Advanced Prac+ce Nurses in Georgia: New Data and Implica+ons for Access to Care Georgia Nursing Leadership Coali3on
Primary work seEng
Purpose
Primary employment specialty
To understand the characteris3cs and distribu3on of Advanced Prac3ce Nurses (APNs) in Georgia to help with strategic workforce planning and improve access to care
31.1%
Acute care/Cri3cal care
Hospital
75.4%
Background & Data
Adult Health/Family Health
In 2011, the Georgia Board of Nursing survey was reformaHed • Using the Na3onal Nursing Workforce Minimum Dataset (Supply) (NNWMD) • NNWMD developed by the Na3onal Forum of State Nursing Workforce Centers • Data reflect the 2014 and 2015 licensure renewals • Nursing licenses are valid for 2 years • Overall response rate to the survey = 89.8% (N=7,028) Data presented here reflect*: • Nurses with valid licenses who are ac3vely prac3cing in Georgia • Cer3fied Nurse Midwives (CNMs), Cer3fied Registered Nurse Anesthe3sts (CRNAs), and Nurse Prac33oners (NPs) – collec3vely called Advanced Prac3ce Registered Nurses (APRNs) • Only nurses renewing their licenses (not nurses new to the state) * Unless stated otherwise
18.3%
NPs
18.3%
CRNAs
Anesthesia
86.8% 0.0%
4.7% Maternal-Child Health
0.9%
0.5% 7.5% 0.7%
CNMs Academics
1.6% 0.5% 63.8%
7.9%
Community Health
Medical Surgical
6.3%
Less than 5%:
0.1% 2.8% 19.0%
Other
33.4%
28.0%
13.4% 3.7% 8.1%
46.7%
Ambulatory Care
Strengths Results & Conclusions
3.4% 18.9%
Home Health Correc3onal Facili3es Insurance Claims/Benefits Nursing Homes Occupa3onal Health Policy/Planning/Regulatory Public Health School Health
APRNs according to county: rural vs. non-rural
Less than 5%:
2.6% 1.7% 5.0% 14.5%
Pediatrics/Neonatal
0.4% 0.6% 15.3%
Other
2.7% 8.1%
Gerontology Home Health Occupa3onal Health Oncology Psych /Mental Health/Substance Abuse Public Health Rehabilita3on School Health Trauma Women’s Health
Other Southeastern states where APRNs with Georgia licenses are ac+vely prac+cing
Diversity 90.0% 80.0% 70.0%
60.0%
83.1% of the 89.9% of survey respondents are ac3vely employed in Georgia (N=4,967) • Average age 46.1 years • 3.1% earned their first nursing degree outside the United States • Few APRNs work in academics • Blacks and Hispanics are underrepresented in the APRN workforce • Of APRNs in the Southeast with licenses to prac3ce in Georgia, 11.6% work outside of the state • 8.5% are in three states: FL, SC, TN • 10.7% of Georgia coun3es have zero APRNs prac3cing (N=17): all these coun3es are rural • 52.2% of Georgia coun3es have 5 or fewer APRNs prac3cing (N= 83): 81 of these coun3es are rural
Future Direc+ons
• Disseminate results • Do an economic impact study • Obtain data from a second complete cycle of licensure renewals to assess change • Update the survey ques3ons in accordance with changes approved by the Na3onal Forum of State Nursing Workforce Centers (spring 2016) • Recruit more people from underrepresented popula3ons to nursing • Find strategies to recruit more APRNs to rural coun3es • Determine why nurses choose to work in FL, SC or TN instead of Georgia and find strategies to aHract them to Georgia • Find strategies to aHract APRNs to academia to avoid a faculty shortage
CNMs
50.0%
CRNAs
40.0%
Gender: Percent Male
NPs
35.5%
GEORGIA
30.0% 20.0% 10.0% 0.0% Asian
Black
Hispanic
White
Mul3ple
6.6%
1.8% CNMs
CRNAs
NPs
Support for this project was provided by a grant from the Robert Wood Johnson Founda3on’s State Implementa3on Program