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2. 2 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

3. 3 Nursing Shortage What Does the Picture Look Like Nationally?

4. 4 Nursing Shortage What Does the Picture Look Like Nationally?

5. 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. 6 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

7. 7 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

8. 8 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

9. 9 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

10. 10 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

11. 11 Positions Identified as Clinically Focused Have Been Eliminated, Leaving Gaps in Critical Community Nursing Services

12. 12 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

13. 13 Roles/Responsibilities of the Public Health Nurse in 2006

14. 14 Prevention Services TB Control Immunizations STD Control Family Planning Women/Children’s Health Tobacco Control Diabetes prevention Obesity/Nutrition Program Development

15. 15 Emergency Preparedness Community Education Mass Immunization Plans Hospital and Community Preparedness

16. 16 Emergency Preparedness Community Education Mass Immunization Plans Hospital and Community Preparedness

17. 17 Data/ Quality Assurance /Research Epidemiology Birth Defect/Cancer Registries Cancer Registry

18. 18 Licensure Services Hospital Home Health Hospice Long-Term Care Assisted Living Child Care Behavioral Health

19. 19 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

20. 20 Average Health Departments Do Not Pay Commensurate with Local Employers

21. 21 What Is Being Done to Address the Shortage?

22. 22 What Is Being Done to Address the Shortage?

23. 23 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

24. 24 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 SB 1260 AZ2005 SB1294

25. 25 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

26. 26 Enhancing Retention Salaries Must Be Equitable Health Departments Need to Continue to Advocate for Salary Adjustments for Public Health Nurses

27. 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. 28 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

29. 29 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

30. 30 Research Needs to be Conducted to Identify Best Practices that Can Be Replicated to Retain Staff Evidence-Based Practice Models

31. 31 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

32. 32 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

33. 33 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

34. 34 Thank You!!