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Nonresponse in Surveys of the Nurse Workforce 6.3.08

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Leonard Davis Institute of Health Economics
Leonard Davis Institute of Health Economics

Author: Jeannie Cimiotti

Health & Medicine
1 of 1
Non-response in surveys of the nurse workforce: Less of a problem than we might think? Funding Sources: National Institutes of Health: NINR R01-NR-04513/P30-NR-005043; NIA P30-AG-012836; NICHD R24-HD-044964 Jeannie P. Cimiotti 1,2 , Sean P. Clarke 1,2 , Herbert L. Smith 3 , Linda H. Aiken 1,2 , Robyn B. Cheung 1 University of Pennsylvania – Center for Health Outcomes & Policy Research 1 Leonard Davis Institute of Health Economics 2 Population Studies Center 3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Results ,[object Object],[object Object],[object Object],Conclusions ,[object Object],[object Object],[object Object],Policy Implications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Measures Research Objective Nurses are a group of healthcare providers often surveyed for their opinions on the provision of healthcare. A large postal survey allows detailed coverage of this heterogeneous population; however, with a mail survey comes the potential problem of bias due to non-response. In this study we show how a high quality second sample of non-respondents allows us to assess the bias associated with survey non-response. Study Design A cross-sectional study in which surveys were mailed to a sample of registered nurses (RNs) to measure the nurse practice environment, job-related outcomes, and the overall quality of care in hospitals. Study Participants A random sample of RNs who were actively licensed and resided in the states of California and Pennsylvania Procedure Initial Wave Surveys were mailed to the homes of 106,532 RNs in California and 64,321 in Pennsylvania using a modified Dillman method. Follow-up Wave Using a strict Dillman method and a monetary incentive, surveys were mailed to 1,300 RNs (half in CA and half in PA) who failed to complete and return initial survey Data Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],0 .01 .02 .03 .04 0 20 40 60 0 20 40 60 CA PA Years as RN Years as RN Non-Responders Responders Graphs by State Sampled From .08 .1 .12 .14 .16 1 2 3 4 5 1 2 3 4 5 CA PA Quality of Care Quality of Care Non-Responders Responders Graphs by State Sampled From

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