selected findings from the 2005 indiana registered nurse survey report produced by: bowen research...
TRANSCRIPT
Selected Findings From the 2005 Indiana Registered Nurse Survey Report
Produced by:Bowen Research Center,
Department of Family MedicineIndiana University School of Medicine
In collaboration with the Indiana Area Health Education Centers Program
October 2007Authors:
Terrell W. Zollinger, DrPHMichael J. Przybylski, PhD
Brittany S. Sutton, MPHLinda D. Jackson, MS, RN, CCRN
Acknowledgements
The survey data and additional data elements were provided by the Indiana Professional Licensing Agency through the Indiana State
Department of Health.
The authors are grateful for the financial support received from the Indiana Area Health Education Center Program
to produce this report and to the following advisory committee members for direction and insights:
• Jonathan Barclay, MA, Indiana Health Education Center Program
• Donna Boland, PhD, RN, Indiana Nursing Workforce Development Collaborative
• S. Kim Genovese, RN, PhD(c), MSN, MSA, Nursing 2000 North
• Ernest K. Klein, RN, Indiana State Nurses Association
• Cynthia L. Stone, DrPH, RN, IU School of Nursing
• Kathy Weaver, JD, MPA, RN, Indiana State Department of Health
Introduction
• A voluntary survey instrument was attached to the 2005 Registered Nurse (RN) license renewal form.
• A total of 70,982 RNs renewed their Indiana licenses in 2005; 61,792 renewed “on-line” and were invited to complete the survey.
• 56,670 (91.8%) completed the survey, representing 79.8% of all who renewed their licenses in 2005.
• Over 85 percent of the respondents (48,435 nurses) active in a nursing position.
• Of these, 43,616 (90.1%) were practicing in Indiana.
Renewal Method, Survey Responses, and Percent Active: 1997 – 2005
1997 2001 2003 2005
Registered Nurses
Number%
TotalNumber
% Total
Number%
TotalNumber
% Total
Total Renewing 69,893 100.0 72,928 100.0 71,585 100.0 70,982 100.0
Renewed Electronically
0.0 0.0 50,969 71.2 61,792 87.1
Respondents 62,230 89.0 68,258 93.6 47,495 66.3 56,670 79.8
Survey Response 1997 - 2005
Indiana Registered Nurse Survey Databook 1997 (& 2001), Indiana Health Care Professional Development Commission.
Registered Nurses: Percent Active in Indiana: 1997 – 2005
1997 2001 2003 2005
Registered Nurses
Number % Number % Number % Number %
Total Active (% of Respondents)
48,147 77.4 54,132 79.3 39,829 83.9 48,435 85.5
Active in Indiana* (% of Active)
38,721 80.4 45,615 84.3 35,963 90.3 43,616 90.1
Nurses Active 1997 - 2005
Indiana Registered Nurse Survey Databook 1997 (& 2001), Indiana Health Care Professional Development Commission.
Figure 2.1
Age Groups of Active Registered Nurses, 2005
24 or younger 3%
25 - 34 20%
35 - 44 27%
45 - 54 34%
55 - 64 14%
65 or older 2%
Age 2005
Education 1997
Figure 2.4 Highest Nursing Degree, Registered Nurses, 1997
Diploma 21%
Associate 44.2%
Bachelor's 30.2%
Master's 4.4%
Doctorate 0.2%
Education 2005
Figure 2.6 Highest Nursing Degree, Registered Nurses, 2005
Bachelor's 36.8% Associate
44.7%
Diploma 10.7%
Doctorate 0.6% Master's
7.2%
Desired Future Nursing Degrees, Registered Nurses, 2005
Degree Number Percent
Associate 158 0.4
Bachelor's 6,821 18.1
Master's 8,740 23.1
Doctorate 1,168 3.1
Total desiring a higher degree 16,887 44.7
No higher degree desired 20,882 55.3
missing 5,392
Additional Education Desired 2005
Figure 2.7 Desired Future Nursing Degrees of Registered Nurses, 2005
Bachelor's 40%
Master's 52%
Associate 1%
Doctorate 7%
Additional Education Desired 2005
Fluency in Other Languages, Registered Nurses, 2005
Language Number Percent
Spanish 641 1.49
Filipino 256 0.59
Tagalong 214 0.50
