Presented by Lyzz Caley Stewart, RN, BSN Program Manager

1. Presented by Lyzz Caley Stewart, RN, BSN Program Manager

2. Presentation Objectives Briefly describe the mission of the Oregon Center for Nursing Describe demand for nursing school in Oregon Describe the demographics of nursing school applicants in Oregon Discuss implications of findings Review 2009-2010 NSAD Goals

3. Overview of Oregon Center for Nursing

4. Oregon Center for Nursing 501(c) 3 established by Oregon Nursing Leadership Council (ONLC) in 2001 to address Oregon�s severe nursing shortage Mission: OCN provides the leadership to solve the nursing shortage in Oregon http://www.oregoncenterfornursing.org Phone Number 503-943-7150

6. Background

7. News of the future nursing shortage emerged in the late 1990�s and early 2000�s. Our state was very proactive and established the Oregon Center for Nursing, whose prime purpose is to provide the leadership to end the nursing shortage. Since 2002, nursing school across the state of Oregon have increase capacity by 80%. In 2009, we expect to graduate between 1300-1500 nurses. Despite the dramatic increase in capacity, many of us continued to hear stories about the thousands of qualified students turned away. In Oregon, OSBN estimated that 6 qualified students were turned away for every student admitted. The increased capacity and the reports of applicants being turned away just didn�t add up. It also made us question � do we need to expand capacity more? What is the pipeline? News of the future nursing shortage emerged in the late 1990�s and early 2000�s. Our state was very proactive and established the Oregon Center for Nursing, whose prime purpose is to provide the leadership to end the nursing shortage. Since 2002, nursing school across the state of Oregon have increase capacity by 80%. In 2009, we expect to graduate between 1300-1500 nurses. Despite the dramatic increase in capacity, many of us continued to hear stories about the thousands of qualified students turned away. In Oregon, OSBN estimated that 6 qualified students were turned away for every student admitted. The increased capacity and the reports of applicants being turned away just didn�t add up. It also made us question � do we need to expand capacity more? What is the pipeline?

8. At the same time as we were expanding nursing school capacity across the state, healthcare leaders became increasingly concerned with the quality of care, particularly the quality of care to those groups who historically had health disparities. As many of you are aware, quality of care and health disparities build on many other issues such as cultural competence, diversity of the nursing workforce and recruitment and retention of nursing students. The Nursing Workforce Diversity Group was formed at the Regional Workforce Summit in 2005 to look at these issues. The group decided that one of the first steps was to investigate the current pipeline of nursing school applicants. As you can see with the diagram, recruitment and retention of nursing school applicants is an important antecedent to the diversity of the nursing workforce. With some further investigation, the group realized that the current OSBN reporting system counted every application as a separate applicant. Subsequently, applicants who applied at multiple schools were being counted twice distorting the true demand for nursing school as well as the demographics of the applicants. At the same time as we were expanding nursing school capacity across the state, healthcare leaders became increasingly concerned with the quality of care, particularly the quality of care to those groups who historically had health disparities. As many of you are aware, quality of care and health disparities build on many other issues such as cultural competence, diversity of the nursing workforce and recruitment and retention of nursing students. The Nursing Workforce Diversity Group was formed at the Regional Workforce Summit in 2005 to look at these issues. The group decided that one of the first steps was to investigate the current pipeline of nursing school applicants. As you can see with the diagram, recruitment and retention of nursing school applicants is an important antecedent to the diversity of the nursing workforce. With some further investigation, the group realized that the current OSBN reporting system counted every application as a separate applicant. Subsequently, applicants who applied at multiple schools were being counted twice distorting the true demand for nursing school as well as the demographics of the applicants.

9. Purpose of the NSAD The aim of the NSAD Project is to collect reliable data that describes the true number and select demographic characteristics of applicants applying to Oregon�s 21 ADN programs and BSN. The grant was funded in 2007. Research began in 2008, we collected data on our first group of applicants who applied for the 2008-2009 academic year. The grant was funded in 2007. Research began in 2008, we collected data on our first group of applicants who applied for the 2008-2009 academic year.

