Pennsylvania 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. Pennsylvania Nursing Education at a Glance, Fall 2014 In 2014, nursing schools in Pennsylvania enrolled 23,992 students in Baccalaureate and Graduate programs in nursing and produced 7,103 graduates across program levels. 1 Baccalaureate and Graduate Nursing Student Diversity by Program Level 1 Baccalaureate Master's PhD DNP All Programs Minority* 15% 16% 14% 18% 15% Men 10% 12% 8% 10% 11% Total 17,877 4, ,992 Additionally, there were 3,621 nursing students studying to become APRNs, including 2,862 Nurse Practitioners, 634 Certified Registered Nurse Anesthetists, 77 Clinical Nurse Specialists, and 48 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 Pennsylvania Years of PhD Graduates Pennsylvania

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 Pennsylvania Average Age of Pennsylvania Nurse Faculty YEARS AACN Member Schools in Pennsylvania (By Congressional District) Holy Family University (PA-1) Thomas Jefferson University (PA-1) Widener University (PA-1) Drexel University (PA-2) La Salle University (PA-2) Temple University (PA-2) University of Pennsylvania (PA-2) Gannon University (PA-3) Slippery Rock University (PA-3) Messiah College (PA-4) Edinboro University of Pennsylvania (PA-5) Pennsylvania State University (PA-5) Immaculata University (PA-6) West Chester University (PA-6) Eastern University (PA-7) Neumann University (PA-7) Villanova University (PA-7) California University of Pennsylvania (PA-9) Indiana University of Pennsylvania (PA-9) Saint Francis University (PA-9) Lincoln University (PA-10) Pennsylvania College of Technology (PA-10) Bloomsburg University (PA-11) Misericordia University (PA-11) Gwynedd-Mercy University (PA-13) Carlow University (PA-14) Chatham University (PA-14) Duquesne University (PA-14) University of Pittsburgh (PA-14) York College of Pennsylvania (PA-14) Cedar Crest College (PA-15) DeSales University (PA-15) Moravian College (PA-15) Alvernia University (PA-16) Marywood University (PA-17) University of Scranton (PA-17) Wilkes University (PA-17) Robert Morris University (PA-18) Waynesburg University (PA-18) 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 2 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. TITLE VIII 10 Years of Funding in Pennsylvania 2 NINR FY2006: $3,580,082 FY2007: $4,049,292 FY2008: $5,811,456 FY2009: $6,392,280 FY2010: $6,082,769 FY2011: $7,894,303 FY2012: $9,439,833 FY2013: $8,880,512 FY2014: $6,654,018 FY2015: $5,475,020 FY2006: $12,887,578 FY2007: $12,211,942 FY2008: $13,248,477 FY2009: $14,651,754 FY2010: $15,630,305 FY2011: $15,998,317 FY2012: $17,801,266 FY2013: $14,900,232 FY2014: $15,940,239 FY2015: $12,186,028 Total Grant Funding by District PA-1: $102,740 PA-2: $1,912,399 PA-3: $42,153 PA-5: $414,363 Total Grant Funding by District PA-2: $5,971,309 PA-5: $127,613 PA-7: $741,098 PA-14: $5,346,008 PA-7: $498,536 PA-11: $398,174 PA-14: $709,431 PA-15: $241,596 PA-16: $483,465 PA-17:321,704 PA-18: $350,459 3

4 Summary of Fiscal Year 2015 Title VIII Grants by Pennsylvania Congressional District Program Congressional District Total Grant Funding NSL - Baccalaureate Nursing PA-1 $102,740 Advanced Education Nursing Traineeship PA-2 $305,408 Advanced Education Nursing Traineeship PA-2 $324,000 Advanced Nursing Education Grants PA-2 $627,482 NSL - Baccalaureate Nursing PA-2 $65,194 NSL - Graduate Nursing PA-2 $13,895 Nurse Anesthetist Traineeships PA-2 $49,504 Nurse Anesthetist Traineeships PA-2 $26,977 Nurse Education, Practice, Quality, and Retention - Interprofessional Collborative Practice PA-2 $499,939 NSL - Baccalaureate Nursing PA-3 $42,153 Advanced Nursing Education Grants PA-5 $373,701 NSL - Baccalaureate Nursing PA-5 $40,662 Nurse Anesthetist Traineeships PA-7 $31,859 Nurse Faculty Loan Program PA-7 $466,677 Advanced Education Nursing Traineeship PA-11 $349,992 NSL - Baccalaureate Nursing PA-11 $31,988 Nurse Anesthetist Traineeships PA-11 $16,194 Nurse Anesthetist Traineeships PA-14 $13,724 Nurse Anesthetist Traineeships PA-14 $62,777 Nurse Education, Practice, Quality and Retention - Veterans Bachelor of Science in Nursing Program PA-14 $335,010 Nurse Faculty Loan Program PA-14 $297,920 Nurse Faculty Loan Program PA-15 $241,596 Nurse Education, Practice, Quality, and Retention - Interprofessional Collborative Practice PA-16 $483,465 Advanced Education Nursing Traineeship PA-17 $306,000 Nurse Anesthetist Traineeships PA-17 $15,704 Advanced Nursing Education Grants PA-18 $239,438 NSL - Baccalaureate Nursing PA-18 $92,845 Nurse Anesthetist Traineeships PA-18 $18,176 4

