WEBVTT 00:00:01.500 --> 00:00:05.940 position:50% align:middle - [Woman] Clark Ruttinger is the immediate past president of The National Forum for State 00:00:05.940 --> 00:00:07.730 position:50% align:middle Nursing Workforce Centers. 00:00:07.730 --> 00:00:14.110 position:50% align:middle Clark is also the director of Workforce Research as well as the director of Utah's Nursing Workforce 00:00:14.110 --> 00:00:18.400 position:50% align:middle Information Center for the Utah Medical Education Council. 00:00:18.400 --> 00:00:25.520 position:50% align:middle In these capacities, Mr. Ruttinger tracks supply, demand, and educational program data about Utah's 00:00:25.520 --> 00:00:32.766 position:50% align:middle medical workforce and works with stakeholders to develop usable information to better inform policy and 00:00:32.766 --> 00:00:34.966 position:50% align:middle strategic planning decisions. 00:00:34.966 --> 00:00:41.706 position:50% align:middle A major goal of this work is to facilitate communication and collaboration between public and 00:00:41.706 --> 00:00:49.156 position:50% align:middle private entities as they pursue common workforce planning efforts across the state of Utah. 00:00:49.156 --> 00:00:55.826 position:50% align:middle Mr. Smiley has worked as a statistician in the research department at NCSBN for 19 years. 00:00:55.826 --> 00:01:01.067 position:50% align:middle During his time at NCSBN, he has co-authored studies on the use of simulation 00:01:01.067 --> 00:01:08.577 position:50% align:middle in nursing education and data from the National Nursing Workforce Survey and on best practices for substance 00:01:08.577 --> 00:01:11.217 position:50% align:middle use disorder monitoring programs. 00:01:11.217 --> 00:01:16.907 position:50% align:middle He has undergraduate degrees in mathematics and computer science, and graduate degrees 00:01:16.907 --> 00:01:19.387 position:50% align:middle in statistics and demography. 00:01:19.387 --> 00:01:24.957 position:50% align:middle He is the past president of the Chicago Chapter of the American Statistical Association. 00:01:32.100 --> 00:01:33.130 position:50% align:middle - [Richard] Hello. 00:01:33.130 --> 00:01:39.540 position:50% align:middle I am here to join Clark Ruttinger in presenting the 2020 National Nursing Workforce Survey. 00:01:39.540 --> 00:01:46.380 position:50% align:middle After I go through the background and methods of the survey, Clark will review the major results. 00:01:46.380 --> 00:01:52.050 position:50% align:middle I will return with Clark to answer questions live after the presentation has ended. 00:01:52.050 --> 00:01:58.060 position:50% align:middle During the presentation, you are welcome to submit questions in the Q&A box. 00:01:58.060 --> 00:02:03.729 position:50% align:middle I will first note that the survey is the result of a collaborative partnership with The National Forum 00:02:03.729 --> 00:02:08.119 position:50% align:middle of State Nursing Workforce Centers. 00:02:08.119 --> 00:02:14.799 position:50% align:middle Since the 1970s, nursing supply data had been collected every four years by the Health Resources and 00:02:14.799 --> 00:02:19.999 position:50% align:middle Service Administration, HRSA, via the national sample survey 00:02:19.999 --> 00:02:22.719 position:50% align:middle of registered nurses. 00:02:22.719 --> 00:02:29.329 position:50% align:middle After their 2008 survey was conducted, it was announced that a 2012 survey would not be 00:02:29.329 --> 00:02:32.944 position:50% align:middle conducted due to lack of funding. 00:02:32.944 --> 00:02:40.454 position:50% align:middle NCSBN and the forum partnered in 2013 to fill the void in RN supply data by conducting the National 00:02:40.454 --> 00:02:43.414 position:50% align:middle Nursing Workforce Survey. 00:02:43.414 --> 00:02:51.966 position:50% align:middle The survey was conducted again in 2015 by NCSBN with LPN/VNs included and was subsequently conducted 00:02:51.966 --> 00:02:54.541 position:50% align:middle in 2017 and 2020. 00:02:54.541 --> 00:03:02.333 position:50% align:middle It will be noted that HRSA resurrected the National Sample Survey of Registered Nurses in 2018 and will be 00:03:02.333 --> 00:03:05.612 position:50% align:middle conducting it again in 2022. 00:03:07.300 --> 00:03:13.683 position:50% align:middle In collecting the sample, all active RN and LPN/VN licensees were eligible 00:03:13.683 --> 00:03:15.862 position:50% align:middle for survey participation. 