French 157 0.36
German 156 0.36
Hindi 46 0.11
Chinese 45 0.10
Polish 44 0.10
Other 143 0.33
Total 1,702 3.94
Language Fluency 2005
More than One Paid Position as a Registered Nurse, 2005
More than One Paid Position Number
Percent
Yes 6,055 14.1
No 36,966 85.9
Missing 140
Multiple Nursing Positions 2005
Registered Nurses with Prior Work Experience, 2005:
Prior Work Experience Number Percent
Certified Nurse Aide 7,135 16.5
Nursing Assistant 12,357 28.6
Paramedic 297 0.7
Emergency Medical Technician 1,718 4.0
Licensed Practice Nurse 6,116 14.2
One or more of these 21,217 49.2
None of these 21,944 50.8
Work Prior to Nursing 2005
Figure 2.9 Years of Licensure of Registered Nurses, 2005
5-9 18%
10-14 18%
15-19 13%
30 years or more 11%
25-29 9%
20-24 11%
5 years or less 20%
Years of Nursing Licensure 2005
Key Activities by Nurses in Patient Care Settings 2005
6.5
17.6
45.9
37.9
28.7
14.1
17.1
30.4
20.5
29.4
8.5
11.1
12.7
28.8
23.2
16.2
6.9
8.3
14.3
7.9
9.6
2.7
0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0
Teaching nursing students
Continuing education/staff development
Patient education/counseling
Administrative Activities
Other
Quality assurance/utilization review
Infection control
Medication management
Consulting with agencies/ other professionals
Case management/ care coordination
Community/Public health activities
Percent Reporting
non-hospital hospital
Allen
Jay
Lake
Knox
Vigo
White
Jasper
Cass
Clay
Pike
Rush Parke
Grant
Greene
Perry
Ripley
Clark
Noble La Porte
Gibson
Porter
Wells
Posey
Elkhart
Owen
Henry Boone
Miami
Jackson
Putnam
Dubois
Shelby
Pulaski Fulton
Marion Wayne
Clinton
Sullivan
Harrison
Benton Carroll
Daviess Martin
Orange
Kosciusko
Monroe
Morgan
Madison
Marshall
Newton
Warrick
Wabash
Warren
Brown
Franklin
Adams
Starke
Spencer
Decatur
Randolph
Lawrence
Whitley
De Kalb
Fountain Hamilton
Washington
St. Joseph
Tippecanoe Tipton
Jennings
Delaware
Hendricks
Lagrange
Montgomery
Jefferson
Steuben
Howard
Johnson
Scott
Hancock
Crawford
Fayette Union
Floyd
Switzerland
Huntington
Dearborn Bartholomew
Vermillion
Ohio
Vanderburgh
Blackford
Map 5.2: Registered Nurses Practicing in Indiana 2005 Estimated Number Per 100,000 Population by County
Estimated Nurses Per 100,000
91 - 314 345 - 653 656 - 976 996 – 1193 1335 - 1632
Figure 6.2: Nurses Active in Indiana by Age Groups
0
4,000
8,000
12,000
16,000
20,000
24,000
28,000
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
30 or younger 31-44 45-54 55-64 65 and older
Nursing Trends 1997-2005: Age
Figure 6.3: Nurses Active in Indiana by Highest Degree in Nursing
0
4,000
8,000
12,000
16,000
20,000
24,000
28,000
32,000
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Diploma Associate Bachelor's Master's Doctorate
Nursing Trends 1997-2005: Education
Figure 6.5: Nurses Active in Indiana: Advanced Practical Nurses and Nursing Faculty
0
500
1,000
1,500
2,000
2,500
3,000
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Nu
mb
er
All Advanced Practical Nurses Nurse Practitioner (NP) Faculty in Nursing Programs
All APNs (trend) Nurse Practitioner (trend) Nursing Faculty (trend)
Nursing Trends 1997-2005: Advanced Practice Nurses
Conclusions• There has been an increase in the number of
licensed nurses actively practicing in Indiana • Many do not work in direct patient care positions• The nursing work force is getting older,
predicting a shortage of active nurses in Indiana – a trend also forecast in HRSA’s 2004 report
• The number of Advance Practice Nurses has increased rapidly in the past nine years
• There is a demand for obtaining higher degrees in nursing
• The number of nursing faculty has not increased over the past nine years