VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011...
-
Upload
anjali-muriel -
Category
Documents
-
view
214 -
download
0
Transcript of VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011...
![Page 1: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/1.jpg)
VT. Nurse Workforce Background Information
for theBlue Ribbon Commission on Nursing
October 6, 2011Mary Val Palumbo DNP, APRN
University of VermontAHEC Nursing Workforce Initiatives
![Page 2: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/2.jpg)
Members of the Nursing Workforce
Licensed Nursing Assistant (LNA) 6 wks
Licensed Practice Nurse (LPN) 1 yr
Registered Nurse Diploma – 3 yr ADN – 2yr
![Page 3: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/3.jpg)
Members of the Nursing WorkforceRegistered Nurse BS or BSN – 4 years
![Page 4: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/4.jpg)
Members of the Nursing Workforce – Advanced Practice
MSN – Nurse Practitioner, Nurse Anesthetist, Nurse Midwife, Administrator or EducatorDNP – Doctor of Nursing PracticePhD – Nurse Scientist/Educator
![Page 5: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/5.jpg)
Recent History
Blue Ribbon Nursing Commission January, 2001
“Vermont is in the midst of a crisis. The number of nursingstudents has declined at the same time the number of workingnurses who are retiring is increasing. The confluence of thesetwo dynamics has created unacceptably high nursing vacancyrates in hospitals, nursing homes, and home health agencies.” Vermont Association of Hospital and Health Systems
Vacancy rates has high as 19% reported in 2003
![Page 6: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/6.jpg)
![Page 7: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/7.jpg)
Recommendations of the Blue Ribbon Nursing Commission January 2001
Create an Office on Nursing Workforce Increase salaries Establish a marketing partnership and X Develop a Scholarship Program Fund a Loan Forgiveness Program Increase capacity of nursing schools Expand continuing education programs
![Page 8: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/8.jpg)
Age of RN’s Working in VT
7%6%
20%
14%
42%
24%26%
38%
7%
19%
20-30 31-40 41-50 51-60 61+
Years of Age
2001
2009
Board of Nursing Relicensure Surveys in 2001 n = 6,008 (85% response rate) 2009 n = 3,627 (54% response rate)
![Page 9: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/9.jpg)
The Nurse Age Dilemma
2%4%
7% 7%
10%14%
19%19%
12%
7%
0%
5%
10%
15%
20%
25%
30%
Employed Vermont nurses
Years of Age
2009 RN Relicensure Survey completed in March, 2009 by 3,627 VT employed nurses (54% response rate)
![Page 10: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/10.jpg)
2001- 2003 Focus on Recruitment
![Page 11: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/11.jpg)
Educational change over decade
Five Vermont schools of nursing VTC – online re-entry, LPN, ADN expandedSouthern VT college – ADN, RN to BSNUVM – BS, RN to BSN expanded, MS Castleton – ADN, new BSN, RN to BSNNorwich – BSN, MSN nursing admin/education
Plans: VTC - BSN, UVM - DNP
![Page 12: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/12.jpg)
Educational Level of Vermont Nurses
From re-licensure survey was completed in March, 2009 by 3,627 VT employed nurses (54% response rate)
• 17% completed a Diploma program in nursing• 40% completed an Associate’s Degree in nursing• 35% completed a Bachelor’s Degree in nursing• 5% completed a Master’s Degree in nursing• <1% completed a Doctoral degree
![Page 13: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/13.jpg)
129
0
50
100
150
200
250
300
350
Total RN
VTC LPN
UVM
CSC
S.VT.C
VTC AD
Norwich
Vermont Nurse Graduates1999-2011
301
169
![Page 14: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/14.jpg)
Vermont Nurse Graduate by Type/Degree 2011
BS or BSN; 23%
Asso-ciates; 41%
LPN; 36%
BS or BSNAssociatesLPN
*Does not count – RN to BSN graduates in 2011
![Page 15: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/15.jpg)
2011 RN Graduates in Vermont
BS or BSN; 35%
Associate Degree; 65%
BS or BSN
Associate Degree
VTC, CSC, SVC
UVM, Norwich
![Page 16: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/16.jpg)
17 1026
1325
7786
131
154137
147134
0
20
40
60
80
100
120
140
160
180
Applicants toGraduate NursingProgram
Applications to UVM Masters Program in Nursing 2000 to 2011
![Page 17: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/17.jpg)
21
10 612 10 7
12 8 4 3
18128
4
1
27
27
1 5
2
1
05
10152025303540455055
UVM Clinical SystemsManagement
NorwichAdministration/Educator
UVM Psych/Mental Health
UVM NP
Nursing Masters' Degrees in Vermont 1999 to 2011
![Page 18: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/18.jpg)
2005-2009 Policy Work
• In Collaboration with AHEC and other stakeholders:– Nurse Faculty
Loan Repayment– October Designated as Health Care Career
Awareness Month– Workforce Development Partners (grant and
policy work)
![Page 19: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/19.jpg)
Infrastructure to collect and analyze health care workforce data
• Office of Nursing Workforce collected 10 years of Vermont Supply and Demand data which is available at http://www.choosenursingvermont.org/
• Vermont Board of Nursing is now working with the National Council of State Boards of Nursing to collect a “Minimum Data Set” electronically with relicensure of RNs, LPNs, and APRNs.
• Office of Nursing Workforce (now AHEC)has published studies on educational determinants of satisfaction and retention, intention to leave, emergency preparedness, youth perceptions of a nursing career, nurse perceptions of their health and safety and their employers attention to same. (2004-11)
![Page 20: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/20.jpg)
Implement nurse residency programs
Vermont Nurses In Partnership, Inc. (VNIP) provides an international forum for nurse leaders from academia, regulation and various practice settings that are working to improve transition to practice for direct care providers. The forum has grown from the initial 45 Vermont-based members, to a coalition of over 500 nurse leaders from across the nation and around the world.
http://www.vnip.org/
![Page 21: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/21.jpg)
Remove scope-of-practice barriers
As of June 1, 2011, experienced nurse practitioners are no longer required to have a written “collaborative agreement” with an MD.
Scope of practice barriers remain for APRNs and RNs
![Page 22: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/22.jpg)
22
![Page 23: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/23.jpg)
Magnet Hospitals
• Southwestern Vermont Medical Center (X3)
• Rutland Regional Medical Center
• Dartmouth Hitchcock Medical Center (X2)
A hospital where nursing delivers excellent patient outcomes, where nurses have a high level of job satisfaction, and where there is a low staff nurse turnover rate and appropriate grievance resolution. Magnet status is also said to indicate nursing involvement in data collection and decision-making in patient care delivery . Segen's Medical Dictionary. © 2011
![Page 24: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/24.jpg)
New challenges for Nurses
• Vermont Blue Print for Health requires attention to health promotion and population health
• Transition to Electronic Medical Records requiring nurse input
• Health care reform and primary care provider shortage.
![Page 25: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/25.jpg)
Old Challenges
• Nursing faculty shortage• Availability of clinical
placement sites for nursing programs
• Nurse health and safety (older and younger)
• Pending retirement of half the workforce
• Interest in caring for elders
![Page 26: VT. Nurse Workforce Background Information for the Blue Ribbon Commission on Nursing October 6, 2011 Mary Val Palumbo DNP, APRN University of Vermont AHEC.](https://reader035.fdocuments.us/reader035/viewer/2022062518/56649c895503460f94943246/html5/thumbnails/26.jpg)
Why you? Why us? Why now?