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pdfAppendix B
Draft 2026 NSSRN Paper Questionnaire
2026 NATIONAL
SAMPLE SURVEY OF REGISTERED NURSES
Start Here
Respond online today at: https://respond.census.gov/nssrn
OR
Complete this form and mail it back as soon as possible.
The 2026 National Sample Survey of Registered Nurses (NSSRN) is being conducted by the United States
Census Bureau on behalf of the Health Resources and Services Administration of the U.S. Department of
Health and Human Services and is the twelfth cycle of the survey.
We appreciate your help with this important survey. If you need help or have questions about completing this
form, please call 1-888-369-3598 or email us at addp.nssrn@census.gov.
Section A.
Licensure and Certification
A2.
What U.S. state(s) ISSUED the active RN license(s)
that you held on December 31, 2025? Do not
include APRN licenses.
State
A1.
State
State
State
On December 31, 2025, did you have an ACTIVE
LICENSE to practice as a Registered Nurse (RN)
or Advanced Practice Registered Nurse (APRN)
in the U.S.?
Yes, I am licensed as an RN, but not an APRN.
Yes, I am licensed as both an RN and an
APRN ➜ Continue to Question A2. We will
ask about your APRN in a later section.
No ➔ If No, you do not need to complete this
questionnaire. Please mark “No” AND
RETURN THIS QUESTIONNAIRE IN THE
ENVELOPE PROVIDED SO WE KNOW
YOU ARE NOT ELIGIBLE.
NSSRN-1
A3.
Were you living in the U.S. on December 31, 2025?
Mark (X) No if you were living in a U.S. territory.
Yes
No ➔ If No, you do not need to complete this
questionnaire. Please mark “No” AND
RETURN THIS QUESTIONNAIRE IN
THE ENVELOPE PROVIDED SO WE
KNOW YOU ARE NOT ELIGIBLE.
(07/23/2025 ) Draft
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A4.
What U.S. state issued your FIRST RN license?
A8c. Which of the following National NP Board
Certifications did you hold? Mark (X) ALL that
apply.
State
Family NP
A5.
In what year were you issued your FIRST U.S.
RN license?
Adult-Gerontology Primary Care NP
Adult-Gerontology Acute Care NP
Year
Adult NP
A6.
Have you ever been LICENSED as a Licensed
Practical Nurse (LPN) or Licensed Vocational
Nurse (LVN) in the U.S.?
Gerontology NP
Pediatric Primary Care NP
Yes
Pediatric Acute Care NP
No
Psychiatric-Mental Health NP
A7.
On December 31, 2025, did you have any active
nursing certifications as a Nurse Practitioner,
Clinical Nurse Specialist, Nurse-Midwife, or
Certified Registered Nurse Anesthetist?
Neonatal NP
Women’s Health NP
Other
Yes
No ➔ SKIP to Question A12 on page 3
A9a. On December 31, 2025, did you have any
active certifications as a Clinical Nurse
Specialist (CNS)?
A8a. On December 31, 2025, did you have any active
certification(s) as a Nurse Practitioner (NP)?
Yes
Yes
No ➔ SKIP to Question A10a on page 3
No ➔ SKIP to Question A9a
A9b. Were any of your CNS certification(s) from
a NATIONAL CERTIFYING ORGANIZATION?
A8b. Were any of these certifications from a National
NP Board?
Yes
Yes
No ➔ SKIP to Question A10a on page 3
No ➔ SKIP to Question A9a
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A9c. Which of the following CNS certifications did
you have from a NATIONAL CERTIFYING
ORGANIZATION? Mark (X) ALL that apply.
A12. On December 31, 2025, which of the following
skill-based certifications did you have?
Mark (X) ALL that apply.
Adult-Gerontology (ACCNS-AG, AGCNS-BC)
No certifications
Pediatric (ACCNS-P, PCNS-BC, CCNS)
Advanced Diabetes Management and Care
(ADM-BC, CDE, CDCES, etc.)
Neonatal (ACCNS-N, CCNS)
Ambulatory Care Certification (AMB-BC, etc.)
Adult (ACNS-BC, CCNS)
Cardiac or Vascular Nursing
(CMC, CSC, CV-BC, etc.)
Case Management
(CM, CCM, ACM, CMGT-BC, etc.)
Gerontological (GCNS-BC)
Psychiatric-Mental Health – Adult (PMHCNS-BC)
Critical Care Certificate (CCRN, etc.)
Psychiatric-Mental Health – Child/Adolescent
(PMHCNS-BC)
Emergency Nursing
(BCEN, CEN, EMT, ENPC, ENP, etc.)
Hospice and Palliative Care
(ACHPN, CHPCA, CHPN, CHPPN, etc.)
Public/Community Health (PHCNS-BC)
Other
Informatics (NI-BC, etc.)
A10a. On December 31, 2025, did you have an active
certification as a Nurse-Midwife?
Lactation (CLC, CLE, CLS, IBCLC, etc.)
Yes
Life Support (BLS, ATLS, ACLS, BCLS,
PALS, etc.)
No ➔ SKIP to Question A11a
Medical-Surgical Nursing
(CMSRN, MEDSURG-BC, etc.)
Nutrition (CNSC, etc.)
A10b. Was your Nurse-Midwife certification from a
NATIONAL CERTIFYING ORGANIZATION?
Obstetric Nursing or Women’s Health
(RNC-OB, C-ONQS, etc.)
Yes
Oncology (OCN, AOCNP, CPHON, CPON, etc.)
No
Pediatrics (CPN, C-NPT, PED-BC, etc.)
Perioperative Nursing
(CFPN, CNOR, CNS-CP, etc.)
A11a. On December 31, 2025, did you have an active
certification as a Certified Registered
Nurse Anesthetist?
Progressive Care Nursing (PCCN, etc.)
Yes
Psychiatric-Mental Health Nursing and
Addiction or Substance Abuse Nursing
(PMH-BC, PMHS, CARN, CBHC, etc.)
No ➔ SKIP to Question A12
Public Health Nurse (PHNA-BC, etc.)
A11b. Was your Certified Registered Nurse Anesthetist
certification from a NATIONAL CERTIFYING
ORGANIZATION?
Resuscitation (CPR, NRP, etc.)
Sexual Assault Nurse Examiner (SANE, etc.)
Yes
Stroke and Related (SCRN, NHISS, etc.)
No
Trauma Nursing (TCRN, TNCC, ATCN,
ATN, etc.)
Wound Care or Ostomy Nurse
(AWCC, CWCA, CWCN, CWOCN,
CWON, CWS, WCC, COCN, etc.)
Other, Specify:
3
C
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B4.
Section B.
Education
Where was this program located? If the program
was 100% online, report the college or university
location.
In the U.S.
City/Town
B1a. Which type of nursing degree qualified you for
your FIRST U.S. RN license? Mark (X) ONE box
only.
C
Y
Diploma
State abbreviation
Associate
Bachelor’s
Outside the U.S.
Print name of foreign country or
U.S. territory:
Master’s
Doctorate – PhD
C
Doctorate – DNP
B1b. Was this degree earned through any of the
following types of programs? Mark (X) ONE box
only.
B5.
Self-paid (including gifts from parents, spouse,
or other family members or friends)
LPN- or LVN-to-RN program
Accelerated degree program, which allows
students to complete their degree in a shorter
period of time than usual
Money borrowed from parents, spouse, or other
family members or friends, with the expectation
of paying it back
Direct degree program, which allows students
to move directly into a nursing program
based on prior nursing or non-nursing degrees
or credit hours
Federally-assisted student loan
Other type of student loan
Other type of loan (such as a bank loan, line
of credit, etc.)
None of these
B2.
Employer tuition reimbursement plan
In what year did you graduate with your first
RN degree?
Department of Veterans Affairs employer
tuition plan
Year
B3.
