2020 RN RENEWAL

Demographic Report

1

Data Source

The Alabama Board of Nursing (ABN) collected demographic data at

the time of the Registered Nurse (RN) license renewal in 2020. The data

were used to determine demographics for RNs licensed in Alabama at

the time of the survey and when applicable, to make comparisons to

available RN data collected in previous license renewal cycles.

2

License Renewal

2018 2020

Total RN License Renewed 75,360 65,916*

RNs Completing Survey 61,550 54,990

Response Rate: 81.67% 83.42%

*Note: Nurses who converted their Single State License to a Multistate License in 2020 (10,662) will

participate in the 2021 demographic survey.

3

(5,176)

9.51%

(49,241)

90.49%

GENDERn = 54,417

Gender & Ethnicity

81.77%

(44,708)

12.47%

(6,816)1.91%

(1,047)

1.85%

(1,012)0.99%

(543)0.64%

(349)0.32%

(176)0.05%

(26)

Wh

ite

/Ca

uc

asi

an

Bla

ck

/Afr

ica

n A

me

ric

an

Mu

ltir

ac

ial

His

pa

nic

/La

tin

o

Asi

an

Oth

er

Am

eri

ca

n I

nd

ian

or

Ala

ska

Na

tiv

e

Na

tive

Ha

wa

iia

n o

r O

the

r P

ac

ific

Isla

nd

er

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

n = 54,677

4

0.01%

3.99%

10.03%

11.68%11.41%

10.37%

11.43%

10.06%

11.45%

10.30%

6.21%

2.23%

0.64%0.15% 0.04%

0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

15-19

Years

20-24

Years

25-29

Years

30-34

Years

35-39

Years

40-44

Years

45-49

Years

50-54

Years

55-59

Years

60-64

Years

65-69

Years

70-74

Years

75-79

Years

80-84

Years

85 Years

and

Older

n = 52,834

21,700 or 41.07% Reach or exceed

retirement age in 10 years

Age

5

0.11% (59)

0.38% (200)

3.37% (1,780)

3.86% (2,041)

4.79% (2,532)

38.15% (20,157)

49.33% (26,063)

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%

Doctoral degree-nursing (PhD)

Doctoral degree-nursing (DNP)

Vocational/practical certificate-nursing

Diploma-nursing

Master’s degree-nursing

Baccalaureate degree-nursing

Associate degree-nursing

n = 52,832

Entry Level Education

6

42.47%

(23,113)

36.41%

(19,815)

16.22%

(8,825)

2.68%

(1,458)1.69%

(918)0.54%

(295)0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

40.00%

45.00%

Associate degree Baccalaureate

degree

Master’s degree Diploma Doctoral degree-

(DNP)

Doctoral degree-

(PhD)

n = 54,424

Highest Level of Nursing Education

7

65.36%

(34,208)

16.19%

(8.475) 13.67%

(7,155)

4.04%

(2,112) 0.74%

(388)

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

Not applicable Associate degree

Non-nursing

Baccalaureate degree

Non-nursing

Master’s degree

Non-nursing

Doctoral degree

Non-nursing

n = 52,338

Highest Non-Nursing Education

8

88.22%

(47,963)

10.86%

(5,905)0.89%

(484)

0.03%

(16)

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

RN RN/APRN RN/LPN RN/LPN/APRN

n = 54,368

License Types (RN Renewal)

9

2.54%

(1,347)

17.23%

(9,122) 16.47%

(8,723)

14.07%

(7,451)

9.13%

(4,836)

11.21%

(5,936)

9.30%

(4,927)

6.85%

(3,627)6.53%

(3,456)

4.25%

(2,252)

1.72%

(909) 0.49%

(259)0.14%

(76)0.04%

(23)0.01%

(5)

0.02%

(8)0.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

16.00%

18.00%

20.00%

<1 1-5 6-10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66-70 71-84

Years

n = 52,957

Number of Years Licensed

10

United States

99.14%

(53,271)

n = 53,731

Other Countries, 0.86% (460)

Philippines Puerto Rico

US Minor Islands Georgia

Canada Algeria

Afghanistan South Korea

Albania Australia

United Kingdom Nepal

Jamaica Pakistan

India China

Nigeria Jordan

Germany Angola

Kenya Columbia

Country of Initial Licensure

11

Active

99.54%

(54,293)

Retired

0.46%

(251)

n = 54,544

License Status

12

APRN’s

Yes

12.45%

(6,429)

No

87.85%

(45,220)

n = 5164975.84%

(4,876)

21.11%

(1,357)

2.26%

(145)0.37%

(24)

0.31%

(20)0.08%

(5)

0.02%

(1)

