Nursing Trends (1)

8/8/2019 Nursing Trends (1)

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Center for Health Workforce Planning 1

Center for Health Workforce PlanningBureau of Health Care Access

Iowa Department of Public Health

Trends in NursingSupply and Education

January 2006

Data source: Iowa Board of Nursing


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TABLE OF CONTENTS

ChartNumber Chart Title

PageNumber

SECTION 1: NURSING SUPPLY

1Number of Actively Licensed Registered Nurses and Licensed PracticalNurses in Iowa (1986-2005) 3

2 Number of Actively Licensed RNs in Iowa (1986-2005) 43 Number of Actively Licensed LPNs in Iowa (1986-2005) 44 Iowa RN Population by Age Comparison of 2001, 2003 & 2005 55 Iowa RN Population by Age Percent Comparison of 2001, 2003 & 2005 66 Iowa LPN Population by Age Comparison of 2001, 2003 & 2005 77 Iowa LPN Population by Age Percent Comparison of 2001, 2003 & 2005 88 Basic RN Education in Iowa (1986-2005) 99 Number of Advanced Registered Nurse Practitioners in Iowa (1986-2005) 9

10 Highest Degree Held by Actively Licensed RNs in Iowa (1986-2005) 10

11RN and LPN Graduates of Iowa Nursing Education Pre-licensure Programs(1986-2005) 11

12 Active Nurse Population Iowa Residence (1986-2005) 12

13 Percent Passing National Licensure Examination Among First-TimeTesters (Graduates of Iowa Nursing Programs) (1992-2005) 12

14 Number of Licenses Renewed (1986-2005) 13SECTION 2: NURSING EDUCATION

Nursing Education Programs15 Number of Nursing Education Programs by Type (1986-2005) 14

Admission Data16 Admission Trends Graduate Nursing Programs 1417 Admission Trends All Non-Degree Certificate Nursing Programs 15

18 Admission Trends Pre-licensure Nursing Programs 1519 Admission Trends Practical Nursing Programs 16

Enrollment Data20 Enrollment Trends Graduate Nursing Programs 1721 Enrollment Trends Post-Masters Certificate Nursing Programs 1722 Enrollment Trends RN Nursing Programs 1823 Enrollment Trends Practical Nursing Programs 19

Graduation Data24 Graduation Trends Graduate Nursing Programs 2025 Graduation Trends Post-Masters Certificate Nursing Programs 2026 Graduation Trends RN Nursing Programs 21

27 Graduation Trends Practical Nursing Programs 22


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SECTION 1: NURSING SUPPLY

The following charts were prepared using Iowa Board of Nursing annual reports from 1986 to2005. The graphs illustrate trends and provide a basis of comparison for Registered Nurse (RN)and Licensed Practical Nurse (LPN) Iowa data with national projections. The tables wereprepared by the Iowa Department of Public Health, Center for Health Workforce Planning.

Note: In Iowa, nurses may hold RN and LPN licensures concurrently. On November 1, 2005, 1,047 individuals residing in Iowa held both active RN and LPN licensure. For this reason, the categories arenot mutually exclusive on the following charts.

Chart 1

N u m b e r o f A c t iv e ly L ic e n s e d R e g is t e r e d N u r s e sa n d L ic e n s e d P r a c t ic a l N u r s e s in Io w a

1 9 8 6 - 2 0 0 5

05 ,0 0 0

1 0 ,0 0 01 5 ,0 0 02 0 ,0 0 02 5 ,0 0 03 0 ,0 0 03 5 ,0 0 04 0 ,0 0 04 5 ,0 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

N u m b e r R N (a c t ive ) N u m b e r L P N (a c t ive )

The number of active RNs shows a slight, steady increase since 1986. The number of activeLPNs has been relatively steady with only minor fluctuations.

Note: The Nurse Licensure Compact became effective in Iowa on July 1, 2000. For information about the multi-state licensure compact, contact the Iowa Board of Nursing at www.state.ia.us/nursing.


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Chart 2

N u m b e r o f A c t iv e ly L ic e n s e d R N s in Io w a1 9 8 6 - 2 0 0 5

2 8 ,0 0 0

3 0 ,0 0 0

3 2 ,0 0 0

3 4 ,0 0 0

3 6 ,0 0 0

3 8 ,0 0 0

4 0 ,0 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

N u m b e r R N (a c ti v e )

The number of active RNs in Iowa increased from 29,649 in 1986 to 39,423 in 2005. The trendreflects a steady increase until 2000. Between 2000 and 2003, there was a net loss of 748 RNs.The number of RNs increased by 959 between 2004 and 2005.

