The Hospital Nursing Workforce in South Carolina Report: 2017
|
|
- Neil Fox
- 5 years ago
- Views:
Transcription
1 The Hospital Nursing Workforce in South Carolina Report: 2017 May 2018
2 ACKNOWLEDGEMENTS The 2017 Hospital Nursing Workforce study was conducted by the Center for Nursing Leadership s Office of Healthcare Workforce Research for Nursing at the University of South Carolina, Columbia, South Carolina. This report was prepared by Sean Clarke, Ph.D., RN, FAAN, Professor and Associate Dean, Undergraduate Program, Connell School of Nursing, Boston College; Ronda Hughes, Ph.D., MHS, RN, CLNC, FAAN, Associate Professor, College of Nursing, University of South Carolina, Director of the Center for Nursing Leadership, University of South Carolina; Susan Outen, MN, RN, Center for Nursing Leadership, University of South Carolina, and Jennifer King, MA, Center for Nursing Leadership, University of South Carolina. For questions, please contact Dr. Ronda Hughes, at (803) or hughesrg@mailbox.sc.edu. You may also visit the Center for Nursing Leadership s Office of Healthcare Workforce Research for Nursing website at: 2
3 CONTENTS Acknowledgements. 2 Background Characteristics of the Hospitals Responding to the Survey Findings Employment of New Graduate Registered Nurses (RNs) Demand for Experienced vs. New Graduate RNs Market Conditions for Various Types of Nursing Positions Use of Advanced Practice Nurses (APRNs/NPs) Across Settings Contingent Staffing and Experimentation with Staffing Models.. 10 Clinical Education Opportunities Being Provided by Hospitals.. 11 Workforce Dynamics: RN Separations and Retirement Aged Staff RNs Baccalaureate-Prepared RN Workforce Strategies to Increase BSN-Prepared RNs Summary of Major Points.. 15 Conclusions and Recommendations
4 BACKGROUND The survey of the Chief Nursing Officers (CNOs) in South Carolina was undertaken by The Center for Nursing Leadership s Office of Healthcare Workforce Research for Nursing at the University of South Carolina, Columbia, South Carolina, using REDCap, a secure web platform for surveys. The survey entitled, Nursing Staffing Practices, 2017, asked CNOs to report on their current and future staffing needs. Also, the survey asked the CNOs to respond to topics/questions such as the demand for experienced registered nurses (RNs) versus new graduate RNs in their hospital or system, recruitment difficulty of various personnel, and travel nurse employment versus per diem nurses. Additionally, the survey asked CNOs to report the number of nurses with a Bachelor s of Science degree (BSN) currently employed or will be hired in the future. Lastly, the survey asked respondents to comment on the number of eligible staff retirements that are approaching in the coming years. Electronic surveys were ed to 62 hospital CNOs and of those 62 who were approached, 46 responses were received. Of those 46 that were received, 41 were fully completed and reflected responses for all but 14 of the hospitals on the original list (a response rate of roughly 77%). One of the hospitals in the survey reported both as a system and as an individual facility (the former was taken out), leaving 40 analyzable responses. The survey responses analyzed here reflect those complete responses. The data from the surveys are summarized in this report. Analyses were conducted using SPSS Statistics Version 24. Characteristics of the Hospitals Responding to the Survey Just over half of the hospitals/hospital systems responding to the survey were from rural areas; the remaining urban facilities were divided evenly between teaching and non-teaching hospitals (Figure 1). The hospitals responding were more or less evenly distributed between the four geographical regions of the state. Examining the characteristics of the nonresponding hospitals (14), representation of non-teaching urban hospitals was perhaps slightly lower in the final sample and hospitals in the Midlands region respond to the survey relative to their total numbers in the original list. It should be noted that there were some hospitals that were part of systems where there was a joint report and others that reported individually. 4
5 Table 1. Hospital Characteristics Responders Non-Responders n % n % Hospital type Rural 23 58% 7 50% Urban non-teaching 8 20% 6 43% Urban teaching 9 22% 1 7% DHEC region Low Country 7 18% 5 36% Midlands 12 30% 1 7% Pee Dee 12 30% 4 29% Upstate 9 22% 4 29% Figure 1. Hospital Type: Rural vs Urban Hospital Type 18% 26% 56% Rural Urban Non-Teaching Urban Teaching 5
6 FINDINGS Employment of New Graduate Registered Nurses Virtually all of the hospitals surveyed are and have been hiring new RN graduates. Whereas in 2015, hospitals reported planning no increase in the hiring of new graduates in the coming year. In 2017, nearly two out of three hospitals reported that they were planning to increase new graduate hiring within the coming year. Table 2. Hiring New Graduates Hiring new graduates Normally yes, including this year 93% 95% Normally yes, but not this year 5% 3% Almost never 2% 3% Expected change in hiring of new graduates Expected increase 63% 23% No changes 35% 74% Expected decrease 2% 3% Approximately half (53%) of the CNOs surveyed indicated that their hospitals hired new graduates into any specialty (i.e., without restrictions) while others indicated that they preferred or required prior RN experiences in specific areas (such as critical care areas, procedural labs, and the emergency department). 6
7 Demand for Experienced vs. New Graduate RNs In the 2017 survey data, 92% of CNOs responding indicated that there was high or moderate unmet demand for experienced RNs, which is comparable to the 88% of hospitals reporting moderate or high unmet demand in 2015, but with an important shift to almost 80% saying that unmet demand was high (up from 40% in 2015). Demand for new graduate RNs showed a large increase to 51% of respondents claiming high or moderate unmet demand in 2017 (versus 16% in 2015). Table 3. Demand for RNs Experienced RNs New Graduate RNs High demand 78% 40% 24% 3% Moderate demand 14% 48% 27% 13% Balance 8% 13% 36% 33% Demand less than supply Demand much less than supply 6% 40% 6% 13% Market Conditions for Various Types of Nursing Positions Specific nursing positions were found in all or virtually all of the hospitals surveyed: aides, licensed practical nurses (LPNs), staff RNs, nurse managers, nurse educators, nurse executives, and other RN roles (Table 4). Certified registered nurse anesthetists (CRNAs) are used in 83% of responding hospitals. Nurse midwives (CNMs), clinical nurse specialists (CNSs) and clinical leaders are used in the majority of the hospitals, albeit at lower rates. Approximately one-third of hospitals reported challenges in hiring nurse managers, nurse executives, CNSs, CRNAs, and aides in the past year. However almost two-thirds of hospitals report greater challenges in recruiting staff RNs in the past year (up from 38% in 2015). 7
