Report Says Current Nursing Shortage Becoming Severe in California; Data Presented to Committee Mandated to Develop Solution for State Government.News Editors/Health, Medical, Education &Government Writers IRVINE Irvine, town, Scotland Irvine (ûr`vĭn), town (1991 pop. 32,507), North Ayrshire, SW Scotland, on the Irvine River estuary. Industries include iron and brass foundries. Other products are chemicals, electric goods, and clothing. , Calif.--(BUSINESS WIRE)--Jan. 27, 2000 Findings from the California California (kăl'ĭfôr`nyə), most populous state in the United States, located in the Far West; bordered by Oregon (N), Nevada and, across the Colorado River, Arizona (E), Mexico (S), and the Pacific Ocean (W). Strategic Planning Strategic planning is an organization's process of defining its strategy, or direction, and making decisions on allocating its resources to pursue this strategy, including its capital and people. Committee for Nursing (CSPCN) report Planning for California's Nursing Work Force documenting the state's nursing crisis were presented yesterday at the first meeting of the advisory committee mandated by Assembly Bill 655 to address the shortage. According to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. the CSPCN report, California is experiencing a nursing shortage that could have serious consequences for the delivery of health care. Further, the state's education programs do not have the resources to increase the supply of nurses. The report details in what areas and licensing levels the shortages exist and at what rate they will increase through 2006. &uot;We hope that the AB 655 advisory committee will take advantage of our report's comprehensive data and we are dedicated to working with them to solve the state's critical nursing shortage,&uot; said CSPCN project director Ellen El·len , Mount A peak, 3,514.2 m (11,522 ft) high, of southern Utah. Lewis, MSN (1) (MicroSoft Network) A family of Internet-based services from Microsoft, which includes a search engine, e-mail (Hotmail), instant messaging (Windows Live Messaging) and a general-purpose portal with news, information and shopping (MSN Directory). , RN. &uot;The report presents an in-depth in-depth adj. Detailed; thorough: an in-depth study. in-depth Adjective detailed or thorough: an in-depth analysis look at the nursing workforce and could accurately describe what's going on What's Going On is a record by American soul singer Marvin Gaye. Released on May 21, 1971 (see 1971 in music), What's Going On reflected the beginning of a new trend in soul music. across the country today,&uot; said Peter Buerhaus, PhD, RN, FAAN FAAN abbr. Fellow of the American Academy of Nursing , Director of the Harvard Harvard, town (1990 pop. 12,329), Worcester co., E central Mass.; inc. 1732. A Shaker house and cemetery, a Native American museum, and a Harvard observatory are there. Nursing Research Institute, Assistant Professor, Health Policy and Management at the Harvard School of Public Health The Harvard School of Public Health is (colloquially, HSPH) is one of the professional graduate schools of Harvard University. Located in Longwood Area of the Boston, Massachusetts neighborhood of Mission Hill, next to Harvard Medical School and Cambridge, Massachusetts, , who has been doing research on the nurse workforce for the past ten years. &uot;If anything, the CSPCN report understates the urgency of the need for action. Fortunately the report's detailed recommendations provide a solution to the problem by increasing the capacity of the state's educational programs in nursing.&uot; Key CSPCN Report Findings:
-- Approximately 10 percent of nursing jobs are going unfilled
statewide.
-- Projected increased demand through 2006: 39,470 RNs; 19,970 LVNs.
-- Projected shortfall: 17,000+ (based on state's current ratio of
RNs to population).
-- California ranks last in the 50 states in the ratio of RNs to
population (CA: 588 RNs to 100,000 population, vs. 798 RNs to
100,000 population nationally).
-- 262,000 nurses (active &inactive) licensed to serve California's
33 million people.
-- By 2006, at current graduating and recruitment rates, 278,620
active RNs and elite nurses will serve the state's projected
population of 38 million.
-- California now recruits 50 percent of its RNs from other states
and countries.
-- State education programs are fully enrolled, must turn away
qualified candidates and can't meet current or projected need for
RNs with advanced degrees.
