Associate Degree Nursing



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RRN 1,892 Associate Degree Nursing February 2011 Needs Assessment Prepared by Carli Straight Date: February 24, 2011 Associate Degree Nursing 1

Scope Data compiled in this report covers San Bernardino, Riverside, Orange, and Los Angeles counties. Data were drawn from external sources, including the Employment Development Department s California Labor Market Information and the U.S. Department of Education s Integrated Postsecondary Education Data System (IPEDS), as well as Chaffey College s Colleague Administrative database. Data Sources and Calculations Educational Program Data TOP Code Program of Study 1230.10 Registered Nursing The Taxonomy of Programs (TOP) is a standardized system used at the state level to classify programs and courses at California Community Colleges that are intended to achieve the same outcome. CIP Code Program of Study 51.1601 Nursing-Registered Nurse Training (RN, ASN, BSN, MSN) The Classification of Instructional Programs (CIP) is a standardized coding system used at the federal level to facilitate accurate tracking, assessment, and reporting of fields of study and program completion at educational institutions throughout the country. This report draws on the Nursing-Registered Nurse Training CIP code, which maps to the Registered Nursing TOP code, to compare Chaffey College to other institutions and examine employment trends. Completions Data Degree and certificate data regarding students at Chaffey College were collected from the Colleague Administrative database. Degree and certificate data for all comparison schools were collected from the U.S. Department of Education s Integrated Postsecondary Education Data System (IPEDS). All comparison institutions included in this report are postsecondary and have provided data to IPEDS. IPEDS defines postsecondary education as a formal program designed primarily for students beyond high school age. These include academic, vocational, and continuing professional education, and exclude avocational and adult basic education programs. Occupational Data SOC Code Occupational Title 29.1111 The Standard Occupational Classification (SOC) system is used by federal statistical agencies to classify workers into occupational categories. The Nursing-Registered Nurse Training (RN, ASN, BSN, MSN) CIP code was mapped to the SOC code listed in the table above using the crosswalk described in the paragraph below. Educational Program to Occupation Crosswalk The TOP-CIP-SOC Crosswalk (Employment Development Department, 2007) was used in this report to map TOP codes to CIP and SOC codes. This crosswalk allows the user to estimate labor market demand 2

for California Community College program completers using SOC-based projections from the California Labor Market Information Division. Industry Data The North American Industry Classification System (NAICS) is used by federal statistical agencies to classify business establishments for the purpose of conducting and reporting research on the U.S. business economy. Standard Occupation Classification codes are mapped to industry data by the California Labor Market Information Division. Industry information is used to geographically map the business locations of potential employers as well as to observe trends across the industries that employ the occupations identified above. 3

Introduction and Contents Contents Background Information 5 Regional Job Outlook 6 Largest and Fastest Growing Industry Employers 8 Regional Graduation Summary 10 Chaffey College s Performance on Core Indicators 12 Map of Regional Employers and Competitor Institutions 13 Regional Definitions Inland Empire includes the Riverside-San Bernardino-Ontario Metropolitan Statistical Area (MSA) Los Angeles County includes the Los Angeles- Long Beach-Glendale Metropolitan Division Orange County includes the Santa Ana- Anaheim-Irvine Metropolitan Division Purpose and Goals Chaffey College currently offers two degree options in the Associate Degree Nursing Program: ADN and VN to RN. The Associate of Science Degree in Nursing requires successful completion of 41.5 units. This program is approved by the California Board of Registered Nursing and accredited by the National League for Nursing Accrediting Commission. Graduates of this program are eligible to take the National Council for Licensure Examination (NCLEX) and, upon passing, become licensed as a Registered Nurse in the state of California. The Associate of Science Degree in VN to RN requires successful completion of 22.5 units, in addition to prior graduation from a Vocational Nursing Program with an active vocational nursing license. This program is approved by the California Board of Registered Nursing and accredited by the National League for Nursing Accrediting Commission. Graduates of this program are eligible to take the National Council for Licensure Examination (NCLEX) and, upon passing, become licensed as a Registered Nurse in the state of California. The purpose of this report is to integrate and analyze data from multiple sources to determine labor market needs for the Associate Degree Nursing program at Chaffey College. Key Terms and Concepts Replacement Jobs: Replacement jobs refer to the number of job openings due to workers leaving an occupation. Annual Openings: Annual openings are calculated by adding the number of new jobs to the number of replacement jobs, divided by the number of years in the projection period. Projections: Projections of employment are calculated by the Employment Development Department and are based on a mathematical formula that includes historical employment and economic indicators along with national, state, and local trends. Occupation: Jobs are grouped into occupations using the federal Standard Occupational Classification (SOC) system. Industry: Occupations are grouped into industries using the North American Industry Classification System (NAICS). Wages: Hourly wages are reported in percentiles and averages. The 25 th percentile is a useful proxy of entry-level wages and the 75 th percentile of experienced-level wages. 4