How did you pay for your first RN degree? Include
the cost of tuition, room and board, fees, books, and
supplies. Mark (X) ALL that apply.
Health Resources and Services Administration
Support (e.g., National Health Service Corps,
Nurse Corps Loan Repayment, Faculty Loan
Repayment)
What percent of the courses for this degree
was completed online or through distance
learning? Do not include clinicals.
Other federal traineeship, scholarship, or grant
0%
State or local government scholarship or grant
1%-49%
50%-99%
Non-government scholarship or grant (includes
private scholarships, school-provided
scholarships, work-study programs, etc.)
100%
Other resources
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B6.
What post-high school degree(s) did you receive
BEFORE starting your first RN degree?
Mark (X) ALL that apply.
B7.
None
Were you ever employed in any of the following
health-related jobs before completing your first
RN degree? Mark (X) Yes or No for EACH item.
Yes
No
a. Nurse aide or nursing assistant
Associate
b. Home health aide or assistant
Bachelor’s
Master’s
c. Licensed Practical or Vocational
Nurse
Doctorate
d. Counselor, social worker or
behavioral health specialist
Other
e. Community health worker
f. Midwife
g. Emergency Medical Technician
(EMT) or paramedic
h. Medical assistant
i. Dental assistant
j. Laboratory technologist or
technician or phlebotomist
k. All other health technologists
and technicians
l. Nurse intern, extern or apprentice
m. Manager in health care setting
n. Clerk in health care setting
o. Other health-related job
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B8.
As of December 31, 2025, did you complete any ADDITIONAL nursing degrees or certificates AFTER acquiring your first
RN degree that you described in Question B1a? Do not include degrees or certificates you are currently working towards.
Yes ➜ Complete all rows of the table below for each nursing degree or certificate you earned as of December 31, 2025.
No ➜ SKIP to Question B9a on page 7
Additional Nursing Degrees & Certificates
Second Nursing
Degree or Certificate
B8a. What type of degree
or certificate is this?
Mark (X) ONE box only.
Third Nursing
Degree or Certificate
Fourth Nursing
Degree or Certificate
Associate
Associate
Associate
Bachelor’s
Bachelor’s
Bachelor’s
Master’s
Master’s
Master’s
Post-Master’s Certificate
Post-Master’s Certificate
Post-Master’s Certificate
Doctor of Nursing Practice
Doctor of Nursing Practice
Doctor of Nursing Practice
Research Doctorate
(PhD, DNS, etc.)
Research Doctorate
(PhD, DNS, etc.)
Research Doctorate
(PhD, DNS, etc.)
Other
Other
Other
In the U.S.C
In the U.S.C
In the U.S.C
B8b. In what year did
you receive this degree
or certificate?
B8c. Where was this
program located?
If the program was 100%
online, report the college
or university location.
B8d. Did this degree or
certificate qualify you to
be any of the following?
Mark (X) ONE box only.
B8e. What percent of the
courses for this degree
or certificate were
completed online or
through distance
learning?
Do not include clinicals.
B8f. What was the
primary focus of this
degree or certificate?
City/Town
State abbr.
City/Town
State abbr.
City/Town
State abbr.
Outside the U.S.
Outside the U.S.
Outside the U.S.
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Clinical Nurse Specialist
Clinical Nurse Specialist
Clinical Nurse Specialist
Nurse-Midwife
Nurse-Midwife
Nurse-Midwife
Certified Registered
Nurse Anesthetist
Certified Registered
Nurse Anesthetist
Certified Registered
Nurse Anesthetist
None of these
None of these
None of these
0%
0%
0%
1%-49%
1%-49%
1%-49%
50%-99%
50%-99%
50%-99%
100%
100%
100%
Enter the
two-digit
code listed
below.
Enter the
two-digit
code listed
below.
Enter the
two-digit
code listed
below.
Primary Focus of Nursing Degree or Certificate
01 Clinical Practice
02 Clinical Nurse Leader
03 Administration/Business Management 05 Public Health/Community Health
04 Education
06 Informatics
07 Research
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08 Other health field
09 No primary focus
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B9a. For ANY of the nursing degrees you had completed
as of December 31, 2025, did you borrow any
money? Include the cost of tuition, room and board,
fees, books, and supplies.
B10d. What was the primary focus of your highest
non-nursing degree? Mark (X) ONE box only.
Clinical Practice
Yes
Administration or Business Management
No ➔ SKIP to Question B10a
Education
Public Health or Community Health
B9b. As of December 31, 2025, approximately how
much debt from your nursing degree(s) did you
still owe? Include all sources of debt.
Social Work, Psychology, or Other Behavioral
Health
$0
Law
$1 - $10,000
Biological or Physical Sciences
$10,001 - $20,000
Humanities, Liberal Arts, or Social Sciences
$20,001 - $30,000
Information Technology or Informatics
$30,001 - $40,000
Research
$40,001 - $50,000
Health Policy
$50,001 - $60,000
Other Policy
$60,001 - $70,000
Other health field
$70,001 - $80,000
Other non-health field
$80,001 - $90,000
B11a. During the FALL TERM OF 2025, were you
enrolled in a formal education program
leading to an academic degree or certificate?
$90,001 or more
Yes, in nursing
B10a. As of December 31, 2025, did you have any
NON-NURSING academic degrees? Do not include
degrees you are currently working towards.
Yes, in a non-nursing field
No ➔ SKIP to Question B12 on page 8
Yes
No ➔ SKIP to Question B11a
B11b. Were you a full-time or part-time student?
B10b. As of December 31, 2025, what was the HIGHEST
non-nursing degree you received? Mark (X) ONE
box only.
Full-time student
Part-time student
Associate
B11c. What percent of the courses for this degree or
certificate were completed online or through
distance learning, excluding clinicals?
Bachelor’s
Master’s
0%
Doctorate
1%-49%
Other
50%-99%
B10c. In what year did you receive your highest
non-nursing degree?
100%
Year
7
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B11d. What type of degree or certificate were you working
towards in this program? Mark (X) ONE box only.
B13c. Did you have one or more preceptors assigned to
you during this RN transition-to-practice
program?
Certificate or Award
Yes
Associate Degree
No
Bachelor’s Degree
B14. Within the past year, have you received or
provided emergency preparedness training in
any of the following areas specifically related to
patient care or medical response to these
emergencies? Mark (X) Yes or No for EACH item.
Yes
No
Master’s Degree
Post-Master’s Certificate
Doctorate – PhD
Doctorate – DNP
a. Chemical accident or attack
Doctorate – Other
b. Biological accident or attack
Post-Doctoral Certificate
c. Nuclear or radiological accident
or attack
B12. As of December 31, 2025, were you planning to
continue your formal nursing education leading
to an academic degree or certificate? Do not
consider degrees or certificates you were working
towards in 2025.
d. Infectious disease epidemics
e. Natural disaster
Yes
f. Other public health emergencies
No
B15. The Health Resources and Services
Administration sponsors a number of programs to
support nursing workforce development. Which of
the following programs are you aware of? Mark (X)
ALL that apply.
I was undecided at that time
B13a. Have you completed an RN transitionto-practice program? A transition-to-practice
program is a training program that helps new nurses
transition from academic education to professional
nursing practice.
Faculty Loan Repayment
Maternity Care Nursing Workforce Expansion
Program
Yes ➜ Year completed
National Health Service Corps
No ➔ SKIP to Question B14
Nurse Anesthetist Traineeship
B13b. How long did this program last? Your best estimate
is fine.
Nurse Education, Practice, Quality and
Retention Program
0 to 3 months
Nurse Corps Loan Repayment
4 to 6 months
Nurse Corps Scholarship Program
7 to 9 months
Nursing Student Loans
10 to 12 months
Pediatric Specialty Loan Repayment
Longer than 12 months
Scholarships for Disadvantaged Students
Program
None of these
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Section C.
Employment
C1.
