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POLITICS
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SOCIETYNursesintheUnitedStatesCHAPTER
01WorkforceNumberofnursepractitionersemployedintheUnitedStatesin2022,bystateNumberofnursepractitionersemployedbyU.S.state202225,00020,00015,00010,0005,00003Description:AsofMay2022,therewerearound258,210nursepractitionersemployedintheUnitedStates.Thatyear,with19,130nurses,Californiaregisteredthehighestnumberofnursepractitioners,followedcloselybyTexas.Ontheotherhand,Wyomingregisteredthelowestnursepractitionerheadcount,with460nurses.ReadmoreNote(s):UnitedStates;AsofMay2022;Excludingself-employedSource(s):BureauofLaborStatisticsNumberofregisterednursesintheUnitedStatesin2022,bystateRegisterednursesemploymentinUSstates2022350,000300,000250,000200,000150,000100,00050,00004Description:In2022,accordingtotheBureauofLaborStatistics,therewere3.07millionregisterednursesintheUnitedStates.With326thousandregisterednurses,CaliforniahadthehighestnumberofregisterednursesintheU.S.,followedbyTexasandFlorida.Ontheotherhand,Wyomingwasthestatewiththeleastregisterednursesin2022.ReadmoreNote(s):UnitedStates;May2022Source(s):BureauofLaborStatisticsNumberofnursemidwivesemployedintheUnitedStatesin2022,bystateNumberofnursemidwivesemployedbyU.S.state20221,0009109008007006005004003002001000790500490340340290
29028028026024020018018018015015013013013012012011080808070
7070606050505040305Description:AsofMay2022,theestimatednumberofnursemidwivesemployedintheUnitedStatesrangedfrom30nursemidwivesto910bystate.Californiaregisteredthehighestnumberofnursemidwives,whereasIowahadthelowest.
ReadmoreNote(s):UnitedStates;AsofMay2022;Excludingself-employedSource(s):BureauofLaborStatisticsNumberofnurseanesthetistsemployedintheUnitedStatesin2022,bystateNumberofnurseanesthetistsemployedbyU.S.state20224,5004,0003,5003,0002,5002,0001,5001,00050006/statistics/1303398/number-of-employed-nurse-anesthetists-by-us-stateAsofMay2022,theestimatednumberofnurseanesthetistsemployedintheUnitedStatesrangedfrom40nurseanesthetiststo3,990bystate.Floridaregisteredthehighestnumberofemployednurseanesthetists,whereasWyominghadthelowest.ReadmoreNote(s):UnitedStates;AsofMay2022;Excludingself-employedSource(s):BureauofLaborStatisticsNumberoflicensedpracticalandlicensedvocationalnursesintheUnitedStatesin2022,bystateLicensedpracticalandvocationalnursesemploymentinUSstates202280,00070,00060,00050,00040,00030,00020,00010,00007Description:In2022,accordingtotheBureauofLaborStatistics,therewere632thousandlicensedpracticalandvocationalnursesintheUnitedStates.With74thousandlicensednurses,CaliforniahadthehighestnumberoflicensednursesintheU.S.,followedbyTexasandNewYork.Ontheotherhand,Alaskahadtheleastlicensednursesin2022.ReadmoreNote(s):UnitedStates;May2022Source(s):BureauofLaborStatisticsDistributionofregisterednursesintheUnitedStatesin2022,byemployerDistributionofregisterednursesintheU.S.2022,byemployer70%59%60%50%40%30%20%10%0%18%6%5%3%HospitalsAmbulatoryservicesNursingandresidentialcarefacilitiesGovernmentEducationalservices;state,local,andprivate8Description:In2022,hospitalsemployednearlytwo-thirdsofallregisterednursesintheUnitedStates.AmbulatoryhealthcareserviceswerethesecondmostcommonemployerforregisterednursesintheU.S.Ontheotherhand,nursingandresidentialcarefacilitiesemployedonlysixpercentofregisterednursesacrossthecountry.ReadmoreNote(s):UnitedStates;2022Source(s):BureauofLaborStatisticsCHAPTER
