North Carolina 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. North Carolina Nursing Education at a Glance, Fall 2014 In 2014, nursing schools in North Carolina enrolled 8,499 students in Baccalaureate and Graduate programs in nursing and produced 3,453 graduates across program levels. 1 Baccalaureate and Graduate Nursing Student Diversity by Program Level 1 Baccalaureate Master's PhD DNP All Programs Minority* 22% 17% 19% 21% 21% Men 9% 11% 12% 11% 10% Total 5,822 2, ,499 Additionally, there were 1,660 nursing students studying to become APRNs, including 1,282 Nurse Practitioners, 295 Certified Registered Nurse Anesthetists, 54 Clinical Nurse Specialists, and 29 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 North Carolina 10 Years of PhD Graduates North Carolina

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 North Carolina 47 Average Age of North Carolina Nurse YEARS AACN Member Schools in North Carolina (By Congressional District) Barton College (NC-1) Duke University (NC-1) North Carolina Central University (NC-1) Campbell University (NC-2) East Carolina University (NC-3) University of North Carolina Wilmington (NC-3) Fayetteville State University (NC-4) Methodist University (NC-4) The University of North Carolina Chapel Hill (NC-4) Appalachian State University (NC-5) Lenoir-Rhyne University (NC-5) Cabarrus College of Health Sciences (NC-8) Pfeiffer University (NC-8) University of North Carolina Pembroke (NC-8) Queens University of Charlotte (NC-9) Western Carolina University (NC-11) North Carolina A&T State University (NC-12) University of North Carolina Charlotte (NC-12) University of North Carolina Greensboro (NC-12) Winston-Salem State University (NC-12) University of Mount Olive (NC-13) 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 North Carolina 2 TITLE VIII NINR FY2005: $4,217,127 FY2006: $4,360,699 FY2007: $4,303,885 FY2008: $5,361,178 FY2009: $6,672,371 FY2010: $6,542,081 FY2011: $4,457,876 FY2012: $5,068,587 FY2013: $6,603,255 FY2014: $7,220,581 FY2005: $8,863,145 FY2006: $8,536,350 FY2007: $7,084,299 FY2008: $7,877,033 FY2009: $8,942,284 FY2010: $7,190,770 FY2011: $9,629,997 FY2012: $11,043,451 FY2013: $8,880,439 FY2014: $8,044,201 Total Grant Funding by Congressional District NC-1: $1,998,490 NC-3: $1,060,147 NC-4: $1,781,190 NC-5: $25,804 NC-11: $1,529,721 Total Grant Funding by Congressional District NC-1: $4,549,921 NC-4: $3,076,976 NC-5: $219,780 NC-6: $197,524 NC-12: $825,229 3

4 Summary of Fiscal Year 2014 Title VIII Grants by North Carolina Congressional District Program (# Grants) Congressional District Total Grant Funding Advanced Nursing Education Grants (2) NC-1 $711,977 Comprehensive Geriatric Education Program (1) NC-1 $241,466 Nurse Anesthetist Traineeships (1) NC-1 $36,947 Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (1) NC-1 $121,994 Nurse Faculty Loan Program (1) NC-1 $541,297 Nursing Workforce Diversity (1) NC-1 $344,809 Advanced Education Nursing Traineeship (1) NC-3 $335,022 Advanced Nursing Education Grants (2) NC-3 $712,982 Nurse Anesthetist Traineeships (1) NC-3 $12,143 Advanced Education Nursing Traineeship (1) NC-4 $349,996 Advanced Nursing Education Grants (1) NC-4 $368,434 Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (2) NC-4 $850,600 Nursing Workforce Diversity (1) NC-4 $212,160 Nurse Anesthetist Traineeships (1) NC-5 $25,804 Advanced Education Nursing Traineeship (1) NC-11 $350,000 Nurse Anesthetist Traineeships (1) NC-11 $14,662 Nurse Education, Practice, Quality, and Retention - Interprofessional Collaborative Practice (1) NC-11 $473,542 Nursing Workforce Diversity (2) NC-11 $691,517 Comprehensive Geriatric Education Program (1) NC-12 $126,083 Nurse Anesthetist Traineeships (2) NC-12 $87,076 Nurse Education, Practice, Quality and Retention - Veterans Bachelor of Science in Nursing Program (1) NC-12 $306,023 Nursing Workforce Diversity (1) NC-12 $306,047 4

5 Summary of Fiscal Year 2014 NINR Grants by North Carolina Congressional District Project Title A Mindfulness-Based Intervention for Pain Catastrophizing on Sickle Cell Disease Congressional District Total Grant Funding NC-1 $32,758 Administrative Core NC-1 $209,703 Caregiver-Guided Pain Management Training in Palliative Care NC-1 $620,689 Center for Adaptive Leadership in Symptom Science NC-1 $310,396 Methods Core NC-1 $80,041 Mother-Daughter Relationship Influences on Daughters' Dietary Practices NC-1 $42,676 Outcomes of Nursing Management Practice in Nursing Homes NC-1 $763,585 Palliative Care in Heart Failure (PAL-HF) NC-1 $432,574 Parents as Sexuality Educators: Implications for HIV Prevention NC-1 $42,676 Refinement and Expansion of the Palliative Care Research Cooperative Group (PCRC) NC-1 $1,961,397 Scholarship and Mentoring Core NC-1 $20,652 Social Determinants of Health for African American HIV-Infected Mothers NC-1 $32,774 A Family-Focused, Literacy-Sensitive Intervention to Improve Medication Adherence NC-4 $126,780 Affective and Genomic Mediators of Sustained Behavior Change NC-4 $514,303 Alzheimers Medical Advisor: A Symptom and Sign Management Toolkit for Caregivers NC-4 $500,455 Geriatric Symptom Protocols for Improved Triage in Offices and Assisted Living NC-4 $224,543 Interventions for Preventing & Managing Chronic Illness NC-4 $504,111 Mapping Multidimensional Illness Trajectories of Patients with ESKD NC-4 $383,681 Mixed-Methods Synthesis of Research on Childhood Chronic Conditions and Family NRI: Novel Platform for Rapid Exploration of Robotic Ankle Exoskeleton Control NC-4 $460,003 NC-4 $135,100 Project Sickle CIA: Cultivating Informed Activated Adolescents with Sickle Cell NC-4 $228,000 Health-Care Providers Roles in Decision Making in Pediatric Palliative Care NC-5 $219,780 Picture Me Fit: Engaging Youth in Community-Based Prevention NC-6 $197,524 5

6 North Carolina Nursing Workforce at a Glance 3,4 Access to Primary Care in North Carolina 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 110 MUA/Ps in North Carolina. 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 134 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 NC Board of Nursing. (2015) Currently licensed RNs. Retrieved February 13, 2015 from 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