Retention of registered nurses by hospitals: A study of temporary agency nurse employment.
Item
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Title
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Retention of registered nurses by hospitals: A study of temporary agency nurse employment.
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Identifier
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AAI9224838
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identifier
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9224838
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Creator
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McSweeney, Mary Helen.
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Contributor
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Adviser: Michael Grossman
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Date
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1992
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Language
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English
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Publisher
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City University of New York.
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Subject
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Economics, Labor | Health Sciences, Nursing | Health Sciences, Health Care Management
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Abstract
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Hospital utilization of temporary agency nurse services increased dramatically over the 1980s. The focus of this study is the degree to which hospitals substitute temporary agency nurses for hospital-employed nurses, and whether the degree of substitution is related to changes in wages, non-wage factors such as fringe benefits and hiring costs, or external factors. A demand and supply model based on movements in relative wages and nurse populations is estimated using a pooled time series cross-sectional data set for 1980, 1984 and 1988. Data sources include the National Sample Survey of Registered Nurses, the American Hospital Association annual hospital survey, and the National Association of Health Care Recruiters annual nurse recruiter survey. Results from the model indicate that patient acuity and fringe benefit costs are primary determinants of temporary agency nurse hospital demand. Nurse educational attainment and experience variables play a less significant role in the demand equation. Marital status, children and family income all have a negative impact on nurse supply, while availability of fringe benefits takes a lesser role in the supply equation.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.