2021 Post-Licensure RN To BSN Education Programs - Texas

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NURSINGEDUCATION2021TEXAS CENTER FOR NURSING WORKFORCE STUDIESI N C O L L A B O R AT I O NWITH THET EXAS B OARD OF N URSINGPROGRAMINFORMATIONPOST-LICENSURE RN TO BSN EDUCATION PROGRAMSSURVEYThis update presents data for the 43 Texas professional nursing programs that indicated they had a post-licensure RNto BSN (Bachelor’s of Science in Nursing) program track during the 2021 reporting year. This report includes onlystudents in Texas enrolled in Texas programs, not students in other states enrolled in Texas programs.The Texas Center for Nursing Workforce Studies (TCNWS) collected data using the 2021 Board of Nursing’s (BON)Nursing Education Program Information Survey (NEPIS) that was available online as of October 4, 2021. The reportingperiod was academic year (AY) 2020-2021 (September 1, 2020 – August 31, 2021) unless otherwise noted. TCNWScollaborated with the BON in the design and dissemination of the survey.RN to BSN Program CharacteristicsIn the 2021 NEPIS, RN to BSN programs were askedto report the number of semester credit hours for upperdivision nursing and the length of time for programcompletion in months.Table 1. Mean and Median Number of Hours Dedicated toClinical ComponentsClinical ComponentThe median number of semester credit hours was30.0, ranging from 21 to 120.The median length of time for program completionwas 12 months (20 programs).36 programs were offered for part-time completion.Programs were asked to provide faculty-to-student ratios:13 programs provided ratios for face-to-facedidactic instruction. The median ratio was 1:20,ranging from 1:7 to 1:40.42 programs provided ratios for online instruction.The median was 1:25, ranging from 1:1 to 1:100.33 programs provided ratios for clinical supervision.The median was 1:10, ranging from 1:1 to 1:35.40 (90.9%) responding programs had requirements for aclinical component. Table 1 shows the mean and mediannumber of hours dedicated to clinical components.Publication #: 25-16631Mean HoursMedian HoursClinical clock hours110.275.5Clinical project hours55.340.5Lab clock hours14.30.0High-fidelity simulation clock hours8.60.0Virtual simulation clock hours23.88.0Programs were asked to report the percentage of theirstudents who had less than 2 years of work experience. Themedian percentage was 20.0%, ranging from 0.0% (10programs) to 90% (1 program). This remains unchangedfrom 2020.Programs were asked whether they offered nursing coursesvia online technology. Of the 43 responding programs:1 of 634 programs (79.1%) offered the entire didacticprogram curriculum online.3 programs (7.0%) offered select courses online.7 programs (16.3%) offered hybrid nursing courses.March 2022www.dshs.texas.gov/nursingworkforce

Qualified Applications to Post-Licensure RN to BSN ProgramsTable 2 presents data on qualified applications andadmissions to post-licensure RN to BSN programs in AY2020-2021. Qualified applications were those that met allcriteria for admission.2Seats for new students may include seats for outof-state students, but qualified applications,applications offered admission, and newly enrolledstudents only include Texas residents.Table 2. Qualified Applications, Admissions, and QualifiedApplications Not Offered Admission, 2014-20211 qualified application was not admitted in 2021,down from 173 qualified applications in 2020.QualifiedOffered ApplicationsAdmission Not OfferedAdmission42 of 43 programs offered admission to allstudents with qualified applications in 2021.NewlyEnrolledPostLicensureStudentsSeatsfor 4,85876 (1.5%)4,021201512,2475,1984,752446 (8.6%)4,135201612,9005,2045,12282 (1.6%)4,573201714,5477,0046,93272 (1.0%)6,039201814,4847,4267,287138 (1.9%)4,768201918,6428,6288,512116 (1.3%)5,514202017,0858,5308,357173 (2.0%)5,873202111,0278,3508,3491 ( 0.1%)5,476Of the 8,349 applications offered admission, 5,476(65.6%) registered and enrolled in a post-licensureRN to BSN program for AY 2020-2021, a decreasefrom the previous year (70.3%).The program that did not accept all qualified applicationsranked the importance of reasons why qualifiedapplications were not accepted.Lack of qualified applicants for budgeted facultypositions was the most important reason whyqualified applications were not accepted, followedby lack of budgeted faculty positions.Qualified applications refers to applications submitted, not individualapplicants, since candidates for admission may apply to more than one nursingprogram.24 programs did not admit new RN to BSNapplicants in AY 2020-2021.Seats for new students decreased by 35.5% in2020, while the number of responding programsdecreased by 1.Seats for new students does not distinguish between non-Texas and Texasresidents.3Per the survey operational definition, seats for new students refers to themaximum number of seats for new students that a program can enroll in anygiven admission period. Seats for new students may be limited by Board ofNursing rules or logistical concerns (faculty size, classroom space, etc.).4Newly Enrolled Students in Post-Licensure RN to BSN ProgramsTable 3 shows the yearly change in newly enrolled, first yearstudents from 2014 to 2021. Newly enrolled students arethose who were offered admission and decided to registerand enroll in the program.Table 3. Change in Newly Enrolled Students, 2014-2021Number ofRespondingProgramsNewly Enrolled PostLicensure Students% AnnualChangeThere were a total of 5,476 newly enrolled postlicensure students in AY 2020-2021.2014284,021-2015404,1352.8%From AY 2019-2020 to AY 2020-2021, the numberof newly enrolled students decreased by %Publication #: 25-166312 of 6March 2022www.dshs.texas.gov/nursingworkforce

