Nursing Demographics. Art Viterito Research Associate
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1 Nursing Demographics Art Viterito Research Associate
2 Characteristics of the Registered Nurse Population RNs Employed in Nursing RNs Per 100,000 Average Age Average Age at Graduation Average Salary Percent Female Percent Male 2,201, $46, % 5.4% Source: Health Resources Services Administration 2001
3 States With the Highest Number of RNs Per 100,000 District of Columbia Massachusetts South Dakota Rhode Island North Dakota Iowa Maine Pennsylvania Missouri Nebraska 1,675 1,194 1,128 1,101 1,096 1,060 1,025 1, Source: Health Resources Services Administration 2001
4 States With the Lowest Number of RNs Per 100,000 Nevada California Utah Texas Arizona Oklahoma Idaho New Mexico Georgia Arkansas Source: Health Resources Services Administration 2001
5 Racial/Ethnic Characteristics of the Registered Nurse Population White 84.7% Am Indian 0.7% Asian 3.3% Black 7.1% Hispanic 4.2% Source: Health Resources Services Administration 2001
6 A Recent Survey by the American Hospital Association Points to a Shortage of Nurses: 126,000 Positions for Registered Nurses in Hospital Settings are Currently Unfilled Source: American Hospital Association 2000
7 Recent Developments That Have Characterized the Shortage Include
8 A Faster Rise in the U.S. Population Than the Nursing Population From 1995 to 2000 Sources: Health Resources Services Administration 2001, Woods & Poole Economics 2001
9 This Has Resulted in a Decline From 798 RNs Per 100,000 in 1996 to 782 RNs Per 100,000 in 2000, a 2% Drop RN/100, Source: Health Resources Services Administration 1996, 2001
10 Geographically, There is a Large Disparity in RN Losses and Gains. The 3 Regions That Gained RNs Per 100,000 From 1996 to 2000 Were the West North Central RN s/100,000 Source: Health Resources Services Administration 2001
11 The East South Central RN s/100,000 Source: Health Resources Services Administration 2001
12 And the West South Central RN s/100,000 Source: Health Resources Services Administration 2001
13 In That Time, Losses Were Realized in the East North Central RN s/100,000 Source: Health Resources Services Administration 2001
14 The South Atlantic RN s/100,000 Source: Health Resources Services Administration 2001
15 The Pacific RN s/100,000 Source: Health Resources Services Administration 2001
16 New England RN s/100,000 Source: Health Resources Services Administration 2001
17 The Middle Atlantic RN s/100,000 Source: Health Resources Services Administration 2001
18 The Mountain Region RN s/100,000 Source: Health Resources Services Administration 2001
19 Composite Regional Picture of RN Losses and Gains Per 100,000 From 1996 to Change per 100, West North Central East South Central West South Central East North Central South Atlantic Pacific New England Middle Atlantic Mountain RN Change/100, Source: Health Resources Services Administration 2001
20 On a State by State Basis, the Majority of States Have Seen Proportional Declines in Their RN Populations From 1996 to 2000 NUMBER OF STATES GAINING RNs PER CAPITA NUMBER OF STATES LOSING RNs PER CAPITA Source: Health Resources Services Administration 1996, 2001
21 By State, The Largest Increases in RNs Per 100,000 From 1996 to 2000 Have Been: Louisiana Kansas Kentucky Iowa South Dakota North Carolina West Virginia Idaho Oklahoma Mississippi Source: Health Resources Services Administration 1996, 2001
22 The States With Largest Declines in RNs Per 100,000 From 1996 to 2000 Have Been: Alaska Delaware Arizona Connecticut Virginia Colorado New York New Hampshire Nevada District of Columbia Source: Health Resources Services Administration 1996, 2001
23 In Large Part, the Shortage Has Been Driven by a Decline in the Number of Students Completing Nursing Programs. Since 1995, the Number of Graduates Taking the NCLEX-RN Exam Has Dropped 28.8% 100,000 95,000 90,000 85,000 80,000 75,000 70,000 65,000 60, All NCLEX 96,610 94,326 89,619 83,239 76,607 71,475 68,759 Source: National Council of State Boards of Nursing 2001
24 By Geographical Setting, the Largest Proportional Decline in Nursing Graduates From 1996 to 2000 Has Been Experienced in Low Population Density Areas -21.0% -23.0% -25.0% -27.0% -29.0% -31.0% -33.0% -35.0% Rural Large Town Small Town Suburban- Medium City Medium City Suburban- Large City Large City Setting -33.9% -32.4% -27.6% -26.6% -24.0% -22.5% -21.9% Source: Integrated Postsecondary Education Data System 1996, 2000
25 By Race and Ethnicity, the Largest Proportional Declines Have Been Seen in the White Nursing Student Population White 85% Am Indian 1% Asian 3% Am Indian 1% Asian 4% Hispanic 7% Hispanic 4% Black 7% White 75% Black 13% Source: Integrated Postsecondary Education Data System 1995, 2000
26 Further Exacerbating the Shortage is a Decline in the Rate at Which Graduates Pass the NCLEX-RN Exam From 1995 to 2001 % Pass ADN BSN ADN BSN Source: National Council of State Boards of Nursing 2001
27 Mounting Dissatisfaction With the Profession Is Yet Another Problem, and the GAO and Federation of Nurses and Health Professionals Cite the Following Issues: Heavy Workloads Insufficient Support Staff Inadequate Wages Diminished Job Security Reduced Patient Contact Loss of Autonomy Higher Patient Acuity Sources: Government Accounting Office 2000, Federation of Nurses and Health Professionals 2000
28 Community Colleges Play a Critical Role in the Supply of Registered Nurses as 60% of All New RNs Educated in the US Were Educated at the Associate Level BSN 37% ADN 60% Diploma 3% Source: National Council of State Boards of Nursing 2001
29 The States With the Highest Percentage of Newly Licensed, U.S. Educated RN s With an Associate Degree Are Wyoming New Mexico New York Florida Idaho Kentucky Iowa California New Hampshire Arizona 79% 77% 76% 76% 74% 73% 71% 71% 71% 71% Source: National Council of State Boards of Nursing 2000
30 For Underrepresented Populations, the Associate Degree is the Preferred Gateway Into the Profession. In Rural Settings, 73% of All Entry-Level Nursing Degrees Are Associate Degrees. Only 27% Are Bachelor Degrees Bachelors 27% Associate 73% Source: Integrated Postsecondary Education Data System 1997
31 The Ratio of Associate to Bachelor Recipients Is Also High for Most Underrepresented Racial/Ethnic Groups Am. Indian 65.7% Hispanic 61.4% Black 56.9% White 56.7% All 56.5% Asian 48.1% 0% 20% 40% 60% 80% 100% Source: Integrated Postsecondary Education Data System 1997
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JOINT ECONOMIC COMMITTEE DEMOCRATS SENATOR JACK REED (D-RI) RANKING DEMOCRAT ECONOMIC POLICY BRIEF SEPTEMBER 2005 THE NUMBER OFAMERICANS WITHOUT HEALTH INSURANCE GREW BY 860,000 IN 2004, INCREASING FOR
million 0.6 million 7.1 million
KEY STATS Number of Americans who volunteer mainly with arts groups: 1 million volunteer secondarily with arts groups: 0.6 million provide free artistic services to non-arts groups: 7.1 million Research