Florida Nursing Education at a Glance, Fall 2014

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In 2014, nursing schools in Florida enrolled 14,834 students in Baccalaureate and Graduate programs in nursing and produced 6,358 graduates across program levels.1

Baccalaureate and Graduate Nursing Student Diversity by Program Level1

Additionally, there were 3,257 nursing students studying to become APRNs, including 2,897 Nurse Practitioners,

328 Certified Registered Nurse Anesthetists, 20 Certified Nurse-Midwives, and 12 Clinical Nurse Specialists.1

Elevating the role of nursing science for healthcare advances is more critical than ever. As the nation works to ensure adequate nursing capacity in high need areas, nurses with research-focused doctorates (PhD) will be essential to creating the evidence that will inform and support contemporary nursing practice, improvements in patient care, and reductions in health disparities.

Florida Nursing Education at a Glance, Fall 2014

Education is not a static process. It evolves with newly discovered best-practices, technology, and innovation in the classroom. As our nation’s healthcare system transforms and more services are provided outside the hospital walls, nurses must be educated for these opportunities and challenges. A life-long learning approach is required for nurses to stay current, which includes higher levels of education and continual learning beyond the academic setting. Given the great need for registered nurses (RNs), including Advanced Practice Registered Nurses (APRNs), and nurse faculty in a newly reformed healthcare system, it is crucial to maximize funding for professional nursing education and research.

Below are state-specific data that policy makers must consider as they make funding decisions to support America’s nursing workforce, nursing science, and the patients they care for. Congress must consider long-term financial planning in these areas — not doing so would place the health of our nation in jeopardy.

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 199 231 219 232 245 276 298 347 326 342 10 Years of PhD Enrollments Florida 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 22 ₁₉ 29 31 49 35 ₃₃ 27 46 60 10 Years of PhD Graduates Florida 1

Baccalaureate Master's PhD DNP All Programs Minority* 39% 36% 30% 32% 38%

Men 13% 15% 9% 10% 13%

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Understanding the Faculty Shortage

A shortage of faculty is a primary obstacle to expanding the nation’s nursing workforce and meeting care demand. In 2014, AACN reported that over a thousand qualified applicants were not offered admission to doctoral (1,844) programs due to a faculty shortage as well as other resource constraints. According to AACN’s Survey on Vacant

Faculty Positions for Academic Year 2014-2015, most open faculty positions either require (57.5%) or prefer

(32.1%) doctorally-prepared faculty members. Of the schools surveyed, approximately two-thirds report insufficient funding as one of the biggest obstacles to hiring additional faculty. The problem will exacerbate as many faculty reach retirement age in the next decade. According to AACN's report on 2014-2015 Salaries of

Instructional and Administrative Nursing Faculty in Baccalaureate and Graduate Programs in Nursing, the

average ages of doctorally-prepared nurse faculty holding the ranks of professor, associate professor, and assistant professor were 62, 58, and 51 years, respectively. An increased focus and investment must be placed on educating more doctorally-prepared nurses for faculty positions.

28 AACN Member Schools in Florida

(By Congressional District)

The American Association of Colleges of Nursing (AACN) represents over 760 schools of nursing offering a mix of baccalaureate, graduate, and post-graduate programs at institutions nationwide. For more information on AACN or

54 YEARS

Average Age of Florida Nurse Faculty

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 41 42 43 44 47

56 56 70

65 67

10 Years of Faculty Vacancies

Florida

University of West Florida (FL-1) Florida A&M University (FL-2)

Florida State University (FL-2) Santa Fe College (FL-3) University of Florida (FL-3) Chamberlain College of Nursing -

Jacksonville (FL-4) University of North Florida (FL-4)

Florida State College (FL-5) Bethune-Cookman University (FL-6) Remington College of Nursing (FL-7)

University of Central Florida (FL-7) St. Petersburg College (FL-13) Jacksonville University (FL-14)

University of Tampa (FL-14)

Florida Southern College (FL-15) University of South Florida (FL-15)

State College of Florida (FL-16) Indian River State College (FL-18)

Florida Southwestern State College (FL-19)

Florida Gulf Coast University (FL-19) Keiser University (FL-20) Florida Atlantic University (FL-22) Palm Beach Atlantic University (FL-22)

Nova Southeastern University (FL-23) Barry University (FL-24) Miami Dade College (FL-24) Florida International University (FL-26)

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Federal Nursing Funding

Facing state budget cuts and the reality of recent economic conditions, our schools and the students they

educate depend on federal dollars. In particular, the Nursing Workforce Development programs authorized under Title VIII of the Public Health Service Act (42 U.S.C. 296 et seq.) and the National Institute of Nursing Research (NINR) are essential to nurse workforce stability and health care quality. The Title VIII grants are awarded to colleges and universities within each state and provide financial assistance to both nursing education programs and individual students. For over 50 years, the Title VIII programs have been instrumental in supporting the pipeline of registered nurses, advanced practice registered nurses, and nursing faculty. As one of the 27 Institutes and Centers at the National Institutes of Health, the NINR supports research that examines health and illness across the lifespan and establishes the scientific basis for quality patient care. Through grants, research training, and interdisciplinary collaborations, NINR addresses health promotion and disease prevention, quality of life, health disparities, and end-of-life care. NINR also helps train the next generation of nurse researchers, who serve as faculty in America’s nursing schools. 3

