The Registered Nurse Workforce in South Carolina

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1 The Registered Nurse Workforce in South Carolina July, 2018

2 This document contains information about the Registered Nurses actively employed as nurses in South Carolina as reported by the nurses themselves during their biennial license renewal process ending on April 30, Advanced Practice Registered Nurses (APRN) were categorized according to the title by which they are officially recognized by the South Carolina Board of Nursing. In the small number of cases where an APRN holds more than one officially recognized title, the first title recognized was used. This document was produced by the South Carolina Office for Healthcare Workforce a part of the South Carolina Area Health Education Consortium (AHEC) program office in Charleston. Questions concerning the report, or for additional information about the Registered Nurse workforce, please contact the South Carolina Office for Healthcare Workforce at (843) For additional information about nurses and many other health professionals in South Carolina, please visit our website: Recommended citation: South Carolina Office for Healthcare Workforce. (July 2018). The Registered Nurse Workforce in South Carolina Charleston: South Carolina Area Health Education Consortium. Retrieved from

3 The Registered Nurse Workforce in South Carolina Table of Contents Page Registered Nurse Workforce... 1 Advanced Practice Registered Nurses... 2 Educational Mobility in the Registered Nurse Workforce... 3 Registered Nurse Workforce Employment and Work Settings... 4 Position Titles in the Registered Nurse Workforce... 5 Selected Registered Nurse Workforce Settings and Titles... 6 Position Titles of Registered Nurses in Hospital Settings... 7 Nurse Practitioners... 8 Certified Nurse Midwives... 9 Clinical Nurse Specialists Certified Registered Nurse Anesthetists Map - Certified Nurse Midwives per 10,000 Population Map - Clinical Nurse Specialists per 10,000 Population Map - Certified Registered Nurse Anesthetists per 10,000 Population. 14 Nap - Nurse Practitioners per 10,000 Population... 15

4 Registered Nurse Workforce (N = 40,365) APRNs are not included in the statistics on this page 70% of RNs active in the workforce in 2016 received their entry nursing degree in SC 82% report working full time % work in hospital settings SC Population* US * General Population Race / Ethnicity RN Number RN Percent Caucasian 32, % 67.3% 73.3% African American 4, % 27.4% 12.6% Native American % 0.3% 0.8% Asian % 0.5% 1.2% Other % 2.2% 3.2% Hispanic % 5.3% 17.3% Unknown 2, % 0.0% 0.0% * Hispanic ethnicity is separate from race in the state and federal statistics. Hispanics may be of any race. In the RN data Hispanic ethnicity is treated as a racial category. RN Racial Diversity by Age Group Female 93% Gender Male 7% 100% AGE 90% In 2016 the average age was 45 35% were over age 50 in % Age Group of RNs Percent 70% <25 1, % 60% , % , % 50% , % , % 40% , % , % 30% , % , % 20% , % % 10% % 0% and over % Total RNs: 40, % Caucasian African American Other South Carolina Office for Healthcare Workforce Page 1

5 Advanced Practice Registered Nurses 8.6% of the RNs in the workforce in 2016 were in advanced practice roles Certified RN Anesthetists Registered Nurses APRNs Certified Nurse Midwives Nurse Practioners Clinical Nurse Specialists Advanced Practice RNs Total N = 3,797 Nurse Practioners 2,568 67% 1,091 29% Certified RN Anesthetists Certified Nurse Midwives 67 2% 71 2% Clinical Nurse Specialists South Carolina Office for Healthcare Workforce Page 2

