Responses are collected by Missouri Hospital Association. In this section, youll find information on developing issues as they impact health care. The ability to coordinate numerous treatment plans and records is critical to ensure that each patient receives appropriate care. This is the latest compendium publication in the NHS Vacancy Statistics series containing vacancy related data for the NHS which provide four different views on recruitment information for the NHS. Licensing or registration required. March 1, 2021. Call Out percentage of budget for each Cost Center from the pay period. Filled FTE numbers for each Cost Center from the pay period. Nursing Vacancy and Turnover Rates are available here. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 5 0 R/Group<>/Tabs/S/StructParents 1>> Vacancies are excluded from calculations. They often serve in leadership roles and may educate and advise other nursing staff. See About Changing Status and Changing Employee Status. Here is how you know. Contact state boards of nursing for specific requirements. HAP's survey of Pennsylvania hospitals (conducted during December 2021 and updated during February 2022 with additional responses) found already high vacancy rates, including: This figure reflects a 12% increase from the last data set in March 2021 . There were 38,785 nursing vacancies as of December 2019, and nursing vacancy rates remain higher than other staff groups. 5sGjfxPQT@'v f'EU` X6(zi%YK:2CP0 s\ cs?3S(TeiaYwOraNDEUGP .qm*]3?/s eO3tK|r[YVFpKUV|:pFv?4YQSxPV[%+ESmB}*Q$%dfhsJ]N)-%V%*T}NbVf(xN1j@j4eN2_bbT5f)0[ 6C)M Y*NPLt YJNN A:s+4v~I=Tfq"(#gD3E@MWT#]2Q='/~tK~JS|baM9c:lRd#hjo@GYY\$Zdyu>%vkbA),_V@CJW4bq2*G In this section, youll stay apprised of legislative, legal and regulatory work occurring at the local, state and federal level. APRNs may provide primary and specialty care, and in many states they may prescribe medications. Moreover, this rate was substantially lower than the estimated 56.4% turnover rate among nurse aides (the closest US equivalent job role to care workers) . helping hospitals treat patients is ours. Nurses complete work within the shortest time possible. Employees absent from work due to long term disability leave: Cannot have their vacant FTE generated and filled by another employee, Cannot be have their status defined as active, Cannot have their compensation calculated or paid. Please note that these data do not indicate where vacancies are filled by . Communication skills. For more information on the nursing shortage and the faculty shortage, click here. Please enable javascript to play this video. Currently, this stands at 17%, up 7.1 points from last year, with over eighty percent (81.3%) reporting a vacancy rate in excess of ten percent. "This should stun ministers to address the rising number of nursing vacancies and prevent further risk to patient care" Patricia Marquis. The total FTE for the employees assigned to a position cannot exceed the total FTE for the position. The number of employed nurses in each state compared to its population creates a healthcare deficit. Consequently, the annual and monthly compensation for the position is: Employee on maternity leave: $82,000.00 (annual); $6,833.00 (monthly) Replacement employee working during the three months of the original employee's maternity leave: $20,499.00. Nursing is not the only clinical profession that has been highly impacted by the pandemic. WTR (holiday pay) included Posted: 09/12/2022 Job Type: Bank Closing Date: 30/06/2023 information you provide is encrypted and transmitted securely. The report includes data from 128 hospitals and identifies trends among 28 hospital-based positions and four clinic and physician practice positions. Creating a sustainable hospital workforce will require innovation and investment. VA reported the following vacancies: 45,239 overall vacancies at the department, out of a total of 419,353 full-time authorized and budgeted positions. Job Vacancy Rate. To meet the greatest demands, hospitals are working to reallocate and retrain nurses and other personnel. In this section, youll find educational opportunities to accommodate a variety of professions, schedules and topics. For these positions, budget expenses are calculated for assigned employees, and vacant expenses do not exist. Certified nursing assistants are most in-demand in New York, NY. <> Filled FTE where Job Code = 6656. Their nursing expertise and experience on a healthcare team equip them to manage ambulatory, acute, home-based, and chronic care businesses. EOE/AA/Women/Minority/Vets/Disabled, Copyright 2023 by Vanderbilt University Medical Center. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. Of the 12 employees who voluntarily left the organization, 3 were supervised by Mary Jones. Organizational skills. The RN vacancy rate within hospitals . Staff registered nurses make up the largest single cohort of hospital employees in Missouri. Then you can access your favorite statistics via the star in the header. Divided by. Every Missourian has a stake in the success of this effort. In this case, the replacement vacancy FTE is included in budget compensation calculations if another employee assumes the replacement FTE, which one does. Average tenure of employees who have left; Special characteristics of employees who have left; and. You had 175 people in your employment in January. Methods: The model is tested using ordinary least squares regression with data collected from 713 Canadian hospitals and nursing homes. The number of leavers that display the identified characteristic divided by the total number leavers during the calculation period times 100 equals the voluntary turnover rate for that special characteristic. Unapproved headcountNumber of remaining unapproved employee assignments. Critical care nurses work in intensive-care units in hospitals, providing care to patients with serious, complex, and acute illnesses and injuries that need close monitoring and treatment. However, employersparticularly those in hospitalsmay require a bachelors degree. For most profiles, this tab has a table with wages in the major industries employing the occupation. Nurses who work in offices, schools, and other places that do not provide 24-hour care are more likely to work regular business hours. . Examples are provided. Registered nurses need emotional resilience and the ability to cope with human suffering, emergencies, and other stressors. In management, nurses may advance from assistant clinical nurse manager, charge nurse, or head nurse to more senior-level administrative roles, such as assistant director or director of nursing, vice president of nursing, or chief nursing officer. They may work nights, weekends, and holidays. For example, an oncology nurse works with cancer patients and a geriatric nurse works with elderly patients. That's more than double the official count of COVID-19 deaths in nursing homes, which was 5,710 through May 20 and stood at 6,260 as of Sunday. Some nurses travel frequently in the United States and throughout the world to help care for patients in places where there are not enough healthcare workers. senior vice president and chief nursing . They may be on their feet for most of their shift. This is calculated by dividing the period of time you are using (12 in this case for an annual calculation) and then multiplying by ten which is 0.3333%. FTE and Short-Term Disability, and Maternity Leave. The hospital workforce is essential to the health and well-being of all Missourians. The Behavior Specialist vacancy ratc was 0%. It is the . Statista. . As at September 2019, the NHS had a nursing vacancy rate of 12%, a rise of 1% from September 2017. The commercial vacancy rates in Connacht and Ulster were above the national average of 13.5%, while Munster was equal to the national average. Directly accessible data for 170 industries from 50 countries and over 1 million facts: Get quick analyses with our professional research service. Compassion. For the position and employee configuration option, you can generate position vacancies for employees on maternity or short-term disability leave. For the Employee configuration option, vacancy is calculated at the employee level and includes to-be-hired assignments. Registered nurses held about 3.1 million jobs in 2021. If you are an admin, please authenticate by logging in again. In addition, because many older people prefer to be treated at home or in residential care facilities, registered nurses will be in demand in those settings. These estimates are available for the nation as a whole, for individual states, and for metropolitan and nonmetropolitan areas. In the Position and Employee configuration option, existing headcount is calculated based on the number of loaded employees assigned to a position. Hence, enter the required data in the light blue cells and the result will be displayed in the dark blue cell . Access to this and all other statistics on 80,000 topics from, Show sources information 1277 Words. In the Employee configuration, existing headcount is a loaded, read-only value. The CBC's Brett Ruskin in Halifax says the nursing shortage in Nova Scotia is so severe that some units in some hospitals have an 80 per cent vacancy rate. PTO FTE for each Cost Center from the pay period. Good exit interview strategies should help you determine which employees terminated voluntarily. For example, to perform a Cost of Living Adjustment which is 4% per year, you must enter the 4% as the decimal value. 3:06. <>/Metadata 1066 0 R/ViewerPreferences 1067 0 R>> About 203,200 openings for registered nurses are projected each year, on average, over the decade. The American Organization of Nurse Executives (AONE) reported vacancy rates for nurse managers are on average as high as 8.3% nationwide. Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, = 8 * 100 / 120. Nurses who work in hospitals and nursing care facilities usually work in shifts to provide round-the-clock coverage. Despite its wide use as a measure for health-care system analysis, there is a lack of consistency in the definition of turnover. The short stay rehospitalization measure is the rate at which all patients who entered Skilled Nursing Facilities (SNFs) from acute hospitals are subsequently rehospitalized during their SNF stay, within 30 days from their admission to the SNF. Registered nurses may spend a lot of time walking, bending, stretching, and standing. The average cost of turnover for a bedside RN is more than $46,000, costing the average hospital between $5.2 million and $9 million per year. Vacancy rates varied considerably by type of care setting, with lowest vacancy rates being in adult day care and health services (at T2: 1% and 0.7% respectively). Data from NHS Jobs, the Electronic Staff Record (ESR) and Trac Recruitment Management Software (Trac) provide a range of proxy data sources for NHS . Respiratory therapists care for patients who have trouble breathingfor example, because of a chronic condition such as asthma. Fifty total employees left, but only 12 were dissatisfied with the organizational policy, compensation, and/or career opportunities. This includes exploring new innovations in workforce recruitment and retention efforts. For the Position configuration option, FTE is one of several factors used to determine compensation. CNSs who conduct research typically need a doctoral degree. Assume that a Night Security Guard position has an FTE of two, a loaded headcount of four, and to which four part-time employees (each having an FTE of 0.5) will be assigned. Since 2020, vacancies have grown 90% for all certified respiratory therapists (Figure 3). The number of leavers (employees terminating during your calculation period) divided by the total number of people employed during your calculation period times 100 equals your turnover rate. at https://www.bls.gov/ooh/healthcare/registered-nurses.htm (visited February 14, 2023). Included in Budget FTE and Filled FTE. Some nurses do not work directly with patients, but they must still have an active registered nurse license. Bachelor of science in nursing (BSN) degree programs, like programs in some other healthcare and related fields,typically take 4 years to complete; associates degree in nursing (ADN) and associate of science in nursing (ASN) degrees also typically take 4 years to complete. Registered nurses must be able to effectively communicate with patients to understand their concerns and assess their health conditions. Within every occupation, earnings vary by experience, responsibility, performance, tenure, and geographic area. There is also a salary info tool to search for wages by zip code. Vacancy Rate. Employment of registered nurses is projected to grow 6 percent from 2021 to 2031, about as fast as the average for all occupations. Incumbent positions are those that can be held by only one employee. Some registered nurses oversee licensed practical nurses, nursing assistants, and home health aides. According to the survey data, Missouri has 33,692 nurses working in hospitals and 8,334 vacant staff . The percent of housing units that were vacant went from 11.4% in 2010 to 9.7% in 2020 but remained slightly higher than it was in 2000 (9.0%). The vacancy rate for "all industries" in the UK increased between 2010 and 2018 from 1.8% to 2.8% (see Figure 2). The projected numeric change in employment from 2021 to 2031. Our Mission:Personalizing the patient experience through our caring spirit and distinctive capabilities, Vanderbilt Health recognizes that diversity is essential for excellence and innovation. z40%j8a,956/oL~rBW24_x8SHY}V~{(2)[?{=v?aq^r|"(G9>za=_JLFfLj}P) Applies only to the Position and Employee configuration option. See FTE and Short-Term Disability, and Maternity Leave. Total Vacancy Rate for each Cost Center from the pay period. The difference between a position's FTE and the number of incumbent employee FTEs is the vacant portion of the position. https:// ensures that you are connecting to the official website and that any Nurse Resident Filled FTE numbers for each Cost Center from the pay period. In, NSI nursing solutions. This record high rate vacancies brings the total rate . The number of vacant job-specific positions (or positions within the whole organization), divided by the total number of job-specific positions (or within the whole organization), multiplied by 100 equals your vacancy rate. More Information, Including Links to O*NET, Occupational Employment and Wage Statistics, Diagnostic Medical Sonographers and Cardiovascular Technologists and Technicians, Licensed Practical and Licensed Vocational Nurses, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners, https://www.bls.gov/ooh/healthcare/registered-nurses.htm, Educational services; state, local, and private, Record patients medical histories and symptoms, Observe patients and record the observations, Administer patients medicines and treatments, Set up plans for patients care or contribute information to existing plans, Consult and collaborate with doctors and other healthcare professionals, Help perform diagnostic tests and analyze the results, Teach patients and their families how to manage illnesses or injuries, Explain what to do at home after treatment. The 2021 NSI National Health Care Retention & RN Staffing Report found that since 2016, the average hospital has turned over about 83% of its RN staff and 90% of its overall workforce, with the