Press the F5 key to switch to presentation
mode. If the logo above starts spinning,
this computer is capable of playing the
animations within this presentation.
Click or press a key to begin.
1
Status of the Community/ Public
Health Nursing Workforce:
The ASTHO Report
Presented June 1, 2006
Rose Conner, RN, M.Ed., Deputy Director
Arizona Department of Health Services
2
Nursing Shortage
What Does the Picture
Look Like Nationally?
3
Nursing Shortage
What Does the Picture
Look Like Nationally?
4
National
Nursing Shortage Average
Local Situations Vary, but Urban and Rural
Areas Are Both Experiencing a Shortage of
Registered Nurses, and Students Entering
Nursing Programs
QuickTime™ and a
Cinepak decompressor
are neede d to se e this picture.
5
National
Nursing Shortage Average
Local Situations Vary, but Urban and Rural
Areas Are Both Experiencing a Shortage of
Registered Nurses, and Students Entering
Nursing Programs
6
ASTHO Issue Brief
April 2005
37 States Replied to Survey
30 of 37 Report that Public Health Nursing Is
Public Health Field Most Affected by Worker
Shortage, along with Laboratorians,
Epidemiologists and Environmental Health
Professionals
7
Public Health Nurses
Comprise Largest Group of
Public Health Professionals
in Health Departments
Across the Country
11% of Total Public Health Workforce / 25% of
All Public Health Professionals
8
State Health
Departments Vary in
Organizational Structure
Decentralized Health Departments Tend to
Provide Programmatic Administrative Support
Centralized Health Departments Provide
Clinical Services and Community Health Direct
Service
9
1988 IOM Report
The “Future of Public Health” Report
Recommended that Public Health Should Focus
on the Core Functions of Assessment, Assurance
and Policy Development
10
Positions Identified
as Clinically Focused
Have Been Eliminated,
Leaving Gaps in Critical
Community Nursing Services
QuickTime™ and a
Cinepak decompressor
are neede d to se e this picture.
11
The Public Health Nurse
in 2006
Average Age……………………………………………46.6
Eligible to Retire……………………. Within 5 Years
**In some states, 40% Are Eligible to Retire Now
Functioning in Departments with Vacancy Rates
Up to 20% and Turnover Rates of 14%
Has a Bachelor’s or Master’s Degree in Nursing
and Public Health
12
Roles/Responsibilities
of the Public Health Nurse
in 2006
13
Prevention Services
TB Control
Immunizations
STD Control
Family Planning
Women/Children’s Health
Tobacco Control
Diabetes prevention
Obesity/Nutrition Program Development
14
Emergency Preparedness
Community Education
Mass Immunization Plans
Hospital and Community Preparedness
QuickTime™ and a
Cinepak decompressor
are neede d to se e this picture.
15
Emergency Preparedness
Community Education
Mass Immunization Plans
Hospital and Community Preparedness
16
Data/
Quality Assurance
/Research
Epidemiology
Birth Defect/Cancer Registries
Cancer Registry
17
Licensure Services
Hospital
Home Health
Hospice
Long-Term Care
Assisted Living
Child Care
Behavioral Health
18
The Public Health Nurses
Educational and Clinical Background Makes for
a Desirable Candidate for a Multitude of
Environments -- Further Exacerbating the
Shortage of Nurses for Critical Public Health
Roles
19
Average Health Departments
Do Not Pay Commensurate
with Local Employers
20
What Is Being Done
to Address the Shortage?
21
What Is Being Done
to Address the Shortage?
22
Enhancing Recruitment
Increasing Eligible Candidates
to Enter Nursing and
Public Health Programs
Outreach Programs Are Being Conducted, Both --
Locally and Nationally -- to Highlight Nursing As a
Valued Professional
In Many States, There Is Up to a 3-Year Waiting List
to Enter a Nursing Program
23
Increasing Nursing Faculty
and Educational Resources
Need to Increase the Number of Faculty, and
the Number of Student Slots for Associates
Degree, Bachelor of Science in Nursing, and
Master’s Programs
States Are Investing in Programs that Will
Increase Student Slots and Faculty
Positions/Salaries
AZ 2004 SB1260
AZ2005 SB1294
24
Increasing Nursing Faculty
and Educational Resources
The Public Health Preparedness
Workforce Development Act of 2005
Introduced by Senator Chuck Hagel (R-
Nebraska) and Richard Durbin (D-IL)
Would Address Nursing Student and
Faculty Loan Repayment Programs to
Assist in Infrastructure Development
25
Enhancing Retention
Salaries Must Be Equitable
Health Departments Need to Continue to Advocate for
Salary Adjustments for Public Health Nurses
QuickTime™ and a
Cinepak decompressor
are neede d to se e this picture.
26
Career Advancement
Health Departments Need to Provide
Continuing Education for Their Nursing
Personnel and Allow for Movement Through
the System, Based On the Nurse’s Interest and
Abilities
QuickTime™ and a
Cinepak decompressor
are neede d to se e this picture.
27
Career Advancement
Health Departments Need to Provide
Continuing Education for Their Nursing
Personnel and Allow for Movement Through
the System, Based On the Nurse’s Interest and
Abilities
28
Health Departments Need to
Provide Leadership
Programs that Provide
Opportunities for Public
Health Nurses to Advance
into Senior Management
Roles
Leadership Academies and Leadership Institutes
29
Research Needs to be
Conducted to Identify
Best Practices that Can
Be Replicated to Retain
Staff
Evidence-Based Practice Models
30
Long-Term Strategies to
Provide Older Worker with
Opportunities, Such as Job
Sharing and Post-Retirement
Programs Are Essential to
Maintaining Knowledge and
Experience within Health
Departments
31
Public Health/Community
Health Educators, Leaders,
Nurses Need to Highlight the
Contributions to
Communities’ Health and to
Provide Information to Local
& National Policy Makers
Regarding the Value of Public
Health/ Community Nurses
32
APHA
ASTDN
ASTHO
ACHNE
…Are Great Advocates and Partners that Are
Instrumental in Informing the Policy Makers of
the Critical need to Support Our Nursing
Colleagues into the Future
33
Thank You!!
QuickTime™ and a
Cinepak decompressor
are neede d to se e this picture.
34