Florida 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. Florida Nursing Education at a Glance, Fall 2014 In 2014, nursing schools in Florida enrolled 14,834 students in Baccalaureate and Graduate programs in nursing and produced 6,358 graduates across program levels. 1 Baccalaureate and Graduate Nursing Student Diversity by Program Level 1 Baccalaureate Master's PhD DNP All Programs Minority* 39% 36% 30% 32% 38% Men 13% 15% 9% 10% 13% Total 10,085 3, ,834 Additionally, there were 3,257 nursing students studying to become APRNs, including 2,897 Nurse Practitioners, 328 Certified Registered Nurse Anesthetists, 20 Certified Nurse-Midwives, and 12 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 Years of PhD Enrollments Florida Years of PhD Graduates Florida

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. 10 Years of Faculty Vacancies Florida Average Age of Florida Nurse Faculty YEARS AACN Member Schools in Florida (By Congressional District) University of West Florida (FL-1) Florida A&M University (FL-2) Florida State University (FL-2) Santa Fe College (FL-3) University of Florida (FL-3) Chamberlain College of Nursing - Jacksonville (FL-4) University of North Florida (FL-4) Florida State College (FL-5) Bethune-Cookman University (FL-6) Remington College of Nursing (FL-7) University of Central Florida (FL-7) St. Petersburg College (FL-13) Jacksonville University (FL-14) University of Tampa (FL-14) Florida Southern College (FL-15) University of South Florida (FL-15) State College of Florida (FL-16) Indian River State College (FL-18) Florida Southwestern State College (FL-19) Florida Gulf Coast University (FL-19) Keiser University (FL-20) Florida Atlantic University (FL-22) Palm Beach Atlantic University (FL-22) Nova Southeastern University (FL-23) Barry University (FL-24) Miami Dade College (FL-24) Florida International University (FL-26) University of Miami (FL-27) 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 Florida 2 TITLE VIII NINR FY2005: $3,320,555 FY2006: $3,170,019 FY2007: $3,376,530 FY2008: $4,001,454 FY2009: $5,037,843 FY2010: $6,033,452 FY2011: $5,168,384 FY2012: $5,439,245 FY2013: $4,838,226 FY2014: $6,168,625 FY2005: $3,885,898 FY2006: $4,215,205 FY2007: $3,867,528 FY2008: $2,575,768 FY2009: $2,950,591 FY2010: $4,285,474 FY2011: $3,021,520 FY2012: $4,415,477 FY2013: $4,503,843 FY2014: $5,760,471 FL-3: $479,957 FL-4: $43,544 FL-7: $350,000 FL-10: $26,817 FL-14: $213,115 FL-15: $670,044 FL-22: $965,329 FL-23: $119,970 FL-24: $1,609,234 FL-26: $1,340,615 FL-27: $350,000 Total Grant Funding by Congressional District Total Grant Funding by Congressional District FL-3: $1,259,180 FL-7: $569,281 FL-15: $592,916 FL-21: $771,536 FL-22: $472,724 FL-27: $2,094,834 3

4 Summary of Fiscal Year 2014 Title VIII Grants by Florida Congressional District Program (# Grants) Congressional District Total Grant Funding Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (1) FL-3 $479,957 Nurse Anesthetist Traineeships (1) FL-4 $43,544 Advanced Education Nursing Traineeship (1) FL-7 $350,000 Nurse Anesthetist Traineeships (1) FL-10 $26,817 Nurse Education, Practice, Quality and Retention - Veterans Bachelor of Science in Nursing Program (1) Faculty Development: Integrated Technology into Nursing Education and Practice Initiative (1) FL-14 $213,115 FL-15 $245,270 Nurse Anesthetist Traineeships (1) FL-15 $36,947 Nurse Education, Practice, Quality and Retention - Veterans Bachelor of Science in Nursing Program (1) FL-15 $319,975 Nurse Faculty Loan Program (1) FL-15 $67,852 Advanced Education Nursing Traineeship (1) FL-22 $332,144 Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (1) FL-22 $500,000 Nurse Faculty Loan Program (1) FL-22 $133,185 Nurse Faculty Loan Program (1) FL-23 $119,970 Advanced Education Nursing Traineeship (1) FL-24 $340,340 Nurse Anesthetist Traineeships (1) FL-24 $63,803 Nurse Faculty Loan Program (1) FL-24 $1,205,091 Advanced Nursing Education Grants (1) FL-26 $254,859 Nurse Anesthetist Traineeships (1) FL-26 $50,128 Nurse Education, Practice, Quality and Retention - Veterans Bachelor of Science in Nursing Program (2) FL-26 $685,420 Nursing Workforce Diversity (1) FL-26 $350,208 Advanced Education Nursing Traineeship (1) FL-27 $350,000 4

5 Summary of Fiscal Year 2014 NINR Grants by Florida Congressional District Project Title Congressional District Total Grant Funding Health Inequalities: Social Isolation Among Rural Latinos FL-3 $85,570 Neuroimaging Biomarkers for Post-Operative Cognitive Decline in Older Adults Peripheral and Central Mechanisms of Fatigue and Pain in Patients With ME/CFS Routine Aspiration of Residual Gastric Contents in Very Low Birth Weight Infants Oral Suction Intervention to Reduce Aspiration and Ventilator Events: NO- ASPIRATE FL-3 $481,538 FL-3 $358,875 FL-3 $333,197 FL-7 $569,281 Oral Care Intervention in Mechanically Ventilated Adults FL-15 $464,383 Sexual Distress and Body Image Distress in Younger Breast Cancer Survivors FL-15 $39,055 Tailoring A HIV Prevention Intervention for College-Aged Black Women FL-15 $89,478 A Longitudinal Study of Substance Abuse and HIV Risk Among Adult Latina Mother-Daughters Children's Responses to Sibling Death in NICU/PICU in 3 Racial/Ethnic Groups Implementing Interventions to Reduce Hospitalizations of Nursing Home Residents FL-21 $312,648 FL-21 $458,888 FL-22 $472,724 A Novel Pregnancy Prevention Intervention for Latino Middle School Girls FL-27 $709,980 A Tailored Technology Intervention for Diverse Family Caregivers of AD Patients FL-27 $512,802 Micro-RNA Molecules as Regulators of Diabetic Wound Healing FL-27 $419,462 Mitochondrial Determinants of Metabolic Disease in HIV-Infected Children FL-27 $452,590 5

6 Florida Nursing Workforce at a Glance 3,4 Access to Primary Care in Florida 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 127 MUA/Ps in Florida. 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 246 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 Florida Health (2014). Division of Medical Quality Assurance: Annual Report and Long Range Plan Fiscal Year Retrieved February 11, 2015 from 4 Florida Department of Health - Medical Quality Assurance" February 4, Personal communication. 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