A Descriptive Summary of the Advanced Practice Registered Nurse Workforce in the United States: Targeted Findings From the 2022 National Nursing Workforce Survey
Brendan Martin PhD, Elizabeth H. Zhong PhD, Michaela Reid BS, BA, Charlie O’Hara PhD, Michelle Buck MS, APRN, CNS
{"title":"A Descriptive Summary of the Advanced Practice Registered Nurse Workforce in the United States: Targeted Findings From the 2022 National Nursing Workforce Survey","authors":"Brendan Martin PhD, Elizabeth H. Zhong PhD, Michaela Reid BS, BA, Charlie O’Hara PhD, Michelle Buck MS, APRN, CNS","doi":"10.1016/S2155-8256(24)00023-1","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic has amplified long-standing issues of burnout and stress among the U.S. nursing workforce, including advanced practice registered nurses (APRNs). Understanding how these issues inform APRNs’ intent to leave and the possible implications for workforce modeling is imperative to fostering a more sustainable and safer U.S. nursing workforce.</p></div><div><h3>Purpose</h3><p>To identify the personal and professional characteristics of APRNs experiencing heightened workplace burnout and stress.</p></div><div><h3>Methods</h3><p>The National Council of State Boards of Nursing’s 2022 National Nursing Workforce Survey data were used for analysis. Binary logistic regression and natural language processing were used to determine the significance of observed trends and to develop a better understanding of possible drivers.</p></div><div><h3>Results</h3><p>A weighted total of 522,425 APRNs (11.8% of the RN workforce) are represented in this analysis. Certified nurse practitioners accounted for the bulk of the workforce (71.1%), followed by clinical nurse specialists (16.8%), certified registered nurse anesthetists (9.1%), and certified nurse midwives (3.0%). Half the sample (55.4%) reported an increase in their workload during the pandemic, and similarly high proportions reported some form of emotional distress at least a few times per week.</p></div><div><h3>Conclusion</h3><p>Acute experiences of stress and burnout during the COVID-19 pandemic have been felt disproportionately by younger, less experienced APRNs. However, perhaps equally concerning is the potential loss of the diverse educational training and skill sets of a generation of more experienced APRNs. To ensure current models of care remain fit for the future, policymakers, nursing leaders, employers, and educators must be intentional in how they recruit, train, and support the current and future APRN workforce.</p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":null,"pages":null},"PeriodicalIF":4.2000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Regulation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2155825624000231","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background
The COVID-19 pandemic has amplified long-standing issues of burnout and stress among the U.S. nursing workforce, including advanced practice registered nurses (APRNs). Understanding how these issues inform APRNs’ intent to leave and the possible implications for workforce modeling is imperative to fostering a more sustainable and safer U.S. nursing workforce.
Purpose
To identify the personal and professional characteristics of APRNs experiencing heightened workplace burnout and stress.
Methods
The National Council of State Boards of Nursing’s 2022 National Nursing Workforce Survey data were used for analysis. Binary logistic regression and natural language processing were used to determine the significance of observed trends and to develop a better understanding of possible drivers.
Results
A weighted total of 522,425 APRNs (11.8% of the RN workforce) are represented in this analysis. Certified nurse practitioners accounted for the bulk of the workforce (71.1%), followed by clinical nurse specialists (16.8%), certified registered nurse anesthetists (9.1%), and certified nurse midwives (3.0%). Half the sample (55.4%) reported an increase in their workload during the pandemic, and similarly high proportions reported some form of emotional distress at least a few times per week.
Conclusion
Acute experiences of stress and burnout during the COVID-19 pandemic have been felt disproportionately by younger, less experienced APRNs. However, perhaps equally concerning is the potential loss of the diverse educational training and skill sets of a generation of more experienced APRNs. To ensure current models of care remain fit for the future, policymakers, nursing leaders, employers, and educators must be intentional in how they recruit, train, and support the current and future APRN workforce.
期刊介绍:
Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.