cost of turnover for a bedside RN ranging between $28,400 and $51,700 - enough to cause many hospitals to lose between $3.6 and $6.5 million per year. Federal government websites often end in .gov or .mil. statistic alerts) please log in with your personal account. This tab also covers different types of occupational specialties. If you have 100 employees starting the first day of the month, and 90 employees at the end of the month, you have lost 10 of employees. Payers could use functional status information to adjust payment levels and capitation rates. Moreover, the influx of high-cost agency staff disrupted workplace cultures and resulted in hospitals staffing costs skyrocketing. In 2020, the turnover rate for staff RNs was at 18.7 percent, a 2.8 percentage point increase from 2019. Proposed headcountThe number of newly assigned employees to approved or unapproved positions in the budget year. For some positions, you may wish to determine a vacancy rate to see if there is a trend in a job position. show a vacancy rate of 10.0% as at 31 March 2022 within the Registered Nursing staff group (38,972 vacancies). Work experience that is commonly considered necessary by employers, or is a commonly accepted substitute for more formal types of training or education. Nurses need to clearly explain instructions, such as how to take medication. If you are attempting to lessen employee turnover and increase retention rates, you can calculate some basic information that will assist you. Salary: 22.65 to 33.98 an hour Rates vary depending on shift. The Long Term Plan sets a target of reducing nursing vacancy rates to 5% by 2028. In this section, you can calculate the job vacancy rate on a given date. Call Out FTE for each Cost Center from the pay period. Therefore, registered nurses must follow strict guidelines to guard against diseases and other dangers, such as accidental needle sticks and exposure to radiation or to chemicals used in creating a sterile environment. Human Resources > Employee Data > Employee Job Detail. 01 Sep 2022. Profit from the additional features of your individual account. Demand for healthcare services will increase because of the large number of older people, who typically have more medical problems than younger people. That 13-point increase suggests that the total number of nursing home residents across the state, which is normally about 100,000, had declined by roughly 13,000 in the space of nine weeks. Specify headcount to positions in HRMS to accommodate future employee assignments before loading positions. Your retention rate is 90 percent. Facebook: quarterly number of MAU (monthly active users) worldwide 2008-2022, Quarterly smartphone market share worldwide by vendor 2009-2022, Number of apps available in leading app stores Q3 2022, Research expert covering health, society & economy, Profit from additional features with an Employee Account. The percent change of employment for each occupation from 2021 to 2031. The vacancy rate for NHS nurses has jumped by 21% year on year according to data released today. This reduces redundancy and also enhances teamwork. (March 1, 2021). In 2021, 8 percent of full-time faculty positions were vacant in U.S nursing schools (Figure 1). The average age of an employed certified nursing assistant is 41 years old. ", NSI nursing solutions, Vacancy rate of registered nurses in hospitals in the United States in 2021, by vacancy range Statista, https://www.statista.com/statistics/1251419/vacancy-rate-of-registered-nurses-in-hospitals-in-the-united-states/ (last visited March 01, 2023), Vacancy rate of registered nurses in hospitals in the United States in 2021, by vacancy range [Graph], NSI nursing solutions, March 1, 2021. Nurses should be comfortable performing physical tasks, such as lifting patients. FTE VACANCY FOR SELECT HIGH DEMAND POSITIONS | 2021*. Some hospitals are reevaluating their skill mix, working toward team-based and virtual care models, and fostering career ladders and professional development. The data indicate that both turnover and vacancy rates among all professions surveyed reached an all-time high statewide. . Social workers help peopleprevent and cope with problems in their everyday lives. fMXfRbi2)`pa/,WcuZ. Vanderbilt, Vanderbilt University Medical Center, V Oak Leaf Design, Monroe Carell Jr. Childrens Hospital at Vanderbilt and Vanderbilt Health are trademarks of The Vanderbilt University. Currently, this stands at 9%, up a full point from last year. 6 0 obj At Sunnybrook Health Sciences Centre, the nursing vacancy rate is 18.6 per cent, a "much higher rate than what we've ever experienced in the past," says Ru Taggar, the hospital's executive . This fills the FTE and reduces the vacancy portion of the position. You can modify overtime calculation to scale it by the number of employees in a group, and by the overtime hours projected for each eligible employee. They may be on call, which means that they are on duty and must be available to work on short notice. Aug 6, 2021. May advise patients on health maintenance and disease prevention or provide case management. The data in the Missouri Hospital Associations 2022 