Questions C6-C28 ask about your experiences in 2025 only.
C6.
On December 31, 2025, were you employed or
self-employed in the United States in any type
of nursing position (LVN, LPN, RN, or APRN)?
Employed includes working for pay, even if on
temporary leave.
In 2025, which of the following state licensures,
certifications, or recognitions were you required
to maintain for the primary nursing position you
held on December 31, 2025? Mark (X) ALL that
apply.
RN
Yes
APRN, Nurse Practitioner
No ➔ SKIP to Section G on page 25
APRN, Clinical Nurse Specialist
Questions C2-C30 ask about your primary nursing
position. If you had multiple nursing positions, the
primary nursing position is the one you held on
December 31, 2025 in which you spent the largest
share of your working hours.
C2.
APRN, Nurse-Midwife
APRN, Certified Registered Nurse Anesthetist
None of the above ➔ SKIP to Question C8
Where was the location of the primary nursing
position you held on December 31, 2025? If you
were not employed in a fixed location, enter the
location that best reflects where you practiced.
Thinking of the primary nursing position you held on
December 31, 2025, indicate your level of agreement with
the statements in Questions C7a and C7b.
City/Town
State
C7a. In my primary nursing position, my employer
enables me to practice to the full extent of my
state’s legal scope of practice. Answer only about
the year 2025.
Zip
Strongly agree
Agree
C3.
Did you work 100% remotely for the primary
nursing position you held on December 31, 2025?
Disagree
Strongly disagree
Yes
No
C4.
C7b. In my primary nursing position, my state’s scope
of practice laws allow me to practice to the full
extent of my education and training. Answer only
about the year 2025.
Thinking about the primary nursing position you
held on December 31, 2025, how long had you
been working for this EMPLOYER?
Strongly agree
Less than 1 year
Agree
1 - 5 years
Disagree
More than 5 years ➔ SKIP to Question C6
C5.
Strongly disagree
How long were you actively looking for new
employment before accepting a position with this
employer? Please give your best estimate.
C8.
6 months or fewer
In your primary nursing position, did you use an
Electronic Health Record (EHR) or Electronic
Medical Record (EMR) system in 2025? Do not
include billing record systems.
7 - 12 months
Yes
More than a year
No
I was not actively looking for
new employment
Don’t know
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C9a. For the primary nursing position you held on
December 31, 2025, were you employed as a
traveling nurse?
C10. For the primary nursing position you held on
December 31, 2025, which of the following best
describes your employment situation in 2025?
Mark (X) ONE box only.
Yes
Employed through an employment agency
No ➔ SKIP to Question C10
Employed by an organization or facility
C9b. What factors contributed to your decision to
become a travel nurse? Mark (X) ALL that apply.
Self-employed or independent contractor
Better pay
Flexibility
Travel opportunities
Opportunity to build my network
Learn new skills or develop my career
Opportunity to serve different populations
Other, Specify:
C11. Which one of the following best describes the job title of the primary nursing position you held on
December 31, 2025? Mark (X) ONE box only.
Staff nurse or direct care nurse
Patient educator
Charge nurse or team leader
Clinical Nurse Educator, staff educator,
professional practice specialist,
or instructor in clinical setting
Front-line management (Nurse Manager,
Unit or Department Supervisor)
Academic educator, faculty member, professor,
or instructor in a school of nursing
Middle management or administration
(director, house supervisor, associate dean,
department head)
Patient care coordinator, case manager,
discharge planner, or nurse navigator
Quality improvement nurse or utilization
review nurse
Senior management or administration (CEO,
vice president, CNO, CNE, dean)
Infection control nurse
Certified Registered Nurse Anesthetist (CRNA)
Advice or triage nurse
Certified Nurse-Midwife (CNM)
Informatics nurse
Clinical Nurse Specialist (CNS)
Forensics or crisis nurse
Nurse Practitioner (NP)
Transport, EMS, or Flight Nurse
Wound or ostomy nurse
Nutrition nurse
School nurse
Legal nurse
Occupational health nurse
Researcher
Public health nurse
Surveyor, auditor, or regulator
Home health nurse
No position title
Community health nurse
Other
10
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C12. Which one of the following best describes the employment setting of the primary nursing position you held on
December 31, 2025? Mark (X) ONE box only.
Hospital (not including mental health or
rehabilitation facilities)
Outpatient, Ambulatory, or Other Clinical settings
(non-hospital based)
Critical Access Hospital (CAH) – a rural community
hospital that receives cost-based reimbursement
from Medicare
Hospital Inpatient Department or Unit, not Critical
Access Hospital
Hospital Emergency Department or Transport,
not Critical Access Hospital
Hospital-Sponsored Ambulatory or Outpatient Clinic
or Center (Clinic, Specialty, Surgery, etc.) (Non-ED)
Hospital-Sponsored Urgent Care
Urgent, Emergency Care, or Transport
(not hospital-sponsored)
Occupational Health or Employee Health Services
Correctional Facility
Private Practice - Medical or NP
Nurse-Managed Health Clinic or Center
Ambulatory Surgery Center (not hospital based)
Hospital Administration, Education, Quality, etc.
Community Health Center or Federally Qualified
Health Center (FQHC)
Hospital Nursing Home Unit
Hospice – Outpatient
Hospital Ancillary Unit (Radiology, Lab, GI lab,
Consult Services, etc.)
Health Maintenance Organization or Managed Care
Other Hospital Setting
Federally-run Clinic (VA, Military, NIH, IHS)
Other Inpatient settings
Home Health or Day Care Services
Skilled Nursing Facility or Nursing Home
Public Clinic or Rural Health Clinic or Center
Rehabilitation, Long Term Care, or
Long Term Acute Care Facility
Retail Clinic
Hospice - Inpatient
Rehabilitation - Outpatient
Mental or Behavioral Health Facility - Inpatient
Stand-Alone Dialysis or Infusion Clinic
Substance Use Treatment Center - Inpatient
School Health Service (K-12 or Post-secondary)
Other Inpatient Setting
Mental or Behavioral Health Facility - Outpatient
Non-Patient Care settings
Substance Use Treatment Center - Outpatient
Public Health or Community Health Agency
(including Public Health Departments)
Local, State, or Federal Government Agency
(excluding Public Health Departments)
Other Outpatient, Ambulatory, or Other Clinical
Setting
University or College Academic Department
Insurance Company
Call Center, Telenursing Center, or Remote
Nursing
Regulatory Agency or Organization
Consulting Agency or Organization
Professional Organization
Other Non-Patient Care Setting
11
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C13. For the primary nursing position you held on
December 31, 2025, did you work full-time or
part-time in 2025? Mark (X) ONE box only. If you
worked both full-time and part-time in 2025, select
the schedule you worked for the largest portion of
the year.
C17. Next, we will ask for information about how
much you WORKED in a typical week in 2025
for the primary nursing position you held on
December 31, 2025. Standby hours are a period of
time when a nurse is not actively working but must
remain available to come in and work immediately, if
needed.
Hours
Full-time (including full-time for an
academic year)
a. How many hours did you work
in a typical week in 2025? Include
unpaid hours and hours paid at
the base, overtime, and differential
rates. Include on-call hours EXCEPT
on-call hours that were standby only.
Part-time (including working only part
of the calendar or academic year)
C14. For the primary nursing position you held on
December 31, 2025, did you work EVERY week
in 2025? Include paid vacation, paid sick leave,
and military service as weeks worked.
(enter 0 if none)
Of the hours you reported above,
how many of these hours were -
Yes ➔ SKIP to Question C16
b. Worked at the base pay rate?
No
c. Worked at the overtime pay rate?
C15. For the primary nursing position you held on
December 31, 2025, how many WEEKS did you
work in 2025? Include paid vacation, paid sick
leave, and military service, and include weeks where
you only worked for a few hours.
d. Worked at a differential pay rate?
e. Unpaid?
f. During a typical week in 2025,
how many of your work hours
were on-call hours? Do not
include standby hours.