00:03:16.983 --> 00:03:26.253 position:50% align:middle The sample was stratified by state and over 150,000 RNs and 170,000 LPN/VNs were selected to be 00:03:26.253 --> 00:03:28.973 position:50% align:middle sent the survey. 00:03:28.973 --> 00:03:34.955 position:50% align:middle In composing the survey, the forum's minimum supply dataset was used to form the 00:03:34.955 --> 00:03:37.385 position:50% align:middle bulk of the questions. 00:03:37.385 --> 00:03:43.905 position:50% align:middle Additional questions about telehealth, National Licensure Compact, specialty setting, 00:03:43.905 --> 00:03:48.755 position:50% align:middle future retirement, and direct patient care were added to it. 00:03:48.755 --> 00:03:55.332 position:50% align:middle Surveys with cover letters were mailed out to selected nurses in early February of 2020. 00:03:55.332 --> 00:04:02.735 position:50% align:middle Due to the pandemic the first reminder letters were mailed out six weeks after the initial mailing rather 00:04:02.735 --> 00:04:04.355 position:50% align:middle than four weeks. 00:04:04.355 --> 00:04:09.475 position:50% align:middle The final reminder letters were sent out 10 weeks after the initial mailing. 00:04:09.475 --> 00:04:11.799 position:50% align:middle The survey closed at the end of June. 00:04:13.085 --> 00:04:19.555 position:50% align:middle After all of the responses were in, a nonresponse bias analysis was conducted to evaluate 00:04:19.555 --> 00:04:24.449 position:50% align:middle survey response patterns by age, gender, and race/ethnicity. 00:04:25.135 --> 00:04:31.048 position:50% align:middle There were insufficient data available to adjust for response differences in race/ethnicity, 00:04:31.048 --> 00:04:34.788 position:50% align:middle but adjustments could be made for age and gender. 00:04:34.788 --> 00:04:41.278 position:50% align:middle So weights were created which adjusted for nonresponse by age and gender, and adjusted for the stratification 00:04:41.278 --> 00:04:44.466 position:50% align:middle by state in the original survey design. 00:04:45.038 --> 00:04:50.398 position:50% align:middle These weights were applied to the subsequent descriptive analysis. 00:04:50.398 --> 00:04:58.028 position:50% align:middle Over 40,000 RNs responded to the survey and nearly 40,000 LPN/VNs responded. 00:04:58.028 --> 00:05:02.025 position:50% align:middle The response rate for each group was near 25%. 00:05:02.025 --> 00:05:11.117 position:50% align:middle For both groups, over 30% of the surveys were returned electronically, a proportion that has been continually 00:05:11.117 --> 00:05:13.526 position:50% align:middle increasing since 2013. 00:05:13.526 --> 00:05:16.844 position:50% align:middle Clark will now review the survey results. 00:05:17.700 --> 00:05:18.687 position:50% align:middle - [Clark] Thank you, Richard. 00:05:18.687 --> 00:05:23.807 position:50% align:middle I really have to say it's been a privilege to work with you on this project over the last year and I want 00:05:23.807 --> 00:05:28.848 position:50% align:middle to thank also the other...my colleagues from The National Forum of State Nursing Workforce Centers 00:05:28.848 --> 00:05:33.567 position:50% align:middle who put a lot of time and effort into this project as well. 00:05:33.567 --> 00:05:40.050 position:50% align:middle It's really been a great collaboration between the State Nursing Workforce Centers and the NCSBN. 00:05:40.050 --> 00:05:46.097 position:50% align:middle I think it's provided a wonderful opportunity for us to compare notes about what we're all doing and 00:05:46.097 --> 00:05:50.797 position:50% align:middle learn from each other, and discuss ways to standardize how we measure the 00:05:50.797 --> 00:05:53.377 position:50% align:middle nursing workforce across the country. 00:05:53.377 --> 00:05:55.147 position:50% align:middle I'll add a quick plug to that. 00:05:55.147 --> 00:06:00.573 position:50% align:middle If you want more analysis of the state at the state level, I will present on this subject at the 00:06:00.573 --> 00:06:06.533 position:50% align:middle The National Forum of State Nursing Workforce Centers conference in June, June 8th through 10th of this year 00:06:06.533 --> 00:06:12.243 position:50% align:middle and you can find more information about the conference at nursingworkforcecenters.org. 00:06:12.243 --> 00:06:14.903 position:50% align:middle So moving into the results. 