Chart 3

N u m b e r o f A c t iv e ly L i c e n s e d L P N s in I o w a1 9 8 6 - 2 0 0 5

8 ,8 0 09 ,0 0 09 ,2 0 09 ,4 0 09 ,6 0 09 ,8 0 0

1 0 ,0 0 01 0 ,2 0 01 0 ,4 0 01 0 ,6 0 01 0 ,8 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

N u m b e r L P N ( a c ti v e )

The number of active LPNs in Iowa increased from 10,435 in 1986 to 10,588 in 2005, a net gainof 153. The number of LPNs increased by 495 between 2004 and 2005.


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Chart 4

Io w a R N P o p u la t io n b y A g eC o m p a r is o n o f 2 0 0 1 , 2 0 0 3 & 2 0 0 5

0

2 ,0 0 0

4 ,0 0 0

6 ,0 0 0

8 ,0 0 0

1 0 ,0 0 0

1 2 ,0 0 0

1 4 ,0 0 0

1 6 ,0 0 0

1 9 8 1 &A fte r

1 9 7 1 -1 9 8 0

1 9 6 1 -1 9 7 0

1 9 5 1 -1 9 6 0

1 9 4 1 -1 9 5 0

1 9 3 1 -1 9 4 0

1 9 2 1 -1 9 3 0

1 9 2 0 &B e fo re

B i r th Y e a r C a t e g o r i e s2 0 0 1 2 0 0 3 2 0 0 5

There has been a net increase in the number of actively licensed RNs born after 1970. The totalnumber of RNs in all other age groups experienced a net decline since 2001. In 2005, the largestcohort of RNs is between 45 and 54 years of age.


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Chart 5

Io w a R N P o p u la t io n b y A g eP e r c e n t C o m p a r is o n o f 2 0 0 1 , 2 0 0 3 & 2 0 0 5

0 . 9

%

1 5

. 2 %

2 4

. 2 %

3 5

. 0 %

1 8

. 8 %

5 . 3

%

0 . 5

%

0 . 2

% 2

. 9 0 %

1 7

. 0 0 % 2

4 . 1

0 %

3 3

. 8 0 %

1 7

. 3 0 %

4 . 5

0 %

0 . 4

0 %

0 . 0

0 %

0 . 2

%

2 4

. 1 %

1 1

. 4 %

0 . 0

%

0 .0 %

5 .0 %

1 0 .0 %

1 5 .0 %

2 0 .0 %

2 5 .0 %

3 0 .0 %

3 5 .0 %

4 0 .0 %

1 9 8 1 &A fte r

1 9 7 1 -1 9 8 0

1 9 6 1 -1 9 7 0

1 9 5 1 -1 9 6 0

1 9 4 1 -1 9 5 0

1 9 3 1 -1 9 4 0

1 9 2 1 -1 9 3 0

1 9 2 0 &B e fo re

B ir th Ye a r C a t e g o r ie s 2 0 0 1 2 0 0 3 2 0 0 5

The largest percentage (34%) of RNs licensed in Iowa range in age from 45 to 54. Fifty-sixpercent are 45 years of age or older. Twenty percent are younger than 35 years of age.


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Chart 6

Io w a L P N P o p u la t io n b y A g eC o m p a r is o n o f 2 0 0 1 , 2 0 0 3 & 2 0 0 5

0

5 0 0

1 ,0 0 0

1 ,5 0 0

2 ,0 0 0

2 ,5 0 0

3 ,0 0 0

3 ,5 0 0

1 9 8 1 &A fte r

1 9 7 1 -1 9 8 0

1 9 6 1 -1 9 7 0

1 9 5 1 -1 9 6 0

1 9 4 1 -1 9 5 0

1 9 3 1 -1 9 4 0

1 9 2 1 -1 9 3 0

1 9 2 0 &B e fo re


There has been a net increase in the number of actively licensed LPNs born after 1970. Thenumber of LPNs aged 35 to 44 remained steady between 2003 and 2005. In 2005, the largestcohort of LPNs is between 45 and 54 years of age.