0.02%

(1)0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

CRNP CRNA CNS CNM CRNP

CNS

CRNP

CNM

CRNP

CRNA

CNS

CRNA

n = 6429

13

Employment Status - Employed

0.10% (54)

0.21% (113)

1.24% (673)

4.81% (2,616)

5.91% (3,214)

6.23% (3,383)

69.92% (37,994)

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00%

Other - Per Diem

Other - Part Time

Other - Full Time

Nursing - Per Diem

Combination

Nursing - Part Time

Nursing - Full Time

n = 48,047

14

Employment Status - Unemployed

15

12.32%

(6,777)

0

1000

2000

3000

4000

5000

6000

7000

8000

UNEMPLOYED

n = 6777

10

20

30

40

50

60

70

80

90

100

73.0

%

10

20

30

40

50

60

70

80

90

100

3.51%

VOLUNTEER

10

20

30

40

50

60

70

80

90

100

88.5%

RETIRED

37.80%

UNEMPLOYED - SEEKING

10

20

30

40

50

60

70

80

90

100

17.03% 45.74%

UNEMPLOYED NOT SEEKING

Unemployed Reasons

16

0.90% (36)

3.65% (146)

4.15% (166)

8.50% (340)

17.23% (689)

65.56% (2,621)

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00%

Inadequate salary

Difficulty finding nursing position

School

Disabled

Other

Taking care of home and family

n = 3,998

“Other” reasons cited:

• Working in another field

• COVID-19

• Taking a break/personal choice

• Moved/Relocated

• Military

• Health/Injury/Recovery

• Laid Off

1.48% (712)

3.41% (1,645)

9.74% (4,692)

85.37% (41,136)

3 or more

None

2

1

n = 48,185

Number of Positions Held

17

6.81% (3,090)

8.19% (3,718)

9.46% (4,296)

75.54% (34,297)

1 HR - 20 HRS

MORE THAN 48 HRS

21 HRS - 32 HRS

33 HRS - 48 HRS

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00%

n = 45401

Hours Worked Per Week

18

Yes

91.47%

(43,655)

No

8.53%

(4,072)

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

n = 47,727

Primary Employer in Alabama

19

Primary Employer – Other States

GEORGIA 19.15%

FLORIDA 10.77%

OHIO 8.67%

ILLINOIS 7.22%

NEW YORK 6.65%

CALIFORNIA 6.50%

TENNESSEE 4.79%

MISSISSIPPI 4.58%

PENNSYLVANIA 4.43%

TEXAS 3.49%

MINNESOTA 3.23%

LOUISIANA 1.53%

NORTH CAROLINA 1.48%

CONNECTICUT 1.37%

MICHIGAN 1.35%

WASHINGTON 1.24%20

n =4,072

2.33% (880)

2.44% (921)

2.53% (956)

3.45% (1,304)

3.54% (1,338)

5.11% (1,929)

6.01% (2,271)

8.88% (3,355)

10.41% (3,933)

28.71% (10,849,)

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00%

Lee

Etowah

Shelby

Houston

Baldwin

Tuscaloosa

Montgomery

Mobile

Madison

Jefferson

n = 37,786

57 Counties = <2%

Alabama County of Primary Practice

21

1.14% (532)

1.22% (570)

1.32% (617)

1.41% (658)

1.69% (788)

2.24% (1,047)

2.35% (1,099)

2.99% (1,396)

3.74%, (1,744)

3.94%, (1,837)

4.73%, (2,209)

4.78% (2,233)

14.55% (6,791)

53.89% (21,151)

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00%

Military/VA

Telehealth

Public Health

Dialysis Center

Mental Health/Psych/Addiction

College/University/Secondary

School Health Service

Hospice Services

Home Health Service

Case Management/Utilization Review/Insurance

Nursing Home/Extended Care/Memory Care

Other - Health-Related

Ambulatory Care/Physician Office/Clinic

Hospital

n = 46,672

Primary Employer Setting

22

1.77% (825)

2.20%, (1,022)

2.59% (1,204)

6.77%, (3,146)

7.27% (3,379)

8.10% (3,768)

9.00% (4,185)

11.58% (5,382)

50.69% (23,566)

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%

Nurse Executive/Administrator

Nurse Faculty

Nurse Educator

Case Manager/Utilization Review

Other - Health Related

Team Leader/Charge Nurse

Nurse Manager/Director/Coordinator

Advanced Practice Registered Nurse

Staff Nurse

n = 46,477

Primary Nursing Position

23

1.10% (513)

1.46% (678)

1.46% (681)

734, 1.58% (734)

897, 1.93% (897)

1.95% (907)

1.96% (910)

2.07% (965)

2.22% (1,034)

2.45% (1,140)

2.69% (1,254)

