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pdf2018 NATIONAL
SAMPLE SURVEY OF REGISTERED NURSES
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Section A.
Eligibility and Education
Respond online today at:
https://respond.census.gov/nssrn
A1a.
OR
Complete this form and mail it back
as soon as possible.
The 2018 National Sample Survey of Registered
Nurses (NSSRN) is being conducted by the
United States Census Bureau on behalf of the
Health Resources and Services Administration
of the U.S. Department of Health and Human
Services and is the tenth cycle of the survey.
As of December 31, 2017, were you actively
licensed to practice as a Registered Nurse (RN)
in the U.S. (whether or not you were employed
in nursing at that time)?
Yes
No ➔ If No, you do not need to complete
this questionnaire. Please mark “No”
and return this questionnaire in the
envelope provided so we know you
are not eligible.
A1b.
What state(s) issued the license(s)?
List up to 4.
State
We appreciate your help with this important
survey. If you need help or have questions about
completing this form, please call 1-888-369-3598
or email us at [email protected].
State
State
State
Check this box if you were issued a license
by more than 4 states.
FORM NSSRN
(01/11/2018)
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A2.
A7.
In what state and year were you issued your
first U.S. RN license?
State
Year
Have you ever been licensed as a Licensed
Practical Nurse (LPN) or Licensed
Vocational Nurse (LVN) in the U.S.?
Yes
No
A3.
Which type of nursing degree qualified
you for your first U.S. RN license?
Mark one box only.
A8.
Diploma
A4.
Associate
Nursing aide or nursing assistant
Bachelor’s
Home health aide or assistant
Master’s
Licensed Practical or Vocational Nurse
Doctorate – PhD
Community health worker
Doctorate – DNP
Midwife
Other
Other health-related job
Not employed in any health-related jobs
before RN
In what month and year did you graduate
from this RN program?
Month
A5.
Year
A9.
How did you finance your first RN degree?
Mark all that apply.
Self-financed (personal savings, earnings
from employment, money from spouse
or family members, etc.)
Where was this program located?
Employer tuition reimbursement plan
In the U.S.
Print state abbreviation. ➔
Department of Veterans Affairs employer
tuition plan
Outside the U.S.
Print name of foreign country or
U.S. territory. C
A6.
Were you ever employed in any of the
following health-related jobs before
completing your first RN program?
Mark all that apply.
Health Resources and Services
Administration Support (e.g., National
Health Service Corps, Nurse Corps Loan
Repayment, Faculty Loan Repayment)
Other federal traineeship, scholarship, or
grant
What post-high school degree(s) did you receive
before starting your first RN program?
Mark all that apply.
Federally-assisted student loan
Associate
Other type of student loans
Bachelor’s
State/local government scholarship or grant
Master’s
Non-government scholarship or grant
Doctorate
Other resources
Other
None
2
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A10.
Did you earn any additional academic degrees after acquiring your first RN degree that you described in
Question A3? Do not include degrees you are currently working towards.
Yes ➔ Please complete all rows of the table below for each degree you earned
No ➔ SKIP to Question A11 on page 4
Nursing Degrees
Associate
in nursing
A10a.
In what year did
you receive this
degree?
A10b.
In what U.S. state
or foreign country
was this program
located?
A10c.
Was 50% or more
of the coursework
for this degree
online or through
correspondence?
A10d.
What was the
primary focus of
this degree? Enter
two-digit code from
the table at the
bottom of the page.
Bachelor’s
in nursing
Another
Master’s
in nursing
Master’s
in nursing
Doctorate in
nursing (PhD, ScD,
DNS, ND, DNP)
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
N A
N A
Non-nursing Degrees
A10e.
In what year did
you receive this
degree?
A10f.
In what U.S. state
or foreign country
was this program
located?
A10g.
Was 50% or more
of the coursework
for this degree
online or through
correspondence?
Doctorate in
non-nursing field
Associate
(Non-nursing)
Bachelor’s
(Non-nursing)
Master’s
(Non-nursing)
Another
Master’s
(Non-nursing)
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
(PhD, JD, MD, EdD)
A10h. What was the
primary focus of
this degree? Enter
two-digit code from
the table below.
Primary focus of degree
01
02
03
04
Clinical Practice
Clinical Nurse Leader
Administration/Business Management
Education
05
06
07
08
Public Health/Community Health
Law
Biological or Physical Sciences
Humanities, Liberal Arts, or Social Sciences
3
09
10
11
12
Information Technology/Informatics
Research
Other health field
Other non-health field
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A11.
After acquiring your first RN degree, which you described in Question A3, have you completed a formal
U.S. education program preparing you to be a Nurse Practitioner, Clinical Nurse Specialist, Nurse-Midwife,
or Nurse Anesthetist?
Yes
No ➔ SKIP to Question A12a
Nurse
Practitioner
A11a.
Did you receive preparation
as a...? Mark each column if yes.
A11b.
