Maryland 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. Nursing Education at a Glance, Fall 1 In 1, nursing schools in enrolled 5,838 students in Baccalaureate and Graduate programs in nursing and produced 2, graduates across program levels. 1 Baccalaureate and Graduate Nursing Student Diversity by Program Level 1 Baccalaureate Master's PhD DNP All Programs Minority* 35% 3% 32% 32% 35% Men 10% 8% 21% 22% 11% Total 3,80 1, ,838 Additionally, there were 718 nursing students studying to become APRNs, including 557 Nurse Practitioners, 135 Certified Registered Nurse Anesthetists, and 26 Clinical Nurse Specialists. 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 10 Years of PhD Graduates

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 1, AACN reported that over a thousand qualified applicants were not offered admission to doctoral (1,8) programs due to a faculty shortage as well as other resource constraints. According to AACN s Survey on Vacant Faculty Positions for Academic Year 1-15, 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 1-15 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. 10 Years of Faculty Vacancies Average Age of Nurse Faculty YEARS 11 AACN Member Schools in (By Congressional District) Salisbury University (MD-1) Towson University (MD-2) Notre Dame of University (MD-3) Stevenson University (MD-3) Bowie State University (MD-5) Hood College (MD-6) Coppin State University (MD-7) Johns Hopkins University (MD-7) Morgan State University (MD-7) University of (MD-7) Uniformed Services University of Health Sciences (MD -8) 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 (2 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 2 TITLE VIII NINR FY05: $1,757,662 FY06: $1,395,083 FY07: $2,532,055 FY08: $2,251,522 FY09: $2,601,268 FY10: $1,603,992 FY11: $2,306,663 FY12: $1,973,05 FY13: $1,70,596 FY1: $1,329,35 FY05: $5,68,97 FY06: $5,753,169 FY07: $5,596,805 FY08: $6,37,172 FY09: $8,259,783 FY10: $8,89,821 FY11: $6,719,628 FY12: $9,059,612 FY13: $9,000,225 FY1: $7,656,111 Summary of Fiscal Year 1 Title VIII Grants by Congressional District Program (# Grants) Congressional District Total Grant Funding Advanced Education Nursing Traineeship (1) MD-1 $315,92 Nursing Workforce Diversity (1) MD-3 $328,65 Advanced Education Nursing Traineeship (1) MD-7 $39,82 Advanced Nursing Education Grants (1) MD-7 $252,692 NSL - Graduate Nursing (1) MD-7 $1,28 Nurse Anesthetist Traineeships (1) MD-7 $1,012 Total Grant Funding by District MD-1: $315,92 MD-3: $328,65 MD-7: $68,776 3

4 Summary of Fiscal Year 1 NINR Grants by Congressional District Project Title Congressional District Total Grant Funding Administrative Core MD-7 $382,785 Administrative Core MD-7 $299,7 Asthma Express: Bridging Emergency to Primary Care in Underserved Children MD-7 $89,322 Cell Cycle Pathway Inhibition Decreases Peripheral Neuropathic Pain MD-7 $189,956 Center for Sleep-Related Symptom Science MD-7 $367,156 Center for the Genomics of Pain MD-7 $73,52 Comparing Two Parenting Programs for At-Risk Families MD-7 $605,800 Decision Making at the End of Life: A Mixed Methods Study MD-7 $61,382 Efficacy of Acute Pain Management on Chronic Pain Following Lower Extremity Trauma MD-7 $3,823 Epigenetic Modifications of BDNF and trkb Genes Underlie Pain Plasticity MD-7 $561,276 Examination of Sleep in African American Adults with Sickle Cell Disease MD-7 $2,676 Examining Food Environments of Family Child Care Homes MD-7 $2,676 Genomics Core MD-7 $67,916 Influence of Modifiable Factors on the Vaginal Microbiota and Preterm Birth MD-7 $521,661 Interdisciplinary Training in Cardiovascular Health Research MD-7 $256,076 Managing Acute Pain in Critically Ill Non-Communicative Palliative Care Patients MD-7 $93,611 Neonatal Pain, Depression and Pain Susceptibility at Maturity in Rats MD-7 $36,26 Neurophysiological and Psychological Correlates of Vulvodynia MD-7 $31,828 Parent and Family Responses to a Child Undergoing BMT During Transitions in MD-7 $2,676 Pilot Testing Function Focused Care for Acute Care MD-7 $179,892 Sleep Measurement Core MD-7 $67,99 Spinal Mechanisms Underlying SCI-Induced Pain: Implications for Targeted Ther- MD-7 $670,70 Sustaining Palliative Care to Drug Users with HIV/AIDS & Health Disparities MD-7 $75,757 Technology Enhanced Community Health Nursing to Reduce Recurrent STIs After MD-7 $510,605 Translational Phenotyping Core MD-7 $22,823 Total Grant Funding by District MD-7: $7,656,111

5 Nursing Workforce at a Glance 3, Access to Primary Care in 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 55 MUA/Ps in. 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 53 HPSAs that face primary care provider shortages. 1 American Association of Colleges of Nursing. (15) 1-15 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. (15). AACN compilation of Title VIII and NINR grant funding. Retrieved February 1, 15 from 3 Budden, J.S., Zhong, E.H., Moulton, P., Cimiotti, J.P. (13). The National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers 13 National Workforce Survey of Registered Nurses. Journal of Nursing Regulation, (2 July 13 Supplement). Retrieved January 28, 1 from jnr.metapress.com/home/main.mpx. National Council of State Boards of Nursing (15). Number and percent passing of first-time candidates educated in member board jurisdictions /1/1 through 12/31/1. Retrieved March, 15 fhttp:// 5 United States Department of Health and Human Services Health Resources and Services Administration. (15). Medically Underserved Areas/ Populations (MUA/P) State Summary of Designated MUA/P. Retrieved February 5, 15 from 6 U.S. Department of Health and Human Services Health Resources and Services Administration. (15). 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. 5

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