2017 ADVANCED PRACTICE REGISTERED NURSE

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1 2017 ADVANCED PRACTICE REGISTERED NURSE OHIO WORKFORCE DATA SUMMARY REPORT DECEMBER 2017 Ohio Board of Nursing 17 S. High Street, Suite 660 Columbus, Ohio

2 TABLE OF CONTENTS Introduction Demographic Information Age Distribution Gender Race / Ethnicity Secondary Languages Armed Forces Board Service / Leadership Advanced Practice Registered Nurse Employment Employment & Licensure Breakdown Unemployed Nurses Reasons for Unemployment Nursing Employment Type Concurrent Paid Nursing Positions Hours Worked Per Week Weeks Worked Last Year Practice Setting, Position Title, Practice Area Primary Position Title Primary Practice Setting Primary Practice Area Secondary Practice Setting, Position Title, Practice Area Secondary Practice Setting Secondary Practice Area Working APRNs by Zip Code Location

3 2017 ADVANCED PRACTICE REGISTERED NURSE OHIO WORKFORCE DATA SUMMARY REPORT Introduction The mission of the Ohio Board of Nursing is to actively safeguard the health of the public through the effective regulation of nursing care. The Board s top priorities are to efficiently license the nursing workforce and remove dangerous practitioners from practice in a timely manner to protect Ohio patients. The Board regulates over 297,000 licenses and certificates, an increase from 223,000 in As of June 30, 2017, there were 16,760 Advanced Practice Registered Nurses (APRNs): certified nurse practitioners (11,622); certified registered nurse anesthetists (3,183); clinical nurse specialists (1,558); certified nurse midwives (397). Background The Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, identifies data collection as a vital component for health care planning and policymaking. Governor Kasich and the Ohio legislature have established growing Ohio s workforce as a priority. The 2017 renewal cycle was the third data collection period for registered nurses and APRNs. The Board is pleased to continue to work with stakeholders including the Ohio Department of Health, the Health Policy Institute of Ohio, the Ohio Action Coalition, and the Ohio Action Coalition s Data/Research Work Group consisting of nursing educators, administrators, and practitioners. The data questions are based on the nursing Minimum Data Set (Colleagues in Caring Project), core data questions developed by the HRSA National Center for Health Workforce Analysis, and the joint 2013 survey conducted by the National Forum of State Nursing Workforce Centers and the National Council of State Boards of Nursing (NCSBN). Data Collection This report provides a general summary of the APRN data collected by the Board during the 2017 renewal period. v APRN workforce data collected from July to December 31, 2017 v 16,073 APRNs completed the workforce questions, and have active licenses The Board is pleased to provide this report and make the raw data available to all interested parties to assist with the workforce planning initiatives of government and private industry. 3

4 DEMOGRAPHIC INFORMATION!"#$%&'()&*+(&,-$,.$!/(&0#$!123' &$!!! %$"!! %$!!! #$"!! #$!!! "!!! #'(%) %"(&! &#(&" &*()! )#()" )*("! "#("" "*(*! *#(*" **(+! +#(+" +*(+, '!-.- / :567 * #$)'' %$')# %$%)+ %$#!) #$',% #$*%' #$"!* #$%#, &+) ', #+ % ;<=5>?-@5<?6:?: ' #$"*% %$,!) %$&#' %$#"+ #$,)& #$*+& #$"*" #$&%& )'% ##& %& % Ø 78% (12,565) of APRNs with an active license are between the ages of 18 and 55 years o 97% (12,206) of these APRNs identified that they are currently employed in nursing Ø 22% (3,508) of APRNs with an active license are over age 55 o 91% (3,207) of these APRNs identified that they are currently employed in nursing!"#$"% ($)"#$ *+'!"#$ %&' Ø 86% (13,879) are female; 14% (2,194) are male 4

5 !"#$%&%'()*+#+(, E$7F&'$%+G&9$'6 20;D3 I9B*# K0<K3 8&9$:*(E&H&$$&'(6#( I9B*#(J&%$"$%(47-&'5*# CD0>>3!"#$%&'(!)*#$%&'+,-&%. /0123!7$&'(= 4'5$&' ;0>/3!)*#$%&'(4'5$&'(6#(!-&7.&(8&9$:* ;02<3 Ø 89.44% (14,375) reported their race/ethnicity as White/Caucasian; the next highest percentage was 5.21% (837) who reported their race/ethnicity as African American/Black African American 837 American Indian / Alaska Native 25 Asian Indian 73 Caucasian / White 14,375 Hispanic / Latino 175 Native Hawaiian or Other Pacific Islander 5 Other ,073 5

