©2013 The Advisory Board Company • advisory.com
360-Degree Nurse
Staffing Benchmarks Unit- and Site-Specific Snapshots
Nursing Executive Center
©2013 The Advisory Board Company • 27092 advisory.com
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2
Project Director
Kate Vonderhaar
Contributing Consultants
Jessica Downing
Ann Forman
Isabel Yoon
Design Consultant
Matt Starchak
Practice Manager
Katherine Virkstis, ND
Nursing Executive Center
Managing Director
Jennifer Stewart
Executive Director
Steven Berkow, JD
©2013 The Advisory Board Company • 27092 advisory.com
Table of Contents
3
Executive Summary………………………………………………………………………………………………………………....
Special Message from the Nursing Executive Center………………………………………………………………………....
Methodology………………………………………………………………………………………………………………………...…
Understanding and Applying Staffing Benchmarks……………………………………………………………………........
First Findings from the 360-Degree Nurse Benchmarking Database.………………………………………….................
All Respondent Demographics…………………………………………………………………………………………………...
Staffing Trade-Off Analyses for Select Unit Types and Non-Acute Care Sites………………………………………….
Snapshots of Acute Care Hospital Unit Types………………….……………………………………………………………..
Cardiac……………………………..……………………………………………………………………………………………….
Critical Care………………………………………………………………………………………………………………….……..
Emergency Department…………………………………………………………………………………………………….……..
Interventional Procedure…………………………………………………………………………………………………….…….
Medical.……………………………………………………………………………………………………………………….…….
Medical/Surgical……………………………………………………………………………………………………………….…..
Neurology/Neurosurgery………………………………………………………………………………………………………….
Nursery/NICU………………………………………………………………………………………………………………….…..
OB-GYN/Labor and Delivery…..…………………………………………………………………………………….…….…….
Observation/Short-Stay………………………………………………………………………………………….………………..
Oncology………………………………………………………………………………………………….………………………...
Operating Room…………………………………………………………………………………………………………….……..
Pediatrics……………...…………………………………………………………………………………………………….……..
Post-Acute Care Unit ……………………………………………………………………………………………………….……..
Psychiatric/Behavioral Health……………………………………………………………………………………………….…....
Rehab………………………………………………………………………………………………………………………….…....
Step-Down…………………………………………………………………………………………………………………….…….
Surgical………………………………………………………………………………………………………………………….…..
Telemetry…………………………………………………………………………………………………………………………...
Snapshots of Non-Acute Care Sites……………………………………………………………………………………………..
Physician Practices…………………………………………………………………………………………………………………
Ambulatory Centers…………………………………………………………………………………………………………….....
Post-Acute Care Organizations.…………………………………………………………………………………………………
Appendix: Nursing Executive Center 360-Degree Nurse Benchmarking Surveys……………………………………….
5
7
9
11
15
19
29
39
40
43
46
49
51
54
57
60
63
66
67
70
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76
79
82
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86
89
93
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100
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©2013 The Advisory Board Company • 27092 advisory.com 4
Available Within Your Nursing Executive Center Membership
Staffing to Provide Safe, Cost-Effective Care
The Nursing Executive Center has developed numerous resources to assist nurse leaders in staffing to
deliver safe, cost-effective care. Select resources are shown here. All resources are available in unlimited
quantities through the Nursing Executive Center.
Achieving Top-of-License
Nursing Practice
Best Practices for Elevating the
Impact of the Frontline Nurse
• Defining “Top-of-License” Practice
• Protecting Nurses from Avoidable
Time Sinks
• Removing Interprofessional Barriers
to Full Scope of Nursing Practice
The Highly Productive
Nursing Organization
Multimedia Presentation on Safely
Streamlining Clinical Labor Costs
• Decreasing Non-Value-Added
Time at the Bedside
• Hitting Existing HPPD Targets
More Cost Effectively
• Matching Staffing to Fluctuating
Patient Demand
Bridging the Preparation
Practice Gap: Volumes I and II
Best Practices for Accelerating Practice
Readiness of Nursing Students
• Assessing Competency of New
Graduate Nurses
• Developing Targeted Clinical Rotations
• Enhancing Clinical Instruction
• Providing Exceptional Student
Experiences
The ADT Efficiency Toolkit
Benchmarking, Analyzing, and Managing
Admissions, Discharges, and Transfers
• Incorporating Data into Throughput
Decision Making
• Analyzing ADT Activity
• Realigning Existing Staff with
ADT Needs
AVAILABLE ONLINE
To access these resources or order hard copies of the publications,
please visit the Nursing Executive Center’s website: advisory.com/nec
©2013 The Advisory Board Company • 27092 advisory.com
Executive Summary
5
Nurse Leaders Forced to Make Trade-Offs with Every Staffing Decision
Nurse leaders routinely make difficult decisions about how to structure care teams to deliver safe and cost-
effective care. These decisions inherently involve trade-offs: investing in one aspect of a care team often
requires scaling back in another.
Historically, nurse leaders have had to make these staffing trade-offs without access to benchmarks or
comparative data. To date, nearly all staffing benchmarks have focused exclusively on a single element of a care
team, such as the ratio of nurses to patients, or the percentage of nurses with bachelor degrees. While providing
helpful context for each individual element of a care team, these individual benchmarks do not capture the full
composition of a care team and the inherent trade-offs made by nurse leaders in assembling it.
Enabling More Informed Trade-Offs Through 360-Degree Benchmarks
Our goal is to fill this gap by equipping nurse leaders with a unique set of benchmarks that quantify multiple
elements of a care team, as well as their peers’ decisions about difficult trade-offs across multiple elements of a
care team.
To that end, the Nursing Executive Center assembled the 360-Degree Nurse Benchmarking Database. It
contains multiple staffing variables for more than 2,600 acute care hospital units and ambulatory sites. Staffing
variables include: nurse workload, education, specialty certification, experience, and amount of support staff.
These benchmarks provide nurse leaders with quantitative analysis of how peers at like institutions are allocating
scarce staffing resources. For example, the benchmarks equip nurse leaders to answer the question: if they
choose to invest in creating more favorable nurse-to-patient ratios, what may be the impact on the level of
support staff and nurse preparation?
Read the Full Publication to Learn More
This report offers 360-degree staffing benchmarks for 19 types of acute care hospital units, as well as for
physician practices, ambulatory centers, and post-acute care organizations. These benchmarks provide nurse
leaders with a unique dataset quantifying trade-offs among staffing variables (including: nurse workload,
education, specialty certification, experience, and amount of support staff) within the same type of unit or
ambulatory site.
©2013 The Advisory Board Company • 27092 advisory.com 6
©2013 The Advisory Board Company • 27092 advisory.com
Special Message from the
Nursing Executive Center
7
©2013 The Advisory Board Company • 27092 advisory.com
Special Message from the Nursing Executive Center
8
With Deep Appreciation to Participating Nurse Leaders
The Nursing Executive Center created the 360-Degree Nurse Benchmarking Database—which contains data
from 19 different types of acute care hospital units and a wide range of ambulatory and post-acute care sites—
with the help of thousands of nurse leaders around the country. Nearly 4,500 leaders responded to our request
for staffing data. In addition, nurse leaders ranging from chief nursing officers to frontline managers offered
valuable feedback on initial drafts of the benchmarking survey. We are sincerely grateful to all the nurse leaders
who participated in the survey’s development and who submitted data.
Forthcoming Reports Based on the 360-Degree Nurse Benchmarking Database
In response to tremendous member interest in the survey results, this report is intended to be the first of many
analyzing this database. In the coming months, we will issue supplemental reports offering further analysis,
which will include the data elements shown in the box below. To help us prioritize our analyses, we welcome
member feedback about which information would be most valuable. To share feedback, please contact your
Advisory Board Account Manager.
Additional Variables
Analyzed in Future Reports
Core Care Team Elements
Analyzed in All Reports
• Patient satisfaction
• Falls per patient day
• Pressure ulcers per patient day
• ADT index
• Number of unit-based pharmacists
• Number of unit-based environmental
service staff
• Number of unit-based transport staff
• Number of unit-based secretaries
• Magnet designation
• Union status
• RN-to-patient ratio
• RN-to-assistant ratio
• BSN degree
• Specialty certification
• RN experience
©2013 The Advisory Board Company • 27092 advisory.com
Methodology
9
Access the Benchmarking Surveys
The Nursing Executive Center’s 360-Degree Nurse Benchmarking Surveys for acute
care hospital units and ambulatory sites can be found in the Appendix of this report.
These surveys, along with the survey for post-acute care organizations, can be
accessed through an online version of this publication on advisory.com/nec.
©2013 The Advisory Board Company • 27092 advisory.com
Methodology
10
Data Collection
The Nursing Executive Center conducted an online survey in the spring of 2013 to collect data for the 360-
Degree Nurse Benchmarking Database. We emailed the survey link to approximately 27,000 health care
leaders. Nearly 4,500 unique respondents (16.9% of the sample) started the survey. More than 2,600 nurse
managers and directors submitted usable1 data, representing a final response rate of 9.9%. Respondents work
for hospitals, ambulatory sites, and post-acute care organizations of varying size and scope. Complete
respondent demographic information can be found on page 19.
Survey Design and Segmentation
All respondents self-selected their main work site from the following five options:
1. Acute care hospital unit (for example, medical/surgical, ICU, emergency department)
2. Outpatient ancillary department (for example, outpatient rehab, lab, imaging)
3. Physician office/clinic (for example, primary care office, specialty physician practice)
4. Other outpatient site (for example, dialysis center, cancer center, ambulatory surgical center)
5. Post-acute care facility or service (for example, skilled nursing facility, long-term acute care
hospital, home health, hospice)
The survey questionnaire changed slightly based on the option participants selected. The participants’ selection
of main work site determined if question sets were modified, added, or omitted to ensure they were relevant to
the participants’ work setting. If survey respondents worked at more than one site (for example, they managed
multiple units), they were instructed to report data for the unit or site with the largest number of staff nurses.
Study Limitations
Nursing Executive Center researchers made every effort to ensure the benchmarks in this report are accurate.
However, nurse leaders should be aware of the following study limitations:
• Potential response bias. Nurse leaders facing perceived staffing challenges may have greater
interest in staffing benchmarks and may have been more likely to participate in the survey. This
response bias may skew the data.
• Data based on nurse leader estimates. Several of the survey questions asked respondents to
estimate the percentage of staff nurses at their main work site who meet particular criteria (for
example, the percentage of staff nurses with more than five years of nursing experience). This method
of collecting data may not be as accurate as aggregating responses from staff nurses themselves or
analyzing personnel records.
• Limited sample size for select groups. In some instances, sample sizes for data segments are
relatively small. The sample size (“n”) is listed for each group. Results with smaller sample sizes may
not necessarily reflect national figures and should be used only as guidelines.
• Aggregate data includes sites with unique characteristics. Whenever possible, we provide cohort-
specific benchmarks (for example, by facility type or geographic region) to enable nurse leaders to
compare their staffing data to benchmarks from peer organizations. However, even the cohort-specific
benchmarks likely include data from some organizations with unique characteristics (for example,
patient population, payer mix, or patient volume) that may not match your unit’s or site’s.
1) Usable data was limited to responses that included the respondent’s role, state, specific work site (i.e., type of acute care hospital unit,
type of physician practice, etc.), number of nurses at the work site during a typical weekday shift, and the number of patients per nurse.
©2013 The Advisory Board Company • 27092 advisory.com
• How to Read Staffing Trade-Off Analysis Tables
• How to Read Unit- and Site-Specific Snapshots
Understanding and Applying
Staffing Benchmarks
11
©2013 The Advisory Board Company • 27092 advisory.com 12
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
4) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a
typical weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
6) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Due to the smaller sample size for non-acute care sites, we include sites where 40% to 60% of staff RNs have a BSN degree.
How to Read Staffing Trade-Off Analysis Tables
This report provides Staffing Trade-Off Analysis Tables for select acute care units and non-acute care sites. The
goal of these analyses is to quantify how nurse leaders allocate their staffing resources and make trade-offs
among key staffing variables including RN-to-patient ratio, RN-to-assistant ratio, nurse education, specialty
certification, and experience. This page explains how to read the Staffing Trade-Off Analysis Tables, which begin
on page 29.
Staffing Trade-Off Analysis: Medical/Surgical Unit1
The first few rows in the table include the most
common RN-to-patient ratios we found in the
data for that particular unit or site. In this
example, RN-to-patient ratios of 1:4, 1:5, and 1:6
were most common in the medical/surgical unit
data. If you do not see your unit or site’s RN-to-
patient ratio in a table, the ratio was not common in
our sample.
3
The last rows in each table show three levels of
BSN preparation. For the sake of consistency
across unit and site types, we show how 20% or
less BSN preparation, 50%7 BSN preparation, and
80% or more BSN preparation impact other key
care team elements.
4
Reading down a column allows you to see how
peers at like units are allocating scarce staffing
resources. In this example, this column shows the
trade-offs nurse leaders are making in the number
of assistants available to support each RN. As you
might expect, the data shows that the more
patients a nurse cares for, the more assistants
there are on the unit to support him or her.
5
Bold formatting indicates the independent
variable—the one we’re changing to see how it
interacts with other variables. In the first three rows
of this example, the RN-to-patient ratio is the
independent variable. The independent variable in
the last three rows is the level of BSN
preparation.
1
Read across each row to see how the value of
the independent variable impacts other key
elements of a care team. In this example, this row
shows the median RN-to-assistant ratio and
median percentage of RNs with a BSN degree on
medical/surgical units with a 1:5 RN-to-patient
ratio.
2
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
How to Read Unit- and Site-Specific Snapshots
13
This report includes staffing snapshots of specific acute care hospital unit types and non-acute care sites. The
Nursing Executive Center recommends using the three-step approach shown below to apply these staffing
benchmarks to your unique unit or non-acute care site.
The more specific you make your comparison—for example, comparing your staffing data to benchmarks for
medical/surgical units in a particular geographic region—the smaller the sample size will be. For this reason, we
recommend you start with the shaded column titled “Entire Cohort” to compare your data to the most valid
benchmarks with the largest sample size before you make more specific comparisons.
1) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
2) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a
typical weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
4) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
5) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
7) Due to the smaller sample size for non-acute care sites, we provide cohort benchmarks for sites of a similar type (for example: ambulatory surgical centers, primary
care practices, skilled nursing facilities), but we do not provide cohort benchmarks for non-acute care sites by geographic region or site size.
8) For more information, type “Towards Evidence-Based Staffing” into the search engine on advisory.com and view Tool #6: Unit Assessment Worksheet and Tool #7:
Guide to Crosswalking Unit Attributes to Staffing Priorities.
Acute Care Hospital Unit Snapshot: Medical/Surgical Unit
Factor in “real-world”
considerations. Real-world
circumstances, such as your local
nursing pipeline and patient
population, will impact how
achievable the benchmarks are for
your unique unit or site.8
3
Compare your staffing data to
benchmarks for the specific
cohort(s) most similar to your
unit or site. You can find peer
cohorts for acute care units by
looking for units in a similar
geographic region, hospital type, or
hospital size. You can find peer
cohorts for non-acute care sites by
looking for sites of a similar type.7
2
Compare your staffing data to
the national benchmarks shown
in the shaded column titled
“Entire Cohort.” The 50th
percentile (the median) for each
variable is in bold font: This number
falls squarely in the middle of all the
data reported for the care team
element.
1
©2013 The Advisory Board Company • 27092 advisory.com 14
©2013 The Advisory Board Company • 27092 advisory.com
First Findings from the 360-Degree
Nurse Benchmarking Database
15
©2013 The Advisory Board Company • 27092 advisory.com
First Findings from the 360-Degree
Nurse Benchmarking Database
Our preliminary observations drawn from the 360-degree benchmarks are shown below. These observations are not
intended to be a comprehensive analysis of the data but a starting point to help nurse leaders quickly identify high-level
trends.
Bachelor of Science in Nursing (BSN) Preparation
1. The BSN degree is less prevalent among RNs in post-acute care organizations than at all other studied sites.
The median percentage of staff RNs with a BSN degree is 50% for acute care hospital units, physician practices, and
ambulatory centers.1 At post-acute care sites,2 the median percentage of staff RNs with a BSN degree drops to 38%.
2. Across sites, hospitals most commonly require newly hired RNs to have or quickly earn a BSN degree.
About 15% of acute care hospital unit respondents report their organizations only hire nurses who already have a
BSN degree. An additional 25% of acute care hospital unit respondents report their organizations hire RNs who don’t
have a BSN degree, but require them to earn one within five years of employment. Fewer non-acute care
respondents report their organizations have such requirements: About 11% of physician practices and post-acute
care sites hire only baccalaureate-prepared RNs, and 10% of physician practices require RNs to earn a BSN degree
within five years of employment. For more information, please see page 22.
3. Units in teaching hospitals and larger hospitals have a greater proportion of staff RNs with a BSN degree.
Across all acute care hospital units, the median percentage of staff RNs with a BSN degree is 50%. This percentage
rises to 60% for units in teaching hospitals and falls to 45% for units in non-teaching community hospitals. Likewise,
the median is 65% for units at hospitals with more than 600 beds, but only 40% for units in hospitals with 200 beds or
fewer. For unit-specific data cuts by hospital type and bed size, please see the Snapshots of Acute Care Hospital
Unit Types beginning on page 39.
4. Acute care hospital units with more BSN-prepared RNs tend to have more specialty-certified RNs as well.
Regardless of unit type, units with a relatively larger percentage of baccalaureate-prepared RNs tend to have a larger
percentage of specialty-certified RNs. For more information, please see the Staffing Trade-Off Analyses on pages
29-35.
Specialty Certification
5. Across sites, ambulatory centers have the largest percentage of specialty-certified RNs.
The median percentage of RNs with a national specialty certification is 15% across all care settings. For all
ambulatory centers, the median percentage of specialty-certified RNs is 40% and rises to 70% for RNs in cancer
centers. Respondents at physician practices report the smallest percentage of RNs with a specialty certification: a
median of only 5%.
6. Units in teaching hospitals and larger hospitals have a greater proportion of specialty-certified RNs.
Across all acute care hospital units, the median percentage of staff RNs with a national specialty certification is 15%.
The median rises to 20% for units in teaching hospitals and falls to 10% for units in specialty hospitals. Likewise, the
median is 20% for units in hospitals with more than 400 beds, but only 10% for units in hospitals with 200 beds or
fewer. For unit-specific data cuts by hospital type and bed size, please see the Snapshots of Acute Care Hospital
Unit Types beginning on page 39.
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
16
1) Ambulatory centers include ambulatory surgical centers, cancer centers, dialysis centers, and infusion centers.
2) Post-acute care sites include skilled nursing facilities, long-term acute care hospitals, home health agencies, and hospice providers.
©2013 The Advisory Board Company • 27092 advisory.com
First Findings from the 360-Degree
Nurse Benchmarking Database
Nurse Workload
7. On acute care hospital units, RNs caring for fewer patients tend to have fewer assistants.
We examined how the number of patients per RN on acute care hospital units interacts with other care team
elements, including the number of assistants per RN. Among units of the same type (for example, critical care units
or medical/surgical units), units with a relatively smaller number of patients per RN generally have fewer assistants
per RN. For more information, please see the Staffing Trade-Off Analyses on pages 29-35.
8. Non-acute care sites seeing fewer patients each day per RN tend to have fewer support staff per RN.
To examine the workload of RNs at non-acute care sites, we compared the number of patients seen at a site during a
typical weekday with the number of RNs staffed to the site during a typical weekday. Non-acute care sites seeing
relatively fewer patients each day per RN tend to have fewer licensed practical nurses (LPNs) and assistants per RN.
For more information, please see the Staffing Trade-Off Analyses on pages 36-38.