8 Table 4. Percent of Hospitals Reporting Various Market Conditions for Nursing Positions Employ Recruited in last 12 months More difficult to recruit in past year (among those who hired in last year) Expected increase in next year (among those who employ) Aides 100% 98% 31% 63% LPNs 90% 55% 22% 21% Staff RNs 100% 100% 63% 58% APRNs/NPs 98% 78% 20% 44% CNMs 60% 58% 14% 0% CRNAs 85% 75% 38% 42% CNSs 63% 58% 33% 13% Nurse managers Nurse educators Clinical nurse leaders Nurse executives Other RN roles 98% 93% 44% 18% 93% 72% 15% 19% 72% 57% 17% 24% 100% 67% 33% 8% 95% NA* NA* 24% *Question not asked 8
9 Use of Advanced Practice Nurses (APRNs/NPs) Across Settings The use of nurse practitioners (APRNs/NPs) was found to be common in physician practices, emergency departments, and ambulatory care in hospitals (60-90% reporting use), with some use seen in inpatient units and critical care units (Table 5). In contrast, well under 15% of hospitals report the use of clinical nurse specialists in inpatient settings only. Table 5. Percent of Hospitals Employing CNSs and APRNs/NPs in Various Settings Uses APRNs/NPs in this specialty Uses CNSs in this specialty Ambulatory care 58% 0% Physician practices 88% 0% Intensive Care Units (ICUs) 18% 10% Cardiac units 8% 8% Medical-surgical units 18% 8% Pediatric units 10% 8% EDs 60% 5% Education departments 5% 8% 9
10 Contingent Staffing and Experimentation with Staffing Models This year s survey indicated that 85% of hospitals report using travel nurses (as opposed to 55% in 2015) and 43% report use of per diem nurses (as opposed to 41% in 2015). Traveling nurses are nurses who are hired to work in a variety of locations across the country often working a set number of weeks (typically 13-week periods) at one location. 1 Per diem nurses are defined as nurses who are employed on temporary assignments through a staffing agency, and who often make their own schedules filling in where needed on a temporary basis, such as day to day. 2 In hospitals using travel nurses, 33% of CNOs reported more use in the past year, and 27% of CNOs in hospitals using per diem nurses reported an increase in the past year. Ten (or 25%) of the CNOs report the creation of new RN roles in the past year; one of the most common type of new role was care/patient navigator (4 hospitals). Table 6. Alternative Staffing Models % Reporting Employs or considers employing LPNs 53% Offers an 8 h shift option 38% Offers or is considering offering an 8 h shift option 63% Offers pay differential for specialty certification 45% Exploring using different/new ways to use unlicensed assistive personnel 53% Exploring new roles for RNs 38% 1 What is a Travel Nurse? (n.d.). Retrieved from 2 Are You More Comfortable with Per Diem or Travel Nursing? (n.d.). Retrieved from 10
11 Clinical Education Opportunities Being Provided by Hospitals The hospitals surveyed report extensive involvement in providing clinical experiences for nursing students. All provided experiences to pre-licensure students. While all provided inpatient unit experiences, and the majority provided emergency department (ED) and operating room (OR) experiences, outpatient experiences were relatively uncommon. Nearly 80% provided placements for graduate students. For pre-licensure students, almost 75% of hospitals offered placements on less conventional schedules such as weekends, nights, and in the summer. Table 7. Clinical Placements for Pre-licensure and Graduate Nursing Students (% of Hospitals Reporting Providing Various Types of Experiences) % Provides clinical for pre-licensure students 100% Settings where pre-licensure clinicals offered Inpatient 100% Emergency Department 78% Operating Room 53% Physician offices 8% Ambulatory or outpatient settings 25% Schedules Weekend 68% Nights 63% Summers 73% Clinical placements for graduate students 78% 11
12 Workforce Dynamics: RN Separations and Retirement Aged Staff RNs The mean number of RN separations reported by CNOs in the previous year was 79.0 (SD 102.1), and the mean number of retirement-age RN staff was 34.6 (SD 51.3). Together the hospitals responding to the survey reported 2,685 separations in the previous year and 1,107 RNs of retirement age. Baccalaureate-Prepared RN Workforce In the 2017 survey findings: 67% of hospital CNOs reported that over 35% of their RNs held a bachelor s or higher degree up from 57% having these levels of BS prepared RNs in Table 10. Breakdown of Hospitals by Percent of RNs holding a BSN Degree <20% 13% 18% 20-35% 20% 26% 36-50% 36% 26% 51-75% 28% 26% >75% 3% 3% 12
13 Strategies to Increase BSN-Prepared RNs In terms of target goals, 90% of the CNOs (36) indicated a specific goal in terms of bachelor s-level preparation in their RN workforce. Only 55% of CNOs in 2015 reported having such a target. In the current survey, 75% of CNOs reported their goal was having 50% or more of their RNs prepared at the baccalaureate level. A number of strategies for moving towards targets are suggested by study results, beginning with policies around education for new hires. For example, 10 of 40 hospitals (or 25%) report that new RNs holding diplomas or associate degrees (ADs) are expected to earn a BSN within a 2-year (2 hospitals), 4-year (6 hospitals) or 5-year (2 hospitals) period after hire. Interestingly, only 38% of hospitals report offering a salary differential for baccalaureate holders. Table 8. Percent of CNOs Reporting Various Root Causes for Difficulties Increasing Levels of Bachelor s Degree Nurses Scheduling/staffing barriers 32% 20% Insufficient senior leadership support 0% 2% Insufficient funds for tuition reimbursement 32% 48% Lack of interest in BSN among RNs 54% 30% Low supply of BSN nurses in the community 42% 27% Lack of BSN programs in the community 10% 13% The strongest contrasts between the 2017 and 2015 surveys were that more hospitals in 2017 reported that scheduling/staffing barriers, low supply of BSN nurses in the community, and a lack of interest in bachelor s education among RNs were the main causes of the difficulty of increasing the proportion of BSN-prepared nurses in their workforce. Furthermore, in 2017, fewer CNOs indicate that a lack of resources for tuition reimbursement was a significant barrier to enriching the education mix of RN staff. 13