What was the highest credential
you received in that program?
Clinical Nurse
Specialist
Nurse-Midwife
Nurse
Anesthetist
1. Certificate/Award
2. Bachelor’s Degree
3. Master’s Degree
4. Post-Master’s Certificate
5. Doctorate – PhD
6. Doctorate – DNP
7. Doctorate – other
A11c.
In what year did you receive
this credential?
A12a.
During the Fall term of 2017, were you enrolled
in a formal education program leading to an
academic degree or certificate?
A12b.
A12c.
A12d.
What type of degree or certificate were
you working toward in this program?
Mark one box only.
Yes, in nursing
Certificate/Award
Yes, in a non-nursing field
Associate Degree
No ➔ SKIP to Section B on page 5
Bachelor’s Degree
Were you a full-time or part-time student?
Master’s Degree
Full-time student
Post-Master’s Certificate
Part-time student
Doctorate – PhD
Doctorate – DNP
What percentage of your coursework in this
program was distance-based (online or
correspondence)?
Doctorate – other
≤ 50%
> 50%
Continue to Section B
4
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Section B.
Primary Nursing Employment
B1.
B5.
Yes
On December 31, 2017, were you employed or
self-employed in nursing? Employed in nursing
includes working for pay in nursing, even if on
temporary leave.
No ➔ SKIP to Question B7
B6.
Yes
No ➔ SKIP to Section F on page 13
Did you have a preceptor assigned to you
during this orientation program?
Yes
No
For all the questions in this section (Questions
B2 - B28), your primary nursing position is the
nursing position, on December 31, 2017, in which
you spent the largest share of your working hours.
B2.
Did you go through an orientation program for
the primary nursing position you held on
December 31, 2017?
B7.
Where was the location of the primary
nursing position you held on December 31,
2017? If you were not employed in a fixed
location, enter the location that best reflects
where you practiced.
Were you required to maintain an active RN
license for the primary nursing position
you held on December 31, 2017?
Yes
No
B8.
City/Town
In your primary nursing position did you
use an Electronic Health Record (EHR) or
Electronic Medical Record (EMR) system?
Do not include billing record systems.
Yes
County
No
Don’t know
State (or country if not U.S.A.)
B9.
Zip
As of December 31, 2017, what type(s) of training
have you received to facilitate team-based care?
Team-based care refers to comprehensive health
services by at least two health professionals working
collaboratively to provide safe, quality care.
Mark all that apply.
Formal classroom training at my
college or university
B3.
Formal classroom training offered
by my place of employment
Thinking about the primary nursing position
you held on December 31, 2017, had you been
working for this employer for less than 5 years?
Online educational videos offered by
my place of employment
Yes
Informal training (e.g., on the job)
No ➔ SKIP to Question B7
No training at all
B4.
How long were you actively looking for new
employment before accepting a position with
this employer?
Other, Specify: C
1 - 6 months
7 - 12 months
More than a year
I was not actively looking for
new employment
5
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B10.
B11.
For the primary nursing position you held
on December 31, 2017, which of the following
best describes your employment situation?
Mark one box only.
For the primary nursing position you held
on December 31, 2017, did you work
full-time or part-time? Mark one box only.
Full-time (including full-time for an
academic year)
Employed through an employment agency
as a traveling nurse
Part-time (including working only part
of the calendar or academic year)
Employed through an employment agency,
but not as a traveling nurse
B12.
Employed by the organization or facility at
which I was working
For the primary nursing position you held
on December 31, 2017, how many months
did you normally work per year?
Self-employed or working as needed
months per year
B13.
Which one of the following best describes the employment setting of the primary nursing position you
held on December 31, 2017? Mark one box only.
Hospital (not mental health)
Clinic/Ambulatory
Critical Access Hospital (CAH) – a rural community
hospital that receives cost-based reimbursement
from Medicare
Inpatient unit, not Critical Access Hospital
Emergency Department, not Critical Access Hospital
Nurse managed health center
Private medical practice (clinic, physician
office, etc.)
Public clinic (Rural Health Center, FQHC,
Indian Health Service, Tribal Clinic, etc.)
School health service (K-12 or college)
Hospital sponsored ambulatory care
(outpatient, surgery, clinic, urgent care, etc.)
Outpatient mental health/substance abuse
Hospital ancillary unit
Urgent care (not hospital based)
Hospital nursing home unit
Ambulatory surgery center (free standing)
Hospital administration
Other, Specify: C
Hospital other, Specify: C
Other types of settings
Other inpatient setting
Home health agency/service
Nursing home unit NOT in hospital
Occupational health or employee health
service
Rehabilitation facility/long-term care
Inpatient mental health/substance abuse
Public health or community health agency
(not a clinic)
Correctional facility
Government agency other than public/
community health or correctional facility
Inpatient hospice
Outpatient dialysis center
Other inpatient setting, Specify: C
University or college academic department
Insurance company
Call center/telenursing center
Other, Specify: C
6
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B14.
