Creating a Strategic Roadmap for Nursing Education in Minnesota

1
Creating a Strategic Roadmap for Nursing
Education in Minnesota

• Nursing Workforce Data
• Presented by Mary Rothchild
• March 1, 2005

2
MN Nursing WorkforceA Current View

• Nurses With Current License
• Source MN Board of Nursing

3
MN Nursing WorkforceA Current View

• Average Age of Nurses with Current License
• Source MN Board of Nursing

4
MN Nursing WorkforceA Current View

• Age of RN and LPN licensees
• Source MN Board of Nursing

5
MN Nursing WorkforceA Current View

• RNs With Current Licensure by Age Group
• Source MN Board of Nursing

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MN Nursing WorkforceA Current View

• Average Age at Time of LicensureBy Degree Type

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MN Nursing WorkforceA Current View

• RNs in Minnesota were three years older than
  those in the rest of the nation (45.3 years
  versus 42.4 years) in 2000.
• The RN workforce is predominately white,
  non-Hispanic (98 percent).
• RNs have a median job tenure of ten years and
  average job tenure of 12 years in 2002.
• Fifteen percent of active RNs planned to leave
  nursing in the next two years (estimated to be
  8,000 RNs).
• Source MDH, MN Registered Nurse Survey, 2003

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MN Nursing WorkforceA Current View

• Educational Attainment of MNs RN Nursing
  Workforce

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Nursing Education U.S.

• According to the National Council of State Boards
  of Nursing, the number of first-time, U.S.
  educated nursing school graduates who sat for the
  NCLEX-RN decreased by 20 from 1995-2003. A
  total of 19,820 fewer students sat for the exam
  in 2003 as compared with 1995.
• 1995 1996 1997 1998 1999 2000 2001 2002 2003
• Dplm 7,335 6,346 5,240
  3,978 3,161 2,679 2,310 2,424 2,565
• BSN 31,195 32,278 31,828 30,142
  28,107 26,048 24,832 25,806 26,630
• Assoc 57,908 55,554 52,396 49,045
  45,255 42,665 41,567 42,310 47,423
• Total 96,438 94,178 89,464 83,165
  76,523 71,392 68,709 70,540 76,618

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MN Nursing Education

• Number of associate degree and baccalaureate
  graduates for last three decades Source MN
  Board of Nursing

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MN Nursing Education
NURSING GRADUATES REPORTED
Source MN Board of Nursing
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MN Nursing Education Trends in Enrollment

• 11 percent growth in the number of AD/RNs
  graduating from Minnesotas nursing programs from
  2002 to 2003.
• Total number of nursing graduates has increased
  due to increase in admissions in established
  AD/RN programs. Existing programs have expanded
  enrollment in a variety of locations and on new
  schedules, such as twice yearly admission and
  evening/weekend classes.

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MN Nursing Education Trends in Enrollment

• 4.75 percent growth in graduation from BSN
  programs between 2002 2003.
• Additional increase in BSN graduates will be
  evident in 2004 graduate report due to new
  programs.
• Total AD/RN and BSN ENROLLMENT growth was
  estimated to be 15 percent between 2003 and 2004,
  according to informal survey of nursing
  deans/directors.

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MN Nursing Education Trends in Mobility
Number of LPNs completing RN programs compared to
PN graduates Source MN Board of Nursing
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MN Nursing Education Trends in Mobility
Number of RNs completing BSN programs compared to
total AD/RN graduates
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MN Nursing Education - Student Age

• Student Age by Program Type
• MDH Nursing Student Survey 2000

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MN Nursing Education Nontraditional Students

• Since 1995, the average age of graduates is
  nearly 31 years (7 years older than a decade ago.
  
• Nearly 20 percent of 4-year program graduates are
  also considered nontraditional.
• The number of part-time students has tripled
  since the 1970s.

Source AACN, May 2003
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MN Nursing Education Nontraditional Students

• The multi-generational nature of students and
  faculty often result in disconnects over work,
  authority, relationships, and the nature of
  learning.
• Faculty are challenged by the broad range of
  student capabilities
• Students are busier with multiple
  responsibilities for family, work, and financial
  commitments.

Source AACN, May 2003
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MN Nursing Education Race

• Race of Students
• Exception Metro area PN schools have 30-50
  non-white students during any given time.

Source MDH Nursing Student Survey, 2000
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MN Nursing Education

• Many students have responsibilities beyond
  school
• marriage
• family and children
• work 86 work
• money

Top Reasons for Program Choice
MDH Nursing Student Survey 2000
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MN Nursing Education - Supply

• The number of graduates from MN nursing programs
  preparing to take the RN exam has been rising
  since 2000 increasing from 1,534 in 2000 to
  1,848 in 2003.
• 87 percent of this growth occurred in MnSCU
  institutions.
• Students taking the exam for the first time.
• Source MN Board of Nursing

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RN Supply

• For FY 2003, 2,076 graduates of Minnesota RN
  programs passed the nursing exam and have current
  registration.
• In addition, 800 RN candidates from other
  jurisdictions passed and 1,110 licensed
  candidates from other jurisdictions were licensed
  in Minnesota by endorsement.
• Consequently, in FY 2003 there were 3,986 current
  RN licensees with active registration added to
  the supply, compared to 2,413 in 2000.1

