Nurse 138 study guide Samuel Merritt University
What are the primary work settings for RN's? Correct Answers
......
1) Hospitals 63.2% (where most nurses work!)
......
An increase of 25% in the past decade (HRSA, 2013). 39.6%
work in inpatient units in community hospitals. Others work in
specialty hospitals, long-term hospitals, and psychiatric units.
1.1% of RNs work in VA hospitals
2) Ambulatory care 10.5%
Nurse-based practices, physician-based practices, and free-
standing emergency and surgical centers
3) Public and community health 7.8%
4) Home health 6.4%
5) Extended care facilities 5.3%
6) Others - 6.8% ....Schools of nursing, nursing associations,
local, state or federal governmental agencies, state boards of
nursing, or insurance companies
Understand trends in nursing education Correct Answers - The
...... .... ..
number of diploma programs (hospital based) has steadily
declined, educating only 4% of all new RNs in 2013 (Robert
Wood Johnson Foundation, RWJF, 2013).
- Most nurses (53%) have initial ADN programs education
(RWJF, 2013)
,- NCSBN/FSNWC (2013) survey: 39% reported having an ADN
and 36% having a BSN as their first degree or credential.
- Many ADN-prepared RNs eventually return to school to
complete a BSN degree, often online
Currently, about 55% of RNs have BSN or higher degrees
(HRSA, 2013)
Globalization and the international migration of nurses has
resulted in an increase of internationally educated nurses (3.7%
in 2004 to 5.6% in 2008).
What are the pros/cons of nurse migration? Correct Answers -
...... ......
Globalization and the international migration of nurses has
resulted in an increase of internationally educated nurses (3.7%
in 2004 to 5.6% in 2008) (Thekdi, Wilson, and Xu, 2011)
This number has continued to increase
- Recruitment of foreign-educated nurses has been a strategy to
expand the workforce in response to the recent nursing shortage.
- However, this strategy is losing support.
Recruitment of these nurses may result in shortages in their
countries
Foreign-educated nurses face challenges
Speaking English as a second language
Problems with peers who may not perceive them as
knowledgeable
,- Deep cultural differences with different views of gender,
authority, power, and age that affect their communication and
interpersonal relationship styles.
- Absolute respect for experts and teachers creating a potential
barrier between nurse-managers and foreign-educated nurses
Sigma Theta Tau International (STTI) Position Paper on
international nurse migration in 2005
Recognizes the autonomy of nurses in making decisions for
themselves about where to live and work, noting that "push/pull"
factors shape nurse migration.
How do BSN nurses affect outcomes to patients in hospitals?
Correct Answers Patients on surgical units with more BSN-
...... ......
prepared nurses had fewer complications than patients on units
with fewer BSN nurses. Aiken, Clarke, Cheung, and colleagues
(2003):
What demographic trends are particularly important today?
Correct Answers - 2004: NSSRN reported 12.2% of RNs have
...... ......
minority backgrounds
- 2013: Racial and ethnic minorities: 37% of Americans. Only
19% of the RN population are minorities (Budden et al., 2013)
- 2015 The nursing workforce has grown more diverse. Non-
white RNs accounted for almost half (48%)
of employed nurses.
, - However, compared to the state's population, Latinos were
significantly underrepresented in the RN workforce, while
Filipinos and whites were significantly overrepresented.
- The pre-licensure programs for RNs produced 11,119
graduates in 2015, slightly down from a high of 11,512 in 2010.
- California's RN workforce relies on foreign-educated nurses.
In 2015, about one in five employed RNs were trained outside
the US.
- Nurses' average income was $100,000 in 2015.
In 2015, more than two-thirds (71%) of LVN graduates came
from for-profit schools.
- Cultural Diversity is a particularly important demographic
trend important to the future of nursing!
How many actively licensed Rn's are in CA? Correct Answers
......
California is home to more than 330,000 actively licensed
......
registered nurses (RNs), making nursing the single largest health
profession in the state.
Why is race and ethnicity in nursing important? Correct Answers
......
Information on race and ethnicity is critical in policy decision
......
making, including congressional redistricting, civil rights
legislation, and promotion of equal employment opportunities.
Particularly important to health care is the ability to assess
health disparities and environmental risk (CDC, 2013).
