PUBLIC USE FILE CODEBOOK AND VARIABLE FREQUENCIES Colorado Registered Nurse Workforce Survey

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1 PUBLIC USE FILE CODEBOOK AND FREQUENCIES 2005 Colorado Registered Nurse Workforce Survey Colorado Health Institute December 2006

2 TABLE OF CONTENTS INTRODUCTION Colorado Registered Nurse Workforce Survey...1 Methods...1 Survey limitations...1 Public Use File...2 Technical information...2 Codebook structure...2 Confidentiality assurances...3 Variable notes RN SURVEY FORM...4 POSITIONAL LISTING OF S...6 CODEBOOK AND FREQUENCIES...10 Derived variables...66 i

3 INTRODUCTION The Colorado Health Institute (CHI) serves as an independent, nonpartisan source of health information and policy analysis. One of its current data clearinghouse efforts is the Health Workforce Database Project funded by The Colorado Trust. This project is one component of the Trust s Health Professions Initiative. The CHI health workforce project will include 11 distinct health professions that will individually comprise a profession-specific database and jointly inform a set of primary care health professions workforce indicators for Colorado. These indicators will provide information on changes in the supply and deployment of Colorado s primary health care workforce over time. The project s goal is to inform policymakers and the philanthropic community about workforce issues related to the supply, retention and demand for health professionals in Colorado communities. The database project is a cooperative endeavor between CHI and representatives of the nursing, physician, dentistry, pharmacy, mental health and allied health professional communities COLORADO REGISTERED NURSE WORKFORCE SURVEY Methods As of 2005, approximately 52,000 individuals held a registered nurse (RN) license to practice in Colorado. Because a Colorado RN license must be renewed every two years, and the population of licensees is substantial, only half of active licensees are subject to licensure renewal in any two-year period. In August 2005, questionnaires were included with the licensing renewal materials mailed to RNs whose Colorado licenses were up for renewal. Approximately 24,000 RNs renewed their licenses in Fall Materials were sent to the contact address in each licensee s licensure file, either a home or a practice location. In 2005, roughly 15 percent of Colorado s licensed RNs had a contact address outside of Colorado. CHI received survey responses from 12,559 RNs, or 52 percent of those who renewed their licenses. Information from the survey questionnaires submitted to CHI on paper was entered manually using Microsoft Access (N=10,793). In addition, 1,766 survey forms were electronically submitted to CHI through KeySurvey, an online survey tool accessed through the vendor s Web site. For questionnaires entered manually, CHI randomly selected 540 (5%) for data entry reliability analysis. The reliability of data entry was 99 percent or better across all survey variables examined. Data verification and cleaning were conducted with a series of quality checks to ensure data completeness and adherence to formatting protocols. Survey limitations The degree to which findings of the survey sample can be generalized to the total Colorado RN population is not known because of the following limitations: The survey sample was not randomly drawn from the RN population; rather, the sample was the half of RNs who renewed their licenses in 200; The response rate was 52 percent; Non-responders could not be tracked on any dimension to check for responder bias; therefore, The data could not be weighted to account for non-responder bias. For these reasons, it is not possible to generalize the 2005 survey findings to Colorado s entire RN population. In sum, survey responders may portray findings that are not representative of the RN population as a whole. Colorado Health Institute Page 1 12/23/06

4 To minimize this potential bias in the future, the 2007 RN survey will be mailed to a stratified random sample of the entire RN population. By purposively sampling the RNs surveyed, CHI anticipates a more robust response rate as a targeted sample will be easier to monitor for follow up. Additionally, a purposeful stratified randomized sample will allow CHI staff to make adjustments for non-response bias. PUBLIC USE FILE This codebook documents the variables contained in the public use file from the 2005 CHI Colorado Registered Nurse Workforce Survey. The data file contains 105 variables and 12,559 records -- one record per respondent, including those who worked or resided outside Colorado at the time the survey questionnaire was administered. CHI Health Workforce public use data files are available for research, analysis and aggregate statistical reporting only. Because responder confidentiality was ensured by CHI, data analysis should not be conducted with the express purpose of identifying individual survey respondents, either directly or by inference. Users of the CHI Health Workforce Public Use File should cite the data in the following way for any public release of the data or its subsequent analysis: Source: The 2005 RN health workforce survey data were supplied by the Colorado Health Institute, which specifically disclaims responsibility for any analyses, interpretations or conclusions it has not provided. Technical information The public use file is released as an ASCII file with related SAS programming statements. The following documentation specifies variable names and descriptions, variable length and ordering in the PUF and technical notes specific to each variable. Codebook structure The survey questionnaire is shown on pp The questionnaire was organized into four sections: Section A: Education Section B: Certification/Licensing Section C: Employment Section D: General Information The codebook lists variable LABELS in the order the corresponding question appeared on the questionnaire, including a variable name description and the start and end column position in the data file. The last set of variables described was derived from existing ones to assure confidentiality of information that could be used to identify individual respondents. The derived variables include: Years since completing basic nurse training (p. 66) Age at completion of basic nurse training (p. 66) Age in 2005 (p. 68) Urban/rural classifications of Colorado ZIP codes of: - Principal nursing position in 2003 (p. 67) - Principal nursing position in 2005 (p. 67) - Residence in 2005 (p. 68) Colorado Health Institute Page 2 12/23/06

