Overview

• The Nursing Outlook study argues that public health nurses constitute a distinct occupation not captured by the current registered nurse category.
• Researchers analyzed NSSRN and PH WINS survey data plus Lightcast job postings to document differences in tasks, skills, pay signals and qualifications.
• PHNs are now grouped under SOC code 29-1141 for registered nurses, which the authors say obscures workforce size, compensation and shortages.
• The study reports PHNs account for about 18% of local and 8% of state health department staff, with roles spanning community assessments, case management, education, policy advocacy and emergency response.
• With the next SOC revision set for 2028, the authors urge federal agencies to begin reclassification work now; the research was supported by CDC and HRSA.