Background Information Registered Nursing Nursing programs in California Community Colleges focus on teaching students principles and techniques for assisting the individual, sick or well, in the performance of those activities contributing to health or to recovery. Registered Nursing programs lead to licensure by the Board of Registered Nurses. 1 The description of job duties for is provided by the Occupational Information Network. 2 assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Individuals who work in this occupation administer nursing care to ill, injured, convalescent, or disabled patients. They may also advise patients on health maintenance and disease prevention or provide case management. Typical Tasks Monitor, record and report symptoms and changes in patients conditions Maintain accurate, detailed reports and records Record patients medical information and vital signs Order, interpret, and evaluate diagnostic tests to identify and assess patient s condition Modify patient treatment plans as indicated by patients responses and conditions Direct and supervise less skilled nursing or health care personnel or supervise a particular unit Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans Monitor all aspects of patient care, including diet and physical activity Instruct individuals, families and other groups on topics such as health education, disease prevention and childbirth, and develop health improvement programs Prepare patients for, and assist with, examinations and treatments 1 California Community Colleges, Chancellor s Office, Taxonomy of Programs, Sixth Edition (Corrected Version). 2 O*Net Online: http://online.onetcenter.org/find 5

Regional Job Outlook Projected Regional Job Outlook The table below displays 2008 employment estimates and 2018 projections for. Each of the regions of interest are expected to provide a great deal of annual job openings, however, opportunities are most numerous in Los Angeles County, followed by the Inland Empire and then Orange County. Total Estimated 2008 Jobs Total Projected 2018 Jobs Projected Growth (%) Ave. Annual New Job Openings Ave. Annual Replacement Job Openings Ave. Annual Total Job Openings State of California 236,400 297,200 60,800 (25.7%) 6,080 4,130 10,210 Inland Empire 21,380 26,550 5,170 (24.2%) 517 374 891 Los Angeles CO 61,760 79,960 18,200 (29.5%) 1,820 1,079 2,899 Orange CO 20,880 25,880 5,000 (23.9%) 500 365 865 Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited February 22, 2011). Projected Regional Job Growth The graph below shows the projected growth from 2008 to 2018 of Registered Nursing occupations. All regions of interest show growth rates above 20%. 50 % Growth 40 30 20 10 0 California Inland Empire Los Angeles County Orange County Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited February 22, 2011). 6

Regional Hourly Wages This table displays the first quarter 2010 hourly wage statistics of. Wages are high, ranging from approximately $32/hr to $43/hr, and comparable across all regions of interest. Mean Hourly Rate 25 th Percentile Median Hourly Rate 75 th Percentile State of California $41.27 $33.82 $40.22 $48.54 Inland Empire $36.78 $32.05 $36.78 $41.67 Los Angeles CO $39.34 $32.91 $38.88 $45.72 Orange CO $37.06 $31.47 $37.12 $42.86 Source: Labor Market Information Division, Employment Development Department, Occupation Profile, on the Internet at: http://www.labormarketinfo.edd.ca.gov/ (visited February 22, 2011). 7

Largest and Fastest Growing Industry Employers Largest Industry Employers of The graphs below display the 2008 staffing patterns of the ten largest industries employing Registered Nurses across the state of California. General Medical and Surgical Hospitals overwhelmingly employ the largest number of individuals in this occupation. Number of Employees 160,000 140,000 120,000 100,000 80,000 60,000 40,000 20,000 0 Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns1.asp (visited February 22, 2011). 8

Change Over Time of the Largest Industry Employers of The graphs below display projections of change over time from 2008-2018 of the largest industries employing in the state of California. Outpatient Care Centers are expected to encounter the most growth, whereas the State Government is expected to encounter the least growth. Percent Change 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns1.asp (visited February 22, 2011). Other Industries with Growth in Registered Nursing Aside from the ten largest industries that were displayed in the graphs above, are employed by additional industries with growth. The table below displays these industries along with their predicted numeric change and percent growth from 2008 to 2018. Industry Employment in California 2008 2018 Numeric Change Percent Growth Psychiatric & Substance Abuse Hospitals 3,100 3,200 100 3.22% Other Hospitals 3,100 3,600 500 16.12% Colleges and Universities 1,500 1,800 300 20.00% Community Care Facility for the Elderly 1,100 1,300 200 18.18% Other Ambulatory Health Care Services 900 1,200 300 33.33% Individual and Family Services 800 900 100 12.50% Office Administrative Services 700 1,000 300 42.86% Offices of Other Health Practitioners 400 500 100 25.00% Management & Technical Consulting Svc 300 400 100 33.33% Emergency and Other Relief Services 100 200 100 100.00% Source: Labor Market Information Division, Employment Development Department, Staffing Patterns, on the Internet at: http://www.labormarketinfo.edd.ca.gov/iomatrix/staffing-patterns1.asp (visited February 22, 2011). 9

