Selected Findings From the 2005 Indiana Registered Nurse Survey Report

Produced by:Bowen Research Center,

Department of Family MedicineIndiana University School of Medicine

In collaboration with the Indiana Area Health Education Centers Program

October 2007Authors:

Terrell W. Zollinger, DrPHMichael J. Przybylski, PhD

Brittany S. Sutton, MPHLinda D. Jackson, MS, RN, CCRN

Acknowledgements

The survey data and additional data elements were provided by the Indiana Professional Licensing Agency through the Indiana State

Department of Health.

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

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.

Renewal Method, Survey Responses, and Percent Active: 1997 – 2005

1997 2001 2003 2005

Registered Nurses

Number%

TotalNumber

% Total

Number%

TotalNumber

% Total

Total Renewing 69,893 100.0 72,928 100.0 71,585 100.0 70,982 100.0

Renewed Electronically

  0.0   0.0 50,969 71.2 61,792 87.1

Respondents 62,230 89.0 68,258 93.6 47,495 66.3 56,670 79.8

Survey Response 1997 - 2005

Indiana Registered Nurse Survey Databook 1997 (& 2001), Indiana Health Care Professional Development Commission.

Registered Nurses: Percent Active in Indiana: 1997 – 2005

1997 2001 2003 2005

Registered Nurses

Number % Number % Number % Number %

Total Active (% of Respondents)

48,147 77.4 54,132 79.3 39,829 83.9 48,435 85.5

Active in Indiana* (% of Active)

38,721 80.4 45,615 84.3 35,963 90.3 43,616 90.1

Nurses Active 1997 - 2005

Indiana Registered Nurse Survey Databook 1997 (& 2001), Indiana Health Care Professional Development Commission.

Figure 2.1

Age Groups of Active Registered Nurses, 2005

24 or younger 3%

25 - 34 20%

35 - 44 27%

45 - 54 34%

55 - 64 14%

65 or older 2%

Age 2005

Education 1997

Figure 2.4 Highest Nursing Degree, Registered Nurses, 1997

Diploma 21%

Associate 44.2%

Bachelor's 30.2%

Master's 4.4%

Doctorate 0.2%

Education 2005

Figure 2.6 Highest Nursing Degree, Registered Nurses, 2005

Bachelor's 36.8% Associate

44.7%

Diploma 10.7%

Doctorate 0.6% Master's

7.2%

Desired Future Nursing Degrees, Registered Nurses, 2005

Degree Number Percent

Associate 158 0.4

Bachelor's 6,821 18.1

Master's 8,740 23.1

Doctorate 1,168 3.1

Total desiring a higher degree 16,887 44.7

No higher degree desired 20,882 55.3

missing 5,392

Additional Education Desired 2005

Figure 2.7 Desired Future Nursing Degrees of Registered Nurses, 2005

Bachelor's 40%

Master's 52%

Associate 1%

Doctorate 7%

Additional Education Desired 2005

Fluency in Other Languages, Registered Nurses, 2005

Language Number Percent

Spanish 641 1.49

Filipino 256 0.59

Tagalong 214 0.50

French 157 0.36

German 156 0.36

Hindi 46 0.11

Chinese 45 0.10

Polish 44 0.10

Other 143 0.33

Total 1,702 3.94

Language Fluency 2005

More than One Paid Position as a Registered Nurse, 2005

More than One Paid Position Number

Percent

Yes 6,055 14.1

No 36,966 85.9

Missing 140

Multiple Nursing Positions 2005

Registered Nurses with Prior Work Experience, 2005:

Prior Work Experience Number Percent

Certified Nurse Aide 7,135 16.5

Nursing Assistant 12,357 28.6

Paramedic 297 0.7

Emergency Medical Technician 1,718 4.0

Licensed Practice Nurse 6,116 14.2

One or more of these 21,217 49.2

None of these 21,944 50.8

Work Prior to Nursing 2005

Figure 2.9 Years of Licensure of Registered Nurses, 2005

5-9 18%

10-14 18%

15-19 13%

30 years or more 11%

25-29 9%

20-24 11%

5 years or less 20%

Years of Nursing Licensure 2005

Key Activities by Nurses in Patient Care Settings 2005

6.5

17.6

45.9

37.9

28.7

14.1

17.1

30.4

20.5

29.4

8.5

11.1

12.7

28.8

23.2

16.2

6.9

8.3

14.3

7.9

9.6

2.7

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0

Teaching nursing students

Continuing education/staff development

Patient education/counseling

Administrative Activities

Other

Quality assurance/utilization review

Infection control

Medication management

Consulting with agencies/ other professionals

Case management/ care coordination

Community/Public health activities

Percent Reporting

non-hospital hospital

Allen

Jay

Lake

Knox

Vigo

White

Jasper

Cass

Clay

Pike

Rush Parke

Grant

Greene

Perry

Ripley

Clark

Noble La Porte

Gibson

Porter

Wells

Posey

Elkhart

Owen

Henry Boone

Miami

Jackson

Putnam

Dubois

Shelby

Pulaski Fulton

Marion Wayne

Clinton

Sullivan

Harrison

Benton Carroll

Daviess Martin

Orange

Kosciusko

Monroe

Morgan

Madison

Marshall

Newton

Warrick

Wabash

Warren

Brown

Franklin

Adams

Starke

Spencer

Decatur

Randolph

Lawrence

Whitley

De Kalb

Fountain Hamilton

Washington

St. Joseph

Tippecanoe Tipton

Jennings

Delaware

Hendricks

Lagrange

Montgomery

Jefferson

Steuben

Howard

Johnson

Scott

Hancock

Crawford

Fayette Union

Floyd

Switzerland

Huntington

Dearborn Bartholomew

Vermillion

Ohio

Vanderburgh

Blackford

Map 5.2: Registered Nurses Practicing in Indiana 2005 Estimated Number Per 100,000 Population by County

Estimated Nurses Per 100,000

91 - 314 345 - 653 656 - 976 996 – 1193 1335 - 1632

Figure 6.2: Nurses Active in Indiana by Age Groups

0

4,000

8,000

12,000

16,000

20,000

24,000

28,000

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

30 or younger 31-44 45-54 55-64 65 and older

Nursing Trends 1997-2005: Age

Figure 6.3: Nurses Active in Indiana by Highest Degree in Nursing

0

4,000

8,000

12,000

16,000

20,000

24,000

28,000

32,000

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Diploma Associate Bachelor's Master's Doctorate

Nursing Trends 1997-2005: Education

Figure 6.5: Nurses Active in Indiana: Advanced Practical Nurses and Nursing Faculty

0

500

1,000

1,500

2,000

2,500

3,000

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Nu

mb

er

All Advanced Practical Nurses Nurse Practitioner (NP) Faculty in Nursing Programs

All APNs (trend) Nurse Practitioner (trend) Nursing Faculty (trend)

Nursing Trends 1997-2005: Advanced Practice Nurses

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