Next, we will ask for information about how
much you worked in a typical week for
the primary nursing position you held on
December 31, 2017. Include on-call hours
except on-call hours that were standby only.
B16.
For the primary nursing position you held
on December 31, 2017, in what level of
care or type of work did you spend most
of your time? Mark one box only.
General or specialty inpatient
Hours
(enter 0 if none)
Ambulatory care (including primary care
outpatient settings, except surgical)
a. Number of hours
scheduled in a typical week
Ancillary care (radiology, laboratory)
b. Number of hours worked
in a typical week
Care coordination/patient navigation
Critical/intensive care
c. Number of hours per week
worked at the regular pay rate
Education
d. Number of hours per week
worked at a differential rate:
evening, weekend, night, or
charge
Emergency
Health care management/administration
Home health/hospice
e. Number of hours per week
worked at the overtime pay rate
Informatics
f. Number of hours unpaid in a
typical week
Long-term care/nursing home
Public health/community health
B15.
For the primary nursing position you held
on December 31, 2017, please estimate
the percentage of your time spent in the
following activities during a typical
workweek. Do not use decimals.
Rehabilitation
Research
School nurse
a. Patient care and charting
%
b. Care coordination (including
consultation with agencies
and/or professionals)
%
Sub-acute care
c. Management, supervision,
and administrative tasks
%
Surgery (including ambulatory,
pre-operative, post-operative,
post-anesthesia)
d. Research
%
Urgent care
Other, Specify: C
e. Teaching, precepting or
orienting students or new
hires (include preparation
time)
%
f. Non-nursing tasks
(e.g., housekeeping, locating
supplies)
%
g. Other
%
Total =
Step-down, transitional, progressive,
telemetry
100%
7
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B17a.
Did the primary nursing position you held on
December 31, 2017, include any
patient care?
B17c.
Yes
For the primary nursing position you held
on December 31, 2017, in what type of
clinical specialty did you spend most of
your patient care time? Mark one box only.
General medical surgical
No ➔ SKIP to Question B18 on page 9
Ambulatory care
B17b. For the primary nursing position you held
on December 31, 2017, please estimate the
percentage of your patient care time spent
with each population below.
Do not use decimals.
Cardiac or cardiovascular care
Chronic care
Critical care
Pre-natal
%
Neonatal, Newborn, or
Infant (less than 2 years old)
%
Dermatology
Emergency or trauma care
Endocrinology
Pediatric
(2 to 11 years old)
%
Adolescent
(12 to 17 years old)
%
Adult
(18 to 65 years old)
%
Geriatric
(more than 65 years old)
%
Gastrointestinal
Gynecology (women’s health)
Home health/hospice
Total =
Infectious/communicable disease
Labor and delivery
Neurological
100%
Obstetrics
Occupational health
Oncology
Ophthalmology
Orthopedics
Otolaryngology (ear, nose and throat)
Primary care
Psychiatric or mental health
(substance abuse and counseling)
Pulmonary/respiratory
Radiology (diagnostic or therapeutic)
Renal/dialysis
Other specialty, Specify: C
8
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B18.
Thinking about the primary nursing position you held on December 31, 2017, to what extent did you...
A great
extent
Somewhat
Very little
Not at all
Not
applicable
Participate in team-based care?
Feel confident in your ability to effectively
practice in interprofessional teams?
Effectively use Health Information
Technology (HIT) in your practice to
manage the health of your patient
population?
B19.
For the primary nursing position you held on December 31, 2017, to what extent did you observe your
organization emphasizing the following?
A great
extent
Somewhat
Very little
Not at all
Not
applicable
Care coordination
Discharge planning
Team-based care
Evidence-based care
B20.
As of December 31, 2017, what training topics
would have helped you do your job better?
Mark all that apply.
In the following questions, the term telehealth refers
to communication technology, such as remote
conferencing through phone and/or video, used to
connect geographically dispersed practitioners.
Evidence-based care
B21.
Patient-centered care (care that is
responsive to patient preferences, needs
and values, and ensures that patient
values guide clinical decisions)
For the primary nursing position you held on
December 31, 2017, did your workplace use
telehealth?
Yes
Team-based care
No ➔ SKIP to Question B24 on page 10
Practice management and administration
B22.
Social determinants of health (e.g., impact
of race and social-economic status)
Working in an underserved community
Did you personally use some form of telehealth
in the primary nursing position you held on
December 31, 2017?
Yes
Caring for medically complex/
special needs patients
No ➔ SKIP to Question B24 on page 10
Population-based health
Quality improvement
Value-based care
Continue on next page
Mental health
Other, Specify ➔
None
9
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B23.
Section C. Left the Primary
Nursing Position Held on
December 31, 2017
Which type(s) of telehealth did you use in the
primary nursing position you held on
December 31, 2017? Mark all that apply.
Provider to provider consults
C1.
