Alaska Nursing November 18, 2016
Nursing Education
2002 Nursing Education Task Force Recommendations 3 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.
Expansion Timeline 4 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
Expansion Details 5 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
Basic Nursing Programs (AAS, BS) Total Basic Nursing Graduates 300 250 140 200 120 150 100 100 80 60 50 40 0 FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY 20 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 0 FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 AAS BS
AAS Nursing Program Sites 7 Anchorage Bethel Dillingham Fairbanks Homer Juneau Kenai Ketchikan Kodiak Kotzebue Mat-Su Mat-Su Nome Sitka Kenai Valdez Homer
AAS BS % Passed NCLEX First Try % Passed NCLEX First Try NCLEX First Time Pass Rates 100% 100% 10% 20% 30% 40% 50% 60% 70% 80% 90% 10% 20% 30% 40% 50% 60% 70% 80% 90% 0% 0% May-00 1999 Sep-00 Jan-01 May-01 2000 Sep-01 Jan-02 May-02 2001 Sep-02 Jan-03 2002 May-03 Sep-03 Jan-04 2003 May-04 Sep-04 Jan-05 2004 Anchorage May-05 Sep-05 Jan-06 2005 May-06 Sep-06 Jan-07 2006 May-07 Outreach Sites Sep-07 2007 Jan-08 May-08 Sep-08 2008 Jan-09 May-09 Sep-09 2009 Jan-10 May-10 Sep-10 2010 Jan-11 May-11 2011 Sep-11 Jan-12 May-12 2012 Sep-12 Jan-13 May-13 2013 Sep-13 Jan-14 May-14 2014 Sep-14
Graduation Rates BS Graduation Rate by Admission Cohort 100% 90% 80% 70% 60% 50% 40% AAS Graduation Rates 30% Anchorage and Outreach Sites 20% 10% 100% 0% 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 90% 80% 70% % Graduated 60% 50% 40% 30% 20% 10% 0% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Anchorage Cohorts Outreach Site Cohorts
Graduate Program, Pre-Nursing Majors Nursing Science MS and DNP Students 70 60 50 40 Pre-Nursing Majors (UAA, UAS) 30 1,400 20 1,200 10 1,000 0 Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall 800 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 600 400 200 0 Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
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 Average Age of Alaska RN Survey Respondents 50.0 49.0 Alaska Registered Nurse Respondents by Age Group (2014) 48.0 20.0% 47.0 18.0% 17.4% 46.0 16.0% 15.3% 14.0% 45.0 13.3% 12.0% 44.0 9.7% 9.8% 10.3% 10.0% 43.0 8.0% 9.0% 6.0% 7.0% 7.1% 42.0 4.0% 41.0 2.0% 1.3% 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 0.0% <25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+ 30-39 60.0% Respondents’ Plans 4% to Leave Nursing 50.0% 40-49 60-69 40.0% 17% 30% 30.0% 20.0% 50-59 10.0% 49% 0.0% 2010 2012 2014 No Plans to Leave 54.0% 50.0% 49.2% Age SON Faculty 2009 Leave Within 1-5 Years 35.0% 38.0% 38.7% Leave Within 1 Year 11.0% 12.0% 12.1%
Diversity % Caucasian RN Survey Respondents 100.0% % Caucasian Nursing Students 90.0% 100% 80.0% 90% 70.0% 80% 60.0% 70% 50.0% 60% 50% 40.0% 40% 30.0% 30% 20.0% 20% 10.0% 10% 0.0% 0% 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 AK Fall Fall Fall Fall Fall Fall Fall Fall Fall Fall AK 2010 2000 2003 2004 2005 2006 2007 2008 2009 2010 2011 2010 Caucasian Alaska Native/Native American AAS BS Asian/Pacific Islander Black/African American Other/Two or More
Employment 16 Annualized Quarterly Employment of RNs in Alaska (government and self-employed not included) 8000 7000 # Registered Nurses in Workforce Number of RN License-holders in 2014: 6000 Residents = 8,487; Non-residents = 4,089 5000 4000 3000 2000 1000 0 Alaska Population (%) Labor Market Area Alaska Licensees (%) 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 est. DOLWD 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 Vacancy Rate – All RN Positions 12.0% 11.0% 11.5% 11.0% 11.0% 10.0% 9.0% 9.0% Projected Annual Demand for Additional RNs 8.0% (does not include government/self-employed) 8.0% 5.7% 3000 6.0% 256 251 249 2500 231 4.0% 220 201 2000 2.0% 167 1500 0.0% 2000 2001 2002 2003 2005 2007 2009 2012 1000 78 UAA 500 DOLWD Projects 10.2% Increase 0 For Registered Nurses 2014-2024 1994 1998 2002 2004 2006 2008 2010 2012 Growth 545 Replacement 1,328 Total 1,873 DOLWD
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% Trouble filling generalist Trouble filling specialist ASHNHA Members positions? 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 Rural Hospitals: 13 Nurse Positions Samuel Simmonds 35 Urban Hospitals: 10 Nurse Positions Cordova 10 Peacehealth Ketchikan 200 Wrangell Medical Center 9 Mat-Su Regional 296 YKHC 50 Central Peninsula 200 South Peninsula 120 Bartlett Memorial 105 Sitka Community 50 Alaska Regional 400 Norton Sound 7 NorthStar 90 Providence Seward 16 Providence AMC 1000 Petersburg Medical Center 20 Elmendorf 200 Maniilaq 8 Fairbanks Memorial 300 Kanakanak 30 Alaska Native Medical Center 800 Providence Kodiak 9 3591 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 0 0 1 No, but is considering requiring bachelor's preparation for new hires 1 0 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 0 11 A nurse with an associate degree 0 1 0 1 Either - doesn't matter whether bachelor's or associate degree 3 2 5 9 Depends on position 1 4 1 6
Hardest to Fill Occupations 2015 (DOLWD) Hard to Fill Specialties # Occupation % w Difficulty 1 Psychiatric Nurse Practitioners 100% 1 Psychiatrists 100% 1 Rehabilitation Counselors 100% 12 4 Chief Medical Officers 94% 10 5 Surgical Technicians/Technologists 93% 8 6 Psychiatric Nurses 91% 6 7 Substance Abuse Disorder Counselors 90% 4 8 Occupational Therapists 90% 2 9 Mammographers 89% 0 Perioperative Nurses 10 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% Urban Hospital Rural Hospital Urban LTC Totals 18 Critical Care Nurses 83% From ASHNHA Employer Survey 18 MRI Technologists 83% 18 Pediatricians 83% 20 Physical Therapists 82%
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