Nursing 2004 salary survey

Nursing, Oct 2004 by Robinson, Eileen S, Mee, Cheryl L

Nurses continued to make income gains in 2004, according to our fifth annual survey. How does your salary compare?

THE RESULTS of our annual salary survey are in: According to more than 1,700 participants, salaries are rising. The overall average annual income reported by survey respondents in 2004 is $54,574, significantly higher than the average of $49,634 we reported in 2003. Besides being more than $4,900 more than last year, it's $10,000 above the average we reported in 2001, the year of our first survey.

More than 25% of 2004 survey respondents earn at least $65,000, a significant difference from what we found in 2003 (15%) and 2001 (8%). Another positive note is that a much larger percentage of women reported earning $75,000 or more in 2004 than in 2003 (11% versus 5%).

The average starting hourly base salary increased by 5% for RNs, rising from $18.49 in 2003 to $19.33 in 2004. The increase for LPN/LVNs was only 1%-from $13.45 in 2003 to $13.58 in 2004. (See Overall Average Base Salary per Hour.)

Across all position titles, average salaries ranged from $32,200 for staff LPN/LVNs to $49,600 for staff RNs to $72,400 for advanced practice nurses. Average annual income for 2004 survey respondents was higher than for 2003 participants for all position titles. (See Current Position and Average Annual Income.)

When we looked at average full-time annual income by type of unit, we found that on average, nurses earn the most per year in perianesthesia units ($59,400) and obstetrics/gynecology/nursery ($59,200). But nurses in outpatient/clinic settings made the biggest gains in 2004: Average annual income jumped from $44,100 to $57,700, an increase of 31%. Incomes were flat in emergency, psychiatric, oncology, and geriatric settings.

Most 2004 participants (72%) reported that their employer pays a shift differential, which is comparable to what 2003 salary survey participants told us. But in 2004, we found a significant increase in nurses reporting that their facility offers a shift differential for charge nurses.

Significantly more respondents received benefits for conference/travel and certification fees in 2004 compared with 2003 (50% versus 38% for conference and travel; 29% versus 23% for certification fees). When we looked a little closer at the 2004 data, we found that nurses with more than 15 years' experience report receiving more continuing-education reimbursement, conference and travel fees, certification fees, and flexible scheduling benefits than those with less experience. These nurses also received more reimbursement than nurses with more than 15 years' experience who responded to the 2003 survey.

The number of nurses working full-time increased significantly in 2004, and most respondents (63%) report being compensated on an hourly basis. But significantly more respondents are salaried in 2004 (37%) than in 2003 (26%) or 2001 (27%).

Although hiring bonuses are still offered by a few facilities, the decline was significant compared with 2003. Most of those that still offer it pay up to $2,000.

For LPN/LVNs, salaries are flat at best. The average annual income reported in 2004 was $32,400, versus $32,800 in 2003-a 1% decrease.

What's making a difference?

Why the gains (and a few losses) over the past year? Here are some trends we've identified from the 2004 survey data.

* Certification pays. Those with certification had an average full-time annual income that was almost $10,000 higher than those who weren't certified.

* Education makes a difference-and it doesn't have to be an advanced nursing degree. The average income for a BSN responding to the 2004 survey was $56,900, almost $6,000 more per year on average than an associate degree (AD) respondent ($51,100). These salaries reflect a 9.5% increase over 2003 survey salaries for the BSN average and a 6% increase for the AD average. Those with an MSN earned $11,300 more on average than the average BSN respondent. The 2004 survey data reflected a 12% increase over the 2003 MSN average. (See Level of Education and Average Full-Time Annual income.)

* Experience influences income. Those with more than 15 years' experience are earning an average of $19,000 more than those with experience totaling 5 years or less. Those with more than 15 years' experience are earning an average of almost $6,000 more per year than reported in 2003. We also found a significantly higher 2004 average annual income for those with more than 10 years' experience when compared with 2003 survey data: The average salaries were $57,100 for those with 11 to 15 years' experience (compared with $51,400 in 2003) and $59,500 for those with more than 15 years' experience (compared with $54,200 in 2003).

* But longevity in a position may not pay. The annual income gain is greatest for nurses holding their current position for 6 to 10 years: They enjoyed an average income increase of $7,300 over 2003 survey respondents. Nurses holding their positions for 5 years or less had an average increase of $5,200. By comparison, those who held their current position more than 15 years saw an increase of only $1,400 compared with their 2003 counterparts.