The State of the Nursing Workforce in Florida

The State of the Nursing Workforce in Florida 2023

The FCN is proudly headquartered at the University of South Florida College of Nursing.

The State of the Nursing Workforce in Florida 2023

Florida Center for Nursing

Headquartered at the University of South Florida College of Nursing 12901 Bruce B. Downs Blvd., MDC 22 Tampa, FL 33612

Report Citation Information: Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida. Tampa, FL. This report was prepared by Rayna M. Letourneau, PhD, RN, Executive Director, Florida Center for Nursing (raynaletourneau@usf.edu).

If you require this report in an alternate format, please contact us via email at FLCenterforNursing@usf.edu.

Acknowledgements The Florida Center for Nursing is grateful for the widespread support it has received towards accomplishing the goals of this report. Specifically, the Florida Center for Nursing thanks Florida’s licensed LPNs, RNs, and APRNs for completing our survey at the time of licensure renewal. This report would not be possible without their participation in our survey.

The Executive Director of the Florida Center for Nursing would also like to acknowledge the following individuals and organizations for their contributions:

Patricia Moulton Burwell, PhD Director, National Forum of State Nursing Workforce Centers Alec Jimenez Data Engineer, Florida Center for Nursing Abigail Carden, MPH, CPH Data Engineer, Florida Center for Nursing Ayesha Johnson, PhD Assistant Professor, University of South Florida Tracie Cooper, MS Learning Designer, Florida Center for Nursing Florida Board of Nursing Florida Department of Health, Division of Medical Quality Assurance Department of Information Systems Technology School of Modeling, Simulation & Training University of Central Florida Florida Center for Nursing Board of Directors University of South Florida College of Nursing

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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Table of Contents List of Acronyms & Abbreviations

4

Introduction

5

Regions of Florida

6

Supply of Nurses in Florida

9

Overview of Supply of Nurses in Florida

10

Supply Methodology

10

Supply Findings

13

Statewide Demographic Characteristics

13

Practice Characteristics

15

Regional Supply of Nurses in Florida

20

Demand for Nurses in Florida

37

Overview of Demand Trends for Nurses in Florida

38

Demand Methodology

38

Demand for Licensed Practical Nurses

41

Demand for Registered Nurses

52

Demand for Nurse Practitioners

63

Demand for Nurse Anesthetists

72

Demand for Nurse Midwives

79

Demand for Nursing Faculty

82

Conclusion

88

Appendix A. FCN Nursing Workforce Survey

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List of Acronyms & Abbreviations Acronym/

Definition

Abbreviation APRN

Advanced Practice Registered Nurse

BLS

Bureau of Labor Statistics

COVID-19

Coronavirus disease 2019

CRNA

Certified Registered Nurse Anesthetist

EC

East Central

FBON

Florida Board of Nursing

FCN

Florida Center for Nursing

FTE

Full-time Equivalent

HRSA

Health Resources & Services Administration

LPN

Licensed Practical Nurse

MDS

Minimum Data Set

MQA

Florida Department of Health, Division of Medical Quality Assurance

NC

North Central

NE

Northeast

NP

Nurse Practitioner

NW

Northwest

OEWS

Occupational Employment and Wage Statistics

PSAV

Postsecondary Adult Vocational

RN

Registered Nurse

SE

Southeast

SOC

Standard Occupation Classification

SW

Southwest

U.S.

United States

WC

West Central

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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Introduction

The Florida Center for Nursing (FCN) was established in 2001 to address issues related to Florida’s nurse supply, demand, and shortages (Florida Statute §464.0195). Consistent with Florida statute (§464.0195), the FCN conducted a statistically valid biennial data driven analysis of the current supply and demand of the nursing workforce.

This report provides information about the supply and demand of Florida’s nursing workforce.

Scientific evaluation of data will allow the FCN to address issues related to the nursing workforce, including issues of recruitment, retention, and utilization of nurse workforce resources. The goal is to provide an ongoing strategy for the allocation of the state’s resources directed towards nursing.

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Regions of Florida The Florida Center for nursing aggregates statewide and regional data. Regions are identified as northwest, north central, northeast, east central, west central, southeast, southwest, and south.

The Northwest region covers Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Liberty, Okaloosa, Santa Rosa, Walton, and Washington counties.

The North Central region covers Alachua, Bradford, Citrus, Columbia, Dixie, Gadsden, Gilchrist, Hamilton, Jefferson, Lafayette, Leon, Levy, Madison, Marion, Suwannee, Taylor, Union, and Wakulla counties.

The Northeast region covers Baker, Clay, Duval, Nassau, Putnam, and St. Johns counties.

The East Central region covers Brevard, Flagler, Lake, Orange, Osceola, Seminole, Sumter, and Volusia counties.

The West Central region covers DeSoto, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, and Sarasota counties.

The Southeast region covers Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie counties.

The Southwest region covers Charlotte, Collier, Glades, Hendry, and Lee counties.

The South region covers Broward, Miami-Dade, and Monroe counties.

The following map demonstrates the 8 geographic regions of Florida.

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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Image.

Regional map of Florida.

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Supply of Nurses in Florida

Overview of Supply of Nurses in Florida

Since 2006, the FCN has obtained nurse licensure data from the Florida Board of Nursing (FBON) for analyses directed in statute. The FBON licensure database contains the most complete information specific to the regulation of Florida nurses, however the FBON licensure data do not include information about the work behavior or intention of nurses. Since 2008, the FCN has partnered with FBON and the Florida Department of Health, Division of Medical Quality Assurance (MQA) to integrate a voluntary Workforce Survey into the online nursing licensure renewal process. The Workforce Survey generates important data for workforce analysis, such as work status, hours worked, and highest degree held. Measurements include those established by the National Forum of State Nursing Workforce Centers minimum data set.

Supply Methodology License Data The Florida Department of Health, Division of Medical Quality Assurance (MQA) provided information for all licensed LPNs, RNs, and APRNs in the state. Variables obtained through MQA license data included age, sex, race/ethnicity, and address. Following the completion of a two-year license renewal cycle, the FCN extracted data from static files received from MQA. This data extract included records for each nursing license held in Florida by Licensed Practical Nurses (LPNs), Registered Nurses (RNs), and Advanced Practice Registered Nurses (APRNs).

Renewal cycles are based on the licensee’s expiration date of either April 30 or July 31.

Survey Design and Distribution Additional data used for this report was collected using a survey instrument designed by the FCN called the FCN Nursing Workforce Survey (see Appendix A). Questions included in the FCN Nursing Workforce Survey were updated to coincide with the National Forum of State Nursing Workforce Center’s Minimum Nurse Supply Dataset (MDS)1. Other revisions made to the survey involved rephrasing of questions to simplify or shorten items for clarity, as well as adding response selections to be as inclusive as possible of all options. The survey instrument was offered electronically to all nurses at the time of licensure renewal.

1

https://nursingworkforcecenters.org/wp-content/uploads/2021/12/National-Forum-Supply-MinimumDataset_September-2016-1.pdf

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Using a unique file number as an identifier, workforce survey data were merged with licensure data. Duplicate cases were removed so that nurses holding more than one license (e.g., LPN and RN or RN and APRN) were not counted more than once in summary totals. The lowest level license was removed and only a nurse’s highest level license was used in summary totals.

Because the FCN is primarily interested in the amount of nursing labor provided in Florida, licensure and survey data were cleaned and subset to isolate nurses who could reasonably be practicing nursing within the State of Florida. This subset is called the potential nurse workforce.

To be included in the potential nurse workforce, licensees must hold an active license indicating eligibility to practice.

Statewide Comparisons to National Data When appropriate, the statewide workforce data was compared to population data from the U.S. Census Bureau 2 and the National Council of State Board of Nursing and the National Forum of State Nursing Workforce Centers’ national nursing workforce data. 3

Limitations Responses to the FCN Nursing Workforce Survey are self-reported. As a result, there was a possibility of misinterpretation or confusion of the survey questions among the recipients.

Likewise, non-response of individual survey questions may have impacted variable calculations.

Newly licensed nurses in Florida are not exposed to the FCN Nursing Workforce Survey until they renew their licenses for the first time, therefore the FCN Nursing Workforce Survey data does not represent the entire supply of Florida’s nursing workforce.

The FCN used available licensure information for non-respondents when possible.

The methodology utilized to remove duplicate cases from the data set assumes that nurses with multiple levels of licensure practice at the highest level of licensure. This assumption is not able to be verified with the data set utilized for analysis.

Statewide counts of active licenses include nurses who were classified as “Foreign”, “Out of State”, or “Unknown”, and may not reside in the State of Florida but do hold an active Florida nursing license. These cases were removed when reporting regional counts so that the sum of nurses in and across each region does not equal the statewide total.

The opportunity to ask nurses how COVID-19 impacted their job intentions was recognized, however an item could not be added to the FCN Nursing Workforce Survey until the next license renewal cycle. Hence, the FCN did not collect data regarding the impact of COVID-19 on 2

U.S. Census Bureau. https://www.census.gov/data.html Smiley et al. (2023). The 2022 National Nursing Workforce Survey. Journal of Nursing Regulation, 14(1), Supplement 2, S1-S90. https://doi.org/10.1016/S2155-8256(23)00047-9.

3

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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nurses’ employment intentions until 2022. The impact of COVID-19 on nurses’ employment intentions will be reported in the next FCN nursing workforce report.

The FCN was not authorized to change licensing items or survey items related to gender, therefore only sex (male/female) data was collected and reported.

Finally, the supply study data were collected during licensure renewal cycles during a global pandemic (COVID-19). Because of this, some survey responses may have been affected as nurses potentially experienced changes to their normal employment routines during the survey distribution and data collection processes.

