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Iowa Health System 2011 Leadership Symposium April 19, 2011. Preparing America’s Nursing Workforce for the Future: Opportunities and Controversies Presented by : Jerry Durham, PhD, RN, FAAN Chancellor and Professor of Nursing Allen College Waterloo, Iowa. Facts About the RN Workforce.
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The number of licensed registered nurses (RNs) in the United States grew to a new high of almost 3.1 million between 2004 and 2008--an increase of 5.3% or 153,806 RNs.
Between 2004 and 2008 in the U.S.
Initial Educational Preparation in Nursing
In 2008, 0.4 percent of RNs had entered the profession with a master’s degree in nursing and 0.03 percent had entered with a doctoral degree.
RN’s with master’s or doctoral degree in nursing or related field
Nearly 45 percent of RNs were 50 years of age or older in 2008, a dramatic increase.
Estimated RNs Per 100,000 Population
in the U.S.
(In Iowa in 2009, there were 1,022 RNs per 100,000 population.)
State’s New RN’s
630+ RN to BSN programs available
630 RN to BSN Programs
160 RN to MSN Programs
Four Types of Advanced Practice Nurses
Clinical Nurses Specialist
Certified Nurse Midwife
Number of Nurse Practitioners in 2009:
United States: 157,782
Iowa: 1,265 (0.8% of U.S. total NPs)
Total Nurse Practitioners per 100,000 Population, 2009
United States: 51
American Association of Nurse Anesthetists (AANA) Council on Accreditation will not accredit new master’s programs for nurse anesthesia after 2015.
Mandates that all CRNA programs transition to the practice doctorate (“Doctor of Nurse Anesthesia Practice”) by 2022.
All new CRNA graduates must hold a practice doctorate by 2025 to be eligible for certification.
The Nurse Practitioner Coalition Statement
Seven nurse practitioner organizations (AANP, ACNP, AFPNP, NCGNP, NONPF, NPWH, NPNP) support the DNP:
“the DNP degree more accurately reflects current clinical competencies and includes preparation for the changing healthcare system.”
National Organization of Nurse Practitioner Faculties
Endorsed the DNP and developed competencies for NP practice at the doctoral level.
National Association of Clinical Nurse Specialists Neutral position on the DNP; has developed DNP level competencies for CNS graduates.
American College of Nurse Midwives
Recognizes the DNP as an option for some midwifery programs.