6 !"#$%&'()*+'%,-',".!"# $% &'(")*(+,-./"+ 01%!"#$%&'()*'+*,#-')&$".*/$)01$0#2!"# $%& '()*+,+ -.& 3+045*&.6& /0+*1( 2.& "75*),( $-6& 89(+0 %2:& Ø 6% reported being proficient in a language other than English Ø 1.61% (258) reported proficiency in Spanish 6

7 !"#$%&'(")$*!"#$%&"'(")*"# +,-'!./01"'/2'!"#$%&"' (")*"# +,3' 4"5"#67' 893' ;<=' +3>+??'!./01"'/2'4"5"#67 -:-' Ø 12% (1,874) reported an association with U.S. Armed Forces 82% (1,542) of this group are either veterans or spouses of veterans!"#$%&'($)*+(&,&-(#%($./*0!"# $% &' ()% Ø Approximately 2% (269) indicated that they serve on a board that influences health care policy 7

8 ADVANCED PRACTICE REGISTERED NURSE EMPLOYMENT!"#$%&"'()*+*,-.'(/01'*21'345%6( 6'7,8'( 9103!"#$%&'()+,-'./') *''('( :.'"#$%&'( ;1<3!"#$%&'()*%)+,-'./') *''('( 0123 =%$>.7''8) *>8/' 01;3 Employed License Needed 15,413 Employed No License Needed 96 Volunteer Nurse 28 Retired 166 Unemployed ,073 Ø 96% (15,413) are employed in a position where a nursing license is required 83% work full-time; 13% work part-time; 4% work on a per-diem basis 81% work in one position; 16% work in two positions; and 3% work in three or more positions 48% work hours per week; 25% work hours per week; 8% work hours per week; other 19% 61% worked weeks last year; 26% worked weeks last year; less than 43 weeks 13% 8

9 !"#$%&'(#)*+,-.#. %&&'()*$+$!,-.()*$/".(#(") 231 Seeking a Nursing Position 209 Not Seeking a Nursing Position !"#$%&&'()*$+$!,-.()*$/".(#(") 001 A"B'C58B+34$ D93+-8#+"&).E/!"#$%&$'(%)'*&"+,-%.+"&/ ,3#4$5+&*+&-$ 6")+#+"& 77/ 0+)893'*./ %&8*':,8#'$;838(4 </ Not Interested in Nursing 16 Difficulty Finding Position 39 Disabled 13 Inadequate Salary 1 Attending School 105 Home/Family Obligations 165 Leave of Absence =##'&*+&-$;2>""3?@/ Ø Of the 370 APRNs who are unemployed, 56% (209) reported that they are seeking nursing employment 9

10 !"#$%&'()*+,-.*/&0(1.+/!"#$%&&'#()*+,-).%&/,#0)*"/,(,"#/!"##$%&'( )*+,-./$%&'( 0*+!"#$%&'&$( )!* +"#$%&'&$(%!,*,(.$1&(' 2+ -"$."/$.0 -* Full-Time 12,834 Part-Time 1,956 Per-Diem 608 Other 15 15, , ,495 3 or more ,413!"#$%&'"$()*&+)$&'))(!""#$%!&'#"(%)*$+%,"*' '*"&# &(% '!"') *% &!")# $)% $!"'# (% )!"*# *%!"!# $% *!+!%!!"$# &%,)",( #!$ '&"'+ (#$!"#!$ %"!&!$ (!"(* &$!'"()!$ (+"&, ($ &#"'(,$ , , , , , ,339 15,413 10

