Post on 30-Dec-2015
NURSES IN WYOMING;
DEMAND, RETENTION, & SUPPLY
Fourth Annual Nursing SummitSheridan, WyomingSeptember 20, 2007
Wyoming Department of EmploymentResearch & Planning
Tom Gallagher, Manager
RESEARCH & PLANNING
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Study Structure
•Demand
•Retention
•Supply
RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Study Phases• Obtain administrative databases – BON license file,
hospital discharge file – Complete
• Nurse Advisory Committee meetings May 7 and August 23
• Ambulatory Care
• Nurse Survey Completed n=466 responses, 70.1% response rate
• Facility Office Vacancy – Retention Survey, n=169, 50.1% response rate (1st mailing)
• Hospitals and Long-Term Care
• Nurse Survey Completed n=1,825 responses, 61.4% response rate (2nd mailing – 9/18/07)
• Facility Office Vacancy – Retention Survey, planned end of September
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Study Phases (Continued)• Demand Report in design
• Demand projections completed & discussed with industry
• Replacement projections in Progress
• Balance of nurses survey, collecting anecdotal evidence
• Higher education
• Facility Nurses (faculty) Survey, collecting anecdotal evidence
• Cohort retention analysis of new supply – under way
• Retention Report – to be determined
• Supply Report – to be determined
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Selected Demand Characteristics
• Population Dynamics
• Discharge Files
• Industry Growth and the demand for RNs -- Hospitals
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Number of 1992 Worker Cohort Age 16-34 Still Working in Wyoming
112,318
94,65884,247
76,87571,583 68,065
0
20,000
40,000
60,000
80,000
100,000
120,000
1992 1993 1994 1995 1996 1997
7.9%
Loss of 44,253 workers in five
years
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Number of 2000 Worker Cohort Age 16-34 Still Working in Wyoming
116,229
96,16285,572
78,899 74,719 71,102
0
20,000
40,000
60,000
80,000
100,000
120,000
2000 2001 2002 2003 2004 2005
7.6%
Loss of 45,127 workers in five
years
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Hospital Discharge
(In-Patient) Data
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Nursing Demand Projections
• Assume current policies continue into the future
• Does not assume any intervention strategies
• Assumes constant compound annual growth rate in industry employment and RN demand between beginning and end pointsIntermediate data points shown for illustrative purposes only
• RN Base period = 2006• Employment Projection period=2014• Connects jobs to number of RNs working
in Health Care• RNs assigned to primary industry (industry
paying the most $$ each quarter)• Annual averages based on quarterly
numbers
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
22% 29%
The Grand Total Based on Current HR Practices
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Selected Survey Results• Ambulatory Care• Hospitals and Long-Term Care –
Preliminary
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Ambulatory Health Care – Comments
Hospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are you Overall?"
3.0%
13.3%
22.5%
50.3%
11.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
VeryDissatisfied
Dissatisfied NeitherDissatisfiedNor Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You With Physician Interactions?"
2.4%
10.0%
25.0%
48.8%
13.7%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
Very Dissatisfied Dissatisfied Neither DissatisfiedNor Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You With Your Work Schedule?"
2.2%
10.2%
18.9%
49.7%
19.1%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
Very Dissatisfied Dissatisfied NeitherDissatisfied Nor
Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You With Clerical Staffing Levels?"
9.6%
22.3%28.3%
31.9%
8.0%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Very Dissatisfied Dissatisfied NeitherDissatisfied Nor
Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You With the Amount of Non-Nursing Tasks Required of You?"
9.4%
23.6%
31.9% 30.3%
4.8%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Very Dissatisfied Dissatisfied NeitherDissatisfied Nor
Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You With Your Base Salary?"
6.6%
26.0%21.6%
37.0%
8.7%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Very Dissatisfied Dissatisfied NeitherDissatisfied Nor
Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You With Your Involvement in Policy and Management Decisions?"
13.4%
24.6%
34.5%
23.5%
4.1%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Very Dissatisfied Dissatisfied Neither DissatisfiedNor Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You with RN Staff Levels at Your Primary Place of Employment?"
8.4%
25.9% 26.0%29.7%
9.9%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
VeryDissatisfied
Dissatisfied NeitherDissatisfied
Nor Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You with Support From Your Nursing Administration?"
16.0%
24.0% 24.0% 25.5%
10.5%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Very Dissatisfied Dissatisfied NeitherDissatisfied Nor
Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
"How Satisfied are You With the Amount of Required Paperwork?"
18.5%
32.4%
25.9%
21.2%
1.9%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
Very Dissatisfied Dissatisfied NeitherDissatisfied Nor
Satisfied
Satisfied Very Satisfied
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Direct Patient Care Nurses OnlyHospitals & Long-Term Care
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
Hospitals & Long-Term Care – Comments
Direct Patient Care Nurses Only
RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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CommentsDirect Patient Care Nurses Only
Supply
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
RESEARCH & PLANNING HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
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RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING
For More Information, See the Wyoming Health Care Commission’s Website:
http://www.wyominghealthcarecommission.org
/
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