5 Confidentiality assurances To maintain respondent confidentiality, certain data elements were grouped into a categorical response: Question A1: Year completed basic nursing training Question D1: Gross annual income for all nursing employment for calendar year 2004 Question D5: Ethnicity/race Question D7: Year of birth Derived Variable (YRS_GRAD): Age at completion of basic nurse training Derived Variable (GRAD_AGE): Years since completing basic nurse training Derived Variable (AGE): Age in 2005 Due to small numbers, data elements at the city and ZIP-code level were grouped into rural/urban classification codes: Question C2: State licensed and working in August 2003 Questions C5: State of current principal nursing position in August 2005 Question D8: Home state Variable notes B2_1, B2_2, and B2_3 - Respondents could indicate state and license/certification information for three separate states. Derived Variable Urban/rural classification (RUCA2_TWOYRS, RUCA2_PRIMARY, RUCA2_HOME). Rural-Urban Commuting Area (RUCA) codes were used to classify rural and urban areas. RUCA codes are a sub-county measure of urban/rural status based on 2000 Census data and 2004 ZIP code areas. They are more specific than larger county-based definitions in order to more accurately classify intra-county areas as rural or urban. For more information on RUCA codes, refer to For more information, contact: W. Michael Boyson, MHA Director of Health Information Colorado Health Institute , ext. 207 Colorado Health Institute Page 3 12/23/06

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8 POSITIONAL LISTING OF S START END NUMBER 1 2 A1. YEAR_GRAD Year completed basic nursing training (grouped variable) 3 4 A1. STATE_GRAD State in which basic nursing training was completed 5 6 A2. DEGREE_DIPLOMA Educational degree completed: Diploma 7 8 A2. DEGREE_ASSO_NURSE Educational degree completed: Associate Degree in Nursing 9 10 A2. DEGREE_ASSO_NON Educational degree completed: Associate Degree, not in nursing A2. DEGREE_BAC_NURSE Educational degree completed: Bachelors Degree in Nursing A2. DEGREE_BAC_NON Educational degree completed: Bachelors Degree, not in nursing A2. DEGREE_GR_NURSE Educational degree completed: Masters or Doctorate Degree in Nursing (grouped variable) A2. DEGREE_GR_NON Educational degree completed: Masters or Doctorate Degree, not in nursing (grouped variable) A3a. CONT_ED Another degree being sought A3b. CONT_ED_DEGREE Type of degree being sought B1. LIC_CNA Licenses or certificates ever held: Certified Nurse Aide (CNA) B1. LIC_LVN_LPN Licenses or certificates ever held: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) B1. LIC_RN Licenses or certificates ever held: Registered Nurse (RN) B1. LIC_CNS Licenses or certificates ever held: Certified Nurse Specialist (CNS) B1. LIC_CRNA Licenses or certificates ever held: Certified Registered Nurse Anesthetist (CRNA) B1. LIC_MIDWIFE Licenses or certificates ever held: Nurse Midwife B1. LIC_NP Licenses or certificates ever held: Nurse Practitioner (NP) B2_1. ST1_LIC As of August 2005, state in which actively licensed First State B2_1. ST1_CNA As of August 2005, type of active license/certificate held First State: Certified Nurse Aide (CNA) B2_1. ST1_LVN_LPN As of August 2005, type of active license/certificate held First State: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) B2_1. ST1_RN As of August 2005, type of active license/certificate held First State: Registered Nurse (RN) B2_1. ST1_CNS As of August 2005, type of active license/certificate held First State: Certified Nurse Specialist (CNS) B2_1. ST1_CRNA As of August 2005, type of active license/certificate held First State: Certified Registered Nurse Anesthetist (CRNA) B2_1. ST1_MIDWIFE As of August 2005, type of active license/certificate held First State: Nurse Midwife B2_1. ST1_NP As of August 2005, type of active license/certificate held First State: Nurse Practitioner (NP) B2_2. ST2_LIC As of August 2005, state in which actively licensed Second State B2_2. ST2_CNA As of August 2005, type of active license/certificate held Second State: Certified Nurse Aide (CNA) B2_2. ST2_LVN_LPN As of August 2005, type of active license/certificate held Second State: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) B2_2. ST2_RN As of August 2005, type of active license/certificate held Second State: Registered Nurse (RN) B2_2. ST2_CNS As of August 2005, type of active license/certificate held Second State: Certified Nurse Specialist (CNS) Colorado Health Institute Page 6 12/23/06

