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Annual Nursing Education Program Report Calendar and Fiscal Year 2017
Presented April 2018 To the Minnesota Board of Nursing
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Executive Summary
Minnesota Statute 148.191 Subd. 2 grants the Board of Nursing authorization to “prescribe by rule curricula and standards for schools and courses preparing persons for licensure under sections 148.171 to 148.285.” The Annual Nursing Education Program Report to the Board of Nursing serves to provide key information related to nursing education in Minnesota. The report highlights program approval updates related to initial and continuing program approval, closure of nursing programs and new intents for nursing programs; demographic data related to those seeking licensure for the first time as a nurse; further education completed after licensure; and trends in the new graduate workforce. An important responsibility of the Board is to monitor the outcomes of approved programs which now includes advanced practice nursing programs. For professional and practical nursing programs, one method of accomplishing this is the annual review of first-time success rates on the initial licensing examination (NCLEX®) which must meet the standard of greater than 75% success for all candidates taking the examination for the first time in a calendar year. It is of concern that eight programs are required to submit plans of corrective action due to one year below minimum standard, two programs will have a survey due to 2 consecutive years of below minimum results and two will have a survey due to 3 consecutive years of below minimum results. For advanced practice nursing programs, one method of monitoring outcomes is the success rate on the certification exam appropriate to the educational preparation. The report also provides the number of nursing graduates. The number of practical nursing graduates represents the lowest number of graduates since 2003, with 80 fewer graduates in 2017 than in 2016. Demand to hire LPNs is high prompting increased recruitment efforts by programs and proposed measures by the legislature to address this shortage. This continued drop impacts most particularly ambulatory care, long term care and home care. The report identifies the increased progression of registered nurses pursuing a baccalaureate degree, consistent with the Institute of Medicine recommendation of attaining 80% baccalaureate prepared nurses by 2020. Data demonstrates that over 48% of those initially granted an associate degree are attaining this higher degree. Another IOM recommendation is to make diversity in the nursing workforce a priority by addressing underrepresented groups, including persons of color and males. There is a significant increase in the populations of color of Minnesota practical nursing candidates taking the licensure exam from 14.1% in 2012 to 23.4% in 2017. Diversity of professional nursing candidates rose across the same time period, but not to the degree seen in practical nurses. The number of male nursing graduates in practical nursing increased slightly in the past year and in professional nursing programs increased by 0.8% in the past year. Program approval rules adopted on December 12, 2016 address the use of high fidelity simulation as a replacement for up to 50% of clinical in practical and professional nursing programs and the approval of advanced practice nursing programs. The Board granted initial approval of 12 advanced practice nursing programs which provide advanced practice nursing education in four different roles and six categories of population foci. The Education Department continues to be responsive to the standards of quality and patient safety in Minnesota Nursing Education.
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MINNESOTA BOARD OF NURSING
Education Annual Report: Calendar and Fiscal Year 2017 Presented to the Board - April 2018
General Work: To support the mission of the Board of Nursing by developing and implementing the Minnesota Board of Nursing’s program for approving nursing education programs that prepare students for licensure as a practical, professional or advanced practice registered nurse. There are a total of 89 approved nursing programs in Minnesota. Due to the distinct difference in the levels of education between the practical and professional nursing programs compared to the advanced practice nursing programs, this report is divided into Part I for the practical and professional nursing programs and Part II for the advanced practice nursing programs. PART I: PROGRAM APPROVAL: PRACTICAL AND PROFESSIONAL PROGRAMS Approved Practical and Professional Nursing Programs As of December 31, 2017, there are 77 Board approved practical and professional nursing programs in Minnesota (Appendix A):
Program Type Total Practical Nursing Programs 26 Professional
Associate Degree Nursing Programs
28 Baccalaureate Nursing Programs 20 Entry level Masters Nursing Programs
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Five of the 28 associate degree professional programs are mobility programs. Mobility programs only admit students who have completed a practical nursing program. Initial program approval
• There were no practical or professional programs granted initial program approval in 2017.
Continuing program approval Continuing approval was granted to the following schools upon initial accreditation or renewal of accreditation:
• Herzing University Baccalaureate Degree Nursing Program • Hibbing Community College Associate Degree Nursing Program • Rasmussen College Moorhead Associate Degree Nursing Program • Rasmussen College Moorhead Practical Nursing Program • College of St. Benedict/St. John’s University Baccalaureate Nursing Program
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Voluntary Program Closures
• National American University Baccalaureate Degree Nursing Program Letters of Intent
• No letters of intent were submitted in 2017. Change in Controlling Body On February 3, 2017 Concordia University, St Paul informed the Board that it had acquired Globe University – Minnesota School of Business Baccalaureate Degree Nursing Program. Below Minimum Standard NCLEX The Board required the following programs to submit plans of corrective action due to first-time candidate success rates on the National Council Licensure Examination (NCLEX®) below the minimum standard (75% or below) during calendar year 2017:
• Mesabi Range College Practical Nursing Program • Northwest Technical College- Practical Nursing Program • Saint Paul College Practical Nursing Program • Minnesota State Community and Technical College Associate Degree Nursing Program • Northland Community and Technical College Associate Degree Nursing Program • Riverland Community College Associate Degree Nursing Program • Presentation College Baccalaureate Degree Nursing Program • Rasmussen College Baccalaureate Degree Nursing Program
The Board required an on-site survey and submission of a revised plan of corrective action for the following programs due to NCLEX® first-time success rates below the minimum standard for two consecutive calendar years (2016 and 2017):
• Fond du Lac Tribal and Community College Practical Nursing Program • Rasmussen College Blaine Associate Degree Nursing Program
The Board required an on-site survey for compliance with board rules for the following programs due to NCLEX® first-time success rates below the minimum standard for three consecutive calendar years (2015, 2016, and 2017):
• Fond du Lac Tribal and Community College Associate Degree Nursing Program • Minnesota State College - Southeast Associate Degree Nursing Program
The Board removed the following programs from special board oversight as 2017 NCLEX® first-time success rates were above the minimum standard:
• Minnesota State College - Southeast Technical Practical Nursing Program • Minnesota West Community and Technical College Associate Degree Mobility Nursing Program • Bethel University Baccalaureate Degree Nursing Program • Metropolitan State University Entry Level Master’s Degree Nursing Program
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• Hennepin Technical College Practical Nursing Program, • Central Lakes College Associate Degree Nursing Program • Northwest Technical College Associates Degree Nursing Program
Report of Plans of Corrective Action for Calendar Year 2016
At the August 2017 board meeting, the Board received a report summarizing the plans of corrective action and the revised plans of corrective action submitted by the following programs that were below minimum standard for calendar year 2016:
• Fond du Lac Tribal and Community College Practical Nursing Program • Minnesota State College - Southeast Practical Nursing Program • Minnesota West Community and Technical College Associate Degree Mobility Nursing
Program • Rasmussen College - Blaine Associate Degree Nursing Program • Bethel University Baccalaureate Degree Nursing Program • Metropolitan State University Entry Level Master’s Degree Nursing Program
Each plan of corrective action was reviewed and areas identified by the program as needing improvement noted. All submitted plans were then analyzed as a group to determine if any factors common to all the programs could be identified as impacting first-time candidate success rates on the NCLEX® examination. Across these programs, several elements were commonly identified as contributing to negative outcomes. These factors included:
• Alignment of curricular content to Program and Student Learning Outcomes • Increased rigor in assessment and use of alternative format questions • Increase in the requirements and/or criteria for admission • Required remediation for students repeating or who are at risk for failing a course • Greater emphasis on quantitative measures in program progression decisions • Enhanced faculty development and ongoing mentoring of less experienced faculty • Evaluate clinical site selection • Stability in faculty assignment to or within the program
Report of Board Ordered Surveys for Calendar Years 2015 and 2016
At the August 2017 board meeting, the Board received a report summarizing the on-site survey and revised plans of corrective action submitted by the following programs that were below minimum standard for calendar years 2015 and 2016:
• Hennepin Technical College Practical Nursing Program • Central Lakes College Associate Degree Nursing Program • Fond du Lac Tribal and Community College Associate Degree Nursing Program • Minnesota State College - Southeast Associate Degree Nursing Program • Northwest Technical College Bemidji Associate Degree Nursing Program
The programs submitted a revised plan of corrective action integrating recommendations developed by the survey team.
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REPORT OF ANNUAL COMPLIANCE SURVEY
The Board requires directors of approved nursing programs to submit evidence regarding the nursing program’s compliance with relevant program approval rules by October of each year. All programs have submitted the requested information. Minnesota Statute, section 176.182 requires every state and local licensing agency to present acceptable evidence of compliance with the workers’ compensation insurance coverage requirement of section 176.181, subdivision 2. All nursing programs submitted evidence indicating compliance with the statute. Minnesota Rule 6301.2340 subpart 3. A.(4) (a) specifies that students have learning activities with faculty oversight to acquire and demonstrate competence in clinical settings with patients across the life span and with patients throughout the wellness, acute, and chronic illness continuum. Seventy-six nursing programs provided evidence that students have learning activities with patients across the life span and illness-wellness continuum, with a final determination regarding compliance pending for one program. Accreditation Status Minnesota Rule 6301.2350 Subpart 1 stipulates that all approved nursing education programs must provide evidence of current accreditation by a national nursing accrediting body approved by the United States Department of Education or the Council for Higher Education Accreditation or its successors by January 1, 2018, or must have achieved candidacy status leading to such accreditation and demonstrated satisfactory progression toward obtaining the accreditation. At the December 1, 2016 board meeting, there was a clarification of the accreditation candidacy process as there are now two accrediting bodies for practical and professional associate degree nursing programs, the Accreditation Commission for Education in Nursing (ACEN) and the Commission for Nursing Education Accreditation (CNEA). This made it necessary to address timelines for both accrediting bodies for programs seeking candidacy. All programs seeking nursing accreditation by ACEN must submit the Candidacy Presentation and those seeking accreditation by CNEA must submit a pre-accreditation candidacy application and be awarded full candidacy status by June 1, 2018. All programs must complete an accreditation site visit by May 31, 2019. All unaccredited nursing programs are actively engaged in the candidacy process. Currently, 26.9% of practical nursing programs are accredited. Of the professional nursing programs, 55.8% of associate degree nursing programs, 90% of baccalaureate nursing programs, and 100% of entry level master of nursing programs are nationally accredited (Table 1). The percent of nursing programs in Minnesota that were accredited in 2011 was 52%. Currently, 57.1% of all approved practical and professional nursing programs hold national nursing accreditation.
