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The State of Indiana’s Nursing Workforce. Rural Health Association Conference January 18, 2011 Kimberly J. Harper, MS, RN Interim Executive Director, Nursing 2000. Responsible for the administration of the National Nursing Data Set Facilitates solutions to statewide nursing workforce issues

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The state of indiana s nursing workforce

The State of Indiana’s Nursing Workforce

Rural Health Association Conference

January 18, 2011

Kimberly J. Harper, MS, RN

Interim Executive Director, Nursing 2000


About inwdc

About INWDC


About inwdc1

  • Developed a “One Voice” statewide consensus statement on nursing faculty being the bottleneck to the nursing shortage in helping to shape the dialogue associated with workforce issues

  • Accepted for membership in the National Centers for Nursing Workforce—recognized voice at the national nursing workforce table-increasing national visibility

  • Building strong partnerships with statewide impact-visibility and viability

About INWDC


About inwdc2

  • Maintains a website for facilitation of communication of nursing workforce shortage issues and workforce information

  • Hosts annual statewide nursing summits focused on nursing workforce issues facing Indiana

  • Informs the public on nursing workforce issues—providing nursing workforce information related to impending nursing shortage and the faculty shortage

About INWDC


Inwdc activities

  • Education nursing workforce shortage issues and workforce information

    • Sixth year of collection of statewide nursing data on admission, graduations, diversity, faculty needs, faculty salaries, education-practice partnerships

  • Supply

    • Work with the ISNA, ISBN, INSDH and AHEC in modifying the RN Licensure Survey and analysis of results

INWDC Activities


Inwdc activities1

  • Demand nursing workforce shortage issues and workforce information

    • Acute Care Data – IHA

    • Long Term Care Data – working on a process to collect

      NOTE: Biggest challenge is projecting the impact of healthcare changes on the nursing workforce

INWDC Activities


Nursing workforce concerns

Nursing Workforce Concerns


Short view of the shortage

Short View of the Shortage

(P. Buerhaus & V. Potter, The Future of the Nursing Workforce in the United States; New Data, New Trends & New Implications 2009)


Long view of the shortage

  • There is and will continue to be a nursing shortage – largest increase in 30 years!

  • 55% of nurses surveyed responded intention to retire between 2011 and 2020

  • The need is anticipated to exceed demand beginning 2015

  • By 2025 we will need to have increased enrollments by 40% in order to meet the projected deficit

Long View of the Shortage

(P. Buerhaus & V. Potter, The Future of the Nursing Workforce in the United States; New Data, New Trends & New Implications 2009)


Indiana s nursing pipeline

Indiana’s Nursing Pipeline


The bottleneck qualified nurse educators

The BottleneckQualified Nurse Educators


Today s challenges

  • Not enough qualified faculty to fill faculty positions degree

    • Fall 2009 Vacancies

      • 38 Full time positions

      • 8 Part time positions

    • Fall 2010 Projected Vacancies

      • 54 Full time positions

      • 19 Part time positions

  • Lack of faculty positions

  • Lack of clinical site availability (46% of respondents)

Today’s Challenges


Proposed actions to increase the number of nurse educators

  • Address salary inequity issues degree

    • Nursing educator salaries are usually 25 to 100% less than that of advanced practice nurses or chief nursing officers

  • Strategies to support nurses returning to graduate programs

    • Cost of education ranges from $25,000 - $50,000

    • Often leave or are absent from a $60,000-$80,000 position

  • Incentives to encourage younger nurses to pursue the nurse educator role

    • Approximately 34% of Indiana’s full-time nurse educators are 56 years and older

    • Approximately 1% of Indiana’s full-time nurse educators are 30 years and under

  • Proposed Actions to Increase the Number of Nurse Educators


    Next steps

  • Inform and support legislation at the state and national levels related to nursing workforce issues

    • Important work of the RWJ sponsored work of the IOM

  • Engage all regions of the state in speaking as a strong unified voice regarding the nurse faculty shortage issue

  • Continue to communicate the issues and build partnerships across the state and nation

  • Next Steps


    What will it take

    • Investment in quality educational graduate and undergraduate programs and faculty

    • Enticing the brightest and best within and outside of the state into a nursing career

    • Healthcare institutions that promote and support the education and advancement of nursing practice

    • Action plans for succession of an aging nursing workforce

    • Partnerships that are actively engaged in the education of nurses

    • Statewide reputation for high standards of safe and effective patient care

    What Will It Take?


    Priorities for nursing workforce development in indiana

    • Collect, analyze, distribute and interpret trends related to the national data set

    • Develop regional partnerships that unify nurses in speaking with “ONE VOICE” to nursing workforce issues

    • Establish a state “CENTER FOR NURSING” with resources sufficient to provide leadership in the exploration of issues and solutions related to the Hoosier nursing workforce

    Priorities for Nursing Workforce Development in Indiana


    Ultimate goal

    Make Indiana a magnet state for nursing practice the national data set

    providing quality care to all our Hoosier citizens!

    Please help us!

    www.INWDC.org

    Ultimate Goal


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