Texas Nursing Education at a Glance, Fall 2014

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1 Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation s healthcare system transforms and more services are provided outside the hospital walls, nurses must be educated for these opportunities and challenges. A life-long learning approach is required for nurses to stay current, which includes higher levels of education and continual learning beyond the academic setting. Given the great need for registered nurses (RNs), including Advanced Practice Registered Nurses (APRNs), and nurse faculty in a newly reformed healthcare system, it is crucial to maximize funding for professional nursing education and research. Below are state-specific data that policy makers must consider as they make funding decisions to support America s nursing workforce, nursing science, and the patients they care for. Congress must consider longterm financial planning in these areas not doing so would place the health of our nation in jeopardy. Texas Nursing Education at a Glance, Fall 2014 In 2014, nursing schools in Texas enrolled 27,510 students in Baccalaureate and Graduate programs in nursing and produced 10,127 graduates across program levels. 1 Baccalaureate and Graduate Nursing Student Diversity by Program Level 1 Baccalaureate Master's PhD DNP All Programs Minority* 41% 45% 31% 38% 42% Men 14% 13% 9% 22% 14% Total 20,219 6, ,510 Additionally, there were 4,831 nursing students studying to become APRNs, including 4,471 Nurse Practitioners, 241 Certified Registered Nurse Anesthetists, 89 Clinical Nurse Specialists, and 30 Certified Nurse-midwives. 1 Elevating the role of nursing science for healthcare advances is more critical than ever. As the nation works to ensure adequate nursing capacity in high need areas, nurses with research-focused doctorates (PhD) will be essential to creating the evidence that will inform and support contemporary nursing practice, improvements in patient care, and reductions in health disparities. 10 Years of PhD Enrollments Texas 10 Years of PhD Graduates Texas

2 Understanding the Faculty Shortage A shortage of faculty is a primary obstacle to expanding the nation s nursing workforce and meeting care demand. In 2014, AACN reported that over a thousand qualified applicants were not offered admission to doctoral (1,844) programs due to a faculty shortage as well as other resource constraints. According to AACN s Survey on Vacant Faculty Positions for Academic Year , most open faculty positions either require (57.5%) or prefer (32.1%) doctorally-prepared faculty members. Of the schools surveyed, approximately two-thirds report insufficient funding as one of the biggest obstacles to hiring additional faculty. The problem will exacerbate as many faculty reach retirement age in the next decade. According to AACN's report on Salaries of Instructional and Administrative Nursing Faculty in Baccalaureate and Graduate Programs in Nursing, the average ages of doctorally-prepared nurse faculty holding the ranks of professor, associate professor, and assistant professor were 62, 58, and 51 years, respectively. An increased focus and investment must be placed on educating more doctorally-prepared nurses for faculty positions Years of Faculty Vacancies Texas Average Age of Texas Nurse Faculty 54 YEARS East Texas Baptist University (TX-1) University of Texas-Tyler (TX-1) Chamberlain College of Nursing-Houston (TX-2) University of Saint Thomas (TX-2) Rocky Mountain University of Health Professions (TX-3) Texas A&M University-Commerce (TX-4) Texas A&M University-Texarkana (TX-4) University of Texas-Arlington (TX-6) Sam Houston State University (TX-8) Prairie View A&M University (TX-9) University of Texas Health Science Center-Houston (TX-9) Concordia University Texas (TX-10) Angelo State University (TX-11) The University of Texas of the Permian Basin (TX-11) Texas Christian University (TX-12) Midwestern State University (TX-13) West Texas A&M University (TX-13) Lamar University (TX-14) University of Texas Medical Branch (TX-14) University of Texas-Pan American (TX-15) Texas Lutheran University (TX-15) 41 AACN Member Schools in Texas (By Congressional District) University of Texas-El Paso (TX-16) Texas Tech University Health Sciences Center-El Paso (TX-16) Texas A&M Health Science Center (TX-17) Patty Hanks Shelton School of Nursing (TX-19) Texas Tech University Health Sciences Center (TX-19) University of Texas Health Science Center-San Antonio (TX-21) University of the Incarnate Word (TX-21) Schreiner University (TX-21) Southwestern Adventist University (TX-25) Tarleton State University (TX-25) University of Texas-Austin (TX-25) Texas Woman s University (TX-26) Texas A&M University-Corpus Christi (TX-27) University of Houston -Victoria (TX-27) Baylor University (TX-30) Texas A&M University - Central Texas (TX-31) University of Mary Hardin-Baylor (TX-31) University of Texas-Brownsville (TX-34) Texas State University-San Marcos (TX-35) Wayland Baptist University-San Antonio (TX-35) The American Association of Colleges of Nursing (AACN) represents over 760 schools of nursing offering a mix of baccalaureate, graduate, and post-graduate programs at institutions nationwide. For more information on AACN or higher nursing education, visit or contact us at