11 PRACTICE SETTING, POSITION TITLE, PRACTICE AREA!"#$%"&'!()#*#(+',#*-.!:%6%43:( )*#+"(;<"4%3:%+$ B/A1!56+*:$36$ B/C1 D%#"4$(<3$%"6$(43#"(+$3&& E/.1 D%#"4$5#F?++%+$36$( G'*43$5# C/91 '%#"4$5#(5&(6*#+%6> B/81,363>"#(5#("H"4*$%I" B/J1!"#$%&%"'()*#+"(2#34$%$%56"# 78/91!"#$%&%"'()*#+"(,%'-%&"./01 6*#+" B/.1 2*K:%4(+"4$5#(6*#+"( :543:F+$3$"F&"'"#3:(3>"64L B/.1 B/C1 ;*<"#I%+5# B/C1 CNP 9,916 CNS 632 CRNA 2,828 CNM 295 Charge Nurse 128 Consultant 27 Direct Care 785 Director/Assist. Director of Nursing 56 Educator 358 Manager or Executive 110 Public Sector 14 Researcher 26 Supervisor 29 Telehealth 16 Other ,413 11

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

14 SECONDARY PRACTICE SETTING & PRACTICE AREA!"#$%&'()*+('#,-#"*!",,-%. -./ #7258!"# -./ #7258#583291#:8339;< $$# -./ #:05<9721#78;385 &'# %&# E ;21#F '(# GB072394;C-72B8.92 '')# H4.8#7258#!!# H4.8#7258#9;B8D8;B8;3# D54I9B85 $%# H4:D978 *(# H4:D9321#+ 9;D2398;3 '"'# H4:D9321#+ 403D2398;3 %&# H4:D9321#+ 8.85<8;76#B8D253.8;3 "*# H4:D9321#+ F8B8521#<4I85;.8;3 + H4:D9321#+ D8594D85239I8C4D85239;<#544. &$# J;:052;78#7129.:#2;B#/8;8F93: (%#?05:9;<#K4.8CGL38;B8B#7258#F C-::9:38B#19I9;<#E8;385 MD #N540D &!# =2398;3#E8;3858B#O8B9721#H4.8 (*# =41976C=12;;9;<C>8< '# =0/197CE4..0;936# K8213K &,# >8:8257K M7K441#K8213K "#!# P5<8;3#7258 )#! "!"# $""# $!"# %""# %!"# &""# &!"# 14

15 !"#$%&'()*+('#,-#"*.("' +,-./ / +/ :3/,:;--</ @/,4>2./47489 A3-.79BC5/5237:D23>1.>5BE2.-329:>325 C301245/ C >0 C9/5>47489:4/79 ;/F5>1.4<0:, ;/152/37:-5,.>./5:85/5237 G5,.>37:H I<28.>37 J54/3137 J5D J5< KL01512.>0:3/,:89/5>47489 K>><D31.4/37: K/>47489M:./>7<,./8: :4/>47489 KD K147329/ K2164D5,.>0 E3./:G3/385-5/1 E E5,.312.>0:H 85/5237 E5,.312.>0:H 0D5> E5,.312.>0:H 3,4750>5/10 E690.>37:-5,.>./5:3/,:2563L / E09> E09>6.3129:H >6.7, E<L7.>:653716BD25N5/1.N5:-5,.>./5 E<7-4/47489 O3,.47489B/<>7532:-5,.>./5 O50532>6 O65< I<28529:H 85/5237 I<28.>37:0D5> P :./:K6.4 P :K<10.,5:K6.4 Q285/1:>325 Q R4-5/S0: K1652! & % (!'!"!%!% #!!!% % '!! ) ' ' $ & " $ " ' (!!!! $% $& $%!" $! (& && %' %' "" %# *%!!&!'(!!#!!(!"#!"* $)!! "! #!! #"! $!! $"! %!! 15