Nurse Experience
9. The majority of staff RNs have more than five years of nursing experience.
Across all care settings, the majority of staff RNs have more than five years of nursing experience. The median
percentage of RNs with more than five years of experience is 75% across all sites, and the median percentage of
RNs with less than one year of nursing experience is just 5%.
10. More non-acute care RNs have more than five years of experience than acute care hospital RNs.
The median percentage of acute care hospital RNs with more than five years of nursing experience is 70%. The
median rises to 85% for post-acute care sites, 95% for ambulatory centers, and 100% for physician practices.
11. Units in larger hospitals have a smaller proportion of experienced RNs.
Across all acute care hospital units, the median percentage of staff RNs with more than five years of nursing
experience is 70%. The median rises to 75% for units in hospitals with 200 beds or fewer and falls to 60% for units in
hospitals with more than 600 beds. For unit-specific data cuts by hospital type and bed size, please see the
Snapshots of Acute Care Hospital Unit Types beginning on page 39.
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
17
©2013 The Advisory Board Company • 27092 advisory.com 18
©2013 The Advisory Board Company • 27092 advisory.com
All Respondent Demographics
19
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care
organization. If nurse leaders worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.
2) Defined as a nurse leader who oversees multiple managers.
3) Defined as a nurse leader who oversees a group of frontline nurses.
4) Physician practice, ambulatory center, or post-acute care organization.
5) Does not sum to 100% due to rounding.
All Respondent Demographics
Respondents’ Roles and Location
Respondents’ Roles, Main Work Site1, and Region
20
Respondents’ Geographical Distribution5
n=2,633
8%
9%
23% 25%
18% 16%
Respondents’ Roles
n=2,633
15%
18%
67%
Respondents’ Main Work Site
n=2,633
84% 16% Acute Care
Hospital Unit
Non-Acute
Care4
Nurse
Manager3
Nurse
Director2
Assistant Nurse
Manager/Supervisor
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care organization. If
nurse leaders worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.
2) Based on the survey question “Which of the following best describes the organization where you work?” Answer options: “Organization within a larger
system (for example, one hospital in a multi-hospital health system, one hospital with several outpatient clinics spread across the region, a physician
practice affiliated with a health system);” “Freestanding organization (for example, freestanding hospital, independent physician practice).”
3) Based on the survey question “At this site, are RNs represented by a union?” Answer options: No, Yes.
4) Based on the survey question “If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five years?”
Answer options: No, Yes, “My organization only hires RNs who already have a BSN.”
All Respondent Demographics
Respondents’ Main Work Site1
System Status, RN Unionization Prevalence, and BSN Requirements for New RN Hires
21
29%
Percentage of Respondents
at Unionized Sites3
n=2,619
15%
Percentage of Respondents at
Freestanding Organizations2
n=2,633
n=2,532
Percentage of Respondents
Reporting Their Organization Only
Hires RNs with a BSN Degree4
n=2,532
23%
Percentage of Respondents Reporting Their
Organization Requires Newly Hired RNs to
Earn a BSN Degree Within Five Years4
15%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care
organization. If nurse leaders worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.
2) Based on the survey question “Which of the following best describes the organization where you work?” Answer options: “Organization within a
larger system (for example, one hospital in a multi-hospital health system, one hospital with several outpatient clinics spread across the region, a
physician practice affiliated with a health system);” “Freestanding organization (for example, freestanding hospital, independent physician practice).”
3) Based on the survey question “At this site, are RNs represented by a union?” Answer options: No, Yes.
4) Based on the survey question “If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five
years?” Answer options: No, Yes, “My organization only hires RNs who already have a BSN.”
5) Ambulatory surgical center, cancer center, dialysis center, or infusion center.
6) Skilled nursing facility, long-term acute care hospital, home health agency, or hospice provider.
All Respondent Demographics
Respondents’ Roles and Main Work Site1
Detailed Report
Entire
Cohort
Acute Care
Hospital Unit
Non-Acute Care Sites
Physician
Practice
Ambulatory
Center5
Post-Acute
Care6
Respondents’
Roles
n 2,633 2,214 181 142 96
Nurse Manager 67.0% 65.9% 79.0% 71.1% 62.5%
Assistant Nurse
Manager/Supervisor 14.9% 15.3% 12.7% 11.3% 16.7%
Nurse Director 18.1% 18.8% 8.3% 17.6% 20.8%
Respondents’
Geographical
Distribution
n 2,633 2,214 181 142 96
New England/
Middle Atlantic
(CT, MA, ME, NH, NJ,
NY, PA, RI, VT)
23.2% 23.3% 13.8% 26.1% 34.4%
South Atlantic
(DC, DE, FL, GA, MD,
NC, SC, VA, WV)
18.2% 18.8% 13.3% 16.2% 15.6%
North Central
(IA, IL, IN, KS, MI, MN, MO,
ND, NE, OH, SD, WI)
25.4% 23.8% 37.6% 33.1% 28.1%
South Central
(AL, AR, KY, LA,
MS, OK, TN, TX)
16.4% 17.5% 14.4% 10.6% 5.2%
Mountain/Pacific
(AK, AZ, CO, HI, ID, MT,
NM, NV, OR, UT, WA, WY)
9.0% 8.4% 16.6% 8.5% 8.3%
California 7.7% 8.1% 4.4% 5.6% 8.3%
Percentage of Respondents at
Freestanding Organizations2
n 2,633 2,214 181 142 96
14.8% 15.7% 8.3% 12.0% 9.4%
Percentage of Respondents
at Unionized Sites3
n 2,619 2,201 180 142 96
28.7% 27.4% 44.4% 23.9% 35.4%
Percentage of Respondents
Reporting Their Organization Only
Hires RNs with a BSN Degree4
n 2,532 2,123 178 139 92
14.8% 15.3% 11.2% 13.7% 10.9%
Percentage of Respondents
Reporting Their Organization
Requires Newly Hired RNs to Earn
a BSN Degree Within Five Years4
n 2,532 2,123 178 139 92
22.8% 24.7% 10.1% 16.6% 13.0%
22
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
All Respondent Demographics
Staff RN Preparation at Respondents’ Main Work Site1
Staff RN Education, Certification, and Experience
23
0% 5%
15%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with Less
than One Year of Nursing Experience4
n=2,430
50%
75%
90%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with More than
Five Years of Nursing Experience5
n=2,487
1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care organization. If nurse leaders
worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.
2) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
5%
15%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with
a Specialty Certification3
n=2,538
30%
50%
70%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs
with a BSN Degree2
n=2,536
35%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse leaders reported data for one of four work sites: acute care hospital unit, physician practice, ambulatory center, or post-acute care organization. If nurse leaders
worked at more than one site, they were instructed to report data for the site with the largest number of staff nurses.
2) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
6) Ambulatory surgical center, cancer center, dialysis center, infusion center.
7) Skilled nursing facility, long-term acute care hospital, home health agency, hospice provider.
All Respondent Demographics
Staff RN Preparation at Respondents’ Main Work Site1
Detailed Report
Entire
Cohort
Acute Care
Hospital Unit
Non-Acute Care Sites
Physician
Practice
Ambulatory
Center6 Post-Acute Care7
BSN Degree2 n 2,536 2,126 177 141 92
Median 50% 50% 50% 50% 38%
Specialty Certification3 n 2,538 2,126 178 142 92
Median 15% 15% 5% 40% 10%
Less than One
Year of Experience4
n 2,430 2,075 150 119 86
Median 5% 5% 0% 0% 5%
More than Five
Years of Experience5
n 2,487 2,080 177 139 91
Median 75% 70% 100% 95% 85%
24
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse leaders who oversee multiple units were asked to report data
for the single unit which has the largest number of staff nurses.
2) Does not sum to 100% due to rounding.
Acute Care Hospital Unit Respondent Demographics
Acute Care Hospital Respondents’ Main Work Site1
Hospital Type, Magnet Designation, Bed Size, and Main Unit Type
25
39%
Magnet Status of
Respondents’ Hospital
n=2,185
Teaching 53% 42%
3% 2%
Community
(Non-teaching)
Specialty Other
Respondents’
Hospital Type
7% 14%
20%
19% 12%
10%
6%
14%
n=2,214
Respondents’
Main Unit Type2
6%
4%
4%
1%
5%
3%
3%
6%
4%
1%
8%
4%
3%
3%
2%
6%
14%
3%
Telemetry
Surgical
Step-Down
Rehab
Psychiatric/Behavioral Health
Pediatrics
PACU
Operating Room
Oncology
Observation/Short-Stay
OB-GYN/Labor and Delivery
Nursery/NICU
Neurology/Neurosurgery
Medical/Surgical
Medical
Interventional Procedure
Emergency Department
Critical Care
Cardiac
19%
n=2,214
n=2,208
Less than
100 Beds 100-200
Beds
201-300
Beds
301-400
Beds
401-500
Beds
501-600
Beds
601-700
Beds
More than
700 Beds
Number of Staffed Beds at
Respondents’ Hospital2
Magnet
Designated
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Acute Care Hospital Unit Respondent Demographics
Staff RN Scheduling on Respondents’ Main Unit1
Shift Lengths and Percentage of Hours Filled by Flexible Staff
26
0%
10%
30%
25thPercentile
50thPercentile
75thPercentile
Percentage of RNs
Working 8-Hour Shifts2
n=1,327
Percentage of Hours
Filled by Flexible Staff5
n=2,177
0% 0% 0%
25thPercentile
50thPercentile
75thPercentile
Percentage of RNs
Working 10-Hour Shifts3
n=1,327
0%
10% 10%
25th
Percentile
50th
Percentile
75th
Percentile
1) Nurse leaders who oversee multiple units were asked to report data for the single unit which has the largest number of staff nurses.
2) Based on the survey question “On this unit, approximately what percentage of RNs typically work 8-hour shifts?”
3) Based on the survey question “On this unit, approximately what percentage of RNs typically work 10-hour shifts?”
4) Based on the survey question “On this unit, approximately what percentage of RNs typically work 12-hour shifts?”
5) Based on the survey question “During a typical weekday shift on this unit, approximately what percentage of hours are filled by
flexible staff? (For example, PRN staff, float pool staff, agency staff).”
50%
90% 100%
25thPercentile
50thPercentile
75thPercentile
Percentage of RNs
Working 12-Hour Shifts4
n=1,327
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Acute Care Hospital Unit Respondent Demographics
Staff RN Preparation on Respondents’ Main Unit1
Staff RN Education, Certification, and Experience
27
0%
5%
15%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with Less than
One Year of Nursing Experience4
n=2,075
50%
70%
90%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with More than
Five Years of Nursing Experience5
n=2,080
1) Nurse leaders who oversee multiple units were asked to report data for the single unit which has the largest number of staff nurses.
2) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
5%
15%
35%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RN with a
Specialty Certification3
n=2,126
35%
50%
70%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs
with a BSN Degree2
n=2,126
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse leaders who oversee multiple units were asked to report data for the single unit which has the largest number of staff nurses.
2) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Acute Care Hospital Unit Respondent Demographics
Staff RN Preparation on Respondents’ Main Unit1
Detailed Report
BSN
Degree2
Specialty
Certification3
Less than
One Year of
Experience4
More than
Five Years of
Experience5
Entire Cohort n 2,126 2,126 2,075 2,080
Median 50% 15% 5% 70%
Hospital
Type
Teaching n 1,115 1,108 1,088 1,096
Median 60% 20% 5% 70%
Community
(Non-teaching)
n 904 911 881 878
Median 45% 15% 5% 70%
Specialty n 72 72 72 71
Median 50% 10% 10% 75%
Region
New England/
Middle Atlantic
(CT, MA, ME, NH, NJ,
NY, PA, RI, VT)
n 501 497 487 487
Median 50% 20% 5% 75%
South Atlantic
(DC, DE, FL, GA, MD,
NC, SC, VA, WV)
n 399 400 391 390
Median 50% 20% 10% 65%
North Central
(IA, IL, IN, KS, MI,
MN, MO, ND, NE,
OH, SD, WI)
n 506 508 495 497
Median 50% 15% 10% 65%
South Central
(AL, AR, KY, LA,
MS, OK, TN, TX)
n 368 368 360 361
Median 55% 15% 10% 65%
Mountain/Pacific
(AK, AZ, CO, HI,
ID, MT, NM, NV,
OR, UT, WA, WY)
n 180 181 176 177
Median 50% 20% 5% 70%
California n 172 172 166 168
Median 53% 20% 5% 75%
Hospital
Bed Size
0-200
Beds
n 441 444 428 428
Median 40% 10% 5% 75%
201-400
Beds
n 825 823 806 812
Median 50% 15% 5% 70%
401-600
Beds
n 455 455 449 445
Median 55% 20% 10% 70%
More than
600 Beds
n 403 402 390 393
Median 65% 20% 10% 60%
28
©2013 The Advisory Board Company • 27092 advisory.com
Staffing Trade-Off Analyses for Select
Unit Types and Non-Acute Care Sites
29
This section contains detailed Staffing Trade-Off Analyses for the unit types
and non-acute care sites listed below. The goal of these analyses is to
quantify how nurse leaders allocate their staffing resources and make trade-
offs among key staffing variables including: RN-to-patient ratio, RN-to-
assistant ratio, nurse education, specialty certification, and experience.
Acute Care Hospital Unit Types
• Critical Care……………………………………………………………………
• Emergency Department……………………………………………………..
• Medical/Surgical………………………………………………………………
• OB-GYN/Labor and Delivery………………………………………………..
• Psychiatric/Behavioral Health………………………………………………..
• Telemetry………………………………………………………………………
Non-Acute Care Sites
• Physician Practices…………………………………………………………..
• Ambulatory Centers………………………………………………………….
• Post-Acute Care Organizations……………………………………………..
30
31
32
33
34
35
36
37
38
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Critical Care Unit
Data Reported by Critical Care Unit Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For units with a 1:2 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?2 (n=254)
1:2 1:0.13 63% 30% 5% 60%
For units with a 1:3 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=20)
1:3 1:0.24 58% 15% 18% 60%
For units on which 20% or less of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables?3 (n=15)
1:2 1:0.17 20% 15% 10% 80%
For units on which 50% of staff
RNs have a BSN degree, what
are the median values of other key
nurse staffing variables? (n=32)
1:2 1:0.13 50% 23% 10% 73%
For units on which 80% or more of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables? (n=70)
1:2 1:0.13 80% 28% 5% 60%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?” We selected the RN-to-patient ratios to include
in the table based on the most common ratios we found in the data. If you do not see your unit’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency
across unit types, we show how 20% or less BSN preparation, 50% preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
6) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
30
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Emergency Department
Data Reported by Emergency Department Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For units with a 1:3 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?2 (n=26)
1:3.0 1:0.26 60% 23% 10% 70%
For units with a 1:4 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables? (n=63)
1:4.0 1:0.29 50% 20% 5% 70%
For units with a 1:5 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=14)
1:5.0 1:0.35 45% 20% 5% 58%
For units on which 20% or less of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables?3 (n=18)
1:4.0 1:0.35 15% 5% 5% 78%
For units on which 50% of staff
RNs have a BSN degree, what
are the median values of other
key nurse staffing variables? (n=21)
1:4.0 1:0.25 50% 20% 5% 80%
For units on which 80% or more of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables? (n=17)
1:6.0 1:0.31 85% 15% 5% 80%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?” We selected the RN-to-patient ratios to include
in the table based on the most common ratios we found in the data. If you do not see your unit’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency
across unit types, we show how 20% or less BSN preparation, 50% preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
6) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
31
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Medical/Surgical Unit
Data Reported by Medical/Surgical Unit Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For units with a 1:4 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?2 (n=70)
1:4.0 1:0.43 50% 15% 10% 60%
For units with a 1:5 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables? (n=192)
1:5.0 1:0.48 50% 10% 10% 60%
For units with a 1:6 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=69)
1:6.0 1:0.55 40% 10% 15% 60%
For units on which 20% or less of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables?3 (n=68)
1:5.0 1:0.50 15% 5% 10% 65%
For units on which 50% of staff
RNs have a BSN degree, what
are the median values of other
key nurse staffing variables? (n=55)
1:5.0 1:0.45 50% 10% 10% 60%
For units on which 80% or more of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables? (n=51)
1:5.0 1:0.43 85% 15% 10% 70%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?” We selected the RN-to-patient ratios to include
in the table based on the most common ratios we found in the data. If you do not see your unit’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency
across unit types, we show how 20% or less BSN preparation, 50% preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
6) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
32
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: OB-GYN/Labor and Delivery Unit
Data Reported by OB-GYN/Labor and Delivery Unit Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For units with a 1:2 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?2 (n=60)
1:2.0 1:0.20 45% 33% 5% 80%
For units with a 1:3 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=21)
1:3.0 1:0.20 50% 30% 5% 75%
For units with a 1:4 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=21)
1:4.0 1:0.17 40% 25% 0% 85%
For units on which 20% or less of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables?3 (n=26)
1:4.0 1:0.20 10% 25% 5% 80%
For units on which 50% of staff
RNs have a BSN degree, what
are the median values of other
key nurse staffing variables? (n=21)
1:2.0 1:0.20 50% 30% 5% 80%
For units on which 80% or more of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables? (n=14)
1:2.0 1:0.24 90% 45% 10% 78%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?” We selected the RN-to-patient ratios to include
in the table based on the most common ratios we found in the data. If you do not see your unit’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency
across unit types, we show how 20% or less BSN preparation, 50% preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
6) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
33
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Psychiatric/Behavioral Health Unit
Data Reported by Psychiatric/Behavioral Health Unit Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For units with a 1:5 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?2 (n=26)
1:5 1:0.63 43% 5% 5% 70%
For units with a 1:6 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=24)
1:6 1:0.71 40% 5% 3% 75%
For units with a 1:7 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=14)
1:7 1:1.00 50% 5% 5% 68%
For units on which 20% or less of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables?3 (n=30)
1:6 1:0.73 5% 5% 0% 80%
For units on which 50% of staff
RNs have a BSN degree, what
are the median values of other
key nurse staffing variables? (n=15)
1:6 1:0.67 50% 10% 5% 60%
For units on which 80% or more of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables? (n=18)
1:6 1:0.67 85% 10% 5% 75%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?” We selected the RN-to-patient ratios to include
in the table based on the most common ratios we found in the data. If you do not see your unit’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency
across unit types, we show how 20% or less BSN preparation, 50% preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
6) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
34
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Telemetry Unit
Data Reported by Telemetry Unit Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For units with a 1:4 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?2 (n=54)
1:4 1:0.38 50% 10% 10% 55%
For units with a 1:5 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables? (n=38)
1:5 1:0.50 40% 10% 10% 63%
For units with a 1:6 RN-to-patient
ratio, what are the median values of
other key nurse staffing variables?
(n=18)
1:6 1:0.50 65% 10% 10% 50%
For units on which 20% or less of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables?3 (n=15)
1:5 1:0.50 15% 5% 20% 50%
For units on which 50% of staff
RNs have a BSN degree, what
are the median values of other
key nurse staffing variables? (n=15)
1:4 1:0.43 50% 10% 10% 70%
For units on which 80% or more of
staff RNs have a BSN degree, what are the median values of other
key nurse staffing variables? (n=18)
1:4 1:0.37 80% 20% 10% 58%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?” We selected the RN-to-patient ratios to include
in the table based on the most common ratios we found in the data. If you do not see your unit’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency
across unit types, we show how 20% or less BSN preparation, 50% preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
5) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
6) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
35
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Physician Practices
Data Reported by Physician Practice Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-LPN
Ratio5
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For sites with 5 to 15
patients daily per
RN, what are the median
values of other key nurse
staffing variables?2 (n=24)
1:10.4 1:0.33 1:0.15 55% 8% 0% 88%
For sites with 20 to 35
patients daily per
RN, what are the median
values of other key nurse
staffing variables? (n=22)
1:27.1 1:0.67 1:0.50 50% 10% 0% 90%
For sites with 40 to 55
patients daily per
RN, what are the median
values of other key nurse
staffing variables?
