N URSES IN W YOMING; D EMAND, R ETENTION, & S UPPLY Fourth Annual Nursing Summit Sheridan, Wyoming...

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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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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Selected Demand Characteristics

• Population Dynamics

• Discharge Files

• Industry Growth and the demand for RNs -- Hospitals

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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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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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Hospital Discharge

(In-Patient) Data

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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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22% 29%

The Grand Total Based on Current HR Practices

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Selected Survey Results• Ambulatory Care• Hospitals and Long-Term Care –

Preliminary

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Ambulatory Health Care – Comments

Hospitals & Long-Term Care

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"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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"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



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"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



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"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%


Satisfied



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"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%


Satisfied



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"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%


Satisfied



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"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



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"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



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"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%


Satisfied



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"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%


Satisfied



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Hospitals & Long-Term Care – Comments

Direct Patient Care Nurses Only


41Hospitals & Long-Term Care –

CommentsDirect Patient Care Nurses Only

Supply

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RESEARCH & PLANNING HEALTH CARE IN WYOMING

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For More Information, See the Wyoming Health Care Commission’s Website:

http://www.wyominghealthcarecommission.org

/

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http://www.wyominghealthcarecommission.org/




N URSES IN W YOMING; D EMAND, R ETENTION, & S UPPLY Fourth Annual Nursing Summit Sheridan, Wyoming...

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