State of the South Dakota Nursing Workforce: Data, Trends & Opportunities

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1 State of the South Dakota Nursing Workforce: Data, Trends & Opportunities Linda Young, RN, MS, FRE Nursing Practice Specialist SD Board of Nursing SD Center for Nursing Workforce

2 National Employment Projections Need expected to grow by 2.6% annually Growing number of people needing access to care Increasing retirements of nurses LPN jobs expected to grow nearly 25% Increase of 182,900 new jobs RN jobs expected to grow 19% APRN jobs expected to grow 20% Increase of 574,400 new jobs for RNs/APRNs Increase of 24,000 new jobs for nursing faculty Source: US Department of Labor: Bureau of Labor Statistics. accessed April 2015.

Increase of 182,900 new jobs RN jobs expected to grow 19% APRN jobs expected to grow 20% Increase of 574,400 new jobs for

3 South Dakota Employment Projections LPN jobs expected to grow 11.5% (245 new jobs) RN jobs expected to grow 13.1% (1,490 new jobs) Nursing Faculty jobs expected to grow 31% (45 new jobs) CNP jobs expected to grow 22.2% (80 new jobs) CRNA jobs expected to grow 11.5% (35 new jobs) Source: LMIC, SD Department of Labor and Regulation, Sept

1% (1,490 new jobs) Nursing Faculty jobs expected to grow 31% (45 new jobs) CNP jobs

4 Licensed Practical Nurses

5 Actively Licensed PN Workforce 2,550 2,500 2,450 2,483 2,506 2,400 2,424 2,350 2,300 2,347 2, Sept. 2015

6 LPN Workforce Gains and Losses Jan 2013 to Dec 2014 Jan 2011 to Dec Additions to LPN Workforce: new licenses & endorsements Supply Increase or Decrease from previous 2 years Net Increase or Loss of LPNs

77-409 -379 Additions to LPN Workforce: new licenses & endorsements

7 PN Pre-Licensure Students & Graduates % 92% 79% Total Students Enrolled Total New Graduates Total New Graduates Licensed in SD

153 158 78% 92% 79% 2012 2013 2014 Total Students

8 LPNs Age % 20.1% 25.8% 17.9% 14.1% < Average age: % are over 50 years

9 LPN Ethnicity 1.2% 92.1% 4.0% 3.8% 0.5% 0.8% State Population: White: 83.3% American Indian: 8.9% Black: 1.9% Asian: 1.3% Hispanic: 3.4% 1.3% White American Indian Black Asian Hispanic Other race

10 PN Student Ethnicity 0.9% 6.5% 2.3% White Native American 85.4% 8.1% 0.7% Black Hispanic State Population: 4.2% Asian Other/Unknown White: 83.3% American Indian: 8.9% Black: 1.9% Asian: 1.3% Hispanic: 3.4%

11 PN Gender 95.6% 4.4% Licensed PNs 92.9% 7.1% Student PNs

12 LPN Highest Academic Achievement % 4% 5% 17% 78% 88% % 15% 83% 0% 20% 40% 60% 80% 100% Other Baccalaureate/Graduate Degree PN Diploma/AD

13 LPN Employment 0.7% 1.9% 1.8% 69.6% 21.1% 2.6% 2.3% Employed Full-time as LPN Employed Part-time as LPN Employed in other field Unemployed - Not seeking work as a Nurse Unemployed - Seeking work as a Nurse Retired Nursing Volunteer 90.7% were employed full or part-time in nursing

14 LPN Places of Employment 35.0% 30.0% 31.5% 25.0% 20.0% 15.0% 10.0% 5.0% 14.4% 15.2% 38.9% other settings 0.0% Hospital Ambulatory/Clinic Long Term Care

15 LPN Distribution Region % 14.8% % LPN population % State Population Region % 31.5% Region % 15.8% Region 4 8.1% 9.4% Region 5 Region 6 5.3% 7.2% 10.5% 9.6% Region % 16.0% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%

5% Region 3 16.4% 15.8% Region 4 8.1% 9.

16 Registered Nurses

17 Actively Licensed RN Workforce 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2, ,813 16,084 14,762 13, Sept. 2015

18 RN Workforce Gains and Losses 2,500 2,000 1,500 1, ,000-1,500 Jan 2013 to Dec 2014 Jan 2011 to Dec ,252 2,222 1,322 1, ,165 Additions to RN Workforce: New Licenses and Endorsements Supply Increase or Decrease from Previous 2 years Net Increase or Loss of RNs

1,322 1,057-930 -1,165 Additions to RN Workforce: New Licenses and

19 RN Pre-Licensure Students & Graduates % 92% 79% Total Students Enrolled Total BSN Students Total AD Students Total New Graduates Total New Graduates Licensed in SD

79% 0 2012 Total Students Enrolled 2013 2014 Total BSN Students

20 RNs Age % 24.1% 20.2% 18.4% 13.9% < Average age: 44.4 years 43.6% are 40 years or younger 36% are 56+ years

9% <26-30 31-40 41-50 51-60 61+ Average age: 44.