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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Supply Findings During the 2020-2021 license renewal cycle, Florida was home to 441,361 active nursing licenses made up of 69,511 LPN; 326,669 RN; and 45,181 APRN licenses. Licensees held either single-state or multi-state licenses. Multi-state licenses made up 19.6% of LPN licenses, 22.2% of RN licenses, and 16.9% of APRN licenses.

There were 366,235 nurses in Florida (83%) that responded to the FCN Nursing Workforce Survey.

Active Licenses

Responses

Response Rate

LPN

69,511

57,548

82.8%

RN

326,669

280,152

85.8%

APRN

45,181

28,535

63.2%

Statewide Total

441,361

366,235

83%

Statewide Demographic Characteristics Age The median ages of nurses were 48, 46, and 45 years for LPNs, RNs, and APRNs respectively.

The mean age of LPNs was 47.7 and the mean age of both RNs and APRNs was 46.6. The table below provides a comparison of the ages of the LPNs, RNs, and APRNs that make up Florida’s nursing workforce to the U.S. nursing workforce and state and U.S. census data.

FL

FL

FL

FL

U.S.

LPNs

RNs

APRNs

NURSES

NURSES

29 or younger

12.5%

14.8%

5.2%

11.2%

30 - 39

21.8%

24.3%

31.5%

40 - 49

22.2%

20.6%

50 - 59

22.3%

60 or older

21.1%

Age

Florida

United States

10.9%

33.7%

38.3%

24.6%

24.2%

12.9%

13.6%

27.8%

21.5%

21.8%

12.1%

12.4%

20.3%

21.1%

21.1%

21.4%

13.3%

12.9%

20.1%

14.4%

21.6%

21.7%

27.9%

22.8%

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Sex Florida has a higher percentage of male nurses compared to the national percentage. The table below compares the sex of the LPNs, RNs, and APRNs that make up Florida’s nursing workforce to the U.S. nursing workforce and state and U.S. census data.

FL

FL

FL

FL

U.S.

Sex

Florida

United States

LPNs

RNs

APRNs

NURSES

NURSES

Female

90.0%

87.0%

83.9%

87.0%

89.0%

50.8%

50.5%

Male

10.0%

13.0%

16.1%

13.0%

11.0%

49.2%

49.5%

Race and Ethnicity Florida’s nursing workforce is more diverse compared to the U.S. nursing workforce. The following table provides the race and ethnicity characteristics of the LPNs, RNs, and APRNs that make up Florida’s nursing workforce compared to characteristics of the U.S. nursing workforce and the population characteristics of Florida and the U.S.

FL

FL

FL

FL

U.S.

LPNs

RNs

APRNs

NURSES

NURSES

White

49.8%

59.3%

60.4%

57.9%

Black

32.3%

14.6%

13.8%

Native

0.3%

0.2%

Asian

2.5%

Other

Florida

United States

77.6%

52.7%

59.3%

17.3%

8.3%

15.5%

12.6%

0.2%

0.2%

0.6%

0.3%

0.7%

6.3%

5.2%

5.6%

7.2%

2.9%

5.9%

2.3%

2.1%

2.0%

2.1%

3.4%

1.9%

2.5%

Hispanic

11.5%

16.1%

17.4%

15.5%

7.7%

26.8%

18.9%

Not Provided

1.3%

1.3%

1.0%

1.3%

-

-

-

Race/Ethnicity

Education The following table provides the highest level of nursing education earned by the LPNs, RNs, and APRNs that make up Florida’s nursing workforce compared to the national workforce.

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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FL

FL

FL

U.S.

U.S.

LPNs

RNs

APRNs

LPNs

RNs

Vocational/PN Certificate

77.7%

-

-

71.8%

-

Diploma

11.1%

4.5%

0.6%

12.2%

4.1%

Associate Degree

9.7%

39.8%

0.8%

13.1%

24.3%

Baccalaureate

1.4%

44.6%

2.3%

2.9%

51.1%

Master's

0.1%

9.9%

83.9%

0.0%

17.9%

DNP

0.0%

0.8%

10.5%

0.0%

1.6%

PhD Nursing

0.0%

0.3%

1.4%

0.0%

0.9%

Other Doctoral

0.0%

0.1%

0.5%

0.0%

0.2%

Highest Nursing Degree

In 2010, the Institute of Medicine (IOM), now known as the National Academy of Medicine, released The Future of Nursing: Leading Change, Advancing Health, a landmark report which called for increasing the number of baccalaureate-prepared nurses in the workforce to 80% by 2020.4 Florida continues to fall short of the IOM’s 80% goal, however there has been an increasing percentage of RNs in the workforce with a BSN or higher degree since 2017.

RN Educational Attainment

2017

2019

2021

ADN/Diploma

56%

49%

44%

BSN

36%

43%

45%

Graduate (any)

7%

8%

11%

Practice Characteristics Geographic Distribution The West Central, South, and East Central regions contribute to more than half of the state’s nursing workforce. About 10% of the licensees live out of state and less than 1% of licensees live outside of the U.S. The table below lists the regional distribution of the state’s active nursing licenses.

4

Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press. https://doi.org/10.17226/12956.

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Regional Distribution of Florida's Nursing Workforce 22.03% 17.91% 16.10%

9.43% 6.69%

7.16%

4.90%

NW

4.51%

NC

NE

WC

EC

SW

SE

S

When comparing the regional distribution of Florida’s nursing workforce by license type, the West Central region is home to the largest percentage of LPNs and RNs, while the South region is home to the largest percentage of APRNs.

RN

APRN

NE

15.65% 17.95% 21.15%

16.21% 16.29% 14.55%

10.04% 9.40% 8.67%

NC

4.59% 4.52% 4.28%

6.51% 7.34% 6.86%

NW

8.72% 6.34% 6.11%

6.09% 4.70% 4.49%

21.64% 19.59%

25.45%

LPN

WC

EC

SW

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

SE

S

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Workplace Setting The majority of Florida’s LPNs work in an elderly care setting. Most of Florida’s RNs work in a hospital setting and the majority of APRNs work in hospital and physician practice settings.

FL LPNs

FL RNs

FL APRNs

Hospital

6.3%

61.8%

37.1%

Home Health

17.4%

6.5%

2.4%

Physician

10.3%

3.1%

27.3%

Ambulatory Care

2.5%

4.8%

7.4%

Elderly Care

40.8%

8.4%

4.6%

Academic Setting

0.5%

1.6%

3.0%

Community Health

2.5%

1.2%

4.5%

Carceral

4.0%

0.8%

0.9%

Urgent Care/Walk-in

1.1%

0.5%

4.0%

Specialty Distribution The top specialty that most closely corresponds to the nursing practice position of LPNs is geriatric care. The top specialties that most closely corresponds to the nursing practice positions of RNs are medical surgical and critical care. The top specialty that most closely corresponds to the nursing practice position of APRNs is adult/family health.

FL LPNs

FL RNs

Fl APRNs

Geriatric/Gerontology

30%

5%

4%

Medical Surgical

3%

13%

2%

Critical Care

1%

13%

4%

Adult/Family Health

11%

5%

28%

Home Health

14%

6%

1%

Emergency/Trauma

1%

7%

3%

Pediatrics

6%

4%

6%

Cardiology

1%

5%

4%

Psychiatric/Mental Health/Substance Abuse

4%

3%

5%

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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Operating Room

-

4%

1%

Rehabilitation (non-psychiatric)

4%

2%

-

Oncology

1%

3%

3%

Perioperative

-

4%

-

Palliative Care/Hos..

2%

2%

1%

Women's Health/OB-GYN

1%

2%

4%

Maternal-Child Health

-

2%

1%

Community

3%

1%

1%

Anesthesia

-

1%

15%

Neonatal

-

2%

1%

School Health

2%

1%

-

Nephrology

1%

1%

1%

Public Health

2%

1%

-

Telehealth

1%

1%

-

Information Technology

-

1%

-

Occupational health

-

1%

1%

Other Acute care

2%

3%

3%

Employment Most of Florida’s nursing workforce hold full-time employment and work between 21-40 hours per week. A higher percentage of LPNs and APRNs report working more than 40 hours per week compared to RNs.

Total Hours/Week

Employment Status

FL LPNs

FL RNs

FL APRNs

Up to 20 hours

5.6%

5.4%

6.1%

21-40 hours

63.3%

69.3%

59.1%

More than 40 hours

31.1%

25.3%

34.8%

Per diem

8.6%

7.9%

5%

Part-Time

9.6%

8.2%

12%

Full-Time

81.8%

83.9%

83%

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Number of Years Licensed The table and graphs below identify the years since initial Florida licensure.

Years Licensed in FL

Fl LPNs

FL RNs

FL APRNs

0 or 1

13.1%

17.4%

25.7%

2-4

16.8%

18.7%

26.8%

5-9

21.3%

21.9%

22.2%

10-14

15.5%

11.8%

10.2%

15-19

11.1%

9.0%

6.0%

20 or more

22.3%

21.2%

9.3%

Intention for Future Work Most nurses in Florida reported plans for the next 5 years include working the same as they currently do and advancing their education.

FL

FL

FL

LPNs

RNs

APRNs

Work the Same

45.9%

52.4%

65.2%

Advance Education

34.8%

32.0%

16.8%

Work Less

7.7%

8.7%

9.4%

Work More

11.9%

7.9%

6.6%

Leave / Retire

5.8%

7.2%

4.7%

Employment plans for the next 5 years

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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Regional Supply of Nurses in Florida

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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Northwest Region During the 2020-2021 license renewal cycle, the Northwest (NW) region, including Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Liberty, Okaloosa, Santa Rosa, Walton, and Washington counties, was home to 21,704 active nursing licenses.

There were 18,551 nurses from the Northwest region (85.5%) that responded to the FCN Nursing Workforce Survey.