RN to patient direct calls (e.g., care
management/home monitoring) by
phone and/or video)
Which of the following reasons contributed to
your decision to leave the primary nursing
position you held on December 31, 2017?
Mark all that apply.
NP primary care e-visits
Better pay/benefits
Other, Specify: C
Burnout
Career advancement/promotion
Career change
B24.
How satisfied were you with the primary
nursing position you held on December 31,
2017?
Change in child’s school
Disability/Illness
Extremely satisfied
Family caregiving
Moderately satisfied
Inability to practice to the full extent
of my license
Moderately dissatisfied
Inadequate staffing
Extremely dissatisfied
B25.
B26.
Lack of advancement opportunities
Yes
Lack of collaboration/communication
between health care professionals
No
Lack of good management or leadership
Laid off/downsizing of staff
Please estimate your 2017, pre-tax annual
earnings from your primary nursing position.
Include overtime and bonuses, but exclude
sign-on bonuses.
$
B27.
Interpersonal differences with colleagues
or supervisors
In that primary nursing position, were you
able to practice to the full extent of your
knowledge/education/training?
,
Length of commute
Patient population
.00
Physical demands of job
Relocation to different geographic area
Were you represented by a labor union or
collective bargaining unit in the primary
nursing position you held on December 31,
2017?
Retirement
Scheduling/inconvenient hours/too many
hours/too few hours
Yes
School/educational program
No
Sign-on bonus offered
B28.
Have you left the primary nursing position
you held on December 31, 2017?
Spouse’s employment opportunities
Yes ➔ Continue to Section C
Stressful work environment
No ➔ Skip to Section D on page 11
Other, Specify: C
10
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C2.
Did you continue to work in nursing after
leaving this position?
D3.
Which of the following reasons would contribute
to your decision to leave your primary nursing
position? Mark all that apply.
Yes
Better pay/benefits
No ➔ SKIP to Section E on page 13
C3.
Burnout
Approximately when do you plan to retire
from nursing?
Career advancement/promotion
Already retired ➔ SKIP to Section E
on page 13
Career change
Within a year
Change in child’s school
In 1-2 years
Disability/Illness
In 3-5 years
Family caregiving
More than 5 years from now
Inability to practice to the full extent
of my license
Undecided
C4.
Inadequate staffing
How long do you plan to work in the geographic
area of the primary nursing position you held
on December 31, 2017?
Interpersonal differences with colleagues
or supervisors
Lack of advancement opportunities
Already left the geographic area
Lack of collaboration/communication
between health care professionals
Less than a year
Lack of good management or leadership
1-2 years
Length of commute
3-5 years
Patient population
More than 5 years
Physical demands of job
Not sure
Relocation to different geographic area
Skip to Section E
Retirement
Section D. Remained in the
Primary Nursing Position
Held on December 31, 2017
Scheduling/inconvenient hours/too many
hours/too few hours
School/educational program
Sign-on bonus offered
D1.
Have you ever considered leaving the primary
nursing position you held on December 31,
2017?
Spouse’s employment opportunities
Stressful work environment
Yes
Other, Specify: C
No ➔ SKIP to Question D7 on page 12
D2.
Have you considered leaving this position
in the past year?
Yes
No
11
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D4.
When do you plan to leave this position?
D7.
Less than one year from now
D5.
What factors contribute to your decision to
remain in your primary nursing position?
Mark all that apply.
1-3 years from now
Ability to provide full scope of services
More than 3 years from now
Availability of loan repayment financial
support
Not sure
Availability of resources to do my job well
Do you plan to work in nursing after you leave
this position?
Availability of training opportunities
Balanced schedule/hours
Yes
Commitment to underserved communities
No
Cost of living
Not sure
Difficulty finding another job
D6.
How long do you plan to work in the
geographic area of the primary nursing
position you held on December 31, 2017?
Experience at site
Length of commute
Less than a year
Opportunities for advancement
1-2 years
Proximity to desirable school district
3-5 years
Proximity to extended family/parents/
siblings
More than 5 years
Proximity to spouse’s employment
opportunities
Not sure
Salary and benefits
Sense of community with peers
Use of Electronic Health Records
Use of telehealth
Other, Specify: C
D8.
Approximately when do you plan to retire
from nursing?
Already retired
Within a year
In 1-2 years
In 3-5 years
More than 5 years from now
Undecided
Continue to Section E
12
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Section E. Secondary
Employment in Nursing
E1.
E4.
In your other nursing position(s) held on
December 31, 2017, please indicate how much
you worked, and where the job was located:
Aside from the primary nursing position
you just described, did you hold any other
positions in nursing for pay on
December 31, 2017?
Weeks
per
year
Average
hours per
week,
during
weeks of
work
Location where
most work was done
(state or country)
Yes
Additional
job #1
No ➔ SKIP to Section F
E2.
Which of the following best describes your
employment with the other nursing
position(s) held on December 31, 2017?
