HOSPITAL PATTERNS OF NURSING PERSONNEL SUBSTITUTION

就业趋势表明，对医院护理人才的需求 在20世纪80年代经历了实质性的变化S。而医院 雇用更多注册护士(RN)，雇用有执照的人 实习护士(LPN)和护理助理(NAS)人数减少。 医院行业通过以下方式解释了对RNS需求的增加 断言病人病情更重。日益复杂的技术 而逗留时间的减少导致了更多的 重症监护，需要更多熟练工人。鉴于那家医院 因此，服务业发生了变化，劳动力需求似乎是合理的 可能也在发生变化。 这项研究的目的是分析医院需求的决定因素 护理人员对800家医院横断面抽样的研究 来自美国医院协会(AHA)的护理人员调查 (1989年)。需求分析将提供查看以下两个问题的框架 问题：1)哪些变量与增加就业和 RN相对于LPN和NAS的工资？2)并考虑到这些变量， 医院在多大程度上用RN取代LPN和NAS。三种类型 的方程式，每个方程式都提供了不同的视角 护理人员的更替。

Employment trends suggest that the demand for hospital nursing personnel has gone through substantial changes during the 1980's. While hospitals hired greater numbers registered nurses (RNs), employment of licensed practical nurses (LPNs) and nursing assistants (NAs) was reduced. The hospital industry has explained the increase in demand for RNs by asserting that patients are sicker. Increasingly complicated technology and reduced lengths of stay have resulted in a greater volume of intensive care, requiring more skilled workers. Given that hospital services have changed, it therefore, seems reasonable that labor needs may also be changing. The aim of this study is to analyze determinants of hospital demand for nursing personnel utilizing a cross-sectional sample of 800 hospitals from the American Hospital Association (AHA) Nursing Personnel Survey (1989). Demand analysis will provide the framework for looking at two issues: 1) What variables are associated with increasing employment and wages of RNs relative to LPNs and NAs? 2) And given these variables, to what extent are hospitals substituting RNs for LPNs and NAs. Three types of equations will be estimated, each providing a different perspective on the substitution of nursing personnel.