Health and Nurses in South Central United States Regional Center for Health Workforce Studies at The Center for Health Economics and Policy, University of Texas Health Science Center at San Antonio Presented to the Nursing Workforce Data Advisory Committee January 18, 2006

Thanks to State Boards of Nursing from TX, OK, and NM – licensure listings State Nursing Associations of TX, OK, NM – review and assistance with funding NM Center for Nursing Excellence U.S. DHHS Health Resources and Services Administration 2/28/2019 RCHWS at the CHEP

2004 South Central U.S. RN Career Fulfillment Survey 2/28/2019 RCHWS at the CHEP

Population, Sample, and Response Rates RNs with valid, unrestricted license Sample Response Rate Texas 161,829 3,500 29% Oklahoma 32,106 600 28% New Mexico 17,861 400 35% 2/28/2019 RCHWS at the CHEP

Sample Demographics TX Border TX NB Oklahoma New Mexico AGE 47 45 49 % FEMALE 81 92 94 95 White 42 89.2 80.3 Hispanic 44 5 12.3 Black 2 7 2.2 Asian-Pacific Islander 9 6 1.4 0.8 AI/AN 0.2 6.5 3.3 Other 0.4 0.7 % speak Spanish 57 15 8.5 28.7 2/28/2019 RCHWS at the CHEP

Employment Status TX Border TX NB Oklahoma New Mexico %Full-time 90.8 76.4 81.7 68.9 %Part-time 6.1 14.7 13.4 23.8 %Other 3.1 8.9 4.9 7.4 %More than one RN employer 14.6 8.2 14.9 8.3 2/28/2019 RCHWS at the CHEP

Work/Practice Environment TX Border TX Non-Border Oklahoma New Mexico “I have opportunities for career advancement” 39.0 43.5 39.3 43.9 % reporting increase in harassment by patients 27.7 25.8 34.6 28.6 Lifting is moderate to high risk (%) 72.3 71.2 66.6 2/28/2019 RCHWS at the CHEP

RN Personal Characteristics 2/28/2019 RCHWS at the CHEP

Perceptions about Technology TX Border TX Non-Border OK NM I am adequately trained on new technology 39% 37% 15.3% 12.3% New technology enables better pt. care 53.1% 61.3% 51.9% 52.9% 2/28/2019 RCHWS at the CHEP

Percent of RNs with multiple Employers TX Border TX Non-Border OK NM “I am working at more than one RN job.” 14.6% 8.2% 15% 8.3% 2/28/2019 RCHWS at the CHEP

In their own words….Texas “I have been in nursing since 1966. There have been many changes in technology…but you can’t replace the nurse at the bedside…” 2/28/2019 RCHWS at the CHEP

In their own words….Oklahoma “I have concerns about unlicensed assistive personnel and certified medication aides. They may know how to do the technical skill, but have very little preparation for critical thinking.” 2/28/2019 RCHWS at the CHEP

In their own words… New Mexico “Patients have become more demanding and families more critical. They do not like how the nurse must prioritize their time.” 2/28/2019 RCHWS at the CHEP

Full reports available online in Jan-Feb 2006 … www.uthscsa.edu/rchws Click on Projects 2/28/2019 RCHWS at the CHEP