Mark all that apply.
Additional
job #2
Employed through an employment agency
as a traveling nurse
N/A
All other jobs
Employed through an employment agency,
but not as a traveling nurse
Employed by the organization or facility at
which I am working
E5.
Self-employed or working as needed
E3.
What type(s) of work setting(s) best describe
where you worked for the other nursing
position(s) held on December 31, 2017?
Mark all that apply.
Please estimate your 2017, pre-tax annual
earnings from all of the nursing positions that
you reported in Question E4. Do not include
earnings from your primary nursing position.
$
,
.00
Continue to Section F
Hospital
Nursing home/extended care facility
Section F.
Nurse Practitioners
Academic education program
Home health setting
F1a.
Public or community health setting
Rehabilitation facility/long-term care
On December 31, 2017, did you have an active
certification, licensure, or legal recognition to
practice as a Nurse Practitioner (NP) from a
State Board of Nursing?
Mental health/substance abuse
Yes
School health service
No ➔ SKIP to Section G on page 17
F1b.
Occupational health
What state(s) issued the
license/certification/recognition? List up to 4.
State
Physician practice (individual or group)
State
State
State
Ambulatory care clinic
Insurance claims/benefits
Check this box if you were issued
certification/licensure/recognition by
more than 4 states.
Telehealth, telenursing or call center
Other, Specify: C
13
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F2.
On December 31, 2017, in which area(s) were
you certified by a national certifying
organization for NPs? Mark all that apply.
F7.
On December 31, 2017, were you employed in
any positions that required state certification/
licensure/recognition to practice as an NP?
Acute Care, adult
Yes
Acute Care, pediatric
No ➔ SKIP to Question F26 on page 16
F8.
Adult
Family
Gerontology
Thinking about the main NP position you held
on December 31, 2017, what type of professional
relationship did you have with the physician(s)
you worked with? Mark all that apply.
In my main NP position, there were no
physicians on site
Neonatal
I collaborated with a physician at another site
Pediatric
I collaborated with a physician on site
Psychiatric & Mental Health
I was considered an equal colleague to the
physician(s) I worked with
Women’s Health
I was accountable to a physician who
served as a medical director
Other, Specify: C
I was supervised by a physician, and I had to
accept his/her clinical decision about the
patients I saw
None
F3.
A physician saw and signed off on the
patients I saw
To what extent did your master’s or doctoral
training prepare you to be a licensed
independent practitioner?
Other, Specify: C
A great extent
Somewhat
F9.
Thinking of all the NP positions you held on
December 31, 2017, indicate your level of
agreement with the following statements.
F9a.
In my NP position(s), I could practice to the
fullest extent of my state’s legal scope of
practice.
Very little
Not at all
F4.
Did you complete an NP post-graduate
residency or fellowship program?
Strongly agree
Yes
Agree
No
F5.
Disagree
Do you have a National Provider Identifier
(NPI) number?
Strongly disagree
F9b.
Yes
No ➔ SKIP to Question F7
F6.
In my NP position(s), my NP education was
fully utilized.
Strongly agree
Do you or have you ever billed under your NPI
number?
Agree
Yes
Disagree
No
Strongly disagree
Don’t know
14
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F10.
F17.
In the NP position(s) you held on December 31,
2017, did you provide patient care?
Please estimate the percentage of your patient
panel that was covered by the following types
of insurance. Do not use decimals.
Yes
No ➔ SKIP to Question F19
F10a.
Across all of the NP positions you held on
December 31, 2017, about how many
patients did you see in a typical week?
If none, enter zero.
Patients
F11.
Were you providing patient care as an NP in
2013?
Yes
No ➔ SKIP to Question F13
F12.
Did your overall patient population size
increase, decrease, or stay the same since 2013?
Private insurance
%
Medicare, for people 65 and
older, or people with certain
disabilities
%
Medicaid, Medical Assistance,
or any kind of governmentassistance plan for those with
low incomes or a disability
%
TRICARE or other military
health care
%
VA
%
Indian Health Service
%
Self-pay/uninsured
%
Other
%
Increased
Decreased
Total =
Stayed the same
100%
Don’t know
Don’t know
F18.
F13.
Across all NP positions you held on
December 31, 2017, did you have a panel of
patients that you managed, where you were the
primary provider? A panel is a group of patients
that you see across a period of time.
Fee-for-service
(e.g., PPO and Original Medicare)
Capitated fees per patient (e.g., HMO)
Yes
Other
No ➔ SKIP to Question F19
F14.
Don’t know
Across all of your NP positions, on average,
about how many patients were on your panel?
F19.
Patients
F15.
How were medical expenses reimbursed
for the majority of your panel of patients?
Mark one box only.
Did you have hospital admitting privileges
on December 31, 2017?
Yes
What percentage of your panel were patients
from racial/ethnic minority groups?
No
F20.
%
Were you covered by malpractice insurance
on December 31, 2017?