02WagesAnnualmeanwageofnursingprofessionsintheUnitedStatesin2022,bytypeofnurse(inU.S.dollars)MeanannualwageofdifferenttypesofnursesintheUS2022250,000205,770200,000150,000124,680122,450100,00050,000089,01055,86036,270NurseAnesthetistNursePractitionerNurseMidwivesRegisteredNurseLicensedPracticalandLicensedVocationalNurseNursingAssistants,Orderlies,andPsychiatricAides10Description:In2022,accordingtotheBureauofLaborStatistics,theannualmeanwageofnursesintheUnitedStatesrangedfrom36thousandto206thousandU.S.dollars.Withanannualmeanwageof206thousandU.S.dollars,nurseanesthetisthadthehighestwagesintheUnitedStates.Ontheotherhand,nursingassistants,orderlies,andpsychiatricaideshadthelowestannualmeanwagesin2022.ReadmoreNote(s):UnitedStates;May2022Source(s):BureauofLaborStatisticsHourlymeanwageofnursingprofessionsintheUnitedStatesin2022,bytypeofnurse(inU.S.dollars)MeanhourlywageofdifferenttypesofnursesintheUS202212098.9310080604020059.9458.8742.826.8617.44NurseAnesthetistsNursePractitionereNurseMidwivesRegisteredNursesLicensedPracticalandLicensedVocationalnursesNursingAssistants,Orderlies,andPsychiatricAides11Description:In2022,accordingtotheBureauofLaborStatistics,thehourlymeanwageofnursesintheUnitedStatesrangedfrom17to99U.S.dollars.Withanhourlymeanwageof98.93U.S.dollars,nurseanesthetistshadthehighestwagesintheUnitedStates.Ontheotherhand,nursingassistants,orderlies,andpsychiatricaideshadthelowesthourlymeanwagesin2022.ReadmoreNote(s):UnitedStates;May2022Source(s):BureauofLaborStatisticsAverageannualsalaryofregisterednursesintheUnitedStatesfrom2011to2022AnnualsalaryofregisterednursesintheU.S.2011-2022100,00090,00089,01082,75080,01077,46080,00075,50473,54972,17671,13671,01169,78469,11868,91070,00060,00050,00040,00030,00020,00010,000020112012201320142015201620172018201920202021202212Description:Since2011,thesalaryofregisterednurseshasbeengraduallyincreasingintheUnitedStates.In2022,registerednursesintheU.S.hadanaverageincomeof89,010USdollarscomparedto69.118in2011.Theaverageincomeofnursesdecreasedin2012and2014,whilein2022,averagesalaryincreasedover6,000U.S.dollars.ReadmoreNote(s):UnitedStates;2011to2022Source(s):BureauofLaborStatisticsAnnualmeanwageofregisterednursesintheUnitedStatesin2022,bystateRegisterednursemeanannualwageinUSstates2022160,000140,000120,000100,00080,00060,00040,00020,000013Description:In2022,accordingtotheBureauofLaborStatistics,theannualmeanwageofregisterednursesintheUnitedStatesstoodat89,010U.S.dollars.Withanannualmeanwageof133,340U.S.dollars,registerednursesinCaliforniahadthehighestwages,followedbyHawaii,Oregon,andMassachusetts.Ontheotherhand,SouthDakotawasthestatewiththelowestannualmeanwagesforregisterednursesin2022.ReadmoreNote(s):UnitedStates;May2022Source(s):BureauofLaborStatisticsAnnualmeanwageofnursepractitionersintheUnitedStatesin2022,bystateNursepractitionersmeanannualwageinUSstates2022180,000160,000140,000120,000100,00080,00060,00040,00020,000014Description:In2022,accordingtotheBureauofLaborStatistics,theannualmeanwageofnursepractitionersintheUnitedStatesstoodat124,680U.S.dollars.Withanannualmeanwageof145,970U.S.dollars,registerednursesinCaliforniahadthehighestwages,followedbyNewJersey,andMassachusetts.Ontheotherhand,Tennesseehadthelowestannualmeanwagesfornursepractitionersin2022.