6 Educational Mobility in the Registered Nurse Workforce Between 2014 and 2016 the total size of the RN and APRN workforce in South Carolina increased by 3.1% The number of Master's prepared nurses increased by 16% The number of Doctorate prepared nurses increased by 19% Educational Mobility Among RNs % in the 2016 workforce who moved from their entry level to a higher degree Educational Mobility Among APRNs % in the 2016 workforce who moved from their entry level to a higher degree BSN to Doctorate 0.6% BSN to Doctorate 7.1% BSN to MSN 7.1% BSN to MSN 86.4% BSN to APRN CERT 0 BSN to APRN CERT 6.6% BSN no change 92.3% BSN no change 0.0% ADN to Doctorate 0.2% ADN to Doctorate 6.4% ADN to MSN 3.3% ADN to MSN 83.1% ADN to APRN CERT 0 ADN to APRN CERT 10.6% ADN to BSN 17.0% ADN to BSN 0.0% ADN no change 79.6% ADN no change 0.0% Diploma to Doctorate 0.7% Diploma to Doctorate 6.4% Diploma to MSN 4.6% Diploma to MSN 60.0% Diploma to APRN 0 Diploma to APRN 33.6% Diploma to BSN 14.3% Diploma to BSN 0.0% Diploma no change 80.4% Diploma no change 0.0% 0% 50% 100% 0% 50% 100% Progress Toward BSN and Higher Degree Goals In 2016, 50% of the RN and APRN nursing workforce in South Carolina held a baccalaureate degree or higher. Nationally, 54% of the RN workforce held a baccalaureate or higher degree that year (CCNA, Dashboard Indicators) The Institute of Medicine goal for 2020 is to have 80% or more of the national RN workforce with a baccalaureate or higher degree. In South Carolina, the goal is to have 50% or more by % 80% 80% 60% 40% 39% 41% 43% 46% 50% 50% 20% 0% State Goal IOM Goal South Carolina Office for Healthcare Workforce Page 3

7 Registered Nurse Workforce Employment and Work Settings APRNs are not included in the statistics on this page 2% 1% RN Work Settings % 5% Hospital Inpatient Ambulatory Care 12% 55% Longterm Care Other Hospital - Outpatient 16% Academic Setting Behavioral Health RN Practice Settings N % RN Practice Settings N % Academic Setting (Nursing) % Assisted Living Facility % Academic Setting (Other) % Home Health 2, % Academic Total % Hospice (Inpatient only) % Alcohol/Drug Detox Center % Nursing Home 1, % Long Term Care Total 4, % Mental Health Center % Hospital - Emergency Room 2, % Behavioral Health Total % Hospital - General Inpatient 13, % Hospital - Other Inpatient 4, % Hospital - Subacute Care % Ambulatory Care Setting % Hospital - Wide 1, % Ambulatory Surgery Center % Hospital Inpatient Total 22, % Community Health % Dialysis % Hospital - Outpatient 1, % Federal Clinic % Hospital - Outpatient Total 1, % NP Provider Clinic 5 0.0% Occupational Health % Correctional Facility % Physician/Medical Office 1, % Insurance Company % Public Health Department % Multi-Setting % Retail/In-Store Clinic 3 0.0% Policy Planning % Rural Health Center % Other 2, % School Health Service 1, % Other Settings Total 3, % Urgent Care % Ambulatory Care Total 6, % Setting unknown % Total RN Workforce 40,365 South Carolina Office for Healthcare Workforce Page 4

8 Position Titles in the Registered Nurse Workforce APRNs are not included in the statistics on this page Reported RN Position Titles Frequency Percent Staff/Direct Care/General Duty Nurse 26, % Nurse Manager 3, % Care Coordinator/Case Mgr/Discharge Planner 2, % Other - Health Related (Patient Focus) 1, % School Nurse 1, % Quality Improvement/Utilization Review 1, % Nurse Executive/Administration 1, % Faculty/Professor % Nurse Educator (including In-Service, CE) % Supplemental Staffing/Travel/VNS nurse % Patient Educator % Informatics Nurse/Informaticist % Other title - health related (Org/operations focus) % Consultant (e.g. Legal, Education, Practice standards) % Triage/Advice nurse % Nurse Researcher % Telehealth Nurse % Other title - not health related % Title unknown % Total 40,365 Nurse Manager Care Coordinator/Case Mgr/Discharge Planner Other - Health Related (Patient Focus) School Nurse Quality Improvement/Utilization Review Nurse Executive/Administration Faculty/Professor Nurse Educator (including In-Service, CE) Supplemental Staffing/Travel/VNS nurse Patient Educator Informatics Nurse/Informaticist Other title - health related (Org/operations focus) Consultant (e.g. Legal, Education, Practice standards) Triage/Advice nurse Nurse Researcher Telehealth Nurse Other title - not health related Title unknown RN Titles Distribution When Excluding Staff RNs 2% 2% 2% 3% 3% 4% 5% 8% 24% 8% 10% 15% 10% South Carolina Office for Healthcare Workforce Page 5

