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pdf2022 NSSRN Paper Questionnaire Changes
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
A. Licensure and Certification
A1
A. Licensure and Certification
A2
A. Licensure and Certification
A. Licensure and Certification
A3
A4
A. Licensure and Certification
A5
A. Licensure and Certification
A6
A. Licensure and Certification
A7
A. Licensure and Certification
A8a
A. Licensure and Certification
A8b
A8c
Question Text
On December 31, 2021, did you have an ACTIVE
LICENSE to practice as a Registered Nurse (RN)
or Advanced Practice Registered Nurse (APRN)
in the U.S.?
What U.S. state(s) ISSUED the active RN license(s)
that you held on December 31, 2021? Do not
include APRN licenses.
Were you living in the U.S. on December 31, 2021?
Mark (X) No if you were living in a U.S. territory.
What U.S. state issued your FIRST RN license?
In what year were you issued your FIRST U.S.
RN license?
Have you ever been LICENSED as a Licensed
Practical Nurse (LPN) or Licensed Vocational
Nurse (LVN) in the U.S.?
On December 31, 2021, did you have any active
nursing certifications as a Nurse Practitioner,
Clinical Nurse Specialist, Nurse-Midwife, or
Nurse Anesthetist?
On December 31, 2021, did you have any active
certification(s) as a Nurse Practitioner (NP)?
Were any of your NP certifications from a
NATIONAL CERTIFYING ORGANIZATION?
Which of the following NP certifications did
you have from a NATIONAL CERTIFYING
ORGANIZATION? Mark (X) ALL that apply.
Question Response Category
Yes, Licensed RN but not APRN (1)
Yes, Both RN and APRN (1)
No - Done with survey (1)
A. Licensure and Certification
A9a
A. Licensure and Certification
A9b
A9c
A. Licensure and Certification
A. Licensure and Certification
A10a
A. Licensure and Certification
A10b
A. Licensure and Certification
A11a
A. Licensure and Certification
A11b
On December 31, 2021, did you have an active
certification as a Nurse-Midwife?
Was your Nurse-Midwife certification from a
NATIONAL CERTIFYING ORGANIZATION?
On December 31, 2021, did you have an active
certification as a Nurse Anesthetist?
Was your Nurse Anesthetist certification from a
NATIONAL CERTIFYING ORGANIZATION?
Notes
A1a
Added APRN in question text, response category option change.
State abbreviation up to 8 states (2) x8
Yes (1)
No - Done with survey (1)
State abbreviation (2)
A1b
Question text changed to be more explicit.
N/A
A2
New question.
Question change to separate out state/year to two questions.
Year (4)
A2
Question change to separate out state/year to two questions.
Yes (1)
No (1)
A7
No changes.
J3
Deleted "national" from question, section change, skip pattern change.
Yes (1)
No (1) SKIP to A12
Yes (1)
No (1) SKIP to A9a
Yes (1)
No (1) SKIP to A9a
Family NP (1)
Adult-Gerontology Primary Care NP (1)
Adult-Gerontology Acute Care NP (1)
Pediatric Primary Care NP (1)
Pediatric Acute Care NP (1)
Psychiatric-Mental Health NP (1)
Neonatal NP (1)
Women’s Health Care NP (1)
Emergency NP (1)
Advanced Diabetes Management NP (1)
Palliative Care NP (1)
School NP (1)
Other (1), Specify: (60)
A. Licensure and Certification
On December 31, 2021, did you have any
active certifications as a Clinical Nurse
Specialist (CNS)?
Were any of your CNS certification(s) from
a NATIONAL CERTIFYING ORGANIZATION?
Which of the following CNS certifications did
you have from a NATIONAL CERTIFYING
ORGANIZATION? Mark (X) ALL that apply.
2018 Comparable
Variable
Yes (1)
No (1) SKIP to A10a
Yes (1)
No (1) SKIP to A10a
Acute Care or Critical Care (1)
Adult Health (1)
Community Health or Public Health (1)
Diabetes Management (1)
Gerontological (1)
Home Health (1)
Hospice and Palliative Care (1)
Medical-Surgical (1)
Oncology (1)
Pediatric (1)
Psychiatric-Mental Health - Adult (1)
Psychiatric-Mental Health - Child or Adolescent (1)
Psychiatric-Mental Health - Family (1)
Other (1), Specify: (60)
Yes (1)
No (1) SKIP to A11a
Yes (1)
No (1)
Yes (1)
No (1) SKIP to A12
Yes (1)
No (1)
Page 1 of 19
N/A
New question.
N/A
New question.
F2
Question reworded, section change.
J4a
Question reworded, section change, skip pattern change.
J4c
Question reworded, section change, skip pattern change.
Question reworded, section change.
J4d
J5a
Question reworded, section change, skip pattern change.
J5c
Question reworded, section change.
J6a
Question reworded, section change, skip pattern change.
J6c
Question reworded, section change.
2022 NSSRN Paper Questionnaire Changes
Section
A. Licensure and Certification
2022 Question
Number
A12
B. Education
B1
B. Education
B2
B. Education
B. Education
B3
B4
Question Text
On December 31, 2021, which of the following
skill based certifications did you have?
Mark (X) ALL that apply.
Which type of nursing degree qualified you for
your FIRST U.S. RN license? Mark (X) ONE box only.
In what year did you graduate with your first
RN degree?
What percent of the courses for this degree
was completed online or through distance
learning? Do not include clinicals.
Where was this program located? If the program
was 100% online, report the college or university
location.
How did you pay for your first RN degree? Include the cost of
tuition, room and board, fees, books, and supplies. Mark (X) ALL
that apply.
B. Education
No certifications (1)
Ambulatory Care Certification (1)
Critical Care Certificate (CCRN) (1)
Emergency Medicine or Nursing (EMT, ENPC, etc.) (1)
Life Support (BLS, ACLS, BCLS, etc.) (1)
Resuscitation (CPR, NRP, etc.) (1)
Trauma Nursing (TNCC, ATCN, ATN, etc.) (1)
Other (1), Specify: (64?)
Diploma (1)
Associate (1)
Bachelor’s (1)
Master’s (1)
Doctorate – PhD (1)
Doctorate – DNP (1)
Other (1), Specify: (64?)
Year (4)
0 % (1)
1-49% (1)
50-99% (1)
100% (1)
In the U.S. (1) State (2)
Outside the U.S. (1) Name of Country (64?)
Self-paid (including gifts from parents, spouse,
or other family members or friends) (1)
Money borrowed from parents, spouse, or other
family members or friends, with the expectation
of paying it back (1)
Federally-assisted student loan (1)
Other type of student loan (1)
Employer tuition reimbursement plan (1)
Department of Veterans Affairs employer
tuition plan (1)
Health Resources and Services Administration
Support (e.g., National Health Service Corps,
Nurse Corps Loan Repayment, Faculty Loan
Repayment) (1)
Other federal traineeship, scholarship, or grant (1)
State or local government scholarship or grant (1)
Non-government scholarship or grant (1)
Other (1), Specify: (64?)
B5
B. Education
B6
B. Education
B7
B. Education
Question Response Category
B8
None (1)
Associate (1)
What post-high school degree(s) did you receive BEFORE starting
Bachelor's (1)
your first RN degree? Mark (X) ALL that apply.
Master's (1)
Doctorate (1)
Other, Specify; (1) (60)
Nursing aide or nursing assistant Yes/No (1)
Home health aide or assistant Yes/No (1)
Were you ever employed in any of the following health-related jobs Licensed Practical or Vocational Nurse Yes/No (1)
before completing your first RN degree? Mark (X) Yes or No for
Community health worker Yes/No (1)
EACH item.
Midwife Yes/No (1)
Emergency Medical Technician (EMT) or paramedic Yes/No (1)
Medical assistant Yes/No (1)
Dental assistant Yes/No (1)
All other health technologists and technicians Yes/No (1)
Manager in health care setting Yes/No (1)
Clerk in health care setting Yes/No (1)
Other health-related job, Specify: Yes/No (1) (60)
As of December 31, 2021, did you complete any ADDITIONAL
nursing degrees or certificates AFTER acquiring your
first RN degree that you described in Question B1? Do not include
degrees or certificates you are currently working towards.
Yes (1)
No (1) SKIP to B9a
Page 2 of 19
2018 Comparable
Variable
Notes
Response options changed.
J2
A3
No change.
A4
Drpped month from question and response.
N/A
New question.
A5
Added location instructions in question.
A9
Question reworded and added claryifing text.
A6
No change.
A8
Switched from "mark all" to "yes/no" with expanded response options.