ReadmoreNote(s):UnitedStates;May2022Source(s):BureauofLaborStatisticsCHAPTER
03Age,gender,andethnicityDistributionofregisterednursesintheUnitedStatesfrom2014to2021,bygenderGenderdistributionofregisterednursesintheUS2014-2021MaleFemale120%100%80%60%88.3%90.4%90.1%89.8%89.4%89.1%88.7%88.5%40%20%0%11.7%20219.6%20149.9%201510.2%201610.6%201710.9%201811.3%201911.5%202016Description:IntheUnitedStates,thelargemajorityofregisterednurseswerewomen.From2014to2021,onlyoneoutoftenregisterednursesweremen.Althoughnursingremainspredominatelyafemaleprofession,theshareofmaleregisterednurseshasslightlyincreasedovertheyears.ReadmoreNote(s):UnitedStates;2014to2021Source(s):DataUSA;USCensusBureauDistributionofregisterednursesintheUnitedStatesin2021,byagegroupandgenderAgedistributionofregisterednursesintheU.S.2021,bygenderMaleFemale450,000400,000350,000300,000250,000200,000150,000100,00050,000017-1920-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475-7980-85485-8817Description:IntheUnitedStates,theaverageageofaregisterednursewas43.6yearsold.Theaverageageofmaleregisterednurseswas42.2,lowercomparedto43.7yearsforfemaleregisterednurses.Withatotalof439,917nurses,mostregisterednurseswerepartofthe30to34yearsoldagegroupin2021.Therewereeven714registerednursesaged85to88yearsold.
ReadmoreNote(s):UnitedStates;2021Source(s):DataUSAShareofregisterednursesintheUnitedStatesin2021,byraceRacedistributionofregisterednursesintheUS202180%70%60%50%40%30%20%10%0%WhiteBlackAsianTwoormoreracesOther*18Description:In2021,registerednursesintheUnitedStateswerepredominantlyWhite,accountingfor72percentofallregisterednurses.ThesecondmostfrequentracegroupforregisterednursesintheUSwasBlackfollowedbyAsian.
ReadmoreNote(s):UnitedStates;2021Source(s):DataUSA;USCensusBureauCHAPTER
04EmploymentperspectivesRegisterednurseturnoverrateinhospitalsintheUnitedStatesin2022,byspecialtyRegisterednurseturnoverrateintheU.S.2022,bydiscipline30%25%27.1%23.7%23.1%22.5%21.7%20.8%19.9%18.7%20%15%10%5%17.1%17.2%16%0%20Description:In2022,theaverageturnoverrateforregisterednursesthatworkinhospitalsacrosstheUnitedStatesstoodat22.5percent.Accordingtothissurvey,thepercentageofregisterednurses(RN)thatleavehospitalsrangedfromroughly16percenttoover27percent,dependingonthediscipline.ThehighestRNturnoverwasfoundamongTelemetrynursesandStepDownnurses.Ontheotherhand,RNturnoverwasthelowestinSurgicalservicesandPediatrics.
ReadmoreNote(s):UnitedStates;2022;273hospitals;273hospitalsfrom35statesincluding736,021healthcareworkers,and202,502registerednurses.Source(s):NSInursingsolutionsAveragenumberofdaysneededforahospitalintheUnitedStatestorecruitaregisterednursefrom2021to2023,byspecialtyRegisterednurserecruitmentdifficultyindexinUShospitals2021-2023,byspecialty20212022202385120100806040200111105999897969695959291898887868484848382807675OperatingRoomRNCriticalCareRN
Nationalaverage
Laboranddelivery
ProgressivecareRN
unitRNTelemetryRNEmergencyRNMedical/surgicalRN21Description:Overthelastthreeyears,thenumberofdaysneededforahospitalintheU.S.torecruitregisterednurseshasincreased.In2023,hospitalsintheUnitedStatesneededanaverageof95daystorecruitaregisterednurse(RN).TheaveragetimetorecruitanexperiencedRNrangedfrom75to105days,dependingonthespecialty.Duringthatyear,hospitalsintheU.S.neededanaverageof105daystorecruitaregisterednursespecializinginmedicalsurgery.
