1. 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, Healthcare in Northwest & Central Wisconsin

2. RN Supply and Demand Projections: Wisconsin, 2014-20401

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. Sources
Wisconsin Center for Nursing. (2016). Wisconsin Registered Nursing Supply and Demand Forecasting Update: Milwaukee, WI: Wisconsin Center for Nursing. (in press) 
Wisconsin Center for Nursing. (2016). Wisconsin 2016 RN Workforce Survey. Milwaukee, WI: Wisconsin Center for Nursing.
Wisconsin Center for Nursing. (2013). Wisconsin Nursing Workforce: Status and Recommendations. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from
Wisconsin Center for Nursing. (2014). Wisconsin Nursing Education and Nurse Faculty: 2012 Survey Result. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from
American Association of Colleges of Nursing. (2015). Nursing Faculty Shortage. Washington, DC: American Association of Colleges of Nursing. Retrieved from
Carlson, V and Peterangelo, J. (2014). Seeking Strategies to Address Wisconsin’s Nursing Shortage. Milwaukee, WI: Public Policy Forum. Retrieved from
American Association of Nurse Practitioners. (2011) AANP NP Compensation Survey: Recent Graduate Compensation. Austin, TX: American Association of Nurse Practitioners. Retrieved from
Wisconsin Center for Nursing. (2016). Launch Your Nursing Career in Wisconsin. Milwaukee, WI: Wisconsin Center for Nursing. Retrieved from
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), doi: /j.profnurs
Institute of Medicine [IOM]. (2015). Assessing Progress on the IOM Report: The Future of Nursing. Washington, DC: National Press. Retrieved from
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)