Nursing Leadership Survey (RN/LPN) Outcome Analysis Nebraska Action Coalition Juan-Paulo Ramírez, Ph.D. (Independent Consultant) June 2013

Overview Institute of Medicine Report Objectives of the survey Theoretical background Survey results Main findings Strategies Questions 2

Survey The Institute of Medicine’s report: The Future of Nursing: Leading Change, Advancing Health (2010) – “Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States.” Strong leadership driven by nurses at all levels (i.e., hospitals, communities, schools, boards, and political business arenas) 3

Objectives To measure the level of involvement that Nebraska nurses have in decision and policy- making leadership roles. To measure what kind of training and skills nurses would like to acquire to become active and efficient role leaders. 4

Theoretical Background 5 Nursing Leadership Education Resources Location Psychological engagement Coursework in political affairs

Sample Size Estimated Total RN population: 24,000 Confidence interval: 4% Confidence level: 95% Estimated response rate: 50% Total needed surveys to be sent out: 1,172 Total returned surveys : 586 6

Survey Results Open: March 20, 2013 Closed Survey: April 17, 2013 N = 1,160 (valid) N = 1,140 (Nebraska) Location: 80 cities in NE Surveys completed: 652 (57% response rate) 7

Demographics Gender 8 Race/ethnicity RNs/LPNs

9 Education Demographics

Geographic Location of Respondents 10 Urbanized Areas (UAs) of 50,000 or more people Urban Clusters (UCs) of at least 2,500 and less than 50,000 people “Rural” encompasses all population, housing, and territory not included within an urban area

11

12 Forty-nine percent of respondents serve on decision-making body/board and 51% do not

13 Sixty percent of respondents who already serve, they do so on a decision making-board linked to a health organization (i.e., nursing association -35% or health care organization -25%). 60% Nursing/Health care org.

14 Overall, 29% of respondents are appointed/elected leaders of a decision-making body. Results show that two-thirds of nurses who are appointed/ elected members serve in NPAs/health care-type organizations. 66% Nursing/Health care org.

Participation in a political office Only five respondents (< 1%) indicated that they serve in a political office. Ten respondents (< 1%) have been elected to a political office. 15

16 Overall, 52% of respondents mentioned that they would like to serve on a decision-making body/board.

Nine out of ten nurses who already serve are interested in serving on a decision-making body/board and feel prepared to do so. Most nurses (48%) who already serve would like to receive some kind of support, in comparison to only 9% who are not interested. 17

18 Respondents identified “General Training” as the most helpful type of assistance they could receive followed by “Identify organization on which to serve”.

19 Leadership opportunities Forty-three percent would be interested in serving on a decision-making body/board Professional nursing associations was the category where most nurses recognized opportunities for leadership, followed by health care organizations.

Main Findings Nurses holding bachelor degrees tend to serve in rural areas in higher proportion than nurses holding masters and doctorate degrees. Six out of ten nurses who serve, do so with Nursing Professional Associations (NPAs) or Health Care organizations. Less than one percent of nurses serve in Political offices. 20

Nurses tend to serve in several organizations simultaneously: nearly four out of ten nurses serve in two or more organizations. Five out of 10 nurses mentioned that they would like to serve on a decision-making body/board. 21 Main Findings

Nurses who serve with any type of organization are more likely to become members of a decision-making body/board in comparison to those who do not serve. Eight out of ten nurses who are interested in serving on a decision-making body/board would like to receive some kind of support. 22 Main Findings

Those who are not serving (but are interested in serving), show the same high interest in receiving training in comparison to those who already serve. There were 191 nurses found who are likely interested in becoming members and leaders of a decision-making body/board. 23 Main Findings

Strategies Strategies to identify nurses with the highest likelihood to serve on a decision-making body/board. – Use of filters: Serving status Desire to participate Geographic location Educational level 24

25 n = 105

26 n = 46

27 n = 40

Questions? 28