This paper reviews research on the supply of, and demand for, nurses. It examines the utility of various data indicators of nursing 'shortages' and highlights potential shortcomings in their application. The paper also assesses the linkages between nurses' pay and nurses' labour market behaviour, reviewing the comparatively few papers which have taken a UK perspective on this issue. The current situation of a mismatch between nurses' supply and demand in the UK is also examined, with the clear indication that there is the potential for an increase in mismatch as demand increases, while future supply appears problematic. Finally, the paper reviews the main recommendations from previous national studies on nursing shortages in the UK, and concludes that many lessons from these studies have been ignored, as a cycle of nursing shortages has continued to be apparent in the UK.
Aiken, L., Smith, H., Lake, E. (1994) Lower Medicare mortality amongst a set of hospitals known for good nursing care. Medical Care32: 771-787.
2.
Audit Commission (1997) Finders Keepers: The management ofstaff turnover in NHS trusts. London: HMSO.
3.
Bach, S., Winchester. D. (1994) Opting out of pay evaluation? The prospects for local pay in UK public services. British Joumal of Industrial Relations32:2, 263-282.
4.
Beardshaw, V., Robinson, R. (1990) New for Old: Prospects fornursing in the 1990s . London: King's Fund Institute .
5.
Blegen, M. (1993) Nurses' job satisfaction: A meta analysis of related variables. Nursing Research42: 1, 36-41.
6.
Booton, C., Lane, J. (1985) Hospital market structure and the return to nursing education. Journal of Human Resources20:2,184-196.
7.
B riggs, A. (1972) Report of the Committee on Nursing. London: HMSO, Cmnd 5115.
8.
Brown, S., Grimes, D. (1993) A Meta Analysis of Process of Care, Clinical Outcomes and Cost Effectiveness of Nurses in Primary Care Roles, Nurse Practitioners and Certified Nurse Midwives. Washington: American Nurses Association.
9.
Buchan, J. (1992) Flexibility or fragmentation: Trends and prospecfs in nurses' pay. London: King's Fund Institute.
10.
Buchan, J. (1994) Further Flexing?: NHS trusts and changing workingpattems in NHSnursing. London: Royal College of Nursing.
11.
Buchan, J. (1996a) Pool of returners is steadily shrinking. Employing Nurses1: 1, 15.
12.
Buchan, J. (1996b) Nursing shortages. British Medical Jouma312:7024, 134-135.
13.
Buchan, J. (1996c) The truth behind the nursing headcount. Employing Nurses10: 6-7.
14.
Buchan, J., Seccombe, I., Ball, J. (1992) International Mobility of Nurses: A UK perspective. IMS Report 230Brighton: Institute of Manpower Studies.
15.
Buchan, J., Thomas, S. (1994) Bank Nurses in Scotland: Policyandpractice. Edinburgh: Scottish Office.
16.
Buchan, J., Seccombe, I., Ball, J. (1996) Caring Costs Revisited. IES Report321Brighton: Institute for Employment Studies.
17.
Buerhaus, P. (1991) Dynamicshortages of registered nurses. NursingEconomics9: 5, 317-328.
18.
Carr-Hill, R., Dixon, P., Gibbs, I. et al. (1992)Skill Mix and Effectiveness of Nursing Care . York: Centre for Health Economics, University of York.
19.
Cleland, V. (1990) The Economics of Nursing. Connecticut : Appleton and Lange.
20.
Cole, A. (1996) Older and wiser. Nursing Times92: 39, 22-23.
21.
Conroy, M., Stidston, M. (1988)2001 — The Black Hole: An examination of labourmarket trends in relation to the NHS. London: NHS Regional Manpower Planners Group.
22.
Department of Health (1996) Statistical Bulletin: NHS hospital and communityhealth services non-medical staff in England, 1985-1995. London: Government Statistical Office.
23.
Department of Health (1997) Statistical Bulletin: NHS hospital and community health services non-medical staff in England: 30 September 1996. London: Government Statistical Office.
24.
Fridkin, S., Pear, S., Williamson, T. et al. (1996) The role of understaffing in central venous catheter-associated bloodstream infection. Infection Control and Hospital Epidemiology17.3, 150-158.