Weeks worked in 2025
C16. For the primary nursing position you held on
December 31, 2025, how many hours were you
SCHEDULED to work in a typical week in 2025?
Exclude additional, unscheduled hours worked. You
will be asked about actual hours worked in question
C17.
C18. For the primary nursing position you held on
December 31, 2025, please estimate the percentage
of your time/effort spent in the following activities
during a typical workweek. Do not use decimals.
Percentages should add to 100%.
Hours scheduled per week
a. Clinical Activities (including patient
care, charting, care coordination)
%
b. Management and Administration
Activities (including supervising
and scheduling)
c. Educational Activities (including
teaching, precepting, and
continuing education)
%
d. Research Activities
%
e. All Other Activities
%
Total =
12
%
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C19. For the primary nursing position you held on
December 31, 2025, in what levels of care or types
of work did you spend your time? Mark (X) ALL that
apply.
In questions C20-C23, the term telehealth refers to the
use of information technology to support clinical health
care, health education or administration and public
health. Telehealth methods include videoconferencing,
the internet, phone, store-and-forward imaging, streaming
media, and terrestrial and wireless communications.
General or specialty inpatient
Primary care (including inpatient and outpatient
settings)
C20. For the primary nursing position you held on
December 31, 2025, did your workplace use
telehealth to provide patient care? Answer only
about the year 2025.
Maternal care
Other ambulatory care (not including surgical)
Yes
Ancillary care (radiology, laboratory)
No ➔ SKIP to Question C24 on page 14
Care coordination or patient navigation
C21. Did you personally use some form of telehealth
in the primary nursing position you held on
December 31, 2025? Answer only
about the year 2025.
Critical or intensive care
Education
Emergency
Yes
Health care management or administration
No ➔ SKIP to Question C24 on page 14
Home health
Hospice
Informatics
Long-term care or nursing home
Public health or community health
Rehabilitation
Research
School nurse
Step-down, transitional, progressive,
telemetry
Sub-acute care
Surgery (including ambulatory,
pre-operative, post-operative,
post-anesthesia)
Urgent care
Other
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C22. In 2025, which type(s) of telehealth did you
personally use in the primary nursing position you
held on December 31, 2025? Mark (X) ALL that
apply.
C24. Did the primary nursing position you held on
December 31, 2025 include any patient care?
Answer only about the year 2025.
Yes
Live Video-Conferencing (a two-way audiovisual
link between a patient and a care provider)
No ➔ SKIP to Question C29 on page 16
Telephone calls without video
C25. Did you provide primary care services in the
nursing position you held on December 31, 2025?
Answer only about 2025. Primary care is care
provided at a basic rather than specialized level for
people making an initial approach to a doctor or
nurse for treatment or diagnosis. Primary care may
also include follow-up visits.
Text messages or live chat
Asynchronous Video-Conferencing
(transmission of a recorded health history to a
health practitioner, usually a specialist)
Remote Patient Monitoring (the use of
connected electronic tools to record personal
health and medical data in one location for
review by a provider in another location,
usually at a different time)
Yes, primary care was my main job function
Yes, but primary care was not my main job
function
mHealth (health care and public health
information provided through mobile devices;
the information may include general
educational information, targeted texts, and
notifications about disease outbreaks)
No
C26. For the primary nursing position you held on
December 31, 2025, what percent of your patient
care time was spent providing prenatal care?
Answer only about 2025. Your best estimate is fine.
Other
C23. For the primary nursing position you held on
December 31, 2025, about how many hours did
you spend using telehealth during a typical week
in 2025?
0%
1%-25%
26%-50%
Hours per week
51%-75%
76%-99%
100%
C27. For the primary nursing position you held on December 31, 2025, please estimate the percentage of your patient
care time spent with each population below. Answer only about the year 2025. Mark (X) ONE box only for each row.
0%
1%-25%
26%-50% 51%-75% 76%-99%
100%
a. Neonatal, Newborn, or Infant
(less than 2 years old)
b. Pediatric (2 to 11 years old)
c. Adolescent (12 to 17 years old)
d. Adult (18 to 65 years old)
e. Geriatric (more than 65 years old)
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C28. For the primary nursing position you held on December 31, 2025, what were your primary and secondary
clinical specialties?
Primary Specialty
Mark (X) ONE box only.
General medical surgical
Cardiac or cardiovascular care
Chronic care
Community or public health
Critical care or intensive care
Emergency or trauma care
Gastrointestinal
Geriatrics or gerontology
Home health
Hospice or palliative care
Infectious or communicable disease
Informatics
Labor and delivery
Neonatal care
Neurological
Obstetrics and gynecology
Occupational health
Oncology
Orthopedics
Primary care
Psychiatric or mental health
Pulmonary or respiratory
Rehabilitation
Renal or dialysis
Pediatrics
Specialty care (e.g., dermatology,
endocrinology, ophthalmology,
otolaryngology)
School health service (K-12
or post-secondary)
Surgery, pre-op, post-op, PACU,
or anesthesia
Substance use disorder
Other specialty, Specify: C
Secondary Specialty
Mark (X) ONE box only.
Cardiac or cardiovascular
care
Critical care or intensive
care
No Secondary Specialty
General medical surgical
Chronic care
Community or public health
Emergency or trauma care
Gastrointestinal
Geriatrics or gerontology
Home health
Hospice or palliative care
Infectious or communicable
disease
Informatics
Labor and delivery
Neonatal care
Neurological
Obstetrics and gynecology
Occupational health
Oncology
Orthopedics
Primary care
Psychiatric or mental health
Pulmonary or respiratory
Rehabilitation
Renal or dialysis
Pediatrics
Substance use disorder
Other specialty, Specify: C
Specialty care (e.g., dermatology,
endocrinology, ophthalmology,
otolaryngology)
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School health service
(K-12 or post-secondary)
Surgery, pre-op, post-op,
PACU, or anesthesia
§<#_=¤
C29. Thinking of the primary nursing position you held on December 31, 2025, to what extent did you...
Answer only about the year 2025. Mark (X) ONE box only for each row.
A great
extent
Somewhat
Very little
Not at all
a. Participate in evidence-based care (evidence-based
care is care that utilizes best practices and clinical
decisions supported by scientific research and clinical
expertise)
b. Participate in patient-centered care (care that is
responsive to patient preferences, needs and values,
and ensures that patient values guide clinical decisions)
c. Participate in team-based care (comprehensive
health services by at least two health professionals
working collaboratively to provide safe, quality care)
d. Participate in value-based care (care that improves
health outcomes relative to the cost of care)
e. Participate in population-based health care (care
that focuses on the health status and needs of a target
population possessing similar health concerns or
characteristics)
f. Care for patients from tribal communities
g. Care for patients from rural communities
h. Care for medically complex/special needs patients
i. Care for patients with pain management needs
j. Care for patients with mental health conditions
k. Care for patients with substance use disorders
l. Work on quality improvement measures or
procedures
m. Provide guidance to patients on nutrition and other
healthy behaviors
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C30. Thinking of the primary nursing position you held on December 31, 2025, to what extent did you observe
your organization doing the following? Answer only about the year 2025. Mark (X) ONE box only for each row.
A great
extent
Somewhat
Very little
Not at all
a. Promoting evidence-based care (care that utilizes
best practices and clinical decisions supported by
scientific research and clinical expertise)
b. Promoting patient-centered care (care that is
responsive to patient preferences, needs and values,
and ensures that patient values guide clinical
decisions)
c. Promoting team-based care (comprehensive health
services by at least two health professionals working
collaboratively to provide safe, quality care)
d. Promoting value-based care (care that improves
health outcomes relative to the cost of care)
e. Promoting population-based health care (care that
focuses on the health status and needs of a target
population possessing similar health concerns or
characteristics)
f. Promoting quality improvement
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Please answer questions C31-C33 thinking about any nursing position you have ever held.
