Meeting Packet — Postsecondary Education & Workforce Subcommittee, Nursing Education (February 23, 2023)
Summary
Meeting packet for the Postsecondary Education & Workforce Subcommittee, Thursday, February 23, 2023, 11:30 am to 01:30 pm, Morris Hall (17 HOB). The notice lists a presentation on nursing education programs. Slides from the Florida Center for Nursing, presented by Rayna M. Letourneau, PhD, RN, Executive Director, cover the center's goals, an online nursing education survey accessible 11/2/2022 through 12/9/2022 with a response rate of 61.6%, and barriers to faculty recruitment. Slides from the College of Central Florida describe its Nursing / Health Sciences program expansion, including a plan to renovate two buildings and add one smaller new building.
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“Meeting Packet — Postsecondary Education & Workforce Subcommittee, Nursing Education (February 23, 2023).”
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Postsecondary Education &
Workforce Subcommittee
February 23, 2023
11:30 AM
Morris Hall (17 HOB)
Meeting Packet
Paul Renner Lauren Melo
Speaker Chair
Committee Meeting Notice
HOUSE OF REPRESENTATIVES
Postsecondary Education & Workforce Subcommittee
Start Date and Time: Thursday, February 23, 2023 11:30 am
End Date and Time: Thursday, February 23, 2023 01:30 pm
Location: Morris Hall (17 HOB)
Duration: 2.00 hrs
Presentation on nursing education programs.
To submit an electronic appearance form, and for information about attending or testifying at a committee
meeting, please see the “Visiting the House” tab at www.myfloridahouse.gov.
NOTICE FINALIZED on 02/16/2023 4:15PM by Haney.Kendall
02/16/2023 04:15:27PM Leagis ® Page 1 of 1
Florida Center for Nursing
The FCN is headquartered at the
University of South Florida College of Nursing.
Florida Center for Nursing:
Presentation to the
Postsecondary Education & Workforce Subcommittee
Rayna M. Letourneau, PhD, RN
Executive Director, FCN
Assistant Professor
FCN
Florida
Center for Nursing v sNou¥,rFLoR10A
College of Nursing
Headquarters
The Florida Center for Nursing (FCN) is headquartered at the University of South Florida
College of Nursing.
Goals of the Florida Center for Nursing
Florida statute §464.0195
• The primary goals for the center shall be to:
• Develop a strategic statewide plan for nursing manpower in this state
• Enhance and promote recognition, reward, and renewal activities for nurses
in the state
Florida Center for Nursing
Education Report
FCN Nursing Education Survey
Fall
• Consistent with Florida statute (August/September)
(§464.019) 2021 term
• FCN evaluated data for approved 2021
and accredited nursing programs --------♦---------------- ♦ --------
in the state of Florida
2022
• Academic Year (AY) 2021-2022
Summer (July/August)
2022 term
Methodology
• Online survey
• 489 prelicensure nursing education programs
• Surveys accessible 11/2/2022 through 12/9/2022
Key Findings
RESPONSE RATE
CATEGORY BREAKDOWN (%)
PROGRAM TYPE ADN 66.30%
BSN 68.14%
LPN 64.71%
SCHOOL TYPE PUBLIC 71.57%
Results PRIVATE 64.64%
PROFIT TYPE NOT-FOR-PROFIT 73.06%
FOR-PROFIT 63.41%
ACCREDITATION STATUS ACCREDITED 75.68%
APPROVED 65.28%
PROBATIONARY 57.14%
Response rate 61.6% NON-ACCREDITED 11.76%
REGION NORTHWEST 94.12%
• 119 PN programs
NORTH CENTRAL 83.33%
• 182 RN programs NORTHEAST 68.75%
EAST CENTRAL 57.81%
WEST CENTRAL 76.71%
SOUTHEAST 63.53%
SOUTHWEST 78.57%
SOUTH 58.08%
Pre-licensure Total
PN ADN BSN