A10
Question reworded, response options changed.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
B. Education
B8a
B. Education
B8b
B. Education
B8c
B. Education
B8d
B. Education
B8e
B. Education
B8f
B. Education
B9a
B. Education
B9b
B. Education
B10a
B. Education
B10b
B. Education
B10c
Question Text
Question Response Category
Associate (1)
LVN-to-RN Program (1)
Bachelor's (1)
Master's
Post Master's Certificate (1)
Doctor of Nursing Practice (1)
Research Doctorate (1)
What type of degree or certificate is this?
Other (1)
Mark (X) ONE box only.
2nd-5th Nursing Degree or Certificate (up to 4 responses)
Year (4) Up tp 4
In what year did you receive this degree or certificate?
2nd-5th Nursing Degree or Certificate (up to 4 responses)
In the U.S (1)
Where was this program located? If the program
State (2)
was 100% online, report the college or
Outside the U.S. (1)
university location.
2nd-5th Nursing Degree or Certificate (up to 4 responses)
Nurse Practitioner (1)
Did this degree or certificate qualify you to be any of the following? Clinical Nurse Specialist (1)
Nurse-Midwife (1)
Nurse Anesthetist (1)
None of these (1)
2nd-5th Nursing Degree or Certificate (up to 4 responses)
0 % (1)
1-49% (1)
What percent of the courses for this degree or certificate were
50-99% (1)
completed online or through distance learning? Do not include
100% (1)
clinicals.
2nd-5th Nursing Degree or Certificate (up to 4 responses)
2 digit Code (2)
What was the primary focus of this degree or certificate?
01 Clinical Practice
02 Clinical Nurse Leader
03 Admin/Business Mangagement
04 Education
05 Publ.ic Health/Community Health
06 Research
07 Other health field
No Primary Focus
2nd-5th Nursing Degree or Certificate (up to 4 responses)
A11b
A10a, A11c
A10b
Notes
Question reworded, response options changed.
Added certificate to question.
Question text added to be explicit about online, response changed from
write in to In US, outside.
A11, A11a
Question change from yes/np to APRN pick list in response, and combining
questions.
A10c
Question reworded to get more detailed % response, and response change
from yes/no.
A10d
Added certificate to question, and reduced responses.
N/A
New question.
N/A
New question.
N/A
New question.
Associate (1)
Bachelor's (1)
Master's (1)
Doctorate (1)
Other, Specify; (1) (60)
N/A
New question.
Year (4)
A10e
Question reworded to be more detailed.
For ANY of the nursing degrees you had completed as of December
31, 2021, did you borrow any money? Include the cost of tuition,
Yes (1)
room and board, fees, books, and supplies.
No (1) SKIP to B10a
$0 (1)
$1-$10,000 (1)
$10,001 - $20,000 (1)
$20,001 - $30,000 (1)
$30,001 - $40,000 (1)
$40,001 - $50,000 (1)
$50,001 - $60,000 (1)
$60,001 - $70,000 (1)
As of December 31, 2021, approximately how
$70,001 - $80,000 (1)
much debt from your nursing degree(s) did you
$80,001 - $90,000 (1)
still owe? Include all sources of debt.
$90,001 - or more (1)
As of December 31, 2021, did you have any NON-NURSING
academic degrees? Do not include degrees you are currently
Yes (1)
working towards.
No (1) SKIP to B11a
As of December 31, 2021, what was the HIGHEST non-nursing
degree you received?
In what year did you receive your highest
non-nursing degree?
2018 Comparable
Variable
Page 3 of 19
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
Question Text
Question Response Category
2018 Comparable
Variable
Notes
B. Education
B12
B. Education
B13a
B. Education
B13b
B. Education
B14
Clinical Practice (1)
Administration or Business Management (1)
What was the primary focus of your highest non-nursing degree?
Education (1)
Mark (X) ONE box only.
Public Health or Community Health (1)
Law (1)
Biological or Physical Sciences (1)
Humanities, Liberal Arts, or Social Sciences (1)
Information Technology or Informatics (1)
Research (1)
Other health field (1)
Other non-health field (1)
During the FALL TERM OF 2021, were you
Yes, in nursing (1)
enrolled in a formal education program
Yes, in a non-nursing field
leading to an academic degree or certificate?
No, skip to B12 (1)
Full-time student (1)
Were you a full-time or part-time student?
Part-time student (1)
0 % (1)
What percent of the courses for this degree or
1-49% (1)
certificate were completed online or through
50-99% (1)
distance learning, excluding clinicals?
100% (1)
Certificate or Award (1)
Associate Degree (1)
What type of degree or certificate were you working towards in this Bachelor’s Degree (1)
program? Mark (X) ONE box only.
Master’s Degree (1)
Post Master's Certificate (1)
Doctorate – PhD (1)
Doctorate – DNP (1)
Doctorate - Other (1)
Yes (1)
No (1)
As of December 31, 2021, were you planning to continue your
I was undecided at that time (1)
formal nursing education leading to an academic degree or
certificate? Do not consider degrees or certificates you were
working towards in 2021.
Have you completed an RN residency or transition-to-practice
Yes (1)
program?
No (1) SKIP to B14
Did you have a preceptor assigned to you during this residency or
Yes (1)
transition-to-practice program?
No (1)
Chemical accident or attack Yes/No (1) (1)
Biological accident or attack Yes/No (1) (1)
Within the past year, have you received or provided emergency
Nuclear or radiological accident or attack Yes/No (1) (1)
preparedness training in any of the following areas specifically
Infectious disease edidemics Yes/No (1) (1)
related to patient care or medical response to these
Natural disaster Yes/No (1) (1)
emergencies? Mark (X) Yes or No for EACH item.
Other public health emergencies Yes/No (1) (1)
N/A
New question.
C1
On December 31, 2021, were you employed or self-employed in the
United States in any type of nursing position (LVN, LPN, RN, or
APRN)? Employed includes working for pay, even if on
Yes (1)
temporary leave.
No (1) SKIP to G on page 22
B1
Question more detailed, skip pattern change to response.
Where was the location of the primary nursing position you held on
December 31, 2021? If you were not employed in a fixed location,
emter the location that best refiects where you practiced.
Did you work 100% remotely for the primary nursing position you
held on December 31, 2021?
B2
County dropped from response.
N/A
New question.
B3
Question change from yes/no of more than 5 years, detailed response change.
B4
Added text on best estimate, added last response category.
B7
Question more detailed.
B. Education
B10d
B. Education
B11a
B. Education
B11b
B. Education
B11c
B. Education
B11d
C. Employment
C. Employment
C2
C. Employment
C3
C. Employment
C4
C. Employment
C5
C. Employment
C6
City/Town (15)
State (2)
Zip (5)
Yes (1)
No (1)
Less than 1 year (1)
Thinking about the primary nursing position you held on December 1 - 5 years (1)
31, 2021, how long had you been working for this EMPLOYER?
More than 5 years (1) SKIP to Question C6
6 months or fewer (1)
How long were you actively looking for new employment before
7 - 12 months (1)
accepting a position with this employer? Please give your best
More than a year (1)
estimate.
I was not actively looking for new employment (1)
RN (1)
APRN, Nurse Practitioner (1)
In 2021, which of the following state licensures, certifications, or
APRN, Clinical Nurse Specialist (1)
recognitions were you required to maintain for the primary nursing APRN, Nurse-Midwife (1)
position you held on December 31, 2021? Mark (X) ALL that
APRN, Nurse Anesthetist (1)
apply.
None of the above (1) SKIP to Question C8
Page 4 of 19
A10h
Question reworded, and response options condensed.
A12a
Year changed in question, skip change to response.
A12b
No change.
A12c
Question expanded to include more detailed %.
A12d
No change.
N/A
New question.
N/A
New question.
B6
Question more detailed.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
C. Employment
C7a
C. Employment
C7b
C. Employment
C8
C. Employment
C9
C. Employment
C10
Question Text
Question Response Category
Strongly agree (1)
For the license required in my primary nursing position, I could
Agree (1)
practice to the full extent of my state’s legal scope of practice.
Disagree (1)
Answer only about the year 2021.
Strongly disagree (1)
Strongly agree (1)
In my primary nursing position, I was able to practice to the full
Agree (1)
extent of my nursing education and training. Answer only about the Disagree (1)
year 2021.
Strongly disagree (1)
In your primary nursing position, did you use an Electronic Health
Yes (1)
Record (EHR) or Electronic Medical Record (EMR) system in 2021? No (1)
Do not include billing record systems.
Don't know (1)
For the primary nursing position you held on December 31, 2021,
Yes (1)
were you employed as a traveling nurse?
No (1)
Employed through an employment agency (1)
For the primary nursing position you held on December 31, 2021,
Employed by an organization or facility (1)
which of the following best describes your employment situation in Self-employed or independent contractor (1)
2021?
