Abstract
▶ In an analysis of surveys conducted in 2002, 2004, and 2006, RN responses reveal perceived trends in aspects of the labor shortage and its effect on the work environment, quality of care, and their own professional outlook. ▶ The 2006 data revealed the highest rate (939%) of RNs perceiving that overall demand for nurses is less than supply; however, these perceptions were less severe in their local communities than was reported in 2004. ▶ While low wages rank highest as a causative factor of the shortage, the percent of RN agreement with this cause has dropped considerably since 2002. ▶ The 2006 survey data includes a new assessment of how RNs spend their time at work and if this time is appropriate including functions like direct care, documentation, and time with families. ▶ Only 25% of RNs rated "Magnet-like" characteristics of their hospital highly such as aspects of autonomy, opportunity for professional advancement, and recognition. ▶ While improvements are noted since 2004, RNs still perceive the shortage as causing delays in care, patient complaints, as well as interfering with staff communication. ▶ While improvements in some aspects of RN perceptions have improved in the short-term, the absence of a coordinated national strategy will make significant and sustained improvement in these issues challenging.