N URSES IN W YOMING; D EMAND, R ETENTION, & S UPPLY Fourth Annual Nursing Summit Sheridan, Wyoming September 20, 2007 Wyoming Department of Employment.

NURSES IN WYOMING;

DEMAND, RETENTION, & SUPPLY

Fourth Annual Nursing SummitSheridan, WyomingSeptember 20, 2007

Wyoming Department of EmploymentResearch & Planning

Tom Gallagher, Manager

RESEARCH & PLANNING

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Study Structure

•Demand

•Retention

•Supply

RESEARCH & PLANNING NURSES & HEALTH CARE IN WYOMING

Study Phases• Obtain administrative databases – BON license file,

hospital discharge file – Complete

• Nurse Advisory Committee meetings May 7 and August 23

• Ambulatory Care

• Nurse Survey Completed n=466 responses, 70.1% response rate

• Facility Office Vacancy – Retention Survey, n=169, 50.1% response rate (1st mailing)

• Hospitals and Long-Term Care

• Nurse Survey Completed n=1,825 responses, 61.4% response rate (2nd mailing – 9/18/07)

• Facility Office Vacancy – Retention Survey, planned end of September

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Study Phases (Continued)• Demand Report in design

• Demand projections completed & discussed with industry

• Replacement projections in Progress

• Balance of nurses survey, collecting anecdotal evidence

• Higher education

• Facility Nurses (faculty) Survey, collecting anecdotal evidence

• Cohort retention analysis of new supply – under way

• Retention Report – to be determined

• Supply Report – to be determined

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Selected Demand Characteristics

• Population Dynamics

• Discharge Files

• Industry Growth and the demand for RNs -- Hospitals

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Number of 1992 Worker Cohort Age 16-34 Still Working in Wyoming

112,318

94,65884,247

76,87571,583 68,065

0

20,000

40,000

60,000

80,000

100,000

120,000

1992 1993 1994 1995 1996 1997

7.9%

Loss of 44,253 workers in five

years

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Number of 2000 Worker Cohort Age 16-34 Still Working in Wyoming

116,229

96,16285,572

78,899 74,719 71,102

0

20,000

40,000

60,000

80,000

100,000

120,000

2000 2001 2002 2003 2004 2005

7.6%

Loss of 45,127 workers in five

years

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Hospital Discharge

(In-Patient) Data

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Nursing Demand Projections

• Assume current policies continue into the future

• Does not assume any intervention strategies

• Assumes constant compound annual growth rate in industry employment and RN demand between beginning and end pointsIntermediate data points shown for illustrative purposes only

• RN Base period = 2006• Employment Projection period=2014• Connects jobs to number of RNs working

in Health Care• RNs assigned to primary industry (industry

paying the most $$ each quarter)• Annual averages based on quarterly

numbers

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22% 29%

The Grand Total Based on Current HR Practices

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Selected Survey Results• Ambulatory Care• Hospitals and Long-Term Care –

Preliminary

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Ambulatory Health Care – Comments

Hospitals & Long-Term Care

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"How Satisfied are you Overall?"

3.0%

13.3%

22.5%

50.3%

11.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

VeryDissatisfied

Dissatisfied NeitherDissatisfiedNor Satisfied

Satisfied Very Satisfied

Direct Patient Care Nurses OnlyHospitals & Long-Term Care

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"How Satisfied are You With Physician Interactions?"

2.4%

10.0%

25.0%

48.8%

13.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

Very Dissatisfied Dissatisfied Neither DissatisfiedNor Satisfied



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"How Satisfied are You With Your Work Schedule?"

2.2%

10.2%

18.9%

49.7%

19.1%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

50.0%

Very Dissatisfied Dissatisfied NeitherDissatisfied Nor

Satisfied



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"How Satisfied are You With Clerical Staffing Levels?"

9.6%

22.3%28.3%

31.9%

8.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Satisfied



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"How Satisfied are You With the Amount of Non-Nursing Tasks Required of You?"

9.4%

23.6%

31.9% 30.3%

4.8%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Satisfied



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"How Satisfied are You With Your Base Salary?"

6.6%

26.0%21.6%

37.0%

8.7%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Satisfied



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"How Satisfied are You With Your Involvement in Policy and Management Decisions?"

13.4%

24.6%

34.5%

23.5%

4.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

Very Dissatisfied Dissatisfied Neither DissatisfiedNor Satisfied



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"How Satisfied are You with RN Staff Levels at Your Primary Place of Employment?"

8.4%

25.9% 26.0%29.7%

9.9%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

VeryDissatisfied

Dissatisfied NeitherDissatisfied

Nor Satisfied



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"How Satisfied are You with Support From Your Nursing Administration?"

16.0%

24.0% 24.0% 25.5%

10.5%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Satisfied



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"How Satisfied are You With the Amount of Required Paperwork?"

18.5%

32.4%

25.9%

21.2%

1.9%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%


Satisfied



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Hospitals & Long-Term Care – Comments

Direct Patient Care Nurses Only


41Hospitals & Long-Term Care –

CommentsDirect Patient Care Nurses Only

Supply

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RESEARCH & PLANNING HEALTH CARE IN WYOMING

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For More Information, See the Wyoming Health Care Commission’s Website:

http://www.wyominghealthcarecommission.org

/

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http://www.wyominghealthcarecommission.org/




N URSES IN W YOMING; D EMAND, R ETENTION, & S UPPLY Fourth Annual Nursing Summit Sheridan, Wyoming September 20, 2007 Wyoming Department of Employment.

Documents

health carerns

longterm care preliminary

wyoming demand

longterm carenurse survey

ambulatory carenurse

rn demand

industry employment

number of rns