Mark (X) ONE box only.
Staff nurse or direct care nurse (1)
2018 Comparable
Variable
Notes
F9a
Question asked about NO in 2018, included for primary position.
F9b
Question asked about NO in 2018, included for primary position.
B8
Added year in question.
N/A B10
New question.
N/A
New question.
B13
Slight wording change to question, and changes to response categories.
Charge nurse or team leader (1)
Which one of the following best describes the job title of the
primary nursing position you held on December 31, 2021? Mark (X) Front-line management (Nurse Manager, Unit or Department Supervisor) (1)
Middle management or administration (director, house supervisor, associate dean, department head) (1)
ONE box only.
C. Employment
C11
Senior management or administration (CEO, vice president, CNO, CNE, dean) (1)
Certified Registered Nurse Anesthetist (CRNA) (1)
Certified Nurse-Midwife (CNM) (1)
Clinical Nurse Specialist (CNS) (1)
Nurse Practitioner (NP) (1)
Wound or ostomy nurse (1)
School nurse or occupational health nurse (1)
Public health nurse (1)
Home health nurse (1)
Community health nurse (1)
Patient educator (1)
Staff educator, professional practice specialist, or instructor in clinical setting (1)
Academic educator, professor, or instructor in a school of nursing (1)
Patient care coordinator, case manager, discharge planner, or nurse navigator (1)
Quality improvement nurse or utilization review nurse (1)
Infection control nurse (1)
Advice or triage nurse (1)
Informatics nurse (1)
Forensics or crisis nurse (1)
Transport, EMS, or Flight Nurse (1)
Consultant (1)
Legal nurse (1)
Researcher (1)
Surveyor, auditor, or regulator (1)
No position title (1)
Other (1), Specify: (60)
Page 5 of 19
2022 NSSRN Paper Questionnaire Changes
Section
C. Employment
C. Employment
2022 Question
Number
Question Text
Question Response Category
Hospital (not including mental health or rehabilitation facilities)
Hospital Inpatient Department or Unit (1)
Hospital Emergency Department or Transport (1)
Hospital-Sponsored Ambulatory or Outpatient Clinic or Center (Clinic, Specialty, Surgery, etc.) (Non-ED) (1)
Hospital-Sponsored Urgent Care (1)
Hospital Administration, Education, Quality, etc. (1)
Hospital Nursing Home Unit (1)
Hospital Ancillary Unit (Radiology, Lab, GI lab, Consult Services, etc.) (1)
Hospital, Other (1) Specify: (60)
Other Inpatient settings
Skilled Nursing Facility or Nursing Home (1)
Rehabilitation, Long Term Care, or Long Term Acute Care Facility (1)
Hospice - Inpatient (1)
Mental or Behavioral Health Facility - Inpatient (1)
Substance Use Treatment Center - Inpatient (1)
Other Inpatient Setting (1) Specify (60)
Non-patient care settings
Public Health or Community Health Agency (1)
Local, State, or Federal Government Agency (1)
University or College Academic Department (1)
Insurance Company (1)
Call Center, Telenursing Center, or Remote Nursing (1)
Regulatory Agency or Organization (1)
Consulting Agency or Organization (1)
Professional Organization (1)
Other (1) Specify (60)
Outpatient, Ambulatory, or Other Clinical settings (non-hospital based)
Urgent, Emergency Care, or Transport (not hospital-sponsored) (1)
Occupational Health or Employee Health Services (1)
Correctional Facility (1)
Private Practice - Medical or NP (1)
C12
Which one of the following best describes the employment setting
of the primary nursing position you held on
December 31, 2021? Mark (X) ONE box only.
C13
For the primary nursing position you held on December 31, 2021,
did you work full-time or part-time in 2021? Mark (X) ONE box only.
If you worked both full-time and part-time in 2021, select the
Full-time (including full-time for an academic year) (1)
schedule you worked for the largest portion of the year.
Part-time (including working only part of the calendar or academic year) (1)
For the primary nursing position you held on December 31, 2021,
did you work EVERY week in 2021? Include paid vacation, paid sick
leave, and military service as weeks worked.
For the primary nursing position you held on December 31, 2021,
how many MONTHS did you work in 2021? Include paid vacation,
paid sick leave, and military service, and include months where you
only worked for a few hours.
For the primary nursing position you held on December 31, 2021,
how many WEEKS did you work in 2021? Include paid vacation, paid
sick leave, and military service, and include weeks where you only
worked for a few hours.
For the primary nursing position you held on December 31, 2021,
how many hours were you SCHEDULED to work in a typical week in
2021?
How many hours did you work
in a typical week in 2021? Include
unpaid hours and hours paid at
the base, overtime, and differential
rates. Include on-call hours except
on-call hours that were standby only.
Of the hours you reported above,
how many of these hours were -
2018 Comparable
Variable
Notes
B11
Question text reworded.
B11
Slight wording change to question.
Yes (1) SKIP to Question C17
No (1)
B12
Question reworded, and response option change.
Months worked in 2021 (2)
B12
More detailed instructions added.
Weeks worked in 2021 (2)
N/A
New question.
Hours scheduled per week (2)
B14a
Question reworded.
Hours worked in a typical week (2)
B14b
Question reworded.
C. Employment
C14
C. Employment
C15
C. Employment
C16
C. Employment
C17
C. Employment
C18a
C. Employment
C18b
Worked at the overtime pay rate?
Of the hours you reported above,
how many of these hours were -
Hours worked at the overtime pay rate (2)
B14e
Question reworded.
C. Employment
C18c
Unpaid?
B14f
Question reworded.
C19
For the primary nursing position you held on December 31, 2021,
please estimate the percentage of your time spent in the following
activities during
a typical workweek. Do not use decimals.
Hours unpaid (2)
A. Patient care and charting % (3)
B. Care coordination (including consultation with agencies and/or professionals % (3)
C. Management, supervision, and administrative tasks % (3)
D. Research % (3)
E. Teaching, precepting, or orienting students or new hires % (3)
F. Non-nursing tasks (e.g., housekeeping, locating supplies) % (3)
G. Other % (3)
B15
New question.
C. Employment
Page 6 of 19
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
C. Employment
C20
C. Employment
C21
C. Employment
C22
Question Text
Question Response Category
General or specialty inpatient (1)
Ambulatory care (including primary care outpatient settings, except surgical) (1)
For the primary nursing position you held on December 31, 2021, in Ancillary care (radiology, laboratory) (1)
what level of care or type of work did you spend most of your time? Care coordination/patient navigation (1)
Mark (X) ONE box only.
Critical/intensive care (1)
Education (1)
Emergency (1)
Health care management/administration (1)
Home health/hospice (1)
Informatics (1)
Long-term care/nursing home (1)
Public health/community health (1)
Rehabilitation (1)
Research (1)
School nurse (1)
Step-down, transitional, progressive, telemetry (1)
Sub-acute care (1)
Surgery (including ambulatory, pre-operative, post-operative, post anesthesia) (1)
Urgent care (1)
Other, (1) Specify: (60)
For the primary nursing position you held on December 31, 2021,
did your workplace use telehealth to provide patient care? Answer Yes (1)
only about the year 2021.
No (1) SKIP to C25 on page 13
Did you personally use some form of telehealth in the primary
nursing position you held on December 31, 2021? Answer only
Yes (1)
about the year 2021.
No (1) SKIP to C25 on page 13
C. Employment
C23
C. Employment
C24
Live Video-Conferencing (a two-way audiovisual link between a patient and a care provider) (1)
In 2021, which type(s) of telehealth did you personally use in the
Telephone calls without video (1)
primary nursing position you held on December 31, 2021? Mark (X) Text messages or live chat (1)
ALL that apply.
Asynchronous Video-Conferencing (transmission of a recorded health history to a health
practitioner, usually a specialist) (1)
Remote Patient Monitoring (the use of connected electronic tools to record personal health and
medical data in one location for review by a provider in another location, usually at a different
time) (1)
mHealth (health care and public health information provided through mobile devices; the
information may include general educational information, targeted texts, and notifications about
disease outbreaks) (1)
Other, (1) Specify: (60)
For the primary nursing position you held on December 31, 2021,
about how many hours did you spend using telehealth during a
typical week
in 2021?
Hours per week (2)
C. Employment
C25
Did the primary nursing position you held on December 31, 2021
include any patient care? Answer only about the year 2021.
C. Employment
C26
C. Employment
C27
Yes (1)
No (1) SKIP to C29 on page 15
0% (1)
1%-25% (1)
26%-50% (1)
For the primary nursing position you held on December 31, 2021,
51%-75% (1)
what percent of your patient care time was spent providing
76%-99% (1)
prenatal care? Answer only about 2021. Your best estimate is fine. 100% (1)
0 % (1)
1-25% (1)
For the primary nursing position you held on December 31, 2021,
26-50% (1)
please estimate the percentage of your patient
51-75% (1)
care time spent with each population below. Answer only about the 76-99% (1)
year 2021. Mark (X) ONE box only for each row.
