Best & Worst States for Nurses;2021

The following article and study was published by WalettHub on Aprril 30, 2021.  The company provides consumers with very valuable information beyond healthcare.  We encourage you to visit their website and discover how valuable it is.  https://wallethub.com

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hat just an appetizer, as we’ve built the brain of an artificially intelligent financial advisor that will truly leave your wallet full. WWalletHub is the first-ever website to offer free credit scores and full credit reports that are updated on a daily basis. But we consider talletHub’s brain performs three primary functions, providing: 1) Customized credit-improvement advice; 2) Personalized savings alerts; and 3) 24/7 wallet surveillance. Such features are supplemented by more reviews of financial products, professionals and companies than any other website offers and a diverse community of subject matter experts. WalletHub is owned by Evolution Finance, Inc. and is based in Washington, DC.

ike most segments of the economy, the nursing industry changes based on the country’s socioeconomics. Key issues include the aging U.S. population, the student-loan crisis and concerns about the future of key entitlement programs. But such concerns are shared by recent graduates in all industries.

More specific to nursing professionals are the various day-to-day demands placed on them, such as mandatory overtime, overstaffing, unionization and disrespectful behavior by patients. Despite those challenges, however, aspiring nurses have much to look forward to upon certification. Nursing occupations are some of the most lucrative careers with the lowest unemployment rates in the U.S. In fact, the industry is expected to grow at more than double the rate of the average occupation through 2026.

With such bright projections, WalletHub took stock of the nursing industry to help registered nurses, particularly new graduates, pick a place to live that will bring success. We did so by comparing the 50 states and the District of Columbia across 21 key metrics that collectively speak to the nursing-job opportunities in each market. Below, you can check out our findings, commentary from a panel of experts and a complete description of our methodology.

Best Places to Work as a Nurse

Overall Rank  State Total Score  Opportunity & Competition  Work Environment 
1 Arizona 59.94 3 10
2 Washington 58.31 7 6
3 Nevada 57.60 1 31
4 Wyoming 57.58 5 21
5 New Mexico 56.98 4 29
6 Montana 55.51 2 36
7 Oregon 54.28 22 2
8 Missouri 54.18 8 17
9 Alaska 53.87 36 1
10 Maine 53.42 17 8
11 Minnesota 53.22 27 3
12 Texas 52.90 11 20
13 Kansas 52.55 14 16
14 Wisconsin 52.50 26 5
15 Iowa 52.49 12 19
16 California 50.35 24 15
17 Idaho 50.28 18 23
18 Florida 50.04 6 48
19 Indiana 49.99 13 33
20 North Dakota 49.87 33 14
21 Nebraska 49.59 38 7
22 New York 49.48 19 28
23 New Hampshire 49.13 42 4
24 Colorado 49.07 35 13
25 Illinois 48.48 31 22
26 South Dakota 48.46 40 9
27 West Virginia 47.97 16 40
28 South Carolina 47.92 29 27
29 Rhode Island 47.52 41 11
30 Tennessee 47.44 21 35
31 Arkansas 47.30 23 34
32 North Carolina 47.10 15 44
33 Pennsylvania 46.57 25 37
34 Ohio 45.71 20 46
35 Michigan 45.67 9 50
36 Virginia 45.59 32 39
37 Connecticut 45.55 43 18
38 Georgia 45.51 10 49
39 Hawaii 45.42 39 30
40 Massachusetts 45.32 47 12
41 Kentucky 45.17 28 41
42 Mississippi 45.14 34 38
43 Oklahoma 43.98 45 25
44 Louisiana 43.36 30 47
45 Utah 43.29 46 26
46 Alabama 42.71 37 42
47 New Jersey 40.36 44 45
48 Vermont 40.29 49 32
49 Delaware 39.64 48 43
50 Maryland 39.59 50 24

Methodology

In order to determine the best and worst states for nurses, WalletHub compared the 50 states and the District of Columbia across two key dimensions, “Opportunity & Competition” and “Work Environment.”

We evaluated those dimensions using 21 relevant metrics, which are listed below with their corresponding weights. Each metric was graded on a 100-point scale, with a score of 100 representing the most favorable conditions for nurses.

We then determined each state and the District’s weighted average across all metrics to calculate its overall score and used the resulting scores to rank-order our sample.

Opportunity & Competition – Total Points: 70

  • Monthly Average Starting Salary for Nurses: Full Weight (~6.09 Points)
    Note: This metric was adjusted for the cost of living.
  • Average Annual Salary for Nurses: Double Weight (~12.17 Points)
    Note: This metric was adjusted for the cost of living.
  • Health-Care Facilities per Capita: Full Weight (~6.09 Points)
  • Share of Population Living in a Primary-Care HPSA: Full Weight (~6.09 Points)
    Note: “HPSAs,” as defined by the Health Resources & Services Administration, “are designations that indicate health care provider shortages in: Primary care; Dental health; or Mental Health” and “may be geographic-, population-, or facility-based.”
  • Projected Share of Elderly Population in 2030: Full Weight (~6.09 Points)
    Note: “Elderly population” includes adults aged 65 years and older.
  • Quality of Nursing Schools: Half Weight (~3.04 Points)
  • Tuition Cost per Credit for BSN Online Program: Full Weight (~6.09 Points)
  • Share of Licensed Nursing Professionals Not Working in Nursing: Full Weight (~6.09 Points)
  • Nursing-Job Openings per Capita: Full Weight (~6.09 Points)
  • Nurses per 1,000 Residents: Full Weight (~6.09 Points)
  • Projected Competition in 2026: Full Weight (~6.09 Points)
    Note: “Competition” refers to the number of nurses per 1,000 residents.

Work Environment – Total Points: 30

  • Mandatory Overtime Restrictions: Double Weight (~5.45 Points)
  • Ratio of Nurses to Hospital Beds: Full Weight (~2.73 Points)
  • Nurses Job Growth (2018 vs 2014): Double Weight (~5.45 Points)
  • Presence of Nursing Licensure Compact Law: Full Weight (~2.73 Points)
    Note: This metric considers the presence or absence of a Nursing Licensure Compact law in the state. The compact allows nurses to practice in their home state and other participating states.
  • Regulatory Requirement for Nurse Practitioners: Full Weight (~2.73 Points)
  • Share of Best Nursing Homes: Full Weight (~2.73 Points)
    Note: This metric is based on U.S. News & World Report’s Best Nursing Homes rating.
  • Quality of Public Hospital System: Full Weight (~2.73 Points)
    Note: This metric is based on data from the Centers for Medicare & Medicaid Services.
  • Friendliness Toward Working Moms: Full Weight (~2.73 Points)
    Note: This metric is based on WalletHub’s Best & Worst States for Working Moms ranking. In 2011, there were 3.5 million employed nurses in the U.S., and about 3.2 million were female.
  • Average Number of Work Hours: Half Weight (~1.36 Points)
  • Average Commute Time: Half Weight (~1.36 Points)

Sources: Data used to create this ranking were collected from the U.S. Census Bureau, Bureau of Labor Statistics, Council for Community and Economic Research, HRSA Data Warehouse, Center on Education and the Workforce, Indeed.com, National Council of State Boards of Nursing, Centers for Medicare & Medicaid Services, U.S. News & World Report, Projections Central – State Occupational Projections, Nurse.org, Wage//Advocates, American Association of Nurse Practitioners and WalletHub research.

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