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Table 1. Accreditation Status of Practical and Professional Nursing Programs
Program type Accredited Not Accredited Practical Nursing Programs 7 19 Professional Nursing Programs
Associate Degree 15 13 Baccalaureate 18 2 Entry level Masters 3 0
Report of Faculty Licensure and Credentials Minnesota Rule 6301.2340 specifies that nursing faculty have a major in nursing at the baccalaureate or graduate level and unencumbered licensure as a registered nurse with current registration in Minnesota. The nursing education program must:
3.A. (10) ensure practical nursing program faculty have a baccalaureate or graduate degree in nursing from a regionally or nationally accredited college or university recognized by the United States Department of Education, the Council for Higher Education Accreditation or successors, or by a comparable organization if the baccalaureate- or graduate-level degree is from a foreign country;
3.A. (11) ensure professional nursing program faculty have a graduate degree for full-time faculty and the majority of part-time faculty hold a graduate degree from a regionally or nationally accredited college or university recognized by the United States Department of Education, the Council for Higher Education Accreditation or successors, or by a comparable organization if the baccalaureate or graduate-level degree is from a foreign country. If the major of the graduate degree is not in nursing, the faculty must hold a baccalaureate degree with a major in nursing;
Program directors submitted evidence demonstrating all programs are in compliance with the requirement that all nursing faculty have an unencumbered Minnesota registered nurse license and current registration. All programs demonstrated compliance with the faculty education requirements. In 2017, an increase of 102 in the total number of faculty teaching in Minnesota practical and professional nursing programs was reported (Appendix B, Table 1). The number of unduplicated faculty also increased from 2016 (Appendix B, Table 2). The duplicated count is reflective of the number of faculty positions; the unduplicated count reflects the actual number of faculty teaching in Minnesota nursing programs. Between 2013 and 2017, there was a 38.1% increase in the number of faculty holding doctoral degrees. In the same time period, there was an increase of 21.9% in the number of faculty holding a master’s degree.
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The number of nursing education programs achieving accreditation by a national nursing accreditation increased slightly in 2017. These changes are reflected in the number and percent of faculty teaching in accredited programs. As Appendix B, Table 3 indicates, in 2017 67.7% of all faculty were teaching in accredited program. During calendar year 2017, the majority of faculty (unduplicated count) teaching in a nursing program were employed full time (Appendix B, Tables 4 and 5). Appendix C provides a list of the number of faculty teaching in each nursing program.
MINNESOTA NURSING EDUCATION PROGRAM REPORTS Report of Minnesota Graduates: Practical and Professional Programs Annually, nursing program directors report the number of students who complete the program during a fiscal year, July 1st through June 30th (Appendix D1-D3). Figure 1 displays the trends in number of graduates from practical and professional nursing programs from 2012 to 2017. Compared to 2012, the number of students completing associate degree nursing programs in 2017 increased 14.9%; the number of students completing licensure-preparing baccalaureate and entry level master’s nursing programs in 2017 decreased by 3.3%; and the number of students completing practical nursing programs in 2017 decreased by 38.5%. When compared to 2016, in 2017 the number of associate degree graduates decreased 1.8% and the number of baccalaureate or masters-entry graduates decreased 2.9%. There was a 6.4 % decrease in practical nursing graduates between from 2016 to 2017. Figure 1. Number of graduates reported by Minnesota nursing program directors.
2012 2013 2014 2015 2016 2017PN 1919 1794 1761 1404 1260 1180AD - Prof 2042 2066 1981 2202 2389 2347BS - Prof 1136 1113 1084 1062 1101 1060MS - Prof 90 90 89 65 119 125Total Prof 3268 3269 3154 3329 3609 3532Total PN & Prof 5187 5063 4915 4733 4869 4712
0
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Educational Mobility in Minnesota Nurses at all levels of practice progress along the educational continuum to increase their knowledge and skill. Licensed practical nurses (LPN) are granted advanced standing in associate degree nursing programs. Registered nurses, both diploma and associate degree, pursue baccalaureate degrees and advanced degrees in nursing.
Advanced Standing for Licensed Practical Nurses
Minnesota nursing programs have a statutory requirement to grant advanced standing. Associate degree nursing programs approved or seeking to be approved by the Board shall provide for advanced standing for licensed practical nurses in recognition of their nursing education and experience (M.S. 148.251, subd. 6). There are two types of associate degree curricula offering advanced standing to LPNs. Generic Associate Degree (AD) programs admit qualified applicants who want to become professional nurses and must offer advanced standing to qualified LPN applicants. Mobility AD programs offer a curriculum specifically designed for LPNs to become professional nurses and admit only LPNs as students. The number of advanced standing credits granted by associate degree nursing programs to LPNs or PN program completion graduates is found in Appendix E. Figure 2 illustrates how practical nurses are mobilizing into professional nursing. From 2012 to 2017, graduates of Minnesota approved practical nursing programs totaled 9,318. During the same period, 5,025 practical nurses graduated from a Minnesota approved associate degree professional nursing programs. In comparison to the total number of practical nurse graduates, 54.6% of practical nurses eventually mobilize and complete a professional nursing program. This rate of conversion has been stable for several years. The data demonstrates that a lower number of persons are pursuing licensure and continuing practice as a practical nurse.
Figure 2. Number of LPNs completing professional programs versus PN graduates.
2012 2013 2014 2015 2016 2017PN Grads 1919 1794 1761 1404 1260 1180LPN/ADN mobility 943 866 815 957 777 667LPN/BSN mobility 31 4 3 6 8 6Total LPN mobility 974 870 818 963 785 673
0
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Post Licensure Baccalaureate Programs for Registered Nurses Nationally, there has been an increase in enrollment for RN to BSN programs. The American Association of Colleges of Nurses reported a continuing increase in enrollment for RN to BSN programs 21.6% nationwide from 2009-2010 (AACN, 2011), 15.8% nationwide from 2010-2011 (AACN, 2012), 15.5% nationwide from 2011-2012 (AACN, 2013), 15.2% nationwide from 2012-2013 (AACN, 2014) 10.4% in 2013-2014 (AACN, 2015) and a 1.0% increase in 2015-2016 (AACN, 2017). A survey of nursing programs indicated that 49% of hospitals and other health care settings require new hires to have a bachelor’s degree in nursing, while 86.3% of employers express a strong preference for BSN program graduates (AACN, December 2017). This employer preference is one factor in the development of RN-BSN programs, which now outnumber the availability of four year nursing programs or accelerated baccalaureate program for non-nursing college graduates (AACN, June 2017). According to the Future of Nursing: Campaign for Action, 54% of employed registered nurse now hold a baccalaureate degree, an increase from 49% in 2010 (Campaign for Action, 2018). The number of registered nurses with associate degrees and diplomas graduating from baccalaureate completion nursing programs (RN to BSN) are listed in Figure 3. In Minnesota, 9 out of 21 approved baccalaureate degree licensure-preparing programs offer baccalaureate completion opportunities for registered nurses. Additionally, there are four baccalaureate completion programs in Minnesota that do not offer licensure-preparing baccalaureate programs. The Board does not have jurisdiction over post-licensure baccalaureate programs. Data are supplied by directors of nursing programs in Minnesota. Non-jurisdictional baccalaureate completion programs in Minnesota with a physical campus voluntarily provide RN to BSN graduate statistics to the Board. Figure 3 presents an estimated number of graduates from baccalaureate completion programs in Minnesota from 2012 – 2017. The percentage of RNs returning to complete the baccalaureate degree as compared to the percentage of graduates from Minnesota associate degree nursing programs increased from 33.6% in 2012 to a high of 48.4% in 2015 and a current percentage of 48.1% in 2017. While there is no definitive data regarding the factors most influencing this increase, contributing factors include the decision by some healthcare systems that registered nurses must hold a baccalaureate degree as a condition of continued employment as well as the response to the Institute of Medicine Future of Nursing Report (IOM) recommendation to increase the proportion of nurses with a baccalaureate degree to 80% by 2020. Included in the RN to BSN graduate numbers are individuals who graduated from diploma programs. The last diploma school in Minnesota closed in 1987. Unlike the associate degree graduates, there are no annual graduate figures to include; therefore, reported percentages of those returning for a baccalaureate degree as shown in Figure 3 are artificially high. The number of Minnesota nurses attending online RN to BSN programs not located in Minnesota are not included in the data; additionally, the Board of Nursing does not collect data from licensees regarding the highest nursing degree earned.
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Figure 3. Number of RNs completing Minnesota baccalaureate nursing completion programs.
Additional Nursing Degrees Earned
Table 2. summarizes additional nursing degrees earned as self-reported by registered nurses responding to the Minnesota Department of Health, Office of Rural Health and Primary Care (ORHPC) 2017 survey. Existing data collection strategies in Minnesota make obtaining an accurate number of nurses who return for additional degrees difficult. The response rate for the 2017 ORHPC survey was 64%.
Of those who completed initial licensure at the Associate Degree level, 23.9% indicated they had completed an additional nursing degree (baccalaureate or higher). Approximately 65% of those educated in a diploma nursing program achieved a higher degree. Forty-eight percent of those completing a baccalaureate degree as their first nursing degree have completed a masters, post-masters certificate, or doctoral degree, demonstrating the significant emphasis in nursing education in obtaining additional education credentials in the discipline of nursing. While 232 identified their initial nursing education was at the masters, master’s certificate or doctoral level, a total of 4,239 now report having completed an additional masters, master’s certificate or doctoral degree. This compares to a total of 3,522 nurses reporting this level of education in the 2013-2014 survey, an increase of 20.35 %.
2012 2013 2014 2015 2016 2017ADN Grads 2042 2066 1991 2202 2389 2347BSN Grads 1136 1113 1084 1062 1101 1060RN to BSN 687 601 720 1066 1078 1129BSN Total 1823 1714 1804 2128 2179 2189% AD - BSN 33.6% 29.1% 36.2% 48.4% 45.1% 48.1%
0500
10001500200025003000
ADN Grads BSN Grads RN to BSN BSN Total % AD - BSN
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Table 2. Additional nursing degrees earned by RNs Type of Program Initial Nursing Degree at Time of
RN Licensure Number Completing Higher Nursing Degree
Associate or Post Associate
12,625 (100%)
3,023 (23.9%)
Diploma 2,106 (100%)
1,362 (64.7%)
Baccalaureate or Post Baccalaureate
9,138 (100%)
4,425 (48.4%)
Source: Minnesota Department of Health, Office of Rural Health and Primary Care, 2017 Demographic Characteristics of Minnesota Graduates at the Time of Licensure
Average Age at Time of Licensure Figure 4 depicts the average age at the time Minnesota RNs and LPNs were licensed by exam for calendar years 2012 – 2017. During this period, the mean age of baccalaureate prepared nurses, associate degree professional nurses and practical nurses remained relatively constant. The master’s entry level nursing degree is a second college degree; thus graduates tend to be older. Figure 4. Average age at time of licensure by examination in Minnesota.
31.1
30.5 30.730.2 30.4 30
32.3 32.5 32.5 32.1
31.9
31.6
25.9 25.826.2 25.9
25.8 25.8
29.8
31.531.1
30.7
32.2
31.4
25
27
29
31
33
35
2012 2013 2014 2015 2016 2017
Aver
age
Age
PN ADN BSN MSN
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Males at Licensure Compared to the Workforce As depicted in Figure 5, from 2012 to 2017, there is a greater percentage of males who graduated from Minnesota approved nursing programs as compared to the total percentage of males in the Minnesota RN or LPN workforce. The percentage of males graduating from Minnesota programs slightly increased in 2017. Increasing the number of males in nursing is another recommendation noted in the IOM report. Figure 5. Male nurses licensed by exam vs. males in the Minnesota workforce.