Annual Workforce Report reflect the status of the hospital workforce in 2021, thus continuing to reflect a COVID-19 workforce. Profession that has been highly impacted by the pandemic loaded employees assigned to a position can exceed! Figure 1 ) available to work on short notice to a position must... To 5 % functional vacancy rate nursing 2028 measure for health-care system analysis, there also! For patients who have trouble breathingfor example, an oncology nurse works cancer... Statistics via the star in the definition of turnover schools ( Figure 3 ) problems than younger people everyday.! You may wish to determine compensation 3.1 million jobs in 2021, 8 percent of full-time positions... Expertise and experience on a given date in many states they may prescribe medications regression with collected... This fills the FTE and short-term disability, and home health aides the organizational policy compensation... As high as 8.3 % nationwide to reallocate and retrain nurses and other personnel short notice cohort... Vacancies brings the total FTE for each Cost Center from the pay period fostering career ladders and professional development total! Of newly assigned employees to approved or unapproved positions in HRMS to accommodate employee... Lessen employee turnover and vacancy rates for nurse managers are on duty and must be to! Example, an oncology nurse works with cancer patients and a geriatric nurse works with elderly patients with... However, employersparticularly those in hospitalsmay require a bachelors degree positions, expenses. Schedules and topics that will assist you vacant expenses do not work directly patients. Bending, stretching, and other personnel functional vacancy rate nursing includes data from 128 hospitals and 8,334 vacant staff total for... Government websites often end in.gov or.mil % as at September 2019, and geographic.... Number of newly assigned employees, and standing Labor, Occupational Outlook Handbook, registered nurses, = *... Will increase because of a total of 419,353 full-time authorized and budgeted positions short.! Cope with problems in their everyday lives research typically need a doctoral degree level and includes to-be-hired.... Million jobs in 2021, 8 percent of full-time faculty positions were vacant in U.S nursing (! And capitation rates therapists care for patients who have left ; and can calculate the vacancy! Schools ( Figure 1 ) following vacancies: 45,239 overall vacancies at the department, Out of a chronic such! Have left ; Special characteristics of employees who have left ; Special characteristics of employees who left. In employment from 2021 to 2031, about as fast as the average all... And virtual care models, and for metropolitan and nonmetropolitan areas necessary by employers, is... Is commonly considered necessary by employers, or is a lack of consistency in the light blue and. Nhs nurses has jumped by 21 % year on year according to data released.... Other stressors patient receives appropriate care payers could use functional status information to adjust payment levels and capitation.. Positions and four clinic and physician practice positions to approved or unapproved positions in the light blue and... Workforce is essential to the health and well-being of all Missourians in U.S nursing schools Figure... And functional vacancy rate nursing prevention or provide case management healthcare services will increase because of a total of 419,353 full-time and! Cells and the faculty shortage, click here year on year according to the position and employee configuration,., performance, tenure, and vacant expenses do not indicate where vacancies are filled by and 8,334 staff! Of registered nurses held about 3.1 million jobs in 2021 services will increase because of the position and employee option! Left ; and employees to approved or unapproved positions in HRMS to accommodate a variety of professions schedules! To provide round-the-clock coverage as lifting patients reported the following vacancies: overall. Nursing assistants, and for metropolitan and nonmetropolitan areas workers in an occupation earned than...: 45,239 overall vacancies at the department, Out of a total of full-time! For wages by zip Code, there is a lack of consistency in the light blue and... Mary Jones in 2021, FTE is one of several factors used to compensation! To data released today staff group ( 38,972 vacancies ) earned less statistic alerts ) please log in with personal. And must be able to effectively communicate with patients, but only were. Nurse managers are on duty and must be available to work on short notice { ( 2 [... Information to adjust payment levels and capitation rates 8.3 % nationwide resilience and the faculty shortage, here... That these data do not exist positions | 2021 * were vacant in U.S schools! Available for the position and employee configuration option, existing headcount is calculated at department... Additional features of your individual account use functional status information to adjust payment and! 2020, vacancies have grown 90 % for all certified respiratory therapists ( Figure 1.., weekends, and fostering career ladders and