Alaska Nursing November 18, 2016 Nursing Education 2002 Nursing - - PowerPoint PPT Presentation

Alaska Nursing

November 18, 2016

Nursing Education

2002 Nursing Education Task Force Recommendations

 Double graduates from basic nursing programs (AAS and BS) – from <100 to >200 – by 2006  Distribute programming across the state from Anchorage base  Closely articulate levels of nursing education

Accomplishing this would require extensive and intensive planning and decision-making, and committed stakeholder

• engagement. Funding allocations and educational policies

and practices had to align. 3

Expansion Timeline

 Pre-expansion period

 Prior to 2000 through 2002  Growing shortage reported and Task Force convened  Plans made to implement recommendations

 Expansion period

 2003-2006  Basic nursing programs changed  Graduate numbers doubled  AAS program distributed

 Post-expansion period

 2007 to present  Maintenance of gains  Additional outreach sites brought on line  Ongoing challenges identified

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Expansion Details

 BS program

 Trimester schedule; decreased program length to 5 consecutive trimesters  Admission cohort size from 32 to 40  Rolling admission open to all achieving specific GPA

 AAS program

 Outreach sites established in 13 communities; cohort sized per site capacity  LPN slots added in Anchorage  Admitted to Anchorage site in Fall semester, Outreach sites in Spring semester  Admission process ranked applicants to each site  Program length of 4 semesters with summer breaks

 RN-to-BS program

 Program improved  Offered via distance delivery methods

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Basic Nursing Programs (AAS, BS)

20 40 60 80 100 120 140

FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16

AAS BS

50 100 150 200 250 300

FY 00 FY 01 FY 02 FY 03 FY 04 FY 05 FY 06 FY 07 FY 08 FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16

Total Basic Nursing Graduates

AAS Nursing Program Sites

Anchorage Bethel Dillingham Fairbanks Homer Juneau Kenai Ketchikan Kodiak Kotzebue Mat-Su Nome Sitka Valdez

Kenai Homer Mat-Su

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NCLEX First Time Pass Rates

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% May-00 Sep-00 Jan-01 May-01 Sep-01 Jan-02 May-02 Sep-02 Jan-03 May-03 Sep-03 Jan-04 May-04 Sep-04 Jan-05 May-05 Sep-05 Jan-06 May-06 Sep-06 Jan-07 May-07 Sep-07 Jan-08 May-08 Sep-08 Jan-09 May-09 Sep-09 Jan-10 May-10 Sep-10 Jan-11 May-11 Sep-11 Jan-12 May-12 Sep-12 Jan-13 May-13 Sep-13 Jan-14 May-14 Sep-14

% Passed NCLEX First Try

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 % Passed NCLEX First Try

Anchorage Outreach Sites

BS AAS

Graduation Rates

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Su2004 F2004 Sp2005 Su2005 F2005 Sp2006 Su2006 F2006 Sp2007 Su2007 F2007 Sp2008 Su2008 F2008 Sp2009 Su2009 F2009 Sp2010 Su2010 F2010 Sp2011 Su2011 F2011 Sp2012 Su2012 F2012 Sp2013 Su2013 F2013 Sp2014 Su2014

BS Graduation Rate by Admission Cohort

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

% Graduated

Anchorage Cohorts Outreach Site Cohorts AAS Graduation Rates Anchorage and Outreach Sites

Graduate Program, Pre-Nursing Majors

10 20 30 40 50 60 70 Fall 00 Fall 01 Fall 02 Fall 03 Fall 04 Fall 05 Fall 06 Fall 07 Fall 08 Fall 09 Fall 10 Fall 11 Fall 12 Fall 13 Fall 14 Fall 15

Nursing Science MS and DNP Students

200 400 600 800 1,000 1,200 1,400 Fall 00 Fall 01 Fall 02 Fall 03 Fall 04 Fall 05 Fall 06 Fall 07 Fall 08 Fall 09 Fall 10 Fall 11 Fall 12 Fall 13 Fall 14 Fall 15

Pre-Nursing Majors (UAA, UAS)

National Admissions to Basic Nursing Programs 2014 (NLN, national data)

Main Obstacles to Expanding Admissions to Basic RN Programs, 2014 (NLN, national data)

Nurse Workforce

Workforce Age

1.3% 7.0% 9.7% 9.0% 9.8% 10.3% 13.3% 17.4% 15.3% 7.1% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0% 20.0% <25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+

Average Age of Alaska RN Survey Respondents 41.0 42.0 43.0 44.0 45.0 46.0 47.0 48.0 49.0 50.0

1996 1998 2000 2002 2004 2006 2008 2010 2012 2014

Alaska Registered Nurse Respondents by Age Group (2014) 30-39 4% 40-49 17% 50-59 49% 60-69 30% Age SON Faculty 2009

2010 2012 2014 No Plans to Leave 54.0% 50.0% 49.2% Leave Within 1-5 Years 35.0% 38.0% 38.7% Leave Within 1 Year 11.0% 12.0% 12.1%