00:06:14.903 --> 00:06:19.223 position:50% align:middle As you can see from the chart, the RN workforce continues to age. 00:06:19.223 --> 00:06:25.033 position:50% align:middle An area that warrants monitoring is the proportion of nurses in the workforce who are working 00:06:25.033 --> 00:06:27.903 position:50% align:middle past typical retirement age. 00:06:27.903 --> 00:06:34.541 position:50% align:middle Nurses age 65 and older account for nearly 20% of each of the RN and LPN workforces. 00:06:34.541 --> 00:06:42.271 position:50% align:middle In 2017, the same age cohort accounted for 15% of RNs and 13% of LPNs. 00:06:42.271 --> 00:06:47.501 position:50% align:middle And looking at LPNs, the pattern holds similar for LPNs. 00:06:49.000 --> 00:06:52.671 position:50% align:middle There's been an increase in the number of men in the nursing workforce. 00:06:52.671 --> 00:06:57.591 position:50% align:middle This is the result of improved representation of men among nurses under the age of 50. 00:06:57.591 --> 00:07:05.029 position:50% align:middle Men account for a higher proportion of nurses within every age cohort between 19 and 49 years old than they 00:07:05.029 --> 00:07:08.072 position:50% align:middle account for in the workforce as a whole. 00:07:11.189 --> 00:07:14.208 position:50% align:middle And similar patterns, again, hold for LPNs. 00:07:15.959 --> 00:07:21.269 position:50% align:middle Looking at racial and ethnic diversity, younger nurses are not only more likely to be men, 00:07:21.269 --> 00:07:27.829 position:50% align:middle but they are also more likely to report identifying as an underrepresented racial minority. 00:07:27.829 --> 00:07:34.041 position:50% align:middle As younger nurses have entered the workforce, they have introduced greater racial diversity. 00:07:34.041 --> 00:07:44.071 position:50% align:middle Nurses between the age of 19 and 49 comprise 47% of all nurses, but account for 49% of RNs who are Black 00:07:44.071 --> 00:07:52.231 position:50% align:middle African American and more than 60% of RNs who are multiracial, Asian or Native Hawaiian, 00:07:52.231 --> 00:07:54.751 position:50% align:middle or other Pacific Islander. 00:07:54.751 --> 00:08:00.333 position:50% align:middle The racial distribution of the LPN workforce much more closely matches the racial distribution of the U.S. 00:08:00.333 --> 00:08:03.653 position:50% align:middle population than does the RN workforce. 00:08:03.653 --> 00:08:09.943 position:50% align:middle As the workforce ages and the less racially-diverse generation of nurses begins to retire out of practice, 00:08:09.943 --> 00:08:15.803 position:50% align:middle it will be important to monitor whether persons of color become overrepresented among LPNs. 00:08:15.803 --> 00:08:24.153 position:50% align:middle LPN licensure requires the lowest level of education and yields a median salary that is over 35% lower 00:08:24.153 --> 00:08:26.581 position:50% align:middle than the median income of RNs. 00:08:26.581 --> 00:08:32.601 position:50% align:middle The significant overrepresentation of persons of color at the lowest level of nursing practice and 00:08:32.601 --> 00:08:40.591 position:50% align:middle compensation may be indicative of systemic challenges associated with persons of color having access to RN 00:08:40.591 --> 00:08:43.280 position:50% align:middle education and practice opportunities. 00:08:44.961 --> 00:08:50.821 position:50% align:middle In the 2020 survey, the proportion of RNs holding a baccalaureate degree increased for those reporting 00:08:50.821 --> 00:08:56.101 position:50% align:middle their highest level of nursing education, but remain steady for those reporting the degree held 00:08:56.101 --> 00:08:59.461 position:50% align:middle when obtaining their first nursing license. 00:08:59.461 --> 00:09:05.579 position:50% align:middle The proportion of RNs holding an associate degree when first licensed increased slightly in 2020. 00:09:05.579 --> 00:09:08.741 position:50% align:middle This trend had been declining in recent years. 00:09:09.419 --> 00:09:14.709 position:50% align:middle When only considering the highest nursing degree earned, the proportion of RNs earning a baccalaureate 00:09:14.709 --> 00:09:21.329 position:50% align:middle or higher continues to grow although the proportion will fall short of the National Academy of Medicine 00:09:21.329 --> 00:09:27.519 position:50% align:middle goal of 80% of RNs holding a baccalaureate degree or higher. 