Care Delivery
C31. Have you received
C32. Do you feel that
training in the following
areas through formal
education, work or
professional development?
Mark (X) Yes or No
for EACH row.
you have received
sufficient training in this
area? Mark (X) Yes, No,
or N/A for EACH row.
Yes
No
Yes
No
N/A
Yes
No
Yes
No
N/A
Yes
No
Yes
No
N/A
a. Evidence-based care (care that utilizes best practices and clinical
decisions supported by scientific research and clinical expertise)
b. Patient-centered care (care that is responsive to patient
preferences, needs and values, and ensures that patient values
guide clinical decisions)
c. Team-based care (comprehensive health services by at least
two health professionals working collaboratively to provide safe,
quality care)
d. Value-based care (care that improves health outcomes relative
to the cost of care)
Population-Focused Care
e. Population-based health care (care that focuses on the health
status and needs of a target population possessing similar health
concerns or characteristics)
f. Working in an underserved community
g. Caring for medically complex/special needs patients
h. Social determinants of health (e.g., impact of race and
socioeconomic status)
i. Caring for patients with pain management needs
j. Caring for patients with mental health conditions
k. Caring for patients with substance use disorders
Healthcare Leadership
l. Quality improvement
m. Practice management and administration
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C33. Have you ever precepted any RN or APRN
STUDENTS?
C38. Which of the following types of remuneration did
you receive from precepting STUDENTS in 2025?
Mark (X) ALL that apply.
Yes
Money
No ➔ SKIP to Question C39
Tuition reduction
C34. Did you precept any RN or APRN STUDENTS in 2025?
Mark (X) ALL that apply.
Free CEs
Library access
Yes, I precepted RN students
Other
Yes, I precepted NP students
Questions C39-C53 ask about your primary nursing
position.
Yes, I precepted other APRN students
No ➔ SKIP to Question C39
C39. In 2025, which of the following educational benefits
did your employer offer to support employee
professional development? Mark (X) ALL that apply.
C35. In 2025, how many STUDENTS did you precept?
Enter zero if none. Your best estimate is fine.
Tuition reimbursement (full or partial)
RN students
Loan forgiveness
NP students
Flexible scheduling
Other APRN students
Other
None
C36. In 2025, how many hours did you spend
precepting STUDENTS to meet their clinical
requirements? Your best estimate is fine.
C40. Please estimate your 2025 pre-tax annual earnings
from your primary nursing position. Include
overtime and bonuses, but exclude sign-on bonuses.
Hours
$
C37. Did you receive any remuneration (e.g. money,
tuition reduction, free CEs, etc.) to precept RN
or APRN STUDENTS in 2025?
,
.00
C41. In 2025, were you represented by a labor union or
collective bargaining unit in the primary nursing
position you held on December 31, 2025?
Yes
No ➔ SKIP to Question C39
Yes
No
C42. How satisfied were you with the following aspects of the primary nursing position you held on December
31, 2025? Mark (X) ONE box only for each row.
Extremely
Moderately Moderately
Extremely
Satisfied
Satisfied
Dissatisfied Dissatisfied
a. Workplace safety?
b. Your immediate supervisor?
c. Your senior management?
d. Opportunities for advancement?
e. Job security?
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C43. How satisfied were you with the primary nursing
position you held on December 31, 2025?
C45. Thinking about the primary nursing position you
held on December 31, 2025, have you EVER felt
burned-out?
Extremely satisfied
Yes
Moderately satisfied
No ➔ SKIP to Question C51 on page 21
Moderately dissatisfied
C46. Thinking about the primary nursing position you
held on December 31, 2025, did you ever feel
burned-out DURING 2025?
Extremely dissatisfied
C44. Did you hold the same primary nursing position
from January 1, 2024 through December 31, 2025?
Yes
No ➔ SKIP to Question C51 on page 21
Yes
No
C47. To what extent do you agree or disagree with the following statements about the primary nursing position
you held on December 31, 2025? Mark (X) ONE box only for each row.
Strongly
Agree
Agree
Disagree
Strongly
Disagree
a. I enjoy my work, but occasionally feel overwhelmed
b. I feel stressed quite often, but can manage it
c. I am exhausted and frequently feel burnout and
frustration at work
d. I feel completely burnt out and often feel like I can’t go on
C48. How often did you feel burned-out in your primary
nursing position in 2025?
A few times a year or less
A few times a month
A few times a week
Every day
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C49. Which of the following reasons contributed to
your feelings of burnout in your primary nursing
position during 2025? Mark (X) ALL that apply.
C52. Who committed the physical violence,
harassment, intimidation, or other threatening
behavior? Mark (X) ALL that apply.
Inadequate staffing
A co-worker
Lack of resources needed to do my job
My supervisor
Poor management and/or communication
Other employee of the organization I work for
Lack of autonomy or empowerment to
make decisions
A patient
Number of patients
A family member of a patient
Long hours
A relative or acquaintance of mine
Lack of lunch time, break time, etc.
Someone else from outside the organization
I work for
Too many administrative tasks
C53. Have you left the primary nursing position you
held on December 31, 2025?
Inadequate training
Shifting responsibilities or changing roles
Yes ➔ Continue to Section D on page 22
Personal or family commitments outside of work
No ➔ SKIP to Section E on page 23
Other, Specify:
C
C50. Thinking about the primary nursing position you
held on December 31, 2025, which of the following
best describes your feelings of burnout during
2025, compared to 2024?
I felt more burned-out in 2025
I felt less burned-out in 2025
I felt the same amount of burnout
C51. Did you experience physical violence, harassment,
intimidation, or other threatening behavior in your
primary nursing position in 2025?
Yes
No ➔ SKIP to Question C53
Prefer not to answer ➔ SKIP to Question C53
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D2.
Section D. Left the Primary
Nursing Position Held on
December 31, 2025
D1.
Did you continue to work in nursing after leaving
this position?
Yes
No ➔ SKIP to Section F on page 24
Which of the following reasons contributed to your
decision to LEAVE the primary nursing position you
held on December 31, 2025? Mark (X) ALL that apply.
D3.
Better pay or benefits
Burnout
How long do you plan to work in NURSING in the
geographic area of the primary nursing position
you held on December 31, 2025?
Already left the geographic area
Career advancement or promotion
Less than a year
Career change
1-2 years
Disability or illness
3-5 years
Family caregiving
More than 5 years
High risk working conditions
Not sure
Inability to practice to the full extent
of my license
D4.
Inadequate staffing
Approximately when do you plan to retire from
nursing?
Already retired
Interpersonal differences with colleagues
or supervisors
Within a year
Lack of advancement opportunities
In 1-2 years
Lack of collaboration or communication
between health care professionals
In 3-5 years
Lack of good management or leadership
More than 5 years from now
Length of commute
Undecided
Physical demands of job
Relocation to different geographic area
SKIP to Section F on page 24
Retirement
Scheduling (inconvenient hours, too many
hours, or too few hours)
School or educational program
Spouse’s or partner’s employment opportunities
Stressful work environment
Employer prioritized profit over patient health
and safety
Unsatisfactory safety protocols
Workplace harassment or violence
Other
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E6.
Section E. Remained in the
Primary Nursing Position Held
on December 31, 2025
E1.
Which of the following reasons would contribute
to your decision to LEAVE your primary nursing
position? Mark (X) ALL that apply.
Better pay or benefits
Have you ever considered leaving the primary
nursing position you held on December 31, 2025?
Burnout
Career advancement or promotion
Yes
Career change
No ➔ SKIP to Question E7 on page 24
Change in child’s school
E2.
DURING THE PAST YEAR, how often have you
considered leaving this position?
Disability or illness
Frequently
Family caregiving
Occasionally
High risk working conditions
Rarely
Inability to practice to the full extent
of my license
Never
E3.