16 Ohio Board of Nursing 2017 APRN Workforce Data Summary WORKING APRNs by ZIP CODE LOCATION!"#$ %&#'()*$ +,(-#. /0!. /5",6*$0-,.* /(7.-89"79 :&,*'9$/",* 0-,.&76$ :&,*'9(,$(,$ 4..9;$:&,*'9(, <)-'"9(,!"7"6*,$(,$ <=*'-9&>*?95*, 0-,.&76 3*.*",'5*, 2-#*,>&.(, A*8*5*"895 %&#'()*$$+,(-#$ A?A4B2 Zip codes beginning with 432xx, 441xx and 452xx have the largest number of APRNs /304. Ø /02. 87% (13,486) of the 15,413 that indicated in a previous question to being employed in nursing, reported employer zip codes within Ohio (43001 to 45899). The remaining APRNs did not report a valid zip code or provided an out-of-state zip code /01. Ø!"#"$%&'' -"#"$%*'' 0"#"$%$'' 1"#"$$/'' 2"#"$$.'' 3"#"$$('' 4"#"$$)'' 6"#"$$+'' 7"#"$$%'' 8"#"$$$'' 9"#"$$&'' :"#"$$*";" $$,'' <"#"$%.'' ="#"$%/'' A"#"$&%'' B"#"$&$'' C"#"$&&'' D"#"$%('' E"#"$%)'' F"#"$%,'' G"#"$&,'' H"#"$&*'' I"#"$&)''!!"#"$&+'' --"#"$&('' /"9*6(,C$ A(9"8.$$ """"""""()* """"""""%)+ """"""""""*& "&) """"""""""/$ """"""""()& """"")5*)$ """"""""%*. """"""""%.+ """"""""""., "(+ """"""""""$ ". """"""""""% " " """"""""(& """""")*+ """"""""(% """"""""$+ """"""""""$ """"""""(, """""""""""*+ +) ""( "", ""& """""""""""$) """""""""%%% """""""""""/, && """""""""""*/ """""""""""*$ """"""""", """""""(* """"""""". """""""&+ ( + """""""""% " """"""""$ " """"""""% """"""(% """""""", """"""""% """"""""% """"""""(, """""""() ( ( % """"")$. / """""""(/ """"""""", / """"" """"" """""" """""" """""" """""" """) """"" """"" """""" """"" """""""(% " " """""""""/, """""""&) """""""""* """""""(+ """""""""* $ """""""(% """""""""$ """"""""", """""""""* """""""""$ """""""%) """""""""* $ """""""""% "" " " "" "" "" " "" "" "" " " """"""""( """""""", " """""""( """""""% """""""( """"""""%(+ """"""""&)/ """"""""""/, ".. "(/ """"""""%(/ """""(5$*% """"""""&%% """"""""**, ".( """"""""(&* """"""""%&/.* """"""""""""/ """"""""$+$ """"""""""/$ """"""""((& "&, """"""""$,+ """"""""""$( """"")5%./ "&* "(/ "($ """"""""(/$ "+) """"""""(.$ """"")5))& """"""""%% " "" "$ "" " """""""""", """"""""*& " """""""",+ "" " """"""""""% """"""""""* """"""""""% "& """"""""** (( ""$ """""""""""""$ """""""""""/) ""( ""* ""/ /+ ""% &$ ""% ""( """""""""""%, "") "") """""""""""*, """" %. """""""""/ + $ """""""%) """"""""", """"""""", """""""%$ " """"""""$ """"""""$ """"""""( """"""""/ """"""(& """"""""( """"""""& " " " " """"""(% """""""""$ """""""(( $ % $ """""""%* """""""""% """"")&, """"""""". """"""""". """""""""$, """"")(& """"" """"""""""""""% """""" """"" """""" """"" """"" """"" """""" """"""""""""""/ """"" """""" """"" """"" """""" """"" """"" """"""""". """""""""* " / """"""""",. """""""&$ """""""""* """""""""$ """""""""% """""""""$ """""""%& """""""""$ ) $ """""""""% $ """""""""$ """""""""% ( """""""(/ """""""""%, "" "" "" "" "" " "" "" " """"""""""% "" " " " "" "" " " """"""""% """"""""% """"""""& """""""% """""""( """""""& """""""( """""""$ """""""( """"""""&*, "%* "% """"""""&*/ ")/ """"""""%(% """"""""(%) """"""""/(. """"""""""*( """""(5+&* "/& ",$ "/( """"""""%*. "($ """"""""$)) """"")5$$, $$$$$DEFGH $$$$$$IFI $$$$$$JEDKD $$$$$LGK $$$$JLH $$$$$$$LK $$$$$GMI $$$$$$$$$$$$KH $$$$$MLJ $$$$$$$DK $$$$$JIL $$$$$$$$JK $$$$$$LM $$$$$LN $$$$$JF $$$JMEKNI! B H C A G D Q J H F F E L P O R W S V AA X Z Y M N U T BB K I 16

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