ReadmoreNote(s):UnitedStates;2021to2023;273facilities;Facilitiesfrom35states,covering736,021healthcareworkersand202,502registerednursesSource(s):NSInursingsolutionsVacancyrateofregisterednursesinhospitalsintheUnitedStatesin2023,byvacancyrangeRegisterednursevacancyrateinU.S.hospitals2023605040302051.413.412.310.61007.35Lessthan5%5-7.49%7.5-9.9%10-12.49%12.5-14.9%Greaterthan15%22Description:In2023,threequartersofhospitalsintheU.S.reportedaregisterednursevacancyratehigherthantenpercent.Accordingtothissurvey,onlyfivepercentofhospitalshad95percentormoreoftheirRNpositionsfilled.AhighvacancyrateplusdifficultytohirenewstaffmeanshospitalsneedsomedrasticmeasurestoaddresstheseRNshortages.ReadmoreNote(s):UnitedStates;2023;273hospitals;273hospitalsfrom35statesincluding736,021healthcareworkers,and202,502registerednurses.Source(s):NSInursingsolutionsShareofnurseswhoplantoleavetheirworkpositionintheUnitedStatesasof2023,byreasonMostcommonreasonsforwantingtoquitamongnursesintheU.S.2023Shareofrespondents5%0%IdonotfeelthatstaffingissufficientIdonotfeelvaluedbyorganizationIdonothaveadequatecompensationIdonothavework-lifebalance10%15%20%25%30%26%25%24%24%IdonothaveamanageableworkloadIdonotfeelvaluedbymanager18%15%Iamlookingforabetterjob14%14%IdonotfeelthatIamabletodeliverqualitycareconsistentlyOther13%Idonothavethepotentialforadvancement11%23Description:In2023,themostcommonreasonstatedbynursesintheUnitedStateswhoplantoleavetheirpositionwasthatstaffingwasinsufficient.Accordingtothesurvey,aquarterofnursesranked"beingundervaluedbyorganization"asoneoftheirtop3factorsimpactingtheirdecisiontoleavetheirpositioninthenext6months.ReadmoreNote(s):UnitedStates;May2023;7,419respondentsSource(s):AmericanNursesFoundation;S&PGlobalHealthcareemploymentprojectionsintheUnitedStatesamongfastestgrowingoccupations,projectedfor2022to2032FastestgrowingoccupationsinU.S.healthcare2022-203250%44.5%45%40%35%30%25%20%15%10%5%28.4%26.7%26.5%26.1%0%NursePractitionersMedicalandhealthservicesmanagersEpidemiologistsPhysicianassistantsPhysicaltherapistassistants24Description:AccordingtotheBureauofLaborStatistics,fiveofthetenfastestgrowingoccupationsprojectedbetween2022to2032wereinthehealthcaresector.Nursepractitionerswereprojectedtobethefastestgrowingoccupationoutofthesefivehealthcare-relatedoccupations.From2022to2032,itwasexpectedthatemploymentofnursepractitionerswillincreaseby44.5percent.ThegrowthrateofNPhassloweddownslightlysinceprojectionsthreeyearsago.
ReadmoreNote(s):UnitedStates;September2023Source(s):BureauofLaborStatisticsCHAPTER
05CareerShareofregisterednurseswhosaidtheywereextremelysatisfiedorsomewhatsatisfiedwiththeirchoiceofnursingasacareerintheUnitedStatesfrom2015to2023SatisfactionwithcareerchoiceamongregisterednursesU.S.2015-2023ExtremelySatisfiedSomewhatSatisfied90%80%70%60%50%40%30%20%10%0%38%33%40%35%38%47%46%48%43%33%2015201720192021202326Description:From2015to2023,registerednursesmostlyheldhighcareersatisfactionratesintheUnitedStates.Accordingtothissurvey,in2023,over70percentofregisterednursesintheU.S.statedtobesatisfiedwiththeirchoiceofnursingasacareer.Nonetheless,satisfactionrateshavesignificantlydeclinedduringandaftertheCOVID-19pandemic.In2023,theshareofregisterednurseswhosaidtheywereextremelysatisfiedorsomewhatsatisfiedwiththeirchoiceofnursingasacareerfellby[...]