100% (1)
A. Neonatal, Newborn, or Infant
(less than 2 years old)
B. Pediatric (2 to 11 years old)
C. Adolescent (12 to 17 years old)
D. Adult (18 to 65 years old)
E. Geriatric (more than 65 years old)
Page 7 of 19
2018 Comparable
Variable
Notes
N/A
New question.
B21
Question reworded, and skip pattern updated.
B22
Skip pattern updated.
B23
Question reworded, and response option change.
N/A
New question.
B17a
Question text reworded, and skip pattern updated.
N/A
New question.
B17b
Question and format changed.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
Question Text
Question Response Category
2018 Comparable
Variable
Notes
General medical surgical (1)
Ambulatory care - primary care (1)
For the primary nursing position you held on December 31, 2021, in Ambulatory care - specialty care (e.g. Dermatology, Endocrinology, Ophthalmology,
what type of clinical specialty did you spend MOST of your patient Otolaryngology) (1)
care time in 2021? Mark (X) ONE box only.
Cardiac or cardiovascular care (1)
Chronic care (1)
Community or public health (1)
Critical care or intensive care (1)
Emergency or trauma care (1)
Gastrointestinal (1)
Home health or hospice (1)
Infectious or communicable disease (1)
Labor and delivery or neonatal care (1)
Neurological (1)
Obstetrics and Gynecology (1)
Occupational health (1)
Oncology (1)
Orthopedics (1)
Psychiatric or mental health (1)
Pulmonary or respiratory (1)
Rehabilitation (1)
Renal or dialysis (1)
School health service (K-12 or post-secondary) (1)
Substance use disorder (1)
Surgery, pre-op, post-op, PACU, or anesthesia (1)
Other specialty, (1) Specify: (60)
C. Employment
C28
B17b
Question reworded, and response option change.
B17b
Question reworded, and response option change.
B17b
Question reworded, and response option change.
B17b
Question reworded, and response option change.
B16
Question reworded, and response option change.
B19
Response option change.
B18
Response option change.
B19
Question text reworded.
B19
Question text reworded.
B19
Question text reworded.
Thinking of the primary nursing position you held on December 31,
2021, to what extent did you…
C29a
Participate in evidence-based care (evidence-based
care is care that utilizes best practices and clinical
decisions supported by scientific research and clinical
expertise)
C29b
Participate in patient-centered care (care that is
responsive to patient preferences, needs and values,
and ensures that patient values guide clinical decisions)
C. Employment
C29c
Participate in team-based care (comprehensive
health services by at least two health professionals
working collaboratively to provide safe, quality care)
C. Employment
C29d
Participate in value-based care (care that improves health
outcomes relative to the cost of care)
C. Employment
C29e
Participate in population-based health care (care that focuses on
the health status and needs of a target population possessing
similar health concerns or characteristics)
C. Employment
C29f
Care for medically complex/special needs patients
C. Employment
C29g
Care for patients with mental health conditions
C. Employment
C29h
Care for patients with substance use disorders
C. Employment
C29i
Work on quality improvement measures or procedures
C. Employment
C. Employment
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
Page 8 of 19
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
Question Text
Question Response Category
2018 Comparable
Variable
Notes
Thinking of the primary nursing position you held on December 31,
2021, to what extent did you observe your
organization doing the following?
C. Employment
C30a
C. Employment
C30b
C. Employment
C30c
C. Employment
C30d
C. Employment
C30e
C. Employment
C30f
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
Not applicable (1)
A great extent (1)
Somewhat (1)
Participate in patient-centered care (care that is responsive to
Very little (1)
patient preferences, needs and values, and ensures that patient
Not at all (1)
values guide clinical decisions)
Not applicable (1)
A great extent (1)
Somewhat (1)
Participate in team-based care (comprehensive health services by Very little (1)
at least two health professionals working collaboratively to provide Not at all (1)
safe, quality care)
Not applicable (1)
A great extent (1)
Somewhat (1)
Very little (1)
Participate in value-based care (care that improves health
Not at all (1)
outcomes relative to the cost of care)
Not applicable (1)
A great extent (1)
Somewhat (1)
Participate in population-based health care (care that focuses on
Very little (1)
the health status and needs of a target population possessing
Not at all (1)
similar health concerns or characteristics)
Not applicable (1)
A great extent (1)
Somewhat (1)
Very little (1)
Not at all (1)
Promoting quality improvement
Not applicable (1)
Promoting evidence-based care
(care that utilizes best practices and
clinical decisions supported by scientific
research and clinical expertise)
B19
Question text reworded.
B19
Question text reworded.
B19
Question text reworded.
B19
Question text reworded.
B20
Question reworded, and response option change.
B19
Question text reworded.
Have you received
training in the following
areas through formal
education, work or
professional development?
C31a
Evidence-based care (care that utilizes best practices and clinical
decisions supported by scientific research and clinical expertise)
Yes (1)
No (1)
B19
Question text reworded.
C31b
Patient-centered care (care that is responsive to patient
preferences,
needs and values, and ensures that patient values guide clinical
decisions)
Yes (1)
No (1)
B19
Question text reworded.
C31c
Team-based care (comprehensive health services by at least two
health professionals working collaboratively to provide safe,
quality care)
Yes (1)
No (1)
B19
Question text reworded.
C31d
Value-based care (care that improves health outcomes relative
to the cost of care)
Yes (1)
No (1)
B19
Question text reworded.
C. Employment
C31e
Population-based health care (care that focuses on the health
status and needs of a target population possessing similar health
concerns or characteristics)
N/A
New question.
C. Employment
C31f
Working in an underserved community
N/A
New question.
C. Employment
C31g
N/A
New question.
C. Employment
C31h
Caring for medically complex/special needs patients
Social determinants of health (e.g., impact of race and
socioeconomic status)
N/A
New question.
C. Employment
C31i
Caring for patients with mental health conditions
N/A
New question.
C. Employment
C. Employment
C. Employment
C. Employment
Yes (1)
No (1)
Yes (1)
No (1)
Yes (1)
No (1)
Yes (1)
No (1)
Yes (1)
No (1)
Page 9 of 19
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
Question Text
C. Employment
C31j
Caring for patients with substance use disorders
C. Employment
C31k
Quality improvement
C. Employment
C31l
Practice management and administration
Question Response Category
Yes (1)
No (1)
Yes (1)
No (1)
Yes (1)
No (1)
2018 Comparable
Variable
Notes
N/A
New question.
N/A
New question.
N/A
New question.
Yes (1)
No (1)
N/A (1)
N/A
New question.
Yes (1)
No (1)
N/A (1)
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
Do you feel that
you have received
sufficient training in this
area?
Evidence-based care (care that utilizes best practices and clinical
decisions supported by scientific research and clinical expertise)
Patient-centered care (care that is responsive to patient
preferences,
needs and values, and ensures that patient values guide clinical
decisions)
C. Employment
C32a
C. Employment
C32b
C. Employment
C32c
C. Employment
C32d
Team-based care (comprehensive health services by at least two
Yes (1)
health professionals working collaboratively to provide safe, quality No (1)
care)
N/A (1)
Yes (1)
Value-based care (care that improves health outcomes relative to No (1)
the cost of care)
N/A (1)
C. Employment
C32e
Population-based health care (care that focuses on the health
status and needs of a target population possessing similar health
concerns or characteristics)
C. Employment
C32f
Working in an underserved community
C. Employment
C32g
Caring for medically complex/special needs patients
C. Employment
C32h
Social determinants of health (e.g., impact of race and
socioeconomic status)
C. Employment
C32i
Caring for patients with mental health conditions
C. Employment
C32j
Caring for patients with substance use disorders
C. Employment
C32k
Quality improvement
C. Employment
C32l
Practice management and administration
C. Employment
C33
C. Employment
C34
C. Employment
C35
C. Employment
C36
C. Employment
C37
In 2021, which of the following educational benefits did your
employer offer to support employee professional development?
Mark (X) ALL that apply.
Please estimate your 2021 pre-tax annual earnings from your
primary nursing position. Include overtime and bonuses, but
exclude sign-on bonuses.
In 2021, were you represented by a labor union or collective
bargaining unit in the primary nursing position you held on
December 31, 2021?
How satisfied were you with the primary nursing position you held
on December 31, 2021?
Did you hold the same primary nursing position from January 1,
2020 through December 31, 2021?