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%

Respondents’ Plans to Leave Nursing

Diversity

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Fall 2000 Fall 2003 Fall 2004 Fall 2005 Fall 2006 Fall 2007 Fall 2008 Fall 2009 Fall 2010 Fall 2011 AK 2010

AAS BS

% Caucasian Nursing Students % Caucasian RN Survey Respondents

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0% 90.0% 100.0%

1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 AK 2010

Caucasian Alaska Native/Native American Asian/Pacific Islander Black/African American Other/Two or More

Employment

1000 2000 3000 4000 5000 6000 7000 8000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

# Registered Nurses in Workforce

Annualized Quarterly Employment of RNs in Alaska (government and self-employed not included)

DOLWD

Number of RN License-holders in 2014: Residents = 8,487; Non-residents = 4,089

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Labor Market Area Alaska Licensees (%) Alaska Population (%) 2014 est. Anchorage / Mat-Su 65.4 54.2 Gulf Coast 10.0 11.0 Interior 10.9 15.3 Southeast 9.9 10.1 Southwest 2.2 5.8 Northern 1.7 3.7

Projected Workforce Demand

78 220 167 256 231 251 249 201

500 1000 1500 2000 2500 3000

1994 1998 2002 2004 2006 2008 2010 2012 5.7% 11.0% 11.5% 8.0% 9.0% 11.0% 11.0% 9.0%

0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0%

2000 2001 2002 2003 2005 2007 2009 2012 Projected Annual Demand for Additional RNs (does not include government/self-employed) Vacancy Rate – All RN Positions

DOLWD UAA

DOLWD Projects 10.2% Increase For Registered Nurses 2014-2024

Growth 545 Replacement 1,328 Total 1,873

ASHNHA Employer Survey 2016 (29 Respondents)

Positions Vacancies Vacancy Percent Hospitals: Urban 3591 333 9.3% Rural 392 55 14.0% Hospital Total: 3983 388 9.7% LTC: Urban 206 19 9.2% LTC Total: 206 19 9.2% Total: 4189 407 9.7% ASHNHA Members Trouble filling generalist positions? Trouble filling specialist positions? Total Respondents 20 Y, 9 N 21 Y, 7 N Urban Hospitals 4 Y, 6 N 9 Y, 0 N Rural Hospitals 11 Y, 2 N 10 Y, 3 N Urban Long Term Care 5 Y, 1 N 2 Y, 4 N

Facility Categories

Urban Hospitals: 10 Nurse Positions Peacehealth Ketchikan 200 Mat-Su Regional 296 Central Peninsula 200 Bartlett Memorial 105 Alaska Regional 400 NorthStar 90 Providence AMC 1000 Elmendorf 200 Fairbanks Memorial 300 Alaska Native Medical Center 800 3591 Rural Hospitals: 13 Nurse Positions Samuel Simmonds 35 Cordova 10 Wrangell Medical Center 9 YKHC 50 South Peninsula 120 Sitka Community 50 Norton Sound 7 Providence Seward 16 Petersburg Medical Center 20 Maniilaq 8 Kanakanak 30 Providence Kodiak 9 Providence Valdez 28 392 Urban LTCs: 6 Nurse Positions Denali Center 39 Horizon House Assisted Living 2 Prestige 44 Providence Transitional Care 30 Wildflower Court 25 Providence Extended Care 66 206

Education Level Preference

Does your organization require bachelor's preparation for new staff nurse hire?

Urban Hospital Rural Hospital Urban LTC Total Yes, requires bachelor's preparation 1 1 No, but is considering requiring bachelor's preparation for new hires 1 2 3 No, but prefers bachelor's preparation in hiring 4 10 1 15 No, has no stated or understood preference for bachelor's preparation in hiring 4 3 3 10

When you hire a general staff nurse, do you prefer to hire …?

Urban Hospital Rural Hospital Urban LTC Total A nurse with a bachelor's degree 5 6 11 A nurse with an associate degree 1 1 Either - doesn't matter whether bachelor's or associate degree 3 2 5 9 Depends on position 1 4 1 6

Hard to Fill Specialties

2 4 6 8 10 12

Urban Hospital Rural Hospital Urban LTC Totals

From ASHNHA Employer Survey

# Occupation % w Difficulty 1

Psychiatric Nurse Practitioners

100% 1 Psychiatrists 100% 1 Rehabilitation Counselors 100% 4 Chief Medical Officers 94% 5 Surgical Technicians/Technologists 93% 6

Psychiatric Nurses

91% 7 Substance Abuse Disorder Counselors 90% 8 Occupational Therapists 90% 9 Mammographers 89% 10

Perioperative Nurses

88% 11

Nurse Managers

87% 12 Pharmacists 86% 12

Obstetric Nurses

86% 12 Diagnostic Medical Sonographers 86% 15

Geriatric Nurses

85% 16

Case Management Nurses

84% 16 Speech-Language Pathologists 84% 18

Critical Care Nurses

83% 18 MRI Technologists 83% 18 Pediatricians 83% 20 Physical Therapists 82%

Hardest to Fill Occupations 2015 (DOLWD)

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