00:09:27.519 --> 00:09:35.405 position:50% align:middle The proportion of LPNs earning an associate degree or baccalaureate also increased slightly this year 00:09:35.405 --> 00:09:40.440 position:50% align:middle while those with a practical certificate or nursing diploma declined. 00:09:41.635 --> 00:09:46.985 position:50% align:middle There is also evidence RNs and LPNs are continuing their nursing education after obtaining their 00:09:46.985 --> 00:09:48.945 position:50% align:middle initial nursing license. 00:09:51.035 --> 00:09:56.785 position:50% align:middle Additionally, proportionally more LPNs hold an associate or baccalaureate as their highest level 00:09:56.785 --> 00:10:03.008 position:50% align:middle of nursing education than at initial licensure. 00:10:03.008 --> 00:10:10.798 position:50% align:middle Nearly 84% of RNs work only one position in nursing, 13% report that they work two positions, 00:10:10.798 --> 00:10:15.288 position:50% align:middle and 2.4% reported working 3 or more positions. 00:10:15.288 --> 00:10:23.738 position:50% align:middle Nearly 60% of nurses work 32 to 40 hours a week and over one-fifth of nurses work over 40 hours each week. 00:10:23.738 --> 00:10:28.613 position:50% align:middle The distribution for LPNs are nearly identical in employment status. 00:10:29.778 --> 00:10:33.628 position:50% align:middle Nursing incomes overall have at best remained nearly flat over time. 00:10:33.628 --> 00:10:40.588 position:50% align:middle Looking at the increase from 2015 to 2020 and calculating annual percentage change shows that the 00:10:40.588 --> 00:10:44.468 position:50% align:middle increase over time just barely beat out inflation. 00:10:44.468 --> 00:10:50.798 position:50% align:middle Regional income increases in specific states as described in the report may be a good indicator 00:10:50.798 --> 00:10:54.240 position:50% align:middle for where employment demand for nurses is high in the country. 00:10:55.968 --> 00:11:01.264 position:50% align:middle As expected there's a positive relationship between the number of years licensed and earnings. 00:11:01.264 --> 00:11:03.456 position:50% align:middle This holds true no matter the age. 00:11:05.304 --> 00:11:11.994 position:50% align:middle Hospitals continue to be the primary practice setting for RNs followed by ambulatory care settings, 00:11:11.994 --> 00:11:14.534 position:50% align:middle home health, and nursing homes. 00:11:14.534 --> 00:11:18.694 position:50% align:middle It will be important to continue to track setting migration into the future. 00:11:18.694 --> 00:11:23.934 position:50% align:middle Metrics for percent change in home health, hospice, nursing homes, faculty, 00:11:23.934 --> 00:11:30.034 position:50% align:middle or growth and increases in nurse utilization in primary care settings will be key to measure progress 00:11:30.034 --> 00:11:31.904 position:50% align:middle towards policy goals. 00:11:33.442 --> 00:11:39.442 position:50% align:middle The percentage of the workforce in the most common specialty a saw small percentage drop since 2017, 00:11:39.442 --> 00:11:47.742 position:50% align:middle while RN selecting other specialties represented an increase from 12% in 2017. 00:11:48.800 --> 00:11:53.954 position:50% align:middle Further investigation of this data should examine increases by setting and type as well. 00:11:55.592 --> 00:11:59.742 position:50% align:middle LPNs on the other hand, tend to be clustered more in nursing home settings and 00:11:59.742 --> 00:12:02.667 position:50% align:middle geriatric home healthcare. 00:12:02.667 --> 00:12:08.437 position:50% align:middle And with that, I'll turn the time back to Richard to discuss telehealth and multistate licensing findings, 00:12:08.437 --> 00:12:11.217 position:50% align:middle and then wrap us up. Thank you for the time. 00:12:12.600 --> 00:12:19.617 position:50% align:middle - Nurses were asked to indicate the percentage of time they provided nursing services or communicated with a 00:12:19.617 --> 00:12:27.077 position:50% align:middle patient or client located somewhere different from where they were located via phone or electronically. 00:12:27.077 --> 00:12:34.632 position:50% align:middle Forty-eight percent of the RNs indicated they engage in telehealth at a rate similar to what was found in 2015. 