NORTHWEST REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

NW LPNs

46

46.4

4,320

21.5%

NW RNs

46

46.3

15,354

25.9%

NW APRNs

46

46.9

2,030

14.9%

NW LPNs

NW RNs

NW APRNs

FL NURSES

U.S. NURSES

NW Region

Florida

United States

29 or younger

10.9%

13.2%

3.1%

11.2%

10.9%

36.6%

33.7%

38.3%

30 - 39

24.7%

23.9%

30.1%

24.6%

24.2%

13.7%

12.9%

13.6%

40 - 49

23.3%

20.4%

26.5%

21.5%

21.8%

11.8%

12.1%

12.4%

50 - 59

21.2%

21.2%

23.1%

21.1%

21.4%

13.0%

13.3%

12.9%

60 or older

19.9%

21.2%

17.2%

21.6%

21.7%

24.8%

27.9%

22.8%

Female

91.6%

88.5%

81.7%

87.0%

89.0%

49.1%

50.8%

50.5%

Male

8.4%

11.5%

18.3%

13.0%

11.0%

50.9%

49.2%

49.5%

White

71.2%

83.4%

86.1%

57.9%

77.6%

72.9%

52.7%

59.3%

Black

19.4%

6.5%

5.4%

17.3%

8.3%

13.5%

15.5%

12.6%

Native

0.6%

0.7%

0.2%

0.2%

0.6%

0.7%

0.3%

0.7%

Asian

2.3%

3.8%

2.6%

5.6%

7.2%

2.4%

2.9%

5.9%

Age

Sex

Race/Ethnicity

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Other

1.6%

1.4%

0.9%

2.1%

3.4%

3.3%

1.9%

2.5%

Hispanic

3.8%

3.4%

3.9%

15.5%

7.7%

7.1%

26.8%

18.9%

Not Provided

1.1%

0.9%

0.8%

1.3%

-

-

-

-

Vocational/PN Certificate

NW LPNs 86.4%

NW RNs 0%

NW APRNs 0%

Diploma

7.3%

3.0%

0.7%

Associate Degree

5.6%

49.6%

1.8%

Baccalaureate

0.6%

38.6%

3.1%

Master's

0.1%

8.0%

83.4%

DNP

0.0%

0.6%

9.8%

PhD Nursing

0.0%

0.1%

0.6%

Other Doctoral

0.0%

0.0%

0.6%

Highest Nursing Degree

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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North Central Region During the 2020-2021 license renewal cycle, the North Central (NC) region, including Alachua, Bradford, Citrus, Columbia, Dixie, Gadsden, Gilchrist, Hamilton, Jefferson, Lafayette, Leon, Levy, Madison, Marion, Suwannee, Taylor, Union, and Wakulla counties, was home to 29,527 active nursing licenses.

There were 24,646 nurses from the North Central region (83.5%) that responded to the FCN Nursing Workforce Survey.

NORTH CENTRAL REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

NC LPNs

46

46.4

6,060

20.6%

NC RNs

46

46.9

20,705

21.2%

NC APRNs

46

47.7

2,762

10.5%

NC LPNs

NC RNs

NC APRNs

FL NURSES

U.S. NURSES

NC Region

Florida

United States

29 or younger

13.1%

13.2%

4.1%

11.2%

10.9%

36.9%

33.7%

38.3%

30 - 39

23.6%

23.9%

28.3%

24.6%

24.2%

11.9%

12.9%

13.6%

40 - 49

20.4%

19.2%

25.9%

21.5%

21.8%

10.6%

12.1%

12.4%

50 - 59

21.8%

19.4%

19.7%

21.1%

21.4%

11.8%

13.3%

12.9%

60 or older

21.1%

24.4%

22.1%

21.6%

21.7%

28.8%

27.9%

22.8%

Female

91.3%

86.9%

86.1%

87.0%

89.0%

50.6%

50.8%

50.5%

Male

8.7%

13.1%

13.9%

13.0%

11.0%

49.4%

49.2%

49.5%

White

61.5%

72.4%

74.8%

57.9%

77.6%

66.1%

52.7%

59.3%

Black

28.3%

10.9%

12.1%

17.3%

8.3%

18.9%

15.5%

12.6%

Native

0.4%

0.3%

0.0%

0.2%

0.6%

0.3%

0.3%

0.7%

Asian

1.7%

7.0%

4.0%

5.6%

7.2%

2.6%

2.9%

5.9%

Age

Sex

Race/Ethnicity

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

23

Other

1.6%

1.3%

1.6%

2.1%

3.4%

2.0%

1.9%

2.5%

Hispanic

5.5%

6.7%

6.7%

15.5%

7.7%

10.0%

26.8%

18.9%

Not Provided

1.1%

1.4%

0.8%

1.3%

-

-

-

-

Vocational/PN Certificate

NC LPNs 83.6%

NC RNs 0%

NC APRNs 0%

Diploma

9.9%

3.5%

0.5%

Associate Degree

5.6%

47.5%

1.1%

Baccalaureate

0.7%

39.3%

2.8%

Master's

0.1%

8.5%

79.1%

DNP

0.0%

0.8%

13.5%

PhD Nursing

0.0%

0.4%

2.5%

Other Doctoral

0.0%

0.0%

0.5%

Highest Nursing Degree

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

24

Northeast Region During the 2020-2021 license renewal cycle, the Northeast (NE) region, including Baker, Clay, Duval, Nassau, Putnam, and St. Johns counties, was home to 31,594 active nursing licenses.

There were 26,795 nurses from the Northeast region (84.8%) that responded to the FCN Nursing Workforce Survey.

NORTHEAST REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

NE LPNs

46

46.8

4,523

22.1%

NE RNs

45

46

23,971

21.1%

NE APRNs

44

45.6

3,100

12.5%

NE LPNs

NE RNs

NE APRNs

FL NURSES

U.S. NURSES

NE Region

Florida

United States

29 or younger

10.9%

12.6%

3.1%

11.2%

10.9%

36.9%

33.7%

38.3%

30 - 39

24.0%

25.4%

32.2%

24.6%

24.2%

14.1%

12.9%

13.6%

40 - 49

22.4%

22.0%

31.1%

21.5%

21.8%

12.3%

12.1%

12.4%

50 - 59

21.8%

19.8%

19.1%

21.1%

21.4%

13.1%

13.3%

12.9%

60 or older

20.8%

20.3%

14.5%

21.6%

21.7%

23.6%

27.9%

22.8%

Female

91.1%

88.6%

86.4%

87.0%

89.0%

51.0%

50.8%

50.5%

Male

8.9%

11.4%

13.6%

13.0%

11.0%

49.0%

49.2%

49.5%

White

48.6%

68.6%

71.4%

57.9%

77.6%

61.7%

52.7%

59.3%

Black

36.7%

14.6%

12.0%

17.3%

8.3%

21.2%

15.5%

12.6%

Native

0.4%

0.3%

0.4%

0.2%

0.6%

0.3%

0.3%

0.7%

Asian

4.2%

8.1%

6.4%

5.6%

7.2%

4.0%

2.9%

5.9%

Other

2.5%

1.7%

1.7%

2.1%

3.4%

2.6%

1.9%

2.5%

Age

Sex

Race/Ethnicity

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

25

Hispanic

6.2%

5.3%

7.0%

15.5%

7.7%

10.3%

26.8%

18.9%

Not Provided

1.4%

1.3%

1.1%

1.3%

-

-

-

-

Vocational/PN Certificate

NE LPNs 77.6%

NE RNs 0%

NE APRNs 0%

Diploma

12.8%

3.0%

0.3%

Associate Degree

7.9%

36.8%

0.5%

Baccalaureate

1.6%

49.2%

2.1%

Master's

0.0%

9.7%

80.2%

DNP

0.0%

1.0%

15.2%

PhD Nursing

0.0%

0.2%

1.5%

Other Doctoral

0.1%

0.0%

0.2%

Highest Nursing Degree

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

26

East Central Region During the 2020-2021 license renewal cycle, the East Central (EC) region, including Brevard, Flagler, Lake, Orange, Osceola, Seminole, Sumter, and Volusia counties, was home to 71,061 active nursing licenses.

There were 59,280 nurses from the East Central region (83.4%) that responded to the FCN Nursing Workforce Survey.

EAST CENTRAL REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

EC LPNs

48

48.2

11,265

18.7%

EC RNs

46

46.7

53,222

20.7%

EC APRNs

44

46.1

6,574

12.2%

EC LPNs

EC RNs

EC APRNs

FL U.S. NURSES NURSES

EC Region

Florida

United States

29 or younger

9.3%

12.2%

3.7%

11.2%

10.9%

34.5%

33.7%

38.3%

30 - 39

21.4%

24.2%

32.4%

24.6%

24.2%

13.4%

12.9%

13.6%

40 - 49

22.5%

20.8%

27.7%

21.5%

21.8%

12.4%

12.1%

12.4%

50 - 59

22.7%

20.4%

21.1%

21.1%

21.4%

13.0%

13.3%

12.9%

60 or older

24.0%

22.4%

15.1%

21.6%

21.7%

26.7%

27.9%

22.8%

Female

91.1%

88.0%

85.6%

87.0%

89.0%

50.8%

50.8%

50.5%

Male

8.9%

12.0%

14.4%

13.0%

11.0%

49.2%

49.2%

49.5%

White

50.1%

60.6%

61.7%

57.9%

77.6%

54.4%

52.7%

59.3%

Black

31.3%

12.9%

13.7%

17.3%

8.3%

13.8%

15.5%

12.6%

Native

0.3%

0.2%

0.2%

0.2%

0.6%

0.3%

0.3%

0.7%

Asian

2.5%

7.7%

7.5%

5.6%

7.2%

3.7%

2.9%

5.9%

Age

Sex

Race/Ethnicity

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

27

Other

2.7%

2.4%

2.4%

2.1%

3.4%

2.0%

1.9%

2.5%

Hispanic

11.9%

14.9%

13.4%

15.5%

7.7%

25.7%

26.8%

18.9%

Not Provided

1.3%

1.3%

1.0%

1.3%

-

-

-

Vocational/PN Certificate

EC LPNs 77.5%

EC RNs 0%

EC APRNs 0%

Diploma

13.1%

4.5%

0.4%

Associate Degree

8.1%

38.5%

0.7%

Baccalaureate

1.2%

46.7%

2.2%

Master's

0.1%

9.5%

88.2%

DNP

0.0%

0.5%

7.2%

PhD Nursing

0.0%

0.2%

0.9%

Other Doctoral

0.1%

0.1%

0.3%

Highest Nursing Degree

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

28

West Central Region During the 2020-2021 license renewal cycle, the West Central (WC) region, including DeSoto, Hardee, Hernando, Highlands, Hillsborough, Manatee, Pasco, Pinellas, Polk, and Sarasota counties, was home to 97,245 active nursing licenses.