• 1 Minnesota Board of Nursing

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Vacancy Trend - Minnesota
Source MDEED LMI
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Nursing Demand

• There are two sources of demand for new nurses -
  growth and replacement.
• The DEED Labor Market Information Office produces
  statewide 2002-2012 occupational employment
  projections. The annual average number of RN job
  openings is projected to be 2,660. This figure
  includes openings due to growth (1,582) and due
  to the need to replace RNs who retire or
  permanently leave the occupation (1,078).1
• There are 33,026 Minnesota RNs with current
  registration between the age of 45 and 60. Based
  on the age of current RNs, an average of 1,965
  RNs will reach 60 years of age each year between
  2005 and 2015.2 This level is somewhat higher
  than the DEED projected replacement and does not
  include other RNs who leave the occupation before
  retirement.

• 1 Minnesota Department of Employment and
  Economic Development-LMI. Minnesota Occupational
  Employment Projections, 2002-2012.
• 2 Minnesota Board of Nursing

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Nursing Supply/Demand

• Projected Gap While there is a moderate shortage
  of RNs at the present time, research indicates
  that the shortage will grow in severity, if
  current trends prevail.
• Projections of nursing supply and demand show a
  shortage of RNs in Minnesota in 2015 ranging from
  2,4001 to 9,2002.

• 1 National Center for Health Workforce Analysis.
  Projected Supply, Demand, and Shortages of
  Registered Nurses 2000-2020. July 2002.
• 2 National Center for Health Workforce
  Analysis. Whats Behind HRSAs Projected Supply,
  Demand, and Shortages of Registered Nurses,
  DRAFT, June 2004.

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Nursing Demand

• In addition to the number of new nurses needed to
  replace those retiring, more RNs will be hired
  due to the healthcare needs of the Baby Boom
  generation.
• The population of Minnesotans 65 years and older
  is projected to increase by 53 percent between
  2005 and 2020.1 This population has over twice
  as many contacts with physicians than the
  population under 65 years of age.

• 1 Minnesota Planning, Office of the State
  Demographer, Minnesota Population Projections
  2000-2030, October 2002.

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Nursing Demand

• The projected number of additional RNs needed
  ranges from 789 a year2 to 1,5823
• Even though the above data on growth and
  replacement varies by source, the combined total
  annual demand is roughly the same 2,660 to
  2,775.

• 2 National Center for Health Workforce
  Analysis. Projected Supply, Demand, and Shortages
  of Registered Nurses 2000-2020. July 2002.
  National Center for Health Workforce Analysis.
  Whats Behind HRSAs Projected Supply, Demand,
  and Shortages of Registered Nurses, DRAFT, June
  2004. Average change in FTE demand 2005 to 2015
  from both models divided by 10.
  (((50,229-42,247)(50,400-42,600)/2)/10789
• 3 Minnesota Department of Employment and
  Economic Development-LMI Office. Minnesota
  Employment Projections, 2002-2012. Average
  annual openings due to growth 15,821/10 1,582

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Nursing Demand
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A Serious Shortage Projected
According to HRSA, todays MN 1,600 nursing
vacancies will more than double to 4,400 by 2010
and will keep rising to an estimated 9,200
vacancies by 2015.
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Three Key Factors Limiting Expansion of Nursing
Education Programs in Minnesota

• From a Fall 2001 Summit on Nursing Education
  Capacity, sponsored by MnSCUs Healthcare
  Education Industry Partnership, Colleagues in
  Caring Collaborative, and Minnesota Hospital
  Association
• 1. Program funding State and national studies
  put cost of upper division RN costs at 21,000
  per year per student MnSCU tuition is less than
  ¼ cost of program (AACN, HEIP)

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Three Key Factors Limiting Expansion of Nursing
Education Programs in Minnesota

• 2. Clinical education often taxes the ability of
  both large and small facilities campuses compete
  for limited available sites.
• 3. Availability of qualified faculty
• A survey by AACN found that 1/3 of schools
  responding cited faculty shortages as the reason
  for not accepting all qualified students.
• Nearly all nursing programs in MnSCU have
  experienced problems hiring qualified faculty.
• The average age of faculty is over 50.
• National accreditation standards require Masters
  and Doctoral preparation. Highly educated nurses
  command high salaries in practice settings, far
  above campus salaries.

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Future Trends - Education

• Nursing schools would have to increase enrollment
  by 40 percent annually just to compensate for
  retiring RNs. (Peter Buerhaus)
• The number of nurses pursuing masters degrees
  and doctorates has tripled over the past two
  decades. (AACN)
• By 2015, AACN wants all nurse doing advanced
  practice work to hold a doctorate of nursing
  practice.

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Future Trends - Education

• Availability of nursing education through
  for-profits and distance learning (U of Phoenix
  claims largest nursing school with 6,000 students
  enrolled in 10 states and online )
• Increasing diversity of nursing students and the
  patient population.
• Whole patient care helping patients manage
  symptoms and chronic conditions for long-term
  care.

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Creating a Strategic Roadmap for Nursing
Education in Minnesota

• Mary Rothchild
• Minnesota State Colleges Universities
• 651-297-1858
• Mary.rothchild_at_so.mnscu.edu