Inadequate staffing
Interpersonal differences with colleagues
or supervisors
When do you plan to leave this position?
Less than one year from now
Lack of advancement opportunities
1-3 years from now
Lack of collaboration or communication
between health care professionals
More than 3 years from now
Lack of good management or leadership
Not sure
E4.
Length of commute
Do you plan to work in nursing after you leave
this position?
Patient population
Physical demands of job
Yes
Relocation to different geographic area
No
Retirement
Not sure
E5.
Scheduling (inconvenient hours, too many
hours, or too few hours)
How long do you plan to work in NURSING in the
geographic area of the primary nursing position
you held on December 31, 2025?
School or educational program
Spouse’s or partner’s employment opportunities
Less than a year
Stressful work environment
1-2 years
3-5 years
Employer prioritized profit over patient health
and safety
More than 5 years
Unsatisfactory safety protocols
Not sure
Workplace harassment or violence
Other
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E7.
What factors contribute to your decision to
REMAIN in your primary nursing position?
Mark (X) ALL that apply.
E8.
Approximately when do you plan to retire from
nursing?
Already retired
Ability to provide full scope of services
Within a year
Adequate staffing
In 1-2 years
Availability of loan repayment financial support
In 3-5 years
Availability of resources to do my job well
More than 5 years from now
Availability of training opportunities
Undecided
Balanced schedule or hours
Commitment to underserved communities
Section F. Secondary
Employment in Nursing
Cost of living
Difficulty finding another job
The questions in this section (Questions F1-F9) will ask
about your "secondary nursing position." This is any
nursing position(s) you held on December 31, 2025 in
addition to your primary nursing position. This can be
any position that required an LVN, LPN, RN, or APRN
license.
Experience at site
Length of commute
Liking the job
F1.
Opportunities for advancement
Proximity to desirable school district
Proximity to extended family, parents, or siblings
In addition to your primary nursing position,
were you working for pay in nursing in any
OTHER positions on December 31, 2025?
Do not report any positions where you worked
outside the United States or in a U.S. territory.
Yes
Proximity to spouse’s or partner’s employment
opportunities
C
How many OTHER positions?
Remote work opportunities
Salary and benefits
No ➔ SKIP to Section G on page 25
Satisfactory safety protocols
Questions F2-F9 ask about your experience in 2025 only.
Sense of community with peers
Use of Electronic Health Records
F2.
Use of telehealth
Other
For any other nursing position(s) you held on
December 31, 2025, were you employed as a
traveling nurse?
Yes
No
F3.
Did you provide primary care services in any of
the other nursing positions you held on
December 31, 2025?
Yes, primary care was my main job function
Yes, but primary care was not my main job
function
No
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F4.
For the other position(s) you held on
December 31, 2025, which of the following best
describes your employment situation(s) in 2025?
Mark (X) ALL that apply.
F7.
Across all of the other nursing positions you
held on December 31, 2025, on average how
many hours per week did you work in 2025?
Do not include hours worked in your primary
nursing position.
Employed through an employment agency
Hours
Employed by an organization or facility
F8.
Self-employed or independent contractor
F5.
What type of work setting best describes where you
worked for the other position(s) held on December
31, 2025? Answer only about the year 2025. If you have
more than one additional position, answer about the
position where you spend the most time. Mark (X) ONE
box only.
Across all of the other nursing positions you
held on December 31, 2025, in what state was
most of the work done in 2025?
State
F9.
Hospital
Nursing home or extended care facility
Academic education program
Please estimate your 2025 pre-tax annual
earnings from all of the nursing positions that
you reported about in THIS SECTION. Include
overtime and bonuses, but exclude sign-on
bonuses. Do NOT include earnings from your
primary nursing position.
$
Public health or community health setting
.00
,
Home health setting
Section G.
Nurse Practitioners
Rehabilitation or long-term care facility
G1a. On December 31, 2025, did you have an active
certification, license, or other legal recognition
to practice as a Nurse Practitioner (NP) from a
STATE BOARD OF NURSING?
Mental or behavioral health setting
School or college health service
Occupational health or employee health services
Yes
Physician practice (individual or group)
No ➔ SKIP to Section H on page 28
Ambulatory care clinic or surgical center
G1b. What U.S. state(s) issued the active NP license(s),
certification(s), or recognition(s)? List up to 8.
Insurance company
State
Telehealth, telenursing, or call center
State
State
State
Hospice care setting
Government agency
Consulting, regulatory urgent, retail, or
convenience clinic
G2.
Substance abuse setting
Do you have a National Provider Identifier (NPI)
number?
Yes
F6.
Across all of the other nursing positions you held
on December 31, 2025, how many weeks did you
work in 2025? Enter a number from 1-52. Do not
include weeks where you only worked in your
primary nursing position.
No ➜ SKIP to Question G4 on page 26
Weeks in 2025
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G3.
Under which NPI number(s) have you or your
company billed for your work? Mark (X) ALL that
apply.
Questions G9-G22 ask about your primary NP position.
If you had multiple NP positions, the primary NP
position is the one you held on December 31, 2025 in
which you spent the largest share of your NP working
hours.
My own NPI number
Another provider’s NPI number
G9.
An organizational NPI number
None of these
Yes
I don’t know
G4.
Did the primary NP position you held on
December 31, 2025, include any patient care?
Answer only about the year 2025.
No ➔ SKIP to Question G17 on page 27
Indicate your level of agreement with the following
statement: My education prepared me to provide
care and services without supervision from a
physician or other health care provider.
G10. Do you have a collaborative/supervisory
agreement with a physician?
Yes
Strongly agree
No ➔ SKIP to Question G12
Agree
G11. Please select the reason that you have a
collaborative/supervisory agreement. Mark (X)
ALL that apply.
Disagree
Strongly disagree
It is a state legal requirement
G5.
Did you complete an NP post-graduate residency
or fellowship program?
My employer/institution requires it for employment
Insurance companies require it for reimbursement
Yes
Personal choice/informal agreement
No
Other, Specify:
Questions G6-G25 ask about your experiences in 2025 only.
G6.
Were you working as a Nurse Practitioner on
December 31, 2025?
G12. In the primary NP position you held on
December 31, 2025, what percentage of your
patients were from racial or ethnic minority groups
in 2025? Your best estimate is fine.
Yes
No ➔ SKIP to Question G25 on page 28
G7.
In any of the NP position(s) you held on
December 31, 2025, did you provide patient care?
%
Don’t know
G13. In the primary NP position you held on
December 31, 2025, what percentage of your
patients had limited English proficiency in 2025?
Your best estimate is fine.
Yes
No ➔ SKIP to Question G17 on page 27
G8.
C
Across ALL of the NP positions you held on
December 31, 2025, about how many patients did
you see in a typical day in 2025? If none, enter zero.
%
Don’t know
Patients per day
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G14. Thinking about the primary NP position you held
on December 31, 2025, please estimate the
percentage of your patients that were covered by
the following types of insurance in 2025.
Your best estimate is fine.
Yes
No
Private insurance
%
Medicare or Medicare Advantage,
for people 65 and older, or people
with certain disabilities
%
G19. Were you covered by malpractice insurance on
December 31, 2025?
Yes
Medicaid, Medical Assistance,
or any kind of governmentassistance plan for those with
low incomes or a disability
No ➜ SKIP to Question G21
%
G20. Who paid for your malpractice insurance?
TRICARE or other military
health care
%
VA
%
Indian Health Service
%
Uninsured
%
Other
%
Total =
Don’t know
G18. Did you have hospital admitting privileges on
December 31, 2025?
Self
Employer
Both
G21. Did you have FULL prescriptive authority on
December 31, 2025? Full prescriptive authority
means you were authorized to initiate and prescribe
medications, including Schedule II-V controlled
substances, without the requirement for a
collaboration, supervision or delegation agreement
with a physician or other health care provider, and
you were regulated exclusively under the Board of
Nursing.
