Post on 11-Jan-2016
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The State of Nursing in Florida:Today and in the FutureMary Lou Brunell, RN, MSN
Executive Director
10/15/2013 1
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Objectives
1. Describe the current nurse workforce.2. Identify factors affecting the demand for
an adequate, qualified nurse workforce.3. Predict the likelihood of having an
adequate, qualified nurse workforce to meet future consumer demand.
4. Examine potential interventions to assure an adequate, qualified nurse workforce for today’s and tomorrow’s needs.
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The Nurse Workforce – What is it?
Licensed Practical Nurses (LPN) Registered Nurses (RN) Advanced Practice Nurses (APN)
Who are eligible for employment with a clear and active license (without disciplinary or other
limitation).
AND
Who choose to work in the practice of nursing.
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Licensed Practical Nurses
Promotes wellness, maintenance of good health, and illness prevention
Provides direct patient care and observation, and administers medications and treatments under the direction of a registered nurse or licensed physician
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Registered Nurse Assesses, monitors, and evaluates patient health
status using knowledge of scientific principles and clinical judgment
Anticipates risks and prepared to intervene to prevent or at least minimize medical complications
Educates patients, families, and communities about health promotion and disease prevention
Coordinates care Administers medications and treatments prescribed
by an advanced practice nurse or licenses physician
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Advance Practice Nurse Independently evaluates and manages patients under an
established protocol with a licensed physician or dentist Four APN roles
1.Advanced Registered Nurse Practitioner: Manages the care of patients with acute and chronic medical and psychiatric conditions
2.Certified Nurse Midwife: Provides well-women care and manages patient during labor and delivery
3.Certified Registered Nurse Anesthetist: selects and administers regional and general anesthetic agents and oversees patient recovery
4.Clinical Nurse Specialist: Assesses and manages health status of individuals and families – educator, coordinator, consultant
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Successful Planning
To meet consumer needs we must know the numbers• Supply of Nurses• Demand for Services
If Supply ≠ Demand Shortage
Need to know for today and the future
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Supply of Today vs. Supply of Tomorrow
Age of nurse population• Anticipating retirements• Projecting work longevity
Historical trends projected forward• Anticipated turnover / loss from profession• Anticipated new nurse graduates
Forecasting Models• Predict supply
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Florida Center for Nursing
Established in law (FS 464.0195) 2001 Purpose – to address issues related to
the nursing shortage in Florida Overseen by 16 member Board
appointed through the Governor’s Office Vision
To be the definitive source for information, research, and strategies addressing the dynamic nurse workforce needs in Florida.
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Nurse Workforce InformationThe nurse data “trifecta”:
• Nurse Supply Data – licensure and renewal survey data analyzed biennially (consistent with renewal cycle)
• Nurse Demand Data – employer surveys of 6 industries conducted and analyze biennially (odd years)
• Nurse Education Data – LPN / RN pre-licensure and graduate programs surveyed and analyzed annually
These data elements permit forecasting
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Florida Nurse Supply as of January 2012
251,113
17,508
75,161
194,959
14,103
61,324
167,266
12,809
50,208
0
50,000
100,000
150,000
200,000
250,000
RN APN LPN
All Licensees Potential Workforce Estimated Working
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Age of Florida’s Working Nurses
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RN Work Status in Percent, 2010-2011
86%
5%
4%3% 2%
Column1
Employed as Nurse
Not Seeking Work
Retired with ActiveLicense
Seeking Work as Nurse
N/A
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FTE RN Vacancy Rates by Industry as of 6/30/2011
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Trend in FT Faculty Vacancy Rates, 2007-2012
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Do we know demand?
Actual survey of Florida nurse employers (2011)• Current Need = 8,994 RN vacancies• Future Growth = 6,746 RN positions
Population Estimates• Growth / In-Migration• Age (Increasing age = Increasing Demand
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Trend in Number of New Graduate Nurses 2007-2012
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Florida’s Registered Nurse Forecast
140,000
160,000
180,000
200,000
220,000
240,000
2010 2015 2020 2025
RN FTE Supply RN FTE Demand
- 50,321
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National Predictions
Researchers predict a national nursing shortage of between
300,000 and 1,000,000 by 2030
Source: Jurasheck, Zhang, Ranganathan, Lin. (2012). United States Registered Nurse Workforce Report Card and Shortage Forecast. Public Health Resources. Paper 149.
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Factors Effecting Supply & Demand Low Supply
• Aging nurses retirements &/or reduced work• Poor work environments turnover• Barriers to education expansion
High Need• Population growth• Aging population demand• Expanded health care access
- Increased need- Employment opportunities in new areas
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Solutions: Education Capacity Issues
Faculty shortage• Competitive salaries• Incentives to return to school
(scholarships, loan forgiveness, stipends)
• Academic funding challenges Clinical Capacity
• Use of Simulation• Nurse Internships• Day/time flexibility
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Solutions: Work Environment Issues
Nurse Residency Programs• School to Work transition• Change in practice setting
- Anticipate acute care beds- Anticipate long-term care, hospice, and
home health
Value the contribution of all nurses• Decision making involvement• Leadership appointments• Participate in policy decisions
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New Models of Care Delivery• Nurses practice to full extent of
education and experience with strong support system
• Address increasing cost while improving safety and outcomes
• Accommodate the aging nurse population thus extending nurses’ work life
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Solution: Increasing Diversity
Greater reflection of general population greater ability to meet consumers needs
Gender – increase proportion of menUS – 50% Nursing – 9.1%
Ethnicity/Race – improve diversity of nursing faculty to improve student diversityUS – 37% minority Nurse Faculty – 12.6%
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Challenges
Need political support
Need funding allocations / reimbursement
Need industry buy-in
Need support of health provider colleagues
Need consumer support
Need ACTION!!
QUESTIONS??