00:12:34.632 --> 00:12:43.409 position:50% align:middle Among the RNs, 10% indicated that they engaged in telehealth between 76% to 100% of the time, 00:12:43.409 --> 00:12:48.153 position:50% align:middle at a rate that is up from 5.8% in 2015. 00:12:48.153 --> 00:12:56.883 position:50% align:middle Fifty point one percent of LPN/VNs indicated they engage in telehealth at a rate similar to that of RNs, 00:12:56.883 --> 00:13:04.458 position:50% align:middle but at a decreased rate from the 54.2% of LPN/VNs engaged in 2015. 00:13:04.458 --> 00:13:13.310 position:50% align:middle Of those LPN/VNs providing nursing services remotely, similar proportions reported providing services 00:13:13.310 --> 00:13:18.644 position:50% align:middle over both state and national borders in comparison to 2017. 00:13:18.644 --> 00:13:27.103 position:50% align:middle Similar to RNs, LPN/VNs reported increased proportions of being engaged in telehealth between 76% to 100% 00:13:27.103 --> 00:13:30.930 position:50% align:middle of their time in comparison to 2017. 00:13:30.930 --> 00:13:36.860 position:50% align:middle Usage by RNs of voiceover internet protocol, electronic messaging, 00:13:36.860 --> 00:13:43.590 position:50% align:middle and video calls increased in 2020 in comparison to 2017. 00:13:43.590 --> 00:13:52.520 position:50% align:middle Similar to RNs, usage by LPN/VNs of voiceover internet protocol, electronic messaging, 00:13:52.520 --> 00:13:57.940 position:50% align:middle and video calls increased in 2020 in comparison to 2017. 00:13:57.940 --> 00:14:02.888 position:50% align:middle Nurses were asked if they hold a multistate license. 00:14:02.888 --> 00:14:10.188 position:50% align:middle Among RNs who hold a multistate license, 33% have used it for physical cross-border practice 00:14:10.188 --> 00:14:14.158 position:50% align:middle while 24% have not used it at all. 00:14:14.158 --> 00:14:22.478 position:50% align:middle Among LPN/VNs who hold a multistate license, 22% have used it for physical cross-border practice 00:14:22.478 --> 00:14:26.110 position:50% align:middle while 36% have not used it at all. 00:14:27.028 --> 00:14:34.900 position:50% align:middle In conclusion, the nursing workforce today is slightly younger, more diverse, 00:14:34.900 --> 00:14:42.600 position:50% align:middle and has a higher initial nursing education in comparison to the workforce earlier in the decade. 00:14:42.600 --> 00:14:50.930 position:50% align:middle It is expected that a large cohort of nurses will age out of the nursing workforce over the next five years. 00:14:50.930 --> 00:14:56.430 position:50% align:middle About half of RNs and LPNs engage in telehealth. 00:14:56.430 --> 00:15:02.776 position:50% align:middle Multistate licenses are primarily being used for physical cross-border practice. 00:15:02.776 --> 00:15:09.996 position:50% align:middle Results of the survey will be published in a supplement to the April Journal of Nursing Regulation. 00:15:09.996 --> 00:15:13.492 position:50% align:middle We will now go live for questions. 00:15:34.543 --> 00:15:37.553 position:50% align:middle - Hello, Clark. Welcome, welcome. 00:15:37.553 --> 00:15:40.213 position:50% align:middle We are live now and... 00:15:40.213 --> 00:15:42.063 position:50% align:middle - Hi. Good to see you. 00:15:42.063 --> 00:15:44.143 position:50% align:middle - Good to see you. 00:15:44.143 --> 00:15:57.423 position:50% align:middle Just I'm going to be screening through here to see if there are any questions for us appealing and is there 00:15:57.423 --> 00:16:02.983 position:50% align:middle anything else you wanted to say about the survey in the interim or...? 00:16:04.800 --> 00:16:06.173 position:50% align:middle - No. I think I'm okay. 00:16:06.173 --> 00:16:08.903 position:50% align:middle Actually, I've been playing with some of the results. 00:16:08.903 --> 00:16:12.643 position:50% align:middle It's very interesting to see how the data breaks down by state. 00:16:12.643 --> 00:16:20.623 position:50% align:middle I think this is a really valuable survey and that it's one of very few that represents the 00:16:20.623 --> 00:16:22.403 position:50% align:middle entire national workforce. 00:16:22.403 --> 00:16:29.483 position:50% align:middle It's very difficult at the state level for us to get these descriptions and comparisons. 