5 Summary of Fiscal Year 2015 NINR Grants by Pennsylvania Congressional District Project Title A Longitudinal Study Of Adherence To Medication In Black Men With Hypertension A Mixed Methods Observational Study Of Persistent Vocalizations In Nursing Home Residents With Moderate To Severe Dementia Congressional District Total Grant Funding PA-2 $313,503 PA-2 $33,002 Advanced Training In Nursing Outcomes Research PA-2 $472,239 An Objective Snoring Index And Its Association With Carotid Atherosclerosis PA-2 $231,160 Decision Support: Optimizing Post Acute Referrals And Effect On Patient Outcomes Decoding The Microbial Bioburden Of Diabetic Foot Ulcers: A Metagenomic Approach Does Chronotype Modify The Relationship Between Sleep And Bmi In Adolescents? PA-2 $450,113 PA-2 $512,442 PA-2 $3,390 Individualized Care For At Risk Older Adults PA-2 $428,770 Mechanisms Of A Symptom Cluster: Dyspnea; Fatigue And Sleep Disturbance In Chroni PA-2 $133,460 Panel Study Of Effects Of Changes In Nursing On Patient Outcomes PA-2 $654,229 Promoting Teen Health: A Web-Based Intervention To Prevent Risky Driving PA-2 $234,019 Psychological Effects Of Injuries In Urban Black Men: A Disparate Health Issue PA-2 $459,773 Research On Vulnerable Women; Children And Families PA-2 $468,850 Revealing The Role Of The Cervico-Vaginal Microbiome In Spontaneous Preterm Birth PA-2 $509,631 Sodium-Restricted Diets And Symptoms In End Stage Renal Disease: An Rct PA-2 $105,612 Testing A Latino Web-Based Parent-Adolescent Sexual Communication Intervention PA-2 $398,897 Transitional Telehealth Home Care: Reach PA-2 $562,219 Dyadic Symptom Management In Moderate To Severe Heart Failure PA-5 $72,507 The Neural Basis Of Apathy In Frontotemporal Degeneration: A Longitudinal Study PA-5 $55,106 Technology Application To Enhance Discharge Referral Decision Support PA-7 $741,098 5

6 Summary of Fiscal Year 2015 NINR Grants by Pennsylvania Congressional District Project Title Brain Biomarkers Of Cognitive And Mood Changes Related To Aromatase Inhibitor Use Congressional District Total Grant Funding PA-14 $95,147 Cognitive Function And Breast Cancer: Genomics And Disease Characteristics PA-14 $43,120 Cognitive Function And Work Productivity In Survivors Of Adolescent Cancer PA-14 $43,120 Developing Goal Directed Perfusion Therapy In Sah Neurocardiac Injury PA-14 $518,484 Development And Validation Of A Measure Of Self-Advocacy In Female Cancer Survivor PA-14 $14,604 End Of Life In The Very Old PA-14 $466,432 Epigenomics Of Patient Outcomes After Aneurysmal Sah PA-14 $474,949 Epigenomics Of Patient Outcomes After Traumatic Brain Injury PA-14 $112,035 Face-Pc: Family-Centered Care For Older Adults With Multiple Chronic Conditions In Primary Care Informing Evidence-Based Maternal Weight Gain Guidelines For Twin Pregnancies PA-14 $93,798 PA-14 $444,323 Mechanism Of Melatonin-Induced Neuroprotection In Traumatic Brain Injury PA-14 $43,120 Mild Cognitive Impairment In Older Rural Dwelling Adults PA-14 $43,120 Preventing Perceived Insufficient Milk: Development Of A Text Message Based Inter PA-14 $86,522 Smartcare: Innovations In Caregiving Interventions PA-14 $552,390 Stepped Wedge Trial Of An Intervention To Support Proxy Decision Makers In Icus Supporting Ai/An Mothers And Daughters In Reducing Gestational Diabetes Risk PA-14 $511,053 PA-14 $584,075 Targeted Research And Academic Training Of Nurses In Genomics PA-14 $253,566 Technology Research In Chronic And Critical Illness PA-14 $121,241 Transcriptomics In Traumatic Brain Injury: Relationship To Brain Oxygenation And Outcomes Understanding Delayed Access To Hiv Prevention Services Among Black Msm PA-14 $236,635 PA-14 $608,274 6

7 Pennsylvania Nursing Workforce at a Glance 3,4 Access to Primary Care in Pennsylvania 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 156 MUA/Ps in Pennsylvania. 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 155 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 c 3 Pennsylvania State Board of Nursing, (2013). Number of Active Licensees as of 12/31/2013. Retrieved March 6, 2014 from website: portal/server.pt/community/state_board_of_nursing/ 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 from 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. 7