Selected Findings From the 2005
Indiana Registered Nurse Survey Report
Produced by:
Bowen Research Center,
Department of Family Medicine
Indiana University School of Medicine
In collaboration with the
Indiana Area Health Education Centers Program
October 2007
Authors:
Terrell W. Zollinger, DrPH
Michael J. Przybylski, PhD
Brittany S. Sutton, MPH
Linda D. Jackson, MS, RN, CCRN
Acknowledgements
The survey data and additional data elements were provided by the
Indiana Professional Licensing Agency through the Indiana State
Department of Health.
The authors are grateful for the financial support received from the
Indiana Area Health Education Center Program
to produce this report and to the following advisory committee members
for direction and insights:
• Jonathan Barclay, MA, Indiana Health Education Center Program
• Donna Boland, PhD, RN, Indiana Nursing Workforce Development
Collaborative
• S. Kim Genovese, RN, PhD(c), MSN, MSA, Nursing 2000 North
• Ernest K. Klein, RN, Indiana State Nurses Association
• Cynthia L. Stone, DrPH, RN, IU School of Nursing
• Kathy Weaver, JD, MPA, RN, Indiana State Department of Health
Introduction
• A voluntary survey instrument was attached to the 2005 Registered
Nurse (RN) license renewal form.
• A total of 70,982 RNs renewed their Indiana licenses in 2005;
61,792 renewed “on-line” and were invited to complete the survey.
• 56,670 (91.8%) completed the survey, representing 79.8% of all who
renewed their licenses in 2005.
• Over 85 percent of the respondents (48,435 nurses) active in a
nursing position.
• Of these, 43,616 (90.1%) were practicing in Indiana.
Survey Response 1997 - 2005
Renewal Method, Survey Responses, and Percent Active: 1997 – 2005
1997
2001
2003
2005
Registered
Nurses
Number
Total
Renewing
69,893 100.0 72,928 100.0 71,585 100.0 70,982
Renewed
Electronically
Respondents
%
Total
Number
0.0
62,230
89.0
68,258
%
Total
Number
%
Total
Number
%
Total
100.0
0.0
50,969
71.2
61,792
87.1
93.6
47,495
66.3
56,670
79.8
Indiana Registered Nurse Survey Databook 1997 (& 2001),
Indiana Health Care Professional Development Commission.
Nurses Active 1997 - 2005
Registered Nurses: Percent Active in Indiana: 1997 – 2005
1997
Registered
Nurses
2001
2003
2005
Number
%
Number
%
Number
%
Number
%
Total Active
(% of
Respondents)
48,147
77.4
54,132
79.3
39,829
83.9
48,435
85.5
Active in
Indiana*
(% of Active)
38,721
80.4
45,615
84.3
35,963
90.3
43,616
90.1
Indiana Registered Nurse Survey Databook 1997 (& 2001),
Indiana Health Care Professional Development Commission.
Age 2005
F igu re 2.1
A ge G rou p s of A ctive R egistered N u rses, 2005
5 5 -6 4
1 4%
6 5 or old er
2 4 or you n ger
2%
3%
2 5 -3 4
2 0%
4 5 -5 4
3 4%
3 5 -4 4
2 7%
Education 1997
F igu re 2.4 H ighest N ursing D egree, R egistered N u rses, 1997
D o cto rate
M aster's
4 .4 %
0 .2 %
D ip lo m a
21%
B ach elo r's
3 0 .2 %
A sso ciate
4 4 .2 %
Education 2005
F ig u re 2 .6 H ig hest N ursing D eg ree, R eg istered N u rses, 2 0 0 5
D octorate
M aster's
7 .2 %
0 .6 %
D ip lom a
1 0.7%
B ach elor's
3 6.8%
A ssociate
4 4.7%
Additional Education Desired 2005
Desired Future Nursing Degrees, Registered Nurses, 2005
Degree
Number
Percent
Associate
158
0.4
Bachelor's
6,821
18.1
Master's
8,740
23.1
Doctorate
1,168
3.1
16,887
44.7
20,882
55.3
Total desiring a higher degree
No higher degree desired
missing
5,392
Additional Education Desired 2005
F ig u re 2 .7
D esired F u tu re N u rsin g D eg rees of R eg istered N u rses, 2 0 05
A ssociate
1%
D octorate
7%
B ach elor's
40%
M aster's
52%
Language Fluency 2005
Fluency in Other Languages,
Registered Nurses, 2005
Language
Number
Percent
Spanish
641
1.49
Filipino
256
0.59
Tagalong
214
0.50
French
157
0.36
German
156
0.36
Hindi
46
0.11
Chinese
45
0.10
Polish
44
0.10
Other
143
0.33
Total
1,702
3.94
Multiple Nursing Positions 2005
More than One Paid Position as a
Registered Nurse, 2005
More than One Paid
Position
Number
Percent
Yes
6,055
14.1
No
36,966
85.9
Missing
140
Work Prior to Nursing 2005
Registered Nurses with Prior Work Experience, 2005:
Prior Work Experience
Certified Nurse Aide
Number
Percent
7,135
16.5
12,357
28.6
297
0.7
Emergency Medical Technician
1,718
4.0
Licensed Practice Nurse
6,116
14.2
One or more of these
21,217
49.2
None of these
21,944
50.8
Nursing Assistant
Paramedic
Years of Nursing Licensure 2005
F igure 2.9 Y ears of L icen su re of R egistered N u rses, 2005
3 0 years or m ore
11%
5 years or less
2 5-29
20%
9%
2 0-24
11 %
5 -9
18%
1 5-19
13%
1 0-14
18%
Key Activities by Nurses in Patient Care Settings 2005
non-hospital
hospital
2.7
Community/Public health activities
8.5
9.6
Case management/ care coordination
29.4
7.9
Consulting with agencies/ other professionals
20.5
14.3
Medication management
30.4
8.3
Infection control
17.1
6.9
Quality assurance/utilization review
14.1
16.2
Other
28.7
23.2
Administrative Activities
37.9
28.8
Patient education/counseling
45.9
12.7
Continuing education/staff development
17.6
11.1
Teaching nursing students
6.5
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Percent Reporting
35.0
40.0
45.0
50.0
M a p 5 .2 : R eg istered N u rses P ra cticin g in In d ia n a 2 0 0 5
E stim a ted N u m b er P er 1 0 0 ,0 0 0 P o p u la tio n b y C o u n ty
S t. J o s e p h
L a g ra ng e
S te u b e n
N o b le
D e K a lb
E lk ha rt
L a P o rte
P o rte r
Lake
M a rs ha ll
S ta rk e
K o s c ius k o
W hitle y
A lle n
F ulto n
P ula s k i
Jasper
N e w to n
W ab a s h H u nting to n
C ass
W hite
B e nto n
M ia m i
W ells
Adam s
C a rro ll
G ra nt
H o w a rd
B la c k fo rd
Jay
T ip p e c a no e
W arre n
T ip to n
C linto n
D e la w a re
R a n d o lp h
M a d is o n
F o u n ta in
M o ntg o m e ry
H a m ilto n
B o o ne
H e nry
W ay ne
V e rm illio n
H a nc o c k
P a rk e
M a rio n
H e n d ric k s
P utn a m
R us h
S he lb y
Johnso n
M o rg a n
V ig o
F a y e tte U nio n
F ra nk lin
C la y
Owen
D e c a tur
M o nro e
B ro w n B a rth o lo m e w
D e a rb o rn
R iple y
S ulliv a n
G re e ne
J e n ning s
O hio
Jackso n
S w itze rla nd
L a w re nc e
J e ffe rs o n
K no x
D a v ie s s
M a rtin
S c o tt
W as hing to n
O ra n g e
C la rk
P ik e
E stim a ted N u rses
P er 1 0 0 ,0 0 0
91 - 314
D ub o is
G ib s o n
F lo y d
C ra w fo rd
345 - 653
H a rris o n
656 - 976
V a n d e rb urg hW arric k
Posey
S p e nc e r
P e rry
996 – 1193
1335 - 1632
Nursing Trends 1997-2005: Age
F ig u re 6 .2 : N u rses A ctiv e in In d ia n a b y A g e G ro u p s
2 8 ,0 0 0
2 4 ,0 0 0
2 0 ,0 0 0
1 6 ,0 0 0
1 2 ,0 0 0
8 ,0 0 0
4 ,0 0 0
0
1996
1997
1998
3 0 o r yo u n g er
1999
2000
3 1 -4 4
2001
2002
2003
4 5 -5 4
2004
2005
2006
5 5 -6 4
2007
2008
2009
6 5 an d o ld er
2010
Nursing Trends 1997-2005: Education
F igu re 6 .3: N u rses A ctive in In d ia n a b y H ig h est D eg ree in N u rsin g
3 2 ,0 0 0
2 8 ,0 0 0
2 4 ,0 0 0
2 0 ,0 0 0
1 6 ,0 0 0
1 2 ,0 0 0
8 ,0 0 0
4 ,0 0 0
0
1996
1997
1998
1999
D ip lo m a
2000
2001
A sso ciate
2002
2003
2004
B ach elo r's
2005
2006
M aster's
2007
2008
2009
D o cto rate
2010
Nursing Trends 1997-2005:
Advanced Practice Nurses
F ig u re 6 .5 : N u r ses A ctiv e in In d ia n a : A d v a n ced P ra ctica l N u rses a n d N u rs in g F a c u lty
3 ,0 0 0
2 ,5 0 0
N u m b er
2 ,0 0 0
1 ,5 0 0
1 ,0 0 0
500
0
1996
1997
1998 1999 2000 2001
2002 2003
2004 2005
2006
2007 2008
2009
2010 2011
A ll A d v an ce d P rac tica l N u rse s
N u rse P rac titio n er (N P )
F ac u lty in N u rsin g P ro gra m s
A ll A P N s (tren d )
N u rse P rac titio n er (tren d )
N u rsin g F a cu lty (tren d )
Conclusions
• There has been an increase in the number of
licensed nurses actively practicing in Indiana
• Many do not work in direct patient care positions
• The nursing work force is getting older,
predicting a shortage of active nurses in Indiana
– a trend also forecast in HRSA’s 2004 report
• The number of Advance Practice Nurses has
increased rapidly in the past nine years
• There is a demand for obtaining higher degrees
in nursing
• The number of nursing faculty has not increased
over the past nine years
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2005 Indiana Registered Nurse Survey Report Produced by