Yes
F16.
What percentage of your panel were
patients with limited English proficiency?
No ➔ SKIP to Question F22 on page 16
%
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F21.
F26.
Who paid for your malpractice insurance?
Self
F22.
Employer
Overall lack of NP job opportunities
Both
Lack of NP job opportunities in desired
location
Did you have prescriptive authority?
Lack of NP job opportunities in desired
specialty
Yes ➔ SKIP to Question F24
Lack of NP job opportunities in desired
type of facility
No
F23.
What are the reasons that you were NOT
working as an NP on December 31, 2017?
Mark all that apply.
Limited scope of practice for NPs in the
state where practice was desired
Why didn’t you have prescriptive authority?
Mark all that apply.
Lack of experience or qualification
Was in the process of applying
Inadequate salary/benefits
MD or other NP wrote all of my
prescriptions
Working outside the field of nursing
State scope of practice regulations
Family caregiving
Other, Specify: C
Disability/illness
Chose not to work
Retirement
F24.
On December 31, 2017 did you have a
personal Drug Enforcement Administration
(DEA) number?
Other, Specify: C
Yes
No
F25.
In any of your NP positions, did you have
the title Hospitalist?
Yes ➔ SKIP to Section H on page 17
No ➔ SKIP to Section H on page 17
Continue on next page
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Section G.
Nurses Not Working in Nursing
G6.
Burnout
If you were working for pay in nursing on
December 31, 2017, please SKIP to Section H.
G1.
Career change
What are your intentions regarding paid work
in nursing? Mark one box only.
Difficulty finding a nursing position
Disability/illness
Actively looking for work in nursing
Family caregiving
Plan to return to nursing in the future,
not looking for work now ➔ SKIP to
Question G4
Inability to practice nursing on a
professional level
No future intention to work for pay in
nursing ➔ SKIP to Question G5a
Inability to practice to the full extent
of my license
Undecided at this time ➔ SKIP to
Question G5a
Inadequate staffing
Have returned to nursing since
December 31, 2017 ➔ SKIP to Section H
G2.
Lack of advancement opportunities
Lack of collaboration/communication
between health care professionals
How long have you been actively looking
for paid work in nursing?
Enter zero if less than one month.
Lack of good management or leadership
Liability concerns
Month(s)
G3.
What are the primary reasons you were not
working in a nursing position for pay on
December 31, 2017? Mark all that apply.
Physical demands of job
Are you looking for a position that is
full-time or part-time?
Retirement
Full-time ➔ SKIP to Question G5a
Salaries too low/better pay elsewhere
Part-time ➔ SKIP to Question G5a
Scheduling/inconvenient hours/too many
hours/too few hours
Either ➔ SKIP to Question G5a
School/educational program
G4.
When do you plan to return to paid work
in nursing? Enter zero if less than one year.
Skills are out-of-date
Stressful work environment
Year(s)
G5a.
Other, Specify: C
Have you ever been employed or selfemployed in nursing?
Yes
Continue to Section H
No ➔ SKIP to Question G6
G5b.
Section H.
Prior Nursing Employment
How long has it been since you were last
employed or self-employed as a nurse?
Enter zero if less than one year.
H1.
Year(s)
How many years have you worked in nursing
since receiving your first U.S. RN license?
Count only the years in which you worked at
least 6 months. Enter zero if less than one year.
Year(s)
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H2.
H7.
Have you left work in nursing for one or
more years since becoming an RN?
What were the primary reason(s) for your
employment change? Mark all that apply.
Better pay/benefits
Yes ➔ For how many years?
Burnout
No
Career advancement/promotion
H3.
H4.
Next, we are going to ask about your
employment approximately one year ago.
Were you employed in nursing on
December 31, 2016?
Career change
Change in child’s school
Yes
Disability/Illness
No ➔ SKIP to Section I on page 20
Family caregiving
Inability to practice to the full extent
of my license
For the primary nursing position you held
on December 31, 2016, did you work
full-time or part-time? Mark one box only.
Inadequate staffing
Full-time (including full-time for an
academic year)
Interpersonal differences with colleagues
or supervisors
Part-time (including working only part
of the calendar or academic year)
H5.
Lack of advancement opportunities
Lack of collaboration/communication
between health care professionals
How would you describe the primary
nursing position you held on
December 31, 2016?
Lack of good management or leadership
Same position and same employer as
primary nursing position on December 31,
2017 ➔ SKIP to Section I on page 20
Laid off/downsizing of staff
Different position but same employer
as primary nursing position held on
December 31, 2017
Patient population
Length of commute
Physical demands of job
Different employer than primary nursing
position held on December 31, 2017
H6.
Relocation to different geographic area
What was the location of the primary
nursing position you held on December 31,
2016? If you were not employed in a fixed
location, enter the location that best reflects
where you practiced.
