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Changing trends in newly licensed RNs.

Christine T Kovner1, Carol S Brewer, Farida Fatehi

  • 1Christine T. Kovner is a professor at the New York University College of Nursing in New York City. Carol S. Brewer is a professor at the University at Buffalo School of Nursing, Buffalo, NY. Farida Fatehi is a data analyst at New York University. Carina Katigbak is an assistant professor at the William F. Connell School of Nursing, Boston College. Contact author: Christine T. Kovner, ctk1@nyu.edu. Support for this study was provided by an unrestricted educational grant from the Robert Wood Johnson Foundation. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|January 22, 2014
PubMed
Summary
This summary is machine-generated.

Newly licensed registered nurses (NLRNs) show changing career paths, with later cohorts less likely to work in hospitals and more likely to pursue education or management roles, indicating evolving workforce trends.

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Area of Science:

  • Nursing Workforce Research
  • Healthcare Economics
  • Professional Development in Nursing

Background:

  • Recent shifts in U.S. healthcare and economic conditions.
  • Potential influence on nursing demand and career choices for newly licensed RNs (NLRNs).

Purpose of the Study:

  • To compare the work experiences of two cohorts of NLRNs licensed six years apart.
  • To identify changes in employment patterns and job satisfaction among early-career nurses.

Main Methods:

  • Mailed surveys administered to two distinct cohorts of NLRNs across 14 states.
  • Weighted response data to account for geographic variations in response rates.
  • Comparison of employment settings, roles, educational pursuits, and job satisfaction between cohorts.

Main Results:

  • The later cohort (2010-11) showed decreased hospital employment and direct care roles compared to the earlier cohort (2004-05).
  • NLRNs in the later cohort were more inclined towards management positions and formal education.
  • Later cohort reported more positive work environments, increased organizational commitment, fewer local job opportunities, and a higher prevalence of holding a second job.

Conclusions:

  • A discernible shift in traditional work patterns for NLRNs is evident, moving away from initial hospital-based employment.
  • Healthcare employers should recognize these evolving trends to optimize RN recruitment and retention strategies.