Yes (1)
No (1)
N/A (1)
Yes (1)
No (1)
N/A (1)
Yes (1)
No (1)
N/A (1)
Yes (1)
No (1)
N/A (1)
Yes (1)
No (1)
N/A (1)
Yes (1)
No (1)
N/A (1)
Yes (1)
No (1)
N/A (1)
Yes (1)
No (1)
N/A (1)
Tuition reimbursement (1)
Loan Forgiveness (1)
Flexible scheduling (1)
Other; Specify (1) (60)
None (1)
$ (6).00
Yes (1)
No (1)
Extremely satisfied (1)
Moderately satisfied (1)
Moderately dissatisfied (1)
Extremely dissatisfied (1)
Yes (1)
No (1) Skip to C40
Page 10 of 19
2022 NSSRN Paper Questionnaire Changes
Section
C. Employment
2022 Question
Number
C38
C. Employment
C39
C. Employment
C40
D. Left the Primary Nursing Position
D1
D. Left the Primary Nursing Position
D2
D. Left the Primary Nursing Position
D3
D. Left the Primary Nursing Position
E. Remained in the Primary Nursing
Position
E. Remained in the Primary Nursing
Position
D4
E1
E2
E. Remained in the Primary Nursing
Position
E3
E. Remained in the Primary Nursing
Position
E4
E. Remained in the Primary Nursing
Position
E5
Question Text
Question Response Category
Thinking about the primary nursing position you held on December Yes (1)
31, 2021, have you EVER felt burned-out?
No (1) Skip to C40
Thinking about the primary nursing position you held on December
31, 2021, which of the following best describes your feelings of
burnout during the coronavirus pandemic? Mark (X) ONE box only.
Have you left the primary nursing position you held on December
31, 2021?
They increased during the coronavirus pandemic (1)
They decreased during the coronavirus pandemic (1)
They did not change during the coronavirus pandemic (1)
Yes (1)
No (1) Skip to Section E
Better pay or benefits (1)
Burnout (1)
Which of the following reasons contributed to your decision to
Career advancement or promotion (1)
LEAVE the primary nursing position you held on December 31,
Career change (1)
2021? Mark (X) ALL that apply.
Disability or illness (1)
Family caregiving (1)
High risk working conditions (1)
Inability to practice to the full extent of my license (1)
Inadequate staffing (1)
Interpersonal differences with colleagues or supervisors (1)
Lack of advancement opportunities (1)
Lack of collaboration or communication between health care professionals (1)
Lack of good management or leadership (1)
Length of commute (1)
Physical demands of job (1)
Relocation to different geographic area (1)
Retirement (1)
Scheduling (inconvenient hours, too many hours, or too few hours) (1)
School or educational program (1)
Spouse's or partner's employment opportunities (1)
Stressful work environment (1)
Underlying health condition(s) that may increase risk of severe illness due to Coronavirus (self or
family) (1)
Unsatisfactory safety protocols (1)
Workplace harassment or violence (1)
Other, (1) Specify: (60)
Yes (1)
Did you continue to work in nursing after leaving this position?
No (1) SKIP to Section F on page 21
Already left the geographic area (1)
Less than a year (1)
1-2 years (1)
3-5 years (1)
How long do you plan to work in NURSING in the geographic area of More than 5 years (1)
the primary nursing position you held on December 31, 2021?
Not sure (1)
Already retired (1)
Within a year (1)
In 1-2 years (1)
In 3-5 years (1)
Approximately when do you plan to retire from
More than 5 years from now (1)
nursing?
Undecided (1)
Have you ever considered leaving the primary
Yes (1)
nursing position you held on December 31, 2021?
No (1) SKIP to Question E7 on page 21
Yes (1)
Have you considered leaving this position in the past year?
No (1)
Less than one year from now (1)
1-3 years from now (1)
More than 3 years from now (1)
When do you plan to leave this position?
Not sure (1)
Yes (1)
No (1)
Do you plan to work in nursing after you leave this position?
Not sure (1)
Less than a year (1)
1-2 years (1)
3-5 years (1)
How long do you plan to work in NURSING in the geographic area of More than 5 years (1)
the primary nursing position you held on December 31, 2021?
Not sure (1)
Page 11 of 19
2018 Comparable
Variable
Notes
B26
No changes.
B27
Question text reworded.
B24
No changes.
C1
Response option change.
C2
Skip pattern updated.
C3
Skip pattern updated.
C4
Question text reworded.
D1
Skip pattern updated.
D2
No changes.
D4
No changes.
D5
No changes.
D6
Question text reworded.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
E. Remained in the Primary Nursing
Position
E6
E. Remained in the Primary Nursing
Position
E7
E. Remained in the Primary Nursing
Position
E8
F. Secondary Employment in Nursing
F1
F. Secondary Employment in Nursing
F2
F. Secondary Employment in Nursing
F3
Question Text
Question Response Category
Better pay or benefits (1)
Burnout (1)
Career advancement or promotion (1)
Which of the following reasons would contribute to your decision to Career change (1)
LEAVE your primary nursing position? Mark (X) ALL that apply.
Change in child's school (1)
Disability or illness (1)
Family caregiving (1)
High risk working conditions (1)
Inability to practice to the full extent of my license (1)
Inadequate staffing (1)
Interpersonal differences with colleagues or supervisors (1)
Lack of advancement opportunities (1)
Lack of collaboration or communication between health care professionals (1)
Lack of good management or leadership (1)
Length of commute (1)
Patient population (1)
Physical demands of job (1)
Relocation to different geographic area (1)
Retirement (1)
Scheduling (inconvenient hours, too many hours, or too few hours) (1)
School or educational program (1)
Spouse's or partner's employment opportunities (1)
Stressful work environment (1)
Underlying health condition(s) that may increase risk of severe illness due to Coronavirus (self or
family) (1)
Unsatisfactory safety protocols (1)
Workplace harassment or violence (1)
Other, (1) Specify: (60)
Ability to provide full scope of services (1)
Adequate staffing (1)
Availability of loan repayment financial support (1)
What factors contribute to your decision to REMAIN in your primary Availability of resources to do my job well (1)
nursing position? Mark (X) ALL that apply.
Availability of training opportunities (1)
Balanced schedule or hours (1)
Commitment to underserved communities (1)
Cost of living (1)
Difficulty finding another job (1)
Experience at site (1)
Length of commute (1)
Liking the job (1)
Opportunities for advancement (1)
Proximity to desirable school district (1)
Proximity to extended family, parents, or siblings (1)
Proximity to spouse's or partner's employment opportunities (1)
Salary and benefits (1)
Satisfactory safety protocols (1)
Sense of community with peers (1)
Use of Electronic Health Records (1)
Use of telehealth (1)
Other, (1) Specify (60)
Already retired (1)
Within a year (1)
Approximately when do you plan to retire from nursing?
In 1-2 years (1)
In 3-5 years (1)
More than 5 years from now (1)
Undecided (1)
In addition to your primary nursing position, were you working for
pay in nursing in any OTHER positions on December 31, 2021? Do
not report any positions where you worked outside the United
Yes (1)
States or in a U.S. territory.
No (1) SKIP to Section G on page 22
For any other nursing position(s) you held on December 31, 2021,
Yes (1)
were you employed as a traveling nurse?
No (1)
For the other position(s) you held on
December 31, 2021, which of the following best describes your
Employed through an employment agency (1)
employment situation(s) in 2021?
Employed by an organization or facility (1)
Mark (X) ALL that apply.
Self-employed or independent contractor (1)
Page 12 of 19
2018 Comparable
Variable
Notes
D3
Response option change.
D7
ROC
D8
No change.
E1
Question reworded, and skip pattern updated.
N/A
E2
New question.
Question reworded, and response option change.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
Question Text
Question Response Category
F. Secondary Employment in Nursing
F4
F. Secondary Employment in Nursing
F5
Hospital (1)
Nursing home or extended care facility (1)
Academic education program (1)
Home health setting (1)
What type of work setting best describes where you worked for the Public health or community health setting (1)
other position(s) held on December
Rehabilitation or long-term care facility (1)
31, 2021. Answer only about the year 2021. If you have more than Mental or behavioral health setting (1)
one additional position, answer about
School or college health service (1)
the position where you spend the most time.
Occupational health or employee health services (1)
Physician practice (individual or group) (1)
Ambulatory care clinic or surgical center (1)
Insurance company (1)
Telehealth, telenursing, or call center (1)
Hospice care setting (1)
Government agency (1)
Consulting, regulatory urgent, retail, or convenience clinic (1)
Substance abuse setting (1)
Across all of the other nursing positions you held on December 31,
2021, how many weeks did you work in 2021? Enter a number from
1-52. Do not
include weeks where you only worked your primary nursing
position.
