Leading Initiatives

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

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In August 2014, AACN conducted its fifth 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 fourth consecutive year, 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 651 deans of nursing schools offering baccalaureate and graduate programs. A total of 461 valid responses was received, generating a 70.8% 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:

  • What percentage of 2013 graduates from your nursing programs had job offers at the time of graduation?
  • What percentage of 2013 graduates from your nursing programs had job offers within 4-6 months after graduation?

Job Offers at Graduation

Of the 461 schools that responded to the survey, 406 (88.1%) reported having an
entry-level baccalaureate program (BSN) and 70 (15.2%) 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 67% for entry-level MSN graduates. By comparison, the National Association of Colleges and Employers conducted a national survey of 43,864 new college graduates across disciplines and found that only 29.3% of new graduates in 2013 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 66% followed by 56% in the Midwest, 52% in the North Atlantic, and 35% in the West. This rate is higher across the board for entry-level MSN graduates: 78% in the North Atlantic, 75% in the South, 71% in the Midwest, and 35% 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 87% and 90% 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 74% in the West, 82% in the North Atlantic, 91% in the South, and 92% in the Midwest. For entry-level MSN program graduates, the job offer rate at 4-6 months post-graduation ranged from 76% in the West, 93% in the North Atlantic, 93% in the South, and 96% in the Midwest. 

Employer Preference for New Nurses with Baccalaureate-Level Preparation

Once again this year, 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 461 schools of nursing, 45.1% of hospitals and other healthcare settings are requiring new hires to have a bachelor’s degree in nursing (up 1.4 percentage points since 2013), while 79.6% 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  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. (2013, May). The Class of 2013 Student Survey Report. Retrieved from www.naceweb.org/s05152013/job-offer-acceptance-rate.aspx.

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