Nursing Faculty Shortage: Policy Solutions Linda K. Young PhD, RN, CNE, CFLE Dean and Professor College of Nursing and Health Sciences University of Wisconsin Eau Claire 2018 ANEW Legislative Breakfast
What is the concern? Wisconsin Nursing Supply Will Not Meet Demand Wisconsin Center for Nursing, Inc. (2017). The Nursing workforce: Achieving impact with data. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1vly3omxiw5bt6c2rwl3b_1nfkklihpz0/view
Estimated Number of Nursing Graduates Needed Annually to Meet Projected Demand 2020 3,800 2025 9,800 2030 16,700 2035 23,100 Wisconsin schools graduate slightly over 3,000 nurses a year. Wisconsin Center for Nursing http://www.wisconsincenterfornursing.org/ed ucation.html 2040 27,700 Wisconsin Center for Nursing, Inc. (2016). Wisconsin registered nurse supply and demand forecasting update: 2014 2040. Retrieved from https://drive.google.com/file/d/187py_kx 3ExeAkako1e mpfzq2lprbze/view
Graduate Degrees Held in Nursing Master of Science in Nursing (MSN) 7,873 10.3% Doctorate of Nursing Practice (DNP) or DSN/ND 439 0.5% PhD in Nursing 251 0.3% Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Survey. (2016). Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1ignig24zrbficw5lyprsuk9ljqzned6v/view
Who are the Nursing Faculty in Wisconsin 825 Nurse Educators Male 3.6% Female 96.4% 5.9% 5.9% belong to racial/ethnic minority Wisconsin Center for Nursing, Inc. (2017). The Nursing workforce: Achieving impact with data. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1vly3omxiw5bt6c2rwl3b_1nfkklihpz0/view
Nursing Faculty: Highest Nursing Degree Earned and Age ADN 10% BSN 16.1% MSN 57% Doctorate 17% Mean age of a baccalaureate degree = 25.1 years Mean age to receive a PhD is = 43.5 years Wisconsin Center for Nursing, Inc. (2017). The Nursing workforce: Achieving impact with data. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1vly3omxiw5bt6c2rwl3b_1nfkklihpz0/view
46% of RNs working in nursing education programs are 55 or older Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Survey. (2016). Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1ignig24zrbficw5lyprsuk9ljqzned6v/view
Nursing Faculty: Intent to Leave Current Employment <2 years 11% 10+ years 41% 2 4 years 23% 5 9 years 25% 59% are plan leave current employment within 9 years Wisconsin Center for Nursing, Inc. (2017). The Nursing workforce: Achieving impact with data. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1vly3omxiw5bt6c2rwl3b_1nfkklihpz0/view
Current Vacant Positions for Full and Part time Faculty 18 DNP/PhD 32 Full time Masters Help Wanted 80 Educators 30 Part time Masters As reported in a recent ANEW survey of Wisconsin nursing programs.
