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The Cost of Agency Nursing: A Conceptual Analysis and Potential Path Forward

Scales, Laura (2023) The Cost of Agency Nursing: A Conceptual Analysis and Potential Path Forward. Master's Thesis, University of Pittsburgh.

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The COVID-19 pandemic accelerated nursing labor trends. Nurses facing difficult working conditions and increased demand for their labor retired or joined nursing agencies. Prior to the pandemic, agency nurses were hired by healthcare institutions to fill critical, short-term staffing needs. Agency nurses are now employed for routine, long-term contracts resulting in higher operational costs and reduced profitability. Staff nurses frustrated by low compensation and poor work environments chose agency contracts for higher salaries and increased flexibility. Institutions, with legal obligations to meet safe staffing requirements, have little choice but to hire agency at these high prices. To address this staffing shortfall, the supply of Foreign Educated Nurses (FENs) should be increased. Nursing programs should be incentivized to expand. Nurses need support and proper compensation to become educators in these programs. If these issues are not addressed, healthcare institutions will continue to pay the high costs associated with agency nursing.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master's Thesis)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Scales, Laurales231@pitt.edules2310009-0000-4299-6705
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairDrake, Colemancdrake@pitt.educdrakeUNSPECIFIED
Committee MemberDierkes, Andrewamd323@pitt.eduamd323UNSPECIFIED
Date: 11 May 2023
Date Type: Completion
Submission Date: 9 April 2023
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 29
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: Economics, nurse staffing challenges, travel nursing
Date Deposited: 11 May 2023 18:21
Last Modified: 11 May 2023 18:21


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