Retirement
Scheduling/inconvenient hours/too many
hours/too few hours
City/Town
School/educational program
Sign-on bonus offered
Spouse’s employment opportunities
County
Stressful work environment
Other, Specify: C
State (or country if not U.S.A.)
Zip
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H8.
Which one of the following best describes the employment setting of the primary nursing position you
held on December 31, 2016? Mark one box only.
Hospital (not mental health)
Clinic/Ambulatory
Critical Access Hospital (CAH) – a rural community
hospital that receives cost-based reimbursement
from Medicare
Inpatient unit, not Critical Access Hospital
Emergency Department, not Critical Access Hospital
Nurse managed health center
Private medical practice (clinic, physician
office, etc.)
Public clinic (Rural Health Center, FQHC,
Indian Health Service, Tribal Clinic, etc.)
School health service (K-12 or college)
Hospital sponsored ambulatory care
(outpatient, surgery, clinic, urgent care, etc.)
Outpatient mental health/substance abuse
Hospital ancillary unit
Urgent care (not hospital based)
Hospital nursing home unit
Ambulatory surgery center (free standing)
Hospital administration
Other, Specify: C
Hospital other, Specify: C
Other types of settings
Other inpatient setting
Home health agency/service
Nursing home unit NOT in hospital
Occupational health or employee health
service
Rehabilitation facility/long-term care
Inpatient mental health/substance abuse
Public health or community health agency
(not a clinic)
Correctional facility
Government agency other than public/
community health or correctional facility
Inpatient hospice
Outpatient dialysis center
Other inpatient setting, Specify: C
University or college academic department
Insurance company
Call center/telenursing center
Other, Specify: C
Continue to Section I
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Section I.
National Practitioner Data Bank
I1.
I5.
The National Practitioner Data Bank
(NPDB), which includes the Healthcare
Integrity and Protection Data Bank (HIPDB),
is a nationwide repository of negative
actions taken against health care professionals.
Its primary function is to aid employers in
making well informed hiring decisions.
Currently, certain entities are required to query
the NPDB on physicians and dentists, prior to
making decisions on hiring and clinical
privileges. Do you think the query requirement
should be expanded to other health care
professions?
Yes, they should consider prior
negative actions
No, they should not consider prior
negative actions
I6.
Yes, it should be expanded to all
health care professions
Yes, it should be expanded to some but
not all health care professions
No, they should not be reported
I am unfamiliar with the National
Practitioner Data Bank ➔ SKIP to Section J
on page 21
I7.
Have you been reported to the NPDB or the
HIPDB?
Do you think nurse practitioners who are
supervised by a physician should be
subject to the same reporting requirements
as physicians, less strict reporting requirements,
or more strict reporting requirements?
The same reporting requirements as
physicians
Yes
No ➔ SKIP to Question I5
I3.
The NPDB collects reports on adverse
actions taken against a physician that
affect that physician’s clinical privileges.
Many nurse practitioners currently perform
job functions similar to primary care
physicians. Do you feel the NPDB should
also collect reports on adverse actions
against a nurse practitioner that could
affect their clinical privileges?
Yes, they should be reported
No, it should not be expanded
I2.
When making hiring decisions, do you
feel that health care employers should
consider prior negative health care related
actions taken against prospective
employees?
Less strict reporting requirements for
nurse practitioners who are supervised by
a physician
Who submitted the report(s)?
Mark all that apply.
More strict reporting requirements for
nurse practitioners who are supervised by
a physician
State licensing board
Medical malpractice payer, such as an
insurance company
Hospital
Federal agency
Unknown
Other, Specify: C
Continue to Section J
I4.
Did the NPDB report impact your career?
Mark all that apply.
Yes, the report had a negative impact on
my position (e.g., reprimand, termination)
Yes, the report made it difficult to obtain
employment
No, the report did not impact my career
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Section J.
License and Certification Detail
J1.
J4a.
Please provide any other names under
which you may have held a nursing license.
If none, leave blank.
First name
On December 31, 2017, did you have an
active certification as a Clinical Nurse
Specialist(CNS)?
Yes
No ➔ SKIP to Question J5a on page 22
M.I.
J4b.
Was this certification required by your
employer for your job?
Yes
Last name
No
J4c.
First name
M.I.
Was this certification from a national
certifying organization?
Yes
No
Last name
J4d.
J2.
On December 31, 2017, which of the
following skill-based certifications did
you have? Mark all that apply.
Which of the following Clinical Nurse Specialist
(CNS) certifications did you have?
Mark all that apply.
Acute Care/Critical Care
Adult Health
No skill-based certifications
Community Health/Public Health
Ambulatory Care Certification
Diabetes Management
Critical Care Certificate
Gerontological
Emergency Medicine/Nursing
(EMT, ENPC, etc.)
Home Health
Life Support (BLS, ACLS, BCLS, etc.)
Hospice and Palliative Care
Resuscitation (CPR, NRP, etc.)