Anticipated Vacancies for Full and Part time Faculty 17 495 Educators plan on leaving in 7 Years Wisconsin Center for Nursing, Inc. (2017). The Nursing workforce: Achieving impact with data. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1vly3omxiw5bt6c2rwl3b_1nfkklihpz0/view
National Vacant Faculty Positions 1,567 faculty 93% are vacancies faculty positions require or prefer a doctoral degree American Association of Colleges of Nursing. (2017). Nursing Faculty Shortage. Washington, DC: American Association of Colleges of Nursing. Retrieved from http://www.aacnnursing.org/news Information/Fact Sheets/Nursing Faculty Shortage
Advanced Practice Registered Nurses (APRN) Nurse practitioner Clinical nurse specialists Certified nurse midwife Certified registered nurse anesthetists Advanced practice nurse prescribers 6000 5000 4000 3000 2000 1000 0 APRN as Faculty 90% hold a Masters or Higher 5056 in WI Advanced Practice RN only 136 hold faculty positions Faculty Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Survey. (2016). Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1ignig24zrbficw5lyprsuk9ljqzned6v/view
Registered Nurse Wisconsin Median Wages for Nursing Positions requiring a Masters or Doctoral Degree $69,200 Nurse Practitioners $101,930 Nurse Midwives $109,280 Nurse Anesthetists $191,730 Nurse Educator [VALUE] Office of Occupational Statistics and Employment Projections, Bureau of Labor Statistics, U.S. Department of Labor. (2017) May 2017 State Occupational Employment and Wage Estimates Wisconsin. Retrieved from https://www.bls.gov/oes/current/oes_wi.htm
Barriers to Obtaining an Advanced Degree Cost of Tuition and Fees Family/personal Reasons Lost Work Time and Benefits 31.5% 21.4% 15.1% Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Survey. (2016). Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1ignig24zrbficw5lyprsuk9ljqzned6v/view
Unblocking the Education Bottleneck: Meeting the Demand Qualified students interested in becoming nurses Demand for nurses in the workforce Nursing Faculty Shortage
Factors Limiting Student Admissions Lack of qualified faculty applicants 15% Insufficient funds to hire faculty 15% Wisconsin Center for Nursing. (2015). Wisconsin Nursing education and nurse faculty: 2013 survey results. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1s5updl2vr9uwsopnuhhyn5zehvrukdq5/view
What can we do to grow the nursing faculty workforce in Wisconsin Increase Master s prepared nurses needed for the associate and baccalaureate degree nursing programs in order to teach the next generation of nurses 2018 ANEW Legislative Breakfast
What can we do to grow the nursing faculty workforce in Wisconsin Increase Doctorally (PhD, DNP) prepared nurses needed for baccalaureate and graduate degree nursing programs in order to teach the next generation of nurses and nurse leaders 2018 ANEW Legislative Breakfast
What are the solutions? Allocate 10 million to fund 150 nurses to their Masters or Doctoral degree with a requirement to teach in Wisconsin 2018 ANEW Legislative Breakfast
Nurses for Wisconsin Young, LK. (2018). Nurses for Wisconsin handout. Eau Claire, WI: University of Wisconsin Eau Claire.
What are the solutions? Continue to require nurses to complete workforce survey as part of the Wisconsin licensure renewal to better respond to the shortage of nurses and nurse educators in Wisconsin 2018 ANEW Legislative Breakfast
Thank you! 2018 ANEW Legislative Breakfast
Questions?
Wisconsin s Health Factors University of Wisconsin Population Health Institute. County Health Rankings 2018. Retrieved from http://www.countyhealthrankings.org/explore healthrankings/reports/state reports/2018/wisconsin
Wisconsin s Health Outcomes University of Wisconsin Population Health Institute. County Health Rankings 2018. Retrieved from http://www.countyhealthrankings.org/explore healthrankings/reports/state reports/2018/wisconsin
Policy Recommendations Grow our own nurse faculty with funding for nurses to return to school for graduate degrees in nursing Entice nursing faculty to come to Wisconsin with loan reduction or forgiveness programs and sign on bonuses Increase nursing faculty salaries to compete in the marketplace for new hires Increase nursing faculty salaries to retain current nursing faculty and delay retirement Establish public/private partnerships such as funding of joint appointments Increase the number of funded nurse faculty positions
Advanced Practice Nurses (APRN) with Master s or Higher by region NORTHERN WI 5.4% WESTERN WI 7.8% RNs = 5537 RNs = 8302 Wisconsin Center for Nursing, Inc. (2016). Nursing Workforce: A Snapshot (Northern & Western Wisconsin) Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/114jdz0s6pd_qzgtb3vw7c6hmfvan562a/view and https://drive.google.com/file/d/114jdz0s6pd_qzgtb3vw7c6hmfvan562a/view
Nursing Faculty: Highest Nursing Degree and Age ADN 10% MSN 57% Doctorate 17% Mean age of a all nursing faculty = 50.8 years Mean age for faculty prepared at the doctoral level= 55.2 years Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Survey. (2016). Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from https://drive.google.com/file/d/1ignig24zrbficw5lyprsuk9ljqzned6v/view