Regional Graduation Summary Education and Training 3 There are three traditional educational pathways to becoming a registered nurse: a bachelor s of science degree in nursing (BSN), an associate s degree in nursing (ADN), and a diploma from an approved nursing program. BSN programs take about 4 years to complete, whereas AND programs take about 2 to 3 years to complete and diplomas take about 3 years to complete. Before becoming a licensed Registered Nurse in the state of California, candidates must not only complete their educational program, but must also pass the National Council for Licensure Examination (NCLEX). Generally, licensed graduates of any of these three programs qualify for entry-level positions as staff nurse. Regional Completers in Registered Nursing Programs The table below displays the number of program completers in the 2009-10 academic year at regional institutions offering a Registered Nursing program. Besides Chaffey College, there are 35 institutions offering degrees or certificates below the baccalaureate level across the four county region. Institution Name < 1 year Certificate 1 to < 2 year Certificate Award Level Associate s Degree 2 to < 4 year Certificate Chaffey College 0 0 46 -- Antelope Valley College -- -- 125 0 Cerritos College -- 0 93 -- Citrus College -- 0 40 -- College of the Canyons -- 0 126 0 College of the Desert -- -- 105 0 Copper Mountain Community College -- -- 28 0 Cypress College -- -- 92 0 East Los Angeles College -- 2 108 -- El Camino College Compton Center -- -- 47 0 El Camino Community College District -- 0 107 -- Glendale Community College 4 6 97 -- Golden West College -- 9 131 127 Loma Linda University -- -- 124 -- Long Beach City College -- -- 120 111 Los Angeles City College -- -- 49 0 Los Angeles County College of Nursing and Allied Health -- -- 124 -- Los Angeles Harbor College -- 0 102 -- Los Angeles Pierce College -- 0 51 -- 3 Bureau of Labor Statistics, United States Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, on the Internet at: http://www.bls.gov/oco/ (visited February 22, 2011). 10

Los Angeles Southwest College -- 0 43 -- Los Angeles Trade Technical College -- 0 44 -- Los Angeles Valley College -- -- 105 0 Mount St. Mary s College -- -- 97 -- Mt. San Antonio College 0 0 145 -- Mt. San Jacinto Community College District -- -- 87 -- Pasadena City College 0 125 0 -- Rio Hondo College -- -- 109 0 Riverside Community College 25 -- 171 0 Saddleback College 0 -- 111 112 San Bernardino Valley College -- 0 87 -- Santa Ana College -- 0 130 -- Santa Monica College -- 0 79 0 Victor Valley College -- -- 98 98 West Coast University Los Angeles -- -- 299 -- West Coast University Ontario -- -- 59 -- West Coast University Orange County -- -- 306 -- Total 29 142 3,685 448 Note: -- indicates that this type of degree is not offered. 0 indicates that this degree/certificate level is offered but no degrees or certificates were granted. Source: National Center for Education Statistics, U.S. Department of Education, Integrated Postsecondary Education Data System, on the Internet at: http://www.nces.ed.gov/collegenavigator/ (visited February 22, 2011) 11

Chaffey College s Performance on Core Indicators The Perkins IV Career and Technical Education Improvement Act of 2006 mandates that all state and local postsecondary institutions provide data on six core performance indicators for their career and technical education programs. These indicators are: 1) Technical Skill Attainment; 2) Completions; 3) Persistence and Transfer; 4) Employment; 5) Nontraditional Participation; and 6) Nontraditional Completion. Performance goals are set at the state and local levels and progress is monitored based on a comparison between the actual percentage of students who master each performance area and the negotiated levels of performance. 2009-2010 Chaffey College Performance on Core Indicators The table below displays negotiated and actual core performance indicator levels for all Chaffey College students classified under the Registered Nursing TOP code. Chaffey has performed above negotiated levels on 3 of the 6 core performance indicators. Core Performance Indicators Negotiated Level State District Chaffey College Performance Percent Above or Below District Negotiated Level Registered Nursing Core 1 Technical Skill Attainment 88.81% 90.54% 100.00% 9.5 Core 2 Completions- Credential, Certificate, Degree, or Transfer Ready 82.05% 82.05% 100.00% 18.0 Core 3 Persistence and Transfer 85.96% 85.96% 79.38% -6.6 Core 4 Employment 82.21% 82.21% 85.71% 3.5 Core 5a Non-traditional Participation 20.37% 20.37% 13.22% -7.2 Core 5b Non-traditional Completions 22.10% 22.42% 14.60% -7.8 Source: CA Community Colleges Reporting Services, Registered Nursing, College Core Indicator Information by 6-Digit TOP (2011-2012). 12

Map of Selected Regional Employers and Competitor Institutions General Medical and Surgical Hospitals employ 60% of in the state of California. Across all four counties of interest, there are 342 industry employers listed by the California Labor Market (202 in Los Angeles County, 83 in Orange County, 27 in Riverside County, and 30 in San Bernardino County). This map illustrates the location of each of these employers. Also included are the locations of Chaffey College and other competitor schools offering an Associate of Science degree in Registered Nursing. 13