A Presentation of the Colorado Health Institute 1576 Sherman Street, Suite 300 Denver, Colorado 80203- 1728 www.coloradohealthinstitu te.org 2007-08 Colorado LPN Workforce Survey Survey Findings October 1, 2009 Christine Demont- Heinrich, MPH
Feb 22, 2016
A Presentation of the Colorado Health Institute1576 Sherman Street, Suite 300Denver, Colorado 80203-1728www.coloradohealthinstitute.org
2007-08 Colorado LPN Workforce Survey
Survey Findings
October 1, 2009Christine Demont-Heinrich, MPH
Thanks to the following for their assistance in designing, analyzing and funding the survey…
• The Colorado Trust• The Joffit Group• Key Informants
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Survey methods
• 2,500 surveys were mailed to a randomly selected sample of active licensed LPNs in late November 2007– 107 surveys undeliverable– 2,393 surveys delivered– 1,002 LPNs completed a survey (42%
response rate)• Data were cleaned and weighted to
represent 9,719 active licensed LPNs in Colorado
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Profile of Colorado LPNs [next 4 slides]
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Age demographics of licensed Colorado LPNs, 2007-08
Age group LPNs
2008 Colorado
workforce*
34 years or younger 15.9% 35.8%35-44 years 20.0% 23.2%45-54 years 34.1% 23.7%55-64 years 25.3% 13.7%65 years or older 4.7% 3.5%
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*Includes workers 19 years or olderSOURCES: CHI 2007-08 Colorado LPN Workforce Survey, Q31;U.S. Census Bureau
Gender and race/ethnicity of licensed Colorado LPNs, 2007-08
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Demographic characteristic
LPNs
2008 Colorado populatio
nFemale 89.2% 49.6%Male 10.8% 50.4%White, non-Hispanic 81.8% 71.1%Hispanic 8.0% 19.9%Black, non-Hispanic 4.8% 4.2%American Indian/Alaskan Native
1.2% 0.1%
Asian/Pacific Islander 2.0% 2.8%Multi-racial/multi-ethnic
2.2% 1.9%SOURCES: CHI 2007-08 Colorado LPN Workforce Survey, Q32 and Q33;U.S. Census Bureau
Geographic profile of licensed Colorado LPNs, 2007-08
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Geographic characteristic LPNsBorn in the United States 94.4%Born in a foreign country 5.6%Grew up in a rural community
48.6%
Live in a rural community 21.1%Work in a rural community 23.5%Grew up in and work in rural community
13.6%
Grew up in urban community and work in rural community
5.6%SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q19, Q29, Q30, Q35
First employer after graduation compared to current employer, 07-08
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Type of employerFirst
employer (N=9,157)
Current employer
(N=6,285)Nursing home 35.6% 36.7%Hospital 43.9% 15.8%Rehabilitation facility 1.6% 2.7%Home health agency 1.9% 5.2%Behavioral health facility 1.8% 3.7%Public health/Community health 0.5% 1.2%Clinic or physician office 7.5% 17.0%School-based health center 0.2% 0.5%Did not work as LPN after training program
0.7% -
I have never worked as an LPN 0.7% --SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q7, Q18
Rating of Educational Experience
[next 6 slides]
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Location of LPN classroom instruction
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Classroom location PercentTraditional campus 67.4%Hospital-based nursing program
15.9%
On-site program at place of employment other than hospital
0.6%
Other* 16.1%*Other classroom locations include: military base, technical school, vocational school, etc.SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q1e
Colorado schools or programs where LPNs received LPN diploma*
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School Percent attendedEmily Griffith Opportunity School 15.6%Front Range Community College 7.7%Pueblo Community College 7.6%Concorde Career College 7.0%Pickens Technical College 5.9%Northeastern Junior College 4.9%Trinidad State Junior College 4.0%Pikes Peak Community College 4.0%Delta-Montrose Technical College 4.0%Community College of Denver 3.9%Otero Junior College 3.8%Other (less than 3% attended the program/school)
31.6%
*61 percent of LPNs received their LPN education in Colorado.SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q1
Location where LPNs received most of their clinical training
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*Other clinical locations included: training in both hospital/nursing home or both urban/rural locations, correctional facility, military hospital.
Clinical location PercentUrban hospital 51.8%Rural hospital 27.5%Urban nursing home 9.8%Rural nursing home 5.0%Other* 6.0%
SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q3
Rating of preparation for first LPN position by graduation year
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YearPositive rating
(4 or 5)*1950-69 85.5%1970-79 77.6%1980-89 79.8%1990-99 67.0%2000-07 63.9%OVERALL
72.8%
SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q1c, Q2, Q5
*Using a scale of 1-5, 1 represents Inadequate and 5 represents Most Adequate
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Rating of classroom instruction of LPN education program
Highest ranked content for classroom instruction
Positive rating
(4 or 5)*Providing patient care fundamentals such as bathing, personal care, transferring, catheter care, etc.