There were 81,879 nurses from the West Central region (84.2%) that responded to the FCN Nursing Workforce Survey.

WEST CENTRAL REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

WC LPNs

48

47.8

17,694

18.2%

WC RNs

47

47.2

70,701

20.8%

WC APRNs

45

46.5

8,850

11.3%

WC LPNs

WC RNs

WC FL U.S. APRNs NURSES NURSES

WC Region

Florida

United States

29 or younger

10.5%

11.9%

3.4%

11.2%

10.9%

32.6%

33.7%

38.3%

30 - 39

21.6%

23.6%

31.7%

24.6%

24.2%

12.7%

12.9%

13.6%

40 - 49

21.8%

20.4%

27.2%

21.5%

21.8%

11.8%

12.1%

12.4%

50 - 59

22.8%

20.7%

20.8%

21.1%

21.4%

13.2%

13.3%

12.9%

60 or older

23.3%

23.5%

16.9%

21.6%

21.7%

29.6%

27.9%

22.8%

Female

89.4%

87.8%

86.0%

87.0%

89.0%

51.0%

50.8%

50.5%

Male

10.6%

12.2%

14.0%

13.0%

11.0%

49.0%

49.2%

49.5%

White

58.3%

69.5%

71.1%

57.9%

77.6%

62.2%

52.7%

59.3%

Black

24.4%

9.9%

10.6%

17.3%

8.3%

11.4%

15.5%

12.6%

Native

0.3%

0.2%

0.1%

0.2%

0.6%

0.2%

0.3%

0.7%

Asian

2.7%

5.9%

5.3%

5.6%

7.2%

3.1%

2.9%

5.9%

Age

Sex

Race/Ethnicity

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

29

Other

2.1%

1.8%

1.8%

2.1%

3.4%

2.0%

1.9%

2.5%

Hispanic

11.0%

11.5%

10.2%

15.5%

7.7%

21.1%

26.8%

18.9%

Not Provided

1.2%

1.2%

0.9%

1.3%

-

-

-

-

Vocational/PN Certificate

WC LPNs 81.0%

WC RNs 0%

WC APRNs 0%

Diploma

11.3%

4.9%

0.7%

Associate Degree

6.7%

43.1%

0.6%

Baccalaureate

0.9%

42.7%

2.2%

Master's

0.1%

8.5%

86.5%

DNP

0.0%

0.5%

8.2%

PhD Nursing

0.0%

0.2%

1.2%

Other Doctoral

0.1%

0.1%

0.5%

Highest Nursing Degree

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

30

Southeast Region During the 2020-2021 license renewal cycle, the Southeast (SE) region, including Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie counties, was home to 41,616 active nursing licenses.

There were 31,432 nurses from the Southeast region (75.5%) that responded to the FCN Nursing Workforce Survey.

SOUTHEAST REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

SE LPNs

49

48.6

6,977

17%

SE RNs

49

48.4

30,722

21.2%

SE APRNs

46

47.4

3,917

12.1%

SE LPNs

SE RNs

SE FL U.S. APRNs NURSES NURSES

SE Region

Florida

United States

29 or younger

10.1%

10.4%

3.1%

11.2%

10.9%

31.0%

33.7%

38.3%

30 - 39

19.9%

22.2%

28.5%

24.6%

24.2%

11.6%

12.9%

13.6%

40 - 49

20.9%

19.2%

26.9%

21.5%

21.8%

11.3%

12.1%

12.4%

50 - 59

23.1%

21.6%

23.2%

21.1%

21.4%

13.2%

13.3%

12.9%

60 or older

25.9%

26.7%

18.3%

21.6%

21.7%

32.8%

27.9%

22.8%

Female

90.8%

89.1%

87.0%

87.0%

89.0%

51.0%

50.8%

50.5%

Male

9.2%

10.9%

13.0%

13.0%

11.0%

49.0%

49.2%

49.5%

White

44.8%

60.1%

62.2%

57.9%

77.6%

56.4%

52.7%

59.3%

Black

41.2%

21.0%

18.3%

17.3%

8.3%

17.3%

15.5%

12.6%

Native

0.2%

0.2%

0.2%

0.2%

0.6%

0.2%

0.3%

0.7%

Asian

1.8%

5.2%

4.7%

5.6%

7.2%

2.5%

2.9%

5.9%

Age

Sex

Race/Ethnicity

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

31

Other

2.5%

2.1%

1.6%

2.1%

3.4%

1.6%

1.9%

2.5%

Hispanic

8.3%

10.0%

11.6%

15.5%

7.7%

22.1%

26.8%

18.9%

Not Provided

1.2%

1.5%

1.3%

1.3%

-

-

-

-

Vocational/PN Certificate

SE LPNs 70.1%

SE RNs 0%

SE APRNs 0%

Diploma

12.3%

5.6%

1.1%

Associate Degree

16.2%

45.2%

1.1%

Baccalaureate

1.3%

39.5%

2.9%

Master's

0.2%

8.5%

82.2%

DNP

0.0%

0.7%

10.9%

PhD Nursing

0.0%

0.4%

1.3%

Other Doctoral

0.0%

0.1%

0.4%

Highest Nursing Degree

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

32

Southwest Region During the 2020-2021 license renewal cycle, the Southwest (SW) region, including Charlotte, Collier, Glades, Hendry, and Lee counties, was home to 19,889 active nursing licenses.

There were 18,963 nurses from the Southwest region (95.3%) that responded to the FCN Nursing Workforce Survey.

SOUTHWEST REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

SW LPNs

49

48.3

3,191

17.7%

SW RNs

49

48.5

14,762

22.9%

SW APRNs

48

48.6

1,936

15%

SW LPNs

SW RNs

SW APRNs

FL NURSES

U.S. NURSES

SW Region

Florida

United States

29 or younger

10.9%

11.7%

3.3%

11.2%

10.9%

27.9%

33.7%

38.3%

30 - 39

18.4%

20.7%

24.6%

24.6%

24.2%

10.2%

12.9%

13.6%

40 - 49

23.0%

18.1%

25.4%

21.5%

21.8%

10.1%

12.1%

12.4%

50 - 59

22.7%

22.1%

25.2%

21.1%

21.4%

12.8%

13.3%

12.9%

60 or older

24.9%

27.4%

21.6%

21.6%

21.7%

39.0%

27.9%

22.8%

Female

89.6%

88.2%

83.8%

87.0%

89.0%

50.5%

50.8%

50.5%

Male

10.4%

11.8%

16.2%

13.0%

11.0%

49.5%

49.2%

49.5%

White

55.1%

71.4%

71.5%

57.9%

77.6%

65.4%

52.7%

59.3%

Black

26.4%

9.0%

8.0%

17.3%

8.3%

7.4%

15.5%

12.6%

Native

0.1%

0.2%

0.3%

0.2%

0.6%

0.3%

0.3%

0.7%

Asian

1.8%

2.9%

3.2%

5.6%

7.2%

1.6%

2.9%

5.9%

Other

1.6%

1.5%

1.7%

2.1%

3.4%

1.3%

1.9%

2.5%

Age

Sex

Race/Ethnicity

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

33

Hispanic

13.6%

13.7%

14.2%

15.5%

7.7%

24.0%

26.8%

18.9%

Not Provided

1.3%

1.3%

1.0%

1.3%

-

-

-

-

Vocational/PN Certificate

SW LPNs 82.2%

SW RNs 0%

SW APRNs 0%

Diploma

9.9%

7.3%

1.5%

Associate Degree

6.9%

44.1%

1.8%

Baccalaureate

0.7%

38.4%

2.6%

Master's

0.1%

9.2%

84.3%

DNP

0.1%

0.6%

7.6%

PhD Nursing

0.0%

0.3%

1.4%

Other Doctoral

0.0%

0.1%

0.8%

Highest Nursing Degree

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

34

South Region During the 2020-2021 license renewal cycle, the South region, including Broward, Miami-Dade, and Monroe counties, was home to 79,055 active nursing licenses.

There were 63,823 nurses from the South region (80.7%) that responded to the FCN Nursing Workforce Survey.