Ethnicity in Underserved/Underrepresented at Licensure Compared to the Workforce When candidates complete registration for the NCLEX® exam, they may volunteer information about ethnic origin. National Council of State Boards of Nursing (NCSBN) ethnicity data regarding candidates from Minnesota programs for 2012 – 2017 is presented in Appendix F. Between 2012 and 2017, an average of 18.1% of PN candidates and 13.3% of RN candidates and self-reported as an ethnic minority (NCSBN, 2018). Figure 6 compares this candidate data with the ORHPC workforce survey, wherein 14% of the LPN workforce and 10.4% of the RN workforce were non-white (ORHPC, 2018). In comparison, the ethnicity of PN and RN candidates is greater than that self-reported ethnicity of LPNs and RNs responding to the ORHPC survey. If students completing Minnesota nursing programs continue to be more ethnically diverse, eventually the workforce percentages should reflect that increase. Increasing diversity in the nursing workforce is also a recommendation identified in the IOM report
11.0%10.4% 10.7%
11.3%
8.0%8.7%
6.0%
7.0% 7.0%
6.0% 6.0%
7.0%
12.1% 11.9%12.7% 12.9% 12.5% 13.3%
8.0%8.3% 8.3%
8.8%
8.8% 9.0%
0%
2%
4%
6%
8%
10%
12%
14%
2012 2013 2014 2015 2016 2017
LPN LPN Workforce RN RN Workforce
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According to the 2010 census data, Minnesota’s non-white population was approximately 14.6%. The ethnic diversity of PN and RN candidates is greater than the percentage of the Minnesota non-white population. The overall percentage of ethnic diversity of PN and RN candidates is at 14.8%, which is slightly greater than Minnesota’s non-white population. Figure 6. Ethnic diversity in Underserved/Underrepresented candidates for licensure exam vs. minority ethnicity of the Minnesota workforce.
16.9%
14.1%
16.3%
18.5%
23.0% 23.4%
8.3% 9.3% 9.3% 10.0%10.0%
14.0%11.4%
12.4%10.7%
14.4%15.0% 15.1%
6.6%7.2% 7.2% 7.7% 7.7%
10.4%
0%
5%
10%
15%
20%
25%
2012 2013 2014 2015 2016 2017
LPN Candidates LPN Workforce RN Candidates RN Workforce
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Primary Language at Licensure When candidates complete the NCLEX® registration, they may volunteer information about their primary language. Figures 7 and 8 present data from NCSBN regarding candidates from Minnesota nursing programs during 2012 – 2017. Figure 7. Minnesota PN candidates self-report of primary language.
Figure 8. Minnesota RN candidates self-report of primary language.
2012 2013 2014 2015 2016 2017English - second language 41 24 45 27 31 31English - equally well 82 69 69 75 51 60English - primary language 1519 1530 1425 1243 1071 1058No Answer 138 155 139 38 24 19
0
300
600
900
1200
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1800
2012 2013 2014 2015 2016 2017English second language 50 64 20 59 48 53English equally well 117 110 53 122 115 106English primary language 2713 2669 2172 3065 3365 3307No Answer 370 335 252 157 100 95
0
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REPORT OF NCLEX® RESULTS Success rates for Minnesota Programs for Calendar Year 2017 The reports of first-time success rate and number of PN and RN candidates reflect the total number of candidates from Minnesota nursing programs, including candidates who applied for licensure by exam in other jurisdictions. Minnesota programs’ first-time success rates for practical nursing candidates on the NCLEX-PN® licensing examination and first-time success rates for professional nursing candidates on the NCLEX-RN® licensing examination are displayed in Appendix G1-G3. In 2017, practical nursing candidates from Minnesota had an 86.22% first-time success rate as compared to 83.85% for all United States practical nursing candidates as indicated in Figure 9. Minnesota success rates continue to be above the national average. Figure 9: Comparison of first-time NCLEX-PN® candidate success rates.
Associate degree nursing candidates from Minnesota nursing programs had an 82.78% first-time success rate for 2017 as compared to 84.24% for all United States associate degree candidates from U.S. programs (Figure 10). This year, Minnesota associate degree nursing program success rate is slightly lower than the national average.
75%
80%
85%
90%
95%
100%
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
MN PN All US PN
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Figure 10. Comparison of first-time NCLEX® associate degree candidate success rates.
In considering Minnesota first-time success rates by type of associate degree nursing program, the generic AD programs average higher first-time success rates than the mobility AD programs for 2017 (Figure 11). The first-time success rate for generic AD programs averaged 83.40% whereas the mobility AD programs averaged 77.95%. Generic AD programs in Minnesota are slightly below the national average success rate of 84.24% for associate degree nursing programs for 2017; the mobility AD programs are below the national average success rate for 2017. The average success rate for the five mobility ADN programs are below the generic MN ADN average success rate.
75%
80%
85%
90%
95%
100%
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
MN ADN All US ADN All US RN
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Figure 11. Comparison of first-time NCLEX® success rates by associate degree program types.
As illustrated in Figure 12, the 2017 first-time success rates for baccalaureate and higher degree candidates of Minnesota approved nursing programs increased to 88.38% as compared to a success rate of 84.83% in 2016. In 2017, the U.S. average for all baccalaureate candidates was 90.04%, an increase from the previous year. Figure 12. Comparison of first-time NCLEX-RN® baccalaureate degree candidate success rates.
72%
75%
78%
81%
84%
87%
90%
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
MN ADN Generic Mobility
80%
82%
84%
86%
88%
90%
92%
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
MN BSN All US BSN All US RN
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Number of Times to Attain First-time NCLEX® Success
The Board does not restrict the number of times candidates for licensure by exam may retake the NCLEX® for Minnesota nurse licensure. Table 3 depicts the number of attempts by Minnesota candidates of Minnesota programs before achieving success on the exam in recent years. The table does not include candidates with previous attempts who have not passed the NCLEX®. Table 3. Attempts by Minnesota Candidates to Achieve NCLEX® Success.
# of Attempts
PN Candidates ADN Candidates Baccalaureate Candidates Master Candidates
2015 2016 2017 2015 2016 2017 2015 2016 2017 2015 2016 2017 1 1025 875 842 1699 1822 1757 815 823 836 50 95 114 2 87 76 65 210 211 228 77 86 82 3 10 1 3 31 31 15 56 89 62 20 21 26 1 3 4 14 14 10 25 33 30 14 6 10 1 1 5 6 5 4 9 16 19 2 7 9 6 2 1 5 8 12 12 5 1 1 7 1 1 3 4 8 4 1 2 1 8 2 1 1 1 2 3 1 0 1 9 0 1 2 0 0 1 0 1
10 0 1 2 1 1 0 2 11 2 0 1 2 12 0 13 0 14 1 2 15 1 0 16 1 17 18
Total 1170 1005 948 2015 2195 2121 935 948 969 53 107 119
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ADA Accommodations for NCLEX® Examination
Applicants for licensure by exam have the option of requesting accommodations based on a documented disability, consistent with the provisions of the Americans with Disabilities Act. Requests are granted, partially granted, or denied based on a review of supporting documentation. There has been a 75% increase in the number of requests for accommodations over the past five years. Table 4 reflects accommodation decisions processed by the Education Department. Table 4. Accommodation Decisions for 2012 – 2017
Decision 2012 2013 2014 2015 2016 2017 Granted 39
(67.2%) 40
(74.1%) 46
(75.4%) 59
(81.9%) 75
(77.3%) 94
(92.16%) Partially granted 11
(19.0%) 9
(16.7%) 9
(14.8%) 12
(16.7%) 18
(18.6%) 8
(7.8%) Denied 8
(13.8%) 5
(9.2%) 6
(9.8%) 1
(1.4%) 4
(4.1%) 0
(0.00) Total 58 54 61 72 97 102
MN Program Candidates Taking the NCLEX® in Other Jurisdictions
In 2017, 13.9% candidates from Minnesota practical nursing programs, 7.3% candidates from Minnesota associate degree professional nursing programs, and 11.5% of candidates from Minnesota baccalaureate and higher professional programs applied for licensure by exam in other jurisdictions (Figure 13). This is compared to the time period from 2012 to 2016, when an average of 10.9% of Minnesota practical nursing candidates, 7.4% of Minnesota associate degree professional nursing candidates, and 12.2% of Minnesota baccalaureate and higher professional nursing candidates applied for licensure by exam in other jurisdictions. In 2017, the percentage of graduates from professional nursing programs applying for licensure by exam in other jurisdictions slightly increased. The increase in the percentage of practical nursing graduates seeking licensure in other jurisdictions is concerning, given the decrease in the number of graduates and the resulting impact on Minnesota workforce needs. It is noteworthy that there are Minnesota practical nursing programs close to other state borders and that graduates of these programs represent the highest percentage seeking licensure in other jurisdictions.
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Figure 13. Minnesota program candidates applying for licensure by exam in other jurisdictions.
Figure 14 illustrates the proportion of Minnesota graduates who are educated at the associate and baccalaureate degrees from 1970 – 2017. While meeting the IOM recommendation related to preparation at the baccalaureate level remains a challenge, it is encouraging to note the rate of growth in the current time period when compared to the previous decade. Therefore, is appears Minnesota is making progress towards the IOM 80-20 ratio of baccalaureate prepared nurses.to associate degree nurses. Figure 14. Number of associate degree and baccalaureate and higher degree graduates.
72208796
10106
1478216956
5217 5570 52326950
9220
0
5000
10000
15000
20000
1970-1979 1980-1989 1990-1999 2000-2009 2010-2017
ADN Grads BSN & Higher Grads
9.6%10.9% 10.7% 10.7%
12.6%13.9%
7.7%6.6% 6.8%
7.9% 7.9% 7.3%
13.2%12.3% 12.7% 12.1%
10.6%
11.5%
0%
5%
10%
15%
20%
2012 2013 2014 2015 2016 2017
LPN ADN Bacc & Higher
21
PART II: ADVANCED PRACTICE NURSING PROGRAMS Approved Nursing Programs As of December 31, 2017, there are 12 Board approved and accredited advanced practice nursing programs in Minnesota. (Appendix H) Initial program approval Initial program approval was granted to:
• Augsburg College Department of Nursing • Bethel University Nurse Midwifery Program • College of St. Scholastica Department of Graduate Nursing • Mayo Clinic College of Medicine, School of Health Sciences Nurse Anesthesia Graduate
Programs • Metropolitan State University School of Nursing • Minneapolis School of Anesthesia • Minnesota State University Mankato School of Nursing • St. Catherine University Graduate Nursing Programs • St. Mary’s University Masters of Science in Nurse Anesthesia • University of Minnesota Doctor of Nursing Practice Programs • Walden University Master of Science in Nursing Nurse Practitioner Program • Winona State University Graduate Programs in Nursing
Continuing program approval Continuing approval was granted to the following schools upon renewal of accreditation:
• College of St. Scholastica Doctor of Nursing Practice Program • Bethel University Nurse Midwifery Program
Report of Licensure and Credentials Minnesota Rule 6301.2340 3.A. (8) addresses the requirements for nurse faculty who lead a specific track within an advanced practice nursing program. The nursing program must ensure advanced practice nursing program faculty who coordinate or lead a program track are:
(a) educationally prepared; (b) nationally certified in the same role and population focus; and (c) hold an unencumbered licensure as a registered nurse and as an advanced practice registered nurse with current registration in Minnesota.