Total Enrollment in Post-Licensure RN to BSN ProgramsOn September 30, 2021, as shown in Figure 1, there were6,572 students enrolled in post-licensure RN to BSNprograms.Figure 1. Total Enrollment in Post-Licensure RN to BSNPrograms, 2014-202112,000From 2020 to 2021, enrollment decreased by 1,303students (16.5% decrease) while the number ofresponding RN to BSN programs decreased by 1.10,95710,0007,8758,00042 programs responded to the NEPIS in bothAY 2019-2020 and AY 2020-2021. 24 of theseprograms had a decrease in total enrollment, 15reported increased total enrollment, and 3 did nothave a change in enrollment.6,7708,0738,1456,0004,000Between 2020 and 2021, 1 program opened and 2did not respond to the survey. 3 programs reportedenrollees for the first time in 2017, which couldexplain the large increase that 20202021Graduates from Post-Licensure RN to BSN ProgramsAs shown in Figure 2, there were 4,934 post-licensure RNto BSN graduates during AY 2020-2021.42 programs responded to the NEPIS in bothAY 2019-2020 and AY 2020-2021. 19 of theseprograms reported a decrease in the number of postlicensure RN to BSN graduates during AY 20202021 while 18 increased the number of graduates.5 programs reported the same number of graduatesas AY 2019-2020.This represented a 13.2% increase from AY 20192020 (576 more graduates).Figure 2. Graduates from Post-Licensure RN to BSN 5692,9024,934The 43 post-licensure RN to BSN programs were askedto describe any barriers they faced in increasing postlicensure RN to BSN graduates.A variety of barriers were cited including theCOVID-19 pandemic (16 programs or 27.2%), lackof clinical space/competition with other programs(3 programs or 7.0%%), and cost of program orstudent financial difficulties (3 programs or 18201920202021Publication #: 25-166313 of 6March 2022www.dshs.texas.gov/nursingworkforce

Demographics of Newly Enrolled Post-Licensure RN to BSN StudentsSexFemales made up 86.7% of the 2021 newly enrolled postlicensure RN to BSN student population, an increasefrom the proportion who were female in 2020 (85.8%).Gender data were missing for 0.04% of newly enrolledRN to BSN students.Figure 4.Race/Ethnicity of Newly Enrolled RN to BSNStudents, Pre-Licensure RN Students,6 and Texas Population,7202160%50%Age40%Figure 3 displays the breakdown of age among newlyenrolled post-licensure RN to BSN students in 2021. Agedata were missing for 14.2% of newly enrolled RN toBSN students.Projected Texas PopulationNewly Enrolled Pre-Licensure RN StudentsNewly Enrolled RN to BSN Students45.9%40.5%36.6%40.0%32.8%28.8%30%20%Figure 3. Age of Newly Enrolled Students16.8%16.7%12.0%10%51 years6.8%0%21-25 years16.6%41-50 years19.4%OtherHispanics/Latinos continued to be underrepresentedamong post-licensure RN to BSN students. Whilethe proportion of Hispanics/Latinos was 40.0% inTexas, Hispanics/Latinos made up only 28.8% ofthe post-licensure RN to BSN student population,compared to 32.8% of the pre-licensure RN studentpopulation.26-30 years22.0%31-40 years34.8%There were more Black/African American RNto BSN students (16.7%) and pre-licensure RNstudents (16.8%) compared to the Texas population(12.0%).Newly enrolled RN to BSN students remainedfairly evenly distributed among age groups 21-30,31-40, and 41 or more years.There were considerably more post-licensure RN toBSN students aged 51 and older (6.8%) comparedto pre-licensure RN students (1.6%).6Other students, which include Asian, NativeHawaiian, Alaskan, and other races/ethnicities, alsorepresented a greater proportion of the post- andpre-licensure student population than the Texaspopulation.Race/EthnicityFigure 4 displays the race/ethnicity distribution of postlicensure RN to BSN students in comparison to the race/ethnicity distribution of pre-licensure RN students andthe projected Texas population. Race/ethnicity data weremissing for 2.8% of newly enrolled RN to BSN students.White/Caucasian students made up a greaterproportion of post-licensure RN to BSN newlyenrolled students (45.9%) compared to prelicensure RN students (36.6%) and compared tothe Texas population (40.5%).Publication #: 25-16631White/Caucasian Black/African Hispanic/LatinoAmerican13.8%8.6%7.5%Since 2014 the race/ethnicity distribution of newlyenrolled RN to BSN students has fluctuated butremained mostly unchanged (Figure 5, page 5).International StudentsPrograms reported a total of 56 newly enrolled studentswho were international (1.0% of all RN to BSN newlyenrolled students).84 of 6March 2022www.dshs.texas.gov/nursingworkforce