SOUTH REGION Median Age

Mean Age

Active Licenses

Multi-State Licenses

South LPNs

48

47.9

10,876

15.8%

South RNs

44

45.3

58,625

21.2%

South APRNs

45

45.6

9,554

10.4%

South LPNs

South RNs

South APRNs

FL U.S. NURSES NURSES

South Region

Florida

United States

29 or younger

11.4%

12.9%

3.5%

11.2%

10.9%

34.4%

33.7%

38.3%

30 - 39

20.0%

26.9%

31.0%

24.6%

24.2%

13.9%

12.9%

13.6%

40 - 49

21.0%

22.0%

30.0%

21.5%

21.8%

13.7%

12.1%

12.4%

50 - 59

23.6%

20.3%

24.4%

21.1%

21.4%

14.4%

13.3%

12.9%

60 or older

23.9%

17.9%

11.1%

21.6%

21.7%

23.6%

27.9%

22.8%

Female

88.0%

83.4%

79.6%

87.0%

89.0%

50.9%

50.8%

50.5%

Male

12.0%

16.6%

20.4%

13.0%

11.0%

49.1%

49.2%

49.5%

White

20.6%

25.3%

27.4%

57.9%

77.6%

22.7%

52.7%

59.3%

Black

49.2%

25.0%

18.9%

17.3%

8.3%

20.5%

15.5%

12.6%

Native

0.1%

0.1%

0.1%

0.2%

0.6%

0.1%

0.3%

0.7%

Asian

2.2%

6.6%

4.8%

5.6%

7.2%

2.4%

2.9%

5.9%

Other

3.0%

2.7%

2.5%

2.1%

3.4%

1.2%

1.9%

2.5%

Hispanic

23.2%

39.0%

45.5%

15.5%

7.7%

53.0%

26.8%

18.9%

Age

Sex

Race/Ethnicity

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

35

Not Provided

1.6%

1.3%

0.8%

1.3%

-

Highest Nursing Degree

South LPNs

South RNs

South APRNs

Vocational/PN Certificate

69.5%

0%

0%

Diploma

8.7%

3.8%

0.2%

Associate Degree

18.4%

34.4%

0.3%

Baccalaureate

3.0%

48.6%

1.3%

Master's

0.3%

11.8%

84.2%

DNP

0.0%

0.8%

11.9%

PhD Nursing

0.0%

0.4%

1.6%

Other Doctoral

0.0%

0.1%

0.5%

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

-

-

-

36

Demand for Nurses in Florida

Overview of Demand Trends for Nurses in Florida The demand trends for nurses in Florida identify data as it is related to capacity of the nursing workforce and labor characteristics.

Demand Methodology The analyses in this report are performed using data from state and national workforce databases.

The data were analyzed in terms of nursing occupations for Licensed Practical Nurses (LPNs), Registered Nurses (RNs), Nurse Practitioners (NPs), Certified Registered Nurse Anesthetists (CRNAs), Nurse Midwives, and Nursing Faculty.

Limitations Demand projections provide a statewide picture of demand and do not consider regional variation in the availability of health care facilities and jobs. In addition, demand projections could be impacted by several assumptions: •

•

•

Future employer demand is based on historical information. Changes in the health care facility utilization of nurses, increased utilization of different types of providers such as Medical Assistants, CNAs and other providers will impact future demand.

Labor market estimates are based on the Bureau of Labor Statistics model and reflects employment modeling for all industries and does not entirely account for differences in the health care industry.

Demand estimates include the historical turnover or churn of nurses. This includes the movement of nurses in the same facility to new positions, between employers and in and out of state.

Florida Specific Reports The Florida Department of Economic Opportunity develops a College Projections Report that includes the Fastest Growing Occupations between 2020 and 2028. This report can be found at https://lmsresources.labormarketinfo.com/college_projections/index.html The 2022-2023 Florida Statewide Demand Occupations list ranks occupations based on several selection criteria including requiring at least a Postsecondary Adult Vocational (PSAV) certificate, college credit certificate or associate degree training, having 500 annual openings or an average growth rate of 1.6% or 1,200 annual openings with any positive growth, at least an average wage of $16.14/hour and entry wage of $13.18/hour and whether the occupation is a Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

38

high skill/high wage occupation with a mean wage of $25.28/hour and entry wage of $16.14/hour.

Florida also develops an annual report of number of Online Job Ads for Top Occupations in Demand in Florida requiring a bachelor’s degree. This report utilizes data from The Conference Board, Help Wanted Online (HWOL). This report can be found at https://lmsresources.labormarketinfo.com/special/hwol_occupations_req_bachelors_florida.xl sx

Occupational Employment and Wage Statistics (OEWS) This is a program of the U.S. Department of Labor, Bureau of Labor Statistics (BLS). This federal-state cooperative program produces employment and wage estimates for nearly 867 occupations. Each year the Florida Department of Employment Opportunity compiles occupational employment and wage estimates that feed into the National Bureau of Labor Statistics. The data are presented statewide, and regionally utilizing Standard Occupation Classification (SOC) codes. For more information go to https://floridajobs.org/workforcestatistics/data-center/statistical-programs/occupational-employment-statistics-and-wages At the national level, estimates for a given reference period are based on a sample of 1.1 million business establishments collected in six semiannual panels for three consecutive years. Using six data panels to produce each set of estimates allows data to be produced at very detailed levels of occupation, geography, and industry, but it also means that sudden changes in staffing patterns or wages are reflected in the OEWS estimates only gradually. Data limitations for this data source include periodic changes in the SOC codes and analysis changes from year to year. For more information go to https://www.bls.gov/oes/current/oes_tec.htm

Bureau of Labor Statistics (BLS) Demand Projections Long-term demand projections have been developed by the Florida Department of Employment Opportunity utilizing a national workforce projection model through the U.S. Bureau of Labor Statistics. Employment projections provide job seekers, policy makers, and training providers an idea of how many jobs exist within industries and occupations, how the number of jobs is expected to change over time, and what the future demand for workers will be. Projections show expected changes in employment by industry and occupation, the current and projected employment counts, estimated growth rates, and average annual openings. For more information go to https://floridajobs.org/workforce-statistics/data-center/statistical-programs/employmentprojections.

Temporary employers and those with less than 50 openings are not included in the projections. In addition, employers provide job titles and descriptions which are then coded using the Standard Occupational Classification (S0C) system. This SOC system codes nurses as LPN, RN, Nurse

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

39

Anesthetists, Nurse Practitioners Nurse Anesthetists, and Post-secondary Nursing Instructors.

Nurses serving in executive positions and in other types of positions would have different SOC codes. More information about this is available at https://www.bls.gov/oes/methods_21.pdf

Health Resources & Services Administration (HRSA) Health Workforce Simulation Model The Health Resources and Service Administration (HRSA) recently released the HRSA Health Workforce Simulation Model (HWSM) projections. The interactive dashboard can be found by clicking the following link https://data.hrsa.gov/topics/health-workforce/workforce-projections.

More information about this model can be found at: https://bhw.hrsa.gov/dataresearch/projecting-health-workforce-supply-demand/technical-documentation/nursing/data Limitations of the HRSA model include modeling of long-term supply and demand workforce implications of COVID-19. The long-term implications of long-COVID-19 on provider demand is not well understood. The pandemic appears to have exacerbated already high burnout levels among many health care workers. HWSM supply inputs such as hours worked, and retirement patterns are based largely on pre-COVID-19 data. The model currently lacks a market mechanism where labor costs respond to imbalances between supply and demand. Another limitation is the utilization of American Community Survey Data or Occupational Employment and Wage Statistics (OEWS) data to estimate the starting year supply of many health occupations. Many states, however, have access to more complete supply data collected through the licensure/certification processes. There are more limitations included in the HRSA technical report.

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

40

Demand for Licensed Practical Nurses The number of jobs for LPNs in Florida decreased by 12.19% between 2012 and 2021.

Florida Licensed Practical Nurses 2012-2021 Employment Source: Florida Department of Economic Opportunity

42,980

43,910

43,890

43,540

44,820

47,550

47,540

45,960 41,530

37,740

2012

2013

2014

2015

2016

2017

2018

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2019

2020

2021

41

In 2021, Miami-Ft. Lauderdale-West Palm Beach region had the most LPN jobs.

2021 Licensed Practical Nurses Regional Employment Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

1260 650 990 950 270 2,770 1,250 9,110 750 1,680 560 4,020 1,170

410 1,000 1,060 350 320 210 840 5,680 280 330 940

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

42

According to the Florida Statewide Demands Occupation list, LPNs ranked 16 th (2020-2021), 17th (2021-2022) and 28th (2022-2023) in highest number of annual job openings.

Licensed Practical Nurses Annual Number of Openings 2020-2023 Source: Florida Department of Economic Opportunity 6,000 4,835

5,000

4,214

4,165 4,000

3,000

2,000

1,000

2020-2021

2021-2022

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2022-2023

43

LPN jobs have a projected growth of 5,197 jobs (12.6%) from 2022-2030 with a total of 31,747 job openings over the eight-year period.

Florida Licensed Practical Nurses Projected Employment 2022-2030 Source: Florida Department of Economic Opportunity 47,000 46,000

46,580

45,000 44,000

43,000 42,000 41,000

41,383

40,000 39,000 38,000 2022

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2030

44

According to the HRSA Supply and Demand dashboard, the current shortage of LPNs is projected to grow through 2030. Please note that HRSA develops projections for Full-time Equivalent (FTE) rather than total count.

Florida HRSA LPN Supply and Demand Projections 2020-2030 4,500 4,000

4,110 3,840 3,550

3,500 3,000

3,210

3,150

3,140

2,500

2,000 1,500 1,000 500 0 2020

2025 Supply

2,030 Demand

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

45

Florida LPN average hourly wages have grown by 16.57% from 2012 to 2021.

Florida Licensed Practical Nurses 2012-2021 Average Hourly Wages Source: Florida Department of Economic Opportunity $23.01 $22.45 $21.91

$21.34 $20.90 $20.35 $19.74

$19.86

2012

2013

$20.65

$19.97

2014

2015

2016

2017

2018

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2019

2020

2021

46

There is a small difference between mean and median hourly wages for Florida LPNs and a 32% difference between entry and experienced wages.

2021 Florida Licensed Practical Nurses Hourly Wages Source: Florida Department of Economic Opportunity $25.04 $23.01

$22.60 $18.96

Mean

Median

Entry

Experienced

Note: Entry wage is defined as the average wage earned by the lowest third of all workers in that occupation.

Experienced wage is defined as the average wage earned by the upper two-thirds of all workers in that occupation.

