Massachusetts 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. Massachusetts Nursing Education at a Glance, Fall 2014 In 2014, nursing schools in Massachusetts enrolled 12,692 students in Baccalaureate and Graduate programs in nursing and produced 3,731 graduates across program levels. 1 Baccalaureate and Graduate Nursing Student Diversity by Program Level 1 Baccalaureate Master's PhD DNP All Programs Minority* 21% 18% 19% 19% 20% Men 9% 10% 12% 18% 10% Total 9,314 2, ,692 Additionally, there were 2,239 nursing students studying to become APRNs, including 1,991 Nurse Practitioners, 199 Certified Registered Nurse Anesthetists, and 49 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 Massachusetts 10 Years of PhD Graduates Massachusetts

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 Massachusetts Average Age of Massachusetts Nurse Faculty YEARS AACN Member Schools in Massachusetts (By Congressional ) American International College (MA-1) Elms College (MA-1) Westfield State University (MA-1) Anna Maria College (MA-2) Becker College (MA-2) University of Massachusetts Amherst (MA-2) University of Massachusetts Medical School (MA-2) Worcester State University (MA-2) Fitchburg State University (MA-3) University of Massachusetts Lowell (MA-3) Boston College (MA-4) Framingham State University (MA-5) Regis College (MA-5) Endicott College (MA-6) Salem State University (MA-6) Curry College (MA-7) Emmanuel College (MA-7) Fisher College (MA-7) Laboure College (MA-7) Massachusetts College of Pharmacy and Health Sciences (MA-7) MGH Institute of Health Professions (MA-7) Northeastern University (MA-7) Simmons College (MA-7) University of Massachusetts Boston (MA-8) University of Massachusetts Dartmouth (MA-9) 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. TITLE VIII 10 Years of Funding in Massachusetts 2 NINR FY2006: $2,846,808 FY2007: $3,642,186 FY2008: $4,419,443 FY2009: $4,872,828 FY2010: $4,749,492 FY2011: $4,541,939 FY2012: $4,160,510 FY2013: $3,718,689 FY2014: $4,306,964 FY2015: $4,132,128 FY2006: $3,922,434 FY2007: $4,109,846 FY2008: $4,170,622 FY2009: $5,874,954 FY2010: $6,143,229 FY2011: $5,549,458 FY2012: $5,344,528 FY2013: $6,970,074 FY2014: $5,454,426 FY2015: $5,746,026 Total Grant Funding by Congressional MA-1: $241,681 MA-2: $1,456,173 Total Grant Funding by Congressional MA-7: $5,346,687 MA-8: $399,339 MA-3: $47,584 MA-5: $209,395 MA-6: $17,728 MA-7: $1,276,705 MA-8: $343,706 MA-9: $539,156 3

4 Summary of Fiscal Year 2015 Title VIII Grants by Massachusetts Congressional Program Congressional Total Grant Funding Nursing Workforce Diversity MA-1 $241,681 Advanced Nursing Education Grants MA-2 $311,832 Nurse Faculty Loan Program MA-2 $732,909 Nurse Faculty Loan Program MA-2 $62,570 Nursing Workforce Diversity MA-2 $348,862 Nurse Faculty Loan Program MA-3 $47,584 Nurse Faculty Loan Program MA-5 $209,395 Nurse Faculty Loan Program MA-6 $17,728 Advanced Education Nursing Traineeship MA-7 $349,661 Advanced Nursing Education Grants MA-7 $322,288 NSL - Baccalaureate Nursing MA-7 $170,917 Nurse Anesthetist Traineeships MA-7 $33,839 Nurse Education, Practice, Quality, and Retention - Interprofessional Collborative Practice MA-7 $400,000 Nursing Workforce Diversity MA-8 $343,706 Nurse Faculty Loan Program MA-9 $247,366 Nursing Workforce Diversity MA-9 $291,790 4

5 Summary of Fiscal Year 2015 NINR Grants by Massachusetts Congressional Project Title A Randomized Trial Of Early Palliative Care For Newly Diagnosed Cancer Patients A Selective Androgen Receptor Modulator For Symptom Management In Prostate Cancer Congressional Total Grant Funding MA-7 $446,184 MA-7 $739,632 Aerosol Furosemide For Dyspnea Relief: Laboratory And Clinical Studies MA-7 $431,269 Cerebrovascular Contributions To Brain Aging And Dementia MA-7 $547,066 Emergence And Evolution Of Social Self-Management Of Parkinsons Disease MA-7 $413,670 Northeastern Center For Technology In Support Of Self Management And Health MA-7 $286,411 Novel Epigenomic Biomarkers Of Prenatal Risk Factors; And Childhood Obesity MA-7 $482,342 Personal Patient Profile-Prostate: Testing And Implementation In Health Networks MA-7 $460,654 Quantifying A Vital Symptom: Large-Scale Inpatient Dyspnea Measurement MA-7 $421,950 Reducing Urban Women'S Hiv Risk: Soap Opera Videos Streamed To Mobile Devices MA-7 $542,074 Targeting Il-1Beta As A Strategy For Symptom Control In Cancer MA-7 $385,575 Technology In Home Intervention To Sustain Dementia Patients Dressing Abilities Pillstream: Agile High-Throughput Assembly Of Custom Multi-Medication Packaging MA-7 $189,860 MA-8 $399,339 5

6 Massachusetts Nursing Workforce at a Glance 3,4 Access to Primary Care in Massachusetts 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 46 MUA/Ps in Massachusetts. 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 66 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 October 1, 2015 from and 3 Massachusetts Health and Human Services. (2015). Active Nurse Licensees RN (inclusive of APRN) and LPN. Retrieved February 13, 2015 from Massachusetts Health and Human Services. (2015) Performance Summary for Massachusetts Nursing Education Programs: NCLEX Results. Retrieved on March 18, 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. 6