92.3%
Administration of medications and treatments
89.6%
Decision-making within the LPN scope of practice
77.5%
Lowest ranked content for classroom instruction
Positive rating
(4 or 5)*Caring for persons with physical disabilities 55.7%Caring for persons with dementia and other mental impairments
50.6%
Caring for persons with behavioral health problems
39.8%
*Using a scale of 1-5, 1 represents Inadequate and 5 represents Most AdequateSOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q2
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Rating of clinical instruction of LPN education program
Highest ranked content for clinical instruction
Positive rating
(4 or 5)*Providing patient care fundamentals such as bathing, personal care, transferring, catheter care, etc.
91.8%
Administration of medications and treatments
88.8%
Caring for the elderly 74.9%
Lowest ranked content for clinical instruction
Positive rating (4 or
5)*Caring for persons with physical disabilities 57.8%Caring for persons with dementia and other mental impairments
55.0%
Caring for persons with behavioral health problems
45.4%
*Using a scale of 1-5, 1 represents Inadequate and 5 represents Most AdequateSOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q5
Educational Pursuits[next 3 slides]
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LPN educational pursuits,
2007-08
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Educational pursuits PercentCurrently enrolled in RN program 15.0%Plan to pursue an RN education if not currently enrolled
37.1%
Enrolled in another type of educational program
4.6%
SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q10-12
Characteristics of LPNs enrolled and not enrolled in RN program, 2007-08
18SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q10, Q18, Q31
LPN Characteristics Enrolled in RN program (N=934)
Not enrolled in RN program
(N=5,294)Primary Employer Nursing home 37.7% 37.4% Hospital 34.4% 1.3% Clinic or Physician office
9.7% 18.9%
Other 18.2% 31.4%Current Age 20-39 51.2% 22.5% 40-49 34.7% 25.4% 50-59 1.1% 36.6% 60 or older 0.0% 15.6%
Important reasons of LPNs not pursuing additional education*
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SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q13
Reasons** PercentCannot afford the cost 63.0%Other time commitments that take priority
56.8%
Satisfied with current work and do not need additional education or training
46.2%
No training program close to where I live 19.3%*Percentage of LPNs who rated these reasons a 4 or 5 indicating “important” or “very important”**Other reasons included: retiring soon, too old to go back to school, waiting list too long, program requirements
Recruitment and Retention[next 4 slides]
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LPN workplace incentives, 2007-08
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Most common workplace incentives PercentFlexible work schedule 49.9%Tuition reimbursement 21.9%Signing bonus 9.9%Student loan forgiveness 1.9%Rank order of highest importance* PercentFlexible work schedule 89.9%Tuition reimbursement 72.0%Signing bonus 61.9%Student loan forgiveness 56.0%
*Percentage of LPNs who rated these reasons a 4 or 5 indicating “important” or “very important”SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q27, Q28
LPN wages earned by employment setting, 2007-08
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SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q18, Q21
Employment setting
Nursing home
Hospital Clinic/physician
office
Other*
Up to $15/hr 2.2% 13.8% 18.4% 4.9%$15.01 - $20/hr
32.7% 47.0% 57.6% 49.2%
$20.01-$25/hr 53.4% 38.8% 20.0% 36.8%More than $25/hr
11.7% 0.4% 4.0% 9.1%*Other included corrections, assisted-living facilities, behavioral health.
Top 5 reasons of LPNs not working in a clinical position*
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Reason Percent**
Wages insufficient given the workload and responsibility
57.1%
Too much stress on the job 55.9%Did not feel respected in the work performed 53.3%Insufficient benefits (e.g. sick leave, health insurance)
43.0%
Hours too long 40.7%SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q16
*28 percent of LPNs reported not being employed in a clinical position**Percentage of LPNs who rated these reasons a 4 or 5 indicating “very important”
Top 5 reasons of LPNs planning to leave their employer in next 12 months*
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*24 percent of LPNs reported that they plan to leave their current employer within the next 12 months**Percentage of LPNs who rated these reasons a 4 or 5 indicating “very important”SOURCE: CHI 2007-08 Colorado LPN Workforce Survey, Q26
Reason Percent**
Too much stress on the job 70.1%The wages are insufficient given the workload and responsibility 69.2%I do not feel respected in the work I do as an LPN 66.2%Insufficient benefits (e.g. sick leave, health insurance)
52.0%
I am pursuing more education 46.4%
Full report available
• Colorado Health Institute website• Publications: 2007-08 Colorado
Licensed Practical Nurse Workforce Survey
• http://www.coloradohealthinstitute.org/Documents/workforce/2007_LPN_findings.pdf
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Questions and CommentsContact:Christine Demont-Heinrich303.831.4200 x 223demontheinrichc@ColoradoHealthInstitute.orgwww.ColoradoHealthInstitute.org
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