ReadmoreNote(s):UnitedStates;January2023;18,226respondents;18yearsandolderSource(s):MerrittHawkinsDistributionofregisterednurseswhoarelikelytoencourageotherstobecomenursesintheUnitedStatesin2023,bylikelihoodShareofnurseswhowouldencourageotherstobecomenursesU.S.2023ExtremelyUnlikely17%ExtremelyLikely23%SomewhatUnlikely17%SomewhatLikely27%NeitherLikelynorUnlikely16%27Description:In2023,onlyone-halfofnurseswilllikelyencourageotherstobecomenursesintheUnitedStates.Accordingtothis2023survey,theshareofregisterednursesintheU.S.whoarelikelytoencourageotherstobecomenursesstoodat50percent.Thatyear,only23percentofsurveyedregisterednursesstatedthatitwasextremelylikelythattheywouldencourageotherstobecomeanurse,whileathirdthoughtitunlikely.ReadmoreNote(s):UnitedStates;January2023;18,226respondents;18yearsandolderSource(s):MerrittHawkinsShareofregisterednurseswhowanttoleavenursingandseekworkinanotherfieldintheUnitedStatesfrom2019to2023ShareofnurseswhowanttoleavenursingandchangecareerU.S.2019-20236%5%4%3%5%2%2%2%1%0%20192021202328Description:From2019to2023,theshareofnurseswantingtoleavenursinggrewintheUnitedStates.Accordingtothissurvey,fivepercentofregisterednursesintheU.S.wantedtoleavenursingandseekworkinanotherfield,threepercentmorethaninpreviousyears.Nonetheless,thissurveyrevealsthatthevastmajorityofnurseswishtoremaininnursing.ReadmoreNote(s):UnitedStates;January2023;18,226respondents;18yearsandolderSource(s):MerrittHawkinsDistributionofregisterednursesbyeligibilitytoretirefromnursingintheUnitedStatesin2023ShareofregisterednurseswhoareeligibletoretirefromnursingU.S.2023Eligible17%Ineligible83%29Description:In2023,nearlyoneinfiveregisterednursesintheUnitedStateswaseligibletoretirefromnursing.Accordingtothis2023survey,17percentofsurveyedregisterednursesstatedtobeabletoretire,whereas83percentstatedtobenotyeteligibleforretirement.ReadmoreNote(s):UnitedStates;January2023;18,226respondents;18yearsandolderSource(s):MerrittHawkinsDistributionofregisterednurseseligibletoretirewhoplantoretireintheupcomingyearsintheUnitedStatesin2023,byexpecteddateShareofregisterednurseswhoplantoretireintheupcomingyearsU.S.2023Lessthan1Year13%4ormoreYears43%1Year12%2Years18%3Years14%30Description:In2023,mostnursesintheUnitedStateswhoareeligibleforretirementplannedtodosointheupcomingfourormoreyears.Accordingtothis2023survey,43percentofnursesqualifiedforretirementplannedtoretireinfourormoreyears,whileonly13percentofeligiblenursesplannedtoretirewithintheyear.ReadmoreNote(s):UnitedStates;January2023;18,226respondents;18yearsandolder;amongnurseseligibletoretireSource(s):MerrittHawkinsCHAPTER
