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Master's Degree Nurses: A Mixed-Methods Study on Supply, Demand, and Utilisation.

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  • 1School of Nursing, Youjiang Medical University for Nationalities, Baise, China.

Journal of Advanced Nursing
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Keywords:
advanced practice nursehealthcare policyhuman resource managementmaster's degree nursemixed methodnursing administratornursing managernursing workforce supplyrecruitment strategiesretention

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Area of Science:

  • Nursing Workforce Research
  • Healthcare Management
  • Health Policy

Background:

  • The demand for advanced nursing roles is increasing globally.
  • Master's degree nurses are crucial for specialized care and healthcare innovation.
  • Understanding their supply and demand is vital for effective healthcare systems.

Purpose of the Study:

  • To assess the supply, demand, and utilization of master's degree nurses in China's top-tier hospitals.
  • To identify recruitment and retention challenges for these nurses.
  • To explore nursing administrators' perspectives on policies and strategies.

Main Methods:

  • A convergent parallel mixed-methods design was employed.
  • Quantitative data on nurse proportions, recruitment, and turnover were analyzed.
  • Qualitative data from semi-structured interviews with nursing administrators were thematically analyzed.

Main Results:

  • Master's degree nurses constitute a low proportion (3.58% average) in top Chinese hospitals.
  • Recruitment challenges are evident, with a high planned-to-actual recruitment ratio (3.28).
  • Key themes include shortages alongside oversupply, limited policy support for retention, and prioritization of management roles over clinical practice.

Conclusions:

  • The proportion of master's-prepared nurses in China's leading hospitals is low, with both shortages and localized oversupply.
  • Career progression is predominantly limited to supervisory or administrative roles, lacking advanced practice pathways.
  • There is a need for policies supporting career advancement in Advanced Practice Nursing (APN) roles.