14 The majority of hospitals (90%) offer some support for nurses seeking further education, with nearly all hospitals offering tuition reimbursement. Interestingly, somewhat fewer hospitals appeared to be offering unpaid time off for attending classes in 2017 than in Table 9. CNO Support for RNs Returning for a BSN No support 10% 10% Tuition reimbursement for prerequisites 20% 53% Tuition reimbursement 85% 90% Approved use of unpaid time off for coursework 25% 40% 14
15 SUMMARY OF MAJOR POINTS While CNOs responding to the survey indicate that experienced staff RNs were the most sought after type of nursing employees, unmet demand for new RN graduates was also very high--with the majority of hospitals indicating that they hire new graduates routinely and expect to increase recruitment in the coming year. In addition to challenges in recruiting staff RNs, survey respondents indicate increased difficulties recruiting nurse aides/nursing assistants, CNSs, nurse managers and executives, and CRNAs. Survey data suggest that an increase in hiring of staff RNs, CRNAs, and APRNs/NPs was expected by hospital CNOs in the coming year. The use of CNSs in the hospitals who reported their use appeared confined to inpatient settings and was quite low. Use of APRNs/NPs was very common in outpatient settings, physician offices, and emergency departments and was higher than seen for CNSs in inpatient settings. Nearly all the CNOs responding to the survey report using traveling nurses and just under half used per diem staff (an increase and a decrease from the 2015 survey, respectively). Approximately one in three hospitals using travelers and per diem nurses report increasing use in the last year. Just over half of the hospital CNOs report considering increased use of or new roles for LPNs and nursing assistants/aides. One third of the CNOs report offering eight-hour shifts or exploring the possibility of introducing eight-hour shifts. Significant numbers of annual RN separations were reported by hospital CNOs, as were high numbers of RNs who have reached retirement eligible ages. Hospitals who reported during this survey, participate extensively in clinical placement offerings to pre-licensure (and to a slightly lesser extent, graduate) nursing students. Approximately 70% are offering experiences at alternative times of the day, week, and year. A minority are offering outpatient placements at the present time. Almost 70% of hospitals report that 35% or more of their nurses were BSNprepared. Nearly all hospitals report having a goal they are targeting, with a large majority targeting 50% BSN-prepared RN staff. Interest in non-bsn prepared RNs in returning to school appears to be weakening and relatively few hospitals are requiring newly hired RNs to earn a BSN by a specific date. 15
16 Just under 40% offer a salary differential but nearly all hospitals offer some sort of tuition support for staff RNs returning to school. CONCLUSIONS AND RECOMMENDATIONS The results of this survey suggest strong demand in excess of supply for all RN staff, particularly strong unmet demand for experienced RNs, and pockets of high demand and challenges in recruiting for specific roles. For any employer facing higher demand than supply of skilled workers, increasing the supply of RNs willing to work in agencies for the wages on offer as well as retention would appear to be a priority. Hospitals and regions can hope for an increase in local nursing supply (although the education pipeline for registered nurses is resource and time intensive) or can look at the possibility of drawing in nurses from other institutions or regions. However, among potentially modifiable factors under some control by managers and executives that might facilitate retention--which could be a particularly important strategy, are wages and benefits and working conditions. However, neither of these retention-related issues was directly examined in this survey. National and regional economic trends are likely responsible for some of the patterns in the data, as are the aging of the RN workforce and personal/life decisions of staff. However, compensation of staff and a positive work environment (which can often be improved through support for front-line managers) could be targeted. Additionally, any costs considered in relation to operational difficulties and lost productivity resulting from turnover and staff shortfalls need to be monitored. The significant numbers of hospitals reporting unmet needs for new RN graduates, particularly in light of national trends of balanced supply and demand, suggests that further study of the attractiveness of compensation should be considered. If surveys suggest that compensation is attractive, perhaps targeted recruitment of new graduates from areas of the country facing nursing surpluses or a challenging market for first jobs could be a strategy. Data suggest that clinical nurse specialists (CNS) are in lower demand overall, but that hospitals seeking CNSs are experiencing challenges in recruiting them. There has been a steep, decades-long downturn in the preparation of CNSs in graduate programs nationally. Consequently, factors related to retention should be considered (once again, modifiable areas include compensation and work climate) but looking to the future strategies for meeting institutional needs for CNS-type skills could be met with other types of nurses. 16
17 Some hospitals heavily use traveling RNs--and survey results suggest that traveling nurses are being used more than per diem staff. Patterns of use of travelers and the implications of reliance on travelers (if this is going on in areas of some or all hospitals that are using them) on unit climate and retention of staff should be examined. South Carolina hospitals appear to offer extensive clinical experience opportunities--an indication that they are collaborating with colleges and universities to address supply side issues. It appears as if timing, other than day shifts in the regular academic year, is being used to expand capacity, but it is unclear to what extent evenings, weekends, and summers are being used or whether some of these alternate scheduling options offer high quality experiences. In assessing the possibilities for the expansion of nursing education capacity, it would be important to examine which units/settings are being used and when, where there is room to grow the number of students and/or student options, and to what extent the availability of qualified instructors is influencing placement possibilities. It is interesting that important functional areas attached to hospitals but outside of inpatient areas, such as physician offices and outpatient settings, are uncommonly used. This is also important in light of calls from many to increase the readiness of nurses to deliver community-based care and to participate in population health practice. The numbers of