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February 5, 2003

Racial Differences in Rates of Traumatic Lumbar Puncture

JAMA. 2003;289(5):549. doi:10.1001/jama.289.5.549-a

In Reply: We agree with Ms Davis that the nurse shortage will continue to be an important issue and that hospitals need to explore various options to improve nurse recruitment and retention. Ms Hand's impression that the shortage of nurses in general may be less acute than the shortage of nurses willing to work in hospitals parallels evidence we have gathered from more than 13 000 hospital and 27 000 nonhospital nurses. Many of the hospital nurses we surveyed intended to leave their jobs within the next year, and hospital nurses reported significantly greater dissatisfaction with their current jobs than nurses in most other settings (L.H.A., S.P.C., D.M.S., J.S., J.H.S., unpublished data, 2002). Hand's suggestion that flexible scheduling and effective orientation and continuing education programs may entice expert nurses back to the bedside certainly seems plausible and is consistent with other findings in our ongoing program of research.