100%
G15. In the primary NP position you held on
December 31, 2025, did you have a panel of
patients that you managed, where you were the
primary provider? A panel is a group of patients
that you see across a period of time. Answer only
about the year 2025.
Yes ➔ SKIP to Question G23 on page 28
No
G22. Why didn’t you have FULL prescriptive authority?
Mark (X) ALL that apply.
Yes
No ➔ SKIP to Question G17
Was in the process of applying
G16. In the primary NP position you held on
December 31, 2025, on average, about how
many patients were on your panel in 2025?
Your best estimate is fine.
State scope of practice regulations
Employer or MD imposed limitations
Not required
Patients
Other
G17. In the primary NP position that you held on
December 31, 2025, did you have the title
Hospitalist in 2025?
Yes
No
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G23. On December 31, 2025 did you have a personal
Drug Enforcement Administration (DEA) number?
Section H.
Nurses Not Working in Nursing
Yes
No ➔ SKIP to Section I on page 29
If you were working for pay in nursing on December 31,
2025, please SKIP to Section I on page 29.
G24. Did you prescribe buprenorphine to treat opioid
use disorder (OUD) during 2025?
H1.
Yes ➔ SKIP to Section I on page 29
No ➔ SKIP to Section I on page 29
What are the primary reasons you were not
working in a nursing position for pay on
December 31, 2025? Mark (X) ALL that apply.
Burnout
Career change
G25. What are the reasons that you were not employed
in an NP position that required state certification,
licensure, or recognition? Mark (X) ALL that apply.
Difficulty finding a nursing position
Disability or illness
Overall lack of NP job opportunities
Family caregiving
Lack of NP job opportunities in desired location
High risk working conditions
Lack of NP job opportunities in desired specialty
Inability to practice nursing on a
professional level
Lack of NP job opportunities in desired
type of facility
Inadequate staffing
Limited scope of practice for NPs in the
state where practice was desired
Lack of advancement opportunities
Lack of experience or qualification
Lack of collaboration or communication
between health care professionals
Inadequate salary or benefits
Lack of good management or leadership
Working outside the field of nursing
Liability concerns
Family caregiving
Physical demands of job
Disability or illness
Retirement
Chose not to work
Salaries too low or better pay elsewhere
Retirement
Scheduling (inconvenient hours, too many
hours, or too few hours)
Other
School or educational program
Skills are out-of-date
Stressful work environment
Unsatisfactory safety protocol
Workplace harassment or violence
Other
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H2.
What are your intentions regarding paid work in
nursing? Mark (X) ONE box only.
Section I.
Prior Nursing Employment
Actively looking for work in nursing
I1.
Plan to return to nursing in the future, not
looking for work now ➔ SKIP to Question H5
No future intention to work for pay in
nursing ➜ SKIP to Question H6a
0 - 5 years
Undecided at this time ➔ SKIP to Question H6a
6 - 10 years
Have returned to nursing since
December 31, 2025 ➔ SKIP to Section I
H3.
How many years have you worked in nursing
since receiving your first U.S. RN license? Count
only the years in which you worked at least 6
months.
11 - 20 years
21 - 30 years
How long have you been actively looking for paid
work in nursing? Enter zero if less than one month.
31 or more years
Month(s)
I2.
H4.
Are you looking for a position that is full-time or
part-time?
No
Full-time ➔ SKIP to Question H6a
Yes, for less than a year
Part-time ➔ SKIP to Question H6a
Yes, for 1 - 2 years
Either ➔ SKIP to Question H6a
H5.
Have you left work in nursing since becoming
an RN?
Yes, for 3 - 5 years
Yes, for more than 5 years
When do you plan to return to paid work in
nursing? Enter zero if less than one year.
Questions I3 - I9 ask about your employment in 2024.
Year(s)
Don’t know
I3.
H6a. Have you ever been employed or self-employed
in nursing?
Were you employed in nursing on December 31,
2024?
Yes
No ➔ SKIP to Section J on page 32
Yes
No ➔ SKIP to Section I
I4.
H6b. In what year were you last employed or
self-employed as a nurse? Enter 4-digit year
below.
For the primary nursing position you held on
December 31, 2024, did you work full-time or
part-time in 2024? Mark (X) ONE box only. If you
worked both full-time and part-time in 2024, select
the schedule you worked for the largest portion of
the year.
Full-time (including full-time for an
academic year)
Year
Part-time (including working only part
of the calendar or academic year)
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I5.
How would you describe the primary nursing
position you held on December 31, 2024?
I8.
Same position and same employer as primary
nursing position on December 31, 2025 ➔ SKIP
to Section J on page 32
What were the primary reason(s) for your
employment change? Mark (X) ALL that apply.
Better pay or benefits
Burnout
Different position but same employer
as primary nursing position held on
December 31, 2025
Career advancement or promotion
Career change
Different employer, same position as primary
nursing position held on December 31, 2025
Family caregiving
Different employer, different position
than primary nursing position held on
December 31, 2025
High risk working conditions
Was not working in a nursing position on
December 31, 2025
Inability to practice to the full extent
of my license
Inadequate staffing
I6.
What was the location of the primary nursing
position you held on December 31, 2024? If you
were not employed in a fixed location, enter the
location that best reflects where you practiced.
In the U.S.
Interpersonal differences with colleagues
or supervisors
Lack of advancement opportunities
Lack of collaboration or communication
between health care professionals
C
City/Town
Lack of good management or leadership
Length of commute
State
Zip
Patient population
Physical demands of job
Relocation to different geographic area
Outside the U.S. - Print name of foreign country
or U.S. territory:
Retirement
C
Scheduling (inconvenient hours, too many
hours, or too few hours)
School or educational program
I7.
Did you work 100% remotely for the primary
nursing position you held on December 31, 2024?
Spouse’s or partner’s employment opportunities
Yes
Stressful work environment
No
Employer prioritized profit over patient health
and safety
Unsatisfactory safety protocol
Workplace harassment or violence
Other
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I9.
Which one of the following best describes the employment setting of the primary nursing position you held on
December 31, 2024? Mark (X) ONE box only.
Hospital (not including mental health or
rehabilitation facilities)
Outpatient, Ambulatory, or Other Clinical settings
(non-hospital based)
Critical Access Hospital (CAH) – a rural community
hospital that receives cost-based reimbursement
from Medicare
Hospital Inpatient Department or Unit, not Critical
Access Hospital
Hospital Emergency Department or Transport,
not Critical Access Hospital
Hospital-Sponsored Ambulatory or Outpatient Clinic
or Center (Clinic, Specialty, Surgery, etc.) (Non-ED)
Hospital-Sponsored Urgent Care
Urgent, Emergency Care, or Transport
(not hospital-sponsored)
Occupational Health or Employee Health Services
Correctional Facility
Private Practice - Medical or NP
Nurse-Managed Health Clinic or Center
Ambulatory Surgery Center (not hospital based)
Hospital Administration, Education, Quality, etc.
Community Health Center or Federally Qualified
Health Center (FQHC)
Hospital Nursing Home Unit
Hospice – Outpatient
Hospital Ancillary Unit (Radiology, Lab, GI lab,
Consult Services, etc.)
