2023-08-25 09:22:08
The Department of Research, Studies, Evaluation and Statistics (DREES) publishes a study on the professional trajectories of hospital nurses who entered the profession between 1989 and 2019. It sets out to describe the share of professionals who occupy always this job as their career progresses and whether they perform this job in the hospital, as an employee in another sector or as a freelancer. Presentation of the authors.
The data used in this study comes from the Panel all activecarried out by INSEE, matched with data from thePermanent demographic sample (EDP). The Panel all active makes it possible to monitor salaried employment since 1988 and self-employment since 2006. It provides information each year on an individual’s professional income, characterizes the jobs held, particularly in terms of profession and volume of work, the employing company or the activity of the non-employee (sector, location, legal status, etc.). The EDP provides information on the family life of employees, in particular the birth of children.
More than one in five hospital nurses quit salaried employment after ten years of service
Fewer and fewer people entered the nursing profession between 1989 and 2019 to hold salaried employment, hospital or not, over the years. After five years of career, only 87% of them are in salaried employment. The percentage drops to 79% after ten years.
Two thirds of hospital nurses are still salaried nurses after ten years of career
Over the period considered (1989-2019), of the 79% of people who still have a salaried job ten years after their first position as a hospital nurse, 54% still practice this profession in the hospital, 11% are still salaried nurses but for another type of employer (for example a residential establishment for dependent elderly people [Ehpad]a public administration or in temporary work), 7% changed jobs but remained in the hospital sector (for example in an administrative job) and 7% changed jobs and sector (graph below).
One in ten hospital nurses left their salaried job for exclusive liberal practice after 10 years of career
Ten years after their start as a hospital nurse, 17% of them are self-employed, either as a nurse or in another profession. Self-employment is combined with salaried employment for 4% of them. After ten years, 10% of hospital nurses practice as liberal nurses on an exclusive basis, and 2% on a mixed basis. These percentages are clearly higher than what is observed in other professions, where self-employment is much rarer: after ten years of career, 3% of the salaried workforce are exclusively self-employed from another profession and 2% at the same time as salaried employment. The passage of nurses from salaried employment to liberal practice is possible provided that they have worked for two years as a salaried nurse in a general care structure (hospitals, clinics, nursing homes and health centers) or for six months as a replacement for a liberal nurse.
Becoming a mother does not explain exits from salaried employment but reduces the volume of salaried work
After the birth of the first child, the salaried employment rate remains stable. Thus, the fact of becoming a mother does not lead women who have occupied a post of hospital nurse to withdraw from salaried employment. On the other hand, becoming a mother leads women who have worked as hospital nurses to reduce their volume of salaried work. The birth of the first child leads on average to a reduction of 0.14 full-time equivalent jobs (FTEJ) in the volume of salaried work five years after birth and of 0.22 FTEJ ten years later.
« Des infirmières méprisées et brisées » Cette publication a entraîné une réaction immédiate du Syndicat national des professionnels infirmiers (SNPI) : « Comment s’étonner que des infirmières sous-payées, en sous-effectif, agressées par des patients et leurs familles, et souvent victimes de maltraitance institutionnelle ne restent pas à l’hôpital ? » Face à la pénurie, et pour rendre l’hôpital attractif, le syndicat demande un « plan Marshall » en trois points : les ratios de patients par infirmière, les conditions de travail, et les salaires. Lire la suite sur le site du SNPI.
• Nearly one out of two hospital nurses left the hospital or changed profession after ten years of service. Pierre Dora, Studies and results, n°1277, August 24, 2023, downloadable from the DREES website.
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