Challenge for Rural Health Systems & Nurse Educators Mary Beth White-Jacobs, MHA, BSN, RN President & CEO Black River Falls Memorial Hospital Linda K. Young, PhD, RN, CNE, CFLE Dean College of Nursing and Health Sciences University of Wisconsin-Eau Claire October 14, 2016 Healthcare in Northwest & Central Wisconsin

RN Supply and Demand Projections: Wisconsin, 2014-20401

Key Issues for Rural Communities Recruitment Attracting nurses to rural communities Shortage of new graduates Region has smallest % of baccalaureate prepared nurses in the State Retention Limited opportunities for advancement Lower salary range Retirement of experienced nurses Professional Advancement Value of advanced degrees Cost of advancement Travel for education

Real Impact of Nursing Shortage Our patients their families and our communities count on us Story of patient transferred away from friends and family Emergency stabilization and rapid/supported transfer

Organizational Efforts One Healthcare Facility High School career class and shadowing program Internships Clinical rotations Forums describing program alternatives Staff surveys to identify barriers and create solutions Tuition Reimbursement and loan forgiveness Granting time away from work

Nursing Faculty Work Force 46% of the nursing faculty workforce are 55 years of age or older 58% are planning to retire within 10 years3 27% of Wisconsin undergraduate nursing faculty positions are not being filled due to lack of qualified applicants and funding4 89.6% of faculty vacancies at U.S. nursing schools are for positions for which a doctoral degree is required or preferred5

Estimated Number of Nursing Graduates Needed Annually to Meet Projected Demand3 2020 7,500 2025 11,300 2030 14,100 2035 15,500 Wisconsin schools currently graduate slightly over 3,000 nurses/year8

Nursing Faculty Shortage Students interested in becoming nurses Nursing Faculty Shortage 50-80% of qualified applicants in the UW System nursing programs are turned away9 Demand for nurses in the workforce

Northern and Western Wisconsin Masters and Doctorally Prepared Nurses Need to double our Doctoral graduates by 2020 in order to meet faculty demand10 0.85% (118) in Northern and Western Wisconsin Master’s prepared nurses are also needed for the Associate Degree nursing programs and BSN programs 9.5% (1322) in Northern and Western Wisconsin11,12 Of 1440 graduate degree prepared nurses (Doctorate and Masters) only 20% (285) are employed in an academic setting in Northern and Western Wisconsin11,12

Wisconsin Median Wages for Nursing Positions6 National Median Wages: $91,310 = Nurse Practitioner (MSN) across settings (American Academy of Nurse Practitioners)7 $73,633 = Masters-prepared Assistant Professor (American Academy of Colleges of Nursing) 5

Program Locations Associate Degree Programs Chippewa Valley Technical College-Eau Claire Mid-State Technical College-Wisconsin Rapids Northcentral Technical College-Wausau Western Technical College-La Crosse Wisconsin Indianhead Technical College Bachelor of Science Degree Programs and BSN Completion UW-Eau Claire UW-Stevens Point Viterbo University-LaCrosse Graduate Programs

Solutions BRMH/UWEC BSN Completion Program Proposal Decrease travel requirements On site classroom space Distance learning classes Augment nursing educators Shared staff as educators 3.2 million dollar UW System Incentive grant for nurse educators

Sources Wisconsin Center for Nursing. (2016). Wisconsin Registered Nursing Supply and Demand Forecasting Update: 2014-2040. Milwaukee, WI: Wisconsin Center for Nursing. (in press)  Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Survey. Milwaukee, WI: Wisconsin Center for Nursing. http://www.wisconsincenterfornursing.org/documents/2016_RNSurvey_v5.pdf Wisconsin Center for Nursing. (2013). Wisconsin Nursing Workforce: Status and Recommendations. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from http://campaignforaction.org/wp-content/uploads/2016/04/Nursing-Workforce-Report-WI_0.pdf Wisconsin Center for Nursing. (2014). Wisconsin Nursing Education and Nurse Faculty: 2012 Survey Result. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from http://www.wisconsincenterfornursing.org/documents/Wisconsin%202012%20Nursing%20Education%20Survey%20Report%20Final%20073014.pdf American Association of Colleges of Nursing. (2015). Nursing Faculty Shortage. Washington, DC: American Association of Colleges of Nursing. Retrieved from http://www.aacn.nche.edu/media-relations/fact-sheets/nursing-faculty-shortage Carlson, V and Peterangelo, J. (2014). Seeking Strategies to Address Wisconsin’s Nursing Shortage. Milwaukee, WI: Public Policy Forum. Retrieved from http://publicpolicyforum.org/research/seeking-strategies-address-wisconsin%E2%80%99s-nursing-shortage  American Association of Nurse Practitioners. (2011). 2011 AANP NP Compensation Survey: Recent Graduate Compensation. Austin, TX: American Association of Nurse Practitioners. Retrieved from https://www.aanp.org/education/student-resource-center/starting-your-career/1059-2011-np-compensation-survey Wisconsin Center for Nursing. (2016). Launch Your Nursing Career in Wisconsin. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from http://www.wisconsincenterfornursing.org/education.html Young, L.K., Adams, J.L., Lundeen, S., May, K.A., Smith, R., Wendt, L.E. (2016). Nurses for Wisconsin: A collaborative initiative to enhance the nurse educator workforce. Journal of Professional Nursing, 32(4), 292-299. doi: 10.1016/j.profnurs.2015.11.00 Institute of Medicine [IOM]. (2015). Assessing Progress on the IOM Report: The Future of Nursing. Washington, DC: National Press. Retrieved from http://www.nationalacademies.org/hmd/Reports/2015/Assessing-Progress-on-the-IOM-Report-The-Future-of-Nursing.aspx Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Surveys: The Northern Wisconsin Nursing Workforce: A Snapshot. Milwaukee, WI: Wisconsin Center for Nursing. (handout) Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Surveys: The Western Wisconsin Nursing Workforce: A Snapshot. Milwaukee, WI: Wisconsin Center for Nursing. (handout)