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Chart 7

Io w a L P N P o p u la t io n b y A g eP e r c e n t C o m p a r is o n o f 2 0 0 1 , 2 0 0 3 & 2 0 0 5

0 . 3

%

1 7

. 2 %

2 1

. 9 %

3 2

. 6 %

2 0

. 6 %

6 . 5

%

1 . 0

%

0 . 0

%

4 . 8

%

2 0

. 2 %

2 1

. 6 %

3 0

. 4 %

1 7

. 9 %

4 . 5

%

0 . 6

%

0 . 0

%

8 . 3

0 %

2 2

. 2 0 %

2 1

. 3 0 %

2 8

. 7 0 %

1 5

. 8 0 %

3 . 5

0 %

0 . 4

0 %

0 . 0

0 %

0 .0 %

5 .0 %

1 0 .0 %

1 5 .0 %

2 0 .0 %

2 5 .0 %

3 0 .0 %

3 5 .0 %

1 9 8 1 &A fte r

1 9 7 1 -1 9 8 0

1 9 6 1 -1 9 7 0

1 9 5 1 -1 9 6 0

1 9 4 1 -1 9 5 0

1 9 3 1 -1 9 4 0

1 9 2 1 -1 9 3 0

1 9 2 0 &B e fo re


The largest percentage (29%) of LPNs licensed in Iowa range in age from 45 to 54. Themajority (51%) are 44 years of age or younger. LPNs born after 1970 (younger than 35) haveincreased by 13.1% since 2001.


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Chart 8

B a s ic R N E d u c a t io n in Io w a1 9 8 6 - 2 0 0 5

02 ,0 0 04 ,0 0 06 ,0 0 08 ,0 0 0

1 0 ,0 0 01 2 ,0 0 01 4 ,0 0 01 6 ,0 0 01 8 ,0 0 02 0 ,0 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

D i p lo m a A .D .N . B a c c a la u r e a te

The basic levels of RN education include Diploma, Associate Degree in Nursing andBaccalaureate in Nursing. Between 1986 and 2005, an increasing number of RNs reported theirbasic education as an Associate or Baccalaureate degree.

Chart 9

N u m b e r o f A d v a n c e d R e g is t e r e d N u r s e

P r a c t it io n e r s in Io w a1 9 8 6 - 2 0 0 5

0

2 0 0

4 0 0

6 0 0

8 0 0

1 ,0 0 0

1 ,2 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

N u r s e P r a c ti ti o n e r s N u r s e M i d w i ve sC e rti fie d N u rs e A n e s th e tis ts C lin ic a l N u rs e S p e c ia lis ts

The number of Advanced Registered Nurse Practitioners (ARNPs) in Iowa increased in allcategories between 1986 and 2005. The most significant increase occurred among nursepractitioners.


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Chart 10

H ig h e s t D e g r e e H e ld b y A c t iv e l y L ic e n s e d R N s in I1 9 8 6 - 2 0 0 5

02 ,0 0 04 ,0 0 06 ,0 0 08 ,0 0 0

1 0 ,0 0 01 2 ,0 0 01 4 ,0 0 01 6 ,0 0 01 8 ,0 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

D ip lo m a A .D .N . B .S .N .O t h e r B a c c a la u r e a t e M a s t e r s in N u r s in g O t h e r M

D o c to r a t e in N u r s in g O th e r D o c to r a t e

All degree categories identified by RNs as their highest have shown an increase since 1986 withthe exception of the Diploma. The greatest increase was found among RNs who reported theAssociate Degree in Nursing as their highest degree.

Note: Faculty members who teach nursing theory must hold a masters degree in nursing or anapplicable field, or make progress toward such a degree.


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Chart 11

R N & L P N G r a d u a t e s o f Io w a N u r s in g E d u c a t io nP r e - lic e n s u r e P r o g r a m s

1 9 8 6 - 2 0 0 5

02 0 04 0 06 0 08 0 0

1 ,0 0 01 ,2 0 01 ,4 0 01 ,6 0 01 ,8 0 02 ,0 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

R N P ro g r a m s P N P ro g r a m s

The number of graduates from RN and LPN pre-licensure programs declined in the late 1980s.An increase in graduates began in the early 1990s, peaking for both RNs and LPNs in 1995 and1996. Following another decline, the number of graduates has steadily increased since 2001.

Note: Most nursing education programs at Iowa community colleges are built on a career ladder concept that prepares graduates to apply for LPN licensure upon completion of the first level (year) and

RN licensure upon completion of the second level (year). At least two-thirds of PN graduates from Iowa programs proceed directly to an RN program.


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Chart 12

A c t iv e N u r s e P o p u l a t io n - Io w a R e s i d e n c e1 9 8 6 - 2 0 0 5

05 ,0 0 0

1 0 ,0 0 01 5 ,0 0 02 0 ,0 0 02 5 ,0 0 03 0 ,0 0 03 5 ,0 0 04 0 ,0 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

R N l ic e n s e e s L P N l ic e n s e e s The number of RN residents in Iowa showed a slight, steady increase between 1986 and 2005.In the same time period, the number of LPN residents in Iowa fluctuated. Recent trends indicatean increased number of LPN residents.

