Managed care and the nurse workforce

Article Abstract:

Many nurses are taking jobs in non-hospital settings. In the early 1990s, the percentage of nurses employed by hospitals began to fall as more nurses took jobs in a non-hospital setting. Salaries for nurses also plateaued and have not surpassed inflation since 1991. These trends were even more pronounced in states with high rates of HMO enrollment. However, managed care was not the only factor in the stagnation of wages. The recession of the early 1990s and cost-cutting measures in hospitals also contributed. Nursing schools should update curricula to train nurses to work in non-hospital settings.

Officials and employees, Economic aspects, Employment, Managed care plans (Medical care)

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Indirect vs direct hospital quality indicators for very low-birth-weight infants

Article Abstract:

It may be better to look at patient mortality rates rather than hospital volume when deciding where to send very low-birth-weight (VLBW) babies so they will receive the best treatment, according to a study of 94,110 VLBW babies. Hospital volume is a measure of how many premature babies a hospital cares for. This study found that hospitals that treat many premature babies do not necessarily have lower mortality rates than hospitals that treat few premature babies. Past mortality rates were the best predictor of future mortality rates.

Hospitals, Care and treatment, Methods, Evaluation, Infants (Premature), Birth weight, Low, Premature infants, Low birth weight, Medical referral

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Implications of an Aging Registered Nurse Workforce

Article Abstract:

There may not be enough registered nurses (RNs) in the future. An analysis of 60,386 RNs currently between 23 and 64 years of age shows that the average age of RNs increased 4.5 years between 1983 and 1998. By the year 2010, more than 40% of RNs will be over 50 years old. As they retire, there will not be enough RNs to take their place because fewer young women are choosing nursing as a career. By 2020, there will be as many RNs as there are in 2000, which is 20% below the projected need.

United States, Supply and demand, Labor supply, Labor force

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