Registered nurses in Israel - workforce employment characteristics and projected supply

1. A survey of a national sample of 10% of the RNs of working age (3,200 nurses). 2. Analysis of administrative data from the Ministry of Health' Nursing Division and the Central Bureau of Statistics.Most registered nurses are employed (89%) - 67% work full time. The workforce is mature (45% are above 45), trained (55% qualified beyond the basic course, 48% hold a BA, 18% hold an MA or PhD), and stable: few quit the profession altogether. The likelihood of "survival" in the profession after 10 years is 93%; after 20 years - 88%. 23% have made some transition in the last 10 years (most - a single transition). Most of the transitions are from hospital to community work. Supply projections show a decrease in the total number of RNs in the nursing workforce from 28,500 in 2008 to 21,201 in 2028 - i.e., of 25% by the end of the period. As for the ratio per 1,000 population, the drop is from 4 registered nurses/1,000 in 2008 to 2/1,000 in 2028.The study findings provide more rigorous projections of supply than in the past on the declining rates of the nursing workforce in the coming decades, and contribute to decision making about the scope of training and recruitment. The study also points to the implications for policy decisions regarding the findings that the young nursing workforce is less stable, that there are advantages to recruiting a more mature workforce, and that post-basic education is connected with workforce stability.Western healthcare systems suffer from a severe nursing shortage and imbalance between workforce demand and supplies [1]. In Israel in the past two decades, two main trends have impacted nursing supply: (a) the entry of thousands of immigrant nurses into the profession as practical nurses, and the policy of the Ministry of Health (MoH) to retrain as RNs the practical nurses licensed in Israel, and (b) the fact that practical nurses stopped being trained (since 2007) and registered as licensed nurses (since September 2009) in accordance with the