All advanced practice programs submitted evidence indicating compliance with the rule.
22
Minnesota Rule 6301.2340 specifies that nursing faculty have a major in nursing at the baccalaureate or graduate level and unencumbered licensure as a registered nurse with current registration in Minnesota. The nursing education program must:
3.A. (12) ensure advanced practice nursing program faculty have a graduate degree in a health-related field in a clinical specialty from a regionally or nationally accredited college or university recognized by the United States Department of Education, by the Council for Higher Education Accreditation or successors, or by a comparable organization if the graduate-level degree is from a foreign country;
Eleven program directors submitted evidence demonstrating all programs are in compliance with the requirement that all nursing faculty have an unencumbered Minnesota registered nurse license and current registration with a final determination regarding compliance pending for one program. Appendix I provides information on the number of full and part-time faculty teaching at each advanced practice nursing program and the number of faculty with the highest credential earned. (Table 6 and 7). During calendar year 2017, the majority of faculty teaching at an advanced practice program were employed part-time.
23
Report of Minnesota Advanced Practice Graduates: In October 2017, advanced practice nursing program directors reported the number of students that were admitted and completed the program during the fiscal year, July 1st through June 30th (Appendix J). Figure 15 depicts the 2017 advanced practice graduates by program track. Figure 15. Number of advanced practice graduates by program track.
898
1303
23 17 7 27 12100
0
200
400
600
800
1000
1200
1400
AGANP FNP PNP PSYCH MHNP
WHCNP CNM A/G CNS CRNA
AGANP FNP PNP PSYCH MH NP WHCNP CNM A/G CNS CRNA
24
Minnesota Office of Rural Health and Primary Care 2017 Survey
Demographics of APRN Graduates in Minnesota Figure 16 summarizes the highest nursing degrees earned as self-reported by advanced practice registered nurses responding to the Minnesota Department of Health, Office of Rural Health and Primary Care (ORHPC) 2017 survey. Existing data collection strategies in Minnesota make obtaining an accurate number of nurses who return for additional degrees difficult. The response rate for the 2017 ORHPC survey was 68%. Of the responses received to the Minnesota Department of Health, Office of Rural Health and Primary Care (ORHPC) 2017 survey, males make up 15% of advanced practice registered nurses and non-white APRN represent 8% of the APRN workforce. (ORHPC, 2017). Figure 16. Highest nursing degrees earned by advanced practice nurses in Minnesota
REPORT OF CERTIFICATION RESULTS
Certification Success Rates for Minnesota Advanced Practice Programs Minnesota advanced practice programs’ first-time certification exam success rates are displayed in Appendix K, (Table 8) for years 2014, 2015 and 2016. The national average success rates for the certifying exams by organizations that are accepted by the board are presented in Appendix K. (Table 9).
14 65
1698
211
345
380
200
400
600
800
1000
1200
1400
1600
1800
BSN Post BSN MSN Post MSN DNP Other
BSN Post BSN MSN Post MSN DNP Other
25
STRATEGIC INITIATIVES Board Charges to the Education Committee:
• Review the current program approval rules for revision to include programs that prepare individuals for licensure as an Advanced Practice Registered Nurse (APRN).
On December 1, 2016, the Board granted extension of temporary recognition of APRN programs until the February 2017 Board meeting when the rules for initial program approval would be in effect. On December 12, 2016, the Board adopted the rules to grant approval to APRN programs. These rules address the credentials required for the APRN director, the lead faculty coordinating a program track and the faculty including degree, certification and unencumbered licensure as a registered nurse and an APRN in Minnesota. On February 2, 2017, the Board granted initial approval to 12 APRN programs, all of which hold national nursing or nursing related accreditation. APRN programs will submit to the Board an annual compliance survey each fall and all communication with the accrediting body that accredits the particular program.
• Review the program approval rules in light of the evidence related to simulation.
The program approval rulemaking process continued and culminated with the adoption of the program approval rules on December 12, 2016 permitting replacement of up to 50% of clinical learning hours with simulation. The rules identify requirements a program must meet to use simulation as a replacement for direct clinical learning activities. The Education Committee participated in the planning, implementation, and evaluation of a “Best Practice in Simulation Conference” in collaboration with HealthForce MN, which was held on May 17-18, 2017. During this reporting period, the US Department of Education (USDE) renewed the recognition of one nursing accrediting body as well as continued to work with a new accrediting body to gain USDE recognition. The staff is monitoring this process.
• Review the revisions made to the Model Act and Rule regarding distance learning education for consideration in Minnesota.
Based on an original recommendation in 2015 from the Education Committee, the Board approved a legislative initiative to revise Minnesota Statute 148.251 to incorporate an exemption related to faculty teaching didactic content via distance education. Minnesota Statute 148.251 was amended, incorporating the changes requested by the Board, which went effect on August 1, 2016. The requirement for the faculty of record for clinical to hold a Minnesota license remains in effect.
26
ADDITIONAL EDUCATION ACTIVITIES IN SUPPORT OF REGULATORY INITIATIVES Board Charge Framework for NCLEX® Success At the March 16, 2017 Education meeting, the results of the literature search on factors influencing program success were discussed. The findings concluded that faculty expertise as educators are key to a program achieving its goals; as it is the level of faculty skill that has direct impact on the successful use of teaching methods, assisting the student in developing clinical judgment, and evaluating the learning that is occurring. These findings were presented at the April 5, 2017 Board meeting. MNSHEP (Minnesota Simulation for Healthcare Education Partnerships) The Board of Nursing, in collaboration with MNSHEP, planned and held the “Best Practices in Simulation Conference” on May 17-18, 2017 with over 200 attendees. Marilyn Krasowski, Director for Education, continues to serve on the MNSHEP Advisory Board which is in the process of planning monthly webinars focusing on best practices in Simulation. The webinars will highlight the simulation expertise and accomplishments of Minnesota educators. Rulemaking MR Chapters 6305 and 6310 The proposed rules in MR Chapters 6305 and 6310 relate to continuing education requirements for renewal of registration and the requirement of a review course when a candidate has not passed or taken the NCLEX within five years of graduation. The Education staff solicited feedback on these proposed rules. The education staff drafted revised language related to continuing education requirements and worked with other board staff to review all sections of the rules and the plans to update documents once adopted. Anticipated adoption of the rule revision is fall 2017. Data Resources Committee Education staff continue to serve on the Data Resources Committee. The charge to the committee is to analyze TERCAP (Taxonomy of Error Root Cause Analysis Practice-Responsibility) to develop tools to communicate best practices, identify metrics for reporting discipline data, and analyze and report CORE (Commitment to Ongoing Regulatory Excellence) data provided by the National Council of State Boards of Nursing. The CORE report is comprised of four sections-Licensure, Discipline, Education and Practice. The committee met and identified approaches and strategies to address the charges. NCSBN Committee Marilyn Krasowski, Director for Education, was appointed to a two year term to the NCLEX Item Review Subcommittee (NIRSC). This is a unique opportunity to participate in the NCLEX development process.
27
References
American Association of Colleges of Nursing. (2011). American Association of Colleges of
Nursing, 2011 Annual Report. Retrieved http://www.aacn.nche.edu/aacn-publications/annual-reports/AR2011.pdf
American Association of Colleges of Nursing. (2012). American Association of Colleges of
Nursing, 2012 Annual Report. Retrieved from http://www.aacn.nche.edu/aacn-publications/annual-reports/AnnualReport12.pdf
American Association of Colleges of Nursing. (2013). American Association of Colleges of
Nursing, 2013 Annual Report. Retrieved from http://www.aacn.nche.edu/aacn-publications/annual-reports/AnnualReport13.pdf
American Association of Colleges of Nursing. (2014). American Association of Colleges of
Nursing, 2014 Annual Report. Retrieved from http://www.aacn.nche.edu/aacn-publications/annual-reports/AnnualReport14.pdf
American Association of Colleges of Nursing. (March 15, 2015). American Association of
Colleges of Nursing, Press Release. Retrieved from http://www.aacn.nche.edu/faculty/news/2015/enrollment
American Association of Colleges of Nursing. (2015). American Association of Colleges of
Nursing, 2015 Annual Report. Retrieved from http://www.aacn.nche.edu/publications/AnnualReport15.pdf
American Association of Colleges of Nursing. (2017). Degree completion programs for
Registered Nurses: RN to Master’s degree and RN to baccalaureate programs. http://www.aacnnursing.org/Portals/42/News/Factsheets/Degree-Completion-Factsheet.pdf Accessed March 15, 2018/
Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health.
Washington, DC: The National Academies Press. Minnesota Department of Health, Office of Rural Health and Primary Care. Personal
Correspondence, February 27, 2017. Data request regarding licensed practical nurse workforce survey and registered nurse workforce survey, 2015- 2016.
National Council of State Boards of Nursing. Personal Correspondence, February 8, 2017. Data
request regarding 2016 NCLEX-PN® and NCLEX-RN® demographics of first-time candidates.
National Council of State Boards of Nursing. (2012). The 2011 Uniform Licensure
Requirements. Retrieved from https://www.ncsbn.org/12_ULR_table_adopted.pdf
28
National Council of State Boards of Nursing. (2015). Resource Manual on the Licensure of Foreign-educated Nurses.
National Council of State Boards of Nursing. (2014) White Paper: Nursing Regulation
Recommendations for Distance Education in Prelicensure Nursing Programs. https://www.ncsbn.org/15_DLC_White_Paper.pdf
Future of Nursing: Campaign for Action (2018). Progress continues on IOM Future of Nursing
Report Recommendations. https://campaignforaction.org/progress-continues-iom-future-nursing-report-recommendations/ Accessed March 15, 2018.
U.S. Census Bureau. (2010). Retrieved from http://2010.census.gov/2010census/data/.