# of Full-time faculty new hires 118 190 163 471
# of Part-time faculty new hires 294 582 612 1,488
Faculty # of faculty retired
# FT faculty needed
10
76
22
127
22
133
54
336
# FT faculty vacant 68 114 191 373
# FT positions filled 304 784 864 1,952
# PT faculty vacant 77 153 65 295
# PT positions filled 334 1044 1,442 2,820
Barriers to Faculty Recruitment
2022 FL PRELICENSURE NURSING PROGRAMS - BARRIERS TO FACULTY RECRUITMENT
50.00%
45.00%
40.00%
% OF RESPONDING PROGRAMS
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
Salary not competitive Cost of living Limited qualified applicant pool
1111
Geographic location No barriers to recruitment
11■1
Other
■ % ADN Programs ■ % BSN Programs ■ % LPN Programs ■ Total % FL Nursing Programs
Further Analysis of Barriers
2022 FL PUBLIC/PRIVATE NURSING PROGRAMS - BARRIERS IN FACULTY RECRUITMENT
80.00%
70.00%
60.00%
% OF RESPONDING PROGRAMS
50.00%
40.00%
30.00%
20.00%
10.00%
0.00%
Salary not competitive
1.1
Cost of living Limited qualified applicant pool
BARRIERS
•■I
Geographic location
I
No barriers to recruitment
1111
Other
■ % Public Programs ■ % Private, Non-Profit Programs ■ % Private, For-Profit Programs ■ Total % FL Nursing Programs
NCLEX
NCLEX Annual Data
l
• NCLEX data is evaluated by a calendar year and not an
academic year.
• The 2020 rates identified in this report reflect results of
first-time test-takers from 1/1/2020 through 12/312020.
11 28 • The 2021 rates identified in this report reflect results of
first-time test-takers from 1/1/2021 through 12/31/2021.
• The 2022 rates identified in this report reflect results of
first-time test-takers from 1/1/2022 through 12/31/2022.
Florida Rates Compared to National Rates
NCLEX-RN PASS RATES IN BSN NCLEX PASS RATES IN
2020-2022 2020-2022
YEAR FL NATIONAL YEAR FL NATIONAL
2020 68.92% 86.57% 2020 86.56% 90.29%
2021 64.79% 82.48% 2021 81.45% 86.06%
2022 63.88% 79.90% 2022 77.43% 82.32%
NCLEX-PN PASS RATES IN ADN NCLEX PASS RATES IN
2020-2022 2020-2022
YEAR FL NATIONAL YEAR FL NATIONAL
2020 67.01% 83.08% 2020 63.02% 82.80%
2021 62.53% 79.60% 2021 58.72% 78.78%
2022 65.57% 79.93% 2022 61.35% 77.91%
Regional Analysis- 2022 RN and PN Rates
FL 2022 RN/PN NCLEX PASS RATES
BY NUMBER OF PROGRAMS PER REGION
100.00% 160
90.00%
140
80.00%
120
70.00%
100
60.00%
PASS RATES % PASS RATES %
50.00% 80
40.00%
60
30.00%
40
20.00%
20
10.00%
0.00% 0
North West North Central North East East Central West Central South East South West South Unknown
REGION
- RN PASS RATE
- PN PASS RATE
- OVERALL PASS RATE PER REGION RN PROGRAMS PN PROGRAMS TOTAL NUMBER OF PROGRAMS
2020-2022 Trends- RN Pass Rates
FL NCLEX-RN PASS RATES BY REGION
100.00%
90.00%
87.30%
80.00%
84.10% 85.99%
82.41% 82.24% 82.60% 82.18% 81.24%
78.10% 80.10%
70.00%
75.72% 75.18% 76.40% 74.28%
72.85% 71.53%
PASS RATES %
67.43% 68.92%
60.00%
65.11% 64.79% 63.88%
50.00% 60.99%
54.26% 56.43% 55.98%
40.00%
44.93% 43.34%
38.24%
30.00%
20.00%
10.00% 15.79% 20.44%
0.00%
North West North Central North East East Central West Central South East South West South Unknown Total
REGION
■ 2020 PASS RATES ■ 2021 PASS RATES ■ 2022 PASS RATES
2020-2022 Trends- PN Pass Rates
FL NCLEX-PN PASS RATES BY REGION
100.00%
90.00%
88.02%
80.00%
86.00% 86.96% 85.00%
83.97% 81.65%
78.36% 80.40% 79.72% 80.21% 79.02% 78.62%
70.00%
75.28% 77.03%
73.84% 74.42% 74.17%
69.46%
PASS RATES %
68.26% 67.64%
60.00%
67.01% 65.57%
62.53%
57.91% 59.68%
50.00%
40.00% 53.40%
46.67%
43.14% 41.36%
38.26%
30.00%
20.00%
