February 15, 2017 Deborah Washington, PhD, RN, MS Carmen Alvarez, - PowerPoint PPT Presentation

February 15, 2017 Deborah Washington, PhD, RN, MS Carmen Alvarez, PhD, RN, CRNP, CNM Adriana Perez, PhD, ANP-BC, FAAN Joanne Spetz, PhD

Today’s Webinar • Introduce the Campaign for Action dashboard • Discuss how diversity fits within the Action Areas of the Culture of Health framework. • Examine two measures of the Campaign diversity dashboard • Discuss sources of national and state-level data about diversity Deborah Washington, Carmen Alvarez, PhD, RN, MS PhD, RN, CRNP, CNM Director, Assistant Professor Diversity Patient Care Services Department of Community-Public Health Massachusetts General Hospital Johns Hopkins School of Nursing www.campaignforaction.org/webinars 2

Areas of Focus Leadership Education Practice & Care Interprofessional Diversity Collaboration

Action Coalitions working with Ethnic Minority Nursing Associations • Nebraska • Georgia • Alabama • Nevada • Indiana • Arizona • Ohio • Louisiana • Arkansas • Pennsylvania • Maryland • California • South Carolina • Massachusetts • Utah • Colorado • Washington • Mississippi • Connecticut • Wisconsin • Missouri • Florida

Action Coalitions Working with Men in Nursing • Alabama • Louisiana • Maine • Ohio

Linking IOM Recommendations to a Culture of Health Promoting Diversity Culture of Health Action Areas • Equity Making • Cultural competence Health a 1 • Reaching out to minority Shared nurse organizations Value Creating Healthier 3 More Equitable Communities 10

Today’s Facilitator Adriana Perez, PhD, ANP-BC, FAAN Assistant Professor, University of Pennsylvania Diversity Consultant, Center to Champion Nursing in America

Today’s Presenter Joanne Spetz, PhD Professor, Philip R. Lee Institute for Health Policy Studies Associate Director for Research, Healthforce Center University of California, San Francisco

Measurement options • Overall diversity of RN workforce – By race/ethnicity – By gender – In comparison with overall population • Diversity of pre-licensure RN graduates – By race/ethnicity – By gender – By degree type – In comparison with overall population

Measurement selection • Top-level Indicator: Diversity of new RN graduates – More rapidly affected by current actions – Cannot change race/ethnicity/gender of incumbent population • Secondary indicators – Diversity of total RN population – Diversity of new graduates by degree type – Diversity of nursing doctoral graduates

Data Sources: Pre-licensure RN grads • Integrated Post-Secondary Education Data System (IPEDS) – Administered by US Department of Education – Used for AD and Diploma graduates • American Association of Colleges of Nursing – Used for BS/BSN graduates • Comparison: US population data from US Census Bureau

Diversity of pre-licensure RN graduates 100% Race/Ethnicity Unknown* 90% 6.9% 7.4% 7.7% 8.6% 9.2% Non-U.S. Residents 5.7% 5.6% 5.6% 80% 5.6% 5.7% (International)* 9.2% 9.7% 9.6% Two or more races 9.9% 9.6% 70% 60% American Indian or Alaskan Native 50% Native Hawaiian or Other Pacific Islander 40% Hispanic or Latino 69.5% 68.8% 68.3% 67.7% 67.4% 30% Asian 20% Black or African American 10% 0% White 2011 2012 2013 2014 2015 Note: Unknown and non-US are not in Census population data

RN graduate vs. US population diversity Race/Ethnicity Unknown* 100% 90% 16.7% 17.6% 6.9% Non-U.S. Residents 9.2% 5.7% (International)* 80% 5.7% 4.9% 5.4% 9.2% Two or more races 9.6% 70% 12.3% 12.4% 60% American Indian or Alaskan Native 50% Native Hawaiian or Other 40% Pacific Islander 69.5% 67.4% Hispanic or Latino 63.4% 61.6% 30% 20% Asian 10% Black or African American 0% 2011 RN 2011 US 2015 RN 2015 US White grads pop grads pop