2.84% (1,322)

3.02% (1,405)

3.43%, (1,595)

3.47% (1,615)

3.47% (1,616)

3.60% (1,677)

3.69% (1,719)

3.89% (1,810)

4.17% (1,941)

4.53% (2,108)

5.47% (2,545)

7.65% (3,560)

7.66% (3,563)

11.10% (5,165)

11.13% (5,181)

-1.00% 1.00% 3.00% 5.00% 7.00% 9.00% 11.00% 13.00%

Public Health

Orthopedic

Rehabilitation

Gastroenterology

Oncology

Nephrology / Dialysis

Long-Term Care

School Health

Womens Health

Hospice / Palliative Care

Anesthesiology

Neonatal

Adult Health

Geriatric/Gerontology

Maternal-Child Health/Obstetrics

Family Health

Case Management / Util Review / Insurance

Psychiatric/Mental Health/Substance Abuse

Home Health

Pediatrics

Cardiology

Emergency/Trauma

Surgical Services/Transplant

Medical Surgical

Other - Health Related

Acute Care/Critical Care

n = 46,533

Primary Position - Specialty

24

1.11% (94)

1.18% (100)

1.21% (102)

1.25% (106)

1.38% (117)

1.40% (118)

1.57% (133)

2.49% (210)

, 2.96% (250)

3.87% (327)

4.90% (414)

5.12% (433)

6.69% (565)

6.76% (571)

12.46% (1,053)

45.64% (3,857)

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%

Public Health

Dialysis Center

Correctional Facility

Assisted Living/Group Home Facility

Community Health

Military/VA

Case Management/Utilization Review/Insurance

Mental Health/Psych/Addiction

School Health Service

Hospice Services

Home Health Service

Other - Health Related

College/University/Secondary

Nursing Home/Extended Care/Memory Care

Ambulatory Care/Physician Office/Clinic

Hospital

n = 8,450

Secondary Position - Setting

25

1.18% (97)

1.23% (101)

4.28% (353)

4.74% (391)

4.95% (408)

5.18% (427)

6.01% (495)

13.94% (1,149)

54.91% (4,525)

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00%

Nurse Executive/Administrator

Consultant

Case Manager/Utilization Review

Nurse Manager/Director/Coordinator

Nurse Educator

Nurse Faculty

Team Leader/Charge Nurse

Advanced Practice Registered Nurse

Staff Nurse

n = 8,241

Secondary Position

26

1.01% (84)1.18% (98)1.23% (102)1.27% (105)1.35% (112)1.40% (116)1.41% (117)1.45% (120)

1.77% (147)2.07% (172)

2.56% (212)2.62% (217)

2.83% (235)3.05% (253)3.09% (256)

3.24% (269)3.25% (270)

3.40% (282)3.47% (288)

4.62% (383)4.83% (401)405, 4.88% (405)4.95% (411)

7.59% (630)8.65% (718)

10.66% (952)11.35% (942)

-1.00% 1.00% 3.00% 5.00% 7.00% 9.00% 11.00% 13.00%

Public Health

Oncology

Insurance/Benefits/Case Mgmt/Util Review

Gastroenterology

Surgical Services / Transplant

Education

Nephrology

Rehabilitation

Womens Health

Neonatal

Maternal-Child Health/Obstetrics

School Health

Palliative Care/Hospice

Long-Term Care

Cardiology

Anesthesiology

Perioperative

Family Health

Pediatrics

Geriatric/Gerontology

Adult Health

Psychiatric/Mental Health/Substance Abuse

Home Health

Emergency/Trauma

Medical Surgical

Other - Health Related

Acute Care/Critical Care

n = 8,927

Secondary Position - Specialty

27

Greater than 20 years

38.42%

(19,726)

Within next 20 years

16.57%

(8,507)

Within next 10 years

16.13%

8,282

Within next 5 years

15.85%

(8,137)

Within next 15 years

13.03%

(6,688)

n = 51,340

Years to Retirement

28

Key Findings

• GENDER: Female = 90.4%

• RACE: Caucasian = 81.77%

• AGE: Between the ages of 30-59 years = 56.34%

• HIGHEST LEVEL EDUCATION: ADN = 42.47%

compared to BSN = 36.41%

• EMPLOYMENT: Employed full-time = 69.9%.

• NUMBER OF POSITIONS HELD: Holds one

position = 85.37%

• LOCATION OF PRACTICE: Employed in Alabama

= 91.47%, of these, 59.11% are employed within

five counties

• PRIMARY PRACTICE Site: Hospital = 53.89%

• RETIREMENT: Within 5 years (15.85%) within 10

years (16.13%) = 31.98%

29

Summary: 2020 Workforce Demographics Survey

.