Medical-Surgical
Trauma Nursing (TNCC, ATCN, ATN, etc.)
Oncology
Other, Specify: C
Pediatric
Psychiatric & Mental Health - Adult
J3.
Psychiatric & Mental Health - Child/
Adolescent
On December 31, 2017, did you have any
active national nursing certifications as
a Clinical Nurse Specialist, Nurse-Midwife,
or Nurse Anesthetist?
Psychiatric & Mental Health - Family
Other, Specify: C
Yes
No ➔ SKIP to Section K on page 22
Continue on next page
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J5a.
Section K.
General Information
On December 31, 2017, did you have an active
certification as a Nurse-Midwife?
Yes
The next set of questions are about your personal
characteristics.
No ➔ SKIP to Question J6a
J5b.
Was this certification required by your employer
for your job?
K1.
Yes
Where did you live on December 31, 2017?
This information is critical for producing
state/county estimates of the nursing workforce.
City/Town
No
J5c.
Was this certification from a national
certifying organization?
County
Yes
No
J6a.
State (or country if not U.S.A.)
On December 31, 2017, did you have an active
certification as a Nurse Anesthetist?
Yes
Zip
No ➔ SKIP to Section K
J6b.
Was this certification required by your employer
for your job?
K2.
Yes
No
J6c.
Where did you live on December 31, 2016?
This information is critical for producing
state/county estimates.
Same address reported in Question K1
Was this certification from a national certifying
organization?
City/Town
Yes
No
County
State (or country if not U.S.A.)
Continue to Section K
Zip
K3.
What is your sex?
Male
Female
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K4.
What is the year of your birth?
K5.
Are you of Hispanic, Latino, or Spanish origin?
K6.
K9.
Never served in the military
Yes
Only on active duty for training in the
Reserves or National Guard
No
Now on active duty
On active duty in the past, but not now
What is your race? Mark all that apply.
K10.
White
Black or African American
Asian
Child(ren) 6 to 18 years old at home
Native Hawaiian or Other Pacific Islander
Other adults at home (e.g., parents or
dependents)
Some other race
Others living elsewhere (e.g., children,
parents or dependents)
What languages do you speak fluently,
other than English? Mark all that apply.
None
No other languages
K11.
Spanish
Filipino language (Tagalog, other Filipino
dialect)
Including employment earnings, investment
earnings, and other income of all household
members, what was your 2017, pre-tax annual
total household income? Mark one box only.
$25,000 or less
Chinese language (Cantonese, Mandarin,
other Chinese language)
$25,001 to $35,000
Russian
$35,001 to $50,000
Korean
$50,001 to $75,000
Vietnamese
$75,001 to $100,000
American Sign Language
$100,001 to $150,000
Other language(s)
K8.
Which of the following best describes the
children/parents/dependents who either live
at home with you or for whom you provide a
significant amount of care?
Mark all that apply.
Child(ren) less than 6 years old at home
American Indian or Alaska Native
K7.
Have you ever served on active duty in the
U.S. Armed Forces, Reserves, or National
Guard? Mark one box only.
$150,001 to $200,000
What is your marital status?
More than $200,000
Married or in domestic partnership
Widowed, divorced, separated
Never married
Continue to Section L
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Section L. Name and Address Information
Use the space below to correct any errors in your name or address information. If no corrections are
needed, leave this section blank.
Corrections to First Name
Corrections
to M.I.
Corrections to Last Name
Corrections to Number and Street Address
Corrections
to State
Corrections to City/Town
Corrections to
Zip Code
Thank you for your participation.
Please return this survey in the enclosed, postage-paid envelope.
The U.S. Census Bureau is conducting the National Sample Survey of Registered Nurses on the behalf of the U.S. Department of Health
and Human Services (HHS) under Title 13, United States Code, Section 8(b), which allows the Census Bureau to conduct surveys on behalf
of other agencies. Public Service Act 42 U.S.C. Section 294n(b)(2)(A) and Title 42 U.S.C. Section 295k(a)-(b) allows HHS to collect information
for the purpose of understanding the nursing workforce in the United States. Federal law protects your privacy and keeps your answers
confidential under 13 U.S.C. Section 9. Per the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity
risks through screening of the systems that transmit your data. All access to Title 13 data from this survey is restricted to Census Bureau
employees and those holding Census Bureau Special Sworn Status pursuant to 13 U.S.C. Section 23(c) as identified in SORN Census-3
Demographic Survey Collection (Census Bureau Sampling Frame). Any information you provide will be shared among a limited number
of Census Bureau and HHS staff only for work-related purposes identified above and as permitted under the Privacy Act of 1974 (5 U.S.C.
Section 552a). Participation in this survey is voluntary and there are no penalties for refusing to answer questions. However, your cooperation
in obtaining this much needed information is extremely important in order to ensure complete and accurate results.
24
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| File Type | application/pdf |
| File Modified | 2018-01-11 |
| File Created | 2018-01-11 |