WBUR Poll Survey of 500 Registered Nurses in Massachusetts Field Dates: October 5-10, 2018

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Conducted for WBUR by WBUR Poll Survey of 500 Registered Nurses in Massachusetts Field Dates: October 5-10, 2018 Which of the following best describes your main place of work as a nurse? A teaching hospital 38% A community hospital 24% Another type of hospital 4% A nursing home 5% A school 6% Something else 23% Don t Know / Refused <1% SKIP NEXT QUESTION IF RESPONDENT DOES NOT WORK IN A HOSPITAL. Which of the following best describes your position? ROTATE OPTIONS 1 AND 2. Considering everything, how satisfied are you with your job? Nurse manager or supervisor 17% Floor nurse 82% Something else 1% Don t Know / Refused <1% Very satisfied 57% Somewhat satisfied 34% Somewhat dissatisfied 7% Very dissatisfied 1% There will be a measure on the November ballot dealing with nurse staffing levels. A yes vote would limit how many patients could be assigned to each registered nurse in Massachusetts hospitals and certain other health care facilities. A no vote would make no change in the current laws regarding patient-to-nurse limits. If the election for this measure were held today, would you vote yes or no? REREAD FULL DESCRIPTION OF YES AND NO VOTE, IF REQUESTED. IF UNDECIDED: How are you leaning as of today? Yes 48% No 45% Don t Know / Undecided (not read) 7% Refused (not read) <1% How frequently are you assigned more patients than you can safely care for? Very frequently 19% Somewhat frequently 22% Not very frequently 18% Not at all frequently 33% Don t Know / Refused 9%

Thinking over the last year, have you seen harm to a patient because of high staffing ratios at your place of work? Yes I have 25% No I have not 70% Don't Know / Refused 5% In general, what do you think would be the best way to make rules on staffing ratios for nurses working in hospitals? Ballot questions decided by voters 15% Laws passed by the state legislature 10% Regulations created by state agencies 11% Rules made at individual hospitals 41% Some other way (not read) 9% Combo / depends (not read) 10% Don t Know / Refused 4% The ballot question would set different staffing levels for different departments and types of nursing. When thinking of the different staffing ratios that would be required if the ballot question passes, how many do you think are appropriate? PROBE IF NEEDED: How about just based on anything you ve heard or read about the proposed ratios? All of them 24% Most of them 17% Some of them 23% None of them 15% Don t Know / Refused 20% Thinking about READ FIRST, if the ballot question on staffing ratios were to pass, do you think it would has a positive impact, a negative impact, or would it make no difference? ROTATE ORDER A positive development A negative development Would make no difference Don t Know / Refused Your own place of work 39% 32% 25% 5% Rural hospitals in Massachusetts 40% 45% 6% 9% Major teaching hospitals 48% 35% 11% 6% Community hospitals 46% 43% 5% 6% If question 1 were to pass, do you think there are READ AND ROTATE trained nurses to meet the staffing levels that would be required at Massachusetts hospitals? More than enough 16% Enough 22% Not enough 56% Don t Know / Refused 6% WBUR Poll 2

If question 1 were to pass, do you think your own income would READ AND ROTATE? Increase 6% Decrease 5% Stay about the same 83% Don t Know / Refused 6% If the measure were to pass, do you think patient safety in Massachusetts hospitals would READ AND ROTATE? Get better 49% Get worse 19% Stay about the same 20% Mixed outcome / depends (not read) 9% Don t Know / Refused 3% The State's Health Policy Commission estimates the new measure, if it passes, could increase health care costs by an additional $600 to $900 million a year. Do you think that estimate is READ AND ROTATE? Too high 38% Too low 9% About right 36% Don t Know / Refused 17% If costs do rise, how do you think it is that each of the following will occur? ROTATE ORDER Very Somewhat Not too Not at all Don t Know / Refused Higher insurance rates 48% 23% 11% 13% 5% Closing hospital units or cutting staff Shifting nursing staff to more profitable units Cutting staff at community or rural hospitals Closing entire rural or community hospitals 32% 18% 18% 25% 7% 33% 26% 15% 14% 12% 29% 17% 19% 28% 6% 25% 24% 21% 25% 5% WBUR Poll 3

To the best of your knowledge, are you registered to vote in the state of Massachusetts? Yes I am 98% No I am not 2% Don t Know / Refused 0% ASK NEXT QUESTION IF RESPONDENT IS CURRENTLY REGISTERED TO VOTE. What are the chances that you will vote in the November general election for Massachusetts Governor, U.S. Senate and other offices? Would you say it is very, somewhat, somewhat un, or very un? Very 93% Somewhat 5% Somewhat un 1% Very un 1% Are you a member of the Massachusetts Nurses Association, another nurses union, or are you not a union member? How many years have you been a nurse? Massachusetts Nurses Association 33% Another Nurses Union 5% Not a Union Member 59% Member of more than one union (not read) 1% 15 or fewer 41% 16 to 30 30% More than 30 28% Refused 1% WBUR Poll 4

Demographics Race White / Caucasian 87% All others 10% Don t Know / Refused 3% Age 18 to 44 39% 45 to 59 36% 60+ 23% Gender Male 7% Female 93% Region Western / Central 25% Southeast 14% Outer Boston Suburbs 39% Boston / Inner Suburbs 23% About the Poll These results are based on a survey of 500 working registered nurses in Massachusetts. A list of registered nurses in the state was obtained from the Massachusetts Health Professions License Verification site. Phone numbers were added via commercial telephone matching services. Live telephone interviews were conducted September 5-10, 2018 via both landline and cell phone. Results were weighted to known population parameters for age, race, gender and region of the state obtained from The Massachusetts Health Professions Data Series: Registered Nurse 2014 Report as well as the database of nurses. The margin of sampling error is 4.4 percentage points with a 95 percent level of confidence. The poll was sponsored by WBUR, a National Public Radio station in the Boston area. WBUR Poll 5