North Carolina Nursing Education at a Glance, Fall 2014

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In 2014, nursing schools in North Carolina enrolled 8,499 students in Baccalaureate and Graduate programs in nursing and produced 3,453 graduates across program levels.1

Baccalaureate and Graduate Nursing Student Diversity by Program Level1

Additionally, there were 1,660 nursing students studying to become APRNs, including 1,282 Nurse Practitioners,

295 Certified Registered Nurse Anesthetists, 54 Clinical Nurse Specialists, and 29 Certified Nurse-midwives.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.

North Carolina 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 89 107 120 131 136 136 125 120 125 134

10 Years of PhD Enrollments

North Carolina

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 7 10 11 ₁₀ ₁₀ ₁₀ 20 27 27 18 10 Years of PhD Graduates North Carolina 1

Baccalaureate Master's PhD DNP All Programs

Minority* 22% 17% 19% 21% 21%

Men 9% 11% 12% 11% 10%

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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.

21 AACN Member Schools in North Carolina

(By Congressional District)

53 YEARS

Average Age of North Carolina Nurse

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 14 7 25 25 27 35 22 32 47 30

10 Years of Faculty Vacancies

North Carolina

Barton College (NC-1) Duke University (NC-1)

North Carolina Central University (NC-1) Campbell University (NC-2) East Carolina University (NC-3)

University of North Carolina – Wilmington (NC-3) Fayetteville State University (NC-4)

Methodist University (NC-4)

The University of North Carolina – Chapel Hill (NC-4)

Lenoir-Rhyne University (NC-5) Cabarrus College of Health Sciences (NC-8)

Pfeiffer University (NC-8)

University of North Carolina – Pembroke (NC-8) Queens University of Charlotte (NC-9)

Western Carolina University (NC-11) North Carolina A&T State University (NC-12) University of North Carolina – Charlotte (NC-12) University of North Carolina – Greensboro (NC-12)

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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: $8,863,145 FY2006: $8,536,350 FY2007: $7,084,299 FY2008: $7,877,033 FY2009: $8,942,284 FY2010: $7,190,770 FY2011: $9,629,997 FY2012: $11,043,451 FY2013: $8,880,439 FY2014: $8,044,201

TITLE VIII

FY2005: $4,217,127 FY2006: $4,360,699 FY2007: $4,303,885 FY2008: $5,361,178 FY2009: $6,672,371 FY2010: $6,542,081 FY2011: $4,457,876 FY2012: $5,068,587 FY2013: $6,603,255 FY2014: $7,220,581

10 Years of Funding in North Carolina

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Total Grant Funding by Congressional District

NC-1: $4,549,921 NC-4: $3,076,976 NC-5: $219,780 NC-6: $197,524

Total Grant Funding by Congressional District NC-1: $1,998,490 NC-3: $1,060,147 NC-4: $1,781,190 NC-5: $25,804 NC-11: $1,529,721 NC-12: $825,229

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Summary of Fiscal Year 2014 Title VIII Grants by North Carolina Congressional District

Program (# Grants) Congressional District

Total Grant Funding

Advanced Nursing Education Grants (2) NC-1 $711,977

Comprehensive Geriatric Education Program (1) NC-1 $241,466

Nurse Anesthetist Traineeships (1) NC-1 $36,947

Nurse Education, Practice, Quality, and Retention - Interprofessional

Collabo-rative Practice (1) NC-1 $121,994

Nurse Faculty Loan Program (1) NC-1 $541,297

Nursing Workforce Diversity (1) NC-1 $344,809

Advanced Education Nursing Traineeship (1) NC-3 $335,022

Nursing Workforce Diversity (1) NC-4 $212,160

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Summary of Fiscal Year 2014 NINR Grants by North Carolina Congressional District

Project Title Congressional

District

Total Grant Funding

A Mindfulness-Based Intervention for Pain Catastrophizing on Sickle Cell

Dis-ease NC-1 $32,758

Administrative Core NC-1 $209,703

Caregiver-Guided Pain Management Training in Palliative Care NC-1 $620,689

Center for Adaptive Leadership in Symptom Science NC-1 $310,396

Methods Core NC-1 $80,041

Mother-Daughter Relationship Influences on Daughters' Dietary Practices NC-1 $42,676

Outcomes of Nursing Management Practice in Nursing Homes NC-1 $763,585

Palliative Care in Heart Failure (PAL-HF) NC-1 $432,574

Parents as Sexuality Educators: Implications for HIV Prevention NC-1 $42,676

Refinement and Expansion of the Palliative Care Research Cooperative Group

(PCRC) NC-1 $1,961,397

Scholarship and Mentoring Core NC-1 $20,652

Social Determinants of Health for African American HIV-Infected Mothers NC-1 $32,774

A Family-Focused, Literacy-Sensitive Intervention to Improve Medication

Ad-herence NC-4 $126,780

Affective and Genomic Mediators of Sustained Behavior Change NC-4 $514,303

Alzheimers Medical Advisor: A Symptom and Sign Management Toolkit for

Caregivers NC-4 $500,455

Geriatric Symptom Protocols for Improved Triage in Offices and Assisted

Liv-ing NC-4 $224,543

Interventions for Preventing & Managing Chronic Illness NC-4 $504,111

Mapping Multidimensional Illness Trajectories of Patients with ESKD NC-4 $383,681

Mixed-Methods Synthesis of Research on Childhood Chronic Conditions and

Family NC-4 $460,003

NRI: Novel Platform for Rapid Exploration of Robotic Ankle Exoskeleton

Con-trol NC-4 $135,100

Project Sickle CIA: Cultivating Informed Activated Adolescents with Sickle Cell NC-4 $228,000

Health-Care Providers Roles in Decision Making in Pediatric Palliative Care NC-5 $219,780

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North Carolina Nursing Workforce at a Glance

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Access to Primary Care in North Carolina

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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 110 MUA/Ps in North Carolina.

 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 134 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.

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