In 2006, the National Association of School Nurses (NASN) commissioned the largest and, to my knowledge, most recent national survey on the availability of nursing services in U.S. public schools. It was administered to a sample of over 1,000 schools in all 50 states and D.C.
The primary purpose was to gather basic information on the health staff in these schools, as well as a few core characteristics, such as school size and student demographics.
I must confess that I was a little surprised by the results. Here is the distribution of schools by nursing availability, summarized very briefly (these proportions vary by school size, type and other characteristics): Read More »
It’s well-known that patterns of occupational sex segregation in the labor market – the degree to which men and women are concentrated in certain occupations – have changed quite a bit over the past few decades, along with the rise of female labor force participation.
Nevertheless, this phenomenon is still a persistent feature of the U.S. labor market (and those in other nations as well). There are many reasons for this, institutional, cultural and historical. But it’s interesting to take a quick look at a few specific groups, as there are implications in our current policy environment.
The simple graph below presents the proportion of all working men and women that fall into three different occupational groups. The data are from the Bureau of Labor Statistics, and they apply to 2011. Read More »
Just a couple months after the prestigious Institute of Medicine urged that nurses be seen as “full partners” in redesigning the American health care system, they have received another vote of confidence, this one from the American public. According to the most recent Gallup poll, for the 9th straight year (and the 11th year in all), the American people ranked nurses as the most honest and ethical workers in the country.
When asked to the rate the ethics and honesty of people in a variety of occupations, 81 percent of those surveyed gave a “very high/high” rating to nurses. Doctors received a very high/high rating from a still respectable of 66 percent of respondents.
Despite being regularly scapegoated by politicians and the media for the past several years, grade school teachers still edged out doctors by 1 percentage point (a statistical tie), with 67 of those polled expressing high regard for the profession. Although this places teachers fairly high on the list of trusted professions—in fourth place, behind nurses (81 percent), military officers (73 percent), and pharmacists (71 percent)—the teacher bashing has apparently had an effect: Teachers have lost ground since the 2007 version of this survey, when they were rated “very high/high” by 74 percent of those surveyed. Read More »
Why are some doctors so threatened by nurses? One recent example of such physician angst can be found in the American Medical Association’s (AMA’s) response to a recent report on the future of nursing by the highly respected Institute of Medicine (IOM). Among the IOM’s recommendations are that “nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States.”
Being a “full partner”, the IOM report notes, “transcends all levels of the nursing profession and requires leadership skills and competencies that must be applied within the profession and in collaboration with other health professionals. It includes “care environments” (hospitals and medical offices) and the policy area. Nurses must “have a voice in health policy decision-making and be engaged in implementation efforts related to health care reform”, the report argues. They must be “leaders throughout the system”.
What? Full partners? The AMA was quick on the trigger: “A physician-led team approach to care —with each member of the team playing the role they are educated and trained to play—helps ensure patients get the high quality care and value…” Read More »