Key X: generic program, grants advanced standing to LPNs
LPN: mobility program for LPNs only PB: accepts those who obtained a baccalaureate in another field
LPN-BSN: offers professional nursing track for LPNs Master of Nursing: a licensure preparing nursing program taught at the master’s level
RN-BSN: offers RN to BSN program
*Board does not approve non-licensure preparing nursing programs; not an exhaustive list of RN-to-BSN programs offered in Minnesota
Appendix A
Minnesota Practical & Professional Licensure-Preparing Nursing Programs
SCHOOL
LOCATION
PRACTICAL
PROFESSIONAL ASSOCIATE
DEGREE (available tracks)
BACHELOR/HIGHER DEGREE
(available tracks)
Alexandria Tech/Comm College Alexandria X LPN Anoka-Ramsey Comm College Coon Rapids/Cambridge X Anoka Technical College Anoka X Bemidji State University Bemidji X, RN-BSN* Bethany Lutheran College Mankato ` X Bethel University St Paul X, RN-BSN* Central Lakes College Brainerd/Staples X X Century College White Bear Lake X College of St Benedict/St John’s University St Joseph X College St Scholastica Duluth X, PB, RN-BSN* Concordia College - Moorhead Moorhead X, PB Concordia University –St. Paul St. Paul X, RN to BSN* Crown College St Bonifacius X, RN-BSN* Dakota Co Technical College Rosemount X Fond du Lac Tribal College Cloquet X X Gustavus Adolphus College St Peter X Hennepin Technical College Eden Prairie/Brooklyn Park X Herzing University Crystal X Hibbing Community College Hibbing X Inver Hills Community College Inver Grove Heights X Itasca Community College Grand Rapids, International Falls X Lake Superior College Duluth X X Mesabi Range Comm/Tech College Eveleth X Metropolitan State University St Paul X, RN-BSN* Metropolitan State University St Paul Master of Nursing Minneapolis Comm/Tech College Minneapolis X MN State College - Southeast Winona/Red Wing X X MN State Comm/Tech College Detroit Lakes, Fergus Falls, Moorhead, Wadena X X MN State University, Mankato Mankato X, RN-BSN*
Key X: generic program, grants advanced standing to LPNs PB: accepts those who obtained a baccalaureate in another field LPN: mobility program for LPNs only LPN-BSN: offers professional nursing track for LPNs Master of Nursing: a licensure preparing nursing program taught at the master’s level RN-BSN: offers RN to BSN program *Board does not approve non-licensure preparing nursing programs; not an exhaustive list of RN-to-BSN programs offered in Minnesota
SCHOOL
LOCATION
PRACTICAL
PROFESSIONAL ASSOCIATE
DEGREE (available tracks)
BACHELOR/HIGHER DEGREE
(available tracks)
MN West Comm/Tech College Worthington, Pipestone X LPN Normandale Community College Bloomington X North Hennepin Community College Brooklyn Park X Northland Comm/Tech College East Grand Forks, Thief River Falls X LPN Northwest Technical College - Bemidji Bemidji X X Pine Technical College Pine City X LPN Rasmussen College Bloomington, Mankato X, RN-BSN* Presentation College, Fairmont Fairmont X, LPN-BSN,RN-BSN* Rasmussen College – Blaine Blaine X Rasmussen College – Bloomington Bloomington X Rasmussen College – Brooklyn Park/ Maple Grove Brooklyn Park/Maple Grove X Rasmussen College – Eagan Eagan X Rasmussen College – Mankato Mankato X X Rasmussen College – Moorhead Moorhead X X Rasmussen College – St Cloud St Cloud X X Ridgewater College Willmar/Hutchinson X X Riverland Community College Austin X X Rochester Comm/Tech College Rochester X X South Central College North Mankato/Faribault X X St Catherine University Minneapolis X St Catherine University St Paul X,RN-BSN* St Catherine University St Paul Master of Nursing St Cloud State University St Cloud X St Cloud Tech/Comm College St Cloud X LPN St Olaf College Northfield X St Paul College St Paul X University of Minnesota Minneapolis/Rochester X University of Minnesota Minneapolis Master of Nursing University of Northwestern- St. Paul St. Paul X Winona State University Winona/Rochester X, RN-BSN*
Appendix B
Faculty Teaching in Practical and Professional Minnesota Nursing Programs
Table 1. Faculty Teaching in Minnesota Nursing Programs.
Faculty teaching in: Number of faculty 2013 2014 2015 2016 2017
All Nursing Programs 1,109 (100%)
1,182 (100%)
1460 (100%)
1392 (100%)
1494 (100%)
Associate Degree 367 (33.1%)
409 (34.6%)
574 (39.3%)
525 (37.7%)
560 (37.5%)
Baccalaureate 390 (35.2%)
423 (35.8%)
438 (30.0%)
466 (33.5%)
572 (38.3)
Masters Entry 35 (3.1%)
48 (4.1%)
61 (4.2%)
55 (3.9%)
76 (5.1%)
Practical Nursing 317 (28.6%)
302 (25.5%)
387 (26.5%)
346 (24.9%)
286 (19.1%)
Table 2. Unduplicated Practical and Professional Programs Faculty Count: Faculty Credentials.
Faculty Credential
(N) designates a
major in Nursing
Highest degree earned Highest nursing degree earned
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
PhD (N) 77 82 80 83 92 77 82 80 83 92 Doctorate (N) 58 69 81 99 122 58 69 81 99 122
Doctorate 59 57 62 60 54 - - - - - Masters (N) 547 600 669 649 670 600 653 728 703 716 Masters 25 25 24 14 27 - - - - - Baccalaureate (N) 171 174 184 193 205 198 199 210 212 237
Baccalaureate 1 1 0 0 0 - - - - - Associate Degree (N) 7 4 0 0 0 7 5 0 0 1
Associate Degree 0 0 0 0 0 - - - - -
Diploma (N) 2 1 0 0 0 3 1 0 0 - Total number
of faculty 947* 1011* 1100* 1098* 1,170* 943* 1009 1099* 1097* 1,168* * Total number of faculty is adjusted to reflect faculty teaching non-nursing content who did not hold a nursing degree
Table 3. Faculty Teaching Accredited vs. Non Accredited Practical and Professional Nursing Programs.
Faculty teaching in:
Accredited Non Accredited 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017
All Nursing Programs
711 (64.1%)
777 (65.7%)
814 (55.8%)
863 (62.1%)
1011 (67.7)
398 (35.9%)
405 (34.3%)
646 (44.2%)
529 (37.9%)
483 (32.3%)
Associate Degree 261 (71.2%)
264 (64.5%)
283 (49.3%)
272 (51.8%)
285 (50.9%)
106 (28.8%)
145 (35.5%)
291 (50.7%)
253 (48.2%)
275 (49.1%)
Baccalaureate 380 (97.4%)
404 (99.5%)
417 (95.2%)
465 (100%)
565 (98.8%)
10 (2.6%)
19 (4.5%)
21 (4.8%)
1 (<0.1%)
7 (1.2%)
Masters Entry 35 (100%)
48 (100%)
61 (100%)
55 (100%)
76 (100%)
0 (0%)
0 (0%)
0 (0%)
0 (0%)
0 (0%)
Practical Nursing 35 (11%)
61 (20.2%)
53 (13.7%)
72 (20.8%)
85 (29.7%)
282 (89%)
241 (79.8%)
334 (86.3%)
274 (79.2%)
201 (70.3%)
Table 4. Faculty Employment Status. Faculty teaching: Total number of
faculty Full time Part time
2013 705 (63.6%)
404 (36.4)
1,109 (100%)
2014 740 (62.6%)
442 (37.4%)
1,182 (100%)
2015 755 (51.7%)
705 (48.3%)
1460 (100%)
2016 685 (49.2%)
707 (50.8%)
1392 (100%)
2017 711 (47.6%)
783 (52.4%)
1494 (100%)
Table 5. Unduplicated Count: Faculty Employment Status. Faculty teaching: Total number of
faculty Full time Part time
2013 595 (62.8%)
352 (37.2%)
947 (100%)
2014 620 (61.3%)
391 (38.7%)
1011 (100%)
2015 614 (55.8%)
486 (44.2%)
1100 (100%)
2016 557 (50.7%)
541 (49.3%)
1098 (100%)
2017 625 (53.4%)
545 (46.6%)
1170 (100%)
Appendix C
Number of Faculty in Minnesota Practical and Professional Nursing Programs
Program Name 2013 2014 2015 2016 2017 Associate Degree Professional Nursing Programs 367 407 574 525 560
Alexandria Technical and Community College 4 3 3 5 4 Anoka-Ramsey Community College 29 24 30 30 29 Central Lakes College 7 8 8 12 8 Century Community College 18 15 18 19 22 Fond du Lac Tribal and Community College 6 5 7 6 7 Hibbing Community College 13 14 12 14 13 Inver Hills Community College 16 16 20 19 20 Lake Superior College 21 21 23 24 22 Minneapolis Community and Technical College 20 26 29 17 21 Minnesota State College - Southeast 18 14 11 11 11 Minnesota State Community and Technical College 23 20 17 21 20 Minnesota West Community and Technical College 12 13 16 19 16 Normandale Community College 16 18 19 18 21 North Hennepin Community College 30 29 30 29 26 Northland Community and Technical College 7 10 9 8 7 Northwest Technical College-Bemidji 10 10 10 8 7 Pine Technical and Community College 4 5 4 4 4 Rasmussen College** 15 59 Rasmussen College - Blaine**** 52 34 42 Rasmussen College - Bloomington**** 67 49 92 Rasmussen College - Mankato**** 23 20 24 Rasmussen College - Moorhead**** 32 32 26 Rasmussen College – St. Cloud**** 37 33 38 Ridgewater College 17 14 16 19 18 Riverland Community College 11 12 11 7 6 Rochester Community and Technical College 25 24 25 24 28 South Central College 14 15 14 14 11 St Catherine University 26 27 25 26 10 St Cloud Technical and Community College 5 5 6 5 7
Baccalaureate Nursing Programs 390 424 438 466 572 Bemidji State University 16 15 16 18 26 Bethany Lutheran College* 1 2 Bethel University 47 48 52 38 33 College of St. Benedict/St. John's University 18 19 19 17 19 College of St. Scholastica 60 59 46 59 49 Concordia College Moorhead 11 9 8 8 7 Concordia University St. Paul***** 5 Crown College 3 3 3 4 6 Globe University/Minnesota School of Business***** 14 16 13 12 Gustavus Adolphus and St. Olaf Colleges - MN Intercollegiate Nursing Consortium*** 9
Gustavus Adolphus College*** 10 14 15 13 Herzing University 6 6 6 9 7 Metropolitan State University 1 23 48 84
Program Name 2013 2014 2015 2016 2017 Minnesota State University, Mankato 45 53 57 44 50 National American University** 7 12 11 15 Presentation College, Fairmont Campus 6 8 6 6 5 Rasmussen College Baccalaureate Program* 1 30 St Catherine University 43 44 34 35 58 St Cloud State University 22 28 29 27 26 St. Olaf College*** 5 7 5 7 University of Minnesota 29 28 33 35 36 University of Northwestern – St Paul 10 19 17 24 33 Winona State University 43 42 44 45 76