(n=18)
1:48.3 1:1.17 1:1.67 63% 8% 0% 100%
For sites at which 20%
or less of staff RNs
have a BSN degree, what are the median
values of other key nurse
staffing variables?3 (n=23)
1:40.0 1:1.25 1:1.00 5% 0% 0% 100%
For sites at which 40%
to 60% of staff RNs
have a BSN degree, what are the median
values of other key nurse
staffing variables? (n=23)
1:22.2 1:0.50 1:0.50 50% 5% 0% 90%
For sites at which 80%
or more of staff
RNs have a BSN
degree, what are the
median values of other
key nurse staffing
variables? (n=32)
1:46.3 1:0.75 1:1.00 100% 20% 0% 100%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician practice where they work which has the largest number of staff nurses.
2) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site, approximately how many patients are seen?”
We selected the RN-to-patient ratios to include in the table based on the most common ratios we found in the data. If you do not see your site’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency across site types, we show how 20% or less BSN
preparation, 40% to 60% BSN preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site, approximately how many patients are seen?”
5) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site, approximately how many of the following staff
are present? Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs); Assistants (for example, CNAs, PCAs, PCTs, MAs, NAs).”
6) Based on the survey question “At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
36
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Ambulatory Centers
Data Reported by Ambulatory Center Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-Non-
Provider Staff
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For sites with 2 to 3
patients daily per RN,
what are the median values of
other key nurse staffing
variables?2 (n=22)
1:2.4 1:0.21 55% 28% 0% 100%
For sites with 5 to 6
patients daily per RN, what are the median values of
other key nurse staffing
variables? (n=19)
1:5.5 1:0.24 60% 45% 0% 95%
For sites with 8 to 10
patients daily per RN, what are the median values of
other key nurse staffing
variables?
(n=21)
1:8.8 1:0.50 50% 25% 0% 90%
For sites at which 20% or
less of staff RNs have a
BSN degree, what are the
median values of other key
nurse staffing variables?3 (n=19)
1:4.7 1:0.33 10% 10% 0% 95%
For sites at which 40% to
60% of staff RNs have a
BSN degree, what are the
median values of other key
nurse staffing variables? (n=33)
1:5.7 1:0.28 50% 50% 0% 100%
For sites at which 80% or
more of staff RNs have
a BSN degree, what are
the median values of other key
nurse staffing variables? (n=31)
1:7.0 1:0.25 85% 50% 0% 100%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory center where they work which has the largest number of staff nurses.
2) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site,
approximately how many patients are seen?” We selected the RN-to-patient ratios to include in the table based on the most common ratios we found in the data. If you do not see your site’s
RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency across site
types, we show how 20% or less BSN preparation, 40% to 60% BSN preparation, and 80% or more BSN preparation impact other key care team elements.
4) Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and “During a typical weekday at this site,
approximately how many patients are seen?”
5) Non-provider staff includes LPNs and assistants. Based on the survey questions “During a typical weekday at this site, approximately how many Registered Nurses (RNs) are present?” and
“During a typical weekday at this site, approximately how many of the following staff are present? Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs); Assistants (for
example, CNAs, PCAs, PCTs, MAs, NAs).”
6) Based on the survey question “At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
37
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Staffing Trade-Off Analysis: Post-Acute Care Organizations
Data Reported by Post-Acute Care Nurse Leaders1
RN-to-
Patient
Ratio4
RN-to-LPN
Ratio5
RN-to-
Assistant
Ratio5
BSN
Degree6
Specialty
Certification7
Less than
One Year of
Experience8
More than
Five Years of
Experience9
For organizations with
5 to 6 patients per
RN, what are the median
values of other key nurse
staffing variables?2 (n=22)
1:5.2 1:0.09 1:0.55 38% 10% 0% 90%
For organizations with
8 to 10 patients per
RN, what are the median
values of other key nurse
staffing variables? (n=15)
1:9.5 1:0.50 1:1.50 30% 10% 5% 85%
For organizations with
15 to 25 patients per
RN, what are the median
values of other key nurse
staffing variables?
(n=17)
1:20.0 1:0.86 1:3.00 40% 10% 5% 80%
For organizations at which
20% or less of staff
RNs have a BSN
degree, what are the
median values of other key
nurse staffing variables?3 (n=20)
1:8.0 1:0.33 1:1.75 13% 5% 5% 78%
For organizations at which
40% to 60% of staff
RNs have a BSN
degree, what are the
median values of other key
nurse staffing variables? (n=23)
1:9.5 1:0.50 1:1.00 40% 15% 5% 80%
For organizations at which
80% or more of staff
RNs have a BSN
degree, what are the
median values of other key
nurse staffing variables? (n=12)
1:5.0 1:0.08 1:0.72 90% 20% 0% 98%
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest number of staff nurses.
2) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually responsible for?” For home health agencies and hospice providers, based on
survey questions “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization, approximately how many patients are seen?” We selected
the RN-to-patient ratios to include in the table based on the most common ratios we found in the data. If you do not see your site’s RN-to-patient ratio listed in the table, the ratio was not common in our sample.
3) Based on the survey question “At this site, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?” For the sake of consistency across site types, we show how 20% or less BSN preparation, 40% to 60%
BSN preparation, and 80% or more BSN preparation impact other key care team elements.
4) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually responsible for?” For home health agencies and hospice providers, based on
survey questions “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization, approximately how many patients are seen?”
5) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday shift at
this facility, approximately how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care? Approximately how many nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the facility?” For home
health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization,
approximately how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care? Approximately how many aides provide patient care?”
6) Based on the survey question “At this organization, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
7) Based on the survey question “At this organization, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
8) Based on the survey question “At this organization, approximately what percentage of RNs have less than one year of nursing experience?”
9) Based on the survey question “At this organization, approximately what percentage of RNs have more than five years of nursing experience?”
38
©2013 The Advisory Board Company • 27092 advisory.com
This section provides detailed information about nurse workload and nurse
preparation for the individual unit types listed below. We cut the data by hospital
type, region, and hospital bed size. We do not provide data for any cohort with
fewer than 10 respondents.
• Cardiac………………………………
• Critical Care…………………………
• Emergency Department……………
• Interventional Procedure……………
• Medical……………………………...
• Medical/Surgical…………………....
• Neurology/Neurosurgery………….
• Nursery/NICU………………………
• OB-GYN/Labor and Delivery…………
• Observation/Short-Stay…………….
Snapshots of Acute Care
Hospital Unit Types
39
• Oncology..……………………………
• Operating Room…….……………….
• Pediatrics…..…….………………..
• Post-Acute Care Unit.……………
• Psychiatric/Behavioral Health………
• Rehab………………………………...
• Step-Down……………………………
• Surgical………………………………..
• Telemetry……………………………..
40
43
46
49
51
54
57
60
63
66
67
70
73
76
79
82
83
86
89
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Cardiac Unit Snapshot: Hospital Type
Data Reported by Cardiac Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 76 37 35 3
25th Percentile 1:4.0 1:4.0 1:4.0 --
50th Percentile 1:4.0 1:4.0 1:4.0 --
75th Percentile 1:5.0 1:5.0 1:5.0 --
RN-to-Assistant
Ratio3
n 75 36 35 3
25th Percentile 1:0.33 1:0.33 1:0.33 --
50th Percentile 1:0.40 1:0.46 1:0.40 --
75th Percentile 1:0.50 1:0.59 1:0.50 --
BSN
Degree4
n 73 35 34 3
25th Percentile 40% 40% 40% --
50th Percentile 50% 60% 50% --
75th Percentile 70% 75% 60% --
Specialty
Certification5
n 74 35 35 3
25th Percentile 5% 0% 5% --
50th Percentile 10% 5% 10% --
75th Percentile 30% 25% 30% --
Less than
One Year of
Experience6
n 73 35 34 3
25th Percentile 5% 5% 5% --
50th Percentile 10% 10% 10% --
75th Percentile 20% 20% 20% --
More than
Five Years of
Experience7
n 73 35 34 3
25th Percentile 40% 30% 44% --
50th Percentile 60% 55% 68% --
75th Percentile 80% 80% 80% --
40
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Cardiac Unit Snapshot: Region
Data Reported by Cardiac Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 76 20 19 21 10 3 3
25th 1:4.0 1:4.0 1:4.0 1:4.0 1:3.0 -- --
50th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- --
75th 1:5.0 1:5.8 1:5.0 1:5.0 1:5.3 -- --
RN-to-Assistant
Ratio3
n 75 20 19 20 10 3 3
25th 1:0.33 1:0.34 1:0.33 1:0.38 1:0.33 -- --
50th 1:0.40 1:0.50 1:0.38 1:0.44 1:0.48 -- --
75th 1:0.50 1:0.60 1:0.42 1:0.50 1:0.63 -- --
BSN
Degree4
n 73 19 19 19 10 3 3
25th 40% 25% 30% 50% 35% -- --
50th 50% 55% 50% 55% 55% -- --
75th 70% 70% 60% 70% 71% -- --
Specialty
Certification5
n 74 20 19 19 10 3 3
25th 5% 5% 5% 5% 0% -- --
50th 10% 13% 10% 5% 5% -- --
75th 30% 34% 25% 25% 29% -- --
Less than
One Year of
Experience6
n 73 19 19 19 10 3 3
25th 5% 5% 5% 5% 0% -- --
50th 10% 10% 10% 15% 8% -- --
75th 20% 20% 20% 40% 21% -- --
More than
Five Years of
Experience7
n 73 19 19 19 10 3 3
25th 40% 40% 30% 40% 48% -- --
50th 60% 60% 70% 50% 65% -- --
75th 80% 80% 80% 60% 80% -- --
41
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Cardiac Unit Snapshot: Hospital Bed Size
Data Reported by Cardiac Unit Nurse Leaders1
42
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 76 10 35 20 11
25th Percentile 1:4.0 1:3.8 1:4.0 1:4.0 1:4.0
50th Percentile 1:4.0 1:4.5 1:4.0 1:4.0 1:4.0
75th Percentile 1:5.0 1:5.3 1:5.0 1:5.0 1:4.0
RN-to-Assistant
Ratio3
n 75 10 34 20 11
25th Percentile 1:0.33 1:0.38 1:0.33 1:0.28 1:0.33
50th Percentile 1:0.40 1:0.55 1:0.44 1:0.39 1:0.38
75th Percentile 1:0.50 1:0.60 1:0.56 1:0.50 1:0.40
BSN
Degree4
n 73 10 32 20 11
25th Percentile 40% 18% 40% 50% 30%
50th Percentile 50% 40% 50% 65% 70%
75th Percentile 70% 56% 60% 79% 75%
Specialty
Certification5
n 74 10 33 20 11
25th Percentile 5% 5% 5% 5% 5%
50th Percentile 10% 8% 10% 15% 10%
75th Percentile 30% 38% 25% 30% 40%
Less than
One Year of
Experience6
n 73 10 32 20 11
25th Percentile 5% 4% 5% 5% 0%
50th Percentile 10% 10% 10% 10% 10%
75th Percentile 20% 16% 20% 24% 20%
More than
Five Years of
Experience7
n 73 10 32 20 11
25th Percentile 40% 68% 40% 33% 25%
50th Percentile 60% 75% 58% 53% 60%
75th Percentile 80% 84% 80% 79% 80%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Critical Care Unit Snapshot: Hospital Type
Data Reported by Critical Care Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 319 175 135 5
25th Percentile 1:2.0 1:2.0 1:2.0 --
50th Percentile 1:2.0 1:2.0 1:2.0 --
75th Percentile 1:2.0 1:2.0 1:2.0 --
RN-to-Assistant
Ratio3
n 312 170 133 5
25th Percentile 1:0.09 1:0.09 1:0.08 --
50th Percentile 1:0.14 1:0.14 1:0.14 --
75th Percentile 1:0.22 1:0.20 1:0.25 --
BSN
Degree4
n 306 166 132 5
25th Percentile 45% 50% 35% --
50th Percentile 60% 70% 50% --
75th Percentile 75% 80% 75% --
Specialty
Certification5
n 306 166 132 5
25th Percentile 15% 15% 10% --
50th Percentile 25% 25% 25% --
75th Percentile 45% 40% 40% --
Less than
One Year of
Experience6
n 299 162 129 5
25th Percentile 0% 0% 3% --
50th Percentile 5% 5% 5% --
75th Percentile 15% 20% 15% --
More than
Five Years of
Experience7
n 298 162 128 5
25th Percentile 49% 40% 50% --
50th Percentile 60% 60% 65% --
75th Percentile 80% 80% 85% --
43
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Critical Care Unit Snapshot: Region
Data Reported by Critical Care Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 319 72 68 70 60 22 27
25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
50th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
75th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
RN-to-Assistant
Ratio3
n 312 69 67 69 59 22 26
25th 1:0.09 1:0.10 1:0.06 1:0.11 1:0.10 1:0.08 1:0.00
50th 1:0.14 1:0.15 1:0.13 1:0.19 1:0.14 1:0.11 1:0.10
75th 1:0.22 1:0.20 1:0.21 1:0.25 1:0.25 1:0.16 1:0.18
BSN
Degree4
n 306 69 66 65 58 22 26
25th 45% 40% 35% 45% 50% 50% 50%
50th 60% 70% 50% 65% 60% 70% 68%
75th 75% 85% 70% 80% 75% 75% 80%
Specialty
Certification5
n 306 68 66 66 58 22 26
25th 15% 11% 15% 10% 10% 15% 20%
50th 25% 33% 30% 20% 18% 40% 30%
75th 45% 49% 35% 30% 30% 60% 50%
Less than
One Year of
Experience6
n 299 68 63 64 57 21 26
25th 0% 0% 0% 0% 5% 0% 0%
50th 5% 5% 5% 10% 15% 5% 5%
75th 15% 5% 15% 20% 23% 10% 10%
More than
Five Years of
Experience7
n 298 69 63 62 56 22 26
25th 49% 50% 50% 44% 30% 55% 54%
50th 60% 75% 65% 60% 50% 73% 70%
75th 80% 90% 85% 75% 60% 83% 81%
44
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Critical Care Unit Snapshot: Hospital Bed Size
Data Reported by Critical Care Unit Nurse Leaders1
45
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 319 39 121 82 77
25th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
50th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
75th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
RN-to-Assistant
Ratio3
n 312 38 119 80 75
25th Percentile 1:0.09 1:0.04 1:0.08 1:0.09 1:0.10
50th Percentile 1:0.14 1:0.20 1:0.14 1:0.14 1:0.13
75th Percentile 1:0.22 1:0.25 1:0.22 1:0.22 1:0.20
BSN
Degree4
n 306 36 117 78 75
25th Percentile 45% 30% 40% 49% 55%
50th Percentile 60% 50% 60% 65% 75%
75th Percentile 75% 70% 70% 80% 80%
Specialty
Certification5
n 306 36 116 79 75
25th Percentile 15% 5% 11% 15% 15%
50th Percentile 25% 20% 28% 30% 25%
75th Percentile 45% 30% 40% 40% 40%
Less than
One Year of
Experience6
n 299 34 117 78 70
25th Percentile 0% 0% 0% 5% 0%
50th Percentile 5% 0% 5% 10% 5%
75th Percentile 15% 5% 15% 20% 20%
More than
Five Years of
Experience7
n 298 35 116 77 70
25th Percentile 49% 70% 50% 45% 30%
50th Percentile 60% 85% 60% 60% 50%
75th Percentile 80% 95% 80% 80% 75%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Emergency Department Snapshot: Hospital Type
Data Reported by Emergency Department Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 138 61 72 1
25th Percentile 1:4.0 1:4.0 1:4.0 --
50th Percentile 1:4.0 1:4.0 1:4.0 --
75th Percentile 1:5.0 1:5.5 1:4.0 --
RN-to-Assistant
Ratio3
n 135 60 70 1
25th Percentile 1:0.22 1:0.22 1:0.21 --
50th Percentile 1:0.31 1:0.30 1:0.30 --
75th Percentile 1:0.41 1:0.40 1:0.42 --
BSN
Degree4
n 133 59 69 1
25th Percentile 33% 45% 25% --
50th Percentile 50% 60% 45% --
75th Percentile 65% 75% 60% --
Specialty
Certification5
n 132 58 69 1
25th Percentile 10% 10% 10% --
50th Percentile 20% 20% 20% --
75th Percentile 35% 36% 33% --
Less than
One Year of
Experience6
n 132 60 67 1
25th Percentile 0% 0% 0% --
50th Percentile 5% 5% 5% --
75th Percentile 14% 15% 10% --
More than
Five Years of
Experience7
n 132 60 67 1
25th Percentile 50% 50% 55% --
50th Percentile 70% 70% 75% --
75th Percentile 90% 90% 90% --
46
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Emergency Department Snapshot: Region
Data Reported by Emergency Department Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 138 33 18 31 25 13 18
25th 1:4.0 1:4 1:3.8 1:4.0 1:3.0 1:3.0 1:3.0
50th 1:4.0 1:5 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0
75th 1:5.0 1:6 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0
