Abstract
This paper summarizes nurse-specific elements reported in a study of the emergency medicine workforce in 2007. In 2008, surveys were distributed to over 2600 ED medical directors and nurse managers in the United States. The response rate was 21% from nurse managers. Registered nurses (RN) in staff positions are 37.9 years of age. The most common highest level of education is and associate degree (46%). The predominant workforce is RNs with a fixed assignment to the emergency department. Geographic relocation (46%) was the most common reason cited for resignations. Nurse practitioner positions continue to increase. ED volumes continue to increase. Study respondents reported the largest increase in urgent care/fast track service areas. Throughput time from registration to discharge was reported as 158 minutes. Boarding patients in the emergency department is a common practice, and nurse managers reported boarding as an issue that impacts quality care 67% of the time. ED volumes continue to increase significantly. Innovative nurse staffing and retention programs are required to meet future challenges of emergency patient care.
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