00:16:31.446 --> 00:16:32.245 position:50% align:middle - Yeah. 00:16:32.245 --> 00:16:40.345 position:50% align:middle I realize that I think the one thing that's unique about the survey is that we do include LPN data that, 00:16:40.345 --> 00:16:45.125 position:50% align:middle you know, you've got the National Sample Survey of Registered Nurses that covers the RNs, 00:16:45.125 --> 00:16:48.305 position:50% align:middle but then there's nothing for the LPN community. 00:16:48.305 --> 00:16:54.845 position:50% align:middle So the fact that we've got that in there I think makes a difference because you see where there are 00:16:54.845 --> 00:16:58.805 position:50% align:middle similarities and where there are big differences. 00:16:58.805 --> 00:17:05.252 position:50% align:middle So I'm still not seeing anything in the... 00:17:05.252 --> 00:17:06.787 position:50% align:middle Let's see, Q&A. 00:17:06.787 --> 00:17:11.927 position:50% align:middle Oh, now they just popped up, they just popped up. 00:17:11.927 --> 00:17:14.977 position:50% align:middle Okay. So Julie Sable asked, "When is this published? 00:17:14.977 --> 00:17:18.897 position:50% align:middle Will there be APRN data included?" 00:17:18.897 --> 00:17:27.977 position:50% align:middle APRNs were included in the survey, but it's not a specific breakout at this moment. 00:17:27.977 --> 00:17:31.488 position:50% align:middle Possibly we will have that coming later. 00:17:31.488 --> 00:17:39.058 position:50% align:middle As far as when this will be published, it's going to be coming out in an April supplement of the 00:17:39.058 --> 00:17:40.758 position:50% align:middle Journal of Nursing Regulation. 00:17:40.758 --> 00:17:46.138 position:50% align:middle So really you should be seeing this up here in about two weeks published. 00:17:46.138 --> 00:17:53.398 position:50% align:middle "Does NCSBN have any data regarding retirements or leaving the profession related to COVID, 00:17:53.398 --> 00:17:56.838 position:50% align:middle or plans to capture that information?" 00:17:59.107 --> 00:18:04.490 position:50% align:middle Clark, I'm going to take this one just because it's specifically asking about NCSBN doing something 00:18:04.490 --> 00:18:08.360 position:50% align:middle related to COVID. We have... 00:18:08.360 --> 00:18:14.680 position:50% align:middle In other studies, I think there was even another presentation in the symposium that talked about some 00:18:14.680 --> 00:18:21.110 position:50% align:middle of the work we've been looking into regarding COVID although maybe not specifically leaving the profession, 00:18:21.110 --> 00:18:25.560 position:50% align:middle but I think that is something that we are becoming aware of. 00:18:25.560 --> 00:18:32.582 position:50% align:middle And I've heard of that that's...that COVID is definitely an issue anecdotally that we've heard of. 00:18:32.582 --> 00:18:38.042 position:50% align:middle And our survey was out just at the time that this was starting to take place. 00:18:38.042 --> 00:18:45.282 position:50% align:middle So I don't know if that fully captured what was going on in the workforce. 00:18:45.282 --> 00:18:50.204 position:50% align:middle And Clark, I'm going to... 00:18:50.622 --> 00:18:53.002 position:50% align:middle Do you see the questions there? Do you want to take the next one? 00:18:53.002 --> 00:18:55.502 position:50% align:middle - I don't. I apologize. 00:18:55.502 --> 00:18:57.842 position:50% align:middle I can't see any questions coming up. 00:18:57.842 --> 00:19:00.751 position:50% align:middle I keep refreshing, but it just doesn't have anything. 00:19:00.751 --> 00:19:01.441 position:50% align:middle I apologize. 00:19:01.441 --> 00:19:04.281 position:50% align:middle - Sure. Okay, I'll read this off. 00:19:04.281 --> 00:19:12.471 position:50% align:middle From Anna van der Gaag, "Have there been any innovations in practice to address 00:19:12.471 --> 00:19:15.481 position:50% align:middle the coming workforce shortages?" 00:19:15.481 --> 00:19:18.651 position:50% align:middle And I'll let you take a crack at that. 00:19:21.321 --> 00:19:24.131 position:50% align:middle - I think that's a great question. 00:19:24.131 --> 00:19:31.109 position:50% align:middle I, you know, I know that there's been kind of efforts to do, you know, stackable credentials, right? 00:19:31.109 --> 00:19:32.509 position:50% align:middle To get people... 