RN-to-Assistant
Ratio3
n 135 33 17 30 25 12 18
25th 1:0.22 1:0.23 1:0.25 1:0.25 1:0.15 1:0.17 1:0.10
50th 1:0.31 1:0.36 1:0.38 1:0.33 1:0.29 1:0.28 1:0.24
75th 1:0.41 1:0.45 1:0.41 1:0.50 1:0.41 1:0.41 1:0.28
BSN
Degree4
n 133 33 16 30 25 12 17
25th 33% 30% 20% 30% 38% 41% 43%
50th 50% 55% 38% 50% 50% 50% 60%
75th 65% 78% 54% 63% 65% 64% 73%
Specialty
Certification5
n 132 33 16 29 25 12 17
25th 10% 5% 10% 5% 10% 6% 20%
50th 20% 15% 23% 15% 20% 20% 30%
75th 35% 35% 30% 30% 40% 20% 40%
Less than
One Year of
Experience6
n 132 31 17 30 25 12 17
25th 0% 0% 5% 0% 5% 0% 0%
50th 5% 0% 10% 10% 10% 3% 0%
75th 14% 10% 25% 11% 18% 15% 8%
More than
Five Years of
Experience7
n 132 32 16 30 25 12 17
25th 50% 40% 33% 60% 40% 50% 70%
50th 70% 68% 65% 70% 70% 68% 80%
75th 90% 90% 88% 90% 88% 84% 90%
47
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Emergency Department Snapshot: Hospital Bed Size
Data Reported by Emergency Department Nurse Leaders1
48
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 138 46 56 21 15
25th Percentile 1:4.0 1:4.0 1:3.0 1:4.0 1:4.0
50th Percentile 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0
75th Percentile 1:5.0 1:4.0 1:5.0 1:5.5 1:6.0
RN-to-Assistant
Ratio3
n 135 46 54 21 14
25th Percentile 1:0.22 1:0.22 1:0.22 1:0.20 1:0.22
50th Percentile 1:0.31 1:0.33 1:0.30 1:0.25 1:0.28
75th Percentile 1:0.41 1:0.44 1:0.40 1:0.44 1:0.39
BSN
Degree4
n 133 45 53 21 14
25th Percentile 33% 23% 30% 50% 50%
50th Percentile 50% 40% 50% 60% 63%
75th Percentile 65% 63% 65% 70% 80%
Specialty
Certification5
n 132 45 53 20 14
25th Percentile 10% 10% 5% 20% 10%
50th Percentile 20% 20% 20% 25% 18%
75th Percentile 35% 30% 40% 34% 26%
Less than
One Year of
Experience6
n 132 43 54 21 14
25th Percentile 0% 0% 0% 0% 0%
50th Percentile 5% 5% 5% 10% 3%
75th Percentile 14% 10% 15% 18% 10%
More than
Five Years of
Experience7
n 132 44 53 21 14
25th Percentile 50% 61% 40% 50% 55%
50th Percentile 70% 80% 60% 70% 70%
75th Percentile 90% 90% 90% 80% 90%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
* Due to the limited sample size, interventional procedure unit data is cut by hospital type and bed size only.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Interventional Procedure Unit* Snapshot: Hospital Type
Data Reported by Interventional Procedure Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 42 21 20 1
25th Percentile 1:2.0 1:1.5 1:2.0 --
50th Percentile 1:4.0 1:4.0 1:4.0 --
75th Percentile 1:5.3 1:5.5 1:6.5 --
RN-to-Assistant
Ratio3
n 37 19 17 1
25th Percentile 1:0.00 1:0.07 1:0.00 --
50th Percentile 1:0.20 1:0.25 1:0.17 --
75th Percentile 1:0.40 1:0.45 1:0.35 --
BSN
Degree4
n 36 18 17 1
25th Percentile 33% 38% 28% --
50th Percentile 50% 60% 50% --
75th Percentile 75% 93% 63% --
Specialty
Certification5
n 36 18 17 1
25th Percentile 6% 10% 3% --
50th Percentile 15% 15% 15% --
75th Percentile 34% 35% 40% --
Less than
One Year of
Experience6
n 32 15 16 1
25th Percentile 0% 0% 0% --
50th Percentile 0% 0% 0% --
75th Percentile 0% 0% 0% --
More than
Five Years of
Experience7
n 36 18 17 1
25th Percentile 90% 94% 90% --
50th Percentile 100% 100% 100% --
75th Percentile 100% 100% 100% --
49
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
* Due to the limited sample size, interventional procedure unit data is cut by hospital type and bed size only.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Interventional Procedure Unit* Snapshot: Hospital Bed Size
Data Reported by Interventional Procedure Unit Nurse Leaders1
50
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 42 3 17 9 10
25th Percentile 1:2.0 -- 1:1.0 -- 1:3.8
50th Percentile 1:4.0 -- 1:3.0 -- 1:4.5
75th Percentile 1:5.3 -- 1:6.5 -- 1:5.3
RN-to-Assistant
Ratio3
n 37 3 15 9 10
25th Percentile 1:0.00 -- 1:0.00 -- 1:0.16
50th Percentile 1:0.20 -- 1:0.00 -- 1:0.40
75th Percentile 1:0.40 -- 1:0.29 -- 1:0.61
BSN
Degree4
n 36 3 16 8 9
25th Percentile 33% -- 46% -- --
50th Percentile 50% -- 58% -- --
75th Percentile 75% -- 75% -- --
Specialty
Certification5
n 36 3 16 8 9
25th Percentile 6% -- 1% -- --
50th Percentile 15% -- 15% -- --
75th Percentile 34% -- 50% -- --
Less than
One Year of
Experience6
n 32 2 14 8 8
25th Percentile 0% -- 0% -- --
50th Percentile 0% -- 0% -- --
75th Percentile 0% -- 0% -- --
More than
Five Years of
Experience7
n 36 3 16 8 9
25th Percentile 90% -- 90% -- --
50th Percentile 100% -- 100% -- --
75th Percentile 100% -- 100% -- --
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Medical Unit Snapshot: Hospital Type
Data Reported by Medical Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 68 43 22 1
25th Percentile 1:4.0 1:4.0 1:4.8 --
50th Percentile 1:5.0 1:4.0 1:5.0 --
75th Percentile 1:5.0 1:5.0 1:6.0 --
RN-to-Assistant
Ratio3
n 67 42 22 1
25th Percentile 1:0.33 1:0.25 1:0.39 --
50th Percentile 1:0.44 1:0.41 1:0.50 --
75th Percentile 1:0.57 1:0.54 1:0.67 --
BSN
Degree4
n 64 41 20 1
25th Percentile 21% 40% 16% --
50th Percentile 53% 60% 30% --
75th Percentile 70% 80% 68% --
Specialty
Certification5
n 64 40 21 1
25th Percentile 5% 5% 0% --
50th Percentile 10% 10% 5% --
75th Percentile 24% 33% 13% --
Less than
One Year of
Experience6
n 63 40 20 1
25th Percentile 5% 5% 5% --
50th Percentile 10% 10% 8% --
75th Percentile 20% 20% 20% --
More than
Five Years of
Experience7
n 64 40 21 1
25th Percentile 36% 35% 38% --
50th Percentile 58% 55% 55% --
75th Percentile 75% 75% 68% --
51
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Medical Unit Snapshot: Region
Data Reported by Medical Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 68 12 9 26 10 8 3
25th 1:4.0 1:4.3 -- 1:4.0 1:4.0 -- --
50th 1:5.0 1:5.0 -- 1:4.0 1:5.0 -- --
75th 1:5.0 1:6.0 -- 1:5.0 1:5.0 -- --
RN-to-Assistant
Ratio3
n 67 12 9 26 9 8 3
25th 1:0.33 1:0.63 -- 1:0.26 -- -- --
50th 1:0.44 1:0.46 -- 1:0.40 -- -- --
75th 1:0.57 1:0.58 -- 1:0.60 -- -- --
BSN
Degree4
n 64 12 8 24 9 8 3
25th 21% 5% -- 23% -- -- --
50th 53% 25% -- 55% -- -- --
75th 70% 79% -- 79% -- -- --
Specialty
Certification5
n 64 11 8 25 9 8 3
25th 5% 0% -- 3% -- -- --
50th 10% 5% -- 10% -- -- --
75th 24% 10% -- 30% -- -- --
Less than
One Year of
Experience6
n 63 12 8 23 9 8 3
25th 5% 0% -- 5% -- -- --
50th 10% 5% -- 15% -- -- --
75th 20% 14% -- 25% -- -- --
More than
Five Years of
Experience7
n 64 12 8 25 9 7 3
25th 36% 11% -- 45% -- -- --
50th 58% 40% -- 60% -- -- --
75th 75% 59% -- 78% -- -- --
52
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Medical Unit Snapshot: Hospital Bed Size
Data Reported by Medical Unit Nurse Leaders1
53
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 68 15 20 16 17
25th Percentile 1:4.0 1:4.0 1:4.3 1:4.0 1:4.0
50th Percentile 1:5.0 1:5.0 1:5.0 1:4.0 1:4.0
75th Percentile 1:5.0 1:5.0 1:6.0 1:5.0 1:5.0
RN-to-Assistant
Ratio3
n 67 15 20 16 16
25th Percentile 1:0.33 1:0.17 1:0.38 1:0.38 1:0.26
50th Percentile 1:0.44 1:0.33 1:0.47 1:0.50 1:0.36
75th Percentile 1:0.57 1:0.50 1:0.60 1:0.61 1:0.50
BSN
Degree4
n 64 14 18 16 16
25th Percentile 21% 5% 30% 23% 56%
50th Percentile 53% 15% 48% 58% 68%
75th Percentile 70% 49% 63% 80% 80%
Specialty
Certification5
n 64 14 18 16 16
25th Percentile 5% 0% 5% 1% 6%
50th Percentile 10% 10% 5% 13% 18%
75th Percentile 24% 13% 10% 39% 25%
Less than
One Year of
Experience6
n 63 13 18 16 16
25th Percentile 5% 3% 5% 5% 10%
50th Percentile 10% 5% 10% 5% 23%
75th Percentile 20% 13% 31% 15% 29%
More than
Five Years of
Experience7
n 64 14 18 16 16
25th Percentile 36% 49% 39% 23% 28%
50th Percentile 58% 73% 60% 53% 50%
75th Percentile 75% 91% 73% 71% 64%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Medical/Surgical Unit Snapshot: Hospital Type
Data Reported by Medical/Surgical Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 421 191 212 11
25th Percentile 1:5.0 1:4.0 1:5.0 1:4.0
50th Percentile 1:5.0 1:5.0 1:5.0 1:5.0
75th Percentile 1:6.0 1:6.0 1:6.0 1:8.0
RN-to-Assistant
Ratio3
n 416 187 211 11
25th Percentile 1:0.33 1:0.33 1:0.33 1:0.29
50th Percentile 1:0.50 1:0.50 1:0.50 1:0.50
75th Percentile 1:0.60 1:0.63 1:0.60 1:0.67
BSN
Degree4
n 409 184 207 11
25th Percentile 30% 40% 25% 35%
50th Percentile 50% 55% 40% 50%
75th Percentile 65% 75% 55% 80%
Specialty
Certification5
n 409 182 209 11
25th Percentile 5% 5% 5% 5%
50th Percentile 10% 10% 5% 10%
75th Percentile 25% 25% 25% 40%
Less than
One Year of
Experience6
n 403 180 205 11
25th Percentile 5% 5% 5% 0%
50th Percentile 10% 10% 10% 5%
75th Percentile 20% 20% 20% 20%
More than
Five Years of
Experience7
n 399 180 201 11
25th Percentile 50% 40% 50% 50%
50th Percentile 60% 60% 60% 70%
75th Percentile 80% 80% 75% 90%
54
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Medical/Surgical Unit Snapshot: Region
Data Reported by Medical/Surgical Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 421 96 67 98 102 35 23
25th 1:5.0 1:5.0 1:5.0 1:4.0 1:5.0 1:4.0 1:4.0
50th 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 1:4.0
75th 1:6.0 1:6.0 1:6.0 1:5.0 1:6.0 1:5.0 1:5.0
RN-to-Assistant
Ratio3
n 416 95 67 97 101 33 23
25th 1:0.33 1:0.40 1:0.33 1:0.33 1:0.36 1:0.40 1:0.25
50th 1:0.50 1:0.50 1:0.43 1:0.50 1:0.50 1:0.50 1:0.40
75th 1:0.60 1:0.75 1:0.50 1:0.61 1:0.57 1:0.60 1:0.57
BSN Degree4
n 409 94 66 94 99 33 23
25th 30% 30% 20% 30% 25% 40% 30%
50th 50% 48% 40% 45% 50% 50% 55%
75th 65% 70% 66% 60% 70% 73% 70%
Specialty
Certification5
n 409 94 66 94 100 33 22
25th 5% 5% 5% 0% 5% 5% 5%
50th 10% 10% 15% 5% 8% 15% 18%
75th 25% 26% 30% 20% 20% 30% 30%
Less than
One Year of
Experience6
n 403 90 65 93 99 33 23
25th 5% 5% 8% 8% 5% 5% 0%
50th 10% 10% 15% 15% 10% 10% 5%
75th 20% 20% 25% 25% 20% 15% 10%
More than
Five Years of
Experience7
n 399 91 64 92 97 32 23
25th 50% 60% 50% 40% 43% 40% 60%
50th 60% 70% 60% 58% 60% 60% 80%
75th 80% 85% 70% 74% 80% 75% 90%
55
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Medical/Surgical Unit Snapshot: Hospital Bed Size
Data Reported by Medical/Surgical Unit Nurse Leaders1
56
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 421 130 140 74 75
25th Percentile 1:5.0 1:4.0 1:5.0 1:5.0 1:4.0
50th Percentile 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0
75th Percentile 1:6.0 1:6.0 1:6.0 1:6.0 1:5.0
RN-to-Assistant
Ratio3
n 416 129 139 73 74
25th Percentile 1:0.33 1:0.33 1:0.38 1:0.38 1:0.33
50th Percentile 1:0.50 1:0.50 1:0.50 1:0.50 1:0.44
75th Percentile 1:0.60 1:0.60 1:0.60 1:0.64 1:0.57
BSN
Degree4
n 409 128 137 71 72
25th Percentile 30% 20% 35% 30% 40%
50th Percentile 50% 35% 50% 50% 60%
75th Percentile 65% 50% 65% 70% 80%
Specialty
Certification5
n 409 129 136 72 71
25th Percentile 5% 0% 5% 5% 5%
50th Percentile 10% 5% 10% 10% 15%
75th Percentile 25% 15% 25% 30% 30%
Less than
One Year of
Experience6
n 403 127 133 72 70
25th Percentile 5% 5% 5% 5% 5%
50th Percentile 10% 10% 15% 10% 10%
75th Percentile 20% 20% 25% 20% 30%
More than
Five Years of
Experience7
n 399 125 133 71 69
25th Percentile 50% 50% 50% 40% 40%
50th Percentile 60% 60% 60% 60% 60%
75th Percentile 80% 80% 75% 80% 78%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Neurology/Neurosurgery Unit Snapshot: Hospital Type
Data Reported by Neurology/Neurosurgery Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 57 41 12 3
25th Percentile 1:3.0 1:3.0 1:4.0 --
50th Percentile 1:4.0 1:4.0 1:5.0 --
75th Percentile 1:5.0 1:5.0 1:5.8 --
RN-to-Assistant
Ratio3
n 55 39 12 3
25th Percentile 1:0.23 1:0.13 1:0.26 --
50th Percentile 1:0.36 1:0.29 1:0.50 --
75th Percentile 1:0.50 1:0.50 1:0.59 --
BSN
Degree4
n 54 38 12 3
25th Percentile 45% 60% 21% --
50th Percentile 60% 70% 33% --
75th Percentile 76% 80% 45% --
Specialty
Certification5
n 54 38 12 3
25th Percentile 9% 10% 5% --
50th Percentile 10% 15% 10% --
75th Percentile 25% 33% 10% --
Less than
One Year of
Experience6
n 53 38 11 3
25th Percentile 8% 5% 15% --
50th Percentile 15% 13% 20% --
75th Percentile 20% 20% 30% --
More than
Five Years of
Experience7
n 51 36 11 3
25th Percentile 30% 30% 30% --
50th Percentile 55% 60% 45% --
75th Percentile 70% 75% 60% --
57
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Neurology/Neurosurgery Unit Snapshot: Region
Data Reported by Neurology/Neurosurgery Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 57 9 10 16 9 12 1
25th 1:3.0 -- 1:2.0 1:3.0 -- 1:2.3 --
50th 1:4.0 -- 1:4.0 1:4.0 -- 1:3.5 --
75th 1:5.0 -- 1:5.0 1:4.8 -- 1:4.0 --
RN-to-Assistant
Ratio3
n 55 9 10 15 9 12 1
25th 1:0.23 -- 1:0.09 1:0.29 -- 1:0.13 --
50th 1:0.36 -- 1:0.25 1:0.45 -- 1:0.19 --
75th 1:0.50 -- 1:0.50 1:0.50 -- 1:0.25 --
BSN
Degree4
n 54 8 10 15 8 11 1
25th 45% -- 41% 35% -- 50% --
50th 60% -- 60% 60% -- 60% --
75th 76% -- 76% 70% -- 80% --
Specialty
Certification5
n 54 8 10 15 8 11 1
25th 9% -- 10% 10% -- 10% --
50th 10% -- 15% 10% -- 40% --
75th 25% -- 25% 15% -- 70% --
Less than
One Year of
Experience6
n 53 8 10 14 8 11 1
25th 8% -- 9% 10% -- 5% --
50th 15% -- 18% 23% -- 15% --
75th 20% -- 21% 41% -- 15% --
More than
Five Years of
Experience7
n 51 8 10 13 8 11 1
25th 30% -- 24% 20% -- 60% --
50th 55% -- 40% 45% -- 60% --
75th 70% -- 60% 73% -- 75% --
58
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a
typical weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Neurology/Neurosurgery Unit Snapshot: Hospital Bed Size
Data Reported by Neurology/Neurosurgery Unit Nurse Leaders1
59
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 57 3 14 25 15
25th Percentile 1:3.0 -- 1:3.0 1:3.0 1:2.0
50th Percentile 1:4.0 -- 1:4.0 1:4.0 1:4.0
75th Percentile 1:5.0 -- 1:5.0 1:5.0 1:5.0
RN-to-Assistant
Ratio3
n 55 3 14 25 13
25th Percentile 1:0.23 -- 1:0.29 1:0.15 1:0.16
50th Percentile 1:0.36 -- 1:0.46 1:0.25 1:0.33
75th Percentile 1:0.50 -- 1:0.50 1:0.48 1:0.54
BSN
Degree4
n 54 3 14 24 13
25th Percentile 45% -- 20% 43% 60%
50th Percentile 60% -- 50% 63% 70%
75th Percentile 76% -- 69% 75% 88%
Specialty
Certification5
n 54 3 14 24 13
25th Percentile 9% -- 5% 6% 10%
50th Percentile 10% -- 10% 13% 15%
75th Percentile 25% -- 13% 38% 20%
Less than
One Year of
Experience6
n 53 3 13 24 13
25th Percentile 8% -- 10% 5% 10%
50th Percentile 15% -- 15% 13% 15%
75th Percentile 20% -- 20% 20% 25%
More than
Five Years of
Experience7
n 51 2 13 23 13
25th Percentile 30% -- 23% 45% 28%
50th Percentile 55% -- 50% 60% 35%
75th Percentile 70% -- 75% 75% 50%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Nursery/NICU Unit Snapshot: Hospital Type
Data Reported by Nursery/NICU Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 81 52 22 3
25th Percentile 1:2.0 1:2.0 1:2.0 --
50th Percentile 1:2.0 1:2.5 1:2.0 --
75th Percentile 1:3.0 1:3.0 1:3.0 --
RN-to-Assistant
Ratio3
n 77 48 22 3
25th Percentile 1:0.00 1:0.00 1:0.00 --
50th Percentile 1:0.05 1:0.05 1:0.04 --
75th Percentile 1:0.14 1:0.15 1:0.14 --
BSN
Degree4
n 77 48 22 3
25th Percentile 43% 42% 40% --
50th Percentile 60% 60% 55% --
75th Percentile 70% 74% 70% --
Specialty
Certification5
n 77 48 22 3
25th Percentile 10% 10% 10% --
50th Percentile 20% 20% 30% --
75th Percentile 40% 34% 41% --
Less than
One Year of
Experience6
n 74 47 20 3
25th Percentile 0% 0% 0% --
50th Percentile 5% 5% 0% --
75th Percentile 10% 10% 5% --
More than
Five Years of
Experience7
n 76 48 21 3
25th Percentile 65% 61% 70% --
50th Percentile 80% 80% 90% --
75th Percentile 90% 90% 100% --
60
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Nursery/NICU Unit Snapshot: Region
Data Reported by Nursery/NICU Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 81 19 10 17 16 6 13
25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 -- 1:2.0
50th 1:2.0 1:3.0 1:2.0 1:3.0 1:2.0 -- 1:2.0
75th 1:3.0 1:3.0 1:3.3 1:3.0 1:3.0 -- 1:3.0
RN-to-Assistant
Ratio3
n 77 19 10 16 15 5 12
25th 1:0.00 1:0.00 1:0.00 1:0.00 1:0.04 -- 1:0.00
50th 1:0.05 1:0.08 1:0.01 1:0.05 1:0.08 -- 1:0.00
75th 1:0.14 1:0.38 1:0.30 1:0.15 1:0.13 -- 1:0.06
BSN
Degree4
n 77 18 10 16 15 5 13
25th 43% 40% 26% 36% 50% -- 45%
50th 60% 63% 40% 50% 65% -- 60%
75th 70% 86% 71% 64% 70% -- 75%
Specialty
Certification5
n 77 18 10 16 15 5 13
25th 10% 14% 19% 5% 10% -- 10%
50th 20% 20% 33% 18% 20% -- 30%
75th 40% 45% 55% 30% 30% -- 40%
Less than
One Year of
Experience6
n 74 17 10 16 15 5 11
25th 0% 0% 0% 1% 0% -- 0%
50th 5% 0% 5% 5% 5% -- 0%
75th 10% 5% 6% 10% 20% -- 10%
More than
Five Years of
Experience7
n 76 18 10 16 15 5 12
25th 65% 80% 65% 60% 60% -- 70%
