Document Detail

The hospital nursing shortage. A paradox of increasing supply and increasing vacancy rates.
MedLine Citation:
PMID:  2669349     Owner:  NLM     Status:  MEDLINE    
A serious shortage of nurses has developed since 1984 despite a growing number of employed nurses and a substantial decline in the number of hospital inpatient days. The evidence suggests that the shortage is the result of an increased demand for nurses, not a decline in supply. The increased demand in large part has resulted from the substitution of registered nurses for licensed practical nurses, aides, and other patient services personnel. The substitution was feasible because nurses' wages have been depressed compared with those of other hospital employees. The shortage is likely to abate if nurses' wages increase, making substitution more costly. Even in the absence of continuing wage increases, hospitals could ease the shortage by restructuring patient services and enabling nurses to spend a greater portion of their time in direct patient care.
L H Aiken
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Western journal of medicine     Volume:  151     ISSN:  0093-0415     ISO Abbreviation:  West. J. Med.     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-09-08     Completed Date:  1989-09-08     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0410504     Medline TA:  West J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  87-92     Citation Subset:  AIM; IM    
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MeSH Terms
Health Services Needs and Demand / trends*
Health Services Research / trends*
Nurses' Aides / utilization
Nursing Staff, Hospital / supply & distribution*
Nursing, Practical / utilization
Salaries and Fringe Benefits
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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