2007 Nursing Workforce Survey Report 20071009 ... THE 2007 ILLINOIS NURSING WORKFORCE SURVEY REPORT

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Transcript of 2007 Nursing Workforce Survey Report 20071009 ... THE 2007 ILLINOIS NURSING WORKFORCE SURVEY REPORT

  • THE 2007 ILLINOIS NURSING WORKFORCE SURVEY REPORT

    October 2007

    Conducted for: The State of Illinois

    Department of Financial and Professional Regulation

    Contractor: National Research Corporation

    Lincoln, NE

  • - i -

    TABLE OF CONTENTS Page

    EXECUTIVE SUMMARY .......................................................................................................... v Licensed Practical Nurse................................................................................................... vi Registered Nurse............................................................................................................... vii Advanced Practice Nurse (APN) ..................................................................................... viii

    CHAPTER 1: INTRODUTION................................................................................................ 1-1 Methodology .................................................................................................................... 1-1 Sample.............................................................................................................................. 1-2 The Survey Instrument ..................................................................................................... 1-4 Data Collection and Analysis .......................................................................................... 1-5 Organization of the Report .............................................................................................. 1-5

    CHAPTER 2: LICENSED PRACTICAL NURSES............................................................... 2-1 Demographics .................................................................................................................. 2-1 Licensing and Education.................................................................................................. 2-6 Employment...................................................................................................................... 2-9

    CHAPTER 3: REGISTERED NURSES.................................................................................. 3-1 Demographics .................................................................................................................. 3-1 Licensing and Education.................................................................................................. 3-6 Employment...................................................................................................................... 3-9

    CHAPTER 4: ADVANCED PRACTICE NURSES ............................................................... 4-1 Demographics .................................................................................................................. 4-1 Licensing and Education.................................................................................................. 4-6 Employment...................................................................................................................... 4-9

    CHAPTER 5: REVIEW OF CHARACTERISTICS.............................................................. 5-1 Demographics .................................................................................................................. 5-1 Employment...................................................................................................................... 5-5

    CHAPTER 6: DISCUSSION AND RECOMMENDATIONS............................................... 6-1 The Aging Workforce ....................................................................................................... 6-1 Recruitment and Retention............................................................................................... 6-2 Nursing Faculty Shortage ................................................................................................ 6-4 Conclusion ....................................................................................................................... 6-5

  • - ii -

    DIRECTORY OF APPENDICES APPENDIX A: ILLINOIS HEALTH SERVICE AREA (HSA) MAP AND STATEWIDE

    DATA APPENDIX B: HSA 1 - ILLINOIS COUNTIES OF BOONE, CARROLL, DEKALB, JO

    DAVIESS, LEE, OGLE, STEPHENSON, WHITESIDE, AND WINNEBAGO

    APPENDIX C: HSA 2 - ILLINOIS COUNTIES OF BUREAU, FULTON, HENDERSON, KNOX, LASALLE, MARSHALL, MCDONOUGH, PEORIA, PUTNAM, STARK, TAZEWELL, WARREN, AND WOODFORD

    APPENDIX D: HSA 3 - ILLINOIS COUNTIES OF ADAMS, BROWN, CALHOUN, CASS, CHRISTIAN, GREENE, HANCOCK, JERSEY, LOGAN, MACOUPIN, MASON, MENARD, MONTGOMERY, MORGAN, PIKE, SANGAMON, SCHUYLER, AND SCOTT

    APPENDIX E: HSA 4 - ILLINOIS COUNTIES OF CHAMPAIGN, CLARK, COLES, CUMBERLAND, DEWITT, DOUGLAS, EDGAR, FORD, IROQUOIS, LIVINGSTON, MACON, MCLEAN, MOULTRIE, PIATT, SHELBY, AND VERMILION

    APPENDIX F: HSA 5 - ILLINOIS COUNTIES OF ALEXANDER, BOND, CLAY, CRAWFORD, EDWARDS, EFFINGHAM, FAYETTE, FRANKLIN, GALLATIN, HAMILTON, HARDIN, JACKSON, JASPER, JEFFERSON, JOHNSON, LAWRENCE, MARION, MASSAC, PERRY, POPE, PULASKI, RANDOLPH, RICHLAND, SALINE, UNION, WABASH, WASHINGTON, WAYNE, WHITE, AND WILLIAMSON