Health Maintenance Organization or Managed Care
Other Hospital Setting
Federally-run Clinic (VA, Military, NIH, IHS)
Other Inpatient settings
Home Health or Day Care Services
Skilled Nursing Facility or Nursing Home
Public Clinic or Rural Health Clinic or Center
Rehabilitation, Long Term Care, or
Long Term Acute Care Facility
Retail Clinic
Hospice - Inpatient
Rehabilitation - Outpatient
Mental or Behavioral Health Facility - Inpatient
Stand-Alone Dialysis or Infusion Clinic
Substance Use Treatment Center - Inpatient
School Health Service (K-12 or Post-secondary)
Other Inpatient Setting
Mental or Behavioral Health Facility - Outpatient
Non-Patient Care settings
Substance Use Treatment Center - Outpatient
Public Health or Community Health Agency
(including Public Health Departments)
Local, State, or Federal Government Agency
(excluding Public Health Departments)
Other Outpatient, Ambulatory, or Other Clinical
Setting
University or College Academic Department
Insurance Company
Call Center, Telenursing Center, or Remote
Nursing
Regulatory Agency or Organization
Consulting Agency or Organization
Professional Organization
Other Non-Patient Care Setting
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J4.
Section J.
National Practitioner Data Bank
J1.
No, the report did not impact my career
The National Practitioner Data Bank (NPDB)
collects reports on adverse actions taken against
a physician that affect that physician’s clinical
privileges. Many nurse practitioners and other
health care professionals perform job functions
similar to physicians or that impact patients.
Yes, the report had a negative impact on
my position (e.g., reprimand, termination)
Yes, the report made it difficult to obtain
employment
Yes, other, Specify:
Should it be mandatory that the NPDB collect
reports on adverse actions against the following
providers that could affect their clinical
privileges? Mark (X) Yes or No for EACH provider
type.
Yes
No
Don’t know
J5.
a. Nurse Practitioners
When making hiring decisions, do you feel that
health care employers should consider prior
negative health care related actions taken against
prospective employees?
Yes, they should consider prior negative
actions
b. Clinical Nurse Specialists
c. Certified Registered Nurse
Anesthetists
No, they should not consider prior negative
actions
d. Nurse Midwives
J6.
e. Other APRNs
f. Physician Assistants
g. Mental Health Professionals
The NPDB collects reports on adverse actions
taken against a physician that affect that
physician’s clinical privileges. Many Nurse
Practitioners currently perform job functions
similar to physicians.
Do you feel the NPDB should also collect
reports on adverse actions against a Nurse
Practitioner that could affect their clinical
privileges?
h. Other Health Care Practitioners
J2.
Did the NPDB report impact your career?
Mark (X) ALL that apply.
Have you EVER been reported to the NPDB?
Yes, they should be reported
Yes
No, they should not be reported
No ➔ SKIP to Question J5
J7.
J3.
Who submitted the report(s)?
Mark (X) ALL that apply.
State licensing board
The same reporting requirements as
physicians
Medical malpractice payer, such as an
insurance company
Less strict reporting requirements for
Nurse Practitioners who are supervised by
a physician
Hospital
Federal agency
More strict reporting requirements for
Nurse Practitioners who are supervised by
a physician
Unknown
Other, Specify:
Do you think Nurse Practitioners who are
supervised by a physician should be subject to
the same reporting requirements as physicians,
less strict reporting requirements, or more strict
reporting requirements?
C
J8.
Do you have clinical privileges at a hospital or
some other healthcare facility?
Yes
No
Don’t know
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J9.
Have you ever served on a peer review panel as a
clinically practicing nurse or advanced practice
registered nurse?
Section K.
General Information
Yes
K1.
No ➔ SKIP to Section K
City/Town
Don’t know ➔ SKIP to Section K
J10.
Where did you live on December 31, 2025?
This information is critical for producing state
estimates of the nursing workforce.
For which types of health care professionals
have you served as a peer review panelist? Mark
(X) Yes or No for EACH item.
Yes
No
State
Zip
a. Nurse Practitioners
K2a. Did you live at the same address on December
31, 2024 and December 31, 2025?
b. Clinical Nurse Specialists
c. Certified Registered Nurse
Anesthetists
Yes ➔ SKIP to Question K3
d. Nurse Midwives
No
e. Registered Nurses
K2b. Where did you live on December 31, 2024?
f. Nurse Aides or Nursing Assistants
In the U.S.
g. Practical or Vocational Nurses
City/Town
C
h. Physicians
i. Physician Assistants
State
Zip
j. Other
Outside the U.S. - Print name of foreign country
or U.S. territory:
C
K3.
What is your sex?
Male
Female
K4.
What is the year of your birth?
Year
K5.
Where were you born?
In the United States
In a U.S. territory
In a foreign country
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NOTE: Answer BOTH Question K6 about Hispanic
origin and Question K7 about race. For this survey,
Hispanic origins are not races.
K8.
What languages do you speak fluently, other than
English? Mark (X) ALL that apply.
No additional languages
K6.
Are you of Hispanic, Latino, or Spanish origin?
Mark (X) ALL that apply.
Spanish
No, not of Hispanic, Latino, or Spanish origin
Filipino language (Tagalog, other Filipino
dialect)
Yes, Mexican, Mexican American, Chicano
Chinese language (Cantonese, Mandarin,
other Chinese language)
Yes, Cuban
French
Yes, Puerto Rican
German
Yes, another Hispanic, Latino, or Spanish origin
K7.
Russian
What is your race? Mark (X) ALL that apply.
Korean
White
Vietnamese
Black or African American
American Sign Language
American Indian or Alaska Native
Other language(s), Specify:
C
Asian Indian
Chinese
K9.
Filipino
What is your current marital status?
Married or in a domestic partnership
Japanese
Widowed, divorced, or separated
Korean
Never married
Vietnamese
K10. Have you ever served on active duty in the
U.S. Armed Forces, Reserves, or National Guard?
Mark (X) ONE box only.
Other Asian
Native Hawaiian
Never served in the military
Guamanian or Chamorro
Samoan
Only on active duty for training in the
Reserves or National Guard
Other Pacific Islander
Now on active duty
On active duty in the past, but not now
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K11. Which of the following best describes the
dependents (children, parents, etc.) who either
live at home with you or for whom you provide
A SIGNIFICANT AMOUNT OF CARE?
Mark (X) ALL that apply.
Child(ren) less than 6 years old at home
Child(ren) 6 to 18 years old at home
Other adults at home (e.g., parents or
dependents)
Others living elsewhere (e.g., children,
parents, or dependents)
None
K12. Including employment earnings, investment
earnings, and other income of all household
members, what was your 2025, pre-tax annual
total household income? Mark (X) ONE box only.
$25,000 or less
$25,001 to $35,000
$35,001 to $50,000
$50,001 to $75,000
$75,001 to $100,000
$100,001 to $150,000
$150,001 to $200,000
$200,001 to $300,000
$300,001 to $400,000
More than $400,000
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Thank you for your participation.
Please return this survey in the enclosed, postage-paid envelope.
If the envelope has been misplaced, please mail the questionnaire to:
U.S. Census Bureau
ATTN: DCB 60-A
1201 E. 10th Street
Jeffersonville, IN 47132-0001
The Census Bureau is required by law to protect your information. We are not permitted to publicly release your
responses in a way that could identify you or your household. The Census Bureau is conducting this survey under
the authority of Title 13, United States Code (U.S.C.), Section 8(b) (13 U.S.C. § 8(b)) and the Public Health Service
Act, Title 42, U.S.C., Section 294n(b)(2)(A) and Title 42, U.S.C., Section 295k(a)-(b). Federal law protects your
privacy and keeps your answers confidential under Title 13, U.S.C., Section 9 (13 U.S.C. § 9). Per the Federal
Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data. As permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a) and SORN
COMMERCE/CENSUS-3, Demographic Survey Collection (Census Bureau Sampling Frame), access to records
maintained in the system is restricted to Census Bureau employees and certain individuals authorized by Title 13,
U.S. Code (designated as Special Sworn Status individuals). These individuals are subject to the same
confidentiality requirements as regular Census Bureau employees identified above. Participation in this survey is
voluntary and there are no penalties for refusing to answer questions. However, your cooperation in obtaining this
much needed information is extremely important in order to ensure complete and accurate results.
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| File Type | application/pdf |
| File Modified | 2025-07-23 |
| File Created | 2025-07-23 |