Weeks in 2021 (2)
F6
Across all of the other nursing positions you held on December 31,
2021, on average how many hours per week did you work in 2021?
Do not include hours worked in your primary nursing position.
Hours (3)
F. Secondary Employment in Nursing
F. Secondary Employment in Nursing
F7
F. Secondary Employment in Nursing
F8
G. Nurse Practitioners
G1a
G. Nurse Practitioners
G1b
G. Nurse Practitioners
G2
G. Nurse Practitioners
G3
G. Nurse Practitioners
G4
G. Nurse Practitioners
G5
G. Nurse Practitioners
G6
G. Nurse Practitioners
G7
G. Nurse Practitioners
G8a
G. Nurse Practitioners
G8b
G. Nurse Practitioners
G9
Across all of the other nursing positions you held on December 31,
2021, in what state was most of the work done in 2021?
Please estimate your 2021 pre-tax annual earnings from all of the
nursing positions that you reported about in THIS SECTION. Include
overtime and
bonuses, but exclude sign-on bonuses. Do NOT include earnings
from your primary nursing position.
On December 31, 2021, did you have an active certification, license,
or other legal recognition to practice as a Nurse Practitioner (NP)
from a STATE BOARD OF NURSING?
2018 Comparable
Variable
Notes
E3
Question reworded, and response option change.
E4
Question reworded, and response option change.
E4
Question reworded, and response option change.
State (2)
E4
Question reworded, and response option change.
$___,___.00 (6)
E5
Question text reworded.
F1a
Skip pattern updated.
F1b
Question reworded.
F5
Skip pattern updated.
F6
No changes.
F3
Question reworded, and response option change.
F4
No changes.
Yes (1)
No (1) SKIP to Section H on page 25
State (2)
State (2)
What U.S. state(s) issued the active NP license(s), certification(s), or State (2)
recognition(s)? List up to 8.
State (2)
State (2)
State (2)
State (2)
State (2)
Yes (1)
Do you have a National Provider Identifier (NPI) number?
No (1) SKIP to Question G4
Yes (1)
Do you or have you ever billed under your NPI
No (1)
number?
Don't know (1)
I do not practice independently (1)
To what extent did your education prepare you to be a Licensed
A great extent (1)
Independent Practitioner (LIP)?
Somewhat (1)
An LIP is permitted to provide care and services without supervision Very little (1)
from a physician.
Not at all (1)
Did you complete an NP post-graduate residency or fellowship
Yes (1)
program?
No (1)
Yes (1)
Have you ever precepted any NP students?
No (1) SKIP to Question G11
When did you precept the NP student(s)?
Prior to March 2020 (1)
Mark (X) ALL that apply.
During or after March 2020 (1)
In 2021, how many NP students did you precept? If you did not
precept NP students in 2021, enter 0
and SKIP to Question G11.
Students (2)
In 2021, how many hours of YOUR TIME did you spend precepting
students to meet their clinical requirements?
Hours (3)
Did you receive any remuneration (e.g. money, tuition reduction,
Yes (1)
free CEs, etc.) to precept NP students in 2021?
No (1) SKIP to Question G11
Page 13 of 19
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
N/A
New question.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
G. Nurse Practitioners
G10
G. Nurse Practitioners
G11
G. Nurse Practitioners
G12
G. Nurse Practitioners
G13
G. Nurse Practitioners
G14
G. Nurse Practitioners
G15a
G. Nurse Practitioners
G15b
G. Nurse Practitioners
G16a
G. Nurse Practitioners
G16b
G. Nurse Practitioners
G17
G. Nurse Practitioners
G18
G. Nurse Practitioners
G19
G. Nurse Practitioners
G20
G. Nurse Practitioners
G21
G. Nurse Practitioners
G22
G. Nurse Practitioners
G23
G. Nurse Practitioners
G24
G. Nurse Practitioners
G25
G. Nurse Practitioners
G26
G. Nurse Practitioners
G27
Question Text
Question Response Category
Money (1)
$__,___.00 (5)
Which of the following types of remuneration did you receive from Tuition reduction (1)
precepting students in 2021?
Free CEs (1)
Mark (X) ALL that apply.
Other, (1) Specify: (60)
On December 31, 2021, were you employed in an NP position that
required state certification,
Yes (1)
licensure, or recognition?
No (1) SKIP to Question G30 on page 25
In any of the NP position(s) you held on
December 31, 2021, did you provide patient care?
Yes (1)
Answer only about the year 2021.
No (1) SKIP to Question G22 on page 24
Across ALL of the NP positions you held on December 31, 2021,
about how many patients did you see in a typical day in 2021? If
none, enter zero.
Patients per day (3)
Did the primary NP position you held
on December 31, 2021, include any patient care? Answer only
Yes (1)
about the year 2021.
No (1) SKIP to Question G22 on page 24
In 2021, was a physician required to SIGN OFF ON ANY of the
Yes (1)
patients you saw in your primary NP position?
No (1) SKIP to Question G16a
In 2021, was a physician required to SIGN OFF ON ALL of the
Yes (1)
patients you saw in your primary NP position?
No (1)
In 2021, was a physician required to SEE ANY of the patients you
Yes (1)
saw in your primary NP position?
No (1) SKIP to Question G17 on page 24
In 2021, was a physician required to SEE ALL of the patients you saw Yes (1)
in your primary NP position?
No (1)
In the primary NP position you held on
December 31, 2021, what percentage of your patients were from
racial or ethnic minority groups in 2021? Your best estimate is fine.
In the primary NP position you held on
December 31, 2021, what percentage of your patients had limited
English proficiency in 2021?
Your best estimate is fine.
2018 Comparable
Variable
N/A
Notes
New question.
F7
Question text reworded, and skip pattern updated.
F10
Question text reworded, and skip pattern updated.
F10a
Question reworded, and response option change.
N/A
New question.
F8
Question reworded, and response option change.
F9
Question reworded, and response option change.
F10
Question reworded, and response option change.
F11
Question reworded, and response option change.
___% (3)
Don't know (1)
F15
Question reworded, and response option change.
___% (3)
Don't know (1)
F16
Question reworded, and response option change.
F17
Question reworded, and response option change.
F13
Question text reworded, and skip pattern updated.
F14
Question text reworded.
F25
Question text reworded.
F19
No changes.
F20
Skip pattern updated.
F21
No changes.
F22
Question reworded, and skip pattern updated.
N/A
New question.
Private insurance (3)
Medicare, for people 65 and older, or people with certain disabilities (3)
Thinking about the primary NP position you held on December 31, Medicaid, Medical Assistance, or any kind of government-assistance plan for those with low
2021, please estimate the percentage of your patients that were
incomes or a disability (3)
covered by
TRICARE or other military health care (3)
the following types of insurance in 2021. Your best estimate is fine. VA (3)
Indian Health Service (3)
Uninsured (3)
Other (3)
Don't Know (1)
In the primary NP position you held on
December 31, 2021, 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. Answer only about Yes (1)
the year 2021.
No (1) SKIP to Question G22
In the primary NP position you held on
December 31, 2021, on average, about how many patients were on
your panel in 2021? Your best estimate is fine.
Patients (4)
In the primary NP position that you held on December 31, 2021, did Yes (1)
you have the title Hospitalist in 2021?
No (1)
Yes (1)
Did you have hospital admitting privileges on December 31, 2021? No (1)
Were you covered by malpractice insurance on
Yes (1)
December 31, 2021?
No (1) SKIP to Question G26
Self (1)
Employer (1)
Who paid for your malpractice insurance?
Both (1)
Did you have FULL prescriptive authority on
Yes (1) SKIP to Question G29 on page 25
December 31, 2021?
No (1)
Did you have an x-waiver on December 31, 2021?
An x-waiver allows outpatient use of buprenorphine
Yes (1)
to treat opioid use disorder.
No (1)
Page 14 of 19
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
G. Nurse Practitioners
G28
G. Nurse Practitioners
G29
G. Nurse Practitioners
G30
H. Nurses Not Working in Nursing
H1
H. Nurses Not Working in Nursing
H2
H. Nurses Not Working in Nursing
H3
H. Nurses Not Working in Nursing
H4
H. Nurses Not Working in Nursing
H5
H. Nurses Not Working in Nursing
H6a
H. Nurses Not Working in Nursing
H6b
I. Prior Nursing Employment
I1
Question Text
Why didn’t you have FULL prescriptive authority?
Mark (X) ALL that apply.
On December 31, 2021 did you have a personal
Drug Enforcement Administration (DEA) number?
