1. Selected Findings From the 2005 Indiana Registered Nurse Survey Report Produced by: Bowen Research Center, Department of Family Medicine Indiana University School of Medicine In collaboration with the Indiana Area Health Education Centers Program October 2007 Authors: Terrell W. Zollinger, DrPH Michael J. Przybylski, PhD Brittany S. Sutton, MPH Linda D. Jackson, MS, RN, CCRN

2. Acknowledgements The survey data and additional data elements were provided by the Indiana Professional Licensing Agency through the Indiana State Department of Health.

3. The authors are grateful for the financial support received from the Indiana Area Health Education Center Program to produce this report and to the following advisory committee members for direction and insights: Jonathan Barclay, MA, Indiana Health Education Center Program Donna Boland, PhD, RN, Indiana Nursing Workforce Development Collaborative S. Kim Genovese, RN, PhD(c), MSN, MSA, Nursing 2000 North Ernest K. Klein, RN, Indiana State Nurses Association Cynthia L. Stone, DrPH, RN, IU School of Nursing Kathy Weaver, JD, MPA, RN, Indiana State Department of Health

4. Introduction A voluntary survey instrument was attached to the 2005 Registered Nurse (RN) license renewal form. A total of 70,982 RNs renewed their Indiana licenses in 2005; 61,792 renewed “on-line” and were invited to complete the survey. 56,670 (91.8%) completed the survey, representing 79.8% of all who renewed their licenses in 2005. Over 85 percent of the respondents (48,435 nurses) active in a nursing position. Of these, 43,616 (90.1%) were practicing in Indiana.

5. Renewal Method, Survey Responses, and Percent Active: 1997 – 2005 1997200120032005 Registered Nurses Number % Total Number % Total Number % Total Number % Total Total Renewing 69,893100.072,928100.071,585100.070,982100.0 Renewed Electronically 0.0 50,96971.261,79287.1 Respondents 62,23089.068,25893.647,49566.356,67079.8 Survey Response 1997 - 2005 Indiana Registered Nurse Survey Databook 1997 (& 2001), Indiana Health Care Professional Development Commission.

6. Registered Nurses: Percent Active in Indiana: 1997 – 2005 1997200120032005 Registered Nurses Number% % % % Total Active (% of Respondents) 48,14777.454,13279.339,82983.948,43585.5 Active in Indiana* (% of Active) 38,72180.445,61584.335,96390.343,61690.1 Nurses Active 1997 - 2005 Indiana Registered Nurse Survey Databook 1997 (& 2001), Indiana Health Care Professional Development Commission.

7. Age 2005

8. Education 1997

9. Education 2005

10. Desired Future Nursing Degrees, Registered Nurses, 2005 DegreeNumberPercent Associate1580.4 Bachelor's6,82118.1 Master's8,74023.1 Doctorate1,1683.1 Total desiring a higher degree16,88744.7 No higher degree desired20,88255.3 missing5,392 Additional Education Desired 2005

12. Fluency in Other Languages, Registered Nurses, 2005 LanguageNumberPercent Spanish6411.49 Filipino2560.59 Tagalong2140.50 French1570.36 German1560.36 Hindi460.11 Chinese450.10 Polish440.10 Other1430.33 Total1,7023.94 Language Fluency 2005

13. More than One Paid Position as a Registered Nurse, 2005 More than One Paid PositionNumber Percent Yes6,05514.1 No36,96685.9 Missing140 Multiple Nursing Positions 2005

14. Registered Nurses with Prior Work Experience, 2005: Prior Work ExperienceNumberPercent Certified Nurse Aide7,13516.5 Nursing Assistant12,35728.6 Paramedic2970.7 Emergency Medical Technician1,7184.0 Licensed Practice Nurse6,11614.2 One or more of these21,21749.2 None of these21,94450.8 Work Prior to Nursing 2005

15. Years of Nursing Licensure 2005

18. Nursing Trends 1997-2005: Age

19. Nursing Trends 1997-2005: Education

20. Nursing Trends 1997-2005: Advanced Practice Nurses

21. Conclusions There has been an increase in the number of licensed nurses actively practicing in Indiana Many do not work in direct patient care positions The nursing work force is getting older, predicting a shortage of active nurses in Indiana – a trend also forecast in HRSA’s 2004 report The number of Advance Practice Nurses has increased rapidly in the past nine years There is a demand for obtaining higher degrees in nursing The number of nursing faculty has not increased over the past nine years