School of Nursing and Health Studies, University of Washington Bothell, Bothell, WA.
Center for Health Workforce Studies, Department of Family Medicine, University of Washington, Seattle, WA.
Nurs Outlook. 2021 Jul-Aug;69(4):598-608. doi: 10.1016/j.outlook.2021.01.009. Epub 2021 Apr 15.
Increasing nursing workforce diversity is essential to quality health care. Associate Degree in Nursing (ADN) programs are a primary path to becoming a registered nurse and an important source of nursing diversity.
To examine how the number of graduates and racial/ethnic student composition of ADN programs have changed since the Institute of Medicine's recommendation to increase the percentage of bachelor's-prepared nurses to 80%.
Using data from the Integrated Postsecondary Education System, we analyzed the number of graduates and racial/ethnic composition of ADN programs across public, private not-for-profit, and private for-profit institutions, and financial aid awarded by type of institution from 2012-2018.
Racial/ethnic diversity among ADN programs grew from 2012-2018. Although private for-profits proportionally demonstrated greater ADN student diversity and provided financial aid institutionally to a higher percentage of students, public schools contributed the most to the number and racial/ethnic diversity of ADN graduates.
Given concerns regarding private for-profits, promoting public institutions may be the most effective strategy to enhance diversity among ADN nurses.
增加护理人员的多样性对于提供高质量的医疗保健至关重要。护理副学士学位(ADN)课程是成为注册护士的主要途径,也是护理人员多样性的重要来源。
自医学研究所建议将 80%的护士具备学士学位提高到 80%以来,我们旨在研究 ADN 课程的毕业生人数和学生种族/民族构成发生了怎样的变化。
利用综合高等教育系统的数据,我们分析了 2012-2018 年间公立、私立非营利和私立营利机构的 ADN 课程的毕业生人数和种族/民族构成,以及按机构类型提供的各种财政援助。
ADN 课程的种族/民族多样性从 2012 年到 2018 年有所增加。尽管私立营利机构在 ADN 学生多样性方面表现出更大的比例,并且在机构层面为更高比例的学生提供财政援助,但公立学校对 ADN 毕业生的数量和种族/民族多样性的贡献最大。
鉴于对私立营利机构的担忧,推广公立机构可能是增强 ADN 护士多样性的最有效策略。