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Nursing Education in West Texas: Challenges and Solutions. Presenters. Dr. Leslie Mayrand, Professor and Head – ASU Department of Nursing Chairperson, THECB Task Force to Increase RN Graduates in Texas. Presenters.
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Presenters • Dr. Leslie Mayrand, Professor and Head – ASU Department of Nursing Chairperson, THECB Task Force to Increase RN Graduates in Texas
Presenters • Mr. Justin Louder, Multimedia Specialist and Lecturer – ASU Department of Nursing Region 1 Coordinator, THECB Task Force to Increase RN Graduates in Texas
Challenge: The Nursing Shortage Continues in Texas
The Nursing Shortage • In 2005 Texas produced a total of 6,300 new graduates of initial entry nursing programs in its 84 nursing programs. • By 2020 Texas will be short approximately 71,000 nurses.
Nursing Graduates • The state’s nursing programs will need to increase the number of its graduates by: • 50% by 2010 • 125% by 2016
Why the shortage continues… • Aging of the RN workforce • Average age of a working RN: 43 • Increasing demand on the nursing workforce • Image
Challenge: Nursing Education In Texas
Nursing Education in Texas • An RN is an RN is an RN? • Different types of preparation
Nursing Education in Texas • Regardless of the type of program, most are at capacity
Nursing Education in Texas • Nurse Faculty Shortage • In 2004, 70% of all nursing faculty surveyed will reach retirement age within the next five to 15 years. • Advanced practice nurses (APRNs) in Texas can earn between $70,000 to $79,000 a year. • A master’s prepared nursing faculty member at public institutions usually earn between $41,000 and $45,000 for a 9-month contract.
Nursing Education in Texas • By 2010 nursing programs in Texas will need to increase the number of full time faculty by 54% to meet current projections for nursing graduates. • Only 5% of students who completed master’s degrees in nursing in 2005 were specifically prepared to assume nursing faculty positions.
Nursing Education in Texas • Competition for Clinical Sites • Physical Space Limitations
Nursing Education in Texas • Educating nurses to care for patients in an increasingly complex health care delivery system.
Challenge: Increasing the Number and Diversity of RN Graduates
Program Completion Rates • Type of Institution • Community Colleges (n=43): 57% • Health Related Institutions (n=4): 75% • University (n=21): 51% • Statewide: 56%
Persistence Rates • Institution: • Community Colleges: 65% • Health Related Institutions: 83% • University: 74% • Statewide: 69%
Only 70% of admitted students are likely to complete a nursing degree.
Nursing Students (2) • ADN students are significantly older than BSN students (mean 26 vs. mean 22). • Median age of new ADN student is between 28-30. • 58% of AASN nursing students have children • 30% of BSN nursing students have children
Nursing Students (3) • A major reason for students dropping out of programs was NOT poor grades but the need to provide for their families.
Possible Solutions To the Nursing Crisis in Texas
Solutions: • Get students hooked earlier • Work on our image
Simulated Learning • According to a report from the Institute of Medicine, “To Err is Human: Building a safer Health System,” health care is a decade or more behind other high-risk industries in its attention to ensuring basic safety.
Simulated Learning (2) • An effective training program allows students to walk into any situation, recognize the circumstances and act automatically. • They learn how to do what they need to do, and when to do it.
Simulated Learning (4) • Students learn in a “safe” environment and are able to take chances and make mistakes and then debrief what happened in simulation and learn from what went on. • You are invited to the SimLab Open House
New Models of Educating Students • Competency-based education • Residency models • New clinical models • Online education • Learn/Earn programs
Solution Transition…Transition…Transition
LVN-RN • There are close to 75,000 Licensed Vocational Nurses (LVNs) in Texas • Campus based LVN-RN programs limit the number of LVN students that can pursue an RN education.
LVN-RN (2) • LVNs typically are the primary bread winners for their families. This limits their ability to take time off from work to pursue additional education. • Rural West Texas has a harder time getting RNs because of the geographic isolation brought on by the vastness of the state.
LVN-RN (3) • One solution is an online LVN-RN transition program which Angelo State is currently pursuing.
RN-MSN • Nurse Education • Advanced Practice
Solution: Partnerships
Partnerships • Clinical • Regional • Educational
For More Information: • Texas Center for Nursing Workforce Studies: http://www.dshs.state.tx.us/chs/cnws/ • Texas Higher Education Coordinating Board Task Force Information: http://www.thecb.state.tx.us/reports/PDF/1271.PDF