Question Response Category
Was in the process of applying (1)
MD or other NP wrote all of my prescriptions (1)
State scope of practice regulations (1)
Not required (1)
Other, (1) Specify: (60)
Yes (1) SKIP to Section I on page 26
No (1) SKIP to Section I on page 26
Overall lack of NP job opportunities (1)
Lack of NP job opportunities in desired location (1)
What are the reasons that you were not employed in an NP position Lack of NP job opportunities in desired specialty (1)
that required state certification,
Lack of NP job opportunities in desired type of facility (1)
licensure, or recognition? Mark (X) ALL that apply.
Limited scope of practice for NPs in the state where practice was desired (1)
Lack of experience or qualification (1)
Inadequate salary or benefits (1)
Working outside the field of nursing (1)
Family caregiving (1)
Disability or illness (1)
Chose not to work (1)
Retirement (1)
Other, (1) Specify: (60)
Burnout (1)
Career change (1)
Difficulty finding a nursing position (1)
Disability or illness (1)
What are the primary reasons you were not working in a nursing
Family caregiving (1)
position for pay on December 31, 2021? Mark (X) ALL that apply.
High risk working conditions (1)
Inability to practice nursing on a professional level (1)
Inadequate staffing (1)
Lack of advancement opportunities (1)
Lack of collaboration or communication between health care professionals (1)
Liability concerns (1)
Physical demands of job (1)
Retirement (1)
Salaries too low or better pay elsewhere (1)
Scheduling (inconvenient hours, too many hours, or too few hours) (1)
School or educational program (1)
Skills are out-of-date (1)
Stressful work environment (1)
Underlying health condition(s) that may increase risk of severe illness due to Coronavirus (self or
family) (1)
Unsatisfactory safety protocol (1)
Workplace harassment or violence (1)
Other (1), Specify (60)
Actively looking for work in nursing (1), continue to H3
Plan to return to nursing in the future, not looking for work now (1), skip to H5
No future intention to work for pay in nursing (1), skip to H6a
What are your intentions regarding paid work in nursing? Mark (X) Undecided at this time (1), skip to H6a
ONE box only.
Have returned to nursing since December 31, 2021 (1), skip to section I
How long have you been actively looking for paid work in nursing?
Enter zero if less than one month.
Month(s) (2)
Full-time(1), skip to H6a
Part-Time (1), skip to H6a
Are you looking for a position that is full-time or part-time?
Either (1), skip to H6a
When do you plan to return to paid work in nursing? Enter zero if
Years (2)
less than one year.
Don't know (1)
Have you ever been employed or self-employed in
Yes (1)
nursing?
No (1), skip to section I
In what year were you last employed or
self-employed as a nurse? Enter 4-digit year below.
Year (4)
0 - 5 years (1)
6 - 10 years (1)
How many years have you worked in nursing since receiving your
11 - 20 years (1)
first U.S. RN license? Count only the
21 - 30 years (1)
years in which you worked at least 6 months.
31 or more years (1)
Page 15 of 19
2018 Comparable
Variable
Notes
F23
Question reworded, and response option change.
F24
Skip pattern updated.
F26
Question text reworded.
G6
Response option change.
G1
Skip pattern updated.
G2
No changes.
G3
Skip pattern updated.
G4
Response option change.
G5a
Skip pattern updated.
G5b
Question reworded, and response option change.
H1
Question reworded, and response option change.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
Question Text
Have you left work in nursing since becoming an RN?
I. Prior Nursing Employment
I2
I. Prior Nursing Employment
I3
Were you employed in nursing on December 31, 2020?
I4
For the primary nursing position you held on December 31, 2020,
did you work full-time or part-time in 2020? Mark (X) ONE box only.
If you worked both full-time and part-time in 2020, select the
schedule you worked for the largest portion of the year.
I. Prior Nursing Employment
I. Prior Nursing Employment
I5
I. Prior Nursing Employment
I6
I. Prior Nursing Employment
I7
How would you describe the primary nursing position you held on
December 31, 2020?
What was the location of the primary nursing position you held on
December 31, 2020? If you were not employed in a fixed location,
enter the location that best refiects where you practiced.
Did you work 100% remotely for the primary nursing position you
held on December 31, 2020?
What were the primary reason(s) for your employment change?
Mark (X) ALL that apply.
I. Prior Nursing Employment
I8
Question Response Category
No (1)
Yes, for less than a year (1)
Yes, for 1 -2 years (1)
Yes, for 3 - 5 years (1)
Yes, for more than 5 years (1)
Yes (1)
No (1), skip to section J
Full-time (including full-time for an academic year) (1)
Part-time (including working only part of the calendar or academic year) (1)
Same position and same employer as primary nursing position on December 31, 2021 (1)
Different position but same employer as primary nursing position held on December 31, 2021 (1)
Different employer, same position as primary nursing position held on December 31, 2021 (1)
Different employer, different position than primary nursing position held on December 31, 2021
(1)
Was not working in a nursing position on December 31, 2021 (1)
In the U.S. (1)
City/Town (15)
State (1)
Zip (5)
Outside the U.S. (1)
Country or U.S. territory (1)
Yes (1)
No (1)
Better pay or benefits
Burnout
Career advancement or promotion (1)
Career change (1)
Family caregiving (1)
High risk working conditions (1)
Inability to practice to the full extent of my license (1)
Inadequate staffing (1)
Interpersonal differences with colleagues or supervisors (1)
Lack of advancement opportunities (1)
Lack of collaboration or communication between health care professionals (1)
Lack of good management or leadership (1)
Length of commute (1)
Patient population (1)
Physical demands of job (1)
Relocation to different geographic area (1)
Retirement (1)
Scheduling (inconvenient hours, too many hours, or too few hours) (1)
School or educational program (1)
Spouse’s or partner’s employment opportunities (1)
Stressful work environment (1)
Underlying health condition(s) that may increase risk of severe illness due to Coronavirus (self or
family) (1)
Unsatisfactory safety protocol (1)
Workplace harassment or violence (1)
Other (1), Specify (60)
Page 16 of 19
2018 Comparable
Variable
Notes
H2
Question reworded, and response option change.
H3
Question text reworded, and skip pattern updated.
H4
Question text reworded.
H5
Response option change.
H6
Response option change.
H7
Response option change.
H8
Response option change.
2022 NSSRN Paper Questionnaire Changes
Section
I. Prior Nursing Employment
J. Nursing During the Coronavirus
Pandemic
2022 Question
Number
I9
J1
J. Nursing During the Coronavirus
Pandemic
J2
J. Nursing During the Coronavirus
Pandemic
J3a
J. Nursing During the Coronavirus
Pandemic
J3b
J. Nursing During the Coronavirus
Pandemic
J3c
J. Nursing During the Coronavirus
Pandemic
J4
Question Text
Hospital Inpatient Department orQuestion
Unit (1) Response Category
Which one of the following best describes the employment setting Hospital Emergency Department or Transport (1)
of the primary nursing position you held on December 31, 2020?
Hospital-Sponsored Ambulatory or Outpatient Clinic or Center (Clinic, Specialty, Surgery, etc.)
Mark (X) ONE box only.
(Non-ED) (1)
Hospital-Sponsored Urgent Care (1)
Hospital Administration, Education, Quality, etc. (1)
Hospital Nursing Home Unit (1)
Hospital Ancillary Unit (Radiology, Lab, GI lab, Consult services, etc.) (1)
Hospital Other (1), Specify (60)
Skilled Nursing Facility or Nursing Home (1)
Rehabilitation, Long Term Care, or Long Term Acute Care Facility (1)
Hospice – Inpatient (1)
Mental or Behavioral Health Facility – Inpatient (1)
Substance Use Treatment Center – Inpatient (1)
Other Inpatient Setting (1), Specify (60)
Public Health or Community Health Agency (1)
Local, State, or Federal Government Agency (1)
University or College Academic Department (1)
Insurance Company (1)
Call Center, Telenursing Center, or Remote Nursing (1)
Regulatory Agency or Organization (1)
Consulting Agency or Organization (1)
Professional Organization (1)
Other (1), Specify (60)
Urgent, Emergency Care, Transport (not hospital-sponsored) (1)
Occupational Health or Employee Health Services (1)
Correctional Facility (1)
Private Practice – Medical or NP (1)
Were you employed in nursing at any time between March 1, 2020 Yes (1)
and December 31, 2021?
No (1), skip to J9a
Furloughed WITH pay (1)
Furloughed WITHOUT pay (1)
Between March 1, 2020 and December 31, 2021, which of the
Forced to take my own PAID time off (1)
following did you experience DUE TO THE CORONAVIRUS
Forced to take UNPAID time off (1)
PANDEMIC?
Laid off from work with intent to return to nursing (1)
Mark (X) ALL that apply.