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

47

Florida LPN jobs in Gainesville have the greatest average hourly wage.

2021 Licensed Practical Nurses Regional Average Hourly Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

23.5 20.68 22.1 26.2 21.52 22.76 22.1 23.68 24.74 23.74 22.58 23.04 22.11 19.98 21.85 22.85 22.53 23.28 21.07 21.71 23.02 21.92 23.14 21.51

48

Florida LPN jobs in Naples-Immokalee-Marco Island have the greatest entry hourly wage.

2021 Licensed Practical Nurses Regional Entry Wages Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

20.51 16.37 18.83 19.63 17.96 19.43 17.98 19.74 21.02 20.41 18.71 19.48 17.9 15.82 18.15 19.33 18.8 19.83 16.34 17.86 19.07 18.99 18.86 16.72

49

Florida LPN jobs in Gainesville have the greatest experienced hourly wage.

2021 Licensed Practical Nurses Regional Experienced Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

24.99 22.83 23.74 29.48

23.3 24.43 24.15 19.74 26.6 25.41 24.52 24.82 24.22 22.05 23.7 24.62 24.39 25 23.44 23.64 24.99 23.39 25.27 23.9

50

Florida LPN hourly wages are higher than Georgia and Alabama but are below the national average.

Licensed Practical Nurses 2021 Hourly Wage Comparisons Source: Florida Department of Economic Opportunity, U.S. Bureau of Labor Statistics Florida

$23.01

Georgia

$22.77

Alabama

National

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

$19.97

$24.93

51

Demand for Registered Nurses The number of jobs for RNs in Florida increased by 14.78% between 2012 and 2021.

Florida Registered Nurses 2012-2021 Employment Source: Florida Department of Economic Opportunity 187,920 181,670 178,330

177,600

2017

2018

183,120

174,710 168,870 163,720

162,530

2012

2013

163,950

2014

2015

2016

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2019

2020

2021

52

In 2021, Miami-Ft. Lauderdale-West Palm Beach region had the most RN jobs.

2021 Registered Nurse Regional Employment Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

5,830 1,700 5,430 6,010 880 16,970 4,240 53,110 2,670 6,970 2,240 21,530 4,800 1,340 4,970 3,570 1,440 1,710 880 3,330 30,940 760 880 2,180

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

53

Utilizing online job ad data, RNs had the most online ads of any bachelor’s level occupation in an analysis of March Job Postings in 2022 and 2023.

Registered Nurses- Online Job Ads 2022-2023 Source: : Florida Department of Economic Opportunity 22,550 17,518

March, 2022

March, 2023

Utilizing online job ad data, Critical Care Nurses had the 8th highest (2022) and 9th highest (2023) number of online ads of any bachelor’s level occupation in an analysis of March Job Postings in 2022 and 2023.

Critical Care Nurses- Online Job Ads 2022-2023 Source: Florida Department of Economic Opportunity 2,882

1,927

March, 2022

March, 2023

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

54

RNs are ranked 7th in occupations gaining the most new jobs across all education levels in Florida according to state labor market data.

According to the Florida Statewide Demands Occupation list, RNs ranked 1st (2020-2021), 2nd (2021-2022) and 1st (2022-2023) in highest number of annual job openings. RNs are categorized as a High Skill, High Wage occupation in Florida.

Registered Nurses Annual Number of Job Openings 2020-2023 Source: Source: Florida Department of Economic Opportunity 16,000 14,094 14,000

13,541

12,883

12,000 10,000 8,000 6,000 4,000 2,000 2020-2021

2021-2022

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2022-2023

55

RNs jobs have a projected growth of 23,595 jobs (12.2%) from 2022-2030 with a total of 108,546 job openings over the eight-year period.

Florida Registered Nurses Projected Employment 2022-2030 Source: Florida Department of Economic Opportunity 220,000

216,636

215,000 210,000 205,000 200,000 195,000 190,000

193,041

185,000 180,000 2022

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2030

56

According to the HRSA Supply and Demand dashboard, the current shortage of RNs is projected to decrease by 2030. Please note that HRSA develops projections for Full-time Equivalent (FTE) rather than total count.

Florida HRSA RN Supply and Demand Projections 2020-2030 300,000

279,190 247,460

250,000

270,020

224,820 235,900 200,000

199,180 150,000

100,000

50,000

0 2020

2025 Supply

2030 Demand

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

57

Florida RN average hourly wages have grown by 16.57% from 2012 to 2021.

Florida Registered Nurses 2012-2021 Average Hourly Wages Source: Florida Department of Economic Opportunity

$34.62 $33.42 $32.50

$29.70

$29.83

$30.15

2012

2013

2014

$30.75

$31.07

$31.20

2015

2016

2017

$31.83

2018

2019

2020

2021

There is a small difference between mean and median hourly wages for Florida RNs and a 46% difference between entry and experienced wages.

Florida Registered Nurses 2021 Hourly Wages Source: Florida Department of Economic Opportunity $34.62

$38.67

$36.06 $26.50

Mean

Median

Entry

Experienced

Note: Entry wage is defined as the average wage earned by the lowest third of all workers in that occupation.

Experienced wage is defined as the average wage earned by the upper two-thirds of all workers in that occupation.

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

58

Florida RN jobs in Miami-Ft. Lauderdale-West Palm Beach have the greatest average hourly wage.

2021 Registered Nurse Regional Average Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

35.3 32.43 31.4 35.57 30.82 33.87 32.46 35.68 35.27 34.81 31.26 34.99 33.33 32.83 32.23 33.18 32.61 33.7 30.98 32.39 35.28 31.97 32.53 31.96

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

59

Florida RN jobs in Cape Coral-Ft. Myers have the greatest entry hourly wage.

2021 Registered Nurses Regional Entry Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

28.81 24.81 24.95 27.58 24.91 26.3 27.55 26.92 27.74 27.12 24.36 26.81 26.8 25.6 25.23 25.86 25.42 26.26 24.47 24.47 27.05 24.9 26.02 23.81

60

Florida RN jobs in Miami-Ft. Lauderdale-West Palm Beach have the greatest experienced hourly wage.

2021 Registered Nurses Regional Experienced Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

38.55 36.24 24.95 39.56 33.77 37.65 34.92 40.07 39.03 38.66 34.7 39.07 36.59 36.44 35.72 36.84 36.2 37.41 34.23 24.47 39.39 35.5 35.78 36.03

61

Florida RN hourly wages are higher than Alabama but are below Georgia and the national average.

Registered Nurses 2021 Hourly Wage Comparisons Source: Florida Department of Economic Opportunity, U.S. Bureau of Labor Statistics Florida

$34.62

Georgia

Alabama

$36.24

$29.77

National

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

$39.78

62

Demand for Nurse Practitioners The number of jobs for NPs in Florida increased by 150.93% between 2012 and 2021.

Florida Nurse Practitioners 2012-2021 Employment Source: Florida Department of Economic Opportunity 14,880 12,310

8,320 5,930

6,240

2012

2013

10,380

10,590

2017

2018

13,000

8,940

6,990

2014

2015

2016

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2019

2020

2021

63

In 2021, Miami-Ft. Lauderdale-West Palm Beach region had the most NP jobs.

2021 Nurse Practitioner Regional Employment Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

490 130

440 140 60 1,510 360 3,710 290 440 270 1,690 350

110 330 280 140 80 50 310 2,920 50 100 220

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

64

Florida labor market projections indicate a projected growth of 7,222 jobs (49.9%) from 20222030 with a total of 14,778 job openings over the eight-year period. Nurse practitioners are ranked 1st in Florida as the fastest growing occupations requiring a college degree.

Florida Nurse Practitioners Projected Employment 2022-2030 Source: Florida Department of Economic Opportunity 25,000 21,699

20,000

15,000

14,477 10,000

5,000

0 2022

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2030

65

According to the HRSA Supply and Demand dashboard, there is currently a greater supply of NPs than demand and this is projected to increase by 2030. Please note that HRSA develops projections for Full-time Equivalent (FTE) rather than total count.

Florida HRSA Nurse Practitioner Supply and Demand Projections 2020-2030 50,000

44,860

45,000 40,000

34,680

35,000 30,000 25,000 20,000

23,920 21,190

23,220

2020

2025

25,190

15,000 10,000 5,000

0 Supply

2030 Demand

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

66

Florida NP average hourly wages have grown by 20.72% from 2012 to 2021.

Florida Nurse Practitioners 2012-2021 Average Hourly Wages Source: Florida Department of Economic Opportunity

$41.75

2012

$43.78

$44.48

2013

2014

$46.05

$45.99

2015

2016

$48.04

$48.61

$48.80

$48.59

$50.40

2017

2018

2019

2020

2021

There is a small difference between mean and median hourly wages for Florida NPs and a 61% difference between entry and experienced wages.

Florida Nurse Practitioners 2021 Hourly Wages Source: Florida Department of Economic Opportunity $57.67 $50.40

$48.61

$35.85

Mean

Median

Entry

Experienced

Note: Entry wage is defined as the average wage earned by the lowest third of all workers in that occupation.

Experienced wage is defined as the average wage earned by the upper two-thirds of all workers in that occupation.

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

67

Florida NP jobs in Sebring have the greatest average hourly wage.

2021 Nurse Practitioner Regional Average Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

53.69 50.67 51.81 54.99 50.91 52.43 51.38 50.6 48.39 51.05 49.24 50 52.3 54.29 53.23 57.35 41.73 51.99 58.4 51.65 47.1 51.75 51.84 48.6

68

Florida NP jobs in Panama City-Lynn Haven have the greatest entry hourly wage.

2021 Nurse Practitioner Regional Entry Wages Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

33.63 40.3 37.76 38.63 37.48 39.09 41.59 35.36 29.06 36 37.19 35.67 39.14 48.19 40.1 42 25.95

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

43.04 36.06 36.68 32.69 39.48 39.23 36.92

69

Florida NP jobs in Sebring have the greatest experienced hourly wage.