Chart 13

P e r c e n t P a s s in g N a t io n a l L i c e n s u r e E x a m in a t io nA m o n g F ir s t - T im e T e s t e r s

( G r a d u a t e s o f Io w a N u r s in g P r o g r a m s )1 9 9 2 - 2 0 0 5

7 5 %

8 0 %

8 5 %

9 0 %

9 5 %

1 0 0 %

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

R N s P N s

Note: The State Board Test Pool Examination (SBTPE) was provided from 1946-1982. The NationalCouncil Licensure Examination (NCLEX) has been provided from 1982 to present. After 1988, NCLEX results were reported as Pass/Fail. The examination was converted to computerized adaptive testing(CAT) in April 1994.


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Chart 14

N u m b e r o f L i c e n s e s R e n e w e d1 9 8 6 - 2 0 0 5

02 ,0 0 0

4 ,0 0 06 ,0 0 0

8 ,0 0 01 0 ,0 0 0

1 2 ,0 0 01 4 ,0 0 0

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

R N L P N

Note: RN and LPN license renewals are conducted on a three-year cycle.


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SECTION 2: NURSING EDUCATION

Nursing Education Programs

Chart 15 Number of Nursing Education Programs by Type (1986-2005)Program 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 2005

Doctoral 0 0 1 1 1 1 1 1 1 1 1Post Masters 0 0 0 0 0 2 3 5 5 4 4Masters 3 3 3 3 3 3 5 5 5 5 5ProfessionalMasters 1 1Baccalaureate 14 14 14 14 14 15 14 14 13 14 15AssociateDegree 20 20 22 24 25 26 27 26 26 26 26

PracticalNursing 24 24 28 29 29 30 29 29 28 29 33

Diploma 8 5 5 5 5 5 4 0 0 0 0

Admission Data

Chart 16

Admission TrendsGraduate Nursing Programs

4 421 12 15 11

155171

120

201 206

165

0

50

100

150

200

250

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Doctoral Masters

Between August 1, 2004 and July 31, 2005: 11 students were admitted to Iowas Doctoralprogram , a decrease of 27% compared to last year and an increase of 175% compared to fiveyears ago.

Between August 1, 2004 and July 31, 2005: 165 students were admitted to Iowas academicMasters programs , a decrease of 20% compared to last year and an increase of 7% compared tofive years ago.

In 2005, no graduate programs in nursing reported students on waiting lists.


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Chart 17

Admission TrendsAll Non-Degree Certificate Nursing Programs

10

4

9

14

2

11

8 8

0 0 0 002468

10121416

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 -2004 2004-2005

Pos t-M as ters Ce rtific ate Other Ce rtific ate

Between August 1, 2004 and July 31, 2005: 11 students were admitted to Iowas Post-Masters Certificate programs , an increase of 450% compared to last year and an increase of 10% compared to five years ago.

In 2005, no Post-Masters Certificate programs in nursing reported students on waiting lists.

Chart 18

Admission TrendsPre-licensure RN Nursing Programs

963 1,013

1,372

1,735 1,8261,943

434 423 463

629830

1,274

0 0 0 16 30 480

500

1,000

1,500

2,000

2,500

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Associate Degree Baccalaureate Professional Masters


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Between August 1, 2004 and July 31, 2005: 3,265 students were admitted to Iowas pre-licensure RN programs , an increase of 22% compared to last year and an increase of 134%compared to five years ago.

In 2005, the undergraduate RN programs, including professional Masters, Baccalaureate andAssociate Degree, reported 445 students on waiting lists .

Note: In 2005, the undergraduate RN programs, including professional Masters, Baccalaureate and Associate degree, reported 70 faculty vacancies (19 full-time and 51 part-time) in the areas of medical,surgical, pediatric, obstetric, mental health, geriatric, community health and critical care nursing.

Chart 19

Admission Trends - Practical Nursing Programs

1,256 1,2761,426

1,5171,706 1,752

18 0 0 0 0 00

200

400

600

800

1,000

1,200

1,400

1,600

1,8002,000

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Community Colleges USAR 91 W-M6

Between August 1, 2004 and July 31, 2005: 1,752 students were admitted to Iowas LPNprograms , an increase of 3% compared to last year and an increase of 38% compared to fiveyears ago.

In 2005, the LPN programs reported 1,194 students on waiting lists .

