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Enrollment Success Stories and Challenges to Future Growth

"There is a myth out there that all nursing programs have waiting lists, but this is simply not true."

Terry Misener, PhD, RN,
Dean of the University of Portland School of Nursing

The American Association of Colleges of Nursing compiled the following success stories of how schools of nursing are addressing the nursing shortage.

At schools around the country, education-community partnerships have been key to expansion efforts. "The increase in nursing program enrollments at San Diego State University is the direct result of partnerships with ten health care agencies and two foundations," said Patricia Wahl, PhD, RN, dean of the School of Nursing. "Altogether our partners have committed a little over $4 million to this project which is truly a win-win situation for the school and the community we serve." This financial and clinical support has enabled the university to grow its nursing program by 94 students this year.

"Clinical partnerships have played a key role in the school’s success," said Carol Winters-Moorehead, PhD, RN, dean of nursing at Hawaii Pacific University. "We actively secured student clinical placements with over 55 health care agencies on the island of Oahu, and are always looking for new partnership opportunities." The school’s ability to increase enrollments by 60 students was also facilitated by the construction of a new nursing skills laboratory and the addition of professional nursing academic advisors and personal counselors.

At many institutions, enrollment growth is a factor of how well schools have been able to bridge the faculty shortage gap. A new "loaned faculty program" involving a consortium of area hospitals was key to Texas Woman’s University (TWU) increasing their baccalaureate student population from 596 to 699 students. In an organized effort supported by the Greater Houston Partnership and the Gulf Coast Workforce Commission, hospitals in the Houston/Galveston area provided qualified staff to teach clinical sections of undergraduate courses for all nursing programs in the region. "This fall we had 16 hospital employees, fully paid by the hospital, assigned to teach with us which enabled TWU to enroll more students," said Carolyn Gunning, PhD, RN, dean of the College of Nursing. "This represents a huge financial investment by hospitals and has contributed significantly to the increased enrollment."

State and federal funding support has enabled many schools to add faculty and improve the infrastructure needed to educate the future nursing workforce. Last year, the Texas legislature devised a mechanism to provide additional formula funding to schools that demonstrate an increase in nursing enrollment. "Texas Woman’s University received $517,000 last year from this fund and were able to add six new faculty positions and nursing admissions coordinators in Dallas and in Houston," explained Dr. Gunning.

"There is a noticeable greying of the professoriate in nursing and few entries in recent years," noted Bernadette Curry, PhD, RN, chair of the Department of Nursing at Molloy College in New York. "To that end, Molloy is focusing on the nurse educator track in our graduate program to prepare nurses with an educational foundation and encourage them to take vital roles in nursing education." Molloy College realized a 24 percent jump in baccalaureate enrollments this fall.

"A multifaceted strategy engaging policymakers, business and community leaders, and healthcare providers is essential to building the momentum for change," said Betty Rambur, DNSc, RN, dean of the School of Nursing at the University of Vermont. This year, the school saw a 74 percent increase in applications this fall and a 31 percent increase in enrollments. Vermont’s success was facilitated by state-sponsored loan repayment and loan forgiveness programs and scholarship funding provided by the Stowe-based Freeman Foundation.

Reaching out to new audiences and building collaborations are also factors in effectively increasing enrollments. At College Misericordia in Pennsylvania, administrators have focused their efforts on reaching out to nontraditional students by offering a part-time, accelerated and evening programs. "The school is extremely sensitive to the specific needs of non-traditional adult students, and we have designed programs to provide this special population with the same quality in nursing education afforded to our traditional full-time students," said Donna Snelson, MSN, RN, chair of the nursing department.

At the Newark campus of Rutgers, The State University of New Jersey, the nursing school was able to enroll an additional 114 nursing students this fall due largely to well coordinated outreach efforts. "The College of Nursing and the University's Admissions Office have improved communication and awareness of the nursing programs through collaborative initiatives" said dean Felissa R. Lashley, PhD, RN. "We now effectively reach out to high schools, associate degree programs, health care agencies, and diploma nursing programs in an effort to grow enrollments."

Though baccalaureate enrollments have increased this year, schools are faced with a number of barriers to further expansion, chief among them being the shortage of faculty. "The major obstacle to expanding further is faculty," said Dr. Gunning. "We do not have enough faculty positions to accommodate future growth, and we cannot find enough faculty to accept positions for the salary we pay." This fall, TWU turned away about 75 qualified applicants, and administrators expect more students will be turned away this spring.

"In spite of accepting additional students into the clinical component this fall, we were still unable to admit 40 eligible applicants,"added Dr. Booth from Southeastern Louisiana University. "The major barriers to future enrollment increases are the lack of qualified faculty and the growing competition for clinical space."

Though many nursing schools are at capacity, some regions of the country are still struggling to find qualified applicants. "Though the University of Portland experienced a 24 percent increase in nursing enrollments this year, some seats went unfilled," said Dr. Misener. "There is a myth out there that all nursing programs have waiting lists, but this is simply not true."