Gender of pre-licensure RN graduates 100% 12.7% 13.3% 13.7% 13.8% 13.7% 90% 80% 70% 60% Male 50% 87.3% 86.7% 86.3% 86.2% 86.1% Female 40% 30% 20% 10% 0% 2011 2012 2013 2014 2015

RN graduate vs. US population gender 100% 12.7% 13.7% 90% 80% 49.2% 49.2% 70% 60% 50% Male 87.3% 86.1% 40% Female 30% 50.8% 50.8% 20% 10% 0% 2011 RN 2011 US pop 2015 RN 2015 US pop grads grads

Data Source: Total RN Population • American Community Survey – Administered by US Census Bureau – Conducted monthly and data released annually • RNs identified by self-reported occupation – Currently working – Unemployed but reports normal occupation is nursing

Total RN Population Over Time 100% Two or more races 90% 80% American Indian or 70% Alaska Native 60% Native Hawaiian or other Pacific Islander 50% Hispanic or Latino 40% 76.4% 75.4% 74.6% 74.4% 73.6% 71.9% 71.7% 30% Asian 20% Black or African 10% American 0% White 2009 2010 2011 2012 2013 2014 2015

Total RN vs. US Population Over Time 100% 5.4% 6.4% Two or more races 90% 16.7% 8.3% 17.6% 8.7% 80% 9.9% American Indian or 4.9% 11.1% 5.4% Alaska Native 70% 12.3% 12.4% Native Hawaiian or other 60% Pacific Islander 50% Hispanic or Latino 40% 74.6% 71.7% 63.4% 61.6% 30% Asian 20% Black or African 10% American 0% White 2011 2011 US 2015 2015 US RNs pop RNs pop

RN graduate race/ethnic diversity, by degree type 100% Race/Ethnicity Unknown 90% 7.2% 5.6% 4.9% 10.4% 7.8% 7.5% 5.4% 6.5% 11.8% Non-U.S. Residents 80% 4.3% 7.2% 13.1% 9.9% 9.1% (International) 11.0% 7.9% 70% 5.3% Two or more races* 8.5% 60% American Indian or 50% Alaskan Native Native Hawaiian or Other 40% Pacific Islander 70.7% 70.3% 66.8% 67.3% 67.7% 60.3% 30% Hispanic or Latino 20% Asian 10% Black or African American 0% 2009 2009 2009 2015 2015 2015 White AD BSN ELM AD BSN ELM

RN graduate gender diversity, by degree type 100% 10.5% 11.5% 12.8% 13.1% 13.7% 14.2% 90% 80% 70% 60% 50% Male 89.5% 88.5% 87.2% 86.5% 86.3% 85.8% 40% Female 30% 20% 10% 0% 2009 AD 2009 2009 2015 AD 2015 2015 BSN ELM BSN ELM

RN doctoral graduates – race/ethnic diversity 100% Race/Ethnicity Unknown 6.9% 10.0% 90% 3.7% 4.3% 6.2% 4.7% Non-U.S. Residents 10.8% 80% 4.3% 5.2% 12.3% (International) 9.8% 70% 12.2% Two or more races* 60% American Indian or 50% Alaskan Native Native Hawaiian or Other 40% 76.6% Pacific Islander 70.2% 68.2% 64.1% 30% Hispanic or Latino 20% Asian 10% Black or African American 0% 2010 2010 2015 2015 White PhD DNP PhD DNP

RN doctoral graduates – gender diversity 100% 6.6% 7.9% 8.5% 11.1% 90% 80% 70% 60% Male 50% 93.4% 92.1% 91.5% 88.7% 40% Female 30% 20% 10% 0% 2010 PhD 2010 DNP 2015 PhD 2015 DNP

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Upcoming Webinars • Measuring Diversity Part 2 Date TBD • Diversity Nursing Organizations: Partners in Building a Culture of Health Dates TBD

Campaign Resources Visit us on the web at www.campaignforaction.org For webinar resources: http://campaignforaction.org/resources http://facebook.com/campaignforaction www.twitter.com/campaignforaction