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
2012-2022 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. http://www.bls.gov/ooh/healthcare/registerednurses.htm#tab-6 accessed April 2015.
2012-2022 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. 2014.
Licensed Practical Nurses
Actively Licensed PN Workforce 2,550 2,500 2,450 2,483 2,506 2,400 2,424 2,350 2,300 2,347 2,250 2010 2012 2014 Sept. 2015
LPN Workforce Gains and Losses Jan 2013 to Dec 2014 Jan 2011 to Dec 2012 600 500 400 300 200 100 0-100 -200-300 -400-500 468 456 59 77-409 -379 Additions to LPN Workforce: new licenses & endorsements Supply Increase or Decrease from previous 2 years Net Increase or Loss of LPNs
PN Pre-Licensure Students & Graduates 500 450 400 350 300 250 200 150 100 50 0 405 431 434 196 197 200 181 153 158 78% 92% 79% 2012 2013 2014 Total Students Enrolled Total New Graduates Total New Graduates Licensed in SD
LPNs Age 800 700 600 500 400 300 200 100 0 22.1% 20.1% 25.8% 17.9% 14.1% <26-30 31-40 41-50 51-60 61+ Average age: 46 43.7% are over 50 years 2010 2012 2014
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
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%
PN Gender 95.6% 4.4% Licensed PNs 92.9% 7.1% Student PNs
LPN Highest Academic Achievement 2014 2012 8% 4% 5% 17% 78% 88% 2010 2% 15% 83% 0% 20% 40% 60% 80% 100% Other Baccalaureate/Graduate Degree PN Diploma/AD
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
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
LPN Distribution Region 1 12.6% 14.8% % LPN population % State Population Region 2 27.2% 31.5% Region 3 16.4% 15.8% Region 4 8.1% 9.4% Region 5 Region 6 5.3% 7.2% 10.5% 9.6% Region 7 15.6% 16.0% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%
Registered Nurses
Actively Licensed RN Workforce 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 16,813 16,084 14,762 13,597 2010 2012 2014 Sept. 2015
RN Workforce Gains and Losses 2,500 2,000 1,500 1,000 500 0-500 -1,000-1,500 Jan 2013 to Dec 2014 Jan 2011 to Dec 2012 2,252 2,222 1,322 1,057-930 -1,165 Additions to RN Workforce: New Licenses and Endorsements Supply Increase or Decrease from Previous 2 years Net Increase or Loss of RNs
RN Pre-Licensure Students & Graduates 2500 2000 1796 1888 1911 1500 1000 500 1370 1152 1036 861 760779 831 736 730 557 541 576 78% 92% 79% 0 2012 Total Students Enrolled 2013 2014 Total BSN Students Total AD Students Total New Graduates Total New Graduates Licensed in SD
RNs Age 4500 4000 3500 3000 2500 2000 1500 1000 500 0 23.4% 24.1% 20.2% 18.4% 13.9% <26-30 31-40 41-50 51-60 61+ Average age: 44.4 years 43.6% are 40 years or younger 36% are 56+ years 2010 2012 2014
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
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%
RN Gender 91.4% 8.6% Licensed RNs 87.2% 12.8% Student RNs
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% 2014 2012 2010
IOM Future of Nursing Recommendation 4 Increase proportion of nurses prepared with a baccalaureate in nursing degree to 80% by 2020
IOM Future of Nursing Recommendation 4 Increase proportion of nurses prepared with a baccalaureate in nursing degree to 80% by 2020 600 Nurses Enrolled in SD s Baccalaureate Upward Mobility Programs in 2014 500 400 300 200 138 402 Number of LPNs Enrolled in Baccalaureate Nursing Programs Number of RN Students Enrolled in Baccalaureate Nursing Programs 100 0
IOM Future of Nursing Recommendation 5 Double number of nurses with a doctorate by 2020 130 120 110 100 90 80 70 60 50 40 30 Need an additional 37 to meet goal
IOM Future of Nursing Recommendation 5 Double number of nurses with a doctorate by 2020 120 100 112 80 60 40 20 0 DNP 22 PhD Number of SD nurses enrolled in doctorate programs in 2014
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
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
RN Distribution Region 1 Region 2 Region 3 Region 4 15.4% 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%
Nursing Education Faculty
Nursing Faculty Age 160 140 120 100 80 60 40 20 0 142 79 79 83 61 11 21-25 26-30 31-40 41-50 51-60 61+
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%
Faculty Age and Highest Academic Achieved 61+ 51-60 41-50 31-40 26-30 21-25 0 10 20 30 40 50 60 70 80 90 Doctorate Non-Nursing Masters Non-Nursing Baccalaureate Nursing Masters Nursing Baccalaureate Nursing Associate
Faculty Enrolled in Education Leading to Advanced Degree 35 30 25 20 15 10 5 0 32 23 2 2014 Doctoral Program Nursing Masters Program Nursing Baccalaureate Program
Advanced Practice Registered Nurses APRNs: CNM, CNP, CRNA, CNS
Actively Licensed Certified Nurse Midwives 35 30 25 20 15 10 5 23 28 32 31 0 2010 2012 2014 Sept. 2015
Actively Licensed Certified Nurse Practitioners 800 700 600 500 400 300 200 100 0 425 651 690 544 2010 2012 2014 Sept. 2015
Actively Licensed Certified Registered Nurse Anesthetists 460 440 420 400 418 440 448 380 360 382 340 2010 2012 2014 Sept. 2015
Actively Licensed Clinical Nurse Specialists 80 78 76 74 72 70 68 66 64 78 74 71 69 2010 2012 2014 Sept. 2015
APRNs Age 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 64.8% <26-30 31-40 41-50 51-60 61+ 22.6% CNM CNP CRNA CNS
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
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%
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?
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 2016. Visit www.embe.org/leadership to learn more about the program and to apply. The application deadline is October 16, 2015; space is limited so don t wait!
Thank you! The South Dakota Nursing Workforce Report is available online at www.nursing.sd.gov