9 START END NUMBER B2_2. ST2_CRNA As of August 2005, type of active license/certificate held Second State: Certified Registered Nurse Anesthetist (CRNA) B2_2. ST2_MIDWIFE As of August 2005, type of active license/certificate held Second State: Nurse Midwife B2_2. ST2_NP As of August 2005, type of active license/certificate held Second State: Nurse Practitioner (NP) B2_3. ST3_LIC As of August 2005, state in which actively licensed Third State B2_3. ST3_CNA As of August 2005, type of active license/certificate held Third State: Certified Nurse Aide (CNA) B2_3. ST3_LVN_LPN As of August 2005, type of active license/certificate held Third State: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) B2_3. ST3_RN As of August 2005, type of active license/certificate held Third State: Registered Nurse (RN) B2_3. ST3_CNS As of August 2005, type of active license/certificate held Third State: Certified Nurse Specialist (CNS) B2_3. ST3_CRNA As of August 2005, type of active license/certificate held Third State: Certified Registered Nurse Anesthetist (CRNA) B2_3. ST3_MIDWIFE As of August 2005, type of active license/certificate held Third State: Nurse Midwife B2_3. ST3_NP As of August 2005, type of active license/certificate held Third State: Nurse Practitioner (NP) C1. LIC_TWOYRS Licensed and working in nursing in August C2. STATE_TWOYRS State licensed and working in August C3a. EMPL_CURRENT Working in a nursing position as of August C3b. EMPL_STATUS Not working in a nursing position, current employment status C3c. REASON_DIFFICULT Reason not working in a nursing position: Difficult to find a nursing position C3c. REASON_HRS Reason not working in a nursing position: Hours more convenient in other position C3c. REASON_SALARY Reason not working in a nursing position: Better salaries in other type of position C3c. REASON_SAFETY Reason not working in a nursing position: Concern about safety in health care environment C3c. REASON_ENVT Reason not working in a nursing position: Work environment inhibits ability to practice on professional level C3c. REASON_REWARD Reason not working in a nursing position: Other position more rewarding professionally C3c. REASON_DISABLE Reason not working in a nursing position: Disability/health reasons C3c. REASON_HOME_FAMILY Reason not working in a nursing position: Taking care of home/family C3c. REASON_RETIRE Reason not working in a nursing position: Retirement C3c. REASON_OTHER Reason not working in a nursing position: Other C4. POSITION_COUNT As of August 2005, more than one position held in nursing for pay C5. STATE_PRIMARY State of current principal nursing position in August C6. FACILITY Type of work setting of current principal nursing position C7. CATEGORY_PRIMARY Organizational auspices of principal nursing position C8. DESC_NURSE Title of principal nursing position as of August C9. SPECIALTY Specialty of principal nursing position as of August C10a. HOURS_TWOWK Total hours worked (in all nursing positions) in a two-week period C10b. DAYS_TWOWK Number of days worked more than 12 hours/day in a two-week period Colorado Health Institute Page 7 12/23/06

10 START END NUMBER C10c. PCT_CARE Percentage of work time spent in direct patient care C10c. PCT_ACTIVITY Percentage of work time spent in nursing-related activities other than patient care (i.e., teaching, administration, research, policy) C10c. PCT_TRAINING Percentage of work time spent in nursing-related training or education including continuing education C11. LENGTH_SERVICE_TOTAL_MO Total months worked in current principal nursing position C12. CONT_NURSE_YRS Years plan to continue to work in nursing C13a. RATE_CONCERN Workplace environment: Concern for patient is paramount C13b. RATE_EFFICIENCY Workplace environment: Efficiency is valued over patient safety C13c. RATE_INAPP_MATCH Workplace environment: Inappropriate match between training level and patient complexity C13d. RATE_INSUFFICIENT Workplace environment: Insufficient staffing C13e. RATE_PRO_JUDGE Workplace environment: Professional judgment is used in making decisions about patient care C13f. RATE_VALUED Workplace environment: Work is valued by employer C13g. RATE_NONNURSE_TASKS Workplace environment: Non-nursing tasks take time needed to monitor patients C13h. RATE_PATIENT_SAFETY Workplace environment: Patient safety is a clear focus C13i. RATE_PATIENT_CARE_ENVT Workplace environment: Poor patient care environment C13j. RATE_TEAMWORK Workplace environment: Teamwork between nurses and physicians D1. INCOME Gross annual income for all nursing employment for calendar year 2004 (grouped variable) D2. STATE_GREWUP State in which respondent grew up D3a. LOCATION_GREWUP Location where respondent grew up D3b. LT2500_RURAL If location where respondent grew up was rural, population was less than 2, D4a. ADD_LANG Speak language in addition to English D4b. ADD_FRENCH Other Language: French D4b. ADD_SPANISH Other Language: Spanish D4b. ADD_GERMAN Other Language: German D4b. ADD_OTHER Other Language: Other D5. ETHNIC Ethnicity/race (grouped variable) D6. GENDER Gender D7. YR_BIRTH Year of birth (grouped variable) D8. STATE_HOME Home state E1. APN_NEW_PTS Advanced Practice Nurse Patient characteristics: Accepts new patients E2. APN_MCAID Advanced Practice Nurse Patient characteristics: Provides care to Medicaid patients E3. APN_NEW_MCAID Advanced Practice Nurse Patient characteristics: Accepts new Medicaid patients E4. APN_MCARE Advanced Practice Nurse Patient characteristics: Provides care to Medicare patients E5. APN_NEW_MCARE Advanced Practice Nurse Patient characteristics: Accepts new Medicare patients E6. APN_UNINSD Advanced Practice Nurse Patient characteristics: Provides care to uninsured patients E7. APN_NEW_UNINSD Advanced Practice Nurse Patient characteristics: Accepts new uninsured patients DERIVED YRS_GRAD Years since completing basic nurse training (grouped variable) Colorado Health Institute Page 8 12/23/06

