Nursing Workforce 2014 Discussion

FAST FACTS The Nursing Workforce 2014: Growth, Salaries, Education, Demographics & Trends RN Job Growth Rate (new and replacement)–By State/Region, 2012-2022)  14 states project an annual growth rate of 20% or more, with 8 in the West and Texas (TX, UT, AZ, CO, ID, AK, MT, WA).  30 states are projected to have annual growth rates of 15 percent or more (38 states when including those whose latest figures are 2010-2020).  10 states are projected to account for half of the job growth: TX, CA, FL, NY, PA, OH, NC, IL, MI, MA. Source: U.S. Dept. of Labor, Bureau of Labor Statistics Note: KY, ME, MI, NC, RI, TX, WI, WV had figures available only for 2010-2020 Overall New Job Growth and Replacement Needs (2012-2022)*  Nurse employment to increase from 2.86 million to 3.44 million jobs (20.2%)  Projected number of new RN jobs: 574,400.  Current RNs projected to retire/leave labor force: 555,100.

 Total number of new RNs needed (new jobs and replacements): 1.13 million *Figures include RNs and advanced practice registered nurses (APRNs). Source: U.S. Dept. of Labor, Bureau of Labor Statistics Median RN Salaries (Median means half of RNs are above, half below) National median salary for RNs (2013): $66,200 The highest median salaries are in the Northeast and West. Of the 17 states (and Washington, DC) with salaries above the national median ($66,200), 9 were West (CA, HI, AK, OR, NV, WA, AZ, CO, TX) and 8 were Northeast (MA, NJ, DC, CT, NY, RI, MD, DE). 10 states with the lowest median salaries (lowest first): SD, IA, WV, AL, MS, AR, ND, NE, KS, TN. Source: U.S. Dept. of Labor, Bureau of Labor Statistics Aug-14 1 Average (Mean) RN and APRN Salaries  Registered nurses: $68,910  Nurse practitioners: $95,070 Nursing Workforce 2014 Discussion

 All advanced practice registered nurses: $109,352  Nursing instructors and teachers, post-secondary: $70,200 Source: Bureau of Labor Statistics, Occupational Employment Statistics RN Median Salaries in Top 50 Metro Areas  The top 5 highest salaries are in California  The highest salary (San Francisco, $131,800) is two times or more higher than the bottom 25 areas  19 of the top 20 areas are in the West (including Houston) or Northeast.  Of the bottom 25 areas, 13 are in the South and 9 are in the Midwest/Central (including KY, OK).  7 East Coast metro areas rank in the top 20 (Boston, New York, Hartford, Washington, DC, Providence, Baltimore, Philadelphia).  The 10 largest metro areas (in order) do not reflect highest median salaries: 1. New York (7th highest salary) 6. Philadelphia (16th) 2. Los Angeles (4th) 7. Washington, DC (14th) 3. Chicago (21st) 8. Miami (45th) 4. Dallas (22nd) 9. Atlanta (27th) 5. Houston (12th) 10.Boston (6th) Source: U.S. Dept. of Bureau of Labor Statistics Occupations with the most annual openings (2012-2022)  RN ranks first of all occupations requiring at least an associate’s degree for entry: 105,260. (Only two others are projected to increase more than 10,000 per year: pre-school teachers, dental hygienists.) Source: U.S. Dept. of Bureau of Labor Statistics Occupations with the largest employment

 For all education levels, RNs rank 5th (2012): 2.8 million. Source: U.S. Dept. of Bureau of Labor Statistics Highest Concentration of RNs per 100,000 Population, in order  22 states and Washington, DC have more than 1 nurse for every 100 people. The 15 states with highest concentration, in order: SD, MA, NE, ME, RI, DE, ND, MT, PA, IA, OH, MN, WI, MO, TN. Aug-14 2  Of the 17 states with the lowest concentration (less than 0.9 per 100 residents), 13 are Mountain/West and Texas: (CO, WA, OR, AK, AZ, NM, WY, TX, CA, NV, HI, UT, ID) Source: Health Resources and Services Administration, The U.S. Nursing Workforce: Trends in Supply and Education Rural/Urban RNs  445,000 RNs (15.7% of RNs) live in rural areas. (17% of the U.S. population lives in rural areas).  Per 100 residents, the U.S. has 0.85 RNs in rural areas and 0.93 RNs in urban areas.  Urban RNs have higher levels of education compared to rural RNs.

Urban: 46.6% have a bachelor’s, 11.4% a master’s or doctoral degree. Rural: 33.9% and 6.8%, respectively. Source: Health Resources and Services Administration, The U.S. Nursing Workforce: Trends in Supply and Education Age  Average: 50  Percentage of working nurses over age 50: 53 percent Source: The National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers 2013 National Workforce Survey of RNs Percentage of Nurses Under Age 40 1980 54% 1992 44.8% 2000 31.7% 2004 26.6% 2008 29.5% Source: Health Resources and Services Administration, National Sample Survey of RNs Gender  Percentage of nurses licensed between 2010 and 2013 who were male: 11 percent Aug-14 3  Percentage of nurses licensed before 2000 who were male: 5 percent Source: The National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers 2013 National Workforce Survey of RNs.  Percentage of male nurses: 9 percent  Increase in proportion of males in the RN Workforce, 2000-2010: 12.5% Source: Health Resources and Services Administration, The U.S. Nursing Workforce: Trends in Supply and Education Nursing Education Licensure Since 2000 – Average number passing exam annually  2010-2013 (4 years): 143,809 o  2005-2009 (5 years): 117,141 o  Average annual increase from 2005-2009: 22.8% Average annual increase from 2000-2004: 58.3% 2000-2004 (5 years): 74,021 Source: National Council of State Boards of Nursing Nursing Schools  Job offers at time of graduation for nurses earning a bachelor’s (BSN) degree: 59% o  For nursing maste r’s degree graduates: 67% New BSN graduates employed in nursing 4-to-6 months after graduation: 89%  Nursing Workforce 2014 Discussion

 RN job offers at graduation by region:  South: 68%  Midwest: 59%  Northeast: 50%  West: 47% Job offer at time of graduation for new college graduates, all professions: 29.3% Source: American Association of Colleges of Nursing Hiring Preferences for Nursing School Graduates  Require new hires to have a minimum of a bachelor’s degree (BSN): 43.7% of hospitals and other healthcare settings Aug-14 4  Express strong preference for BSN graduates: 78.6% Nursing Workforce 2014 Discussion

Source: American Association of Colleges of Nursing Nursing Education – Institute of Medicine Goal:  80% of RNs to hold a bachelor’s degree or higher by 2020 Source: Institute of Medicine, “The Future of Nursing”  Currently, 55% of the RN workforce holds a bachelor’s or higher Source: Health Resources and Services Administration, The U.S. Nursing Workforce: Trends in Supply and Education Nursing School Capacity/Faculty Shortage  Qualified applicants turned away from nursing baccalaureate and graduate programs (2012): 79,659  National nurse faculty vacancy rate (2013): 8.3 percent  Percentage of full-time nursing faculty age 50 and over: 72 percent (Source: NCSBN 2013 National Workforce Survey of RNs)  Average age of doctorally-prepared nurse faculty holding title of “professor” (2013): 61.3  Average age of master’s degree-prepared nNursing Workforce 2014 Discussion