3 Federal Nursing Funding Facing state budget cuts and the reality of recent economic conditions, our schools and the students they educate depend on federal dollars. In particular, the Nursing Workforce Development programs authorized under Title VIII of the Public Health Service Act (42 U.S.C. 296 et seq.) and the National Institute of Nursing Research (NINR) are essential to nurse workforce stability and health care quality. The Title VIII grants are awarded to colleges and universities within each state and provide financial assistance to both nursing education programs and individual students. For over 50 years, the Title VIII programs have been instrumental in supporting the pipeline of registered nurses, advanced practice registered nurses, and nursing faculty. As one of the 27 Institutes and Centers at the National Institutes of Health, the NINR supports research that examines health and illness across the lifespan and establishes the scientific basis for quality patient care. Through grants, research training, and interdisciplinary collaborations, NINR addresses health promotion and disease prevention, quality of life, health disparities, and endof-life care. NINR also helps train the next generation of nurse researchers, who serve as faculty in America s nursing schools. 10 Years of Funding in Texas 2 TITLE VIII NINR FY2005: $8,050,858 FY2006: $7,938,827 FY2007: $5,237,794 FY2008: $6,015,369 FY2009: $5,321,456 FY2010: $7,966,425 FY2011: $6,062,733 FY2012: $5,897,477 FY2013: $4,594,675 FY2014: $6,054,537 FY2005: $5,566,839 FY2006: $5,273,952 FY2007: $5,463,695 FY2008: $6,710,834 FY2009: $7,359,904 FY2010: $6,691,427 FY2011: $3,884,399 FY2012: $4,483,829 FY2013: $4,901,462 FY2014: $4,878,294 Total Grant Funding by Congressional District TX-6: $895,602 TX-9: $391,473 TX-12: $362,962 TX-14: $298,733 Total Grant Funding by Congressional District TX-7: $406,559 TX-9: $2,310,708 TX-14: $702,042 TX-25: $1,458,985 TX-16: $38,896 TX-19: $499,887 TX-21: $1,285,233 TX-25: $355,347 TX-26: $762,579 TX-27: $738,380 TX-28: $300,358 TX-33: $125,087 3

4 Summary of Fiscal Year 2014 Title VIII Grants by Texas Congressional District Program (# Grants) Congressional District Total Grant Funding Advanced Education Nursing Traineeship (1) TX-9 $337,860 Advanced Education Nursing Traineeship (1) TX-21 $309,120 Advanced Education Nursing Traineeship (1) TX-26 $350,000 Advanced Education Nursing Traineeship (1) TX-27 $349,860 Advanced Nursing Education Grants (2) TX-6 $530,887 Advanced Nursing Education Grants (1) TX-21 $374,952 Advanced Nursing Education Grants (1) TX-25 $355,347 Advanced Nursing Education Grants (1) TX-26 $292,866 NSL - Baccalaureate Nursing (1) TX-12 $66,928 NSL - Baccalaureate Nursing (1) TX-26 $119,713 Nurse Anesthetist Traineeships (1) TX-9 $27,856 Nurse Anesthetist Traineeships (1) TX-12 $84,582 Nurse Anesthetist Traineeships (1) TX-33 $125,087 Nurse Education, Practice, Quality and Retention - Veterans Bachelor of Science in Nursing Program (1) Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (1) Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (1) Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (1) TX-6 $274,725 TX-14 $298,733 TX-19 $499,887 TX-21 $486,842 Nurse Faculty Loan Program (1) TX-6 $89,990 Nurse Faculty Loan Program (1) TX-9 $25,757 Nurse Faculty Loan Program (1) TX-12 $211,452 Nurse Faculty Loan Program (1) TX-16 $38,896 Nurse Faculty Loan Program (1) TX-21 $114,319 Nurse Faculty Loan Program (1) TX-27 $38,594 Nursing Workforce Diversity (1) TX-27 $349,926 Nursing Workforce Diversity (1) TX-28 $300,358 4

