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Nurses
Publications
Listed by publication date. You can also view these publications alphabetically.
2007
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Changes in the Rural Registered Nurse Workforce from 1980 to 2004 (Project Summary)
Author(s): Skillman SM, Palazzo L, Hart LG, Butterfield P
Research center:
WWAMI Rural Health Research Center
Topics:
Nurses,
Workforce
Report Number: Final Report 115
Date: 10 / 2007
Current and projected nationwide shortages of registered nurses (RNs) threaten access to and quality of care in most parts of the country. In rural areas health care is frequently challenged by uneven distribution of health care providers, including nurses. This report shows changes in the rural registered nurse workforce from 1980 to 2004.
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Changes in the Rural Registered Nurse Workforce from 1980 to 2004 (Final Report)
Author(s): Skillman SM, Palazzo L, Hart LG, Butterfield P
Research center:
WWAMI Rural Health Research Center
Topics:
Nurses,
Workforce
Report Number: Final Report 115
Date: 10 / 2007
There are shortages of registered nurses (RNs) in most parts of the country. Rural strategies to address these shortages may differ from urban strategies, and knowledge of how the rural nurse workforce has changed over time is important for
rural health policy and planning. With data from 1980-2004 National Sample Surveys of Registered Nurses, and using
Rural-Urban Commuting Area definitions, this study describes changes in rural and urban RN demographics, education, and employment characteristics over time.
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Practice Patterns and Characteristics of Nurse Practitioners in Washington State
Author(s): CHA Andrilla, L. Gary Hart, L. Kaplan, MA Brown
Topics:
Mid-level practitioners,
Nurses
Report Number: Working Paper No. 109
Date: 2007
2006 -
Registered Nurse Vacancies in Federally Funded Health Centers
Research center:
WWAMI Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Nurses,
Workforce
Date: 12 / 2006
Discusses the registered nurse (RN) vacancy rate in federally funded health centers, which varies by degree of rurality.
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Barriers to Autonomous Practice
Author(s): Louise Kaplan, Marie-Annette Brown, Holly Andrilla, L. Gary Hart
Research center:
WWAMI Rural Health Research Center
Topics:
Mid-level practitioners,
Nurses,
Pharmacy and prescription drugs,
Workforce
Citation: Nurse Practitioner, 31(1), 57-63
Date: 01 / 2006
Describes a study of the impact of a Washington State law changing nurse practitioners (NPs) prescribing authority. The study examined whether prescribing with indirect physician involvement eliminated barriers to practice, the extent to which the law created barriers to prescribing certain drugs, and compared NPs' experiences prescribing or providing controlled substances before and after implementation of the current law.
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Characteristics of Registered Nurses in Rural Versus Urban Areas: Implications for Strategies to Alleviate Nursing Shortages in the United States
Author(s): Susan M. Skillman, Lorella Palazzo, David Keepnews, L. Gary Hart
Research center:
WWAMI Rural Health Research Center
Topics:
Nurses,
Workforce
Citation: Journal of Rural Health, 22(2), 151-157
Date: 2006
Provides results of a study comparing characteristics of rural and urban registered nurses (RNs) in the United States using data from the 2000 National Sample Survey of Registered Nurses. RNs in 3 types of rural areas are examined using the rural-urban commuting area taxonomy.
2005 -
State of Rural Hospital Nursing and Allied Health Professional Shortages
Research center:
Southwest Rural Health Research Center
Topics:
Allied health professionals,
Hospitals and clinics,
Nurses,
Workforce
Date: 12 / 2005
This study estimated shortages of nurses and allied health personnel among rural hospitals in order to gauge the difficulty experienced by rural hospitals in recruiting such personnel. Additionally, the study examined strategies these hospitals employ in recruitment and retention of nurses, and addressed strategies that might effectively address such shortages. Report available on request.
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Characteristics of Registered Nurses in Rural vs. Urban areas: Implications for Strategies to Alleviate Nursing Shortages in the United States
Author(s): Susan M. Skillman, Lorella Palazzo, David Keepnews, L. Gary Hart
Research center:
WWAMI Rural Health Research Center
Topics:
Nurses,
Workforce
Report Number: Working Paper No. 91
Date: 01 / 2005
Compares characteristics of rural and urban registered nurses (RNs) in the United States using national survey data, and examined certain characteristics of rural RNs that should be considered in developing strategies to alleviate nursing shortages. Such strategies require understanding of rural RNs' work, education, and commuting patterns. If higher wages attract and retain nurses, and urban employers are better positioned than rural employers to raise wages, this policy could draw larger numbers of RNs from rural to urban settings. A "one size fits all" approach to resolving nurse shortages may benefit one geographic area type at the expense of others.
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Workforce Issues in Rural Areas: A Focus on Policy Equity
Author(s): Thomas C. Ricketts
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Topics:
Health policy,
Nurses,
Pharmacy and prescription drugs,
Physicians,
Workforce
Citation: American Journal of Public Health, 95(1), 42-48
Date: 01 / 2005
Reviews the geographic distribution of 6 classes of health professionals: physicians, nurses, dentists, pharmacists, mental health professionals, and public health professionals. Describes the government and private policies and programs intended to affect the geographic distribution of these health professionals.
2004 -
Are Advanced Practice Nurses A Solution To Rural Mental Health Workforce Shortages?
Author(s): David Hartley, Valerie Hart, Nancy Hanrahan, Stephenie Loux
Research center:
Maine Rural Health Research Center
Topics:
Mental health,
Nurses,
Workforce
Report Number: Working Paper No. 31
Date: 04 / 2004
Summarizes the clinical skills and prescriptive authority of Advanced Practice Psychiatric Nurses (APPNs), and investigates current trends in their geographic distribution to determine what their future role may be in addressing rural mental health needs. Includes information on prescription authority and collaboration requirements for each state, as well as state distribution of APPNs.
2003 -
Contribution of Nurse Practitioners and Physician Assistants to Generalist Care in Underserved Areas of Washington State
Author(s): Eric H Larson, Lorella Palazzo, Bobbi Berkowitz, Michael J Pirani, L Gary Hart
Research center:
WWAMI Rural Health Research Center
Topics:
Mid-level practitioners,
Nurses,
Workforce
Citation: Health Services Research, 38(4), 1033-1050
Date: 08 / 2003
Uses productivity data from the non-physician clinician (NPC) and physician populations in Washington State to assess the contribution to generalist care made by NPCs, giving special attention to the role of NPCs in rural and underserved areas and the role of women NPCs in the female provider population. Overall, generalist NPCs make up 23.4 percent of the generalist provider population and perform about 21 percent of the generalist outpatient visits in Washington State. NPC contribution is higher in rural areas of the state and a bit lower in urban areas. In rural areas, female physicians provided only 49.3 percent of the visits by female providers; female NPCs provided the remaining 50.3 percent. In urban areas, female physicians provided about 63.5 percent; female NPCs provided 46.5 percent. NPCs made similar contributions to total care in rural HPSAs compared to rural non-shortage areas, though physician assistants appear to contribute somewhat more care in HPSAs with severe shortages of providers. The results suggest that accurate and meaningful estimates of available generalist care must take into account the contribution of NPCs.
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