Title VIII Nursing Workforce

Development Programs

Strengthening the Nursing Workforce for

over 40 Years

Juliann G. Sebastian, PhD, RN, FAAN

Dean and Professor

College of Nursing

University of Missouri-St. Louis

Health Professions and Nursing Education Coalition Briefing

March 23, 2011

An Aging Nursing

Workforce

An Aging Population

Increased Healthcare Consumers

Creating a Demand for RNs

Demand for Nursing Care

The Current Landscape of Nursing

Education

153,785

167,786

193,781

214,376241,021

261,082

278,453

301,021

337,190

41,879 43,961 49,118 56,18665,099 72,304

80,334 87,017

97,115

5,28328,552 32,797 41,683 42,866 40,285 49,948 54,991 67,563

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

2002 2003 2004 2005 2006 2007 2008 2009 2010

Enrollments in Baccalaureate and Graduate Nursing Programs

Graduations in Baccalaureate and Graduate Nursing Programs

Qualified Students Turned Away from Baccalaureate and Graduate Nursing Programs (Applications)

Barriers to Increasing Nursing School

Capacity

Nursing Faculty

Shortage

Budget Constraints

Lack of Clinical Sites

Insufficient Classroom

Space

Barriers to Increasing Nursing School

Capacity

Lack of DoctorallyPrepared Faculty

PendingFaculty

RetirementsCompensation

Contributing Factors of the Nursing Faculty

Shortage

Creating a Nursing Climate Shift: IOM

Future of Nursing Report

Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.

Increasing the number of nurses with baccalaureate degrees from 50% to 80% by 2020 and encouraging nurses with associate degrees and diplomas to enter baccalaureate programs within five years of graduation.

Doubling the number of nurses with a doctorate by 2020.

Moving to have at least 10% of baccalaureate program graduates enter master’s or doctoral degree programs within five years of graduation.

Title VIII’s History

1963-Surgeon General’s report “Toward Quality in

Nursing, Needs and Goals.”

Nurse Training Act (NTA) of 1964 (P.L. 88-581)

Authorized $238 million. (Current funding $243.872 million)

Appropriated $9.92 million in its first year

“On signing the act, President Johnson observed that the Nurse Training Act of 1964 was the most significant nursing legislation in the history of the country.”

Historical Funding for Title VIII

Historical Funding for Title VIII Nursing Workforce Development Programs

FY 1964-2009 Adjusted for Inflation

(in millions)

$0

$100,000,000

$200,000,000

$300,000,000

$400,000,000

$500,000,000

$600,000,000

$700,000,000

$800,000,000

$900,000,000

Ye

ar

19

64

19

65

19

66

19

67

19

68

19

69

19

70

19

71

19

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19

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19

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19

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19

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19

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19

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19

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89

19

90

19

91

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20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

Actual CPI Adjusted for 2009

Source: Health Resources and Services Administration (HRSA), Division of Nursing, 2009 & U. S.

Bureau of Labor Statistics, Inflation Calculator, 2009

Nursing Student Demand for Title VIII

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0%

Federal Loans

Private Loans

Personal Income

Family Income

Other

73.0%

30.3%

46.6%

31.2%

18.7%

62.6%

21.2%

44.6%

15.8%

15.5%

40.8%

9.2%

30.5%

9.6%

11.0%

How Nursing Students Pay for Their Education

Doctoral, n=446 Masters, n=831 Undergraduate, n=1034

An Overview of the Programs Advanced Nursing Education Grants

Advanced Nursing Education Traineeships

Nurse Anesthetist Traineeships

Workforce Diversity Grants

Nurse Education, Practice, Quality, and Retention Grants

Nursing Student Loan Program

Nurse Loan Repayment and Scholarship Programs

Nurse Faculty Loan Program

Comprehensive Geriatric Education Grants

Monetary Support Levels Reported by Title

VIII Recipients

1.8%

3.8%

14.9%

45.1%

16.1%

5.6% 5.1%3.2% 2.1%

2.5%

Top Career Aspirations of Title VIII Students

1) Become a nurse faculty member

2) Become a nurse practitioner

3) Become a certified registered nurse anesthetist

4) Practice in a large urban hospital

5) Establish their own nursing practice

6) Practice in a rural or underserved community

7) Become a nurse researcher

8) Practice in a community hospital

9) Become a nursing leader

10) Practice as a public health nurse

Title VIII Recipients

Sara Crowe

Master’s Nursing Student, Samford University School of Nursing

Recipient of the Nurse Anesthesia Traineeship

“Thank you for this funding opportunity... In many counties in

Alabama, we are the ONLY anesthesia provider to the public!”

Sandra Perez

Master’s Nursing Student, William Patterson University

Recipient of the Advanced Nursing Education (ANE) Traineeship

“I am grateful for the aid I receive.

It recognizes my hard work and allows me to get one day closer

to practice in the profession that I love.”

Title VIII Recipients

Conrad Gjovik

Bachelor’s of Science in Nursing (BSN) Student, University of

North Dakota

Recipient of the Nursing Student Loan Program

“Without this funding, my placement and progression in this

program may not have allowed me to return to a rural area in

North Dakota where I plan on serving its population.”

Kathleen Steele

Registered Nurse to Bachelor’s of Science in Nursing Student,

Washington State University– Vancouver

Recipient of the Nursing Student Loan Program

“I have always looked at nursing as a calling to serve

wherever I am most needed. This funding has made it possible

for me to complete her bachelor’s of science nursing degree

and I hope to inspire other registered nurses to pursue their

bachelor degree as well.”