission is to work for the improvement of health standards
and availability of health care services for all people, foster high standards
for nursing, stimulate and promote the professional development of registered
nurses, and advance their economic and general welfare.
The link between adequate and appropriate nurse staffing and positive
patient outcomes has been shown in several ANA publications and studies,
including ANA's Nurse Staffing and Patient Outcomes in Inpatient Hospital
Settings. This report, published in May 2000, found that shorter lengths
of stay are strongly related to higher RN staffing per acuity-adjusted
day and that patient morbidity indicators for preventable conditions are
inversely related to RN skill mix.
A January 2001 ANA Staffing Survey revealed that America's RNs feel
that deteriorating working conditions have led to a decline in the quality
of nursing care. Specifically, 75 percent of nurses surveyed felt the quality
of nursing care at the facility in which they work has declined over the
past two years, while 56 percent of nurses surveyed believe that the time
they have available for patient care has decreased. In addition, over 40
percent said they would not feel comfortable having a family member or
someone close to them be cared for in the facility in which they work,
and over 54 percent would not recommend the profession to their children
or their friends. These statistics reveal a disturbing trend.
America's registered nurses report that health and safety concerns
play a major role in their decisions to remain in the profession, according
to findings from a Health and Safety Survey released in September 2001.
In the survey, over 70 percent (70.5 percent) of nurses cited the acute
and chronic effects of stress and overwork as one of their top three health
and safety concerns. Yet nurses continue to be pushed harder -- with more
than two-thirds reporting that they work some type of unplanned overtime
every month.
The American Nurses Credentialing Center Magnet Nursing Services
Recognition Program offers guidelines designed to shift hospital administrators'
focus from expensive, short-sighted recruitment efforts to meaningful retention
strategies. Hospitals that have been designated as "magnets" have been
found in studies to attract and retain professional nurses who experienced
a high degree of professional and personal satisfaction through their practice.
Currently, 42 hospitals and long-term care facilities have been awarded
"magnet" recognition, but the essential "magnet" criteria can be used by
nurses and administrators to assess their own facilities for improvements.
A study conducted by the Nursing Credentialing Research Coalition
found that certification has a dramatic impact on the personal, professional
and practice outcomes of certified nurses. Overall, nurses in the study
stated that certification enabled them to experience fewer adverse events
and errors in patient care than before they were certified. Additional
results revealed that certified nurses:
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expressed more confidence in detecting early signs of complications;
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reported more personal growth and job satisfaction;
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believed they were viewed as credible providers;
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received high patient satisfaction ratings;
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reported more effective communication and collaboration with other health
care providers; and
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experienced fewer disciplinary events and work-related injuries.
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