9 The RN Workforce in SC Selected Registered Nurse Workforce Settings and Titles APRNs are not included in the statistics on this page Position Titles of RNs Employed by Insurance Companies Employment Settings of Care Coordinators, Case Managers and Discharge Planners 3% 27% 0% 0% 32% 7% 31% Academic Behavioral Health Ambulatory Care Hospital Inpatient Hospital - Outpatient Other South Carolina Office for Healthcare Workforce Long Term Care Page 6 350

10 Position Titles of Registered Nurses in Hospital Settings APRNs are not included in the statistics on this page 100% Hospital RNs by Unit Type and Position Title 90% 80% 70% 60% 50% 90.2% 91.2% 40% 81.4% 78.7% 71.4% 30% 20% 10% 14.9% 0% Hospital - Emergency Department Hospital - InpatientHospital - Inpatient General/Acute Intensive Care Hospital - Outpatient Hospital - Subacute Care Hospital Wide (Admin, Float, IT, etc.) Staff Nurse/Direct Care/General Duty Nurse Other - Health Related Patient Focus Care Coordinator/Case Mgr/Discharge Planner Patient Educator Informatics Nurse/Informaticist Triage/Advice Nurse Nurse Researcher Consultant Supplemental Staffing/Travel Nurse Nurse Manager Nurse Executive/Admin Nurse Educator (In-Service, CE) Quality Improvement/Utilization review Telehealth Nurse Other - Health Related Operations Focus Other - Not Health Related South Carolina Office for Healthcare Workforce Page 7

11 Nurse Practitioners (N = 2,568) Educational Preparation: % Race/Ethnicity Number Percent Advanced Practice Certificate 3.1% Caucasian 2, % Masters in Nursing 86.8% African American % Doctorate 8.3% Hispanic % 53% of NPs active in the workforce in 2016 received their entry nursing degree in SC Employment Position Title Number Percent Nurse Practitioner 2, % Faculty/Professor % Staff Nurse % Nurse Manager % Nurse Executive/Administration 7 0.3% Supplemental Staffing 7 0.3% Quality Improvement 5 0.2% Care Coordinator 3 0.1% Consultant 2 0.1% Nurse Educator 2 0.1% School Nurse 2 0.1% Telehealth Nurse 2 0.1% Patient Educator % Other/Unknown % Asian % Other % Native American 9 0.4% Unknown % Female 94% Gender Male 6% NP Practice Settings Other Alcohol/Drug Detox Correctional Facility Assisted Living/Residential Care Mental Health Center Health Department Hospital - Wide Insurance Home Health School Nurse Occupational Health Other Community Health Rural health center Nsg Home/Extended Care Hospital - Emergency Dept. School of Nursing Ambulatory Care Setting Hospital - Outpatient Hospital - Inpatient Clinic Physician Office 4.8% 0.1% 0.7% 0.8% 1.0% 1.0% 1.0% 1.0% 1.2% 1.2% 1.4% 2.0% 2.1% 2.7% 2.8% 3.1% 4.8% 6.8% 13.9% 14.9% 32.6% 0% 10% 20% 30% 40% Age 32% of NPs were over age 50 in 2016 Age Group Number of NPs Percent % % % % % % % % % % % % South Carolina Office for Healthcare Workforce Page 8