50th 80% 90% 88% 75% 75% -- 75%
75th 90% 96% 95% 89% 80% -- 90%
61
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Nursery/NICU Unit Snapshot: Hospital Bed Size
Data Reported by Nursery/NICU Unit Nurse Leaders1
62
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 81 5 32 21 23
25th Percentile 1:2.0 -- 1:2.0 1:2.0 1:2.0
50th Percentile 1:2.0 -- 1:2.0 1:3.0 1:2.0
75th Percentile 1:3.0 -- 1:3.0 1:3.0 1:3.0
RN-to-Assistant
Ratio3
n 77 5 30 21 21
25th Percentile 1:0.00 -- 1:0.00 1:0.00 1:0.00
50th Percentile 1:0.05 -- 1:0.04 1:0.07 1:0.04
75th Percentile 1:0.14 -- 1:0.18 1:0.15 1:0.10
BSN
Degree4
n 77 5 30 21 21
25th Percentile 43% -- 49% 38% 40%
50th Percentile 60% -- 60% 60% 50%
75th Percentile 70% -- 65% 78% 65%
Specialty
Certification5
n 77 5 30 21 21
25th Percentile 10% -- 10% 15% 13%
50th Percentile 20% -- 15% 25% 25%
75th Percentile 40% -- 35% 45% 38%
Less than
One Year of
Experience6
n 74 5 29 19 21
25th Percentile 0% -- 0% 0% 5%
50th Percentile 5% -- 0% 5% 5%
75th Percentile 10% -- 8% 5% 13%
More than
Five Years of
Experience7
n 76 5 30 20 21
25th Percentile 65% -- 70% 80% 60%
50th Percentile 80% -- 80% 90% 70%
75th Percentile 90% -- 90% 95% 80%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
OB-GYN/Labor and Delivery Unit Snapshot: Hospital Type
Data Reported by OB-GYN/Labor and Delivery Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 169 81 79 6
25th Percentile 1:2.0 1:2.0 1:2.0 --
50th Percentile 1:3.0 1:2.0 1:3.0 --
75th Percentile 1:5.0 1:5.0 1:5.0 --
RN-to-Assistant
Ratio3
n 165 79 78 5
25th Percentile 1:0.14 1:0.13 1:0.14 --
50th Percentile 1:0.20 1:0.22 1:0.20 --
75th Percentile 1:0.33 1:0.30 1:0.33 --
BSN
Degree4
n 164 79 77 5
25th Percentile 30% 35% 23% --
50th Percentile 45% 50% 40% --
75th Percentile 60% 70% 55% --
Specialty
Certification5
n 165 79 78 5
25th Percentile 10% 10% 10% --
50th Percentile 25% 25% 25% --
75th Percentile 50% 40% 55% --
Less than
One Year of
Experience6
n 162 77 77 5
25th Percentile 0% 0% 0% --
50th Percentile 5% 5% 5% --
75th Percentile 10% 10% 8% --
More than
Five Years of
Experience7
n 162 78 76 5
25th Percentile 65% 60% 71% --
50th Percentile 80% 75% 80% --
75th Percentile 90% 90% 90% --
63
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
OB-GYN/Labor and Delivery Unit Snapshot: Region
Data Reported by OB-GYN/Labor and Delivery Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 169 32 29 47 24 20 17
25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
50th 1:3.0 1:3.5 1:3.0 1:2.0 1:5.0 1:2.5 1:2.0
75th 1:5.0 1:5.0 1:4.5 1:4.0 1:6.0 1:4.8 1:7.0
RN-to-Assistant
Ratio3
n 165 32 28 46 22 20 17
25th 1:0.14 1:0.14 1:0.12 1:0.11 1:0.19 1:0.21 1:0.07
50th 1:0.20 1:0.23 1:0.21 1:0.20 1:0.28 1:0.33 1:0.17
75th 1:0.33 1:0.33 1:0.32 1:0.25 1:0.50 1:0.60 1:0.23
BSN
Degree4
n 164 32 27 46 23 20 16
25th 30% 31% 20% 40% 25% 26% 26%
50th 45% 45% 40% 53% 40% 40% 48%
75th 60% 69% 50% 65% 65% 60% 64%
Specialty
Certification5
n 165 32 28 46 23 20 16
25th 10% 20% 10% 10% 10% 11% 6%
50th 25% 43% 30% 20% 20% 43% 15%
75th 50% 73% 50% 40% 30% 74% 29%
Less than
One Year of
Experience6
n 162 32 27 46 22 20 15
25th 0% 0% 0% 5% 0% 0% 0%
50th 5% 0% 5% 5% 5% 5% 5%
75th 10% 5% 10% 10% 10% 10% 5%
More than
Five Years of
Experience7
n 162 31 27 46 22 20 16
25th 65% 70% 70% 60% 65% 61% 68%
50th 80% 85% 80% 75% 78% 75% 90%
75th 90% 95% 85% 90% 86% 85% 95%
64
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
OB-GYN/Labor and Delivery Unit Snapshot: Hospital Bed Size
Data Reported by OB-GYN/Labor and Delivery Unit Nurse Leaders1
65
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 169 43 70 33 23
25th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
50th Percentile 1:3.0 1:3.0 1:2.5 1:3.0 1:2.0
75th Percentile 1:5.0 1:4.0 1:5.3 1:6.0 1:5.0
RN-to-Assistant
Ratio3
n 165 43 68 31 23
25th Percentile 1:0.14 1:0.05 1:0.16 1:0.13 1:0.14
50th Percentile 1:0.20 1:0.20 1:0.22 1:0.20 1:0.22
75th Percentile 1:0.33 1:0.33 1:0.33 1:0.29 1:0.38
BSN
Degree4
n 164 43 67 32 22
25th Percentile 30% 20% 30% 35% 39%
50th Percentile 45% 40% 50% 45% 60%
75th Percentile 60% 50% 65% 64% 76%
Specialty
Certification5
n 165 43 68 32 22
25th Percentile 10% 5% 15% 10% 10%
50th Percentile 25% 20% 30% 25% 20%
75th Percentile 50% 50% 54% 44% 35%
Less than
One Year of
Experience6
n 162 42 67 32 21
25th Percentile 0% 0% 0% 0% 0%
50th Percentile 5% 5% 5% 5% 5%
75th Percentile 10% 6% 5% 10% 10%
More than
Five Years of
Experience7
n 162 41 68 31 22
25th Percentile 65% 70% 70% 60% 55%
50th Percentile 80% 80% 80% 75% 68%
75th Percentile 90% 90% 90% 90% 90%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
* Due to the limited sample size, observation/short-stay unit data is cut by hospital type only.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Observation/Short-Stay Unit* Snapshot: Hospital Type
Data Reported by Observation/Short-Stay Unit Nurse Leaders1
66
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 21 9 12 0
25th Percentile 1:4.0 -- 1:3.3 --
50th Percentile 1:5.0 -- 1:4.0 --
75th Percentile 1:6.0 -- 1:5.0 --
RN-to-Assistant
Ratio3
n 20 9 11 0
25th Percentile 1:0.15 -- 1:0.05 --
50th Percentile 1:0.33 -- 1:0.40 --
75th Percentile 1:0.49 -- 1:0.50 --
BSN
Degree4
n 20 9 11 0
25th Percentile 50% -- 35% --
50th Percentile 58% -- 60% --
75th Percentile 69% -- 65% --
Specialty
Certification5
n 20 9 11 0
25th Percentile 1% -- 0% --
50th Percentile 10% -- 5% --
75th Percentile 33% -- 25% --
Less than
One Year of
Experience6
n 19 9 10 0
25th Percentile 0% -- 0% --
50th Percentile 0% -- 3% --
75th Percentile 10% -- 15% --
More than
Five Years of
Experience7
n 20 9 11 0
25th Percentile 53% -- 40% --
50th Percentile 90% -- 80% --
75th Percentile 95% -- 95% --
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Oncology Unit Snapshot: Hospital Type
Data Reported by Oncology Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 92 49 40 3
25th Percentile 1:4.0 1:3.0 1:4.0 --
50th Percentile 1:4.0 1:4.0 1:5.0 --
75th Percentile 1:5.0 1:4.0 1:5.0 --
RN-to-Assistant
Ratio3
n 90 48 39 3
25th Percentile 1:0.29 1:0.27 1:0.29 --
50th Percentile 1:0.41 1:0.40 1:0.43 --
75th Percentile 1:0.50 1:0.50 1:0.57 --
BSN
Degree4
n 89 47 39 3
25th Percentile 40% 50% 30% --
50th Percentile 60% 70% 45% --
75th Percentile 75% 80% 65% --
Specialty
Certification5
n 89 47 39 3
25th Percentile 8% 15% 5% --
50th Percentile 25% 25% 20% --
75th Percentile 35% 40% 35% --
Less than
One Year of
Experience6
n 87 47 37 3
25th Percentile 5% 5% 5% --
50th Percentile 10% 10% 5% --
75th Percentile 20% 20% 15% --
More than
Five Years of
Experience7
n 83 46 34 3
25th Percentile 45% 40% 50% --
50th Percentile 60% 60% 63% --
75th Percentile 80% 80% 80% --
67
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Oncology Unit Snapshot: Region
Data Reported by Oncology Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 92 20 23 23 12 3 11
25th 1:4.0 1:4.0 1:4.0 1:4.0 1:3.0 -- 1:4.0
50th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.5 -- 1:4.0
75th 1:5.0 1:6.0 1:5.0 1:5.0 1:5.0 -- 1:5.0
RN-to-Assistant
Ratio3
n 90 19 22 23 12 3 11
25th 1:0.29 1:0.33 1:0.31 1:0.30 1:0.20 -- 1:0.23
50th 1:0.41 1:0.50 1:0.41 1:0.44 1:0.33 -- 1:0.33
75th 1:0.50 1:0.67 1:0.50 1:0.50 1:0.49 -- 1:0.50
BSN
Degree4
n 89 20 21 23 11 3 11
25th 40% 28% 38% 40% 50% -- 30%
50th 60% 70% 50% 65% 60% -- 50%
75th 75% 91% 73% 85% 75% -- 70%
Specialty
Certification5
n 89 20 21 23 11 3 11
25th 8% 5% 5% 15% 10% -- 5%
50th 25% 25% 20% 25% 25% -- 20%
75th 35% 44% 35% 35% 35% -- 50%
Less than
One Year of
Experience6
n 87 18 21 23 11 3 11
25th 5% 4% 5% 5% 5% -- 5%
50th 10% 5% 10% 20% 5% -- 10%
75th 20% 20% 28% 25% 20% -- 10%
More than
Five Years of
Experience7
n 83 19 20 22 11 2 9
25th 45% 65% 36% 30% 50% -- --
50th 60% 75% 50% 50% 60% -- --
75th 80% 85% 78% 70% 80% -- --
68
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Oncology Unit Snapshot: Hospital Bed Size
Data Reported by Oncology Unit Nurse Leaders1
69
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 92 10 43 16 23
25th Percentile 1:4.0 1:3.8 1:4.0 1:4.0 1:3.0
50th Percentile 1:4.0 1:4.0 1:5.0 1:4.0 1:4.0
75th Percentile 1:5.0 1:5.5 1:6.0 1:5.0 1:5.0
RN-to-Assistant
Ratio3
n 90 10 42 15 23
25th Percentile 1:0.29 1:0.33 1:0.36 1:0.25 1:0.14
50th Percentile 1:0.41 1:0.50 1:0.48 1:0.43 1:0.29
75th Percentile 1:0.50 1:0.54 1:0.62 1:0.53 1:0.40
BSN
Degree4
n 89 10 41 15 23
25th Percentile 40% 25% 38% 35% 60%
50th Percentile 60% 38% 55% 50% 75%
75th Percentile 75% 60% 70% 80% 85%
Specialty
Certification5
n 89 10 41 15 23
25th Percentile 8% 4% 5% 15% 15%
50th Percentile 25% 25% 25% 25% 25%
75th Percentile 35% 36% 50% 35% 40%
Less than
One Year of
Experience6
n 87 10 39 15 23
25th Percentile 5% 5% 0% 5% 5%
50th Percentile 10% 10% 5% 10% 20%
75th Percentile 20% 20% 20% 10% 25%
More than
Five Years of
Experience7
n 83 9 38 14 22
25th Percentile 45% -- 50% 38% 30%
50th Percentile 60% -- 70% 55% 50%
75th Percentile 80% -- 81% 75% 70%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Operating Room Snapshot: Hospital Type
Data Reported by Operating Room Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 125 53 66 4
25th Percentile 1:1.0 1:1.0 1:1.0 --
50th Percentile 1:1.0 1:1.0 1:1.5 --
75th Percentile 1:4.0 1:3.0 1:4.3 --
RN-to-Assistant
Ratio3
n 117 51 61 3
25th Percentile 1:0.10 1:0.05 1:0.13 --
50th Percentile 1:0.20 1:0.20 1:0.28 --
75th Percentile 1:0.40 1:0.33 1:0.49 --
BSN
Degree4
n 114 48 61 3
25th Percentile 24% 26% 20% --
50th Percentile 40% 53% 40% --
75th Percentile 65% 70% 60% --
Specialty
Certification5
n 115 48 62 3
25th Percentile 10% 10% 10% --
50th Percentile 25% 25% 25% --
75th Percentile 45% 44% 50% --
Less than
One Year of
Experience6
n 111 48 58 3
25th Percentile 0% 0% 0% --
50th Percentile 5% 5% 3% --
75th Percentile 10% 14% 6% --
More than
Five Years of
Experience7
n 113 48 60 3
25th Percentile 70% 60% 75% --
50th Percentile 90% 80% 90% --
75th Percentile 95% 95% 100% --
70
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Operating Room Snapshot: Region
Data Reported by Operating Room Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 125 34 24 32 22 7 6
25th 1:1.0 1:1.0 1:1.0 1:1.0 1:1.0 -- --
50th 1:1.0 1:1.5 1:1.5 1:1.5 1:1.0 -- --
75th 1:4.0 1:4.0 1:4.0 1:3.0 1:4.0 -- --
RN-to-Assistant
Ratio3
n 117 30 23 32 20 7 5
25th 1:0.10 1:0.16 1:0.15 1:0.00 1:0.03 -- --
50th 1:0.20 1:0.28 1:0.20 1:0.18 1:0.22 -- --
75th 1:0.40 1:0.50 1:0.38 1:0.30 1:0.48 -- --
BSN
Degree4
n 114 31 22 31 20 7 3
25th 24% 20% 24% 25% 20% -- --
50th 40% 50% 40% 35% 50% -- --
75th 65% 65% 66% 60% 69% -- --
Specialty
Certification5
n 115 31 22 32 20 7 3
25th 10% 10% 19% 6% 11% -- --
50th 25% 35% 30% 23% 25% -- --
75th 45% 60% 51% 30% 48% -- --
Less than
One Year of
Experience6
n 111 30 21 32 19 6 3
25th 0% 0% 0% 0% 0% -- --
50th 5% 0% 0% 5% 5% -- --
75th 10% 6% 10% 10% 10% -- --
More than
Five Years of
Experience7
n 113 30 22 32 19 7 3
25th 70% 75% 50% 66% 70% -- --
50th 90% 90% 80% 90% 75% -- --
75th 95% 96% 96% 99% 95% -- --
71
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Operating Room Snapshot: Hospital Bed Size
Data Reported by Operating Room Nurse Leaders1
72
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 125 36 47 24 18
25th Percentile 1:1.0 1:1.0 1:1.0 1:1.0 1:1.0
50th Percentile 1:1.0 1:2.0 1:1.0 1:1.5 1:1.0
75th Percentile 1:4.0 1:4.0 1:4.0 1:3.0 1:3.3
RN-to-Assistant
Ratio3
n 117 34 44 21 18
25th Percentile 1:0.10 1:0.08 1:0.14 1:0.06 1:0.00
50th Percentile 1:0.20 1:0.20 1:0.29 1:0.20 1:0.16
75th Percentile 1:0.40 1:0.46 1:0.42 1:0.30 1:0.38
BSN
Degree4
n 114 33 43 21 17
25th Percentile 24% 13% 25% 38% 35%
50th Percentile 40% 25% 40% 50% 60%
75th Percentile 65% 63% 70% 60% 70%
Specialty
Certification5
n 115 34 43 21 17
25th Percentile 10% 5% 10% 23% 15%
50th Percentile 25% 20% 30% 35% 25%
75th Percentile 45% 43% 55% 48% 30%
Less than
One Year of
Experience6
n 111 32 41 21 17
25th Percentile 0% 0% 0% 0% 3%
50th Percentile 5% 0% 5% 5% 5%
75th Percentile 10% 5% 13% 13% 13%
More than
Five Years of
Experience7
n 113 33 42 21 17
25th Percentile 70% 78% 60% 70% 53%
50th Percentile 90% 95% 85% 90% 65%
75th Percentile 95% 100% 95% 95% 83%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Pediatrics Unit Snapshot: Hospital Type
Data Reported by Pediatrics Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 73 57 15 0
25th Percentile 1:3.0 1:3.0 1:4.0 --
50th Percentile 1:4.0 1:4.0 1:4.0 --
75th Percentile 1:4.0 1:4.5 1:4.0 --
RN-to-Assistant
Ratio3
n 71 55 15 0
25th Percentile 1:0.20 1:0.22 1:0.00 --
50th Percentile 1:0.33 1:0.33 1:0.33 --
75th Percentile 1:0.40 1:0.40 1:0.38 --
BSN
Degree4
n 70 54 15 0
25th Percentile 44% 50% 30% --
50th Percentile 63% 68% 50% --
75th Percentile 80% 80% 75% --
Specialty
Certification5
n 70 54 15 0
25th Percentile 10% 10% 5% --
50th Percentile 25% 25% 20% --
75th Percentile 40% 40% 30% --
Less than
One Year of
Experience6
n 68 52 15 0
25th Percentile 0% 1% 0% --
50th Percentile 10% 10% 5% --
75th Percentile 20% 20% 20% --
More than
Five Years of
Experience7
n 69 54 14 0
25th Percentile 50% 50% 50% --
50th Percentile 70% 70% 78% --
75th Percentile 80% 80% 83% --
73
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Pediatrics Unit Snapshot: Region
Data Reported by Pediatrics Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 73 12 15 15 18 7 6
25th 1:3.0 1:3.3 1:4.0 1:3.0 1:3.0 -- --
50th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- --
75th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- --
RN-to-Assistant
Ratio3
n 71 12 14 15 17 7 6
25th 1:0.20 1:0.19 1:0.22 1:0.06 1:0.17 -- --
50th 1:0.33 1:0.33 1:0.33 1:0.27 1:0.33 -- --
75th 1:0.40 1:0.48 1:0.40 1:0.33 1:0.33 -- --
BSN
Degree4
n 70 11 14 15 17 7 6
25th 44% 35% 45% 50% 63% -- --
50th 63% 50% 55% 70% 70% -- --
75th 80% 70% 85% 75% 85% -- --
Specialty
Certification5
n 70 11 14 15 17 7 6
25th 10% 5% 15% 10% 13% -- --
50th 25% 30% 28% 15% 30% -- --
75th 40% 40% 41% 25% 45% -- --
Less than
One Year of
Experience6
n 68 11 13 15 17 7 5
25th 0% 0% 5% 0% 3% -- --
50th 10% 0% 10% 10% 20% -- --
75th 20% 5% 25% 15% 20% -- --
More than
Five Years of
Experience7
n 69 11 14 15 16 7 6
25th 50% 80% 59% 40% 36% -- --
50th 70% 80% 68% 60% 58% -- --
75th 80% 90% 83% 80% 80% -- --
74
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Pediatrics Unit Snapshot: Hospital Bed Size
Data Reported by Pediatrics Unit Nurse Leaders1
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 73 9 32 16 15
25th Percentile 1:3.0 -- 1:3.0 1:3.0 1:4.0
50th Percentile 1:4.0 -- 1:4.0 1:4.0 1:4.0
75th Percentile 1:4.0 -- 1:4.0 1:4.0 1:5.0
RN-to-Assistant
Ratio3
n 71 9 31 15 15
25th Percentile 1:0.20 -- 1:0.22 1:0.17 1:0.20
50th Percentile 1:0.33 -- 1:0.33 1:0.27 1:0.33
75th Percentile 1:0.40 -- 1:0.40 1:0.33 1:0.40
BSN
Degree4
n 70 9 30 15 15
25th Percentile 44% -- 40% 55% 45%
50th Percentile 63% -- 63% 65% 50%
75th Percentile 80% -- 80% 85% 70%
Specialty
Certification5
n 70 9 30 15 15
25th Percentile 10% -- 10% 15% 10%
50th Percentile 25% -- 25% 30% 15%
75th Percentile 40% -- 41% 40% 40%
Less than
One Year of
Experience6
n 68 9 29 15 14
25th Percentile 0% -- 5% 0% 4%
50th Percentile 10% -- 10% 0% 10%
75th Percentile 20% -- 20% 20% 18%
More than
Five Years of
Experience7
n 69 9 29 15 15
25th Percentile 50% -- 50% 55% 55%
50th Percentile 70% -- 65% 70% 70%
75th Percentile 80% -- 78% 90% 80%
75
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Post-Acute Care Unit Snapshot: Hospital Type
Data Reported by Post-Acute Care Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 76 49 25 0
25th Percentile 1:2.0 1:2.0 1:2.0 --
50th Percentile 1:2.0 1:2.0 1:2.0 --
75th Percentile 1:5.0 1:4.0 1:5.0 --
RN-to-Assistant
Ratio3
n 75 49 24 0
25th Percentile 1:0.08 1:0.11 1:0.01 --
50th Percentile 1:0.20 1:0.20 1:0.17 --
75th Percentile 1:0.27 1:0.31 1:0.26 --
BSN
Degree4
n 75 48 25 0
25th Percentile 40% 41% 25% --
50th Percentile 50% 60% 40% --
75th Percentile 75% 80% 63% --
Specialty
Certification5
n 74 47 25 0
25th Percentile 9% 5% 8% --
50th Percentile 20% 15% 20% --
75th Percentile 35% 30% 43% --
Less than
One Year of
Experience6
n 68 45 22 0
25th Percentile 0% 0% 0% --
50th Percentile 0% 0% 0% --
75th Percentile 0% 0% 0% --
More than
Five Years of
Experience7