06COVID-19DistributionofregisterednursesbylikelihoodofthemleavingthefieldofnursingforanotheroccupationasaresultoftheCOVID-19pandemicintheUnitedStatesin2023ProbabilityofnursestoleavenursingforanothercareerduetoCOVID-19U.S.2023Extremelylikely10%Extremelyunlikely34%Somewhatlikely20%Neitherlikelynorunlikely19%Somewhatunlikely17%32Description:TheCOVID-19pandemichadtremendousrepercussionsonthewell-beingofhealthcareworkers,especiallynurses.Accordingtothissurveyconductedin2023,athirdofregisterednursesintheUnitedStatesstateditwaslikelytheywouldleavenursingduetotheCOVID-19pandemic.ReadmoreNote(s):UnitedStates;January2023;18,226respondents;18yearsandolderSource(s):MerrittHawkinsMostcommonfeelingsexperiencedbynursesintheUnitedStatesduringandaftertheCOVID-19pandemic(2020-2023)MostcommonfeelingsexperiencedbynursesintheU.S.2020-2023ShareofrespondentsMay2023November202220%
30%September202140%December202050%0%10%60%70%80%StressedFrustratedExhaustedOverwhelmedUndervaluedAnxiousorunabletorelaxOverworkedGratefulAngry33Description:AccordingtoasurveyconductedinDecember2020,thepandemichadnegativeimpactsonthementalhealthandwell-beingofnursesintheUnitedStates.Over70percentofrespondingnursesstatedtohaveexperiencedexhaustionand64percentofnurseshadfeltoverwhelmedinthemidstofthepandemic.AsofMay2023,lessnursesreportedfeelingexhaustedoroverwhelmed,butstillhalfofnurseshaveexperiencedthesenegativefeelingsinthepast14days.Moreover,[...]
ReadmoreNote(s):UnitedStates;December2020,September2021,November2022,May2023;12,881respondents;nursesSource(s):AmericanNursesFoundationShareofnurseswhohaveencounteredanincreaseinnegativeexperiencesduringtheCOVID-19pandemic(December2020)intheUnitedStates,byexperienceImpactofthecoronaviruspandemiconthewellbeingofnursesintheU.S.202080%67%70%60%50%40%30%20%10%0%40%31%25%19%15%9%3%1%DifficultysleepingorsleepingtoomuchOvereatingIncreasedpersonalresponsibilitiesDifficultyinrelationshipsUseofalcoholPoorappetiteAbsencefrom
Substanceuse
Domesticabusework34Description:AccordingtoasurveyconductedinDecember2020,thecoronaviruspandemicexacerbatedunhealthyexperiencesamongnursesintheUnitedStates.Atthattime,overtwo-thirdsofrespondentsstatedtohavehadsleepingproblems.Thesecondmostnegativeexperiencewhichhasincreasedduringthepandemicamongnurseswasovereating.ReadmoreNote(s):UnitedStates;December4to30,2020;12,881respondents;nursesSource(s):AmericanNursesFoundationSupplystatusofcoronavirus-relatedPPEinU.S.healthcarefacilitiesinApril2020SupplyofCOVID-19PPEinhealthcarefacilitiesU.S.April2020NosupplyremainingOneweekorlessTwoweeksorlessMorethan2weeks120%100%6%9%8%10%29%8%11%28%11%32%15%21%17%37%21%21%22%80%60%40%20%0%28%37%34%31%53%17%45%19%41%48%13%46%42%36%36%34%20%11%4%GlovesN95masksSurgicalmasksFaceshieldsBootiesGownsHandsanitizerDisinfectingwipesThermometers35Description:AcrosshealthcarefacilitiesintheU.S.surveyedbetween4thand7thofApril2020,20percenthadnosupplyremainingofN95masks.Ingeneral,themajorityofsurveyedinstitutionsstatedtohavelessthan2weeksofPPEsupplyremaining.
ReadmoreNote(s):UnitedStates;April4-7,2020Source(s):Time;Website()PercentageofU.S.registerednurseswhoreportedtheiremployershaveplansinplacetodealwithcoronavirus(COVID-19)asofMarch3,2020ShareofU.S.nurseemployerswithplansinplaceforCOVID-19asofMarch3,2020YesDon'tknow50%45%40%35%30%25%20%15%10%5%43%43%29%23
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