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Exploration of Factors Affecting the Nursing Shortage in a Correctional Health Care Delivery System

NCJ Number
132750
Journal
American Jails Volume: 5 Issue: 4 Dated: (September-October 1991) Pages: 10-12,14-16,18-20
Author(s)
J M Moore
Date Published
1991
Length
9 pages
Annotation
A mailed questionnaire surveyed a random sample of medical units in county jails in the United States to determine the perceptions of nurse managers, jail administrators, and registered nurses regarding factors affecting the supply and demand for registered nurses and the effect of various organizational and administrative factors affecting nursing practice in this environment.
Abstract
Most of the registered nurses and medical unit supervisors who responded were white and female and reported an average income of nearly $29,000. More than 60 percent reported difficulty in recruiting registered nurses, with 33 percent reporting that it took more than 60 days to recruit a nurse for a position in a county jail. Vacancy rates for nurses working in correctional settings were 21 percent compared to 10.6 percent for hospitals and 2.2 percent for ambulatory care facilities. The participants believed that salary compression was the greatest factor influencing the supply of nurses followed by increased career options for women, the decline in nursing school enrollments, the poor image of nurses, and the decrease in the number of high school graduates. Organizational factors such as inmate overcrowding and complaints, threats of lawsuits, constraints imposed by security considerations, and lack of participation by nurses in policy decisions also reduced job satisfaction. Tables and 25 references