n 74 47 25 0
25th Percentile 80% 80% 85% --
50th Percentile 100% 95% 100% --
75th Percentile 100% 100% 100% --
76
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Post-Acute Care Unit Snapshot: Region
Data Reported by Post-Acute Care Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 76 20 16 19 10 5 6
25th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 -- --
50th 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0 -- --
75th 1:5.0 1:4.0 1:5.0 1:2.0 1:6.3 -- --
RN-to-Assistant
Ratio3
n 75 20 16 19 10 5 5
25th 1:0.08 1:0.17 1:0.02 1:0.00 1:0.05 -- --
50th 1:0.20 1:0.26 1:0.19 1:0.18 1:0.18 -- --
75th 1:0.27 1:0.42 1:0.24 1:0.31 1:0.33 -- --
BSN
Degree4
n 75 19 16 19 10 5 6
25th 40% 45% 39% 15% 35% -- --
50th 50% 60% 53% 40% 60% -- --
75th 75% 85% 70% 60% 84% -- --
Specialty
Certification5
n 74 18 16 19 10 5 6
25th 9% 19% 10% 5% 4% -- --
50th 20% 35% 20% 10% 18% -- --
75th 35% 46% 40% 15% 31% -- --
Less than
One Year of
Experience6
n 68 18 14 17 9 4 6
25th 0% 0% 0% 0% -- -- --
50th 0% 0% 0% 0% -- -- --
75th 0% 0% 1% 0% -- -- --
More than
Five Years of
Experience7
n 74 19 15 19 10 5 6
25th 80% 80% 75% 70% 71% -- --
50th 100% 100% 95% 80% 100% -- --
75th 100% 100% 100% 100% 100% -- --
77
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Post-Acute Care Unit Snapshot: Hospital Bed Size
Data Reported by Post-Acute Care Unit Nurse Leaders1
78
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 76 11 31 19 15
25th Percentile 1:2.0 1:2.0 1:2.0 1:2.0 1:2.0
50th Percentile 1:2.0 1:2.0 1:2.0 1:3.0 1:2.0
75th Percentile 1:5.0 1:6.0 1:5.0 1:4.0 1:2.0
RN-to-Assistant
Ratio3
n 75 11 30 19 15
25th Percentile 1:0.08 1:0.00 1:0.02 1:0.08 1:0.14
50th Percentile 1:0.20 1:0.14 1:0.17 1:0.23 1:0.25
75th Percentile 1:0.27 1:0.20 1:0.33 1:0.31 1:0.33
BSN
Degree4
n 75 11 31 19 14
25th Percentile 40% 15% 30% 35% 59%
50th Percentile 50% 50% 50% 50% 73%
75th Percentile 75% 50% 80% 60% 85%
Specialty
Certification5
n 74 11 30 19 14
25th Percentile 9% 5% 5% 10% 9%
50th Percentile 20% 35% 15% 25% 20%
75th Percentile 35% 50% 23% 35% 41%
Less than
One Year of
Experience6
n 68 9 28 17 14
25th Percentile 0% -- 0% 0% 0%
50th Percentile 0% -- 0% 0% 0%
75th Percentile 0% -- 0% 0% 1%
More than
Five Years of
Experience7
n 74 11 31 18 14
25th Percentile 80% 100% 90% 80% 65%
50th Percentile 100% 100% 100% 95% 78%
75th Percentile 100% 100% 100% 100% 83%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Psychiatric/Behavioral Health Unit Snapshot: Hospital Type
Data Reported by Psychiatric/Behavioral Health Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 121 69 29 22
25th Percentile 1:5.0 1:5.0 1:5.0 1:5.0
50th Percentile 1:6.0 1:6.0 1:6.0 1:6.0
75th Percentile 1:7.0 1:7.0 1:7.5 1:8.3
RN-to-Assistant
Ratio3
n 118 66 29 22
25th Percentile 1:0.38 1:0.38 1:0.29 1:0.58
50th Percentile 1:0.66 1:0.67 1:0.67 1:0.88
75th Percentile 1:1.00 1:1.00 1:1.00 1:1.04
BSN
Degree4
n 118 68 27 22
25th Percentile 20% 25% 20% 9%
50th Percentile 40% 48% 30% 40%
75th Percentile 65% 79% 55% 50%
Specialty
Certification5
n 119 67 29 22
25th Percentile 5% 5% 5% 5%
50th Percentile 5% 10% 5% 5%
75th Percentile 20% 25% 20% 10%
Less than
One Year of
Experience6
n 117 66 18 22
25th Percentile 0% 0% 0% 0%
50th Percentile 5% 5% 5% 10%
75th Percentile 10% 10% 10% 20%
More than
Five Years of
Experience7
n 113 64 27 21
25th Percentile 60% 48% 60% 48%
50th Percentile 75% 70% 80% 70%
75th Percentile 90% 80% 95% 80%
79
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Psychiatric/Behavioral Health Unit Snapshot: Region
Data Reported by Psychiatric/Behavioral Health Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 121 39 32 22 9 7 12
25th 1:5.0 1:6.0 1:4.0 1:4.0 -- -- 1:4.0
50th 1:6.0 1:7.0 1:6.0 1:5.0 -- -- 1:5.0
75th 1:7.0 1:9.0 1:7.0 1:6.3 -- -- 1:5.8
RN-to-Assistant
Ratio3
n 118 37 31 22 9 7 12
25th 1:0.38 1:0.50 1:0.33 1:0.30 -- -- 1:0.21
50th 1:0.66 1:0.75 1:0.68 1:0.68 -- -- 1:0.33
75th 1:1.00 1:1.39 1:1.00 1:1.00 -- -- 1:0.59
BSN
Degree4
n 118 39 30 22 9 7 11
25th 20% 10% 18% 30% -- -- 20%
50th 40% 40% 33% 50% -- -- 40%
75th 65% 65% 50% 80% -- -- 50%
Specialty
Certification5
n 119 38 31 22 9 7 12
25th 5% 5% 5% 5% -- -- 5%
50th 5% 10% 5% 10% -- -- 5%
75th 20% 26% 20% 20% -- -- 24%
Less than
One Year of
Experience6
n 117 38 30 22 9 7 11
25th 0% 0% 0% 4% -- -- 0%
50th 5% 3% 5% 5% -- -- 5%
75th 10% 10% 21% 10% -- -- 5%
More than
Five Years of
Experience7
n 113 35 30 21 9 7 11
25th 60% 60% 60% 63% -- -- 70%
50th 75% 80% 70% 80% -- -- 75%
75th 90% 90% 95% 90% -- -- 95%
80
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a
typical weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Psychiatric/Behavioral Health Unit Snapshot: Hospital Bed Size
Data Reported by Psychiatric/Behavioral Health Unit Nurse Leaders1
81
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 121 33 47 23 18
25th Percentile 1:5.0 1:4.5 1:5.0 1:5.0 1:4.0
50th Percentile 1:6.0 1:6.0 1:6.0 1:6.0 1:6.0
75th Percentile 1:7.0 1:8.0 1:7.0 1:8.0 1:10.0
RN-to-Assistant
Ratio3
n 118 33 45 23 17
25th Percentile 1:0.38 1:0.45 1:0.33 1:0.40 1:0.33
50th Percentile 1:0.66 1:0.75 1:0.67 1:0.67 1:1.00
75th Percentile 1:1.00 1:1.08 1:1.00 1:1.00 1:1.00
BSN
Degree4
n 118 32 46 23 17
25th Percentile 20% 11% 25% 10% 28%
50th Percentile 40% 38% 45% 25% 50%
75th Percentile 65% 60% 69% 50% 80%
Specialty
Certification5
n 119 33 46 23 23
25th Percentile 5% 5% 5% 5% 5%
50th Percentile 5% 5% 10% 5% 10%
75th Percentile 20% 18% 20% 20% 33%
Less than
One Year of
Experience6
n 117 32 47 23 15
25th Percentile 0% 0% 0% 0% 0%
50th Percentile 5% 5% 5% 5% 5%
75th Percentile 10% 10% 10% 5% 10%
More than
Five Years of
Experience7
n 113 29 46 22 16
25th Percentile 60% 63% 58% 58% 60%
50th Percentile 75% 80% 75% 73% 88%
75th Percentile 90% 90% 90% 95% 94%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
* Due to the limited sample size, rehab unit data is cut by hospital type only. This cohort includes data from nurse leaders who selected “Other” in response to the survey
question “Which of the following best describes the type of unit you manage?” and specified their unit type as rehab (Free-text responses included variations of “rehab,”
“inpatient rehab,” “acute rehab,” “acute inpatient rehabilitation”). Rehab was not a multiple-choice response option for the survey question.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Rehab Unit* Snapshot: Hospital Type
Data Reported by Rehab Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 31 17 8 6
25th Percentile 1:4.0 1:4.0 -- --
50th Percentile 1:5.0 1:5.0 -- --
75th Percentile 1:6.0 1:6.0 -- --
RN-to-Assistant
Ratio3
n 30 17 8 5
25th Percentile 1:0.38 1:0.37 -- --
50th Percentile 1:0.55 1:0.60 -- --
75th Percentile 1:0.77 1:0.92 -- --
BSN
Degree4
n 30 17 8 5
25th Percentile 29% 25% -- --
50th Percentile 45% 45% -- --
75th Percentile 61% 65% -- --
Specialty
Certification5
n 28 16 7 5
25th Percentile 20% 13% -- --
50th Percentile 30% 33% -- --
75th Percentile 40% 40% -- --
Less than
One Year of
Experience6
n 29 17 7 5
25th Percentile 3% 3% -- --
50th Percentile 10% 10% -- --
75th Percentile 18% 20% -- --
More than
Five Years of
Experience7
n 28 16 7 5
25th Percentile 56% 60% -- --
50th Percentile 88% 83% -- --
75th Percentile 95% 95% -- --
82
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Step-Down Unit Snapshot: Hospital Type
Data Reported by Step-Down Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 83 50 32 1
25th Percentile 1:4.0 1:4.0 1:3.0 --
50th Percentile 1:4.0 1:4.0 1:4.0 --
75th Percentile 1:5.0 1:5.0 1:5.0 --
RN-to-Assistant
Ratio3
n 82 49 32 1
25th Percentile 1:0.25 1:0.29 1:0.17 --
50th Percentile 1:0.37 1:0.38 1:0.37 --
75th Percentile 1:0.43 1:0.43 1:0.43 --
BSN
Degree4
n 80 47 32 1
25th Percentile 35% 40% 35% --
50th Percentile 60% 60% 50% --
75th Percentile 75% 75% 75% --
Specialty
Certification5
n 79 46 32 1
25th Percentile 5% 10% 5% --
50th Percentile 15% 20% 10% --
75th Percentile 25% 25% 24% --
Less than
One Year of
Experience6
n 77 45 31 1
25th Percentile 5% 5% 5% --
50th Percentile 10% 10% 10% --
75th Percentile 20% 20% 20% --
More than
Five Years of
Experience7
n 80 47 32 1
25th Percentile 41% 45% 33% --
50th Percentile 60% 60% 55% --
75th Percentile 75% 75% 79% --
83
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Step-Down Unit Snapshot: Region
Data Reported by Step-Down Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 83 18 24 15 13 5 8
25th 1:4.0 1:3.8 1:4.0 1:4.0 1:3.0 -- --
50th 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0 -- --
75th 1:5.0 1:5.0 1:5.0 1:5.0 1:4.0 -- --
RN-to-Assistant
Ratio3
n 82 17 24 15 13 5 8
25th 1:0.25 1:0.25 1:0.30 1:0.17 1:0.32 -- --
50th 1:0.37 1:0.33 1:0.38 1:0.33 1:0.40 -- --
75th 1:0.43 1:0.42 1:0.44 1:0.44 1:0.46 -- --
BSN
Degree4
n 80 17 23 14 13 5 8
25th 35% 40% 30% 35% 38% -- --
50th 60% 65% 50% 60% 60% -- --
75th 75% 78% 60% 75% 75% -- --
Specialty
Certification5
n 79 16 23 14 13 5 8
25th 5% 11% 5% 4% 3% -- --
50th 15% 20% 15% 13% 10% -- --
75th 25% 24% 25% 20% 18% -- --
Less than
One Year of
Experience6
n 77 16 22 14 13 5 7
25th 5% 5% 5% 10% 5% -- --
50th 10% 5% 10% 15% 10% -- --
75th 20% 15% 18% 23% 28% -- --
More than
Five Years of
Experience7
n 80 17 23 14 13 5 8
25th 41% 45% 30% 49% 25% -- --
50th 60% 60% 55% 53% 50% -- --
75th 75% 78% 70% 66% 90% -- --
84
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Step-Down Unit Snapshot: Hospital Bed Size
Data Reported by Step-Down Unit Nurse Leaders1
85
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 83 8 39 18 18
25th Percentile 1:4.0 -- 1:3.0 1:4.0 1:3.0
50th Percentile 1:4.0 -- 1:4.0 1:4.0 1:4.0
75th Percentile 1:5.0 -- 1:5.0 1:5.0 1:4.3
RN-to-Assistant
Ratio3
n 82 8 39 17 18
25th Percentile 1:0.25 -- 1:0.22 1:0.25 1:0.30
50th Percentile 1:0.37 -- 1:0.38 1:0.40 1:0.33
75th Percentile 1:0.43 -- 1:0.43 1:0.50 1:0.38
BSN
Degree4
n 80 8 39 16 17
25th Percentile 35% -- 30% 43% 55%
50th Percentile 60% -- 50% 60% 65%
75th Percentile 75% -- 70% 64% 80%
Specialty
Certification5
n 79 8 38 16 17
25th Percentile 5% -- 5% 5% 13%
50th Percentile 15% -- 10% 13% 20%
75th Percentile 25% -- 25% 25% 28%
Less than
One Year of
Experience6
n 77 8 37 15 17
25th Percentile 5% -- 5% 5% 5%
50th Percentile 10% -- 10% 10% 15%
75th Percentile 20% -- 20% 15% 25%
More than
Five Years of
Experience7
n 80 8 39 16 17
25th Percentile 41% -- 40% 50% 30%
50th Percentile 60% -- 55% 63% 60%
75th Percentile 75% -- 75% 79% 78%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Surgical Unit Snapshot: Hospital Type
Data Reported by Surgical Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 94 55 34 3
25th Percentile 1:4.0 1:4.0 1:4.0 --
50th Percentile 1:5.0 1:5.0 1:5.0 --
75th Percentile 1:5.0 1:5.0 1:5.0 --
RN-to-Assistant
Ratio3
n 93 54 34 3
25th Percentile 1:0.30 1:0.25 1:0.36 --
50th Percentile 1:0.43 1:0.41 1:0.46 --
75th Percentile 1:0.57 1:0.57 1:0.58 --
BSN
Degree4
n 90 53 33 2
25th Percentile 29% 40% 20% --
50th Percentile 50% 60% 35% --
75th Percentile 71% 80% 50% --
Specialty
Certification5
n 90 53 33 2
25th Percentile 5% 8% 5% --
50th Percentile 15% 20% 10% --
75th Percentile 35% 35% 50% --
Less than
One Year of
Experience6
n 87 52 31 2
25th Percentile 5% 5% 0% --
50th Percentile 10% 10% 5% --
75th Percentile 20% 24% 15% --
More than
Five Years of
Experience7
n 88 53 31 2
25th Percentile 50% 50% 50% --
50th Percentile 70% 65% 75% --
75th Percentile 85% 80% 95% --
86
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Surgical Unit Snapshot: Region
Data Reported by Surgical Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 94 16 20 26 15 12 5
25th 1:4.0 1:4.0 1:4.0 1:4.0 1:5.0 1:4.0 --
50th 1:5.0 1:4.5 1:5.0 1:4.0 1:5.0 1:4.5 --
75th 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0 --
RN-to-Assistant
Ratio3
n 93 16 19 26 15 12 5
25th 1:0.30 1:0.25 1:0.36 1:0.36 1:0.30 1:0.33 --
50th 1:0.43 1:0.40 1:0.43 1:0.50 1:0.43 1:0.39 --
75th 1:0.57 1:0.65 1:0.54 1:0.60 1:0.60 1:0.55 --
BSN
Degree4
n 90 16 19 25 13 12 5
25th 29% 46% 25% 23% 40% 20% --
50th 50% 75% 40% 45% 50% 53% --
75th 71% 95% 50% 60% 75% 74% --
Specialty
Certification5
n 90 16 19 25 13 12 5
25th 5% 16% 5% 5% 5% 5% --
50th 15% 28% 15% 5% 15% 15% --
75th 35% 43% 35% 20% 28% 60% --
Less than
One Year of
Experience6
n 87 16 19 23 12 12 5
25th 5% 5% 0% 5% 1% 1% --
50th 10% 15% 5% 10% 8% 5% --
75th 20% 20% 25% 25% 18% 18% --
More than
Five Years of
Experience7
n 88 16 17 25 13 12 5
25th 50% 53% 55% 50% 33% 34% --
50th 70% 65% 70% 75% 70% 70% --
75th 85% 88% 90% 85% 95% 85% --
87
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Surgical Unit Snapshot: Hospital Bed Size
Data Reported by Surgical Unit Nurse Leaders1
88
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 94 18 33 22 21
25th Percentile 1:4.0 1:3.0 1:4.0 1:4.0 1:4.0
50th Percentile 1:5.0 1:4.5 1:5.0 1:5.0 1:4.0
75th Percentile 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0
RN-to-Assistant
Ratio3
n 93 18 33 22 20
25th Percentile 1:0.30 1:0.31 1:0.33 1:0.29 1:0.21
50th Percentile 1:0.43 1:0.50 1:0.50 1:0.46 1:0.33
75th Percentile 1:0.57 1:0.59 1:0.60 1:0.51 1:0.48
BSN
Degree4
n 90 17 32 21 20
25th Percentile 29% 15% 21% 48% 41%
50th Percentile 50% 25% 48% 50% 68%
75th Percentile 71% 50% 64% 80% 93%
Specialty
Certification5
n 90 17 32 21 20
25th Percentile 5% 5% 5% 13% 6%
50th Percentile 15% 10% 15% 20% 25%
75th Percentile 35% 30% 44% 45% 34%
Less than
One Year of
Experience6
n 87 16 30 21 20
25th Percentile 5% 0% 0% 3% 6%
50th Percentile 10% 5% 10% 5% 15%
75th Percentile 20% 20% 20% 13% 29%
More than
Five Years of
Experience7
n 88 17 31 20 20
25th Percentile 50% 50% 50% 50% 40%
50th Percentile 70% 85% 70% 70% 60%
75th Percentile 85% 95% 80% 85% 83%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Telemetry Unit Snapshot: Hospital Type
Data Reported by Telemetry Unit Nurse Leaders1
Entire Cohort Teaching Community Specialty
RN-to-Patient
Ratio2
n 127 59 63 3
25th Percentile 1:4.0 1:4.0 1:4.0 --
50th Percentile 1:4.0 1:4.0 1:5.0 --
75th Percentile 1:5.0 1:5.0 1:5.0 --
RN-to-Assistant
Ratio3
n 127 59 63 3
25th Percentile 1:0.30 1:0.29 1:0.33 --
50th Percentile 1:0.43 1:0.43 1:0.43 --
75th Percentile 1:0.60 1:0.60 1:0.60 --
BSN
Degree4
n 124 56 63 3
25th Percentile 35% 40% 30% --
50th Percentile 50% 60% 50% --
75th Percentile 75% 79% 60% --
Specialty
Certification5
n 125 57 63 3
25th Percentile 5% 5% 5% --
50th Percentile 10% 10% 10% --
75th Percentile 20% 25% 20% --
Less than
One Year of
Experience6
n 121 53 63 3
25th Percentile 5% 5% 5% --
50th Percentile 10% 10% 10% --
75th Percentile 20% 20% 20% --
More than
Five Years of
Experience7
n 121 55 61 3
25th Percentile 45% 50% 40% --
50th Percentile 60% 60% 55% --
75th Percentile 75% 75% 75% --
89
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Telemetry Unit Snapshot: Region
Data Reported by Telemetry Unit Nurse Leaders1
Entire
Cohort
New England/
Middle Atlantic
(CT, MA, ME,
NH, NJ, NY,
PA, RI, VT)
South
Atlantic
(DC, DE, FL,
GA, MD, NC,
SC, VA, WV)
North
Central
(IA, IL, IN,
KS, MI, MN,
MO, ND, NE,
OH, SD, WI)
South
Central
(AL, AR, KY,
LA, MS, OK,
TN, TX)
Mountain/
Pacific
(AK, AZ, CO,
HI, ID, MT,
NM, NV, OR,
UT, WA, WY)
California
RN-to-Patient
Ratio2
n 127 37 21 29 15 9 16
25th 1:4.0 1:5.0 1:4.0 1:4.0 1:4.0 -- 1:4.0
50th 1:4.0 1:5.0 1:5.0 1:4.0 1:4.0 -- 1:4.0
75th 1:5.0 1:6.0 1:5.0 1:5.0 1:5.0 -- 1:4.0
RN-to-Assistant
Ratio3
n 127 37 21 29 15 9 16
25th 1:0.30 1:0.32 1:0.32 1:0.33 1:0.43 -- 1:0.29
50th 1:0.43 1:0.50 1:0.33 1:0.50 1:0.60 -- 1:0.35
75th 1:0.60 1:0.61 1:0.50 1:0.65 1:0.67 -- 1:0.45
BSN
Degree4
n 124 37 21 28 15 8 15
25th 35% 40% 23% 25% 50% -- 25%
50th 50% 65% 50% 40% 60% -- 50%
75th 75% 80% 65% 64% 60% -- 75%
Specialty
Certification5
n 125 37 21 28 15 9 15
25th 5% 5% 5% 1% 5% -- 5%
50th 10% 15% 5% 10% 10% -- 10%
75th 20% 28% 15% 20% 30% -- 25%
Less than
One Year of
Experience6
n 121 37 21 26 14 9 14
25th 5% 5% 8% 5% 5% -- 5%
50th 10% 10% 20% 15% 15% -- 8%
75th 20% 18% 35% 20% 30% -- 20%
More than
Five Years of
Experience7
n 121 36 21 26 15 8 15
25th 45% 50% 30% 50% 40% -- 50%
50th 60% 63% 50% 60% 50% -- 55%
75th 75% 75% 78% 71% 80% -- 75%
90
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single unit they oversee which has the greatest number of staff nurses.