2021 Nurse Practitioners Regional Experienced Wages Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

63.73 55.86 58.84 63.18 57.63 59.1 56.28 58.23 58.06 58.57 55.26 57.17 58.88 60.49 59.8 65.02 49.62 56.47 69.56 59.14 54.3 57.88 58.14 36.92

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

70

Florida NP average hourly wages are higher than Alabama but are below Georgia and the national average.

Nurse Practitioners 2021 Average Hourly Wage Comparisons Source: Florida Department of Economic Opportunity, U.S. Bureau of Labor Statistics Florida

$50.40

Georgia

Alabama

$52.67

$49.24

National

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

$56.75

71

Demand for Certified Registered Nurse Anesthetists The number of jobs for CRNAs in Florida increased by 78% between 2012 and 2021.

Florida Nurse Anesthetists 2012-2021 Employment Source: Florida Department of Economic Opportunity 3,650 3,310

3,160 2,970

2,300

2,180

2,030 1,860

2012

1,640

2013

2014

2015

2016

2017

2018

2020

2021

Note: 2019 data was unavailable

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

72

Florida labor market projections indicate a growth of 625 jobs (15.2%) from 2022-2030 with a total of 2,380 job openings over the eight-year period.

4,800

Florida Nurse Anesthetists Projected Employment 2022-2030 Source: Florida Department of Economic Opportunity 4,737

4,600

4,400 4,200 4,112

4,000 3,800

3,600 2022

2030

Florida CRNA average hourly wages have grown by 25.52% from 2012 to 2021.

Florida Nurse Anesthetists 2012-2021 Average Hourly Wages Source: Florida Department of Economic Opportunity $82.94

$65.34

2012

2013

$69.17

$70.07

2014

2015

2016

$82.19

$76.94

$78.54 $65.48

$85.04

$85.29

2017

2018

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2019

2020

2021

73

There is a small difference between mean and median hourly wages for Florida CRNAs and a 52% difference between entry and experienced wages.

Florida Nurse Anesthetists 2021 Hourly Wages Source: Florida Department of Economic Opportunity. $100.00

$92.79

$90.00 $82.19 $80.00

$79.26

$70.00 $60.98 $60.00 $50.00 $40.00

$30.00 $20.00 $10.00 $Mean

Median

Entry

Experienced

Note: Entry wage is defined as the average wage earned by the lowest third of all workers in that occupation.

Experienced wage is defined as the average wage earned by the upper two-thirds of all workers in that occupation.

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Florida CRNA jobs in Ocala have the greatest average hourly wage.

2021 Nurse Anesthetists Regional Average Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

76.83 61.53

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

83.96 85.1 85.78 86.74 99.07 82.02 78.58 75.13

75.54 79.93

75

Florida CRNA jobs in Miami-Ft. Lauderdale-West Palm Beach have the greatest entry hourly wage.

2021 Nurse Anesthetist Regional Entry Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

59.77 44.92 70.94 63.14

79.26 63.95 60.34 58.89 66.35 61.91

44.06

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

66.79

76

Florida CRNA jobs in Ocala have the greatest experienced hourly wage.

2021 Nurse Anesthetist Regional Experienced Wage Source: Florida Department of Economic Opportunity Cape Coral - Ft. Myers Crestview - Ft. Walton Beach - Destin Deltona - Daytona Beach - Ormond Beach Gainesville Homosassa Springs Jacksonville Lakeland - Winter Haven Miami-Ft. Lauderdale - West Palm Beach Naples - Immokalee - Marco Island North Port - Sarasota - Bradenton Ocala Orlando - Kissimmee - Sanford Palm Bay - Melbourne - Titusville Panama City - Lynn Haven Pensacola - Ferry Pass - Brent Port St. Lucie Punta Gorda Sebastian - Vero Beach Sebring Tallahassee Tampa - St. Petersburg - Clearwater The Villages South Florida Non-Metropolitan Area North Florida Non-Metropolitan Area

85.35

69.83

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

90.47 96.08 95.87 98.13 118.43 93.58 84.69 81.73

91.29 86.51

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Florida CRNA average hourly wages are lower than Georgia, Alabama and the national average.

Nurse Anesthetists 2021 Hourly Wage Comparisons Source: Florida Department of Economic Opportunity, U.S. Bureau of Labor Statistics Florida

Georgia

Alabama

$82.19

$85.56

$90.79

National

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

$97.34

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Demand for Nurse Midwives The number of jobs for Nurse Midwives in Florida increased by 8.7% between 2012 and 2021.

Florida Nurse Midwives 2012-2021 Employment Source: Florida Department of Economic Opportunity 330 270

330

330

330

340

300 260

250

230

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

Florida labor market projections indicate a growth of 64 jobs (16%) from 2022-2030 with a total of 244 job openings over the eight-year period.

Florida Nurse Midwives Projected Employment 2022-2030 Source: Florida Department of Economic Opportunity 500 480 460 440 420 400 380 360 340 320 300

464

400

2022

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2030

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Florida Nurse Midwife average hourly wages have grown by 4.04% from 2012 to 2021.

Florida Nurse Midwives 2012-2021 Average Hourly Wages Source: Florida Department of Economic Opportunity

$45.11 $42.13 $39.94

$41.45

$45.69

$42.47

$43.83

$42.34 $40.51

$32.47

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

There is a small difference between mean and median hourly wages for Florida Nurse Midwives and a 194.55% difference between entry and experienced wages.

Florida Nurse Midwives 2021 Hourly Wages Source: Florida Department of Economic Opportunity $56.20 $48.19 $43.83

$19.08

Mean

Median

Entry

Experienced

Note: Entry wage is defined as the average wage earned by the lowest third of all workers in that occupation.

Experienced wage is defined as the average wage earned by the upper two-thirds of all workers in that occupation.

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Florida Nurse Midwife average hourly wages are lower than Georgia and the national average.

Data for Alabama is not available for comparison.

Nurse Midwives 2021 Average Hourly Wage Comparisons Source: Florida Department of Economic Opportunity, U.S. Bureau of Labor Statistics

Florida

Georgia

$43.83

$47.67

Alabama

National

$54.91

Note: Alabama Nurse Midwife average wages are unavailable.

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Demand for Nursing Faculty The number of jobs for Nursing Faculty in Florida increased by 84.81% between 2012 and 2021.

Florida Nursing Faculty 2012-2021 Employment Source: Florida Department of Economic Opportunity 4,380 3,980

3,110 2,680

2,670

2,810

2,370

2012

2013

2014

2015

2,590

2016

2,240

2017

2019

2020

2021

Note: 2018 data is unavailable.

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Florida labor market projections indicate a growth of 1,158 jobs (25%) from 2022-2030 with a total of 4,972 job openings over the eight-year period.

Florida Nursing Faculty Projected Employment 2022-2030 Source: Florida Department of Economic Opportunity 7,000 6,000 5,792

5,000 4,000

4,634

3,000 2,000 1,000 0 2022

Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

2030

83

Florida Nursing Faculty average hourly wages have grown by 6.69% from 2012 to 2021.

Florida Nursing Faculty 2012-2021 Average Annual Wages Source: Florida Department of Economic Opportunity $122,052

$72,017

$71,202

$69,931

$72,005

2012

2013

2014

2015

$77,679

$74,739

2016

2017

$116,685

$76,835

2019

2020

2021

Note: 2018 data is unavailable.

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There is a small difference between mean and median hourly wages for Florida Nursing Faculty and a 46% difference between entry and experienced wages.

Florida Nursing Faculty 2021 Annual Wages Source: Florida Department of Economic Opportunity $85,880 $76,835 $71,011 $58,745

Mean

Median

Entry

Experienced

Note: Entry wage is defined as the average wage earned by the lowest third of all workers in that occupation.

Experienced wage is defined as the average wage earned by the upper two-thirds of all workers in that occupation.

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Florida Nursing Faculty average wages are higher than Georgia but less than Alabama and the national average.

Nursing Faculty 2021 Average Annual Wage Comparisons Source: Florida Department of Economic Opportunity, U.S. Bureau of Labor Statistics Florida

$76,835

Georgia

$59,730

Alabama

$77,760

National

$82,040

Florida Nursing Faculty average annual wages are 36.44% lower than NP average annual wage and 122.50% lower than CRNA average annual wage.

2021 Nursing Faculty, CRNA and Nurse Practitioner Average Annual Wages Source: Florida Department of Economic Opportunity $170,955 Certified Registered Nurse Anesthestists

$104,832 Nurse Practitioners

$76,835 Nursing Instructors and Teachers

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Florida Nursing Faculty average wages are 42% lower than the Health Specialties Faculty which have the highest faculty wage. Health Specialty faculty include dentistry, laboratory technology, medicine, pharmacy, public health, therapy, and veterinary medicine.

2021 Florida Post-Secondary Faculty Average Wages Source: Florida Department of Economic Opportunity Health Specialties Teachers

$133,511

Law Teachers

$127,569

Engineering Teachers

$101,235

Business Teachers

$95,055

Architecture Teachers

$88,498

Environmental Science Teachers

$86,679

Atmospheric, Earth, Marine, and Space Sciences Teachers

$83,251

Library Science Teachers

$83,049

Political Science Teachers

$82,781

Foreign Language and Literature Teachers

$82,276

Chemistry Teachers

$80,715

Economics Teachers

$80,698

Social Sciences Teachers, Other

$77,786

Social Work Teachers

$77,419

Psychology Teachers

$77,125

Nursing Instructors and Teachers

$76,835

Mathematical Science Teachers

$76,814

Art, Drama, and Music Teachers

$75,646

Education Teachers

$72,779

Physics Teachers

$72,120

Anthropology and Archeology Teachers

$70,377

Postsecondary Teachers, All Other

$70,315

Communications Teachers

$69,634

Biological Science Teachers

$69,613

Area, Ethnic, and Cultural Studies Teachers

$65,829

Philosophy and Religion Teachers

$61,225

Criminal Justice and Law Enforcement Teachers

$59,747

Agricultural Sciences Teachers

$59,147

Sociology Teachers

$57,689

Recreation and Fitness Studies Teachers

$56,446

History Teachers

$53,819

Computer Science Teachers

$52,244

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Conclusion The Florida Center for Nursing is optimistic that this report provides an accurate and robust depiction of the supply and demand of the nursing workforce in Florida. The FCN’s study of supply and demand of the state’s nursing workforce identifies the demographic and practice characteristics of Florida’s nurses and what demand for each type of nursing looks like. It is important to utilize this data to make well-informed decisions related to policy that aligns with the educational and supply pipelines of nurses in the state.

