The history and future of nursing labor research in a cost-control environment.

For the first time in nursing's history, the downsizing of hospitals, the increased use of managed care, reduced use of registered nurses and other factors may result in significant unemployment in nursing, with resulting downward adjustments in the wage. Understanding the labor supply response of nurses to changes in the wage is critical to predicting accurately how nurses will respond to changes in the market demand as it influences wages, and determining rational policy responses to the labor market. In this article, three generations of nursing labor research are summarized and critiqued. Methodological issues are discussed and specific directions for future studies are suggested.