2) Based on the survey question “During a typical weekday shift on this unit, how many patients is each RN usually responsible for?”
3) Based on the survey questions “During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?” and “During a typical
weekday shift on this unit, approximately how many unit-based nurse aides or techs (for example, CNAs, PCAs, PCTs) are dedicated to the unit?”
4) Based on the survey question “On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
5) Based on the survey question “On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
6) Based on the survey question “On this unit, approximately what percentage of RNs have less than one year of nursing experience?”
7) Based on the survey question “On this unit, approximately what percentage of RNs have more than five years of nursing experience?”
Telemetry Unit Snapshot: Hospital Bed Size
Data Reported by Telemetry Unit Nurse Leaders1
91
Entire
Cohort
0-200
Beds
201-400
Beds
401-600
Beds
More than
600 Beds
RN-to-Patient
Ratio2
n 127 24 63 21 19
25th Percentile 1:4.0 1:4.0 1:4.0 1:4.0 1:4.0
50th Percentile 1:4.0 1:4.0 1:5.0 1:4.0 1:4.0
75th Percentile 1:5.0 1:5.0 1:5.0 1:5.0 1:5.0
RN-to-Assistant
Ratio3
n 127 24 63 21 19
25th Percentile 1:0.30 1:0.31 1:0.33 1:0.27 1:0.29
50th Percentile 1:0.43 1:0.50 1:0.42 1:0.42 1:0.42
75th Percentile 1:0.60 1:0.60 1:0.60 1:0.50 1:0.67
BSN
Degree4
n 124 24 61 20 19
25th Percentile 35% 20% 30% 41% 50%
50th Percentile 50% 40% 50% 63% 70%
75th Percentile 75% 59% 70% 79% 85%
Specialty
Certification5
n 125 24 62 20 19
25th Percentile 5% 0% 5% 6% 5%
50th Percentile 10% 5% 10% 20% 10%
75th Percentile 20% 10% 25% 30% 30%
Less than
One Year of
Experience6
n 121 23 62 18 18
25th Percentile 5% 5% 5% 10% 5%
50th Percentile 10% 10% 10% 10% 10%
75th Percentile 20% 20% 25% 16% 20%
More than
Five Years of
Experience7
n 121 24 59 19 19
25th Percentile 45% 46% 40% 50% 50%
50th Percentile 60% 60% 50% 60% 60%
75th Percentile 75% 75% 75% 75% 80%
©2013 The Advisory Board Company • 27092 advisory.com 92
©2013 The Advisory Board Company • 27092 advisory.com
Snapshots of Non-Acute Care Sites
93
This section provides detailed information about the staffing
complement and nurse preparation at the non-acute care sites
listed below. We do not provide data for any cohort with fewer
than 10 respondents.
Physician Practices...................................................................
• Primary Care Practices
• Specialty Practices
• Multispecialty Practices
Ambulatory Centers………………………………………………….
• Ambulatory Surgical Centers
• Cancer Centers
• Dialysis Centers
• Infusion Centers
Post-Acute Care Organizations……………………………………
• Skilled Nursing Facilities
• Long-Term Acute Care Hospitals
• Home Health Agencies
• Hospice Providers
94
100
106
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician
practice where they work which has the largest number of staff nurses.
2) Based on the survey question “Is your site designated as a ‘medical home’ by one or more accrediting bodies or
health plans? (For example, NCQA—National Committee for Quality Assurance, The Joint Commission).”
3) Based on the survey question “During a typical weekday at this site, approximately how many patients are seen?”
4) Based on the survey question “How many days per week is this site open to see patients?”
5) Based on the survey question “How many days per week does this site see patients after 6 p.m.?”
6) Does not sum to 100% due to rounding.
Physician Practices
Physician Practice Respondents’ Main Work Site1
94
Practice Type, Medical Home Status, Patient Volume, and Days Open per Week
Percentage of
Respondents at Medical
Home-Designated Practice2
51%
Respondents’
Main Work Site
n=181 n=181
80
130
250
25thPercentile
50thPercentile
75thPercentile
Number of Patients Seen
at Practice During a
Typical Weekday3
n=181
45% 42%
13%
Primary
Care
Practice
Specialty
Practice
Multispecialty
Practice
Number of Days per
Week Practice Sees
Patients After 6 p.m.6
n=179
Percentage of Practices
Seeing Patients After 6 p.m. at
Least One Day per Week5
33%
n=59
14%
0%
14%
7%
17%
20%
7 days
6 days
5 days
4 days
3 days
2 days
1 day
29%
11%
10%
78%
1%
7 days
6 days
5 days
4 days
Number of Days Practice
Is Open per Week4
n=180
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician
practice where they work which has the largest number of staff nurses.
2) Based on the survey question “Is your site designated as a ‘medical home’ by one or more accrediting bodies or
health plans? (For example, NCQA—National Committee for Quality Assurance, The Joint Commission).”
3) Based on the survey question “During a typical weekday at this site, approximately how many patients are seen?”
4) Based on the survey question “How many days per week is this site open to see patients?”
5) Based on the survey question “How many days per week does this site see patients after 6 p.m.?”
Physician Practices
Physician Practice Respondents’ Main Work Site1
Detailed Report
Entire Cohort Primary Care Specialty Multispecialty
Percentage of
Respondents at Medical
Home-Designated Practice2
n 181 82 76 23
50.8% 63.4% 38.2% 47.8%
Number of Patients
Seen at Practice During
a Typical Weekday3
n 181 82 76 23
Median 130.0 140.0 100.0 150.0
Number of Days Practice
Is Open per Week4
n 180 82 76 22
4 days 0.6% 0.0% 1.3% 0.0%
5 days 78.3% 70.7% 89.5% 68.2%
6 days 10.0% 17.1% 1.3% 13.6%
7 days 11.1% 12.2% 7.9% 18.2%
Number of Days per
Week Practice Sees
Patients After 6 p.m.5
n 179 81 76 22
0 days 67.0% 59.3% 73.7% 72.7%
1 day 6.7% 7.4% 6.6% 4.5%
2 days 5.6% 8.6% 3.9% 0.0%
3 days 2.2% 1.2% 2.6% 4.5%
4 days 4.5% 4.9% 5.3% 0.0%
5 days 9.5% 12.3% 3.9% 18.2%
6 days 0.0% 0.0% 0.0% 0.0%
7 days 4.5% 6.2% 3.9% 0.0%
95
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single
physician practice where they work which has the largest number of staff nurses.
2) Based on survey questions “During a typical weekday at this site, approximately how many patients are seen?”
and “During a typical weekday at this site, approximately how many of the following staff are present?”
Physician Practices
Staffing Complement at Respondents’ Main Work Site1
96
Number of Patients per Caregiver per Weekday2
Number of Patients per
Physician Assistant
(per Weekday)
n=68
Number of Patients
per Nurse Practitioner
(per Weekday)
n=121
13 20
33
25thPercentile
50thPercentile
75thPercentile
Number of Patients
per Physician
(per Weekday)
n=181
35
70
125
25thPercentile
50thPercentile
75thPercentile
49
78
181
25thPercentile
50thPercentile
75thPercentile
Number of Patients
per Assistant
(per Weekday)
n=134
Number of Patients per
Licensed Practical Nurse
(per Weekday)
n=144
14
27
50
25thPercentile
50thPercentile
75thPercentile
Number of Patients
per Registered Nurse
(per Weekday)
n=181
20
32
71
25thPercentile
50thPercentile
75thPercentile
17
30
63
25thPercentile
50thPercentile
75thPercentile
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single
physician practice where they work which has the largest number of staff nurses.
2) Based on survey questions “During a typical weekday at this site, approximately how many patients are seen?”
and “During a typical weekday at this site, approximately how many of the following staff are present?”
Physician Practices
Staffing Complement at Respondents’ Main Work Site1
Detailed Report2
Entire Cohort Primary Care Specialty Multispecialty
Number of Patients
per Physician
(per Weekday)
n 181 82 76 23
Median 20.0 20.0 20.0 18.8
Number of Patients per
Nurse Practitioner
(per Weekday)
n 121 52 48 21
Median 70.0 81.7 68.3 62.5
Number of Patients per
Physician Assistant
(per Weekday)
n 68 24 34 10
Median 77.5 137.5 61.0 63.3
Number of Patients per
Registered Nurse
(per Weekday)
n 181 82 76 23
Median 26.7 33.3 20.0 20.0
Number of Patients per
Licensed Practical Nurse
(per Weekday)
n 144 70 53 21
Median 31.7 27.5 50.0 35.0
Number of Patients
per Assistant
(per Weekday)
n 134 57 57 20
Median 29.6 35.7 25.0 39.1
97
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Physician Practices
Staff RN Preparation at Respondents’ Main Work Site1
Staff RN Education, Certification, and Experience
98
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with Less than
One Year of Nursing Experience4
n=150
75%
100% 100%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with More than
Five Years of Nursing Experience5
n=177
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician practice where they work which has the largest number of staff nurses.
2) Based on the survey question “At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
0% 5%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with a
Specialty Certification3
n=178
25%
50%
80%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs
with a BSN Degree2
n=177
0%
0%
0%
25%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single physician practice where they work which has the largest number of staff nurses.
2) Based on the survey question “At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
Physician Practices
Staff RN Preparation at Respondents’ Main Work Site1
Detailed Report
Entire Cohort Primary Care Specialty Multispecialty
BSN
Degree2
n 177 81 73 23
Median 50% 50% 50% 60%
Specialty
Certification3
n 178 80 75 23
Median 5% 5% 10% 20%
Less than One Year
of Experience4
n 150 67 65 18
Median 0% 0% 0% 0%
More than Five Years
of Experience5
n 177 80 74 23
Median 100% 100% 95% 85%
99
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory center where
they work which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday at this site, approximately how many patients are seen?”
3) Based on the survey question “How many days per week is this site open to see patients?” Does not sum to 100% due to rounding.
4) Based on the survey question “How many days per week does this site see patients after 6 p.m.?”
Ambulatory Centers
Ambulatory Center Respondents’ Main Work Site1
100
Ambulatory Center Type, Patient Volume, and Days Open per Week
Respondents’
Main Work Site
n=142
25
48
98
25thPercentile
50thPercentile
75thPercentile
Number of Patients Seen at
Center During a Typical Weekday2
n=142
16%
13%
68%
1%
0%
1%
0%
7 days
6 days
5 days
4 days
3 days
2 days
1 day
Number of Days Center
Is Open per Week3
n=142
45%
31%
12%
12%
Ambulatory
Surgical
Center
Cancer
Center
Dialysis
Center
Infusion
Center
Number of Days per
Week Center Sees
Patients After 6 p.m.
n=141
Percentage of Centers Seeing
Patients After 6 p.m. at Least
One Day per Week4
43%
n=61
8%
13%
41%
3%
20%
7%
8%
7 days
6 days
5 days
4 days
3 days
2 days
1 day
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory
center where they work which has the largest number of staff nurses.
2) Based on the survey question “During a typical weekday at this site, approximately how many patients are seen?”
3) Based on the survey question “How many days per week is this site open to see patients?”
4) Based on the survey question “How many days per week does this site see patients after 6 p.m.?”
Ambulatory Centers
Ambulatory Center Respondents’ Main Work Site1
Detailed Report
101
Entire
Cohort
Ambulatory
Surgical Center
Cancer
Center
Dialysis
Center
Infusion
Center
Number of Patients
Seen at Center During
a Typical Weekday2
n 142 64 44 17 17
Median 47.5 35.0 86.0 45.0 40.0
Number of Days Center
Is Open per Week3
n 142 64 44 17 17
1 day 0.0% 0.0% 0.0% 0.0% 0.0%
2 days 0.7% 1.6% 0.0% 0.0% 0.0%
3 days 0.0% 0.0% 0.0% 0.0% 0.0%
4 days 1.4% 3.1% 0.0% 0.0% 0.0%
5 days 68.3% 76.6% 88.6% 5.9% 47.1%
6 days 13.4% 4.7% 2.3% 88.2% 0.0%
7 days 16.2% 14.1% 9.1% 5.9% 52.9%
Number of Days per
Week Center Sees
Patients After 6 p.m.4
n 141 64 44 16 17
0 days 56.7% 50.0% 75.0% 25.0% 64.7%
1 day 3.5% 6.3% 2.3% 0.0% 0.0%
2 days 2.8% 4.7% 2.3% 0.0% 0.0%
3 days 8.5% 6.3% 6.8% 31.3% 0.0%
4 days 1.4% 3.1% 0.0% 0.0% 0.0%
5 days 17.7% 23.4% 11.4% 0.0% 29.4%
6 days 5.7% 0.0% 2.3% 43.8% 0.0%
7 days 3.5% 6.3% 0.0% 0.0% 5.9%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single
ambulatory center where they work which has the largest number of staff nurses.
2) Based on survey questions “During a typical weekday at this site, approximately how many patients are
seen?” and “During a typical weekday at this site, approximately how many of the following staff are present?”
Ambulatory Centers
Staffing Complement at Respondents’ Main Work Site1
102
Number of Patients per Caregiver per Weekday2
Number of Patients per
Physician Assistant
(per Weekday)
n=40
Number of Patients
per Nurse Practitioner
(per Weekday)
n=66
4
11
25
25thPercentile
50thPercentile
75thPercentile
Number of Patients
per Physician
(per Weekday)
n=129
24
44
80
25thPercentile
50thPercentile
75thPercentile
20
38
68
25thPercentile
50thPercentile
75thPercentile
Number of Patients
per Assistant
(per Weekday)
n=111
Number of Patients per
Licensed Practical Nurse
(per Weekday)
n=36
3 6
10
25thPercentile
50thPercentile
75thPercentile
Number of Patients
per Registered Nurse
(per Weekday)
n=142
20 25
53
25thPercentile
50thPercentile
75thPercentile
9
17
30
25thPercentile
50thPercentile
75thPercentile
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single
ambulatory center where they work which has the largest number of staff nurses.
2) Based on survey questions “During a typical weekday at this site, approximately how many patients are
seen?” and “During a typical weekday at this site, approximately how many of the following staff are present?”
