Nurse Leaders of Idaho 2012 CNO practice survey

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1 Nurse Leaders of Idaho 2012 CNO practice survey 1. Please describe your hospital: Critical Access Hospital 53.8% 7 <150 beds 30.8% 4 < 250 beds 0.0% 0 > 250 beds 15.4% 2 2. Is your hospital part of a larger health system? Yes 38.5% 5 No 61.5% 8 Other (please specify) 0.0% 0 1 of 13

2 3. Which area of Idaho are you located in? Northern Idaho 23.1% 3 Southwestern Idaho 23.1% 3 South Central Idaho 7.7% 1 Eastern Idaho 46.2% 6 4. How would you describe the RN labor market in your region? High demand: difficult to fill positions Moderate demand: some difficulty filling open positions 58.3% 7 Demand is in balance with supply 16.7% 2 Demand is less than the supply available 16.7% 2 Demand is much less than RN supply 0.0% 0 2 of 13

3 5. Are you currently experiencing difficulty recruiting any of the following nursing personnel? Staff RN positions Experienced staff RN positions 66.7% 8 Experienced staff RN's in a particular specialty 50.0% 6 Nurse managers, educators, case coordinators etc 25.0% 3 Advanced Practice Registered Nurses (APRN) Licensed Practical Nurses (LPN) Certified Nurse Aides (CNA) No recruiting difficulties 16.7% 2 Other (please specify) 0.0% 0 6. How does RN employment in your hospital compare in 2012 with employment in 2011? Employment is higher 53.8% 7 Employment is the same 46.2% 6 Employment is lower 0.0% 0 3 of 13

4 7. Please indicate any current requirements or preferences for hiring RN's in your hospital. (check all that apply) Experience as an RN 92.3% 12 BSN or higher 38.5% 5 ADN or diploma in process of completing BSN 38.5% 5 No requirements 7.7% 1 8. Do you provide assistance or incentives to your nursing staff who choose to advance their degrees?(check all that apply) Tuition assistance 66.7% 8 Scholarship 41.7% 5 Cooperative agreement with college or university 16.7% 2 Work release 33.3% 4 Increased pay 50.0% 6 Increased career advancement 25.0% 3 None offered 0.0% 0 4 of 13

5 9. Please estimate the percent of your RN workforce that has a BSN degree or higher % 46.2% % 15.4% % 23.1% 3 50%-59% 7.7% % 7.7% 1 over 70% 0.0% 0 5 of 13

6 10. Describe any degree preparation goals that you have, if any, for your hospital nursing workforce. (check all that apply) >25% BSN in staff positions 0.0% 0 >50% BSN in staff positions 16.7% 2 >75% BSN in staff positions 25.0% % BSN in staff positions 0.0% 0 >25% MSN or related masters in management positions >50% MSN or related masters in management positions >75% MSN or related masters in management positions 100% MSN or related masters in management positions I have no workforce degree preparation goals 58.3% 7 Other (please specify) 1 6 of 13

7 11. Do you hire new graduate RN's? Yes 75.0% 9 No 16.7% 2 Other (please specify) 12. Please estimate the percentage of new RN graduates that you hired in 2012 compared to all RN's hired. <25% 46.2% % 15.4% 2 50%-74% 38.5% 5 75%-100% 0.0% 0 7 of 13

8 13. Has your hiring of new graduate RN's changed in the past year? Increased hiring of new graduates 23.1% 3 No change in the hiring of new graduates 61.5% 8 Decreased hiring of new graduates 7.7% 1 My facility does not hire new graduates 7.7% Do you employ Advanced Practice Registered Nurses (including CRNA's, NP's, CNM's, and CNS's) in your facility? Yes, outpatient only 15.4% 2 Yes, inpatient only 7.7% 1 Yes, in both outpatient and inpatient settings 69.2% 9 No 7.7% 1 8 of 13

9 15. Describe the APRN's who are employed by your facility. (check all that apply) Certified Registered Nurse Anesthetists (CRNA) 66.7% 8 Nurse Practitioners (NP) 58.3% 7 Certified Nurse Midwives (CNM) Clinical Nurse Specialists (CNS) 0.0% 0 Certified Pediatric Nurse Practitioners (CPNP) 16.7% 2 Certified Family Nurse Practitoners (FNP) 33.3% 4 Certified Gerontological Nurse Practitioner 0.0% 0 Certified Neonatal Nurse Practitioner Certified Psychiatric Nurse Practitioer 25.0% 3 Certified Acute Care Adult Nurse Practitioner 0.0% 0 My facility does not employ APRN's 0.0% 0 Other (please specify) 2 9 of 13

10 16. Is supervision by an MD required for APRN's to practice in your facility? (check all that apply) Yes, in inpatient settings 36.4% 4 Yes, in outpatient settings 36.4% 4 Yes, in both inpatient and outpatient settings 18.2% 2 Not in inpatient settings 0.0% 0 Not in outpatient settings 9.1% 1 Not required 18.2% 2 answered question 11 skipped question How do you determine the practice of APRN's in your institution? APRN's practice to the full extent allowed by state law, education and certifying standards 33.3% 4 APRN's practice is outlined in facility bylaws 58.3% 7 APRN's practice is determined on a case by case basis by the CNO and /or medical staff 0.0% 0 Other (please specify) 10 of 13

11 18. Do APRN's participate in the same peer review process as physicians in your facility? Yes 75.0% 9 No 25.0% 3 Other (please specify) 0.0% Do you grant hospital privileges to APRN's who are not employed by your facility, including the privilege to admit, order diagnostic tests and pharmaceuticals, and to discharge? Yes 25.0% 3 No 50.0% 6 Other (please specify) 25.0% 3 11 of 13

12 20. Considering the policy, financing, regulatory, and practice demands that you anticipate will impact your facility in the next 2-5 years, what (if any) changes need to be made in the preparation of the nursing workforce in Idaho? (check all that apply) Improved ability to work in collaborative teams 61.5% 8 Improved education in population health 30.8% 4 Improved education in evidenced based practice 76.9% 10 Improvements in case managment, care coordination and navigation skills 61.5% 8 Improved ability to effectively communicate with and teach patients 69.2% 9 Improved critical thinking skills 53.8% 7 Improved information technology training 38.5% 5 Increased supply of all RN's 15.4% 2 Increased numbers of BSN prepared nurses 61.5% 8 Increased numbers of APRN's 30.8% 4 Increased numbers of graduate and doctoral prepared nurses 15.4% 2 Nurse residencies for new graduates 38.5% 5 Nurse residencies for new APRN's 15.4% 2 Improved preparation of APRN's to work in an acute setting 7.7% 1 Increased opportunities to advance education 46.2% 6 12 of 13

13 Other (please specify) Please add any additional comments you would like to share about the nursing workforce in your facility. 4 answered question 4 skipped question Thank you for completing this survey. Providing your contact information will allow us the opportunity to follow up on any important workforce trends, and to send you a copy of the aggregate survey results. 8 answered question 8 skipped question 5 13 of 13

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