students that could be reasonably integrated into these settings in meaningful learning opportunities that would not interfere with patient flow is unknown. This deserves attention. A number of the trends in the survey data would seem intertwined: unmet demand for RNs (both experienced and new graduates), decreasing interest in pursuit of the BSN degree by associate degree prepared RNs, and significant numbers of hospitals considering increasing levels of use of practical nurses and unlicensed personnel. They are not necessarily causally linked but the connections are logical--high demand for experienced RNs makes it less compelling for associates degree prepared RNs to return to school. Shortfalls in RN staff (along with interests in controlling costs) are raising interest in increasing roles for practical nurses and unlicensed staff. These trends should be tracked and explored in terms of whether they are isolated or widespread, what their underlying causes are, and what implications they might have for quality of care and other areas of performance in South Carolina hospitals. 17
Survey of Nurse Employers in California 2014
Survey of Nurse Employers in California 2014 Conducted by UCSF Philip R. Lee Institute for Health Policy Studies, California Institute for Nursing & Health Care, and the Hospital Association of Southern
More informationFlorida Post-Licensure Registered Nurse Education: Academic Year
Florida Post-Licensure Registered Nurse Education: Academic Year 2016-2017 The information below represents the key findings regarding the post-licensure (RN-BSN, Master s, Doctorate) nursing education
More informationSurvey of Health Care Employers in Arizona: Long-Term Care Facilities, 2015
Survey of Health Care Employers in Arizona: Long-Term Care Facilities, 2015 June 22, 2016 Prepared by: Lela Chu Joanne Spetz, PhD University of California, San Francisco 3333 California Street, Suite 265
More informationPredicting Transitions in the Nursing Workforce: Professional Transitions from LPN to RN
Predicting Transitions in the Nursing Workforce: Professional Transitions from LPN to RN Cheryl B. Jones, PhD, RN, FAAN; Mark Toles, PhD, RN; George J. Knafl, PhD; Anna S. Beeber, PhD, RN Research Brief,
More informationRegistered Nurses. Population
The Registered Nurse Population Findings from the 2008 National Sample Survey of Registered Nurses September 2010 U.S. Department of Health and Human Services Health Resources and Services Administration
More informationCite as: LeVasseur, S.A. (2015) Nursing Education Programs Hawai i State Center for Nursing, University of Hawai i at Mānoa, Honolulu.
Nursing Education Program Capacity 2012-2013 1 Written by: Dr. Sandra A. LeVasseur, PhD, RN Associate Director, Research Hawai i State Center for Nursing University of Hawai i at Mānoa, Honolulu, Hawai
More informationSurvey of Health Care Employers in Arizona: Home Health Agencies, 2015
Survey of Health Care Employers in Arizona: Home Health Agencies, 2015 July 15, 2016 Prepared by: Lela Chu Joanne Spetz, PhD University of California, San Francisco 3333 California Street, Suite 265 San
More informationLicensed Nurses in Florida: Trends and Longitudinal Analysis
Licensed Nurses in Florida: 2007-2009 Trends and Longitudinal Analysis March 2009 Addressing Nurse Workforce Issues for the Health of Florida www.flcenterfornursing.org March 2009 2007-2009 Licensure Trends
More informationEmployers are essential partners in monitoring the practice
Innovation Canadian Nursing Supervisors Perceptions of Monitoring Discipline Orders: Opportunities for Regulator- Employer Collaboration Farah Ismail, MScN, LLB, RN, FRE, and Sean P. Clarke, PhD, RN, FAAN
More informationSouth Carolina Nursing Education Programs August, 2015 July 2016
South Carolina Nursing Education Programs August, 2015 July 2016 Acknowledgments This document was produced by the South Carolina Office for Healthcare Workforce in the South Carolina Area Health Education
More informationIdentifying and Describing Nursing Faculty Workload Issues: A Looming Faculty Shortage
Identifying and Describing Nursing Faculty Workload Issues: A Looming Faculty Shortage Nancy Phoenix Bittner, PhD, CNS, RN Cynthia F. Bechtel, Ph.D., RN, CNE, CEN, CHSE Conflicts of Interest and Disclosures:
More informationWhite Paper on the Nursing Practice Doctorate April 2005
Background White Paper on the Nursing Practice Doctorate April 2005 The NACNS Board of Directors, in consultation with its Education Committee, and faculty and dean members of NACNS, conducted an extensive
More informationThe Registered Nurse Workforce in South Carolina
The Registered Nurse Workforce in South Carolina - 2016 July, 2018 This document contains information about the Registered Nurses actively employed as nurses in South Carolina as reported by the nurses
More informationMinnesota s Registered Nurse Workforce
Minnesota s Registered Nurse Workforce 2015-2016 HIGHLIGHTS FROM THE 2015-2016 RN WORKFORCE SURVEYi Overall Registered nurses, the largest segment of the health care workforce, deliver primary and specialty
More informationMinnesota s Registered Nurse Workforce
Minnesota s Registered Nurse Workforce 2013-2014 HIGHLIGHTS FROM THE 2013-2014 RN WORKFORCE SURVEY i Overall Registered nurses are the largest segment of the health care workforce delivering primary and
More informationPresented by: Jill Budden, PhD
Findings from the 2015 National Nursing Workforce Study: A Collaboration between the National Council of State Boards of Nursing & The National Forum of State Nursing Workforce Centers Presented by: Jill
More information2017 Louisiana Nursing Education Capacity Report and 2016 Nurse Supply Addendum Report
217 Louisiana Education Capacity Report and 216 Nurse Supply Addendum Report Louisiana State Board of Center for 217 Louisiana Education Capacity Report and 216 Nurse Supply Addendum Report Executive Summary
More informationThe Nursing Workforce: Challenges for Community Health Centers and the Nation s Well-being
The Nursing Workforce: Challenges for Community Health Centers and the Nation s Well-being Jane K Kadohiro, DrPH, APRN, CDE University of Hawaii at Manoa Overview Today s nursing workforce Determinants
More informationThe Northwest Minnesota Health Professions Study: An Analysis
The Northwest Minnesota Health Professions Study: An Analysis The Northwest Minnesota Health Professions Study: An Analysis - Development and publication of this analysis sponsored by: University of Minnesota
More informationIdaho s Nursing Workforce
Idaho s Nursing Workforce June 3, 2015 Bob Uhlenkott - Chief Research Officer Idaho Department of Labor Workforce - #1 Challenge to Idaho s Economic Prosperity Page-2 Population Trends Page-3 Source: US
