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
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
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
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
9. Please estimate the percent of your RN workforce that has a BSN degree or higher. 20-29% 46.2% 6 30-39% 15.4% 2 40-49% 23.1% 3 50%-59% 7.7% 1 60-69% 7.7% 1 over 70% 0.0% 0 5 of 13
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% 3 100 % 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
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% 6 25-49% 15.4% 2 50%-74% 38.5% 5 75%-100% 0.0% 0 7 of 13
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% 1 14. 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
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
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 2 17. 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
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% 0 19. 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
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
Other (please specify) 0 21. Please add any additional comments you would like to share about the nursing workforce in your facility. 4 answered question 4 skipped question 9 22. 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