Ambulatory Centers
Staffing Complement at Respondents’ Main Work Site1
Detailed Report2
Entire
Cohort
Ambulatory
Surgical Center
Cancer
Center
Dialysis
Center
Infusion
Center
Number of Patients
per Physician
(per Weekday)
n 129 62 41 15 11
Median 10.9 4.0 21.3 33.0 25.0
Number of Patients per
Nurse Practitioner
(per Weekday)
n 66 17 33 10 6
Median 44.4 20.0 56.7 55.0 --
Number of Patients per
Physician Assistant
(per Weekday)
n 40 25 10 2 3
Median 37.5 24.0 90.0 -- --
Number of Patients per
Registered Nurse
(per Weekday)
n 142 64 44 17 17
Median 5.8 2.6 7.4 9.0 7.3
Number of Patients per
Licensed Practical Nurse
(per Weekday)
n 36 11 14 10 1
Median 25.0 20.0 38.8 21.3 --
Number of Patients
per Assistant
(per Weekday)
n 111 56 31 14 10
Median 17.0 12.1 25.0 10.9 23.8
103
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Ambulatory Centers
Staff RN Preparation at Respondents’ Main Work Site1
Staff RN Education, Certification, and Experience
104
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory center where they work which has the largest number of staff nurses.
2) Based on the survey question “At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with Less than
One Year of Nursing Experience4
n=119
90% 95%
100%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with More than
Five Years of Nursing Experience5
n=139
10%
40%
70%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with a
Specialty Certification3
n=142
30%
50%
80%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs
with a BSN Degree2
n=141
0% 0% 0%
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single ambulatory center where they work which has the largest number of staff nurses.
2) Based on the survey question “At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this site, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this site, approximately what percentage of RNs have more than five years of nursing experience?”
Ambulatory Centers
Staff RN Preparation at Respondents’ Main Work Site1
Detailed Report
Entire
Cohort
Ambulatory
Surgical Center
Cancer
Center
Dialysis
Center
Infusion
Center
BSN
Degree2
n 141 64 43 17 17
Median 50% 45% 75% 40% 50%
Specialty
Certification3
n 142 64 44 17 17
Median 40% 20% 70% 25% 60%
Less than One Year
of Experience4
n 119 54 38 14 13
Median 0% 0% 0% 0% 0%
More than Five Years
of Experience5
n 139 62 44 17 16
Median 95% 98% 95% 95% 100%
105
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care
organization where they work which has the largest number of staff nurses.
2) Does not sum to 100% due to rounding.
3) Skilled nursing facilities and long-term acute care hospitals only.
4) Based on the survey question “During a typical weekday for this organization, approximately how many patients are seen?”
Post-Acute Care Organizations
Post-Acute Care Respondents’ Main Work Site1
106
Post-Acute Care Type, Facility Bed Size, and Patient Volume
Respondents’
Main Work Site2
n=96
38%
21%
25%
17%
Long-Term Acute
Care Hospital
Hospice
Provider
Home Health
Agency
Skilled Nursing
Facility
45%
27%
7%
14%
7%
Less than
100 Beds
100-200
Beds
201-300
Beds
301-400
Beds
More than
400 Beds
Number of Staffed Beds at
Respondents’ Organization3
n=56
Number of Patients Seen by Home
Health Agency or Hospice Organization
During a Typical Weekday4
n=40
34
73
115
25thPercentile
50thPercentile
75thPercentile
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest
number of staff nurses.
2) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually
responsible for?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many patients
are seen?” and “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?”
3) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many Licensed
Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday shift at this facility, approximately how many Registered
Nurses (RNs) provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately
how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday for this organization, approximately how
many Registered Nurses (RNs) provide patient care?”
4) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many nurse aides
or techs (for example, CNAs, PCAs, PCTs) are dedicated to the facility?” and “During a typical weekday shift at this facility, approximately how many Registered Nurses (RNs)
provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many
aides provide patient care?” and “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?”
Post-Acute Care Organizations
Staffing Complement at Respondents’ Main Work Site1
107
Patients per RN, LPNs per RN, and Assistants per RN per Weekday
Assistants per RN
(per Weekday)4
n=96
LPNs per RN
(per Weekday)3
n=96
5
8
15
25thPercentile
50thPercentile
75thPercentile
Patients per RN
(per Weekday)2
n=89
0.0
0.3
0.8
25thPercentile
50thPercentile
75thPercentile
0.4
1.0
2.5
25thPercentile
50thPercentile
75thPercentile
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest
number of staff nurses.
2) For skilled nursing facilities and long-term acute care hospitals, based on survey question “During a typical weekday shift at this facility, how many patients is each RN usually
responsible for?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many
patients are seen?” and “During a typical weekday for this organization, approximately how many Registered Nurses (RNs) provide patient care?”
3) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many Licensed
Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday shift at this facility, approximately how many Registered
Nurses (RNs) provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization,
approximately how many Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs) provide patient care?” and “During a typical weekday for this organization,
approximately how many Registered Nurses (RNs) provide patient care?”
4) For skilled nursing facilities and long-term acute care hospitals, based on survey questions “During a typical weekday shift at this facility, approximately how many nurse aides
or techs (for example, CNAs, PCAs, PCTs) are dedicated to the facility?” and “During a typical weekday shift at this facility, approximately how many Registered Nurses (RNs)
provide patient care?” For home health agencies and hospice providers, based on survey questions “During a typical weekday for this organization, approximately how many
Registered Nurses (RNs) provide patient care?” and “During a typical weekday for this organization, approximately how many aides provide patient care?”
Post-Acute Care Organizations
Staffing Complement at Respondents’ Main Work Site1
Detailed Report
108
Entire
Cohort
Skilled Nursing
Facility
Long-Term Acute
Care Hospital
Home Health
Agency
Hospice
Provider
Patients
per RN
(per Weekday)2
n 89 34 15 24 16
Median 7.5 15.5 8.0 5.7 4.1
LPNs
per RN
(per Weekday)3
n 96 36 20 24 16
Median 0.25 0.76 0.34 0.08 0.15
Assistants
per RN
(per Weekday)4
n 96 36 20 24 16
Median 1.00 2.71 1.09 0.29 0.67
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
Post-Acute Care Organizations
Staff RN Preparation at Respondents’ Main Work Site1
Staff RN Education, Certification, and Experience
109
0%
5%
10%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with Less than
One Year of Nursing Experience4
n=86
68%
85%
95%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with More than
Five Years of Nursing Experience5
n=91
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest number of staff nurses.
2) Based on the survey question “At this organization, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this organization, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this organization, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this organization, approximately what percentage of RNs have more than five years of nursing experience
5%
10%
26%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs with a
Specialty Certification3
n=92
20%
38%
56%
25thPercentile
50thPercentile
75thPercentile
Percentage of Staff RNs
with a BSN Degree2
n=92
©2013 The Advisory Board Company • 27092 advisory.com
Source: Nursing Executive Center 360-Degree
Nurse Benchmarking Database, 2013.
1) Nurse managers, assistant nurse managers/supervisors, and nurse directors reported data for the single post-acute care organization where they work which has the largest number of staff nurses.
2) Based on the survey question “At this organization, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?”
3) Based on the survey question “At this organization, approximately what percentage of RNs hold a national specialty certification directly related to the type of work they do?”
4) Based on the survey question “At this organization, approximately what percentage of RNs have less than one year of nursing experience?”
5) Based on the survey question “At this organization, approximately what percentage of RNs have more than five years of nursing experience?”
Post-Acute Care Organizations
Staff RN Preparation at Respondents’ Main Work Site1
Detailed Report
Entire
Cohort
Skilled Nursing
Facility
Long-Term Acute
Care Hospital
Home Health
Agency
Hospice
Provider
BSN
Degree2
n 92 33 19 24 16
Median 38% 35% 30% 40% 40%
Specialty
Certification3
n 92 33 19 24 16
Median 10% 10% 15% 5% 30%
Less than One Year
of Experience4
n 86 31 19 21 15
Median 5% 5% 10% 0% 0%
More than Five Years
of Experience5
n 91 33 19 24 15
Median 85% 85% 75% 95% 90%
110
©2013 The Advisory Board Company • 27092 advisory.com
Access the Benchmarking Survey for Post-Acute Care Organizations
The survey for post-acute care organizations (as well as the survey for acute care
hospital units and the survey for physician practices and ambulatory centers) can
be accessed through an online version of this publication on advisory.com/nec.
Type “360-Degree Nurse Staffing Benchmarks” into the search engine.
• Acute Care Hospital Unit Survey
• Physician Practice and Ambulatory Center Survey
Appendix: Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
111
©2013 The Advisory Board Company • 27092 advisory.com 112
Source: Nursing Executive Center.
Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
Acute Care Hospital Unit Survey
NURSE LEADER ROLE AND MAIN WORK SITE
1. Which of the following most accurately describes your role?
o Nurse Manager (oversees a group of frontline nurses)
o Assistant Nurse Manager/Supervisor
o Nurse Director (oversees multiple managers)
o Other (Please specify.)
2. In which state do you primarily work?
3. Which of the following best describes the organization where you work?
o Organization Within a Larger System (e.g., one hospital in a multi-hospital health system, one hospital with
several outpatient clinics spread across the region, a physician practice affiliated with a health system)
o Freestanding Organization (e.g., freestanding hospital, independent physician practice)
4. Which of the following best describes the specific location where you work?
(If you work in multiple locations, please select the location where you oversee the greatest number of staff nurses.)
o Acute Care Hospital Unit (e.g., Med/Surg, ICU, Emergency Department)
o Outpatient Ancillary Department (e.g., Outpatient Rehab, Lab, Imaging)
o Physician Office/Clinic (e.g., Primary Care Office, Specialty Physician Practice)
o Other Outpatient Site (e.g., Heart Failure Clinic, Dialysis Center, Cancer Center, Ambulatory Surgical
Center)
o Post-Acute Care Facility or Service (e.g., Skilled Nursing Facility, Long-Term Acute Care Hospital, Home
Health, Hospice)
SITE CHARACTERISTICS
5. Which of the following best describes the type of unit you manage?
(If you manage more than one unit, please select the unit which has the greatest number of staff nurses.
PLEASE ANSWER ALL REMAINING SURVEY QUESTIONS BASED ON THE UNIT YOU SELECT.)
o Cardiac (Non-Surgical, Non-ICU)
o Critical Care
o Emergency Department
o Interventional Procedure (e.g., Cath Lab, EP Lab)
o Medical
o Medical/Surgical
o Neurology/Neurosurgery
o Nursery or NICU
o Oncology
o OB/GYN or Labor and Delivery
o Observation/Short-Stay
o Operating Room
o PACU
o Pediatrics
o Psychiatric/Behavioral Health
o Step-Down
o Surgical
o Telemetry
o Other (Please specify.)
©2013 The Advisory Board Company • 27092 advisory.com 113
Source: Nursing Executive Center.
Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
Acute Care Hospital Unit Survey
6. Which of the following best describes your hospital?
o Teaching Hospital (including Academic Medical Center)
o Community Hospital (Non-teaching)
o Specialty Hospital (including Rehab, Psych)
o Other (Please specify.)
7. Is your organization Magnet-designated?
8. How many staffed beds does your organization have?
(Please report the number of staffed beds, not licensed beds.)
o Less than 100 beds
o 100-200 beds
o 201-300 beds
o 301-400 beds
o 401-500 beds
o 501-600 beds
o 601-700 beds
o 701-800 beds
o More than 800 beds
WORK INTENSITY
IF YOU MANAGE MULTIPLE UNITS, PLEASE ANSWER THE FOLLOWING QUESTIONS BASED ON THE UNIT WITH
THE GREATEST NUMBER OF STAFF NURSES.
9. During a typical weekday shift on this unit, approximately how many Registered Nurses (RNs) provide patient care?
10. During a typical weekday shift on this unit, how many patients is each RN usually responsible for?
11. During a typical weekday shift on this unit, approximately how many Licensed Practical Nurses (LPNs)/Licensed
Vocational Nurses (LVNs) provide patient care?
12. On a typical weekday shift on this unit, what is the starting census?
(How many patients are present at the beginning of the shift?)
13. During a typical weekday shift on this unit, how many patients are:
a) Admitted or transferred into the unit?
b) Discharged or transferred out of the unit?
14. During a typical weekday shift on this unit, approximately what percentage of hours are filled by flexible staff?
(For example, PRN staff, float pool staff, agency staff.)
©2013 The Advisory Board Company • 27092 advisory.com 114
Source: Nursing Executive Center.
Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
Acute Care Hospital Unit Survey
15. On this unit, approximately what percentage of RNs typically work:
a) 8-hour shifts?
b) 10-hour shifts?
c) 12-hour shifts?
16. On this unit, are RNs represented by a union?
LEVEL OF SUPPORT
17. During a typical weekday shift on this unit, approximately how many of the following staff are dedicated to the unit?
(Please count each staff member only once.)
a) Unit-Based Nurse Aides or Techs (e.g., CNAs, PCAs, PCTs)
b) Unit-Based Pharmacists
c) Unit-Based Environmental Service Staff Members
d) Unit-Based Patient Transport Technicians
e) Unit-Based Secretaries
18. During a typical weekday shift on this unit, approximately what percentage of time do RNs spend on work that could
be accomplished by another care team member with less training?
(For example, emptying trash, fixing equipment, cleaning up spills, etc.)
19. As a nurse leader, approximately how many hours do you spend each week addressing service issues identified
during patient rounds?
(For example, ensuring maintenance staff fix broken equipment or nurses address unmet pain needs.)
NURSE EDUCATION AND EXPERIENCE
20. On this unit, approximately what percentage of staff nurses have a Bachelor of Science in Nursing (BSN) degree?
21. If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five
years?
o No
o Yes
o My organization only hires RNs who already have a BSN.
22. On this unit, approximately what percentage of RNs hold a national specialty certification directly related to the type
of work they do?
23. On this unit, approximately what percentage of RNs have:
a) Less than one year of nursing experience?
b) More than five years of nursing experience?
24. On this unit, approximately what percentage of RNs do you believe will retire within the next five years?
©2013 The Advisory Board Company • 27092 advisory.com 115
Source: Nursing Executive Center.
Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
Acute Care Hospital Unit Survey
PERFORMANCE METRICS
25. On this unit in the calendar year of 2012:
a) How many patients have occupied a bed? (number of patient days)
b) How many patient falls have occurred?
c) How many pressure ulcers have occurred?
26. For this unit in the calendar year of 2012, what was the average “willingness to recommend” patient satisfaction
score? (This is the percentage of patients who would recommend the hospital to others.)
27. What is the source of the patient satisfaction data you reported in the previous question?
o Press Ganey
o Gallup
o HCAHPS
o PRC
o NRC Picker
o In-house survey
o I did not answer the previous question.
o Other (Please specify.)
©2013 The Advisory Board Company • 27092 advisory.com 116
Source: Nursing Executive Center.
Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
Physician Practice and Ambulatory Center Survey
NURSE LEADER ROLE AND MAIN WORK SITE
1. Which of the following most accurately describes your role?
o Nurse Manager (oversees a group of frontline nurses)
o Assistant Nurse Manager/Supervisor
o Nurse Director (oversees multiple managers)
o Other (Please specify.)
2. In which state do you primarily work?
3. Which of the following best describes the organization where you work?
o Organization Within a Larger System (e.g., one hospital in a multi-hospital health system, one hospital with
several outpatient clinics spread across the region, a physician practice affiliated with a health system)
o Freestanding Organization (e.g., freestanding hospital, independent physician practice)
4. Which of the following best describes the specific location where you work?
(If you work in multiple locations, please select the location where you oversee the greatest number of staff nurses.)
o Acute Care Hospital Unit (e.g., Med/Surg, ICU, Emergency Department)
o Outpatient Ancillary Department (e.g., Outpatient Rehab, Lab, Imaging)
o Physician Office/Clinic (e.g., Primary Care Office, Specialty Physician Practice)
o Other Outpatient Site (e.g., Heart Failure Clinic, Dialysis Center, Cancer Center, Ambulatory Surgical
Center)
o Post-Acute Care Facility or Service (e.g., Skilled Nursing Facility, Long-Term Acute Care Hospital, Home
Health, Hospice)
IF SELECT “PHYSICIAN OFFICE/CLINIC” IN QUESTION 4:
5a. Which of the following best describes the type of clinic where you work?
(If you work at more than one site, please select the site with the greatest number of staff nurses. PLEASE ANSWER
ALL REMAINING SURVEY QUESTIONS BASED ON THE SITE YOU SELECT IN THIS QUESTION.)
o Primary Care Practice
o Specialty Practice
o Multispecialty Practice
o Other (Please specify.)
5b. Is your site designated as a “medical home” by one or more accrediting bodies or health plans?
(For example, NCQA—National Committee for Quality Assurance, The Joint Commission.)
©2013 The Advisory Board Company • 27092 advisory.com 117
Source: Nursing Executive Center.
Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
Physician Practice and Ambulatory Center Survey
IF SELECT “OTHER OUTPATIENT SITE” IN QUESTION 4:
5. Which of the following best describes the type of site where you work?
(If you work at more than one site, please select the site with the greatest number of staff nurses. PLEASE ANSWER
ALL REMAINING SURVEY QUESTIONS BASED ON THE SITE YOU SELECT IN THIS QUESTION.)
o Ambulatory Surgical Center
o Anticoagulation Clinic
o Cancer Center
o Dialysis Center
o Heart Failure Clinic
SITE CHARACTERISTICS
6. How many days per week is this site open to see patients?
7. How many days per week does this site see patients after 6 p.m.?
8. During a typical weekday at this site, approximately how many of the following staff are present?
a) Physicians (MDs, DOs, NDs)
(Please include all physicians who provide patient care at the site during a typical weekday, regardless of
their employment arrangement.)
b) Nurse Practitioners (NPs)
c) Physician Assistants (PAs)
d) Registered Nurses (RNs)
e) Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs)
f) Assistants (e.g., CNAs, PCAs, PCTs, MAs, NAs.)
g) Other
9. At this site, are RNs represented by a union?
10. At this site, who do RNs report to?
(Please select all that apply.)
Nurse Leader (Manager or Director)
Medical Director/Practice Manager
Service Line Director
I don’t know.
Other (Please specify.)
o Infusion Center
o Radiation Therapy
o Retail Clinic
o Urgent Care Center
o Other (Please specify.)
©2013 The Advisory Board Company • 27092 advisory.com 118
Source: Nursing Executive Center.
Nursing Executive Center
360-Degree Nurse Benchmarking Surveys
Physician Practice and Ambulatory Center Survey
WORK INTENSITY
11. During a typical weekday at this site, approximately how many patients are seen?
12. During a typical weekday at this site, approximately what percentage of time do RNs spend on work that could be
accomplished by another care team member with less training?
(For example, emptying trash, fixing equipment, cleaning up spills, etc.)
NURSE EDUCATION AND EXPERIENCE
13. At this site, approximately what percentage of Registered Nurses (RNs) have a Bachelor of Science in Nursing
(BSN) degree?
14. If new RN hires do not currently have a BSN degree, does your organization require them to earn one within five
years?
o No
o Yes
o My organization only hires RNs who already have a BSN.
15. At this site, approximately what percentage of RNs hold a national specialty certification directly related to the type of
work they do?
16. At this site, approximately what percentage of RNs have:
a) Less than one year of nursing experience?
b) More than five years of nursing experience?
17. At this site, approximately what percentage of RNs do you anticipate retiring within the next five years?
PERFORMANCE METRICS
18. At this site in the calendar year of 2012, what was the average “willingness to recommend” patient satisfaction
score? (This is the percentage of patients who would recommend the site to others.)
19. What is the source of the patient satisfaction data you reported in the previous question?
o Press Ganey
o Gallup
o CAHPS
o PRC
o NRC Picker
o In-house survey
o I did not answer the previous question.
o Other (Please specify.)
©2013 The Advisory Board Company • 27092 advisory.com 119
©2013 The Advisory Board Company • 27092 advisory.com 120