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Wisconsin Center for Nursing (WCN) Is Deeply Indebted to Researchers at the University of Wisconsin-Madison School of Nursing: Susan J

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Wisconsin Center for Nursing (WCN) Is Deeply Indebted to Researchers at the University of Wisconsin-Madison School of Nursing: Susan J Wisconsin 2016 RN Workforce Survey Authors: Susan J. Zahner, DrPH, MPH, RN, FAAN Barbara J. Pinekenstein, DNP, RN-BC, CPHIMS Jeffrey B. Henriques, PhD, Statistician Jessica G. Rainbow, BA, BSN, RN, Project Assistant & PhD Student Wisconsin Center www.wicenterfornursing.org for Nursing December 2016 Acknowledgements The Wisconsin 2016 RN Workforce Survey report is the result of the dedicated work and support of key individuals and partners who share a vision for an adequate, competent, and diverse nurse workforce to serve the people of Wisconsin. The Board of Directors for the Wisconsin Center for Nursing (WCN) is deeply indebted to researchers at the University of Wisconsin-Madison School of Nursing: Susan J. Zahner, DrPH, MPH, RN, FAAN; Barbara Pinekenstein, DNP, RN-BC, CPHIMS; and Jessica G. Rainbow, BA, BSN, RN, Project Assistant and PhD Student. We also wish to thank Jeffrey Henriques, PhD, University of Wisconsin-Madison, for the statistical analyses underlying this critical work. Thanks to Molly Gottfried for final formatting and editing of the report. WCN is grateful to the Wisconsin Department of Workforce Development, without whose assistance our work would not be possible. This important survey yields detailed information on the status of the workforce in Wisconsin and serves as a foundation to address predicted future nursing shortages that can impact the health care in our state. We are also grateful to the Wisconsin Department of Safety and Professional Services for making the survey accessible to the thousands of nurses in our state and to the nurses of Wisconsin for their cooperation in responding to the survey. Multiple partner organizations provided services to develop and refine the survey. In particular, the assistance of the members of the Data Collaborative of the Wisconsin Council on Medical Education and Workforce (WCMEW) was instrumental in the initial creation of the survey design. Finally, we would like to acknowledge and express our gratitude to the many schools, health systems, organizations, and policymakers who will utilize this information to advance nursing education and practice and assure the stability of the nurse workforce in our state. WCN looks forward to continued collaborative relationships for a bright future for nursing in Wisconsin. In Appreciation, Pat Keller, MSN, RN, NEA-BC President – Wisconsin Center for Nursing, Inc. ii Table of Contents Acknowledgements ............................................................................................................... ii Executive Summary .............................................................................................................. 1 Introduction ............................................................................................................... 1 Key Findings – Overall ............................................................................................. 1 Overall Implications for Practice, Education, and Policy ......................................... 2 Key Findings by State Region .................................................................................. 2 Regional Implications for Practice, Education, and Policy ...................................... 3 Key Findings Regarding Advanced Practice Registered Nurses (APRN) ................ 3 APRN Implications for Practice, Education, and Policy .......................................... 3 Key Findings Regarding Nurses in Leadership Roles .............................................. 3 Nurse Leader Implications for Practice, Education, and Policy ............................... 4 Key Findings Regarding Academic Faculty ............................................................. 4 Nurse Faculty Implications for Practice, Education, and Policy .............................. 4 Survey and Data Recommendations ......................................................................... 4 Organization of Report ......................................................................................................... 6 Section I. Introduction .......................................................................................................... 7 Data Management ..................................................................................................... 7 Limitations ................................................................................................................ 8 Section II. Wisconsin RN Workforce Demographics ........................................................... 9 Demographics of the RN Workforce ........................................................................ 9 Employment Patterns of RNs in Wisconsin .............................................................. 11 Employment Status ....................................................................................... 11 Primary Position Characteristics ................................................................... 11 Future Intentions for Employment ................................................................ 13 Specialized Clinical Knowledge Required in Primary Position ................... 14 Educational Patterns of RNs in Wisconsin ............................................................... 16 Academic Preparation ................................................................................... 16 Age at First and Subsequent Degree ............................................................. 18 Racial and Ethnic Diversity of RNs in Wisconsin .................................................... 18 Summary ................................................................................................................... 21 iii Section III. Wisconsin RN Workforce by Wisconsin Department of Health Services (DHS) Regions .................................................................................... 22 Demographics of Wisconsin RNs by Region ........................................................... 22 Employment Status of RNs Residing in Wisconsin by DHS Regions ..................... 23 Patterns of Employment in Nursing .............................................................. 26 Specialized Clinical Knowledge ................................................................... 28 Employment Status Change .......................................................................... 30 Secondary Employment ................................................................................ 32 Employment Intentions ................................................................................. 33 Future Employment Plans ............................................................................. 35 Educational Preparation of RNs in Wisconsin by Region ........................................ 36 Future Educational Plans .............................................................................. 37 Challenges to Further Education ................................................................... 38 Emergency Response Training ..................................................................... 39 Summary ................................................................................................................... 40 Section IV. Advanced Practice Registered Nurses ............................................................... 41 Demographics of APRNs in Wisconsin .................................................................... 41 Certification, Employment Status, and Age of APRNs ................................. 42 APRNs by Setting and Population ................................................................ 46 APRNs by Wisconsin DHS Regions ............................................................ 47 Certification and Employment Characteristics of APRNs by Region .......... 48 Future Work Intentions ................................................................................. 50 Summary ................................................................................................................... 51 Section V. Nurses in Leadership Roles ................................................................................. 52 Characteristics of Nurses in Leadership Roles ......................................................... 52 Leadership Roles by Work Roles and Work Settings ............................................... 54 Barriers to Leadership Roles ..................................................................................... 57 Future Work Intentions ............................................................................................. 58 Summary ................................................................................................................... 58 Section VI. Nurse Faculty ..................................................................................................... 60 Demographic Patterns among Nurse Faculty ........................................................... 60 Employment Patterns for Nurse Faculty by Setting and Region .............................. 61 iv Faculty Intentions Regarding Future Work and Education ...................................... 62 Nurse Faculty Clinical Specialty Knowledge ........................................................... 64 Summary ................................................................................................................... 65 References ............................................................................................................................. 66 Appendix A. 2016 RN Survey At a Glance
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