More informationFull-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession
Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession A Report prepared for the Canadian Nursing Advisory Committee
More informationDetermining the Role of the Nurse with a Doctor of Nursing Practice Degree
Determining the Role of the Nurse with a Doctor of Nursing Practice Degree Anna Song Beeber, PhD, RN; Cheryl Jones, PhD, RN, FAAN; Carrie Palmer DNP, RN, ANP-BC; Julee Waldrop DNP, PNP-BC; Mary Lynn PhD,
More information2016 Survey of Michigan Nurses
2016 Survey of Michigan Nurses Survey Summary Report November 15, 2016 Office of Nursing Policy Michigan Department of Health and Human Services Prepared by the Michigan Public Health Institute Table of
More informationAvailable online at Nurs Outlook 66 (2018) 46 55
Available online at www.sciencedirect.com Nurs Outlook 66 (2018) 46 55 www.nursingoutlook.org An untapped resource in the nursing workforce: Licensed practical nurses who transition to become registered
More informationSTATEMENT OF JOAN CLIFFORD, MSM, RN, FACHE IMMEDIATE PAST PRESIDENT NURSES ORGANIZATION OF VETERANS AFFAIRS (NOVA)
STATEMENT OF JOAN CLIFFORD, MSM, RN, FACHE IMMEDIATE PAST PRESIDENT NURSES ORGANIZATION OF VETERANS AFFAIRS (NOVA) BEFORE THE VETERANS AFFAIRS SUBCOMMITTEE ON HELATH UNITED STATES HOUSE OF REPRESENTATIVES
More informationAdvanced Practice Registered Nurses (APRNs)
- 4 - Advanced Practice Registered Nurses (APRNs) - 5 - Advanced Practice Registered Nurses (APRNs) APRNs are registered nurses who have at a minimum completed graduate coursework (masters degree), passed
More informationIndian Health Service Briefing OCTOBER 9, 2016
Indian Health Service Briefing OCTOBER 9, 2016 2016/2017 Agency Priorities Priorities developed with input from staff and Tribes as a strategic framework to focus agency activities on priorities for changing
More informationHelping LeadingAge Members Address Workforce Challenges
Helping LeadingAge Members Address Workforce Challenges A National Workforce Crisis SURVEY REPORT center for workforce solutions HELPING LEADINGAGE MEMBERS ADDRESS WORKFORCE CHALLENGES: A National Workforce
More informationThe use of high- and medium-fidelity simulators has been
Use of Simulation in Nursing Education: National Survey Results Jennifer Hayden, MSN, RN While simulation use in nursing programs continues to increase, it is important to understand the prevalence of
More informationSurvey of Nurses 2015
Survey of Nurses 2015 Prepared by Public Sector Consultants Inc. Lansing, Michigan www.pscinc.com There are an estimated... 104,351 &17,559 LPNs RNs onehundredfourteenthousdfourhundredtwentyregisterednursesactiveinmichigan
More informationWisconsin s Health Care Workforce Report 2008
Wisconsin s Health Care Workforce Report 2008 A report by the Wisconsin Hospital Association Wisconsin s Health Care Workforce Report 2008 A report by the Wisconsin Hospital Association Table of Contents
More informationInternationally Educated Nurses: Barriers and Facilitators in the U.S.
Internationally Educated Nurses: Barriers and Facilitators in the U.S. Cheryl B. Jones, PhD, RN, FAAN Associate Professor & Division Chair University of North Carolina at Chapel Hill Presentation Overview
More informationNursing Education Capacity and Nursing Supply in Louisiana Louisiana State Board of Nursing Center for Nursing
Nursing Education Capacity and Nursing Supply in Louisiana Louisiana State Board of Nursing Center for Nursing 2011 Executive Summary Nursing Education Capacity and Supply in Louisiana 2010-2011 This report
More informationInterprofessional Education Seminar Series: A Certificate Program for Health Care Providers. Basic Education of Selected Healthcare Professionals
Interprofessional Education Seminar Series: A Certificate Program for Health Care Providers Basic Education of Selected Healthcare Professionals Audiology Dentist Dietician Evaluate and treat hearing and
More informationUsing Nursing Workforce Data to Inform State Policy
Using Nursing Workforce Data to Inform State Policy Cynthia Bienemy, Ph.D., RN Director, Louisiana Center for Nursing Louisiana State Board of Nursing Presentation Objectives Share a brief overview about
More informationThe Impact of Medicaid Primary Care Payment Increases in Washington State
EXECUTIVE SUMMARY BACKGROUND Enhanced payments for primary care services provided to Medicaid patients in 2013 and 2014, authorized by the federal Patient Protection and Affordable Care Act (ACA) of 2010,
More informationNursing Education Capacity and Nursing Supply in Louisiana 2015
Nursing Education Capacity and Nursing Supply in Louisiana 215 Louisiana State Board of Nursing Center for Nursing Nursing Education Capacity and Supply in Louisiana 215 Executive Summary Findings from
More informationFlorida s Workforce Supply Characteristics and Trends: Registered Nurses (RN)
Florida s 2016-2017 Workforce Supply Characteristics and Trends: Registered Nurses (RN) Addressing Nurse Workforce Issues for the Health of Florida www.flcenterfornursing.org Visit our site at: www.flcenterfornursing.org
More informationPractice nurses in 2009
Practice nurses in 2009 Results from the RCN annual employment surveys 2009 and 2003 Jane Ball Geoff Pike Employment Research Ltd Acknowledgements This report was commissioned by the Royal College of Nursing
More informationYOUR FUTURE IN NURSING HEATHER CURTIS, RN, BSN
YOUR FUTURE IN NURSING HEATHER CURTIS, RN, BSN OBJECTIVES Review BSN outcomes Review MSN outcomes Review Doctoral outcomes Why should I pursue higher education What jobs can I get with a MSN Which program
More informationACADEMIC PROGRAM REVIEW School of Nursing. Byrdine F. Lewis College of Nursing and Health Professions. Georgia State University
ACADEMIC PROGRAM REVIEW 2017-2018 School of Nursing Byrdine F. Lewis College of Nursing and Health Professions Georgia State University Team Report Susan K Chase, EdD, RN, FNAP Professor College of Nursing
More informationNursing. Programs. Workforce Development _AACN_TitleVIII_Brochure.indd 1
Nursing Workforce Development Programs T I T L E 147596_AACN_TitleVIII_Brochure.indd 1 V I I I O F T H E P U B L I C H E A LT H S E R V I C E A C T 2/18/15 4:48 PM How Nurses Contribute to the Healthcare
More informationTo ensure these learning environments across the nation, some type of payment reform that
In January 2010, the Josiah Macy, Jr. Foundation convened a conference entitled Who Will Provide Primary Care and How Will They Be Trained? Held at the Washington Duke Inn in Durham, North Carolina, the
More informationREGON S SNURSEFACULTY: FACULTYOREGON SNURS OREGON SNURSEFACULT ON SNURSEFACULTY OR TYOREGON SNURSEFAC EGON SNURSEFACULTY WHY ARE THEY LEAVING?