11 START END NUMBER DERIVED DERIVED DERIVED DERIVED DERIVED GRAD_AGE RUCA2_TWOYRS RUCA2_PRIMARY AGE RUCA2_HOME Age at completion of basic nurse training (grouped variable) Urban/rural classification of Colorado ZIP codes of principal nursing position in 2003 Urban/rural classification of Colorado ZIP codes of principal nursing position in 2005 Age in 2005 (grouped variable) Urban/rural classification of Colorado ZIP codes of residence in 2005 Colorado Health Institute Page 9 12/23/06

12 CODEBOOK AND FREQUENCIES A1. YEAR_GRAD Year completed basic nursing training (grouped variable) Numeric To maintain respondent confidentiality, only grouped data for Survey Question A1, Year completed basic nursing training, are available in the Public Use File. Refer to derived variable YRS_GRAD (p. 66) for number of years since completing basic nursing training. Refer to derived variable GRAD_AGE (p. 66) for age at completion of basic nursing training. -9 Missing/Unknown Before A1. STATE_GRAD State in which basic nursing training was completed Character Missing/Unknown 111 AK Alaska 10 AL Alabama 35 AR Arkansas 39 AZ Arizona 141 CA California 427 CO Colorado 4891 CT Connecticut 76 DC District of Columbia 20 DE Delaware 12 FL Florida 203 GA Georgia 74 HI Hawaii 19 IA Iowa 330 ID Idaho 34 IL Illinois 476 IN Indiana 215 KS Kansas 361 KY Kentucky 53 Colorado Health Institute Page 10 12/23/06

13 LA Louisiana 75 MA Massachusetts 140 MD Maryland 91 ME Maine 27 MI Michigan 258 MN Minnesota 264 MO Missouri 228 MS Mississippi 29 MT Montana 68 NC North Carolina 69 ND North Dakota 128 NE Nebraska 399 NH New Hampshire 36 NJ New Jersey 116 NM New Mexico 108 NV Nevada 15 NY New York 437 OH Ohio 320 OK Oklahoma 111 OR Oregon 65 PA Pennsylvania 285 RI Rhode Island 18 SC South Carolina 34 SD South Dakota 139 TN Tennessee 99 TX Texas 415 UT Utah 106 VA Virginia 132 VT Vermont 32 WA Washington 92 WI Wisconsin 208 WV West Virginia 32 WY Wyoming 127 XX US Possessions & Territories 5 ZZ Outside of US 324 Colorado Health Institute Page 11 12/23/06

14 A2. DEGREE_DIPLOMA Educational degree completed: Diploma An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one A2 education category. -9 Missing/Unknown 43 1 Yes No 9521 LABEL A2. DEGREE_ASSO_NURSE Educational degree completed: Associate Degree in Nursing An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one A2 education category. -9 Missing/Unknown 43 1 Yes No 8105 Colorado Health Institute Page 12 12/23/06

15 A2. DEGREE_ASSO_NON Educational degree completed: Associate Degree, not in nursing An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one A2 education category. -9 Missing/Unknown 43 1 Yes No A2. DEGREE_BAC_NURSE Educational degree completed: Bachelors Degree in Nursing An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one A2 education category. -9 Missing/Unknown 43 1 Yes No 6188 Colorado Health Institute Page 13 12/23/06

16 A2. DEGREE_BAC_NON Educational degree completed: Bachelors Degree, not in nursing An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one A2 education category. -9 Missing/Unknown 43 1 Yes No A2. DEGREE_GR_NURSE Educational degree completed: Masters or Doctorate Degree in Nursing (grouped variable) Numeric DEGREE_GR_NURSE is a grouped variable combining A2: Masters and Doctorate Degrees in Nursing. An all that apply variable. Missing/Unknown = Respondents did not provide a response to at least one A2 education category. -9 Missing/Unknown 43 1 Yes No Colorado Health Institute Page 14 12/23/06

17 A2. DEGREE_GR_NON Educational degree completed: Masters or Doctorate Degree, not in nursing (grouped variable) Numeric DEGREE_GR_NON is a grouped variable combining A2: Masters and Doctorate Degrees, not in nursing. An all that apply variable. Missing/Unknown = Respondents did not provide a response to at least one A2 education category. -9 Missing/Unknown 43 1 Yes No A3a. CONT_ED Another degree being sought Numeric Missing/Unknown 93 1 Yes No Colorado Health Institute Page 15 12/23/06

18 NUMBER A3b. CONT_ED_DEGREE Type of degree being sought Numeric Not applicable = Respondents who marked No to Survey Question A3a were skipped to Question B1. -9 Missing/Unknown Not Applicable Associate: Nursing 4 2 Associate: Non-Nursing 28 3 Bachelors: Nursing Bachelors: Non-Nursing 97 5 Masters: Nursing Masters: Non-Nursing Nursing Doctorate (ND) 29 8 Doctorate (e.g. PhD, EdD, JD) 99 B1. LIC_CNA Licenses or certificates ever held: Certified Nurse Aide (CNA) An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one B1 license/certification category. -9 Missing/Unknown Yes No Colorado Health Institute Page 16 12/23/06

