2014 Survey of Registered Nurses
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California Board of Registered Nursing 2014 Survey of Registered Nurses Conducted for the California Board of Registered Nursing by the University of California, San Francisco Joanne Spetz, Ph.D., Professor & Principal Investigator Lela Chu, Survey Director Zachary Levin, Research Analyst Ulrike Muench, Professor Dennis Keane, Senior Research Analyst Survey of Registered Nurses in California, 2014 September 28, 2015 Authorization is granted to reproduce this report with citation. To obtain a copy please contact the following: Board of Registered Nursing 1625 North Market Blvd, Suite N217 Sacramento, CA 95834-1924 (916) 322-3350 The report is also available on the Board’s website: www.rn.ca.gov Krista Chan provided valuable research support for this project as both an intern and Research Analyst. The authors thank our interns and students, Truc Dinh and Becky Moon for their work on this project. Page 2 SURVEY OF REGISTERED NURSES IN CALIFORNIA, 2014 Published September 2015 by the California Board of Registered Nursing Page 3 Contents Contents ...................................................................................................................................................................... 4 List of Tables .............................................................................................................................................................. 7 List of Figures .......................................................................................................................................................... 12 Executive Summary.................................................................................................................................................. 15 Demographics .............................................................................................................................................. 15 Nursing education ........................................................................................................................................ 15 Employment ................................................................................................................................................ 15 Job titles and work settings.......................................................................................................................... 16 Nurses’ earnings and benefits ...................................................................................................................... 16 Job satisfaction of working registered nurses .............................................................................................. 16 Future plans of working registered nurses ................................................................................................... 17 Nurses residing outside California .............................................................................................................. 17 Nurses who do not work in nursing ............................................................................................................. 17 Summary ..................................................................................................................................................... 17 Chapter 1 . Introduction and Methodology .............................................................................................................. 19 Purpose and Objectives ............................................................................................................................... 19 Survey Development ................................................................................................................................... 19 Process for Data Collection and Coding ..................................................................................................... 19 The RN Sample ........................................................................................................................................... 20 Selection of the RN Sample ........................................................................................................... 20 Response Rates ............................................................................................................................... 21 Representativeness of Active RN Respondents ............................................................................. 21 Precision of Estimates ................................................................................................................................. 21 Chapter 2 . California’s Nursing Workforce ............................................................................................................ 24 Employment Status of RNs with Active Licenses....................................................................................... 24 Age Distribution of California RNs ............................................................................................................ 25 Diversity of California’s RN Workforce ..................................................................................................... 27 Families of California’s RNs ....................................................................................................................... 32 Education and Licensure of California’s Nursing Workforce ..................................................................... 35 Regional and Inter-State Mobility of California RNs ................................................................................. 46 Chapter 3 . Employment, Wages, and Satisfaction of Registered Nurses ................................................................ 47 How Much Do RNs Work? ......................................................................................................................... 47 Nurses’ Principal Nursing Positions ............................................................................................................ 50 Tenure in Primary Nursing Position ............................................................................................... 56 Hours and Weeks Worked in Primary Job ..................................................................................... 57 Page 4 Geographic Location of Primary Position ...................................................................................... 60 Use of Health Information Technologies ....................................................................................... 61 Additional Jobs Held by RNs ...................................................................................................................... 62 Volunteering in Nursing .............................................................................................................................. 64 Employment through Temporary Agencies ................................................................................................ 64 Income and Earnings of Registered Nurses ................................................................................................. 66 Benefits Received by Registered Nurses ..................................................................................................... 71 Nurses Who Live Outside California .......................................................................................................... 72 Breaks in Nursing Employment .................................................................................................................. 74 Job Satisfaction of Working Registered Nurses .......................................................................................... 76 Job Satisfaction by Age .................................................................................................................. 83 Job Satisfaction by Education ........................................................................................................ 84 Job Satisfaction by Job Title .......................................................................................................... 84 Job Satisfaction by Work Setting ................................................................................................... 87 Future Nursing Work Plans ......................................................................................................................... 89 Employment Outside of Nursing ................................................................................................................. 91 Changes in Employment Status ................................................................................................................... 92 Chapter 4 . Profile of Registered Nurses with Active Licenses Not Working in Nursing ....................................... 97 Demographic Characteristics ....................................................................................................................... 97 Educational Preparation............................................................................................................................. 101 Last Job in the Nursing Field..................................................................................................................... 103 Volunteering by RNs Not Working in Nursing ......................................................................................... 105 Reasons for Not Working in Nursing ........................................................................................................ 105 Employment