REGON SNURSEFACULT EGON SNURSEFACULTY EFACULTYOREGON SNU EGON SNURSEFACULTY URSEFACULTYOREGON TYOREGON SNURSEFAC CULTY NURSE FACULTYO SNURSEFACULTY: OREG REGON S WHY ARE THEY LEAVING? NU ACULTYOREGON SNURS
More informationWhat do nursing students contribute to clinical practice? The perceptions of working nurses
What do nursing students contribute to clinical practice? The perceptions of working nurses Laura Brennaman PhD RN CEN & Theresa Lynch Morrison PhD CNS Where are we going to put them all? Background Academic
More informationDoctor of Nursing Practice (DNP) Degree Program. BSN-to-DNP
Doctor of Nursing Practice (DNP) Degree Program BSN-to-DNP Effective January 8, 2018 Doctor of Nursing Practice (DNP) Degree Program BSN-to-DNP Capella s DNP focuses on administrative, organizational,
More informationMaster of Health Administration (MHA) with a specialization in. Health Care Operations
Master of Health Administration (MHA) with a specialization in Health Care Operations Effective January 8, 2018 Master of Health Administration (MHA) with a specialization in Health Care Operations This
More informationMinnesota s Respiratory Therapist Workforce, 2016
OFFICE OF RURAL HEALTH AND PRIMARY CARE Minnesota s Respiratory Therapist Workforce, 2016 HIGHLIGHTS FROM THE 2016 RESPIRATORY THERAPIST SURVEY Table of Contents Minnesota s Respiratory Therapist Workforce,
More informationMoving Toward a More Highly Educated Nursing Workforce
Moving Toward a More Highly Educated Nursing Workforce A Regional Approach to Increasing BSN-Prepared Nurses in Florida December 2017 Prepared by A regional coalition of the Florida Action Coalition comprised
More informationA project of the Office of Nursing Workforce Research, Planning, and Development University of Vermont College of Nursing and Health Sciences Funded
A project of the Office of Nursing Workforce Research, Planning, and Development University of Vermont College of Nursing and Health Sciences Funded by the Vermont Department of Health Health Workforce
More informationMEASURING THE JOB STICKINESS OF COMMUNITY NURSES IN ONTARIO ( ): Implications for Policy & Practice
MEASURING THE JOB STICKINESS OF COMMUNITY NURSES IN ONTARIO (2004 2010): Implications for Policy & Practice Alameddine, M., Baumann, A., Laporte, A. & Deber, R. Background Over the past two decades, many
More informationNortheast Florida Status Report on Nursing Supply and Demand July 2016
Northeast Florida Status Report on Nursing Supply and Demand July 2016 About the Northeast Region Regional Reports The Florida Center for Nursing was established in statute to address the nurse workforce
More informationReport on the SREB Council on Collegiate Education for Nursing South Carolina School of Nursing Data
Office of Health Care Workforce Research for Nursing Report on the SREB Council on Collegiate Education for Nursing South Carolina School of Nursing Data Report Prepared By: Dr. Peggy O. Hewlett, Director
More informationPlease note that Academic Year (AY) is defined as Fall (August/September) Semester 2015 through Summer (July/August) Semester 2016.
2016 Florida Center for Nursing Survey of Nursing Programs Nursing Program: BROWARD COUNTY SHERIDAN TECHNICAL COLLEGE Program Dean or Director Contact Information Please provide contact information for
More information2018 Nurse.com. Nursing Salary Research Report
2018 Nurse.com Nursing Salary Research Report Contents 2 Introduction 2 Methodology 2 General Data 3 Average Length of Time as an RN 3 One-Way Travel to Employer 4 Salaries and Benefits 4 Salary Per U.S.
More information2005 Survey of Licensed Registered Nurses in Nevada
2005 Survey of Licensed Registered Nurses in Nevada Prepared by: John Packham, PhD University of Nevada School of Medicine Tabor Griswold, MS University of Nevada School of Medicine Jake Burkey, MS Washington
More informationAligning Advanced Practice Clinicians with New Care Models
MGMA 2017 ANNUAL CONFERENCE OCT. 8-11 ANAHEIM, CA Aligning Advanced Practice Clinicians with New Care Models Trish Anen, RN, MBA, NEA-BC Debra Slater Principal, Sullivan, Cotter and Associates Principal,
More informationChapter 14. Conclusions: The Availability of Health Personnel in Rural Areas
Chapter 14 Conclusions: The Availability of Health Personnel in Rural Areas r SUPPLY OF HEALTH PERSONNEL....................................... ~ IDENTIFYING SHORTAGE AREAS: FEDERAL AND STATE EFFORTS............