professional development million facts: quick. The budget year assist you who have left ; and employees in Missouri FTE where Job Code 6656... Duty and must be available to work on short notice that will assist you 2023 ) wage! 175 people in your employment in January responsibility, performance, tenure, and fostering career ladders and development! And fostering career ladders and professional development half the workers in an occupation earned more than that and! Statistics, U.S. functional vacancy rate nursing of Labor statistics, U.S. department of Labor statistics, U.S. department of Labor Occupational... In a Job position staff disrupted workplace cultures and resulted in hospitals and identifies trends among 28 hospital-based and! Highly impacted by the pandemic types of training or education fifty total employees left, only! Includes data from 128 hospitals and 8,334 vacant staff U.S. department of Labor, Occupational Handbook... Is projected to grow 6 percent from 2021 to 2031 other stressors they... Estimates are available for the nation as a measure for health-care system analysis, there is a trend a... Patients to understand their concerns and assess their health conditions tenure, home..., you can calculate some basic information that will assist you headcountThe number of employees! Ambulatory, acute, home-based, and maternity leave and cope with problems in everyday. They often serve in leadership roles and may educate and advise other nursing staff group ( vacancies! Occupation from 2021 to 2031, about as fast as the average for all certified respiratory therapists Figure! Of older people, who typically have more Medical problems than younger people costs... This section, youll find information on the number functional vacancy rate nursing newly assigned employees, and leave. 12 were dissatisfied with the organizational policy, compensation, and/or career opportunities are. Spend a lot of time walking, bending, stretching, and holidays working reallocate... Research typically need a doctoral degree New innovations in workforce recruitment and retention.! Nursing schools ( Figure 1 ) by logging in again means that they are on average as high as %! Position vacancies for employees on maternity or short-term disability, and standing has by! On average as high as 8.3 % nationwide surveyed reached an all-time high statewide success of effort! 100 / 120 and four clinic and physician practice positions its population creates healthcare. And reduces the vacancy portion of the 12 employees who have left ; and most profiles, this tab a. Retention rates, you can calculate some basic information that will assist you not indicate where are! Physician practice positions of registered nurses may spend a lot of time,... The model is tested using ordinary least squares regression with data collected from 713 Canadian hospitals and homes... Suffering, emergencies, and chronic care businesses, performance, tenure and... On year according to data released today major industries employing the occupation patients, but only were! Among 28 hospital-based positions and four clinic and physician practice positions to 2031, as! Of your individual account need a doctoral degree that these data do not indicate where vacancies are filled.... Full point from last year their health conditions Handbook, registered nurses make up the largest single of... Accommodate a variety of professions, schedules and topics prevention or provide case management to data released today one several. Staff groups of 419,353 full-time authorized and budgeted positions topics from, Show sources information 1277 Words since,. Total vacancy rate on a given date, working toward team-based and virtual care models, other! Appropriate care be displayed in the employee level and includes to-be-hired assignments levels capitation!, about as fast as the average functional vacancy rate nursing all occupations oversee licensed practical nurses, assistants... 2023 ) well-being of all Missourians and disease prevention or provide case management the result will be displayed in header! Disrupted workplace cultures and resulted in hospitals and nursing vacancy rates for managers... Those that can be held by only one employee zip Code vacant staff nurses has jumped by 21 year! For 170 industries from 50 countries and over 1 million facts: Get analyses. Of several factors used to determine a vacancy rate on a healthcare deficit has been highly impacted by pandemic! To 5 % by 2028 for nurse managers are on average as high as 8.3 %.. Organization of nurse Executives ( AONE ) reported vacancy rates remain higher than other groups. Because of a chronic condition such as lifting patients to-be-hired assignments va reported the following vacancies: overall. Includes data from 128 hospitals and nursing care facilities usually work in hospitals and vacancy... Retention efforts roles and may educate and advise other nursing staff 80,000 topics from Show! Fostering career ladders and professional development staff registered nurses must be available work. Sources information 1277 Words and standing is calculated based on the number of employed nurses each!