10.00%
0.00%
North West North Central North East East Central West Central South East South West South Unknown Total
REGION
■ 2020 PASS RATES ■ 2021 PASS RATES ■ 2022 PASS RATES
FL 2022 NCLEX PASS RATES BY ACCREDITATION STATUS
90.00% 180
80.00% 160
NCLEX Pass 70.00% 76.86%
66.11%
140
Rates by
60.00% 120
NUMBER OF PROGRAMS
54.53%
PASS RATES %
50.00% 100
Program
40.00% 80
30.00% 60
31.40%
Status
20.00% 40
18.24%
10.00% 20
0.00% 0
ACCREDITED APPROVED PROBATIONARY NON-ACCREDITED UNKNOWN/CLOSED
ACCREDITATION STATUS
- PASS RATE NUMBER OF PROGRAMS
Strategy
To address faculty shortage
FCN Learning Academy
• Develop a distance learning infrastructure for nursing
education and advancing faculty competencies
• Goals
• Increase the number of qualified faculty and clinical
preceptors
• Support nurse faculty development
• Promote advanced nurse education
• Develop best practices in academic preparation and
continuing education needs of nurse educators,
nurse faculty, and clinical preceptors
Strategy
To increase statewide NCLEX pass rates
FCN Sharing Sessions
• Virtual conferences
• Presentations from experts
• Identification of best practices
• Provide knowledge for implementation
Implications
The Future of Nursing in Florida
Florida Center for Nursing
A resource for the state
Provide statistically valid workforce data
Analyze trends
The Future of Nursing in Florida
Implementation of innovative strategies to ensure
an adequate supply of qualified nurses to meet the
needs of the people of Florida
Alignment with the National Academy of Medicine’s
Future of Nursing 2020-2030 recommendations to
“Chart a Path to Health Equity”
Long-range Planning
Florida Center for Nursing headquartered at the University of South Florida
Organizational Efficiency & Effectiveness
Communications
Operations Data Programs
& Marketing
Rayna Letourneau, PhD, RN
raynaletourneau@usf.edu
flcenterfornursing.org
https://www.facebook.com/FloridaCenterforNursing
https://twitter.com/FLCenterNursing
https://www.linkedin.com/company/florida-center-for-
nursing/
USF V Care
Veteran to Bachelor of Science in Nursing (VBSN)
Overview of the V-CARE BSN Pathway (VBSN):
The VBSN pathway was established and funded through a federal grant from 2013 to 2019. VBSN was an
accelerated four-semester pathway that shortened the time to degree completion for veterans while maintaining the
academic rigor, clinical quality, and high NCLEX pass rates.
USF continued to invest in the pathway from 2019 as a standard component of the BSN program. However, the
continued success and expansion of this pathway requires a dedicated Military Liaison, staff advisors, and a faculty
director for which additional funds are needed. These dedicated resources are imperative to assist veterans in their
transition to the role of student veteran, streamline admissions, sustain the high student outcomes, and expand
enrollment to meet the steady interest from veterans. USF also plans to expand the pathway to include other
veterans beyond medics and corpsmen; we have applied for a grant from the Dept. of Labor to launch the
expansion.
To date, 160 veteran students were admitted to the VBSN pathway and 132 have graduated. Currently, 22
veteran students are enrolled — 10 in the 2021 cohort and 12 in the 2022 cohort. Only 6 students did not complete
over the course of 9 years.
The VBSN pathway’s NCLEX pass rate is 92%.
Please note the national average pass rate is 82.95%; the Florida pass rate is 77.43%.