21 RN Ethnicity 2.1% 1.7% State Population: White: 83.3% American Indian: 8.9% 93.4% 4.5% 0.9% 0.5% Black: 1.9% Asian: 1.3% 1.4% Hispanic: 3.4% White American Indian Black Asian Hispanic Other race

22 RN Student Ethnicity 2.4% White 83.0% 7.1% 9.9% 2.4% 4.1% Other Native American Black Hispanic State Population: Asian White: 83.3% 1.0% American Indian: 8.9% Black: 1.9% Asian: 1.3% Hispanic: 3.4%

23 RN Gender 91.4% 8.6% Licensed RNs 87.2% 12.8% Student RNs

24 RN Highest Academic Achievement Doctorate Degree Non-Nursing Master's Degree Nursing Master's Degree Nursing Diploma Non-Nursing Baccalaureate Degree Nursing Baccalaureate Degree Nursing Associate Degree Other/No Response 0.7% 2.8% 7.9% 6.1% 5.2% 4.8% 37.8% 34.5% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

25 IOM Future of Nursing Recommendation 4 Increase proportion of nurses prepared with a baccalaureate in nursing degree to 80% by 2020

26 IOM Future of Nursing Recommendation 4 Increase proportion of nurses prepared with a baccalaureate in nursing degree to 80% by Nurses Enrolled in SD s Baccalaureate Upward Mobility Programs in Number of LPNs Enrolled in Baccalaureate Nursing Programs Number of RN Students Enrolled in Baccalaureate Nursing Programs 100 0

27 IOM Future of Nursing Recommendation 5 Double number of nurses with a doctorate by Need an additional 37 to meet goal

28 IOM Future of Nursing Recommendation 5 Double number of nurses with a doctorate by DNP 22 PhD Number of SD nurses enrolled in doctorate programs in 2014

29 RN Employment Employed Full-time as RN 74.6% Employed Part-time as RN Employed in other field Unemployed - Not seeking work as a Nurse Unemployed - Seeking work as a Nurse 18.8% Retired 1.0% 1.7% 1.0% 1.6% 1.3% Nursing Volunteer 93.4% were employed full or part-time in nursing

30 RN Places of Employment 60.0% 50.0% 51.4% 26.7% other settings 40.0% 30.0% 20.0% 10.0% 12.0% 9.9% 0.0% Hospital Ambulatory/Clinic Long Term Care

31 RN Distribution Region 1 Region 2 Region 3 Region % 14.8% 11.5% 15.8% 6.5% 9.4% 27.2% % RN population % State Population 38.1% Region 5 Region 6 Region 7 7.8% 9.6% 4.5% 7.2% 16.1% 16.0% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0%

32 Nursing Education Faculty

33 Nursing Faculty Age

34 Faculty Highest Academic Achievement 2014 Doctorate Degree 10.5% Non-Nursing Master's Degree 1.5% Nursing Master's Degree 42.0% Non-Nursing Baccalaureate Degree 0.7% Nursing Baccalaureate Degree 42.4% Nursing Associate Degree Nursing Diploma 0.0% 2.9% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

35 Faculty Age and Highest Academic Achieved Doctorate Non-Nursing Masters Non-Nursing Baccalaureate Nursing Masters Nursing Baccalaureate Nursing Associate

36 Faculty Enrolled in Education Leading to Advanced Degree Doctoral Program Nursing Masters Program Nursing Baccalaureate Program

37 Advanced Practice Registered Nurses APRNs: CNM, CNP, CRNA, CNS

38 Actively Licensed Certified Nurse Midwives Sept. 2015

39 Actively Licensed Certified Nurse Practitioners Sept. 2015

40 Actively Licensed Certified Registered Nurse Anesthetists Sept. 2015

41 Actively Licensed Clinical Nurse Specialists Sept. 2015

42 APRNs Age 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 64.8% < % CNM CNP CRNA CNS

43 APRN Highest Academic Achievement CNS CRNA 3.1% 9.6% 19.2% 18.0% 59.4% 71.2% CNP CNM 10.2% 5.8% 6.6% 79.8% 86.8% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% AD/Diploma BSN Non-Nursing Master's Master's Nursing Doctorate

44 APRN Distribution Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 %CNS %CRNA %CNP %CNM % State Population Region 7 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%

45 Brainstorming Based on the information presented on the LPN, RN, Faculty, and APRN workforce data: What stood out to you or had real meaning? Is there anything missing that we need to consider collecting data on? What possible opportunities do we need to pursue?

46 IOM Future of Nursing Recommendation 2 Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. The South Dakota Center for Nursing Workforce is partnering with EmBe to provide a comprehensive, mentored, Nursing Leadership Academy program. The first program will be held in Sioux Falls in Visit to learn more about the program and to apply. The application deadline is October 16, 2015; space is limited so don t wait!

47 Thank you! The South Dakota Nursing Workforce Report is available online at

Nursing Workforce in South Carolina

Nursing Workforce in South Carolina Data Summary Report 2012-2013 Total Numbers/Degree Type South Carolina had a total of 40,520 licensed registered nurses (RNs) and advanced practice registered nurses