25.
Friss, L. (1987) Externat equity and the free market myth. Re view ofPublic Personnel Administration7: 3, 74-91.
26.
Gray, A., Phillips, V. (1996) Labourtumoverin the British National Health Service: A local labour market analysis. Health Poliry36: 273-289.
27.
Gray, A., Normand, C., Currie, E. (1988) Staff Turnoverin the NHS: A preliminary economic analysis. Discussion Paper46. York: Centre for Health Economics: University of York.
28.
Hirsch, B., Schumacher, E. (1995) Monopsony power and relative wages in the labor market for nurses. Journal of Health Economics14: 443-476.
29.
Hoskins, M. (1982) The Effect of Pay Changes on Cohort Survival: A study of the supply of midwiferystaffto the NHS. Discussion Paper26. Leicester: Department of Economics, University of Leicester .
30.
lrvine, D., Evans, M. (1995) Job satisfaction and turnover among nurses: Integrating research findings across studies. Nursing Research44: 4, 246-253.
31.
King, P. (1989) Why hospitals will adopt flexible organisation strategies. Health Care Management14: 5, 9-12.
32.
Krapohl, G., Larson, E. (1996) The impact of unlicensed assistive personnel on nursing care delivery. NursingEconomics14: 2, 99-110.
33.
Lader, D. (1995) Qualified Nurses, Midwives and Health Visitors . London: OPCS.
34.
Lancet (1932) The Lancet Commission on Nursing . London: The Lancet.
35.
Link, C., Landon, J. (1975) Monopsony and union power in the market for nurses . Southern Economic Journal41:4, 649-659.
36.
Ministry of Health (1939) Inter-departmental Committee on Nursing Services. Interim Report. London: Ministry of Health.
37.
Ministry of Health (1947) Report ofthe Working Party on the Recruitment and Training of Nurses. London: HMSO.
38.
National Audit Office (1985) NationalHealth Service: Control ofnursing manpower. London : HMSO.
39.
Phillips, V. (1995) Nurses' labor supply: Participation, hours of work, and discontinuities in the supply function. Journal of Health Economics14: 567-582.
40.
Price Waterhouse (1987) Report on the Cost Benefits and Manpower Implications of Project 2000. London: UKCC
41.
Review Body for Nursing Staff, Midwives, Health Visitors and Professions Allied to Medicine (1995; 1997; 1998) Report on Nursing Staff, Midwives and Health Visitors. London: Stationery Office.
42.
Rothwell, S. (1986) Costing flexible working patterns. Nursing Trmes82: 28, 43-45.
43.
Royal College of Nursing Commission on Nursing Education (1985) The Educa tion of Nurses: A newdispensation (The Judge report). London: RCN.
44.
Seccombe, l., Buchan, J. (1991) Nurse Turnover Costs. Institute of Manpower Studies Report 212.'
45.
Seccombe, I., Buchan, J. (1993) Absent Nurses: The costs and consequences. IMS Report 250Brighton: Institute of Manpower Studies.
46.
Seccombe, I., Smith, G. (1997) Taking Part Registerednurses and the labourmarket in 1997. IES Report 338. Brighton: Institute for Employment Studies.
47.
Seccombe, I., Patch, A., Stock, I. (1994) Workload, Pay and Morale of Qualified Nurses in 1994. IES Report 272. Brighton: Institute for Employment Studies.
48.
Shogren, E., Calkins, A., Wilburn, S. (1996) Restructuring may be hazardous to your health. American Joumal ofNursing96: 11,64-66.
49.
Thompson, M., Buchan, J. (1993) Performance Related Payand UK Nursing. IMS Report 235Brighton: Institute of Manpower Studies.
50.
Wilson, R., Stilwell, J.( 1992) The National Health Service and the Labour Market. Aldershot: Avebury Press.
51.
Wunderlich, G., Sloan, S. , Davis, C. (eds.) (1996 ) Nursing Sta ff in Hospitals and Nursing Homes: Is it adequate?Washington DC: Institute of Medicine, National Academy Press.
52.
Yett, D. (1970) An Economic Analysis ofthe Nursing Shortage. Lexington, Massachusetts: D.C. Heath.