The VBSN students comprise the most diverse undergraduate nursing pathway cohort:
VBSN Student Demographic Data 2014-2023
78 Males (48.8%) 34 Hispanic (21.3%) 73 White (45.6%)
82 Females (51.2%) 116 non-Hispanic (72.5%) 77 Non-White (48.1%)
10 Unknown (6.2%) 10 Unknown (6.3%)
VBSN Alumni Survey Highlights (40% response rate):
• 54% were first generation college students
• 64% had between 6-10 years of military service prior to enrollment in the USF College of Nursing
• 100% felt USF College of Nursing faculty and staff were understanding of their military background
• 68% relied on their military healthcare skills and experiences to help them succeed in nursing school
• 70% relied on their military leadership skills and experiences to help them succeed in nursing school
• 68% relied on other student veteran peers to help them succeed in nursing school
• 27% had a diagnosis of PTSD
• 100% would recommend the USF College of Nursing VBSN pathway to other veterans
• The most valuable service was the College of Nursing Military Liaison
VBSN Alumni Survey Comments:
“Without the VBSN program, I may have never been given the opportunity to attend nursing school. I did not have
a competitive entrance GPA, and my highest level of education was a GED. VBSN took a chance on me for which I
am forever grateful. This program is a blessing for veterans who desire to become Registered Nurses. At USF, our
military experience was finally recognized within the civilian education system. Thank you, USF!”
“The USF VBSN program is built for prior medics/corpsman/med techs.” “A great transitioning program for
military medics.”
“I have recommended this program to members of my unit and have had a total of three members attend and
graduated after I graduated.”
College of Central Florida
NURSING / HEALTH SCIENCES
PROGRAM EXPANSION
AN INNOVATIVE APPROACH
Presented to House Postsecondary
Education And Workforce
Subcommittee
February 23, 2023
–an equal opportunity college–
CF Highlights
Member, Florida College System
Founded in 1957 to serve Marion, Citrus, Levy counties
6 campuses including Vintage Farm Campus, Appleton
Museum of Art
8,714 unduplicated headcount (2021-2022)
Aspen Institute recognition 5 cycles
Top 1% in nation for affordability
No. 1 Nursing Program in Florida (Registerednursing.org)
Call to Action
Strong demand for more Associate (AS) and Bachelor
Science Nursing (BSN) grads
New Level II Trauma Center
Strong demand for Allied Health Sciences grads
- Cardiovascular Tech / Sonography / Respiratory
Care / Surgical Services
Strong demand for more EMS / Paramedic grads
Solutions
Collegewide priority on expanding Nursing /
Allied Health Sciences programs
Closed programs no longer relevant (Freed up
resources)
Innovative facilities solution to save taxpayer
resources
Secured local donors for greater ROI to state
Original Plan: 4 floors, 85,000+ gsf facility
Cf . HE.ALTHI SCliNCIE 'iiECHNOLOGl IECWCAno,N CENTER I OCALA, FLORID 501,fTHE/lSJ G!tOU D, VIEW
Plan B: Facilities Solution
Saving Florida Taxpayers!
Renovate two buildings / Add one smaller new
building
- Repurposed Gym building to an Allied Health
Sciences facility (24,000 gsf)
- Repurposed building for EMS / Paramedic expansion
(24,000 gsf)
- Build new center for Nursing (38,000 gsf)
- $7 million+ in local donations raised
LINE Funding – Highest Award in State
Secured $6.7 million local donation
- Endowment for student scholarship and nursing
program support
- All Citrus County residents can attend CF Nursing
program for free going forward
LINE award of $6.7 million
- Student scholarships, expand nursing faculty / staff,
simulation and other program equipment
CF Nursing Program - Dr. Stephanie Cortes
Pathways Innovation
Excellence
Pathways
Traditional
- Full-time
- Part-time
- Accelerated
LPN Bridge
Paramedic Bridge
RN-BSN
Innovation
Robust simulation
program
Focus on clinical
judgment
Student support &
leadership
development
Excellence
Program
completion
NCLEX-RN
pass rates
Job
placement
Future of Nursing Education
Nursing expansion
Reimagining the clinical experience
Strengthening the nursing workforce
Results
Expanded student capacity
ADN: from 150 to 325
RN-BSN: from 0 to 100
Allied Health: from 0 to 200+
Leaders in innovation and
local donor support
Quality outcomes
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