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2024 �Nebraska School Nurse Workforce Assessment

Nebraska School Health Conference

Kearney, NE

6/10/24

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Quick Reminder – new survey due June 15th

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New Customizable PDF for Chronic Condition Data

Fill in with your school or district’s chronic condition data

Use to present school health data to your administration or school board

Show them how much you help the students!

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Quick Announcement – New Data Team Web page!

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Quick Announcement – New Child/School Health Data and Policy Resource!

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Quick Announcement – New NICE book updates!

Fillable PDF – A customizable cleaning schedule for your school!

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Quick Announcement – Lots of Training this Summer!

  • Skills Training: July 18th
  • NEW virtual skills option – livestream July 18th
  • In-person training: York July 24th
  • Virtual August 2nd
  • Modules to be updated this summer

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Last Quick Announcement – Coloring Page Contest!

See Flyer for Details

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Now, the Workforce Study!

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Background

  • School Nurse Workforce Assessment 2021
    • Questions from other workforce reports and new questions by Data Team
    • Voluntary data submission
    • 254 nurses
    • Statewide data

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When did we do this new workforce survey?

This Photo by Unknown Author is licensed under CC BY-NC

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All of you already did and didn’t know it!

This Photo by Unknown Author is licensed under CC BY-NC

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Background

  • 2024 Version
    • No new survey! ☺
    • All data from Nebraska licensure renewals
    • Compiled by Nebraska Center for Nursing
    • 370 nurses
    • Geographic data

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Results

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School Nurse Characteristics

A total of 370 school nurses work in the State of Nebraska according to the LPN (2021) and RN (2022) renewal Surveys (Nebraska Center for Nursing).

There were more nurses total and more LPNs than what we expected!

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Guessing Game

Guess the results of school nurses vs the rest of nurses (all other settings combined)

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Which group has the most nurses with Bachelors or Higher?

Guess the results of school nurses vs the rest of nurses (all other settings combined)

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Highest level of education

41%

49%

9%

1%

Bachelor’s or higher:

School nurses: 58%

Non-school nurses: 62%

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Race and Ethnicity

The School Nurses in Nebraska do not reflect the diversity of the students. 35.9% of students are minority compared to 5.7% of school nurses.

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Gender

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Which group has the higher average age?

Guess the results of school nurses vs the rest of nurses (all other settings combined)

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School Nurse Average Age

The age distribution of school nurses in Nebraska is skewed towards older age groups, with over 70% of nurses being 40 or older.

Average Age School Nurse: 47.8

Average Age Non-School Nurse: 43.5

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Geography

Urban and Rural County Classification (DHHS, 2016)

Map data source: NE DHHS (2016)

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Geography

Number of School Nurses by County

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Which group has the higher pay?

Guess the results of school nurses vs the rest of nurses (all other settings combined)

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School Nurse Pay

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School Nurse Pay

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Nurse-to-Student Ratio

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Which group has a higher incidence of bullying/incivility?

School Nurses

Non-School Nurses

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Bullying/Incivility

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Which group is more likely to leave their employment in the next 6 months?

School Nurses

Non-School Nurses

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Plans to Leave Employment

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Why Leave Employment?

The main reason reported for leaving their primary employment in the next 12 months was “Retirement” (31%), followed by “Dissatisfaction with salary” (22%), and “Dissatisfaction with job” (16%).

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Which group has a higher rate of satisfaction with their nursing career?

School Nurses

Non-School Nurses

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Satisfaction Levels with

Nursing as a Career

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Recommendations

  1. Increase Percentage of School Nurses with a Bachelor’s Degree or Higher
  2. Create Opportunities to Foster Representative Diversity in the Workforce
  3. Increase the Number of Counties that have School Nurses
  4. Decrease the Pay Gap for RNs
  5. Improve School Nurse Staffing

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Strategies

  • Utilize and Advertise Nursing Scholarships and Loan Repayment Programs
    • Check out the Nebraska Nursing Incentives Scholarship program, it’s a good deal and probably won’t be around forever
  • Increase Sustainable School Health Funding by Using Medicaid
    • More information to come Fall/Winter 2024
  • Focus on the Positive: Communicate the Benefits and Value of School Nursing

See Nursing Scholarship and Loan Repayment Opportunities, page 18

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Alignment

  • NASN
  • Healthy Schools Campaign
  • Healthy People 2030
  • AAP
  • Future of Nursing 2020-2030
  • US Dept of Education

See: National Recommendations and Resources, page 17

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Case Study: How School Nurses in Delaware Created Opportunities to Foster Representative Diversity in the Nursing Workforce

Brandywine School District school nurses provide a pathway into nursing for middle schoolers in groups under-represented in nursing

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Lifesavers program piques middle schoolers' interest in nursing

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Questions?

  • Andrea Riley, BSN, BA, RN
    • Nebraska State School Nurse Consultant
  • anriley@childrensnebraska.org

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