COLLECTING NURSING DEMAND DATA:

METHODS, CHALLENGES, AND BEST PRACTICES

Mary Lou Brunell, MSN, RN, Florida Center for NursingClark Ruttinger, MPA, Utah Nursing Workforce Information Center

Cynthia Bienemy, PhD, RN, Louisiana Center for NursingPamela Lauer, MPH, Texas Center for Nursing Workforce Studies

Current Status of Demand Data Collection &

Challenges and Best Practices

Handout• Table 1 – Current Status of Demand Data Collection• Table 2 – Challenges and Best Practices

DATA: NURSE DEMAND DATASET AND SURVEY DEVELOPMENT

Mary Lou Brunell, MSN, RNExecutive Director, Florida Center for Nursing

Demand vs. Need and Why it Matters

Need – immediate, current vacancies

Demand – anticipated need, future

Demand information is critical for:• Determining future shortages/surpluses• Strategic decision making• Health workforce planning• Policy development• Budgetary allocations

The Case for StandardizationStandardizing the collection of state-level nurse workforce data:• Allows for the creation of a national repository of data.• Enables state and national nurse workforce planners to more quickly and accurately implement best policy approaches to resolve the critical shortage. • Provides a reliable way to benchmark progress in addressing the nursing shortage in their state and across the nation.

National Forum of State Nursing Workforce Centers – Minimum Nurse Demand Dataset

• Created through a rigorous process of consensus building• Funded by the Center to Champion Nursing in America/AARP and the in-kind contributions from National Forum Members• National Forum workgroups initiated working draft and conducted public comment period including solicitation of input from experts• Ratified by the National Forum and released in 2009

http://www.nursingworkforcecenters.org/minimumdatasets.aspx

National Forum Member Data Collection

Legend

Location of Center

States WithNURSE SUPPLY DATA States WithNURSE DEMAND DATA States WithNURSE EDUCATIONPROGRAM DATA

TOTALS NATIONALLY: 27 collect Supply Data; 17 collect Demand Data; 29 collect Education Program Data

Survey Development• Industry groups selected for inclusion• Prominence as nurse employers• Strategic relevance• Feasibility of participation• Cost

• 6 individual survey instruments developed• Core Variables – National Forum MNDD• Additional Variables – to assess current and future trends• Input from and pilot test by relevant professional/trade

organizations• Reviewed by FCN Research & Workforce Analysis

Committee

NURSING DEMAND STUDIES: PRE-PLANNING

Clark Ruttinger, MPASenior Research Analyst, Utah Nursing Workforce Information Center

Education20 InstitutionsOnline Survey Instrument17 Institutions Responded

Supply26,720 Licensed RNs in Utah

SurveyedPaper Survey Instrument12,155 responded (42%)

DemandOver 1,000 employers surveyedApproximately 33% have respondedOnline/Paper Survey Instrument

Nursing Surveys

Decide Who to Survey

• Different from Supply & Demand Surveys

• Tie nursing licenses to reported wages

• Coordinate with major health systems

Decide What to Ask

• Advisory Committee

• Minimum Data Set

• Other Questions

Decide How to Survey

• Paper Survey

• Online Survey

• Phone Survey

LAUNCHING OF THE SURVEY: DATA COLLECTION AND ANALYSIS

Cynthia Bienemy, PhD, RNDirector, Louisiana Center for Nursing

Launching of the Employer Survey

Seven SurveysHospitalPsychiatric HospitalLong Term Care / Skilled Nursing FacilityHome HealthHospicePublic HealthGeneric: Ambulatory Surgical Care Dialysis Centers Rural Health Clinics

Federally Qualified Healthcare Centers Methods of Dissemination

ElectronicU. S. Postal SystemFax

Data Collection •Census Survey – survey all healthcare facilities in selected industry groups•Return / Response Rates

Healthcare IndustryHealthcare Industry by Region

•Double Data Entry•Data Verification •Review of Databases – Seek clarification from employers when needed

Date HospitalsPsychiatric Hospitals

HomeHealth

HospiceSNF/Long Term Care

Public Health

VA Hospitals

DialysisRural

HealthAmbulatory

SurgicalFQHC

WeeklyReturn Total

Week 1

Thursday, September 18, 2014 2   4 3 2     6 1 5    

Friday, September 19, 2014 1   3 1 2     2 4    36

Week 1 - Returns by Facility 3 0 7 4 4 0 0 8 5 5 0

Week 2

Monday, September 22, 2014     1 2 2     2 1 2 1

45

Tuesday, September 23, 2014     1   1 10   1      

Wednesday, September 24, 2014 3 1       8   1      

Thursday, September 25, 2014 2       1 1          

Friday, September 26, 2014 1         1   1     1

Week 2 - Returns by Facility 6 1 2 2 4 20 0 5 1 2 2

Week 3

Monday, September 29, 2014 2   1     1          

69

Tuesday, September 30, 2014     2 1   3   1      

Wednesday, October 01, 2014 1   3 1   2   1      

Thursday, October 02, 2014 4 2 9 4 4 1   6 1 2  

Friday, October 03, 2014 4   1 3 3 5     1    

Week 3 - Returns by Facility 11 2 16 9 7 12 0 8 2 2 0

Week 4

Monday, October 06, 2014     2 2 1 3   4 1 1  

53

Tuesday, October 07, 2014 2   1 2   3         6

Wednesday, October 08, 2014 3   1 2   2   1 2    

Thursday, October 09, 2014 1 1     2 1          

Friday, October 10, 2014 3 1     1 2   1 1    

Week 4 - Returns by Facility 9 2 4 6 4 11 0 6 4 1 6

Week 5

Monday, October 13, 2014         1 1          

34

Tuesday, October 14, 2014 2       2 1   2      

Wednesday, October 15, 2014 1   1                

Thursday, October 16, 2014 5   2         2   1  

Friday, October 17, 2014 5 1 1   4 1 1        

Week 5 - Returns by Facility 13 1 4 0 7 3 1 4 0 1 0

Return/Response Rates

Data Analysis• Bias Analysis – comparing responding facilities with non-responding facilities – bed size and size of facilities (large vs small) • Imputations - Constructing estimates for non-respondents• Descriptive Statistics• Percentages• Mean, median, mode• Standard deviation

Variables • Staff size• Skill Mix• Full-time Equivalents (FTEs) • Number of vacancies• Separations• Replacements (Workforce Commission)• Vacancy rates • Turnover rates • Growth rates

WRITING AND DISSEMINATION OF THE FINAL REPORT

Pamela Lauer, MPHDirector, Texas Center for Nursing Workforce Studies

Report Writing• Full-length reports• Fact sheets• Brochures• Infographics

Report Review Process• Internal review• Task-force review• Advisory committee review and approval

Report Dissemination• Web publishing• Hard copies• Distribute to/through Advisory Committee and Stakeholders• Conference Presentations• Exhibit tables

Lessons Learned• Engage a variety of stakeholders• Follow up, follow up, follow up• Share survey results

Questions?

Contact Us

Mary Lou Brunell, MSN, RN

MaryLou.Brunell@ucf.edu http://www.flcenterfornursing.org/

Clark Ruttinger, MPA crutting@utah.gov www.utahmec.org

Cynthia Bienemy, PhD, RN

bienemyc@lsbn.state.la.us

http://lcn.lsbn.state.la.us/

Pamela Lauer, MPH Pamela.Lauer@dshs.state.tx.us

http://www.dshs.state.tx.us/chs/cnws/