AdvancedPrac+ceNursesinGeorgia:NewDataandImplica+onsforAccesstoCare

GeorgiaNursingLeadershipCoali3on

Tounderstandthecharacteris3csanddistribu3onofAdvancedPrac3ceNurses(APNs)inGeorgiatohelpwithstrategicworkforceplanningandimproveaccesstocare

Purpose

In2011,theGeorgiaBoardofNursingsurveywasreformaHed•  UsingtheNa3onalNursingWorkforceMinimum

Dataset(Supply)(NNWMD)•  NNWMDdevelopedbytheNa3onalForumofState

NursingWorkforceCenters•  Datareflectthe2014and2015licensurerenewals•  Nursinglicensesarevalidfor2years•  Overallresponseratetothesurvey=89.8%(N=7,028)Datapresentedherereflect*:•  Nurseswithvalidlicenseswhoareac3velyprac3cing

inGeorgia•  Cer3fiedNurseMidwives(CNMs),Cer3fiedRegistered

NurseAnesthe3sts(CRNAs),andNursePrac33oners(NPs)–collec3velycalledAdvancedPrac3ceRegisteredNurses(APRNs)

•  Onlynursesrenewingtheirlicenses(notnursesnewtothestate)

*Unlessstatedotherwise

Strengths

83.1%ofthe89.9%ofsurveyrespondentsareac3velyemployedinGeorgia(N=4,967)•  Averageage46.1years•  3.1%earnedtheirfirstnursingdegreeoutsidetheUnitedStates

•  FewAPRNsworkinacademics•  BlacksandHispanicsareunderrepresentedintheAPRNworkforce

•  OfAPRNsintheSoutheastwithlicensestoprac3ceinGeorgia,11.6%workoutsideofthestate

•  8.5%areinthreestates:FL,SC,TN•  10.7%ofGeorgiacoun3eshavezeroAPRNsprac3cing(N=17):allthesecoun3esarerural

•  52.2%ofGeorgiacoun3eshave5orfewerAPRNsprac3cing(N=83):81ofthesecoun3esarerural

Results&Conclusions

•  Disseminateresults•  Doaneconomicimpactstudy•  Obtaindatafromasecondcompletecycleoflicensurerenewalstoassesschange

•  Updatethesurveyques3onsinaccordancewithchangesapprovedbytheNa3onalForumofStateNursingWorkforceCenters(spring2016)

•  Recruitmorepeoplefromunderrepresentedpopula3onstonursing

•  FindstrategiestorecruitmoreAPRNstoruralcoun3es

•  DeterminewhynurseschoosetoworkinFL,SCorTNinsteadofGeorgiaandfindstrategiestoaHractthemtoGeorgia

•  FindstrategiestoaHractAPRNstoacademiatoavoidafacultyshortage

FutureDirec+ons

Background&Data

Diversity

1.8%

35.5%

6.6%

CNMs CRNAs NPs

18.9%

2.8%

7.9%

18.3%

46.7%

3.4%

0.1%

0.9%

18.3%

75.4%

19.0%

6.3%

4.7%

28.0%

31.1%

Other

CommunityHealth

Academics

AmbulatoryCare

Hospital

NPs

CRNAs

CNMs

PrimaryworkseEng

Gender:PercentMale

OtherSoutheasternstateswhereAPRNswithGeorgialicensesareac+velyprac+cing

APRNsaccordingtocounty:ruralvs.non-rural

8.1%

0.6%

5.0%

63.8%

0.0%

7.5%

8.1%

2.7%

0.4%

1.7%

0.5%

86.8%

0.5%

3.7%

15.3%

14.5%

2.6%

1.6%

0.7%

33.4%

13.4%

Other

Pediatrics/Neonatal

MedicalSurgical

Maternal-ChildHealth

Anesthesia

AdultHealth/FamilyHealth

Acutecare/Cri3calcare

Primaryemploymentspecialty

Lessthan5%:HomeHealth

Correc3onalFacili3esInsuranceClaims/Benefits

NursingHomesOccupa3onalHealth

Policy/Planning/RegulatoryPublicHealthSchoolHealth

Lessthan5%:GerontologyHomeHealth

Occupa3onalHealthOncology

Psych/MentalHealth/SubstanceAbuse

PublicHealthRehabilita3onSchoolHealth

TraumaWomen’sHealth

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

Asian Black Hispanic White Mul3ple

CNMs

CRNAs

NPs

GEORGIA

SupportforthisprojectwasprovidedbyagrantfromtheRobertWoodJohnsonFounda3on’sStateImplementa3onProgram