Quick Facts September 2008
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The Nursing Shortage in Florida Quick Facts – September 2008 FORECASTING SUPPLY, DEMAND, SHORTAGE What will Florida’s shortfall of Registered Nurses be (in full-time equivalents)? 220,000 Demand
200,000
Supply
- 52,200
180,000
- 32,900 160,000 140,000 2007
- 18,400
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
What will Florida’s shortfall of Licensed Practical Nurses be (in full-time equivalents)? 70,000 Demand
Supply
60,000
- 3,500
- 7,000
50,000 40,000 2007
- 4,600
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
What If – Will increasing the number of new graduate RNs by 15% each year starting in 2011 so that by 2016 there has been a 90 % increase in new RN production and delaying current RNs’ retirement for 2 years beginning in 2009 assure that supply meets demand? No, but these actions can lead to long term success.
DEMAND (as of July 2007) (Survey of hospitals, skilled nursing facilities, home health agencies, public health departments, and hospices.)
How many vacant & new positions are there for RNs, LPNs, and CNAs? 20,000
Growth 2008 Vacancies 2007
15,000
6,459
10,000 2,716 5,000
10,437
1,840 2,972
5,791
LPN
NA
0 RN
When asked “What are the top 5 most difficult to fill positions?” – All identified jobs requiring either experience or an advanced education degree. “What is your top growth area over the next 2 years?” Hospital – Adult Critical Care Skilled Nursing Facility – Staff RNs Home Health – Home Care Staff RNs Public Health – Nurse Practitioners & Midwives Hospice – Certified Nursing Assistants
SUPPLY (as of January 2008) How many nurses are there? All Florida Potential Licensees Workforce RN 226,827 175,581 ARNP 13,894 11,094 LPN 68,551 55,735 Total Nurses 309,272 242,410
To be counted in the potential nurse workforce the licensee must: 1. have an active license, 2. have a license status that renders them eligible to practice nursing, and 3. provide a Florida address.
Others 51,246 2,800 12,816 66,862
How many nurses did Florida gain or lose during 2007? RNs ARNPs Total Gains to Potential Workforce 13,309 869 Total Losses from Potential Workforce 7,294 308 Net Change in the Potential Workforce + 6,026 + 566 What is the age of Florida’s nurses?
LPNs 5,592 7,467 - 1,826
Gains: new licensees by examination, endorsement Losses: moved out of FL; changed license status
How diverse are Florida’s Nurses?
40%
LPN
30%
NP
20% 10%
RN
0% < 20
21-30
31-40
RN
41-50
NP
51-60
0%
> 60
20%
White
LPN
Average Age: RN – 47.7; NP – 48.5; LPN – 46.3
40%
Black
60%
Hispanic
80%
Asian
100%
Other
Native American < 1% all groups
How many new graduates do Florida’s education programs produce? Program Capacity: Pre-licensure Programs AY 2006-07 # of Seats
Generic ADN
Bridge ADN
Graduates for AY 2006/07 by type of program.
Generic 2nd Degree BSN BSN
4500 583
6,382
1,094
2,148
324
# of Applicants 10,326
1,196
5,089
1109
1500 0
3000 3344
3539
229 1539
# of Admits
5,700
958
2,055
446
# Turned Away
4,626
238
3,034
663
% Turned Away 44.8%
20.0%
59.6%
59.8%
LPN
Generic
RN (ADN)
Bridge
RN (BSN)
2nd Degree
Increasing production alone will not resolve the nursing shortage. We must retain the experiential knowledge of senior nurses to complement the influx of new graduates, fill vacancies in high-demand settings, and optimize the quality of care. We must retain novice nurses and develop their leadership skills to maximize the state’s return on its investment in nursing education. Improving the work environment and retention efforts of Florida’s existing and new nurses is critical to address our nursing shortage.
200,000
Supply
- 52,200
180,000
- 32,900 160,000 140,000 2007
- 18,400
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
What will Florida’s shortfall of Licensed Practical Nurses be (in full-time equivalents)? 70,000 Demand
Supply
60,000
- 3,500
- 7,000
50,000 40,000 2007
- 4,600
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
What If – Will increasing the number of new graduate RNs by 15% each year starting in 2011 so that by 2016 there has been a 90 % increase in new RN production and delaying current RNs’ retirement for 2 years beginning in 2009 assure that supply meets demand? No, but these actions can lead to long term success.
DEMAND (as of July 2007) (Survey of hospitals, skilled nursing facilities, home health agencies, public health departments, and hospices.)
How many vacant & new positions are there for RNs, LPNs, and CNAs? 20,000
Growth 2008 Vacancies 2007
15,000
6,459
10,000 2,716 5,000
10,437
1,840 2,972
5,791
LPN
NA
0 RN
When asked “What are the top 5 most difficult to fill positions?” – All identified jobs requiring either experience or an advanced education degree. “What is your top growth area over the next 2 years?” Hospital – Adult Critical Care Skilled Nursing Facility – Staff RNs Home Health – Home Care Staff RNs Public Health – Nurse Practitioners & Midwives Hospice – Certified Nursing Assistants
SUPPLY (as of January 2008) How many nurses are there? All Florida Potential Licensees Workforce RN 226,827 175,581 ARNP 13,894 11,094 LPN 68,551 55,735 Total Nurses 309,272 242,410
To be counted in the potential nurse workforce the licensee must: 1. have an active license, 2. have a license status that renders them eligible to practice nursing, and 3. provide a Florida address.
Others 51,246 2,800 12,816 66,862
How many nurses did Florida gain or lose during 2007? RNs ARNPs Total Gains to Potential Workforce 13,309 869 Total Losses from Potential Workforce 7,294 308 Net Change in the Potential Workforce + 6,026 + 566 What is the age of Florida’s nurses?
LPNs 5,592 7,467 - 1,826
Gains: new licensees by examination, endorsement Losses: moved out of FL; changed license status
How diverse are Florida’s Nurses?
40%
LPN
30%
NP
20% 10%
RN
0% < 20
21-30
31-40
RN
41-50
NP
51-60
0%
> 60
20%
White
LPN
Average Age: RN – 47.7; NP – 48.5; LPN – 46.3
40%
Black
60%
Hispanic
80%
Asian
100%
Other
Native American < 1% all groups
How many new graduates do Florida’s education programs produce? Program Capacity: Pre-licensure Programs AY 2006-07 # of Seats
Generic ADN
Bridge ADN
Graduates for AY 2006/07 by type of program.
Generic 2nd Degree BSN BSN
4500 583
6,382
1,094
2,148
324
# of Applicants 10,326
1,196
5,089
1109
1500 0
3000 3344
3539
229 1539
# of Admits
5,700
958
2,055
446
# Turned Away
4,626
238
3,034
663
% Turned Away 44.8%
20.0%
59.6%
59.8%
LPN
Generic
RN (ADN)
Bridge
RN (BSN)
2nd Degree
Increasing production alone will not resolve the nursing shortage. We must retain the experiential knowledge of senior nurses to complement the influx of new graduates, fill vacancies in high-demand settings, and optimize the quality of care. We must retain novice nurses and develop their leadership skills to maximize the state’s return on its investment in nursing education. Improving the work environment and retention efforts of Florida’s existing and new nurses is critical to address our nursing shortage.
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