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R.N. vacancy / turnover study, October 1981 - April 1982 University of British Columbia. Health Manpower Research Unit Jul 31, 1982

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R.N. VACANCY/TURNOVER STUDY October 1981 - April 1982 Prepared by: Health Manpower Research Unit The University of British Columbia Julyt 1982 R.N. VACANCY/TURNOVER SURVEY Sufll11ary of Reported Information for the October 1981 to January 1982 and January to April 1982 Reporting Periods Ba~kground Following discussions with the Nurse Administrators'Association and other interested persons in 1981, it was agreed that two dimensions be added to the Difficult-to-Fill survey: firstly, a snapshot of R.N. vacancies at a single point in time, expressed as a ratio of total positions; secondly, a measure of turnover, the number of positions filled during a period of time, expressed as a ratio of the average number of available positions in that same period. Data collection commenced in April of 1981 on a trial basis with a mailing to a study population of 88 acute care hospitals in British Columbia. In October, a sub-sample was selected of 52 actively participating hospitals which were judged to be representative both geographically and by size of hospital, of the total group. Data has been collected in three-month periods and is now available for October 1981 to January 1982 and for January to April 1982. The initial results are described herein. Results Response rates have been calculated by region and by size of facility (Table 1). Almost 80 percent have returned the data forms for both reporting periods. As can be seen, hospitals with over 400 beds and those in the GVRD have not responded as well as have other groups. Facilities with 100-199 beds are also underrepresented. (a) Vacancy Rates Vacancy rates are described at three points in time -- Oct. 15 of 1981, and Jan. 15 and Apr. 15 of 1982. This data is shown in Figure 1, with full-time positions on the left and part-time on the right. With the exception of 11 combined skills" and "other," the disciplines are arranged in descending order of number of available positions, (i.e. total positions, both filled and vacant). The results confirm the findings of the Difficult-to-Fill survey in which general nursing, medicine, surgery, psychiatry, and intensive care have had the largest volumes of difficult-to-fill vacancies. This study indicates that obstetrics and emergency have also had large vacancy rates, although appreciable numbers of difficult-to-fill positions have not been reported in these two areas. In general, vacancy rates have diminished markedly over time, although appreciable numbers of vacancies (3 - 5 full-time per 100 available positions) remained on April 15 of the current year in - 2 -combined skills, medicine, intensive care, psychiatry, and emergency. The large April vacancy rate for part-time administration positions was a result of the relatively small number of available positions inflating the figure. (b) Turnover Rates Turnover rates are defined as the number of times an average position is filled over a given period of time. These are shown in Figure 2. In the October to January period, the turnover rates for full-time positions were close to 15 per 100 positions for surgery and from 9 to 12 for psychiatry, medicine, and obstetrics. For part-time positions, the rates ranged from 12 to 15 per 100 positions for medicine, emergency, and pediatrics during that same period. In the following period, January to April 1982, the rates declined significantly, remaining highest for full-time positions in combined skills, medicine, obstetrics, intensive care, and emergency, and for part-time in combined skills, surgery, operating room, and psychiatry. R.N. VACANCY/TURNOVER SURVEY Table 1: Respanse Rates for October 1981 to Januarl 1982, and Januarl to April 1982 Reporting Periods Originally Reduced Returned Surveyed Sample Both Fonns N N JL .!. BY REGION: GYRO 13 8 4 50.0 Capital 4 3 2 66.7 Fraser Valley 6 3 2 66.7 Okanagan 8 3* 3 100.0 South-East 17 10 9 90.0 Island Coast 15 8 7 87.5 Central 9 5 4 80.0 North Central 12 8 7 87.5 North 4 4 3 75.0 Total 88 52 41 78.8 BY SIZE OF HOSPITAL (Rated) Beds 400 + 11 6 2 33.3 300 - 399 3 3 2 66.7 200 - 299 11 8 7 87.5 100 - 199 16 9 5 55.6 50 - 99 12 6 5 83.3 ( 50 35 20 20 100.0 Total 88 52 41 78.8 * Classification error resulted in under 50% being selected from this group. Prepared by: Health Manpower Research Unit The University of British Columbia R.N. VACANCY/TURNOVER SURVEY FIGURE 1: NUMBER OF VACANCIES PER 100 AVAILABLE POSITIONS, BY DISCIPLINE, MONTH, AND FULL OR PART-TIME STATUS, B,C, HOSPITALS, OCTOBER 1981 TO APRIL 1982, INCLUSIVE, CAPR./82 •JAN./82 •ocT./81 0 I • I 1D 1D I • I tll'IB J llED SKJ W fElltJNE SURGERY OBSTETRICS OPERATING RO<fl J.t.U. PSYtHJATRY L.T.t. EJ£RGENCY PEDJATRJCS ADPIJNJSTRATJDN REHAB J LJTATJ ON OTHER TOTAL I 10 I • FULL-Tl .. E PART-TU•E NUPUIERS OF VACANCIES PER 100 POSITIONS 0 HMRU 06/82 • ,, • R.N. VACANCY/TURNOVER SURVEY FIGURE 2: NUMBER OF POSITIONS FILLED PER 100 AVERAGE1 AVAILABLE POSITIONS, BY DISCIPLINE, PERIOD OF TIME1 AND FULL OR PART-TIME STATUS1 OCTOBER 1981 TO APRIL 19821 INCLUSIVE, 0 JAN. -APR. /82 II OCT./81-JAN./82 0 • • 12 ,. ,. 12 • I trimlllED SUL.LS PE>ICINE SURGERY OBSTETRICS OPERATING RD<»1 1.c.u. PSYCHIATRY L.T.C. D'ERGENCY PEDIATRICS ADMINISTRATI<* REHABILITATION OTHER TOTAL 0 I I 9 12 11 11 12 9 I I FULL-Tl"E PART-TIME NUMBER FILLE» PER 100 AVAILABLE POSITIONS 0 0 HMRU 06/82 


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