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2018 NSSRN Technical Report

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2018 NSSRN Technical Report Technical Documentation for the 2018 National Sample Survey of Registered Nurses (NSSRN) U.S Department of Health and Human Services Health Resources and Services Administration Bureau of Health Workforce National Center for Health Workforce Analysis About the National Center for Health Workforce Analysis The National Center for Health Workforce Analysis (the National Center) informs public and private-sector decision-making on the U.S. health workforce by expanding and improving health workforce data and its dissemination to the public, and by improving and updating projections of supply of and demand for health workers. For more information about the National Center, please visit our website at http://bhw.hrsa.gov/healthworkforce/index.html. Suggested citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. 2019. Technical Report for the National Sample Survey of Registered Nurses, Rockville, Maryland. Copyright information: All material appearing in this documentation is in the public domain and may be reproduced or copied without permission. Citation of the source, however, is appreciated. Contents Acronyms ..................................................................................................................................................... 5 Abstract ........................................................................................................................................................ 6 Objective ................................................................................................................................................... 6 Methods .................................................................................................................................................... 6 Results ....................................................................................................................................................... 6 Introduction ................................................................................................................................................. 7 Survey History ............................................................................................................................................. 8 Frame and Sample ...................................................................................................................................... 9 Overview ................................................................................................................................................... 9 Frame Development .................................................................................................................................. 9 Universe Creation ................................................................................................................................... 10 Sample Selection ..................................................................................................................................... 11 Instrument Specifications ......................................................................................................................... 18 2018 Survey Content ............................................................................................................................... 18 Content Development and the 2018 Redesign ........................................................................................ 19 Web Instrument Specifications ............................................................................................................... 19 Programming and Testing the Web Instrument ...................................................................................... 20 Paper Instrument Specifications.............................................................................................................. 21 Data collection ........................................................................................................................................... 22 Mailout Specifications ............................................................................................................................ 22 Telephone Questionnaire Assistance ...................................................................................................... 27 Email Questionnaire Assistance.............................................................................................................. 29 Confidentiality ........................................................................................................................................ 29 Efforts to Maximize Response Rates ...................................................................................................... 29 Response Rate............................................................................................................................................ 31 Data Editing ............................................................................................................................................... 32 Completeness and De-duplication .......................................................................................................... 32 Paper to Web Standardization ................................................................................................................. 32 Data Processing ....................................................................................................................................... 32 Open-ended Coding and Back coding .................................................................................................... 33 Derived Variables ................................................................................................................................... 34 Suppressed and Collapsed Variables ...................................................................................................... 54 Weighting ................................................................................................................................................... 55 Weighting Steps ...................................................................................................................................... 55 Base Weight ............................................................................................................................................ 55 Non-interview Adjustment ...................................................................................................................... 56 Weight Trimming.................................................................................................................................... 56 Second Stage Adjustment ....................................................................................................................... 56 Replicate Weights ................................................................................................................................... 60 Nonresponse Bias Analysis ..................................................................................................................... 60 Item Level Response and Imputation ...................................................................................................... 63 Statistical Imputation Methods ............................................................................................................... 63 Imputation Procedures ............................................................................................................................ 63 Results and Implications on Variance Estimates .................................................................................... 64 Variance Estimation and Hypothesis Testing ........................................................................................ 66 References .................................................................................................................................................. 69 Appendix A – Questionnaire Content Changes from 2008 to 2018 ........................................................ 1 Appendix B – Contact Letters by Mailing Schedule and FAQ in Data Collection ............................... 1 Acronyms Used in This Report AAPOR American Association for Public Opinion Research APRN Advanced Practice Registered Nurse ATAC Automated Tracking and Control BON Board of Nursing CBN California Board of Nursing EQA Email Questionnaire Assistance FAQ Frequently Asked Question FPC Finite Population Correction HHS U.S. Department of Health and Human Services HRSA Health Resources and Services Administration iCADE integrated Computer-Assisted Data Entry KFI Keying from Image LMR Late Mail Return LPN Licensed Practical Nurse MOE Margin of Error NCHWA National Center for Health Workforce Analysis NCSBN National Council of the State Boards of Nursing NP Nurse Practitioner NPI National Provide Identifier NSSRN National Sample Survey of Registered Nurses NSSNP National Sample Survey of Nurse Practitioners OCR Optical Character Recognition OMR Optical Mark Recognition PIK Protected Identification Key PVS Person Identification Validation System RN Registered Nurse TQA Telephone Questionnaire Assistance UAA Undelivered as Addressed Abstract Objective This report details the plan, development, and operations for the 2018 National Sample Survey of Registered Nurses (NSSRN). The survey is designed to estimate the characteristics
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