Entry Level Master of Nursing Programs 35 48 61 55 76 Metropolitan State University 11 8 19 25 29 St. Catherine University* 19 15 17 26 University of Minnesota 24 21 27 13 21
Practical Nursing Programs 317 303 387 346 286 Alexandria Technical and Community College 7 8 8 8 7 Anoka Technical College 13 13 7 10 8 Central Lakes College 14 12 11 6 7 Dakota County Technical College 8 6 6 6 6 Fond du Lac Tribal and Community College 5 4 5 6 4 Hennepin Technical College 16 14 14 10 10 Itasca Community College 12 11 11 6 6 Lake Superior College 11 11 14 13 10 Mesabi Range Community and Technical College 5 5 5 4 4 Minneapolis Community and Technical College** 16 18 Minnesota State College-Southeast Technical 18 18 10 19 13 Minnesota State Community and Technical College 25 19 24 9 9 Minnesota West Community and Technical College 17 14 16 16 12 Northland Community and Technical College East Grand Forks 12 15 16 18 15 Northland Community and Technical College Thief River Falls 4 Northwest Technical College-Bemidji 9 6 5 4 3 Pine Technical and Community College 12 12 7 6 5 Rasmussen College ** 40 53 Rasmussen College – Brooklyn Center/Maple Grove**** 35 24 25 Rasmussen College - Eagan**** 38 34 26 Rasmussen College - Mankato**** 21 22 22 Rasmussen College - Moorhead**** 36 33 21 Rasmussen College – St. Cloud **** 40 33 16 Ridgewater College 17 14 11 10 10 Riverland Community College 11 6 6 5 4 Rochester Community and Technical College 6 6 6 7 6 Saint Paul College 13 13 10 13 13 South Central College 14 15 14 14 12 St Cloud Technical and Community College 12 10 11 11 12
Total 1,109 1,182 1,460 1,392 1,494 * new program ** closed program *** Gustavus Adolphus and St. Olaf Colleges – MN Intercollegiate Nursing Consortium separated to become Gustavus Adolphus College Nursing Program and St. Olaf College Nursing Program **** Rasmussen College separated to become distinct Associate Degree and Practical Nursing programs *****Concordia University St. Paul acquired Globe University Baccalaureate Nursing Program
Appendix D1
Number of Minnesota Program Graduates Preparing for Practical Nurse Licensure for
Fiscal Years 2012-2017
Practical Nursing Program 2012 2013 2014 2015 2016 2017 Alexandria Technical and Community College 48 47 52 50 51 52 Anoka Technical College 57 76 99 94 57 64 Central Lakes College 95 95 108 79 54 24 Dakota County Technical College 45 42 72 44 48 43 Fond du Lac Tribal & Community College 34 38 34 32 22 15 Hennepin Technical College 141 115 99 102 118 64 Itasca Community College 53 63 49 47 25 25 Lake Superior College 32 19 19 19 25 19 Mesabi Range Community & Technical College 43 35 34 21 33 29 Minneapolis Community & Technical College* 102 93 75 41 MN State College-SE Technical ** 122 90 79 57 23 17 MN State Community & Technical College 125 138 84 82 117 50 MN West Community & Technical College, Pipestone*** MN West Community & Technical College, Worthington*** MN West Community & Technical College*** 84 72 86 90 45 50 Northland Community & Technical College, East Grand Forks**** 97 108
Northland Community & Technical College, Thief River Falls**** 35 22 Northland Community & Technical College**** 124 102 123 166 Northwest Technical College, Bemidji 66 61 68 40 8 17 Pine Technical College 63 55 57 60 41 48 Rainy River Community College * 22 Rasmussen College* 288 294 285 Rasmussen College – Brooklyn Park/Maple Grove***** 51 55 48 Rasmussen College - Eagan***** 60 45 55 Rasmussen College - Mankato***** 38 37 36 Rasmussen College - Moorhead***** 23 19 32 Rasmussen College – St. Cloud***** 21 25 29 Ridgewater College 80 82 86 20 21 24 Riverland Community College 57 68 51 29 23 18 Rochester Community & Technical College 30 28 30 31 49 30 Saint Paul College 57 54 23 50 59 113 South Central College 41 26 53 11 20 11 St Cloud Technical & Community College 102 73 94 110 117 101 Total 1,919 1,794 1,761 1,404 1,260 1,180
* Closed Program ** Merged to become Minnesota State College – Southeast Technical as of December 31, 2009. ***Merged to become Minnesota West Community & Technical College as of January 1, 2012. ****Merged to become Northland Community and Technical College as of January 1, 2014. ***** separated into distinct programs, February, 2015
Appendix D2
Number of Minnesota Associate Degree Program Graduates Preparing for
Registered Nurse Licensure for Fiscal Years 2012-2017
Associate Degree Nursing Program 2012 2013 2014 2015 2016 2017 Alexandria Technical and Community College 26 35 34 32 26 19 Anoka-Ramsey Community College 168 196 195 199 198 190 Central Lakes College 76 64 84 112 75 73 Century Community College 89 97 97 92 111 129 Fond du Lac Tribal & Community College 26 40 27 28 35 22 Hibbing Community College 55 61 69 77 64 65 Inver Hills Community College 111 80 82 71 86 84 Lake Superior College 118 67 119 103 88 112 Minneapolis Community & Technical College 102 96 68 142 103 77 MN State College-Southeast Technical 96 65 65 77 50 77 MN State Community & Technical College 153 274 117 123 103 95 MN West Community & Technical College 86 90 71 65 73 69 Normandale Community College 83 92 90 68 108 74 North Hennepin Community College 117 111 129 115 129 135 Northland Community & Technical College 91 79 79 83 76 82 Northwest Technical College – Bemidji 49 43 47 78 81 53 Pine Technical College 19 20 25 26 26 24 Rasmussen College* 77 91 66 Rasmussen College – Blaine*** 57 128 138 Rasmussen College - Bloomington*** 72 168 201 Rasmussen College - Mankato*** 58 98 94 Rasmussen College - Moorhead*** 27 51 49 Rasmussen College – St. Cloud*** 56 98 108 Ridgewater College 97 79 68 84 73 79 Riverland Community College 71 75 63 66 34 35 Rochester Community & Technical College 129 104 93 99 97 101 South Central College 40 34 49 54 61 37 St Catherine University, Minneapolis 123 123 113 93 99 84 St Cloud Technical & Community College 40 50 49 45 50 41 Total 2,042 2,066 1,899 2,202 2,389 2,347 Grand Total (All Minnesota program graduates preparing for registered nurse licensure.) 3,268 3,269 3,164 3,329 3,609 3,532
* Closed Program *** separated into distinct programs, February, 2015
Appendix D3
Number of Minnesota Baccalaureate and Higher Degree Program Graduates Preparing for
Registered Nurse Licensure for Fiscal Years 2012-2017
Baccalaureate & Higher Degree Nursing Program 2012 2013 2014 2015 2016 2017 Bemidji State University 34 51 33 46 42 40 Bethel University 81 82 82 76 82 84 College of St. Benedict/St. John’s University 45 54 54 48 49 52 College of St. Scholastica 140 147 155 161 169 164 Concordia College 38 42 34 41 35 38 Crown College 14 15 20 18 14 20 Globe College/Minnesota School of Business* 53 49 38 39 42 Gustavus Adolphus College ** 28 30 Gustavus Adolphus and St. Olaf Colleges** 48 47 23 45 Herzing University 24 20 20 14 16 Metropolitan State University, Baccalaureate 26 0 0 0 0 26 Metropolitan State University, Master 27 27 27 2 24 25 Minnesota State University, Mankato 78 75 104 69 81 78 Minnesota State University, Moorhead* 24 National American University* 10 21 18 25 34 Presentation College 26 21 36 17 22 10 Rasmussen College 26 St Catherine University, Baccalaureate 113 115 111 91 80 57 St. Catherine University, Master 32 37 St Cloud State University 92 79 82 73 76 75 St. Olaf College** 23 24 University of Minnesota, Baccalaureate 124 123 118 136 138 139 University of Minnesota, Master 63 63 62 63 63 63 University of Northwestern – St Paul 20 26 34 Winona State University 190 168 156 137 146 147 Total 1,226 1,203 1,173 1,127 1,220 1,185 Grand Total (All Minnesota program graduates preparing for registered nurse licensure.) 3,268 3,269 3,164 3,329 3,609 3,532
* Closed program **Gustavus Adolphus and St. Olaf College separated into individual programs
Appendix E
Number of Advanced Standing Credits Granted to Licensed Practical Nurses by
Professional Associate Degree Nursing Programs in FY 2017
Associate Degree Nursing Program # of LPN admitted
Total # of nursing credits required for graduation
nursing credit granted per admitted LPN
# of LPN #of nursing
credit granted
Alexandria Technical & Community College 32 25 32 7 Anoka-Ramsey Community College 6 35 6 5 Central Lakes College 51 34 51 12 Century Community College 5 35 5 5 Fond du Lac Tribal & Community College 10 24 10 8 Hibbing Community College 35 32 35 11 Inver Hills Community College 6 35 6 5 Lake Superior College 22 64 22 8 Minneapolis Community & Technical College 6 34 6 5 Minnesota State College - Southeast 0 34 0 8 Minnesota State Community & Technical College 58 34 58 11 Minnesota West Community & Technical College 99 24 99 10 Normandale Community College 3 75 3 5 North Hennepin Community College 25 35 25 5 Northland Community & Technical College 94 34 94 13 Northwest Technical College-Bemidji 25 35 25 10 Pine Technical College 30 28 30 6 Rasmussen College - Blaine** 101 103 101 10 Rasmussen College - Bloomington** 87 103 87 10 Rasmussen College - Mankato** 17 103 17 10 Rasmussen College – Moorhead** 12 103 12 10 Rasmussen College – St. Cloud** 57 103 57 10 Ridgewater College 9 35 9 5 Riverland Community College 6 75 6 5 Rochester Community & Technical College 20 34 20 6 South Central College 7 28 7 4 St Catherine University 0 32 0 12 St Cloud Technical & Community College 50 64 50 9
Total 873 873 * Upon admission to the associate degree nursing program, the students were not LPN but had completed a practical nursing program. ** Quarter credits
Appendix F
Self-Report of Ethnicity for First-time Candidates from Minnesota Approved