12 Clinical Nurse Midwives (N = 71) Educational Preparation: % Race / Ethnicity Number Percent Unknown 4.2% Caucasian % Advanced Practice Certificate 9.9% African American 4 5.6% Masters in Nursing 76.1% Other 1 1.4% Doctorate 9.9% unknown 1 1.4% 28.2% of CNMs active in the workforce in 2016 received their entry nursing degree in SC Gender Nurse Midwife Practice Settings Other 2.8% Female 99% Male 1% School/College Health 2.8% Hospital - Outpatient Ambulatory Care Hospital - Inpatient Academic Setting NP/Rural Clinic/FQHC Physician Office 4.2% 9.9% 11.3% 11.3% 16.9% 40.8% 51% of CNMs were over age 50 in 2016 Age Group AGE Number of CNMs Percent Age % Age % Age % Age % Age % Age % Age % Age % Age % 0% 20% 40% South Carolina Office for Healthcare Workforce Page 9

13 Clinical Nurse Specialists (N=67) Educational Preparation: % Unknown 2.9% Race / Ethnicity Number Percent Masters in Nursing 89.9% Caucasian % Doctorate 7.2% African American 5 7.5% Unknown 1 1.5% 32.8% of CNSs active in the workforce in 2016 received their entry nursing degree in SC Clinical Specialty Number Percent Psychiatric/Substance Abuse % Medical Surgical 5 7.5% Adult Health/Family Health 4 6.0% Acute care 3 4.5% General Nursing Practice 3 4.5% Case Management 2 3.0% Critical Care 2 3.0% Oncology 2 3.0% Pediatrics 2 3.0% Perioperative 2 3.0% Professional Development 2 3.0% Other specialties 6 9.0% Female 97% Gender Male 3% CNS Employment Settings Other Settings 17.9% Occupational Health Multi-Setting Insurance Company Mental Health Center Hospital - Wide Ambulatory Care Hospital - Outpatient Physician Office Academic 1.5% 1.5% 1.5% 4.5% 6.0% 6.0% 10.4% 13.4% 16.4% Age 72% of CNSs were over age 50 in 2016 Age Group of CNMs Percent Age % Age % Age % Age % Age % Age % Age % Age % Hospital - Inpatient 20.9% 0% 5% 10% 15% 20% 25% South Carolina Office for Healthcare Workforce Page 10

14 Certified Registered Nurse Anesthetists (N = 1,091) Educational Preparation: % Race / Ethnicity Number Percent Unknown 8.4% Caucasian 1, % Advanced Practice Certificate 23.5% African American % Masters in Nursing 66.2% Asian % Doctorate 1.9% Other 8 0.7% Hispanic 7 0.6% Native American 3 0.3% 40% of CRNAs active in the workforce in 2016 received their unknown % entry nursing degree in SC CRNA Practice Settings Gender Unknown Multi-Setting 0.1% 0.3% Female 65% Male 35% Academic 0.5% Ambulatory Care Setting Physician Office Hospital - Wide Hospital - Outpatient Ambulatory Surgery Center Other Hospital - Inpatient 0.6% 1.7% 3.1% 8.3% 11.7% 18.9% 54.6% 0% 20% 40% 60% 80% 39% of CNRAs were over age 50 in 2016 Age Group Age Number of CRNAs Percent Age % Age % Age % Age % Age % Age % Age % Age % Age % Age % Age % Age 81 or > 1 0.1% South Carolina Office for Healthcare Workforce Page 11

15 The RN Workforce in SC Certified Nurse Midwives in South Carolina South Carolina Office for Healthcare Workforce Page 12

16 The RN Workforce in SC Clinical Nurse Specialists in South Carolina South Carolina Office for Healthcare Workforce Page 13

17 The RN Workforce in SC Certified Registered Nurse Anesthetists in South Carolina South Carolina Office for Healthcare Workforce Page 14

18 The RN Workforce in SC Nurse Practitioners in South Carolina South Carolina Office for Healthcare Workforce Page 15

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