Leading Initiatives

Employment of New Nurse Graduates and Employer Preferences for Baccalaureate-Prepared Nurses

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In August 2011, AACN conducted an online survey of nursing schools offering baccalaureate and graduate programs in the U.S. to better assess the experience of new graduates in finding employment during these tough economic times. For the first time, AACN asked schools to identify if employers in their region were requiring or preferring that new Registered Nurse (RN) hires have at least a baccalaureate degree in nursing. A brief online survey was developed to solicit information from 833 deans of nursing schools offering baccalaureate and graduate programs. A total of 538 valid responses was received, generating a 64.6% response rate.

The Employment of New Nurse Graduates

Regional reports suggest that nursing school graduates are having difficulty finding employment, which prompted AACN to take action to quantify these claims. Two questions were asked in the August survey about the employment of new graduates from entry-level baccalaureate and master’s programs:

1. What percentage of 2010 graduates from your nursing programs had job offers at the time of graduation?

2. What percentage of 2010 graduates from your nursing programs had job offers within 4-6 months after graduation?

Job Offers at Graduation

Of the 538 schools that responded to the survey, 415 (77.1%) reported having an entry-level baccalaureate program (BSN) and 144 (26.8%) had an entry-level master’s program (MSN ) for which employment data for new graduates were available. The survey found that the average job offer rate at the time of graduation was 56% for new BSN graduates and 74% for entry-level MSN graduates. By comparison, the National Association of Colleges and Employers conducted a national survey of 50,000 new college graduates across disciplines and found that only 24% of new graduates in 2010 had a job offer at the time of graduation.

Looking closer at the AACN data, the survey found little variation in the average rate of job offers at the time of graduation by institutional type (e.g. large vs. small school; public vs. private school; doctoral degree-granting vs. non-doctoral). However, there is some variability by region of the country.  For new BSN graduates, the job offer rate for schools in the South is 64% followed by 57% in the Midwest, 48% in the North Atlantic, and 42% in the West. This rate is higher across the board for entry-level MSN graduates: 78% in the South, 76% in the North Atlantic, 73% in the Midwest, and 64% in the West. These findings indicate that employment of new graduates from entry-level nursing programs is more challenging in different regions of the country.

Job Placement 4-6 Months After Graduation

With respect to job offers for new graduates 4–6 months after the completion of their programs, the survey found this rate to be 88% and 92% for entry-level BSN and MSN graduates, respectively. Once again the survey found little variation based on school type and institutional characteristics. The job offer rate for BSN graduates did vary by region, from 79% for schools in the West to 82% in the North Atlantic to 91% in the Midwest to 92% in the South. Though employment of graduates in the West lags behind the rest of the country, the job offer rate did increase considerably, by 37 percentage points from the time of graduation to the period 4-6 months out of school (42% to 79%). For entry-level MSN program graduates, the job offer rate at 4-6 months post-graduation ranged from 84% in the West to  92% in the South and North Atlantic to 95% in the Midwest.

Employer Preference for New Nurses with Baccalaureate-Level Preparation

As an addition to this year’s employment survey, AACN asked nursing schools to identify if employers in their region were requiring or indicating a preference for hiring new nurses with a bachelor’s degree in nursing. A significant body of research shows that nurses with baccalaureate level preparation are linked to better patient outcomes, including lower mortality and failure-to-rescue rates. With the Institute of Medicine (2010) calling for 80% of the nursing workforce to hold at least a bachelor’s degree by 2020, moving to prepare nurses at this level has become a national priority.

Based on completed responses from 509 schools of nursing, 30.1% of hospitals and other healthcare settings are requiring new hires to have a bachelor’s degree in nursing, while 76.6% of employers are expressing a strong preference for BSN program graduates.

Clearly, healthcare settings nationwide are seeing a difference in nursing practice based on the level of education and are making hiring decisions to enhance the quality of care available to patients. For more background information on this issue, see AACN’s fact sheet on the Impact of Education on Nursing Practice, which may be downloaded at http://www.aacn.nche.edu/media-relations/EdImpact.pdf.

References

Institute of Medicine. (2010). The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press.

National Association of Colleges and Employers. (2011, September). The Class of 2011 Student Survey Report.  Retrieved from http://www.naceweb.org.

Complete survey information and data tables are available to AACN member schools and stakeholders by contacting Research Assistant, Yan Li
at 202-463-6930, ext. 236
yli@aacn.nche.edu