More informationUNIVERSITY OF HAWAI I SYSTEM TESTIMONY
UNIVERSITY OF HAWAI I SYSTEM TESTIMONY SB 304 SD1: RELATING TO WORKFORCE DEVELOPMENT Testimony Presented Before the Senate Committee on Labor and Committee on Higher Education February 16, 2006 by Mary
More informationBarriers & Incentives to Obtaining a Bachelor of Science Degree in Nursing
Southern Adventist Univeristy KnowledgeExchange@Southern Graduate Research Projects Nursing 4-2011 Barriers & Incentives to Obtaining a Bachelor of Science Degree in Nursing Tiffany Boring Brianna Burnette
More informationColorado s. Faculty Shortage. What it is and why you should care
Colorado s Nursing Faculty Shortage What it is and why you should care $1.00: invested in nursing faculty supports... $3.50: employer recruiting cost savings $4.35: nursing salary income $9.75: health
More informationSouth Dakota APRN Coalition s Proposed Legislation FAQs
South Dakota APRN Coalition s Proposed Legislation FAQs 1. What is a collaborative agreement? A: In South Dakota law, SDCL 36-9A, a nurse practitioner or a nurse midwife is not allowed to practice without
More information2012 SURVEY OF REGISTERED NURSES AMN HEALTHCARE, INC., 2012 JOB SATISFACTION, CAREER PATTERNS AND TRAJECTORIES
We ve earned The Joint Commission s Gold Seal of Approval 2012 SURVEY OF REGISTERED NURSES AMN HEALTHCARE, INC., 2012 12400 High Bluff Drive, San Diego, CA 92130 JOB SATISFACTION, CAREER PATTERNS AND TRAJECTORIES
More informationCareers in Patient Care: A Look at Former Students from Nursing and other Health Programs that Focus on Patient Care
DACSO Diploma, Associate Degree, & Certificate Student Outcomes Careers in Patient Care: A Look at Former Students from Nursing and other Programs that Focus on Patient Care Every year, B.C. s public post-secondary
More informationTrends in Physician Compensation Among Medical Group Management Association Member Practices: Compensation Growth Trend Slows Slightly
Special Report Trends in Physician Compensation Among Medical Group Management Association Member Practices: Compensation Growth Trend Slows Slightly Bruce A. Johnson, JD, MPA Physicians in Medical Group
More informationExploring the Impact of Medicaid Expansion on West Virginia s Primary Care System
Exploring the Impact of Medicaid Expansion on West Virginia s Primary Care System Jessica L. Thayer, BA Medical Student West Virginia University School of Medicine Thomas K. Bias, PhD* Assistant Professor
More informationSPN NEWS. Column Editor: Dana Etzel-Hardman, MSN, MBA, RN, CPN
SPN NEWS Column Editor: Dana Etzel-Hardman, MSN, MBA, RN, CPN Preparing Pediatric Nurses for the 21st Century: Perceptions of Nurse Managers, Nursing Faculty, and Staff Nurses Donna Miles Curry PhD, RN,
More informationSchool of Public Health University at Albany, State University of New York
2017 A Profile of New York State Nurse Practitioners, 2017 School of Public Health University at Albany, State University of New York A Profile of New York State Nurse Practitioners, 2017 October 2017
More informationCurrent and Projected Health Workforce Supply and Demand in Nevada
Current and Projected Health Workforce Supply and Demand in Nevada John Packham, PhD and Tabor Griswold, PhD Office of Statewide Initiatives University of Nevada School of Medicine February 24, 2016 Nevada
More informationThe Unmet Demand for Primary Care in Tennessee: The Benefits of Fully Utilizing Nurse Practitioners
The Unmet Demand for Primary Care in Tennessee: The Benefits of Fully Utilizing Nurse Practitioners Major Points and Executive Summary by Cyril F. Chang, PhD, Lin Zhan, PhD, RN, FAAN, David M. Mirvis,
More informationUNIVERSITY OF CALIFORNIA
UNIVERSITY OF CALIFORNIA Report on Nursing Programs Enrollment Levels, FY 2008-09 2008-09 Legislative Session Budget and Capital Resources Budget and Capital Resources UNIVERSITY OF CALIFORNIA Report
More informationMaine Nursing Forecaster
Maine Nursing Forecaster RN & APRN REVISED January 30, 2017 Presented by Lisa Anderson, MSN, RN, The Center for Health Affairs/NEONI Patricia J. Cirillo, Ph.D., The Center for Health Affairs/NEONI pat.cirillo@chanet.org,
More informationNURSING SPECIAL REPORT
2017 Press Ganey Nursing Special Report The Influence of Nurse Manager Leadership on Patient and Nurse Outcomes and the Mediating Effects of the Nurse Work Environment Nurse managers exert substantial
More informationNavigating an Enhanced Rural Health Model for Maryland
Executive Summary HEALTH MATTERS: Navigating an Enhanced Rural Health Model for Maryland LESSONS LEARNED FROM THE MID-SHORE COUNTIES To access the Report and Accompanied Technical Reports go to: go.umd.edu/ruralhealth
More information2017 Florida Center for Nursing Survey of Nursing Programs
2017 Florida Center for Nursing Survey of Nursing Programs This worksheet is intended to help you assemble information for your nursing program prior to online submission of your data. Please log on to
More informationNorth Dakota Nursing Needs Study: Year Four Results and Comparisons
North Dakota Nursing Needs Study: Year Four Results and Comparisons Patricia Moulton, Ph.D. Presentation for the North Dakota State Board of Nursing July 21, 2006 C H R Overview of the North Dakota Nursing
More informationA Study of Associate Degree Nursing Program Success: Evidence from the 2002 Cohort
A Study of Associate Degree Nursing Program Success: Evidence from the 2002 Cohort Final Report State Board of North Carolina Community Colleges October 15, 2008 Erin Fraher, Director Dan Belsky, Research
More information2017 Nursing Salary Report
2017 Nursing Salary Report Strategies for Nurse Managers Salary Survey Results HCPro recently conducted a survey among 291 nursing professionals in the healthcare industry regarding their work experience,
More informationWest Central Florida Status Report on Nursing Supply and Demand July 2016
West Central Florida Status Report on Nursing Supply and Demand July 2016 About the West Central Florida Region Regional Reports The Florida Center for Nursing was established in statute to address the
More informationShifting Public Perceptions of Doctors and Health Care
Shifting Public Perceptions of Doctors and Health Care FINAL REPORT Submitted to: The Association of Faculties of Medicine of Canada EKOS RESEARCH ASSOCIATES INC. February 2011 EKOS RESEARCH ASSOCIATES
More informationQ4 & Annual 2017 HIGHER EDUCATION. Employment Report. Published by
Q4 & Annual 2017 HIGHER EDUCATION Employment Report Published by ACE FELLOWS ENHANCE AND ADVANCE FELLOWS PROGRAM American Council on Education HIGHER EDUCATION. With over five decades of success, the ACE
More informationWho delivers health care? Non-physician Workforce Considerations : The Role of the Advanced Practice Nurse and the Physician Assistant.