Note: In 2005, 75% of practical nursing graduates proceeded directly to RN programs.

In 2005, the LPN Programs reported 36 faculty vacancies (6 full-time and 30 part-time)


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Enrollment Data

Chart 20

Enrollment TrendsGraduate Nursing Programs

37 39 45 49 53 52

343294 298 319

349383

050

100150200250

300350400450

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Doctoral Masters

Between August 1, 2004 and July 31, 2005: 52 students were enrolled in Iowas Doctoralprogram , a decrease of 2% compared to last year and an increase of 41% compared to five yearsago.

Between August 1, 2004 and July 31, 2005: 383 students were enrolled in Iowas academicMasters programs , an increase of 10% compared to last year and an increase of 12% comparedto five years ago.

Chart 21

Enrollment TrendsPost-Masters Certificate Nursing Programs

15

12

6

12

7

13

02468

10121416

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Post-Masters Certificate


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Between August 1, 2004 and July 31, 2005: 13 students were enrolled in Iowas Post-MastersCertificate programs , an increase of 86% compared to last year and decrease of 13% comparedto five years ago.

Chart 22

Enrollment TrendsRN Nursing Programs

1,528

3,552

2,517

997 1,069

1,958

0 0 0 14 30

2,432

3,464

1,573

1,158

1,410

1,8382,028

745653

457731

1,465

470

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Associate Degree Baccalaureate - Prelicensure

Baccalaureate - RN completion Professional Masters

Between August 1, 2004 and July 31, 2005: 5,049 students were enrolled in Iowas RNprograms , a decrease of 17% compared to last year and an increase of 13% compared to fiveyears ago.


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Chart 23

Enrollment TrendsPractical Nursing Programs

1,3701,565

2,1331,984

2,3052,148

11 8 0 0 0 00

500

1,000

1,500

2,000

2,500

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005


In 2005, 2,148 students were enrolled in Iowas LPN programs , a decrease of 7% comparedto last year and an increase of 56% compared to five years ago.


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Graduation Data

Chart 24

Graduation TrendsGraduate Nursing Programs

4 5 4 5 6 6

99 93 93106

8599

0

20

40

60

80

100

120

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Doctoral Masters

Between August 1, 2004 and July 31, 2005: 6 students graduated from Iowas Doctoralprogram , no change compared to last year and an increase of 50% compared to five years ago.A total of 26 students have graduated from the doctoral program in the past five years.

Between August 1, 2004 and July 31, 2005: 99 students graduated from Iowas academicMasters programs , an increase of 16% compared to last year and no change compared to fiveyears ago.

Chart 25

Graduation TrendsPost-Masters Certificate Nursing Programs

78

4

3 3

10

0

2

4

6

8

10

12

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Post-Masters Certificate

Between August 1, 2004 and July 31, 2005: 10 students graduated from Iowas Post-MastersCertificate programs , an increase of 230% compared to last year and an increase of 43%compared to five years ago.


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Chart 26

Graduation TrendsRN Nursing Programs

749820

1,0191,109

1,228

357 308 289412

328

0 0 0 13

879

348 351

261 278 218299 126

0 290

200

400

600

800

1,000

1,200

1,400

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005

Associate Degree Baccalaureate - Prelicensure

Baccalaureate - RN completion Professional Masters

Between August 1, 2004 and July 31, 2005: 1,795 students graduated from Iowas RNprograms , an increase of 6% compared to last year and an increase of 15% compared to fiveyears ago.


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Chart 27

Graduation TrendsPractical Nursing Programs

704833

1,050 1,095

1,3271,412

18 0 8 0 0 00

200

400

600

800

1,000

1,200

1,400

1,600

1999 - 2000 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004-2005


Between August 1, 2004 and July 31, 2005: 1,412 students graduated from Iowas LPNprograms , an increase of 6% compared to last year and an increase of 96% compared to fiveyears ago.

For more information contact the Center for Health Workforce Planning, Iowa Department of Public Health at (515) 281-8309 or [email protected] .

The Center for Health Workforce Planning was created in the Iowa Department of Public Health, Bureau of Health Care Access, to assess and forecast health workforce supply and demand, address barriers to recruitment and retention, support strategies developed at the local level that prevent shortages, and engage in activities that assure a competent, diverse health workforce in Iowa. Funding for the center, fueled through the efforts of U.S.Senator Tom Harkin, is administered through the Bureau of Health Professions, Health Resources and Services

Administration, U.S. Department of Health and Human Services.

http://www.idph.state.ia.us/hpcdp/workforce_planning.asp

Nursing Trends (1)

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