NINR

FY2005: $3,885,898 FY2006: $4,215,205 FY2007: $3,867,528 FY2008: $2,575,768 FY2009: $2,950,591 FY2010: $4,285,474 FY2011: $3,021,520 FY2012: $4,415,477 FY2013: $4,503,843 FY2014: $5,760,471

TITLE VIII

FY2005: $3,320,555 FY2006: $3,170,019 FY2007: $3,376,530 FY2008: $4,001,454 FY2009: $5,037,843 FY2010: $6,033,452 FY2011: $5,168,384 FY2012: $5,439,245 FY2013: $4,838,226 FY2014: $6,168,625

10 Years of Funding in Florida

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Total Grant Funding by Congressional District FL-3: $479,957 FL-4: $43,544 FL-7: $350,000 FL-10: $26,817 FL-14: $213,115 FL-15: $670,044 FL-22: $965,329 FL-23: $119,970 FL-24: $1,609,234 FL-26: $1,340,615 FL-27: $350,000

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Summary of Fiscal Year 2014 Title VIII Grants by Florida Congressional District

Program (# Grants) Congressional District Total Grant Funding

Nurse Education, Practice, Quality, and Retention -

Interprofes-sional Collaborative Practice (1) FL-3 $479,957

Nurse Anesthetist Traineeships (1) FL-4 $43,544

Advanced Education Nursing Traineeship (1) FL-7 $350,000

Nurse Education, Practice, Quality and Retention - Veterans’

Bachelor of Science in Nursing Program (1) FL-14 $213,115

Faculty Development: Integrated Technology into Nursing

Ed-ucation and Practice Initiative (1) FL-15 $245,270

Nurse Faculty Loan Program (1) FL-15 $67,852

Nurse Education, Practice, Quality, and Retention -

Interprofes-sional Collaborative Practice (1) FL-22 $500,000

Nurse Faculty Loan Program (1) FL-24 $1,205,091

Advanced Nursing Education Grants (1) FL-26 $254,859

Nursing Workforce Diversity (1) FL-26 $350,208

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Summary of Fiscal Year 2014 NINR Grants by Florida Congressional District

Project Title Congressional

District

Total Grant Funding

Health Inequalities: Social Isolation Among Rural Latinos FL-3 $85,570

Neuroimaging Biomarkers for Post-Operative Cognitive Decline in Older

Adults FL-3 $481,538

Peripheral and Central Mechanisms of Fatigue and Pain in Patients With

ME/CFS FL-3 $358,875

Routine Aspiration of Residual Gastric Contents in Very Low Birth Weight

Infants FL-3 $333,197

Oral Suction Intervention to Reduce Aspiration and Ventilator Events:

NO-ASPIRATE FL-7 $569,281

Oral Care Intervention in Mechanically Ventilated Adults FL-15 $464,383

Sexual Distress and Body Image Distress in Younger Breast Cancer

Survi-vors FL-15 $39,055

Tailoring A HIV Prevention Intervention for College-Aged Black Women FL-15 $89,478

A Longitudinal Study of Substance Abuse and HIV Risk Among Adult

Lati-na Mother-Daughters FL-21 $312,648

Children's Responses to Sibling Death in NICU/PICU in 3 Racial/Ethnic

Groups FL-21 $458,888

Implementing Interventions to Reduce Hospitalizations of Nursing Home

Residents FL-22 $472,724

A Novel Pregnancy Prevention Intervention for Latino Middle School Girls FL-27 $709,980

A Tailored Technology Intervention for Diverse Family Caregivers of AD

Patients FL-27 $512,802

Micro-RNA Molecules as Regulators of Diabetic Wound Healing FL-27 $419,462

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Florida Nursing Workforce at a Glance

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Access to Primary Care in Florida

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 Medically Underserved Areas/Populations (MUA/Ps) are areas/populations the U.S. Department of Health

and Human Services, Health Resources and Services Administration (HRSA) has designated as facing barriers to accessing health care. There are 127 MUA/Ps in Florida.

 Health Professional Shortage Areas (HPSAs) are designated as having shortages of primary medical care,

dental or mental health providers and may be geographic, population, or facilities (federally qualified health center). There are 246 HPSAs that face primary care provider shortages.

Access to primary care providers is critical to maintaining a healthy population and reducing the

rising cost of health care.

1

American Association of Colleges of Nursing. (2015) 2014-2015 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC.

2

U.S. Department of Health and Human Services Health Resources and Services Administration. (2015). AACN compilation of Title VIII and NINR grant funding. Retrieved February 1, 2015 from http://datawarehouse.hrsa.gov

3

Florida Health (2014). Division of Medical Quality Assurance: Annual Report and Long Range Plan Fiscal Year 2013-2014. Retrieved February 11, 2015 from http://mqawebteam.com/annualreports/1314/#1/z.

4

Florida Department of Health - Medical Quality Assurance" February 4, 2014. Personal email communication.

5

United States Department of Health and Human Services Health Resources and Services Administration. (2015). Medically Underserved Areas/

Populations (MUA/P) State Summary of Designated MUA/P. Retrieved February 5, 2015 from http://datawarehouse.hrsa.gov/topics/shortageAreas.aspx.

6

U.S. Department of Health and Human Services Health Resources and Services Administration. (2015). Designated Health Professional Shortage Areas Statistics.