Nursing Programs for 2012-2017
2012 2013 2014 2015 2016 2017
Ethnicity PN RN PN RN PN RN PN RN PN RN PN RN
No Answer 10.0% 178
14.3% 466
10.1% 180
14.2% 450
9.2% 149
12.9% 393
5.2% 72
4.7% 161
4.16% 49
4.44% 161
5.4% 63
5.1% 183
African American 8.6% 153
4.4% 144
7.5% 134
4.4% 140
10.0% 162
3.8% 115
9.6% 133
5.3% 180
13% 153
5.65% 205
12% 141
5.2% 186
Native American 1.2% 21
0.4% 12
1.0% 18
0.7% 21
0.9% 15
0.4% 11
0.9% 13
0.6% 20
1.02% 12
0.72% 26
1.3% 15
0.8% 28
Asian Indian 0.1% 2
0.3% 8
0.1% 2
0.1% 3
0.1% 2
0.1% 4
0.2% 3
0.3% 9
0.17% 2
0.25% 9
0.2% 2
0.3% 9
Asian Other 2.2% 39
2.3% 74
2.3% 41
3.1% 97
2.7% 44
3.0% 92
2.7% 38
3.4% 114
3.57% 42
3.28% 119
3.3% 39
3.9% 139
Hispanic 1.6% 29
1.2% 38
1.2% 21
1.1% 35
2.2% 36
1.5% 46
2.4% 33
1.8% 60
1.95% 23
2.32% 84
3% 36
2.1% 75
Pacific Islander 0.3% 5
0.2% 7
0% 0
0.2% 7
0% 0
0.2% 5
0.1% 2
0.2% 5
0.08% 1
0.11% 4
0% 0
0.1% 4
White 73.1% 1,302
74.3% 2,415
75.8% 1,347
73.4% 2,334
74.4% 1,203
76.2% 2,318
76.3% 1,055
80.9% 2,752
72.8% 857
80.6% 2,923
71.2% 832
79.7% 2,839
Other 2.9% 51
2.7% 86
2.0% 35
2.9% 91
0.3% 5
1.9% 58
2.5% 34
3.0% 102
3.23% 38
2.67% 97
3.4% 40
2.8% 98
Total Diversity 16.9% 300
11.4% 369
14.1% 251
12.4% 394
16.3% 264
10.7% 326
18.5% 256
14.4% 490
23% 271
15% 544
23% 273
15.1% 539
Total Candidates 1,780 3,250 1,778 3,178 1,616 3,042 1,383 3,403 1,177 3,628 1,168 3,561
Source: National Council of State Boards of Nursing (NCSBN)
Appendix G1
Number and First-time Success Rate of NCLEX-PN® Candidates Educated in
Minnesota Practical Nursing Programs 2014 – 2017 Minnesota Practical Nursing Programs 2014 2015 2016 2017
Number Percent Number Percent Number Percent Number Percent Alexandria Technical & Community College 52 94.23 37 81.08 55 85.45 43 93.02 Anoka Technical College 98 83.67 93 82.80 56 89.29 70 91.43 Central Lakes College 106 85.85 81 82.72 53 77.36 23 91.30 Dakota County Technical College 70 81.43 43 79.07 49 87.76 44 79.55 Fond du Lac Tribal & Community College 34 73.53 31 83.87 19 36.84 14 50.00 Hennepin Technical College 93 80.65 100 66.00 106 73.58 84 78.57 Itasca Community College 49 85.71 50 76.00 24 79.17 24 83.33 Lake Superior College 17 82.35 18 88.89 26 100 19 84.21 Mesabi Range Community & Technical College 36 66.67 27 92.59 33 81.82 27 70.37 Minneapolis Community & Technical College* 46 89.13 29 72.41 3 66.67 1 100 Minnesota State College-Southeast 79 86.08 49 85.71 29 55.17 18 88.89 Minnesota State Community & Technical College 90 98.89 83 97.59 84 91.67 49 95.92 MN West Comm & Tech College, Worthington 88 84.09 90 82.22 45 95.56 51 98.04 Northland Comm & Tech College, East Grand Forks 106 88.68 103 86.41 123 86.18 169 88.17
Northland Comm & Tech College, Thief River Falls** 17 70.59
Northwest Technical College, Bemidji 52 69.23 19 63.16 9 100 15 60.00 Pine Technical & Community College 60 88.33 58 89.66 41 85.37 48 91.67 Rasmussen College – Brooklyn Park/Maple Grove 25 76.00 48 81.25 45 86.67
Rasmussen College – Eagan 25 76.00 52 88.46 49 89.80 Rasmussen College – Mankato 78 94.80 28 89.29 32 90.63 Rasmussen College – Moorhead 11 81.82 27 88.89 27 85.19 Rasmussen College – St. Cloud 15 93.33 17 100 35 100 Rasmussen College, Mankato Campus*** 256 91.80 Ridgewater College 84 90.48 20 100 20 90.00 24 91.67 Riverland Community College 33 96.97 30 70.00 23 91.30 18 83.33 Rochester Community & Technical College 30 96.67 49 91.84 31 90.32 31 96.77 Saint Paul College 45 77.78 54 79.63 58 79.31 102 64.71 South Central College 45 55.56 13 61.54 20 90.00 10 90.00 St. Cloud Technical & Community College 92 93.48 111 91.89 98 95.92 96 94.79
All MN PN Program Candidates 1,678 86.05 1,383 83.44 1,177 85.13 1,168 86.22 All US Jurisdiction PN Candidates 55,483 82.16 50,971 81.89 47,345 83.70 46,943 83.85
* Closed Program ** Northland Community and Technical College, Thief River Falls merged with Northland Community and Technical College East Grand Forks in January,
2014 *** Rasmussen College separated into distinct campuses in spring, 2015.
Appendix G2
Number and First-time Success Rate of NCLEX-RN® Candidates Educated in
Minnesota Associate Degree Nursing Programs 2014 – 2017
Minnesota Associate Degree Nursing Programs 2014 2015 2016 2017 Number Percent Number Percent Number Percent Number Percent
Alexandria Technical & Community College 34 82.35 32 71.88 29 75.86 19 94.74 Anoka-Ramsey Community College 192 81.77 199 77.89 202 78.22 188 75.53 Central Lakes College 85 77.65 76 75.00 75 68.00 75 80.00 Century Community College 105 92.38 90 95.56 111 91.89 115 93.04 Fond du Lac Tribal & Community College 29 75.86 28 64.29 33 51.52 22 36.36 Hibbing Community College 69 94.20 78 93.59 64 92.19 65 92.31 Inver Hills Community College 78 85.90 73 84.93 80 87.50 82 93.90 Lake Superior College 118 69.49 105 82.86 86 93.02 113 95.58 Minneapolis Community & Technical College 68 80.88 136 75.74 121 84.30 80 82.50 MN State College-Southeast 64 82.81 80 63.75 47 61.70 78 67.95 MN State Community & Technical College 116 85.34 114 92.98 105 82.86 123 72.36 MN West Community & Technical College 68 82.35 63 76.19 80 73.75 74 79.73 Normandale Community College 89 88.76 66 92.42 106 84.91 76 94.74 North Hennepin Community College 128 88.28 118 82.20 124 79.84 135 85.93 Northland Community & Technical College 80 80.00 80 86.25 77 84.42 80 73.75 Northwest Technical College – Bemidji 49 77.55 79 67.09 80 68.75 55 80.00 Pine Technical & Community College 25 60.00 28 75.00 26 73.08 24 91.67 Rasmussen College – Blaine 53 83.02 138 74.64 116 71.55 Rasmussen College – Bloomington 60 91.67 187 89.84 192 79.69 Rasmussen College - Mankato 36 81.89 99 85.42 83 91.57 Rasmussen College – Moorhead 20 90.00 60 80.00 43 90.70 Rasmussen College – St. Cloud 56 75.00 88 86.36 111 80.18 Rasmussen College** 42 80.95 177 85.31 Ridgewater College 71 87.32 80 85.00 76 85.53 84 83.33 Riverland Community College 59 66.10 67 67.16 39 76.92 32 75.00 Rochester Community & Technical College 94 87.23 95 89.47 96 91.67 101 85.15 South Central College 49 67.35 53 83.02 40 80.00 34 97.06 St. Catherine University, Minneapolis 110 75.45 96 79.17 97 76.29 85 89.41 St. Cloud Technical & Community College 47 76.60 44 93.18 49 91.84 44 88.64
MN Program Associate Degree Candidates 1,869 81.59 2,282 81.68 2,415 81.86 2,329 82.78 All US Jurisdiction Associate Degree Candidates 86,368 79.27 84,417 82.00 81,744 81.68 79,498 84.24
All MN RN Program Candidates 3,054 81.76 3,403 83.72 3,628 82.86 3,560 84.72 All US Jurisdiction RN Candidates*** 157,357 81.79 157,955 84.51 157,206 84.56 157,732 87.11
* Closed Program ** Rasmussen College separated into distinct campuses in spring, 2015. ***Includes diploma, associate degree, baccalaureate & higher degree candidates
Appendix G3
Number and First-time Success Rate of NCLEX-RN® Candidates Educated in Minnesota Baccalaureate and Higher
Degree Nursing Programs 2014 – 2017 Minnesota Baccalaureate and Higher Degree Nursing Programs
2014 2015 2016 2017 Number Percent Number Percent Number Percent Number Percent
Bemidji State University 35 88.57 44 88.64 41 90.24 42 85.71 Bethel University 73 79.45 77 88.31 81 74.07 83 84.34 College of St. Benedict/St. John’s University 53 69.81 47 93.62 50 90.00 52 82.69
College of St. Scholastica 171 80.12 155 90.97 181 85.08 165 81.21 Concordia College 34 88.24 41 97.56 35 88.57 38 92.11 Crown College 26 65.38 18 94.44 15 86.67 20 95.00 Globe University/MN School of Business* 38 81.58 39 89.74 42 85.71 27 88.89 Gustavus Adolphus & St. Olaf Colleges** 47 76.60 43 81.40 2 50.00 Gustavus Adolphus** 28 89.29 30 83.33 Herzing University 20 65.00 27 77.78 14 100 18 100 Metropolitan State University, Baccalaureate 24 87.50
Metropolitan State University, Master 26 88.46 1 100 23 73.91 26 84.62 Minnesota State University, Mankato 77 84.42 70 74.29 81 76.54 78 87.18 National American University* 17 70.59 25 52.00 21 57.14 9 55.56 Presentation College 22 59.09 17 76.47 24 83.33 12 66.67 Rasmussen College 25 72.00 St. Catherine University, Baccalaureate 110 79.09 92 83.70 78 87.18 59 89.83 St. Catherine University, Master 32 96.88 37 100 St. Cloud State University 82 86.59 73 94.52 77 87.01 74 94.59 St. Olaf College** 23 91.30 24 100 University of Minnesota, Baccalaureate 118 88.14 124 88.71 138 84.78 139 88.49 University of Minnesota, Master 61 90.16 63 90.48 62 83.87 62 96.77 University of Northwestern – St. Paul 18 100 26 96.15 20 100 39 97.44 Winona State University 157 85.35 139 92.09 145 86.90 148 92.57 MN Program Baccalaureate and Higher
Degree Candidates 1,185 82.03 1,121 87.87 1,213 84.83 1,231 88.38
All US Jurisdiction Baccalaureate and Higher Degree Candidates 68,161 84.94 70,886 87.48 72,667 87.80 75,938 90.04
All MN RN Program Candidates 3,054 81.76 3,403 83.72 3,628 82.86 3,560 84.72 All US Jurisdiction RN Candidates*** 157,357 81.79 157,956 84.51 157,206 84.56 157,732 87.11
* Closed Program ** Gustavus Adolphus and St. Olaf College separated 2014 *** Includes diploma, associate degree, baccalaureate & higher degree candidates
Appendix H
Minnesota Advanced Practice Nursing Programs
SCHOOL
LOCATION
PROGRAM TRACK
CNM CNP CNS CRNA
Augsburg University Minneapolis, Rochester X (DNP) Bethel University Arden Hills X (MSN) College of St. Scholastica Duluth, Sartell X (DNP) Mayo Clinic School of Health Sciences Rochester X (DNP) Metropolitan State University St. Paul X (DNP) Minneapolis School of Anesthesia St. Louis Park X (MSN) Minnesota State University, Mankato Mankato X (MSN) St. Catherine University St. Paul X (DNP) Saint Mary’s University of Minnesota Minneapolis X (MSN) University of Minnesota Minneapolis, Rochester X (DNP) X (DNP) X (DNP) X (DNP) Walden University Minneapolis X (MSN) Winona State University Rochester X (DNP) X (DNP)