19 B1. LIC_LVN_LPN Licenses or certificates ever held: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one B1 license/certification category. -9 Missing/Unknown Yes No B1. LIC_RN Licenses or certificates ever held: Registered Nurse (RN) An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one B1 license/certification category. -9 Missing/Unknown Yes No 15 Colorado Health Institute Page 17 12/23/06

20 B1. LIC_CNS Licenses or certificates ever held: Certified Nurse Specialist (CNS) An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one B1 license/certification category. -9 Missing/Unknown Yes No B1. LIC_CRNA Licenses or certificates ever held: Certified Registered Nurse Anesthetist (CRNA) An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one B1 license/certification category. -9 Missing/Unknown Yes No Colorado Health Institute Page 18 12/23/06

21 B1. LIC_MIDWIFE Licenses or certificates ever held: Nurse Midwife An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one B1 license/certification category. -9 Missing/Unknown Yes 96 2 No B1. LIC_NP Licenses or certificates ever held: Nurse Practitioner (NP) An all that apply variable. Numeric Missing/Unknown = Respondents did not provide a response to at least one B1 license/certification category. -9 Missing/Unknown Yes No Colorado Health Institute Page 19 12/23/06

22 B2_1. ST1_LIC As of August 2005, state in which actively licensed First State Character Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification category. Respondents could indicate state and license/certification information for three separate states B2_1, B2_2, or B2_3. For example, a respondent could have indicated Colorado for any one of these three options. -9 Missing/Unknown 611 AK Alaska 12 AL Alabama 8 AR Arkansas 14 AZ Arizona 73 CA California 197 CO Colorado CT Connecticut 15 DC District of Columbia 3 DE Delaware 3 FL Florida 86 GA Georgia 19 HI Hawaii 5 IA Iowa 21 ID Idaho 10 IL Illinois 60 IN Indiana 31 KS Kansas 50 KY Kentucky 10 LA Louisiana 19 MA Massachusetts 24 MD Maryland 11 ME Maine 8 MI Michigan 38 MN Minnesota 17 MO Missouri 50 MS Mississippi 7 MT Montana 20 NC North Carolina 27 ND North Dakota 2 NE Nebraska 50 NH New Hampshire 9 NJ New Jersey 18 NM New Mexico 68 NV Nevada 20 NY New York 63 OH Ohio 35 OK Oklahoma 23 OR Oregon 21 PA Pennsylvania 37 RI Rhode Island 3 SC South Carolina 9 SD South Dakota 11 TN Tennessee 31 TX Texas 113 Colorado Health Institute Page 20 12/23/06

23 UT Utah 24 VA Virginia 28 VT Vermont 5 WA Washington 23 WI Wisconsin 25 WV West Virginia 2 WY Wyoming 42 ZZ Outside of US 2 B2_1. ST1_CNA As of August 2005, type of active license/certificate held First State: Certified Nurse Aide (CNA) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification category. -9 Missing/Unknown Yes No B2_1. ST1_LVN_LPN As of August 2005, type of active license/certificate held First State: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification category. -9 Missing/Unknown Yes No Colorado Health Institute Page 21 12/23/06

24 B2_1. ST1_RN As of August 2005, type of active license/certificate held First State: Registered Nurse (RN) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification category. -9 Missing/Unknown Yes No 43 B2_1. ST1_CNS As of August 2005, type of active license/certificate held First State: Certified Nurse Specialist (CNS) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification category. -9 Missing/Unknown Yes No Colorado Health Institute Page 22 12/23/06

25 B2_1. ST1_CRNA As of August 2005, type of active license/certificate held First State: Certified Registered Nurse Anesthetist (CRNA) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification category. -9 Missing/Unknown Yes No B2_1. ST1_MIDWIFE As of August 2005, type of active license/certificate held First State: Nurse Midwife An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification variable. -9 Missing/Unknown Yes 72 2 No Colorado Health Institute Page 23 12/23/06

26 B2_1. ST1_NP As of August 2005, type of active license/certificate held First State: Nurse Practitioner (NP) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_1 State or at least one B2_1 active license/certification category. -9 Missing/Unknown Yes No B2_2. ST2_LIC As of August 2005, state in which actively licensed Second State Character Missing/Unknown = Respondents did not provide a response to B2_2 State or at least one B2_2 active license/certification category. -9 Missing/Unknown AK Alaska 17 AL Alabama 10 AR Arkansas 8 AZ Arizona 102 CA California 206 CO Colorado 788 CT Connecticut 7 DC District of Columbia 3 DE Delaware 4 FL Florida 76 GA Georgia 28 HI Hawaii 13 IA Iowa 15 ID Idaho 6 IL Illinois 39 IN Indiana 15 KS Kansas 49 KY Kentucky 11 LA Louisiana 10 MA Massachusetts 27 MD Maryland 13 ME Maine 2 Colorado Health Institute Page 24 12/23/06