5 Summary of Fiscal Year 2014 NINR Grants by Texas Congressional District Project Title Congressional District Total Grant Funding Toxicity Profiling: Creating Novel Paradigms to Personalize Cancer Treatment TX-7 $406,559 A Multi'Omics Approach Towards Deciphering the Influence of the Microbiome on Preterm Birth TX-9 $539,616 Aggression Prevention Training for Caregivers of Persons with Dementia TX-9 $559,113 Black College Students, Health Disparities & Disease Prevention Practices TX-9 $227,154 Multimodal MRI Biomarker of Mild Cognitive Impairment in Breast Cancer TX-9 $529,314 Pathways to New Biomarkers in Recurrent Abdominal Pain in Children TX-9 $455,511 Cognitive Behavioral Therapy for Insomnia and Nocturnal Hot Flashes in Meno- TX-14 $124,811 Portable Instrument for Assessing Zinc Deficiency in Children and the Elderly TX-14 $45,959 Preserving Muscle Mass and Function in Bedridden Older Adults TX-14 $531,272 A Multi-Site Trial of a Cognitive Rehabilitation Intervention for Persons with MS TX-25 $454,215 Administrative Core TX-25 $150,803 Center for Transdisciplinary Collaborative Research in Self-Management Science TX-25 $478,836 Community Engagement & Translation Core TX-25 $62,736 Effects of Physical Activity on Cognition in Persons with Multiple Sclerosis TX-25 $33,653 Innovative Methods & Technology Core TX-25 $71,518 Pilot & Feasibility Core TX-25 $193,779 Predictors of Disability in Older African American Women with Osteoarthritis TX-25 $13,445 5

6 Texas Nursing Workforce at a Glance 3,4 Access to Primary Care in Texas 5,6 Access to primary care providers is critical to maintaining a healthy population and reducing the rising cost of health care. Medically Underserved Areas/Populations (MUA/Ps) are areas/populations the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA) has designated as facing barriers to accessing health care. There are 315 MUA/Ps in Texas. Health Professional Shortage Areas (HPSAs) are designated as having shortages of primary medical care, dental or mental health providers and may be geographic, population, or facilities (federally qualified health center). There are 362 HPSAs that face primary care provider shortages. 1 American Association of Colleges of Nursing. (2015) Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC. 2 U.S. Department of Health and Human Services Health Resources and Services Administration. (2015). AACN compilation of Title VIII and NINR grant funding. Retrieved February 1, 2015 from 3 Texas Board of Nursing, (2013). RN s by Race and Sex. Retrieved March 13, 2014 from website: 20RACE%20AGE%20AND%20SEX2.pdf. 4 National Council of State Boards of Nursing (2015). Number and percent passing of first-time candidates educated in member board jurisdictions 1/1/2014 through 12/31/2014. Retrieved March 20, 2015 fhttp:// 5 United States Department of Health and Human Services Health Resources and Services Administration. (2015). Medically Underserved Areas/ Populations (MUA/P) State Summary of Designated MUA/P. Retrieved February 5, 2015 from 6 U.S. Department of Health and Human Services Health Resources and Services Administration. (2015). Designated Health Professional Shortage Areas Statistics. * Minority Enrollment includes African American, American Indian or Alaskan Native, Asian, Hispanic or Latino, and Native Hawaiian or Pacific Islander. ** NCLEX takers include graduates of Associate s, Bachelor s, and Master s degree programs in nursing. 6

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