Delayed retirement (1)
Changed employer but remained in nursing (1)
Changed role(s) from patient care to non-patient care (1)
Changed role(s) from non-patient care to patient care (1)
Temporarily floated to a different unit or department within my employer, within the same state
(1)
Temporarily floated to a different unit or department within my employer, outside home state (1)
Temporarily left my employer to assist with pandemic response, within the same state (1)
Temporarily left my employer to assist with pandemic response, outside home state (1)
None of the above (1)
At any time between March 1, 2020 and December 31, 2021, did
Yes, I retired earlier than I had planned (1)
you decide to leave work in nursing
Yes, I left work in nursing but did not retire (1)
DUE TO THE CORONAVIRUS PANDEMIC?
No (1), skip to J4
Unsatisfactory safety protocol(s) (1)
High-risk working conditions (1)
Underlying health conditions (self or family) (1)
Floating to unfamiliar units or departments (1)
Caring for family members (1)
Which of the following reasons contributed to why you left work in Inadequate staffing (1)
nursing between March 1, 2020
Overworked or burned-out (1)
and December 31, 2021? Mark (X) ALL that apply.
Other (1), Specify (60)
Yes (1)
No (1)
Did you intend to return to work in nursing?
I was not sure if I would return or not (1)
Did not work in nursing (1)
How often did you feel burned-out by your work in
Never (1)
nursing in 2019, 2020, and 2021?
A few times a year (1)
A few times a month (1)
2019
A few times a week (1)
2020
Every day (1)
2021
For each year (2019-2021)
Page 17 of 19
2018 Comparable
Variable
Notes
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
2022 NSSRN Paper Questionnaire Changes
Section
J. Nursing During the Coronavirus
Pandemic
J. Nursing During the Coronavirus
Pandemic
2022 Question
Number
J5
J6
J. Nursing During the Coronavirus
Pandemic
J. Nursing During the Coronavirus
Pandemic
J. Nursing During the Coronavirus
Pandemic
J. Nursing During the Coronavirus
Pandemic
J9b
J. Nursing During the Coronavirus
Pandemic
J10
K. National Practitioner Data Bank
K1
K. National Practitioner Data Bank
K2
K. National Practitioner Data Bank
K3
J7
J8
J9a
K8
Do you have clinical privileges at a hospital or some other
healthcare facility?
L1
Where did you live on December 31, 2021? This information is
critical for producing state estimates of the nursing workforce.
K. National Practitioner Data Bank
K5
K. National Practitioner Data Bank
L. General Information
K6
Where did you live on December 31, 2020? This information is
critical for producing state estimates of the nursing workforce.
L. General Information
L2
L. General Information
L. General Information
L3
L4
Question Response Category
Yes (1)
No (1)
Yes (1)
No (1)
Yes (1)
No (1), skip to J9a
Yes (1)
No (1)
Yes (1)
No (1), skip to J10
Month (2)
Year (4)
When did you receive your first dose of a COVID-19 vaccine?
At any point in 2020 or 2021, were you required to have received at
least one dose of a COVID-19 vaccine to conduct your work in
Yes (1)
nursing?
No (1)
Yes, it should be expanded to all health care professions (1)
Yes, it should be expanded to some but not all health care professions (1)
Do you think the query requirement should be expanded to other No, it should not be expanded (1)
health care professions?
I am unfamiliar with the National Practitioner Data Bank (1), skip to section L
Yes (1)
Have you EVER been reported to the NPDB?
No (1), skip to K5
State licensing board (1)
Medical malpractice payer, such as an insurance company (1)
Hospital (1)
Federal agency (1)
Who submitted the report(s)?
Unknown (1)
Mark (X) ALL that apply.
Other (1), Specify (60)
K7
K4
K. National Practitioner Data Bank
At any point in 2020 or 2021, were you required to receive a COVID19 test to conduct your work in nursing? If you were only required
to receive a
test to return to work after being infected with COVID-19, mark No.
As of December 31, 2021, had you ever been tested for COVID-19?
Do not include antibody tests.
Have you ever tested positive for COVID-19 or had a health care
provider tell you that you had
COVID-19? Include antibody tests.
As of December 31, 2021, had you ever been hospitalized due to
COVID-19?
As of December 31, 2021, had you received at least one dose of a
COVID-19 vaccine?
Did the NPDB report impact your career?
Mark (X) ALL that apply.
When making hiring decisions, do you feel that health care
employers should consider prior negative health care related
actions taken against
prospective employees?
Do you feel the NPDB should also collect reports on adverse actions
against a Nurse Practitioner that could affect their clinical
privileges?
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?
K. National Practitioner Data Bank
K. National Practitioner Data Bank
Question Text
What is your sex?
What is the year of your birth?
2018 Comparable
Variable
Notes
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
N/A
New question and section.
I1
Question reworded, and skip pattern updated.
I2
Question reworded, and skip pattern updated.
I3
No changes.
No, the report did not impact my career (1)
Yes, the report had a negative impact on my position (e.g., reprimand, termination) (1)
Yes, the report made it difficult to obtain employment (1)
Yes, other (1), Specify (60)
Don't Know (1)
I4
Response option change.
Yes, they should consider prior negative actions (1)
No, they should not consider prior negative actions (1)
I5
No changes.
Yes, they should be reported (1)
No, they should not be reported (1)
I6
No changes.
I7
No changes.
The same reporting requirements as physicians (1)
Less strict reporting requirements for Nurse Practitioners who are supervised by a physician (1)
More strict reporting requirements for Nurse Practitioners who are supervised by a physician (1)
Yes (1)
No (1)
Don't know (1)
City/Town (15)
Select State (1)
Zip (5)
Yes (1)
No (1)
In the U.S. (1)
City/Town (15)
State (1)
Zip (5)
Outside the U.S. (1)
Country or U.S. territory (1)
Male (1)
Female (1)
Year (1)
Page 18 of 19
N/A
New question.
K1
Response option change.
K2
Question reworded, and response option change.
K3
K4
No changes.
No changes.
2022 NSSRN Paper Questionnaire Changes
Section
2022 Question
Number
L. General Information
L5
L. General Information
L6
L. General Information
L7
L. General Information
L8
L. General Information
L9
L. General Information
L10
L. General Information
L11
Question Text
Question Response Category
No, not of Hispanic, Latino, or Spanish origin (1)
Yes, Mexican, Mexican American, Chicano (1)
Yes, Cuban (1)
Yes, Puerto Rican (1)
Are you of Hispanic, Latino, or Spanish origin?
Yes, another Hispanic, Latino, or Spanish origin (1)
White (1)
Black or African American (1)
American Indian or Alaska Native (1)
Asian Indian (1)
Chinese (1)
Filipino (1)
Japanese (1)
Korean (1)
Vietnamese (1)
Other Asian (1)
Native Hawaiian (1)
Guamanian or Chamorro (1)
Samoan (1)
What is your race? Mark (X) one or more boxes.
Other Pacific Islander (1)
No additional languages (1)
Spanish (1)
Filipino language (Tagalog, other Filipino dialect) (1)
Chinese language (Cantonese, Mandarin, other Chinese language) (1)
Russian (1)
Korean (1)
Vietnamese (1)
What languages do you speak fiuently, other than English? Mark (X) American Sign Language (1)
ALL that apply.
Other language(s) (1), Specify (60)
Married or in a domestic partnership (1)
Widowed, divorced, or separated (1)
What is your marital status?
Never married (1)
Never served in the military (1)
Only on active duty for training in the Reserves or National Guard (1)
Have you ever served on active duty in the U.S. Armed Forces,
Now on active duty (1)
Reserves, or National Guard? Mark (X) ONE box only.
On active duty in the past, but not now (1)
Child(ren) less than 6 years old at home (1)
Which of the following best describes the dependents (children,
Child(ren) 6 to 18 years old at home (1)
parents, etc.) who either live at home with you or for whom you
Other adults at home (e.g., parents or dependents) (1)
provide A SIGNIFICANT AMOUNT OF CARE?
Others living elsewhere (e.g., children, parents, or dependents) (1)
Mark (X) ALL that apply.
None (1)
$25,000 or less (1)
$25,001 to $35,000 (1)
$35,001 to $50,000 (1)
$50,001 to $75,000 (1)
$75,001 to $100,000 (1)
Including employment earnings, investment earnings, and other
$100,001 to $150,000 (1)
income of all household members, what was your 2021, pre-tax
$150,001 to $200,000 (1)
annual total household income? Mark (X) ONE box only.
More than $200,000 (1)
Page 19 of 19
2018 Comparable
Variable
Notes
K5
Response option change.
K6
Response option change.
K7
Response option change.
K8
No changes.
K9
No changes.
K10
Question reworded.
K11
No changes.
| File Type | application/pdf |
| Author | Daniel P Doyle (CENSUS/ADDP FED) |
| File Modified | 2022-07-19 |
| File Created | 2022-07-19 |