Figure 5. Race/Ethnicity of Newly Enrolled RN to BSNStudents, 2014-2021Pre-licensure RN data come from the 2021 RN NEPIS fact sheets located on-Reports.aspx660%Texas population data come from the 2021 Texas Demographic al was defined as a person who is not a citizen or permanentresident of the United States and who is in this country on a temporary basisand does not have the right to remain frican AmericanOtherDemographics of Post-Licensure RN to BSN GraduatesSexRace/EthnicityFemales made up 86.8% of the 2021 post-licensureRN to BSN graduate population, unchanged from theproportion who were female in 2020. Gender data wereavailable for all graduates.Figure 7 displays the race/ethnicity distribution of postlicensure RN to BSN graduates in comparison to the race/ethnicity distribution of pre-licensure RN graduates andthe Texas population. Race/ethnicity data were missingfor 3.1% of RN to BSN graduates.AgeFigure 6 displays the breakdown of age among postlicensure RN to BSN graduates in 2021. Age data weremissing for 0.1% of RN to BSN graduates.Figure 7.Race/Ethnicity of RN to BSN Graduates, Pre-LicensureRN Graduates,6 and Texas Population,7 2021Figure 6. Age of Graduates60%50%21-2551 years years9.6%8.3%40%20%10%0%31-40 years38.6%RN to BSN graduates were fairly evenly distributedamong age groups 21-30, 31-40, and 41 or moreyears.There were considerably more post-licensure RN toBSN graduates aged 51 and older (9.6%) comparedto pre-licensure RN graduates (1.8%).6Publication #: 25-1663140.0%30.5%30%26-30 years20.6%41-50 years22.8%49.1%43.7%40.5%Projected Texas PopulationPre-Licensure RN GraduatesRN to BSN Graduates5 of 623.4%16.1%12.8%12.0%White/Caucasian Black/African ucasian graduates made up a higherproportion of post-licensure RN to BSN graduates(49.1%) than pre-licensure RN graduates (43.7%),and the Texas population (40.5%). The postlicensure RN to BSN White/Caucasian graduateproportion decreased from 2020 (55.0%).March 2022www.dshs.texas.gov/nursingworkforce

While the proportion of Hispanics/Latinos was40.0% in Texas, Hispanics/Latinos made up only23.4% of post-licensure RN to BSN graduates,compared with 30.5% of pre-licensure RN graduates.Figure 8. Race/Ethnicity of RN to BSN Graduates, 2014-2021There were more Black/African American postlicensure RN to BSN graduates (16.1%) comparedto pre-licensure RN graduates (12.8%) and theTexas population (12.0%).Other races/ethnicities also represented a greaterproportion of the post- and pre-licensure graduatepopulation than the Texas population.Since 2014 the race/ethnicity distribution of RN toBSN graduates has fluctuated but remained mostlyunchanged (Figure 8).International Students60%50%40%30%20%10%0%2013 2014 2015 2016 2017 2018 2019 2020 2021White/CaucasianHispanic/LatinoBlack/African AmericanOtherPrograms reported a total of 42 graduates who wereinternational students (0.9% of all post-licensure RN toBSN graduates).8Pre-licensure RN data come from the 2021 RN NEPIS fact sheets located at: Reports.aspx6Texas population data come from the 2021 Texas Demographic Center population projections ions/).7International was defined as a person who is not a citizen or permanent resident of the United States and who is in this country on a temporary basis and does nothave the right to remain indefinitely.8Publication #: 25-166316 of 6March 2022www.dshs.texas.gov/nursingworkforce

licensure RN to BSN student population, an increase from the proportion who were female in 2020 (85.8%). Gender data were missing for 0.04% of newly enrolled RN to BSN students. Age Figure 3 displays the breakdown of age among newly enrolled post-licensure RN to BSN students in 2021. Age data were missing for 14.2% of newly enrolled RN to BSN .

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