27 MI Michigan 31 MN Minnesota 21 MO Missouri 25 MS Mississippi 5 MT Montana 18 NC North Carolina 21 ND North Dakota 3 NE Nebraska 38 NH New Hampshire 4 NJ New Jersey 14 NM New Mexico 55 NV Nevada 11 NY New York 67 OH Ohio 22 OK Oklahoma 19 OR Oregon 29 PA Pennsylvania 47 RI Rhode Island 5 SC South Carolina 11 SD South Dakota 6 TN Tennessee 16 TX Texas 86 UT Utah 20 VA Virginia 26 VT Vermont 5 WA Washington 58 WI Wisconsin 19 WV West Virginia 4 WY Wyoming 53 XX US Possessions & Territories 1 ZZ Outside of US 11 B2_2 ST2_CNA As of August 2005, type of active license/certificate held Second State: Certified Nurse Aide (CNA) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_2 State or at least one B2_2 active license/certification category. -9 Missing/Unknown Yes 7 2 No 2193 Colorado Health Institute Page 25 12/23/06

28 B2_2. ST2_LVN_LPN As of August 2005, type of active license/certificate held Second State: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_2 State or at least one B2_2 active license/certification category. -9 Missing/Unknown Yes 20 2 No 2180 B2_2. ST2_RN As of August 2005, type of active license/certificate held Second State: Registered Nurse (RN) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_2 State or at least one B2_2 active license/certification category. -9 Missing/Unknown Yes No 15 Colorado Health Institute Page 26 12/23/06

29 B2_2. ST2_CNS As of August 2005, type of active license/certificate held Second State: Certified Nurse Specialist (CNS) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_2 State or at least one B2_2 active license/certification category. -9 Missing/Unknown Yes 18 2 No 2182 B2_2. ST2_CRNA As of August 2005, type of active license/certificate held Second State: Certified Registered Nurse Anesthetist (CRNA) Numeric An all that apply variable Missing/Unknown = Respondents did not provide a response to B2_2 State or at least one B2_2 active license/certification category. -9 Missing/Unknown Yes 69 2 No 2131 Colorado Health Institute Page 27 12/23/06

30 B2_2. ST2_MIDWIFE As of August 2005, type of active license/certificate held Second State: Nurse Midwife An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_2 State or at least one B2_2 active license/certification category. -9 Missing/Unknown Yes 13 2 No 2187 B2_2. ST2_NP As of August 2005, type of active license/certificate held Second State: Nurse Practitioner (NP) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_2 State nor at least one B2_2 active license/certification category. -9 Missing/Unknown Yes No 2092 Colorado Health Institute Page 28 12/23/06

31 B2_3. ST3_LIC As of August 2005, state in which actively licensed Third State Character Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown AK Alaska 7 AL Alabama 2 AR Arkansas 2 AZ Arizona 25 CA California 88 CO Colorado 165 CT Connecticut 2 DC District of Columbia 7 FL Florida 29 GA Georgia 7 HI Hawaii 9 IA Iowa 3 ID Idaho 6 IL Illinois 10 IN Indiana 10 KS Kansas 11 KY Kentucky 7 LA Louisiana 4 MA Massachusetts 8 MD Maryland 4 ME Maine 3 MI Michigan 11 MN Minnesota 12 MO Missouri 13 MS Mississippi 1 MT Montana 3 NC North Carolina 12 NE Nebraska 4 NH New Hampshire 2 NJ New Jersey 5 NM New Mexico 18 NV Nevada 16 NY New York 31 OH Ohio 11 OK Oklahoma 5 OR Oregon 12 PA Pennsylvania 26 RI Rhode Island 2 SC South Carolina 4 TN Tennessee 5 TX Texas 23 UT Utah 6 VA Virginia 6 VT Vermont 5 WA Washington 28 WI Wisconsin 8 Colorado Health Institute Page 29 12/23/06

32 WV West Virginia 5 WY Wyoming 12 XX US Possessions & Territories 1 ZZ Outside of US 2 B2_3. ST3_CNA As of August 2005, type of active license/certificate held Third State: Certified Nurse Aide (CNA) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown Yes 0 2 No 698 B2_3. ST3_LVN_LPN As of August 2005, type of active license/certificate held Third State: Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown Yes 4 2 No 694 Colorado Health Institute Page 30 12/23/06

33 B2_3. ST3_RN As of August 2005, type of active license/certificate held Third State: Registered Nurse (RN) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown Yes No 2 B2_3. ST3_CNS As of August 2005, type of active license/certificate held Third State: Certified Nurse Specialist (CNS) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown Yes 1 2 No 697 Colorado Health Institute Page 31 12/23/06

34 B2_3. ST3_CRNA As of August 2005, type of active license/certificate held Third State: Certified Registered Nurse Anesthetist (CRNA) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown Yes 47 2 No 651 B2_3. ST3_MIDWIFE As of August 2005, type of active license/certificate held Third State: Nurse Midwife An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown Yes 2 2 No 696 Colorado Health Institute Page 32 12/23/06

