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Nursing
Workforce Development
Advanced
Education Nursing Program
|
FY
2007
Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
BA |
$57,061,000
|
$61,875,000
|
--- |
($61,875,000) |
Authorizing Legislation: Section 811, Public
Health Service Act, Title VIII, (42 U.S.C. 296j)
FY
2009 Authorization |
Expired |
Allocation
Method |
Competitive
Grant/Contract |
Program
Description and Accomplishments
The
purpose of the Advanced Education Nursing (AEN) Grant
Program is to provide funding to meet the costs of
projects to prepare advanced education nurses through
the enhancement of advanced nursing education and
practice. This program was established through authorizing
legislation in 1998. The term “advanced education
nurses” means nurse practitioners, clinical
nurse specialists, nurse-midwives, nurse anesthetists,
nurse educators, nurse administrators, public health
nurses or other nurse specialists determined by the
Secretary to require advanced nurse education. Advanced
education programs include master’s and doctoral
degree programs, combined RN/master’s degree
programs, post-master’s certificate programs,
and/or in the case of the certificate nurse-midwifery
programs that were in existence on November 12, 1998.
Approximately
13 percent of the nursing workforce is prepared at
the master’s or doctoral level (National Sample
Survey of Registered Nurses, 2004). The AEN authority
provides support for: (1) projects that support advanced
nursing education and practice; and (2) traineeships
for individuals in advanced education programs.
Under
the AEN Program, grants are awarded to eligible institutions
for projects to prepare advanced education nurses
through the enhancement of advanced nursing education
and practice. Eligible entities include collegiate
schools of nursing, academic health centers, and other
private or public non-profit entities accredited by
a national nurse education accrediting agency or State
approval agency recognized by the Secretary of the
U.S. Department of Education. Grants and or contracts
are awarded to eligible entities for three-year project
periods through a competitive peer-reviewed process.
As
reported in the 2004 National Sample Survey of Registered
Nurses, advanced education nurses now make up an estimated
13 percent of the nursing workforce. Support for graduate
level nursing education projects under the AEN Program
often include more than one specialty since core course
requirements are frequently common for all the specialties.
Clinical components are focused on functional roles
of nurse practitioner, nurse-midwife, clinical nurse
specialist, educator, administrator, public health
nurse, and other specialized functions needed in today’s
economic and political environment. These programs
also provide specialized content to better prepare
graduate nurses in emergency preparedness, including
bioterrorism, prevention of violence in communities
and families, care of survivors, and mental health
care of survivors of violence including veterans returning
from the conflicts of war.
Nurse
Practitioner (NP) and Nurse-Midwifery projects involve
education of NPs and nurse-midwives who directly provide
quality, affordable, cost-effective primary care services
to underserved populations. Thirty-seven percent of
nurse anesthetists practice in communities of less
than 50,000 and there continues to be a shortage of
nurse anesthetists in rural and inner city areas.
Nurse anesthetists are the predominant anesthesia
providers in rural areas providing up to 70 percent
of all anesthesia services. Other types of advanced
education nurses are needed to work in all areas,
especially in areas to improve access for underserved
populations and to increase applicants to schools
of nursing.
In
FY 2007, 49 new grantees and 85 non-competing continuation
grantees were funded. These programs prepare primary
care nurse practitioners, nurse-midwives, nurse anesthetists,
clinical nurse specialists, nurse administrators,
public health nurses, and nurse specialists in informatics.
They also prepare advanced practice nurses that will
serve as direct care providers (primary care providers),
leaders in health care and public health, and nursing
faculty. The estimated contributions of graduates
include increasing access to primary health care,
providing primary, secondary and tertiary prevention,
and providing direct care across the life span in
a wide variety of settings such as hospitals, in the
home, long term care settings and in health care systems.
These providers work in health systems to assure continuous
quality of care.
A
new trend in nursing education is the Doctor of Nursing
Practice (DNP) degree which is a practice doctorate.