00:19:32.509 --> 00:19:40.179 position:50% align:middle I think especially what I hear from my colleagues is that there may not be necessarily a lack of nurses in a 00:19:40.179 --> 00:19:46.719 position:50% align:middle given state, but there's definitely a huge loss of experience because of this retirement. 00:19:46.719 --> 00:19:53.479 position:50% align:middle So how do they get more new nurses trained and experienced faster? 00:19:53.479 --> 00:19:58.279 position:50% align:middle I think there's a lot of talk about that, but I don't know that anybody has any perfect solution 00:19:58.279 --> 00:20:04.572 position:50% align:middle other than, you know, getting people, just getting, allowing, setting up different kinds 00:20:04.572 --> 00:20:06.472 position:50% align:middle of training after license. 00:20:09.553 --> 00:20:11.420 position:50% align:middle - Good. 00:20:11.420 --> 00:20:23.345 position:50% align:middle Barbara Hill asks, "Does NCSBN have data to clarify why the percent of RNs working over 65 continues 00:20:23.345 --> 00:20:26.212 position:50% align:middle year after year? 00:20:26.212 --> 00:20:35.268 position:50% align:middle In other words, why in the state workforces do we see this large percent of nurses that are working past the 00:20:35.268 --> 00:20:40.405 position:50% align:middle age of 65 or license past the age of 65?" 00:20:41.038 --> 00:20:43.178 position:50% align:middle Can you speak about that, Clark? 00:20:43.178 --> 00:20:44.478 position:50% align:middle - Yeah, I can. 00:20:44.478 --> 00:20:48.508 position:50% align:middle Actually Utah did it's RN sample survey this year as well. 00:20:48.508 --> 00:20:52.298 position:50% align:middle So I've poured over that data at the state level quite a bit. 00:20:52.298 --> 00:21:00.777 position:50% align:middle One thing I've noticed is that a lot of the nurses over the age of 65 tend to be in leadership roles. 00:21:00.777 --> 00:21:06.517 position:50% align:middle I was looking just the other day at income data and those above the age 65, 00:21:06.517 --> 00:21:11.327 position:50% align:middle they either shot way up or way down because they were tapering off to retire. 00:21:11.327 --> 00:21:18.187 position:50% align:middle So I would say, I would guess that this is because of, you know, there's a lot that maintain in leadership 00:21:18.187 --> 00:21:23.587 position:50% align:middle because there isn't...they need, you know, more nurses to have the experience to replace them. 00:21:23.587 --> 00:21:27.400 position:50% align:middle Also I would suspect there's quite a few faculty hanging on. 00:21:28.900 --> 00:21:30.330 position:50% align:middle - Okay. 00:21:33.161 --> 00:21:40.461 position:50% align:middle "In the survey, do you collect information on how many nurses in clinical practice are also adjunct clinical 00:21:40.461 --> 00:21:47.071 position:50% align:middle faculty or preceptors in addition to their full-time clinical job?" 00:21:47.071 --> 00:21:51.081 position:50% align:middle I think we collect primary and secondary data. 00:21:51.081 --> 00:21:55.011 position:50% align:middle So I think we could figure some of that out. 00:21:55.011 --> 00:22:03.124 position:50% align:middle That would take a much further breakdown into the data than what this preliminary look gave, 00:22:03.124 --> 00:22:07.014 position:50% align:middle but I think we could get some of that information, 00:22:07.014 --> 00:22:13.114 position:50% align:middle but, you know, maybe not perfectly. 00:22:13.114 --> 00:22:15.894 position:50% align:middle You wouldn't have it perfectly, but you would have it close. 00:22:15.894 --> 00:22:20.634 position:50% align:middle I think you could get closer answer to that from the data we have. 00:22:20.634 --> 00:22:26.284 position:50% align:middle "Do you find increased numbers of LPNs working in the community, clinics, home health?" 00:22:27.745 --> 00:22:31.800 position:50% align:middle I don't know if that proportion... You'd have to specifically look at the table. 00:22:31.800 --> 00:22:38.750 position:50% align:middle I don't know if that proportion has been increasing over the years, but it's always been a high proportion. 