Appendix I
Faculty Teaching in Advanced Practice Nursing Programs Table 6. Number of Faculty in Minnesota Advanced Practice Nursing Programs
Program Name Full Time Part Time Total Faculty
Augsburg University 4 2 6 Bethel University Nurse Midwifery Program 7 7 14 College of St. Scholastica Department of Graduate Nursing 9 11 20 Mayo Clinic College of Medicine School of Health Sciences Nurse Anesthesia Graduate Programs 2 17 19
Metropolitan State University School of Nursing 11 9 20 Minneapolis School of Anesthesia 4 8 13* Minnesota State University, Mankato School of Nursing 11 3 14 St. Catherine University Graduate Nursing Programs 5 11 17* Saint Mary’s University of Minnesota Master of Science in Nurse Anesthesia 2 17 19
University of Minnesota School of Nursing Doctor of Nursing Practice Program 68 3 74*
Walden University Master of Science in Nursing Nurse Practitioner Program 10 125 142*
Winona State University Graduate Programs in Nursing 7 9 16
Total 140
(37.4%) 222
(59.4%) 374
(100%) *Twelve faculty positions were not classified as full or part time Table 7. Unduplicated Advanced Practice Programs Faculty Count: Faculty Credentials
Faculty Credential (N) designates a major in Nursing Highest Academic Credential Earned
Baccalaureate (N) - Baccalaureate 1 Masters (N) 5 Masters - Doctorate (N) 23 Doctorate 64 PhD (N) 73 APRN Post-Graduate Certificate – Nurse Anesthesia 1 Masters in Nurse Anesthesia 31 Doctorate in Nurse Anesthesia 5 Masters in Nurse Midwifery 6 Doctorate in Nursing – Nurse Midwifery 4 Masters in Nursing – CNS Role 1
Doctorate in Nursing Practice – CNS Role 4 Masters in Nursing – NP Role 43 Doctorate in Nursing Practice – NP Role 112 Post Masters Certificate – NP Role 1 Post Masters Certificate – Nurse Midwifery - Post Masters Certificate – CNS -
Total Number of Faculty 374
Appendix J
Number of Students Admitted and Completing Program by Track
Advanced Practice Program Tracks 2017
# students admitted to program track
# students completing program track
Augsburg University Family Nurse Practitioner 54 7
Bethel University Nurse Midwifery 21 10
College of St. Scholastica Adult/Gerontology Primary Care Nurse Practitioner 9 2 Adult Nurse Practitioner Doctor of Nursing Practice - - Family Nurse Practitioner 37 13 Psych/Mental Health Doctor of Nursing Practice 6 3 Post Grad Certificates (unspecified) 2 6
Mayo Clinic College of Medicine Nurse Anesthesia 26 23
Metropolitan State University Family Nurse Practitioner 18 16
Minneapolis School of Anesthesia Nurse Anesthesia 33 30
Minnesota State University, Mankato Family Nurse Practitioner 19 18
St. Catherine University Adult/Gerontology Nurse Practitioner 34 27 Pediatric Nurse Practitioner 10 11
Saint Mary’s University Nurse Anesthesia 32 33
University of Minnesota Adult/Gerontology Clinical Nurse Specialist 2 5 Adult/Gerontology Primary Care Nurse Practitioner 12 11 Family Nurse Practitioner Doctor of Nursing Practice 11 19 Nurse Anesthesia Doctor of Nursing Practice 12 14 Nurse Midwifery Doctor of Nursing Practice 10 10 Pediatric Clinical Nurse Specialist Doctor of Nursing Practice 1 0 Pediatric Primary Care Nurse Practitioner 5 12 Psych/Mental Health Doctor of Nursing Practice 11 14 Women’s Health Nurse Practitioner Doctor of Nursing Practice 10 7
Walden University Adult/Gerontology Acute Care Nurse Practitioner 1019 315 Adult/Gerontology Primary Care Nurse Practitioner 726 245 Family Nurse Practitioner 3281 1215 Psych/Mental Health Nurse Practitioner 1336 -
Winona State University Adult/Gerontology Acute Care Nurse Practitioner Doctor of Nursing Practice 33 13
Adult/Gerontology Clinical Nurse Specialist Doctor of Nursing Practice 31 7
Adult/Gerontology Primary Care Nurse Practitioner Doctor of Nursing Practice 2 0
Family Nurse Practitioner Doctor of Nursing Practice 39 15 Psych/Mental Health Nurse Practitioner - -
Adult Gerontology Acute Care Nurse Practitioner 1052 * 328 * Adult Gerontology Primary Care Nurse Practitioner 783 * 285 *
Family Nurse Practitioner 3459 1303 Pediatric Nurse Practitioner 15 23
Psych/Mental Health Nurse Practitioner 1353 17 Women’s Health Nurse Practitioner 10 7
Total Certified Nurse Practitioner 6,672 1,963 Total Certified Registered Nurse Anesthetist 103 100
Total Clinical Nurse Specialists 34 12 Total Certified Nurse Midwife 50 27
Total Post Grad Certificate (unspecified) 2 6 Total 6,861 2,108
*While nursing programs offer specific tracks in acute and primary care for the Adult-Gerontology, MN statute does not differentiate acute vs primary.
Appendix K
First Time Success Rate on Certification Exam By Program Track*
Table 8. Minnesota Program’s First-Time Success Rates by Track
Advanced Practice Program Tracks
2014 2015 2016 Percent
Pass Percent
Pass Percent
Pass Augsburg University
Family Nurse Practitioner - - - Bethel University
Nurse Midwifery - - 80 College of St. Scholastica
Adult/Gerontology Primary Care Nurse Practitioner - ANCC 100 83.33 - Adult/Gerontology Primary Care Nurse Practitioner – AANPCP - 100 75 Family Nurse Practitioner – ANCC 100 92.86 100 Family Nurse Practitioner – AANPCP - 83.33 90 Psych/Mental Health Doctor of Nursing Practice 66.67 84.62 90
Mayo Clinic College of Medicine Nurse Anesthesia 92 84 84
Metropolitan State University Family Nurse Practitioner - - 100
Minneapolis School of Anesthesia Nurse Anesthesia 84.8 90.3 86.2
Minnesota State University, Mankato Family Nurse Practitioner 91 85 100
St. Catherine University Adult/Gerontology Primary Care Nurse Practitioner 100 96 - Pediatric Primary Care Nurse Practitioner 90 82 85
Saint Mary’s University Nurse Anesthesia 88 80.8 81.8
University of Minnesota Adult/Gerontology Clinical Nurse Specialist - ANCC 100 100 67 Adult Nurse Practitioner – AANPCP 83 100 - Adult/Gerontology Nurse Practitioner - ANCC 100 100 - Adult/Gerontology Nurse Practitioner – AANP - - 88 Family Nurse Practitioner - ANCC 100 - - Family Nurse Practitioner – AANP 100 100 100 Nurse Anesthesia 72 63 69 Nurse Midwifery 100 100 100 Pediatric Clinical Nurse Specialist 100 100 - Pediatric Primary Care Nurse Practitioner 100 100 100 Psych/Mental Health Nurse Practitioner 100 100 100 Women’s Health Nurse Practitioner 100 78 100
Walden University Adult/Gerontology Acute Care Nurse Practitioner – ANCC - 71 71 Adult/Gerontology Acute Care Nurse Practitioner – AACN - 68 77 Adult/Gerontology Primary Care Nurse Practitioner – AANP 74 80 61 Adult/Gerontology Primary Care Nurse Practitioner – ANCC 60 31 53 Family Nurse Practitioner – AANP 79 70 73 Family Nurse Practitioner – ANCC 50 50 63 Psych/Mental Health Nurse Practitioner - ANCC - - -
Winona State University Adult/Gerontology Acute Care Nurse Practitioner 83.3 100 100 Adult/Gerontology Primary Care Nurse Practitioner - - 100 Adult/Gerontology Clinical Nurse Specialist 80 100 100 Family Nurse Practitioner 100 100 100 Psych/Mental Health Nurse Practitioner - - -
*Because there may be a low number of graduates/year, consideration of trends is helping in reviewing results
Table 9. National Certification Organization First-Time Exam Statistics National Certification Organization Exam Statistics
2014 2015 2016 Percent
Pass Percent
Pass Percent
Pass American Academy of Nurse Practitioners (AANP)
Adult-Gerontology Primary Care Nurse Practitioner 85.7 81.7 75.7 Adult Nurse Practitioner 78 75.5 68.6 Family Nurse Practitioner 87.5 81.4 81.6
American Association of Critical-Care Nurses Certification Corporation (AACN)
Acute Care Nurse Practitioner 60 - Adult Clinical Nurse Specialist 80.9 - Adult/Gerontology Acute Care Clinical Nurse Specialist 88.1 83.3 Adult/Gerontology Acute Care Nurse Practitioner 76.4 73.4 Neonatal Acute Care Clinical Nurse Specialist 100 100 Neonatal Clinical Nurse Specialist 100 - Pediatric Acute Care Clinical Nurse Specialist 100 75 Pediatric Clinical Nurse Specialist 50 -
American Midwife Certification Board (AMCB) Certified Nurse Midwife* 92 91.8 93.9
American Nurses Credentialing Center (ANCC) Acute Care Nurse Practitioner 81.4 88.7 Adult Nurse Practitioner 71.9 75.2 Adult/Gerontology Acute Care Nurse Practitioner 86.3 88.3 Adult/Gerontology Clinical Nurse Specialist 87.1 78.4 Adult/Gerontology Primary Care Nurse Practitioner 78.7 80.1 Adult Health Clinical Nurse Specialist 70.2 79.5 Adult Psychiatric-Mental Health Clinical Nurse Specialist 82.9 75 Adult Psychiatric-Mental Health Nurse Practitioner 69.6 67.9 Child/Adolescent Psychiatric-Mental Health Clinical Nurse Specialist 85.7 60 Family Nurse Practitioner 75.4 82.3 Gerontological Nurse Practitioner 77.4 91.7 Pediatric Clinical Nurse Specialist 75 72.4 Pediatric Nurse Practitioner 79.4 79.4 Psychiatric-Mental Health Nurse Practitioner 87.7 88.7
National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA)
Nurse Anesthetist 86.1 85 84.5 National Certification Corporation for the Obstetric, Gynecological, Neonatal Nursing Specialties (NCC)
Neonatal Nurse Practitioner** 83 88 84 Women’s Health Nurse Practitioner** 87 87 89
Pediatric Nursing Certification Board (PNCB) Acute Care Pediatric Nurse Practitioner 77 74 Primary Care Pediatric Nurse Practitioner 92 92
*May include repeat testers and CM certification results **May include repeat testers