Nurses are critical to the health and wellness of the people of Florida. Our state and the future of nursing in Florida is dependent upon implementation of innovative strategies to ensure an adequate supply of qualified nurses to meet the needs of our state and communities. The Florida Center for Nursing headquartered at the University of South Florida is poised to develop a statewide strategic plan for nursing manpower in Florida, implement strategies, and develop best practices for nursing in our state.

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Appendix A. Florida Center for Nursing (FCN) Nursing Workforce Survey for license renewal cycle 20202021.

Introductory Language: In this section, the Florida Center for Nursing is asking you to provide information about your employment and educational attainment. Your answers are critical to estimate future need for nurses, to guide policy decisions, and to demonstrate the impact of nurse shortages in the State of Florida. No individual data will be reported; your responses will be combined and analyzed with those of all other nurses. Analysis of this information is published every 2 years in the FCN’s Statewide Nurse Supply Reports.

Nursing License Questions 1. Do you have a Florida only nursing license or a multi-state license? a. Multi-state/ Nurse Licensure Compact License b. Florida Only

(Display 1a. and 1b. if 1 = Multistate/NLC) 1a: In which state do you work the most hours per week?

(Drop down box with 50 states plus DC)

1b. In which other states, if any, have you worked since obtaining a compact license? (Please select all that apply) (No Other States” at the top of the list of states instead of listing it alphabetically, drop down box with 50 states, excluding Florida, plus DC)

(Display 1c. if 1 = FL Only) 1c. In which other states, if any, have you worked in the last two years? (Please select all that apply) (No Other States” at the top of the list of states instead of listing it alphabetically, drop down box with 50 states, excluding Florida plus DC)

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2. Year of initial U.S. licensure

3. In what country were you initially licensed as an RN or LPN?

4. What type of nursing degree/credential qualified you for your first U.S. nursing license? a. Vocational/Practical certificate- nursing b. Diploma- nursing c. Associate degree- nursing d. Baccalaureate degree- nursing 1. traditional 2. second degree/ accelerated e. Master’s degree- nursing f. PhD- nursing g. DNP- nursing

5. Name of the school where you obtained the nursing degree/ credential that qualified you for your first U.S. nursing license.

6. What is your highest level of education in nursing? a. Vocational/Practical certificate- nursing b. Diploma- nursing c. Associate degree- nursing d. Baccalaureate degree- nursing e. Master’s degree- nursing f. Doctoral degree- Nursing (PhD) g. Doctoral degree- Nursing (DNP) h. Other doctoral degree

7. Have you completed any non-nursing degrees (after high school)? a. yes

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b. no

(Display 7a. if 7=Yes) 7a. What is your highest level of education in a NON-NURSING field? (Select only one) a. Associate degree –non-Nursing b. Baccalaureate degree–non-Nursing c. Master’s degree–Business Related d. Master’s degree–Health Related e. Master’s degree–Other f. Law degree (JD) g. Doctorate in medicine (MD, DO) h. Doctoral degree–Other health discipline i. Doctoral degree–Other

8. Are you credentialed to practice as one of the following Advanced Practice Nurse certifications? (Select all that apply) a. Certified Registered Nurse Anesthetist (CRNA) b. Certified Nurse Midwife (CNM) c. Clinical Nurse Specialist (CNS) d. Nurse Practitioner (any specialty) e. Psychiatric Nurse Practitioner f. None of the above

Nursing Employment Questions 9. Are you actively employed for pay in one or more nursing positions or in a position that requires a nursing license? a. Yes b. No

(Display 10 if 9 = Yes)

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10. Is your primary employment in nursing located/based in the State of Florida? a. Yes b. No

(Display 11 if 9 = No) 11. Have you worked any hours in nursing in the State of Florida during the past calendar year? a. Yes b. No

(Display 12 - 20 if 11 = Yes) 12. In which county is your primary employment located? (Note: if your employment spans multiple counties, please select the county in which you work the most hours.)

(Drop down list of counties)

13. In how many positions are you currently employed as a nurse? a. 1 b. 2 c. 3 or more

14. Do you provide direct nursing care to patients in your primary employment position? a. Yes b. No

15. Which of the following best describes your main nursing position? Your main position is the one at which you work the most hours during your regular work year. a. Full-time b. Part-time c. Per diem

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16. How many hours do you work during a typical week in all your nursing positions? (For per diem or part time employees who do not work regularly, please provide the approximate number of hours per week during the weeks that you do work).

(Drop down box, range 0 - 80) 17. In total, how many weeks do you work during a typical year in all your nursing positions?

(Includes paid time off) (Note: year-round employment = 52 weeks).

(Drop down box- First option: Year-round (52 weeks) followed by numeric range, 1-51 weeks)

18. Please identify the type of setting that most closely corresponds to your main nursing practice position. (Select only one) a. Hospital b. Nursing Home/Extended Care c. Assisted Living Facility d. Home Health e. Correctional Facility f. Academic Setting g. Public Health h. Community Health i. Healthcare Consulting/ Product Sales j. Urgent Care/Walk-in Clinic k. Dialysis Center l. School Health Service m. Occupational Health n. Hospice o. Ambulatory Care Setting p. Insurance Claims/Benefits q. Policy/Planning/Regulatory/Licensing Agency r. Physician’s Office s. Temporary / Staffing Agency t. Other (please specify) u. Telehealth Florida Center for Nursing (2023). The State of the Nursing Workforce in Florida.

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19. Please identify the position title that most closely corresponds to your main nursing practice position. (Select only one) a. Staff Nurse b. Advanced Practice Nurse c. Nurse Executive/ Administrator d. Nurse Manager e. Nursing Faculty f. Quality Management/ Risk Management g. Utilization Review/ Infection Control h. Nurse Researcher (non-faculty) i. Consultant j. Travel Nurse k. Case Manager l. Educator m. Other- health related n. Other- non-health related

20. Please identify the employment specialty that most closely corresponds to your main nursing practice position. (Select only one) a. Critical Care b. Adult/ Family Health c. Anesthesia d. Cardiology e. Community f. Emergency/ Trauma g. Geriatric/ Gerontology h. Home health i. Information technology j. Maternal- child health

k. Medical Surgical l. Neonatal m. Nephrology n. Occupational health o. Oncology p. Operating room q. Palliative Care/ Hospice r. Pediatrics s. Perioperative t. Psychiatric Mental Health/ Substance Misuse u. Public Health v. Rehabilitation (non-psychiatric) w. School health x. Telehealth y. Women’s health/ OB-GYN z. Other

(Display 21 if 9 = No) 21. If not currently employed for pay in nursing, please select the option that best describes your status. (Select only one). a. Seeking work as a nurse b. Seeking work in a field other than nursing c. Not seeking work currently d. Retired e. Volunteer work in the nursing field f. Employed in a non-nursing field/ position

(Display 22. if 21 = c) 22. If not currently seeking work, please indicate the reasons. (Select all that apply) a. Taking care of home and family The State of the Nursing Workforce in Florida. 2023

95

b. Currently enrolled in school c. Disabled or illness d. Difficulty in finding a nursing position e. Inadequate salary f. Volunteer position in nursing g. Retired h. Other (please specify) _________

Display 23 if 21 = B or F 23. Please describe any factors/reasons contributing to your employment (or efforts to seek employment) in a non-nursing position, rather than a nursing position.

(Open ended text box – text limit ~ 400 characters)

Non-Nursing Employment 24. Do you work any hours for pay in a field other than nursing? a. Yes b. No

(Display 25 if 24=Yes or 21 =F) 25. Which of the following best describes your non-nursing position? (Select one) a. Full-time b. Part-time c. Per diem

Other Nursing Employment 26. Do you perform any nursing work as a volunteer? a. Yes b. No

27. What are your nursing employment plans for the next 5 years? (Select all that apply)

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a. Work in nursing as much as I do now b. Work in nursing less than I do now c. Work in nursing more than I do now d. Advance my nursing education/nursing credentials e. Relocate my nursing employment into Florida f. Relocate my nursing employment out of Florida g. Leave nursing h. Retire from nursing i. Other/ Don’t know

Demographics 28. Which of the following best describes your current military status? (Select all that apply) a. Current member of Armed Service b. Spouse/Partner of current service member c. Spouse/Partner of a veteran d. Current member of Reserves or National Guard e. Veteran f. No affiliation with armed services

29. What is the zip code of your primary legal residence? (Legal residence refers to your home address used for your driver’s license, tax forms, etc.)

SURVEY COMPLETION PAGE You have reached the end of the survey. Thank you for your participation.

The Florida Center for Nursing is the definitive source for information, research and strategies addressing the dynamic nurse workforce needs in our state. The Center’s research provides a comprehensive look at Florida's nurse population to assist statewide efforts and policy related to nurse supply and demand, such as alleviating nurse shortages. For inquiries concerning the Florida Center for Nursing contact FLCenterforNursing@usf.edu.

Click on the “Back to MQA Online Services” link above to continue with your renewal.

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