Passed last year, AB655 mandates the development of &uot;a plan and budget for significantly increasing the number of students graduating from nursing programs in the state and for providing specialty training to licensed nurses in the prescribed pre·scribe v. pre·scribed, pre·scrib·ing, pre·scribes v.tr. 1. To set down as a rule or guide; enjoin. See Synonyms at dictate. 2. To order the use of (a medicine or other treatment). areas of specialization A career option pursued by some attorneys that entails the acquisition of detailed knowledge of, and proficiency in, a particular area of law. As the law in the United States becomes increasingly complex and covers a greater number of subjects, more and more attorneys are .&uot; The advisory committee includes representatives from state agencies, the California Community College, CSU See DSU/CSU. 1. CSU - California State University. 2. CSU - Cleveland State University. 3. CSU - Channel Service Unit. and UC systems, hospital and nursing associations. The committee's report is due to the California Legislature April 1, 2000. Among the CSPCN report's recommendations:
-- Increase number of seats in California State University system
programs;
-- Increase scholarship support to students in private colleges;
-- Develop a long-term plan and permanent commission to build up
educational programs and monitor need.
&uot;Ironically i·ron·ic also i·ron·i·cal adj. 1. Characterized by or constituting irony. 2. Given to the use of irony. See Synonyms at sarcastic. 3. , nursing is projected by the state Economic Development Department as one of the top professions in California in the long-term Long-term Three or more years. In the context of accounting, more than 1 year. long-term 1. Of or relating to a gain or loss in the value of a security that has been held over a specific length of time. Compare short-term. ,&uot; says Marian Lowe, Executive Director of the California affiliate of the American Nurses Association American Nurses Association, n.pr professional organization of registered nurses created to encourage high standards in nursing care, pro-mote nursing as a profession, and lobby Congress for issues of concern to nurses. . Lowe notes that the profession offers a &uot;life-long employment opportunity,&uot; particularly as nurses are increasingly relied upon to deliver cost effective health care in California and nationally. Editor's Notes Editor's Note (foaled in 1993 in Kentucky) is an American thoroughbred Stallion racehorse. He was sired by 1992 U.S. Champion 2 YO Colt Forty Niner, who in turn was a son of Champion sire Mr. Prospector and out of the mare, Beware Of The Cat. Trained by D. : Report Summary attached. A copy of the CSPCN Report can be ordered from the CSPCN website www.ucihs.uci.edu/cspcn; see home page &uot;Order New Publications&uot; box. CSPCN Information: Formed in 1992, the California Strategic Planning Committee for Nursing (CSPCN) members represent the leadership of over 35 state agencies, nursing and health care organizations. Its purpose is to strategically plan for an appropriate nursing work force to meet the needs of California's people. Published in June 1999 and presented in October at the Third Annual Nursing Summit in Sacramento, the CSPCN report was funded in part by The Robert Wood Johnson Robert Wood Johnson was the name shared by members of the family that descended from the President of Johnson & Johnson:
circulating immune complexes. CIC Circulating immune complexes. See Immune complexes. ). UC, Irvine, the Board of Registered Nursing and the Office of Statewide Health Planning and Development also provided support. Contacts: Sarah Keating, CSPCN Chair; Dean of Samuel Merritt College Samuel Merritt College, founded in 1909 as a hospital school of nursing, is a fully accredited health sciences institution located in Oakland, California. Samuel Merritt offers undergraduate degrees in nursing and graduate degrees in nursing, physical therapy, physician assistant, and Saint Mary's College Saint Mary's College, at Notre Dame, Ind., near South Bend; Roman Catholic; for women; est. 1844 as St. Mary's Academy, chartered 1850 at Bertrand, Mich.; moved and chartered 1855. The school shares certain programs and facilities with the Univ. in Oakland, CA 510/869-6129 Ellen M. Lewis MSN, RN, CSPCN Report Project Director; Program Administrator, Nursing &Allied Health, Assoc. Clinical Professor, UCI College of Medicine, Irvine, CA 949/824-8932 Peter Buerhaus, PhD, RN, FAAN, Harvard University Harvard University, mainly at Cambridge, Mass., including Harvard College, the oldest American college. Harvard College Harvard College, originally for men, was founded in 1636 with a grant from the General Court of the Massachusetts Bay Colony. 617/432-0217 Marian Lowe, Exec. Dir (1) (DIRectory) A CP/M, DOS and OS/2 command that lists the file names on the disk. See DOS Dir. (2) (DIR) (Digital Instrumentation R . American Nurses Association/CA 415/664-3262 Mary Joe Gorney-Moreno, PhD, RN, President, Board of Registered Nursing; Chair, AB655 Advisory Committee 916/324-2715
Phase II Final Report SUMMARY
California's Need for Nurses
State and Federal Projections
1. Bureau of Labor and California Employment Development Department
list RNs and LVNs among occupations with the largest increased
demand by 2006.
