In the 2010 NSRN respondents were included in the analysis if they (a) reported that their current or most recent nursing position was direct patient care and (b) their current or most recent work setting was an acute, specialty, or rehabilitation hospital, or an ambulatory care setting.
For this reason, the 2010 NSRN excluded ambulatory care RNs when nurses were asked to assess the quality of care in the organizations where they worked (Figure 1).
In the 2008 NSRN, RNs were asked to indicate their perceptions of the most pressing problems facing the country (32% said health care vs.
The 2008 NSRN was conducted prior to the implementation of the CMS payment change to eliminate payment to hospitals for negative consequences of care, sometimes referred to as "never conditions." Therefore, to explain this impending policy change, the survey provided the following summary before asking respondents two questions about the expected impact of the change: "On October 1, 2008, the Centers for Medicare and Medicaid Services (CMS) will eliminate additional payments for eight preventable, hospital-acquired conditions (e.g., pressure ulcers, urinary tract infections, blood stream infections, etc.).
To the authors' knowledge, the 2008 NSRN is the first national assessment of RNs' perceptions of two regulatory initiatives that are affecting RNs employed in U.S.
With regard to the CMS hospital payment regulations, the results of the 2008 NSRN provide a mixed picture.
The 2008 NSRN short and long-form questionnaires contained items trended from prior surveys, as well as new questions.
Our response rate to the early waves of the 2008 NSRN was lower than in 2006, despite similar incentives, timing of administration, and length the survey was in the field.
Other than age, one other change stood out: the 2008 NSRN marks the first time that the proportion of RNs employed in hospitals with a baccalaureate degree in nursing is the same as those with an associate degree.
Our response rate to the early waves of the 2008 NSRN was lower than in 2006, despite similar incentives and field period (the 2006 survey was conducted in late spring and early summer}.
Responses from a total of 903 RNs were analyzed for the health care policy and presidential election component of the 2008 NSRN. As shown in Table 1, the majority of RNs were female (94%), White (83%), and married (72%).
Other data reported previously from the NSRN
showed that 78% of RNs see a role for the government in addressing the nursing shortage, though nearly all RNs (93%) agree that hospitals, and three-quarters (77%) believe that the nursing profession (namely, the American Nurses Association, American Organization of Nurse Executives, American Association of Colleges of Nurses), also are responsible for solving the nursing shortage (Buerhaus et al., 2005c).