35 B2_3. ST3_NP As of August 2005, type of active license/certificate held Third State: Nurse Practitioner (NP) An all that apply variable Numeric Missing/Unknown = Respondents did not provide a response to B2_3 State or at least one B2_3 active license/certification category. -9 Missing/Unknown Yes 18 2 No 680 C1. LIC_TWOYRS Licensed and working in nursing in August 2003 Numeric Missing/Unknown 87 1 Yes No Licensed/Not Working in Nursing 1237 Colorado Health Institute Page 33 12/23/06

36 C2. STATE_TWOYRS State licensed and working in August 2003 Character Not Applicable = Respondents who marked either No or Licensed/Not Working in Nursing to Survey Question C1 were skipped to Question C3a. To maintain respondent confidentiality, only state-level data for Survey Question C2 are available in the Public Use File. City and ZIP code information were suppressed to assure confidentiality. Refer to derived variable RUCA2_TWOYRS (p. 69) for urban/rural classification of respondents principal nursing position location in Missing/Unknown Not Applicable 2470 AK Alaska 16 AL Alabama 8 AR Arkansas 6 AZ Arizona 80 CA California 126 CO Colorado 8106 CT Connecticut 8 DC District of Columbia 6 FL Florida 79 GA Georgia 18 HI Hawaii 10 IA Iowa 18 ID Idaho 8 IL Illinois 38 IN Indiana 22 KS Kansas 47 KY Kentucky 8 LA Louisiana 14 MA Massachusetts 9 MD Maryland 10 ME Maine 4 MI Michigan 17 MN Minnesota 27 MO Missouri 36 MS Mississippi 8 MT Montana 18 NC North Carolina 37 ND North Dakota 2 NE Nebraska 44 NH New Hampshire 7 NJ New Jersey 17 NM New Mexico 81 NV Nevada 22 NY New York 35 OH Ohio 17 OK Oklahoma 15 OR Oregon 19 PA Pennsylvania 20 RI Rhode Island 6 SC South Carolina 3 SD South Dakota 10 TN Tennessee 40 Colorado Health Institute Page 34 12/23/06

37 TX Texas 98 UT Utah 26 VA Virginia 50 VT Vermont 5 WA Washington 31 WI Wisconsin 19 WV West Virginia 1 WY Wyoming 44 XX US Possessions & Territories 2 YY US Military 19 ZZ Outside of US 60 C3a. EMPL_CURRENT Working in a nursing position as of August 2005 Numeric Missing/Unknown 2 1 Yes No 2580 C3b. EMPL_STATUS Not working in a nursing position, current employment status Numeric Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Unemployed and Looking Unemployed and Not Looking Retired/Not Looking Working in Another Field 699 Colorado Health Institute Page 35 12/23/06

38 C3c. REASON_DIFFICULT Reason not working in a nursing position: Difficult to find a nursing position An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 2301 C3c. REASON_HRS Reason not working in a nursing position: Hours more convenient in other position An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 2031 Colorado Health Institute Page 36 12/23/06

39 C3c. REASON_SALARY Reason not working in a nursing position: Better salaries in other type of position An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 2163 C3c. REASON_SAFETY Reason not working in a nursing position: Concern about safety in health care environment An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 2221 Colorado Health Institute Page 37 12/23/06

40 C3c. REASON_ENVT Reason not working in a nursing position: Work environment inhibits ability to practice on professional level An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 2252 C3c. REASON_REWARD Reason not working in a nursing position: Other position more rewarding professionally An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 2000 Colorado Health Institute Page 38 12/23/06

41 C3c. REASON_DISABLE Reason not working in a nursing position: Disability/health reasons An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 2212 C3c. REASON_HOME_FAMILY Reason not working in a nursing position: Taking care of home/family An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 1642 Colorado Health Institute Page 39 12/23/06

42 C3c. REASON_RETIRE Reason not working in a nursing position: Retirement An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. -9 Missing/Unknown Not Applicable Yes No 1642 C3c. REASON_OTHER Reason not working in a nursing position: Other An all that apply variable. Numeric Missing/Unknown = Respondents who did not provide a response to at least one C3c reason category. Not Applicable = Respondents who marked Yes to Survey Question C3a were skipped to Question C4. Among the other reasons given for not working in a nursing position were going to school and in the process of relocating. -9 Missing/Unknown Not Applicable Yes No 2267 Colorado Health Institute Page 40 12/23/06

43 NUMBER C4. POSITION_COUNT As of August 2005, more than one paid nursing position held Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. -9 Missing/Unknown Not Applicable Yes No 8410 C5. STATE_PRIMARY State of current principal nursing position in August 2005 Character Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. To maintain respondent confidentiality, only state record-level data for Survey Question C5 are available in the Public Use File. City and ZIP code information were suppressed to assure confidentiality. Refer to derived variable RUCA2_PRIMARY (p. 67) for principal nursing position in Missing/Unknown Not Applicable 2580 AK Alaska 17 AL Alabama 3 AR Arkansas 5 AZ Arizona 87 CA California 91 CO Colorado 8430 CT Connecticut 6 DC District of Columbia 4 DE Delaware 1 FL Florida 66 GA Georgia 16 HI Hawaii 9 IA Iowa 4 ID Idaho 4 IL Illinois 26 IN Indiana 17 KS Kansas 35 KY Kentucky 12 LA Louisiana 11 MA Massachusetts 9 MD Maryland 11 ME Maine 5 MI Michigan 16 Colorado Health Institute Page 41 12/23/06