What are the primary work settings for RN's? Correct Answers
......
1) Hospitals 63.2% (where most nurses work!)
......
An increase of 25% in the past decade (HRSA, 2013). 39.6%
work in inpatient units in community hospitals. Others work in
specialty hospitals, long-term hospitals, and psychiatric units.
1.1% of RNs work in VA hospitals
2) Ambulatory care 10.5%
Nurse-based practices, physician-based practices, and free-
standing emergency and surgical centers
3) Public and community health 7.8%
4) Home health 6.4%
5) Extended care facilities 5.3%
6) Others - 6.8% ....Schools of nursing, nursing associations,
local, state or federal governmental agencies, state boards of
nursing, or insurance companies
Understand trends in nursing education Correct Answers - The
...... .... ..
number of diploma programs (hospital based) has steadily
declined, educating only 4% of all new RNs in 2013 (Robert
Wood Johnson Foundation, RWJF, 2013).
- Most nurses (53%) have initial ADN programs education
(RWJF, 2013)
,- NCSBN/FSNWC (2013) survey: 39% reported having an ADN
and 36% having a BSN as their first degree or credential.
- Many ADN-prepared RNs eventually return to school to
complete a BSN degree, often online
Currently, about 55% of RNs have BSN or higher degrees
(HRSA, 2013)
Globalization and the international migration of nurses has
resulted in an increase of internationally educated nurses (3.7%
in 2004 to 5.6% in 2008).
What are the pros/cons of nurse migration? Correct Answers -
...... ......
Globalization and the international migration of nurses has
resulted in an increase of internationally educated nurses (3.7%
in 2004 to 5.6% in 2008) (Thekdi, Wilson, and Xu, 2011)
This number has continued to increase
- Recruitment of foreign-educated nurses has been a strategy to
expand the workforce in response to the recent nursing shortage.
- However, this strategy is losing support.
Recruitment of these nurses may result in shortages in their
countries
Foreign-educated nurses face challenges
Speaking English as a second language
Problems with peers who may not perceive them as
knowledgeable
,- Deep cultural differences with different views of gender,
authority, power, and age that affect their communication and
interpersonal relationship styles.
- Absolute respect for experts and teachers creating a potential
barrier between nurse-managers and foreign-educated nurses
Sigma Theta Tau International (STTI) Position Paper on
international nurse migration in 2005
Recognizes the autonomy of nurses in making decisions for
themselves about where to live and work, noting that "push/pull"
factors shape nurse migration.
How do BSN nurses affect outcomes to patients in hospitals?
Correct Answers Patients on surgical units with more BSN-
...... ......
prepared nurses had fewer complications than patients on units
with fewer BSN nurses. Aiken, Clarke, Cheung, and colleagues
(2003):
What demographic trends are particularly important today?
Correct Answers - 2004: NSSRN reported 12.2% of RNs have
...... ......
minority backgrounds
- 2013: Racial and ethnic minorities: 37% of Americans. Only
19% of the RN population are minorities (Budden et al., 2013)
- 2015 The nursing workforce has grown more diverse. Non-
white RNs accounted for almost half (48%)
of employed nurses.
, - However, compared to the state's population, Latinos were
significantly underrepresented in the RN workforce, while
Filipinos and whites were significantly overrepresented.
- The pre-licensure programs for RNs produced 11,119
graduates in 2015, slightly down from a high of 11,512 in 2010.
- California's RN workforce relies on foreign-educated nurses.
In 2015, about one in five employed RNs were trained outside
the US.
- Nurses' average income was $100,000 in 2015.
In 2015, more than two-thirds (71%) of LVN graduates came
from for-profit schools.
- Cultural Diversity is a particularly important demographic
trend important to the future of nursing!
How many actively licensed Rn's are in CA? Correct Answers
......
California is home to more than 330,000 actively licensed
......
registered nurses (RNs), making nursing the single largest health
profession in the state.
Why is race and ethnicity in nursing important? Correct Answers
......
Information on race and ethnicity is critical in policy decision
......
making, including congressional redistricting, civil rights
legislation, and promotion of equal employment opportunities.
Particularly important to health care is the ability to assess
health disparities and environmental risk (CDC, 2013).