2. Between 1996 and 2006, California Employment Development
Department projects an absolute growth in demand of:
-- 39,470 RNs
-- 19,970 LVNs
3. California's population:
-- increase by over 5 million by 2006
-- increase by over 17 million by 2025
Employer Survey
1. Vacancy rates among all California employment sectors in 1997:
-- 8.5 percent for RNs
-- 5.2 percent for LVNs
-- 7.8 percent for unlicensed assistive personnel (UAP)
2. Mean vacancy rate of 10.6 percent for RN staff nurses at acute
care hospitals.
3. Three percent increased demand in RN full-time employees before
2000 among all employment sectors.
Specific Demand for RNs with Baccalaureate Preparation
1. Employers intend to decrease employment of RNs with AA
preparation by -5.8 percent.
2. Employers intend to increase employment of RNs with BS
preparation by 8.8 percent.
3. Employers intend to increase employment of RNs with MS
preparation by 9.7 percent.
Problems in Meeting Demand for RNs
RN Supply Facts
1. Proportion of RNs per 100,000 population in California is the
lowest in US (CA: 588 per 100,000. National average: 789 RNs to
100,000 population.)
2. RN work force continues to age: less than 10 percent are under 30
years of age and nearly 30 percent are over the age of 50.
3. Eighty-five percent of RNs in California work full or part
time -- higher than nationally.
4. California currently relies on other states and countries for 50
percent of its nursing work force, even as nursing program
enrollment is declining nationally.
5. State's ethnic/racial diversity not reflected in current RN work
force.
Nursing Education Program Facts
1. California's associate degree and baccalaureate RN pre-licensure
programs were almost universally fully subscribed in 1997-98.
2. Approximately 70 percent of RNs educated in California graduate
from associate degree programs.
3. The University of California system has no undergraduate nursing
programs.
Recommendation No. 1
Restructure California's Basic Nursing Work Force
-- Increase the number of direct entry enrollments in baccalaureate
nursing programs in the California State University system.
-- State scholarship support to students in private colleges.
-- Consider re-opening and creating new pre-licensure opportunities
within the University of California (UC) system.
-- Develop incentives among health care provider employers to
encourage associate degree graduates to complete the
baccalaureate degree.
-- Streamline articulation among programs.
Recommendation No. 2
Ensure an Adequate Supply of Nurses in California
-- Current nursing enrollments in all programs must be maintained in
terms of both numbers and the cultural diversity of the students.
Recruitment efforts need to emphasize positive professional
images.
-- Increase educational opportunities, particularly at the
baccalaureate and higher degree level, through targeted support
to state nursing education programs and scholarship support to
private schools.
-- State support to increase opportunities for graduate education
within the California State University system and the University
of California system.
-- Additional support directed toward masters and doctoral programs
in areas of greatest need including pediatrics, obstetrics and
psychiatry/mental health.
-- Doctoral programs specifically designed for Nurse Practitioners
(NPs) may need to be developed to provide sufficient Ph.D.
prepared NPs to fill undergraduate and graduate faculty
positions.
-- Faculty salary incentives and workload adjustments are needed to
compete with clinical and other roles available to RNs qualified
to teach in graduate and/or undergraduate nursing programs.
Recommendation No. 3
Enhance the cultural diversity of the California RN work force
-- Recruitment and retention of a culturally diverse RN student
population in all programs must occur to provide care to an
increasingly diverse population. In particular, strategies to
increase the proportion of Hispanic/Latino students need to be
supported since the proportion of Hispanic/Latino RNs lags behind
the proportion in the population. Strategies need to include
nursing career information beginning in junior high and high
school.
-- In addition to recruitment of culturally diverse students,
requirements to assure cultural competence/sensitivity need to
be implemented in all nursing programs.
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