Who delivers health care? Non-physician Workforce Considerations : The Role of the Advanced Practice Nurse and the Physician Assistant Meredith Davison, PhD, MPH University of Oklahoma School of Community
More informationEast Central Florida Status Report on Nursing Supply and Demand July 2016
East Central Florida Status Report on Nursing Supply and Demand July 2016 About the East Central Florida Region Regional Reports The Florida Center for Nursing was established in statute to address the
More informationSurvey of Registered Nurses 2008
California Board of Registered Nursing Survey of Registered Nurses 2008 Conducted for the Board of Registered Nursing by School of Nursing, University of California, San Francisco and Center for the Health
More informationWorking Paper Series
The Financial Benefits of Critical Access Hospital Conversion for FY 1999 and FY 2000 Converters Working Paper Series Jeffrey Stensland, Ph.D. Project HOPE (and currently MedPAC) Gestur Davidson, Ph.D.
More informationSchool of Public Health University at Albany, State University of New York
2018 Trends in New York Registered Nurse Graduations, 2002-2017 School of Public Health University at Albany, State University of New York Trends in New York Registered Nurse Graduations, 2002-2017 March
More informationReview of Florida s Nursing Education Programs, Academic Year
January 2018 Review of Florida s Nursing Education Programs, Academic Year 2016-2017 At a Glance The Florida Center for Nursing Educational Survey of nursing programs for the academic year 2016-2017 returned
More informationHealth Workforce Recruitment and Retention Survey 2014
Health Workforce Recruitment and Retention Survey 2014 Preliminary Data from the Hospital Survey John Packham, PhD Director of Health Policy Research Office of Statewide Initiatives University of Nevada
More informationIssue Brief. Maine s Health Care Workforce. January Maine s Unique Challenge. Current State of Maine s Health Care Workforce
January 2009 Issue Brief Maine s Health Care Workforce Affordable, quality health care is critical to Maine s continued economic development and quality of life. Yet substantial shortages exist at almost
More informationSupply and Demand of Health Care Workers in Minnesota. Speaker: Teri Fritsma Wednesday, March 8, :35 3:20 p.m.
Supply and Demand of Health Care Workers in Minnesota Speaker: Teri Fritsma Wednesday, March 8, 2017 2:35 3:20 p.m. Teri Fritsma Teri Fritsma is a senior research analyst for the Minnesota Department of
More informationComparison of ACP Policy and IOM Report Graduate Medical Education That Meets the Nation's Health Needs
IOM Recommendation Recommendation 1: Maintain Medicare graduate medical education (GME) support at the current aggregate amount (i.e., the total of indirect medical education and direct graduate medical
More informationInnovation and Diagnosis Related Groups (DRGs)
Innovation and Diagnosis Related Groups (DRGs) Kenneth R. White, PhD, FACHE Professor of Health Administration Department of Health Administration Virginia Commonwealth University Richmond, Virginia 23298
More informationREQUEST FOR PROPOSALS
REQUEST FOR PROPOSALS HOME AND COMMUNITY-BASED SERVICES (HCBS) EMPLOYEE SCHOLARSHIP GRANT PROGRAM - FISCAL YEAR 2019 MINNESOTA DEPARTMENT OF HEALTH (MDH) - OFFICE OF RURAL HEALTH & PRIMARY CARE The Home
More informationWisconsin Hospital Association 2014 Workforce Report. Wisconsin Health Care Workforce 2014 Report
Wisconsin Hospital Association 2014 Workforce Report Wisconsin Health Care Workforce 2014 Report Front cover photo courtesy of Stoughton Hospital Stoughton Hospital rehab staff Robert Komes and April Swenson
More informationWorkforce Solutions for Aging Services Careers. Workforce Solutions for Aging Services Careers. Scanning our Environment. LeadingAge Minnesota
Workforce Solutions for Aging Services Careers Co-sponsored Webinars with Adam Suomala Vice President, Strategic Affiliations Workforce Solutions for Aging Services Careers Scanning our Environment March,
More informationPathway to Excellence in Long Term Care Organization Demographic Form (ODF) Instructions
8515 Georgia Ave., Suite 400 Silver Spring, MD 20910 1.800.284.2378 nursecredentialing.org INTRODUCTION Pathway to Excellence in Long Term Care Organization Demographic Form (ODF) Instructions The Pathway
More information2015 Georgia Workforce Report. Published by Compdata Surveys on behalf of the Georgia Hospital Association
2015 Georgia Workforce Report Published by Compdata Surveys on behalf of the Georgia Hospital Association TABLE OF CONTENTS Introduction...1 Labor Force & Employment Levels...2 & Rates by Position...5
More informationSoutheast, Cape and Islands Regional Executive Summary
Southeast, Cape and Islands Regional Executive Summary Thirteen organizations were interviewed in the Southeast Region. The complete list of survey participants is available in Regional Appendix 1. All
More informationFinal Report: Estimating the Supply of and Demand for Bilingual Nurses in Northwest Arkansas
Final Report: Estimating the Supply of and Demand for Bilingual Nurses in Northwest Arkansas Produced for the Nursing Education Consortium Center for Business and Economic Research Reynolds Center Building
More informationFlorida Licensed Practical Nurse Education: Academic Year
# of LPN Programs Florida Licensed Practical Nurse Education: Academic Year 2016-2017 This report presents key findings regarding the Licensed Practical Nursing education system in Florida for Academic
More information