10. Methods

11. Methods Collected data on all applicants for 2008-2009 15 ADN Programs 6 BSN (Including all five OHSU campuses) Selected data based on advisory panel input Did not include: LPN RN to BSN Direct Entry Masters (OHSU, UP)

12. NSAD Project Team Lyzz Caley Stewart, Project Director, OCN, Beth Morris, Research Analyst, OCN, Kris Campbell, Executive Director, OCN Paul Navarre, Website Manager, Net Interaction Jennifer Anderson, Advisory Panel Member, OHSU Director of Recruitment, Admissions and Retention Melissa Stark, Advisory Panel Member, Portland Community College Health Admissions Specialist Melissa Weast, Advisory Panel Member, Rogue Community College Nursing Department Secretary Our team includes a three member advisory panel board. We have representatives from OHSU, PCC and RCC. These individuals are crucical in guiding our work, letting us know what is possible and not possible and giving us an �insider�s view,� of the admissions process. One of the reason�s this project has been successful is because of their important guidance. Our team includes a three member advisory panel board. We have representatives from OHSU, PCC and RCC. These individuals are crucical in guiding our work, letting us know what is possible and not possible and giving us an �insider�s view,� of the admissions process. One of the reason�s this project has been successful is because of their important guidance.

13. Data Collected Name Previous Names Date of Birth City , State Race/Ethnicity Gender Previous Degrees Qualified/Offer/Enroll

14. Applicant � an individual who submits an application Application � a formal document submitted to each nursing program Unqualified applicant � an individual who did not meet minimum admission criteria Qualified applicant � an individual who met the minimum admission criteria QANA � an individual who met the minimum admission criteria but did not receive an offer of full admission or wait list Applicant � an individual who submits an application Application � a formal document submitted to each nursing program Unqualified applicant � an individual who did not meet minimum admission criteria Qualified applicant � an individual who met the minimum admission criteria QANA � an individual who met the minimum admission criteria but did not receive an offer of full admission or wait list

15. Nursing School Demand in Oregon

17. Demand for Nursing School 3,821 applicants for 1,466 seats 6,186 applications 2.3 qualified applicants per seat Acceptance (Selectivity) rate 45% Enrollment (Yield) rate 81% Previous reports of nursing school demand have been as high as 5-6 qualified students per seat. Previous reports of nursing school demand have been as high as 5-6 qualified students per seat.

18. Acceptance & Enrollment Oregon�s nursing program selectivity rates puts it among competitive four year universities such as Reed College, New York University, University of Chicago. When looking at the yield rate, the statewide nursing program yield is extremely high when compared to other four year universities. Oregon�s nursing program selectivity rates puts it among competitive four year universities such as Reed College, New York University, University of Chicago. When looking at the yield rate, the statewide nursing program yield is extremely high when compared to other four year universities.

19. Demographics of Oregon Nursing School Applicants

20. Age of Applicants

21. Gender of Applicants

22. Applicant Residency

23. Race/Ethnicity of Applicants

24. Race/Ethnicity of Enrollees As you can see from these two pie-charts, applicants are admitted at vary consistent rates to their application rates. As you can see from these two pie-charts, applicants are admitted at vary consistent rates to their application rates.

25. Race/Ethnicity of Unqualified Under-represented students are over-represented as unqualified students � Why? Drastically different from the previous pie-charts. Why is this happening? How can we find out more? Under-represented students are over-represented as unqualified students � Why? Drastically different from the previous pie-charts. Why is this happening? How can we find out more?

26. Multi-School Applicants Average applications submitted 1.6 34% applied to more than one school Enrolled students applied to an average of 1.9 programs 91% unqualified applicants submitted one application Qualified applicants was overstated by 1.3 applicants Qualified applicants was overstated by 1.3 applicants

27. Implications Common application? Future applicant recruitment 2010-2011 I-Peds Federal Requirements Do certain under-represented groups need to be targeted for recruitment? Nursing Program Expansion Faculty Recruitment and Retention

28. 2009-2010 NSAD Goals Collect demographic information on the 2009 Oregon pre-RN licensure nursing program/school applicant pool Begin tracking nursing student retention trends Begin tracking multi-year applicants

29. Thank You! If you have any questions or suggestions, please don�t hesitate to contact me: Lyzz Caley Stewart, RN, BSN NSAD Program Manager tel: 503-943-7495 e-mail: stewarte@up.edu www.oregoncenterfornursing.org