00:22:38.750 --> 00:22:46.560 position:50% align:middle I think the tables regarding once again, primary specialty and primary work setting show that 00:22:46.560 --> 00:22:49.600 position:50% align:middle to be the case that, you know, especially in comparison to RNs, 00:22:49.600 --> 00:22:52.934 position:50% align:middle you see that is more often the case. 00:22:54.390 --> 00:23:02.107 position:50% align:middle "Did you capture the number of nurses who came out of retirement under temporary licenses related 00:23:02.107 --> 00:23:04.737 position:50% align:middle to COVID emergency acts?" 00:23:04.737 --> 00:23:17.837 position:50% align:middle This would be a no and the reason this would be a no is because we didn't...our survey was set up, 00:23:17.837 --> 00:23:21.647 position:50% align:middle we went in the field just before the pandemic took off. 00:23:21.647 --> 00:23:26.527 position:50% align:middle So we weren't asking specifically questions about that. 00:23:26.527 --> 00:23:33.364 position:50% align:middle Now, I mean, it's possible that some of the nurses who participated in our survey returned to the field. 00:23:33.364 --> 00:23:38.984 position:50% align:middle I mean, they may not have been working, but by the time they answered our survey it's possible 00:23:38.984 --> 00:23:43.754 position:50% align:middle that their status shifted and their answer reflected that. 00:23:43.754 --> 00:23:52.694 position:50% align:middle But we wouldn't know that, we wouldn't know if gee, if they answered the survey in February when it went 00:23:52.694 --> 00:23:58.424 position:50% align:middle in the field as opposed to they got around to it later and answered April, you know, 00:23:58.424 --> 00:24:00.024 position:50% align:middle that their answer had changed. 00:24:00.024 --> 00:24:04.459 position:50% align:middle We would not know that because we went in the field right at that time. 00:24:08.500 --> 00:24:11.345 position:50% align:middle And I think that's... 00:24:11.345 --> 00:24:15.835 position:50% align:middle I'm going to refresh here to see if there's any other questions here. 00:24:15.835 --> 00:24:18.408 position:50% align:middle Let's see. 00:24:27.517 --> 00:24:33.407 position:50% align:middle Once again, I answered like, the only question I'm seeing here is what Nancy had 00:24:33.407 --> 00:24:37.157 position:50% align:middle which was, "Do you find increased numbers of LPNs working in the community?" 00:24:37.157 --> 00:24:40.427 position:50% align:middle Once again, that would be in the the tables. 00:24:40.427 --> 00:24:46.287 position:50% align:middle I think we, you know, I think we did address that before. 00:24:46.847 --> 00:24:47.897 position:50% align:middle - Yeah. 00:24:47.897 --> 00:24:54.387 position:50% align:middle If I recall that I think there are higher concentrations of LPNs in those community settings 00:24:54.387 --> 00:24:55.907 position:50% align:middle over, say, a hospital setting. 00:24:55.907 --> 00:24:59.634 position:50% align:middle - Yeah, yeah, yes. 00:25:01.015 --> 00:25:05.025 position:50% align:middle And oh, from Allison. 00:25:05.025 --> 00:25:12.325 position:50% align:middle "Any affect on postal mail compared to past surveys of the post office changes?" 00:25:15.100 --> 00:25:19.185 position:50% align:middle - I don't know if we got hit as hard on that. 00:25:19.185 --> 00:25:25.735 position:50% align:middle Once again, because we were in the field, like, I think... 00:25:25.735 --> 00:25:30.685 position:50% align:middle - I think you are done with data collection before the issues with the post office started coming up. 00:25:30.685 --> 00:25:32.485 position:50% align:middle - Before the real... Yeah, yeah. 00:25:32.485 --> 00:25:41.045 position:50% align:middle I think by the time those issues really kicked into gear, our data collection was mostly over by that time 00:25:41.045 --> 00:25:47.825 position:50% align:middle and we had the surveys circulated to people long before that became an issue. 00:25:47.825 --> 00:25:52.365 position:50% align:middle And, you know, the people who responded responded. 00:25:52.365 --> 00:25:58.775 position:50% align:middle I don't think there was a big flood of responses coming back after our cutoff deadline that indicated there 00:25:58.775 --> 00:25:59.975 position:50% align:middle were problems there. 00:25:59.975 --> 00:26:03.733 position:50% align:middle So no, we weren't affected by that. 00:26:06.435 --> 00:26:09.849 position:50% align:middle And that is... 00:26:10.115 --> 00:26:11.445 position:50% align:middle One last look here. 00:26:11.445 --> 00:26:14.033 position:50% align:middle I think that may be all I'm seeing. 00:26:16.025 --> 00:26:22.712 position:50% align:middle Okay. So thank you very much. 00:26:23.285 --> 00:26:24.279 position:50% align:middle Bye.