44 MN Minnesota 18 MO Missouri 22 MS Mississippi 5 MT Montana 14 NC North Carolina 30 NE Nebraska 30 NH New Hampshire 11 NJ New Jersey 7 NM New Mexico 70 NV Nevada 17 NY New York 20 OH Ohio 13 OK Oklahoma 13 OR Oregon 18 PA Pennsylvania 20 RI Rhode Island 3 SC South Carolina 5 SD South Dakota 8 TN Tennessee 34 TX Texas 85 UT Utah 14 VA Virginia 44 VT Vermont 5 WA Washington 20 WI Wisconsin 7 WV West Virginia 1 WY Wyoming 40 YY US Military 54 ZZ Outside of US 44 Colorado Health Institute Page 42 12/23/06

45 C6. FACILITY Type of work setting of current principal nursing position Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Public/Community Health includes home health, school health services, employee health, occupational health and hospice. Ambulatory Care includes medical practice office or clinic, freestanding outpatient clinic and surgical centers. Other includes military, managed care/insurance, correctional facilities, telemedicine and DME/pharmaceutical entities. -9 Missing/Unknown Not Applicable Hospital Long-Term Care Nursing Education/Academic Community/Public Health Ambulatory Care Other 772 C7. CATEGORY_PRIMARY Organizational auspices of principal nursing position Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. -9 Missing/Unknown Not Applicable Federal Employee Nonfederal Employee of Organization or Facility Employed through Employment Service Agency Self-Employed 316 Colorado Health Institute Page 43 12/23/06

46 C8. DESC_NURSE Title of principal nursing position as of August 2005 Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Other includes disaster manager, program/project manager, insurance reviewer, outcomes manager/quality improvement nurse, researcher and telemedicine nurse. -9 Missing/Unknown Not Applicable Advanced Practice Nurse Administrator of Organization/Facility Administrator of Nursing Case Manager Clinical/Staff Nurse Community/Public Health Nurse Head Nurse/Nursing Manager Inservice Education Director/Instructor Outcomes/Risk Management Position Patient Care/Nurse Coordinator Professor/Instructor School of Nursing School Nurse Other 385 Colorado Health Institute Page 44 12/23/06

47 C9. SPECIALTY Specialty of principal nursing position as of August 2005 Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Other includes compliance, quality improvement, risk management, corrections health care and informatics. -9 Missing/Unknown Not Applicable Adult Anesthesia Community Health Critical Care / ER / OR Geriatrics Med / Surg Neonatal Nurse Faculty 90 9 OB / GYN / L&D Pediatrics Psych / Mental Health Public Health School Nursing General (No Specialty) Other 498 C10a. HOURS_TWOWK Total hours worked (in all nursing positions) in a two-week period Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Continuous Variable; Range hours. -9 Missing/Unknown Not Applicable 2580 Continuous Hours 9763 Colorado Health Institute Page 45 12/23/06

48 C10b. DAYS_TWOWK Number of days worked more than 12 hours/day in a two-week period Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. -9 Missing/Unknown Not Applicable days day days days days days days days days days days 12 C10c. PCT_CARE Percentage of work time spent in direct patient care Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Missing/Unknown = Respondents who did not provide a response to at least one C10c percentage of work time category. Continuous Variable; Range 0-100%. -9 Missing/Unknown Not Applicable 2580 Continuous 0-100% 9709 Colorado Health Institute Page 46 12/23/06

49 C10c. PCT_ACTIVITY Percentage of work time spent in nursing-related activities other than patient care (i.e., teaching, administration, research, policy) Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Missing/Unknown = Respondents who did not provide a response to at least one C10c percentage of work time category. Continuous Variable; Range 0-100%. -9 Missing/Unknown Not Applicable 2580 Continuous 0-100% 9709 C10c. PCT_TRAINING Percentage of work time spent in nursing-related training or education including continuing education Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Missing/Unknown = Respondents who did not provide a response to at least one C10c percentage of work time category. Continuous Variable; Range 0-65%. -9 Missing/Unknown Not Applicable 2580 Continuous 0-65% 9709 Colorado Health Institute Page 47 12/23/06

50 C11. LENGTH_SERVICE_TOTAL_MO Total months worked in current principal nursing position Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. Years converted to months. Continuous variable; Range months. -9 Missing/Unknown Not Applicable 2580 Continuous Months 9650 C12. CONT_NURSE_YRS Years plan to continue to work in nursing Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. -9 Missing/Unknown Not Applicable Years Unknown Years year Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years 8 Colorado Health Institute Page 48 12/23/06

51 24 24 Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years Years 1 C13a. RATE_CONCERN Workplace environment: Concern for patient is paramount Numeric Not Applicable = Respondents who marked No to Survey Question C3a were skipped to Question D1. -9 Missing/Unknown Not Applicable Disagree Somewhat Disagree Neither Disagree/Agree Somewhat Agree Agree 7308 Colorado Health Institute Page 49 12/23/06

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