The majority of advanced practice nursing programs
are transitioning existing master’s programs
into DNP programs. The DNP programs emphasize the
use of evidence-based interventions to provide quality
care.
Most
of the Health Professions' Title VII and Title VIII
PHS Act programs were reviewed as a unit in 2002 using
the Program Assessment Rating Tool (PART) and was
rated as Ineffective. This program was included in
that assessment. See Summary of the Request.
Funding includes costs associated with grant reviews,
processing of grants through the Grants Administration
Tracking and Evaluation System (GATES) and HRSA’s
electronic handbook, and follow-up performance reviews.
Funding
History
FY
2004 |
$58,636,000 |
FY 2005 |
$58,160,000 |
FY
2006 |
$57,021,000 |
FY 2007 |
$57,061,000 |
FY 2008 |
$61,875,000 |
Budget
Request
The
FY 2009 Budget does not request funding for this program.
Less than 10 percent of students enrolled end up practicing
in an underserved area and the number of these practitioners
that are minorities is less than 5 percent. The President’s
budget reduces funding for other health professional
activities that have demonstrated no substantial impact
of health professionals in underserved areas and directs
resources to nursing programs that provide direct
patient care in areas where nurses are critically
needed through scholarship and loan repayment programs.
Programs for the education of nursing faculty and
advanced practice nurses who serve in rural and underserved
areas may be assumed by sources other than the Federal
government, such as, State and local governments,
foundations, private sector endowments, and heath
care organizations.
# |
Key
Outputs |
FY
2004 Actual |
FY
2005 Actual |
FY
2006 |
FY
2007 |
FY
2008
Enacted |
FY
2009 Est |
Out-Year
Target |
Target |
Actual |
Target |
Actual |
Advanced
Education Nursing Program: 1/ |
|
Number
of students*** |
3,800 |
2,931 |
NA |
4,830 |
NA |
5,978 |
6,287 |
-- |
NA |
|
Number
of minority/disadvantaged students enrolled |
836 |
722 |
NA |
1,126 |
NA |
1,327 |
1,396 |
-- |
NA |
|
%
minority/disadvantaged enrollment |
22 |
25 |
NA |
23 |
NA |
22 |
22 |
-- |
NA |
|
Number
of graduates |
1,140 |
1,191 |
NA |
1,139 |
NA |
1,374 |
1,445 |
-- |
NA |
|
Number
of graduates practicing in underserved areas |
456 |
409 |
NA |
473 |
NA |
534 |
562 |
-- |
NA |
|
%
of graduates practicing in underserved areas |
40 |
37 |
NA |
34 |
NA |
39 |
39 |
-- |
NA |
|
Traineeship
Programs: 2/ |
|
|
NA |
|
NA |
|
|
|
NA |
|
Number
of students supported*** |
8,925 |
9,018 |
NA |
9,047 |
NA |
9,000 |
10,435 |
-- |
NA |
|
Number
of graduates supported* |
2,.465 |
2,800 |
NA |
3,287 |
NA |
3,629 |
4,208 |
-- |
NA |
|
Number
of graduates practicing in underserved areas |
4,702 |
5,114 |
NA |
INA |
NA |
1,705 |
1,975 |
-- |
NA |
|
%
of grads practicing in underserved areas |
49 |
48 |
NA |
47 |
NA |
47 |
47 |
-- |
NA |
|
Appropriated
Amount ($ Million) |
$58.64
|
$58.16
|
|
$57.02
|
|
$57.06
|
$61.88
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NA – Not Applicable
***Includes both full-time and part-time students
1/ Advanced Education Nursing Program output targets
have been consolidated and include Nurse Practitioner
and Nurse Midwifery Programs, Nurse Anesthetist Education
Programs and Other Educational Programs.
2/ Traineeship Program targets have been consolidated
and include the Nurse Anesthetist Traineeship Program
and the Advanced Education Nursing Traineeship Program.
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