    APPENDIX G: HSA 6 - CITY OF CHICAGO APPENDIX H: HSA 7 - DUPAGE COUNTY AND SUBURBAN COOK COUNTY APPENDIX I: HSA 8 - ILLINOIS COUNTIES OF KANE, LAKE, AND MCHENRY APPENDIX J: HSA 9 - ILLINOIS COUNTIES OF GRUNDY, KANKAKEE,

    KENDALL, AND WILL APPENDIX K: HSA 10 - ILLINOIS COUNTIES OF HENRY, MERCER, AND ROCK

    ISLAND APPENDIX L: HSA 11 - ILLINOIS COUNTIES OF CLINTON, MADISON, MONROE,

    AND ST. CLAIR APPENDIX M: LPN COVER LETTER AND QUESTIONNAIRE APPENDIX N: RN COVER LETTER AND QUESTIONNAIRE APPENDIX O: APN COVER LETTER AND QUESTIONNAIRE

  • - iii -

    ACKNOWLEDGEMENTS

    NRC wishes to thank all those who contributed to this study and final report. We would

    especially like to thank:

    • The Governor of Illinois, Rod R. Blagojevich, the Secretary of the Illinois Department of Financial and Professional Regulation, Dean Martinez, and the Director of Professional

    Regulations, Daniel Bluthardt, for their support and interest in the study of the nursing

    workforce.

    • The Illinois Center for Nursing Advisory Board: Michele Bromberg, MSN, APN, BC, Nursing Coordinator for the State of Illinois, chairperson,

    Advisory Board

    Bridget A. Cahill, MS, APN/NP-C

    Kathryn Christiansen, D.N.Sc., R.N., FAAN

    Nancy Cutler, MS, RN, CRRN

    Susan Ehlers, MSN, RN

    Linda Fahey, MSN, RN

    Donna L. Hartweg, PhD, RN

    Marcia C. Maurer, PhD, RN

    James M. Renneker, MSN, RN, CNA-BC, CHE

    Maureen E. Shekleton, D.N.Sc., R.N., FAAN

    Deborah Terrell, RN, D.N.Sc, CFNP

    • Peggy O’Neill Hewlett, Ph.D., RN, FAAN, Dean and Professor at the University of South Carolina College of Nursing and a member of the 2000 cohort of the Robert Wood

    Johnson Foundation Executive Nurse Fellowship Program, and Kim Welch Hoover,

    Ph.D., RN, Professor and Associate Dean for Research and Evaluation at the University

    of Mississippi Medical Center School of Nursing and a member of the 2007 cohort of

    the Robert Wood Johnson Executive Nurse Fellowship Program, for their guidance and

    counsel as Nursing Workforce Consultants for this project.

  • - iv -

    Special thanks to the nurses licensed in Illinois who responded to the survey. The feedback

    you provided will make a signification contribution to planning of the health services in

    Illinois, specifically the focus on the nursing workforce.

  • - v -

    EXECUTIVE SUMMARY

    This nursing workforce survey was authorized and implemented to better estimate and

    understand the impact of the current nursing workforce status and projected nursing shortage.

    This survey occurred in July of 2007 and consisted of three questionnaires, one for each of three

    licensure categories of nurses, Licensed Practical Nurses (LPNs), Registered Nurses (RNs), and

    Advanced Practice Nurses (APNs). The questionnaire for a nursing category included a set of

    core items that were shared across the three questionnaires and a set of items that were specific

    to the nursing category. The total number of LPNs, RNs, and APNs reported as actively licensed

    in Illinois at the time of the survey was 185,557. Of these 185,557 licensed nurses, 14% were

    LPNs, 83% were RNs, and 3% were APNs. Representative samples of LPNs and RNs were

    surveyed from all eleven Health Service Areas (HSAs) in Illinois; all APNs licensed in Illinois

    were surveyed due to the lower number of licensed APNs in the state.

    This report is intended to give the reader information across a variety of categories,

    including the Illinois nursing workforce demographics, employment settings, working

    conditions, salaries, satisfiers with nursing as a career and current employment, retirement

    eligibility and intention, potential barriers to continuing education, and interest in joining the

    teaching ranks.

    Approximately 86% of licensed nurses living in Illinois reported they were working in a

    nursing or nursing-related position, representing a 3% increase when compared to prior surveys.

    In addition, 71% of nurses reported working between 31 and 50 hours per week, a slight decrease

    from the 7