with the ,.::,;:,,,: ,::;, ;: ‘-“,.,:, _/;, “y:,; :> .:,‘,*‘*.::.,:: ‘,,’ ,,, ;:/;
;,,:< ,,,,
NURSING SCHOOLENROLLMENTS 1’5 FALLDESPITE DEMANDFORRNs ,f ,,i,;::,+ &,” ,: Enrollments of nursing students <,..“,,>f ,,;;:>,;,.;)” ,S,l ,A.:; ,, ,,,,., in entry-level bachelor’s degree ,:,,,:. ,:a*,, :,‘, programs fell 4.6% last fall and .< ‘_::I master’s degree enrollments at ::,:; .L.,,.)‘r:: *_ nursing schools declined slightly :,,z:,, ::/’ $ by 1.9% compared with a year ago, .:::::+’ ,,;, according to the latest annual sur*>.‘ :,,I ,_; ;:::i ;,:,.* vey by the American Association of ‘ :i -,,, /,_,, ‘*,< ” *i!, “,’ 1, ,,.; 8’; Colleges of Nursing (AACN) . .{‘ 8, ,*;r,‘ :‘ ,:‘ I :,‘ The decline in bachelor’s enroll:#J /:I;” -*, 2’ y: ments-the fifth consecutive drop s,; *,::/_ in as many years in a matched :j,,;:: ~J.. :,‘ 9, ,(,,:,;;‘_ group of schools-is in sharp con.,‘,,,,i’ ,.,,,,,, ,,:,,,::,,, II‘I/, trast to the health system’sescalat‘p’ ,::::: ing demand for baccalaureate- and ,.(li. ,,:.1.: ,,:; graduate-prepared nurses to meet health care and health promotion needs. Aggressive recruiting by ;,.;,,il;,;‘J;’ hospitals, HMOs, primary care :::;::,;~i:‘:;;,::~~,,, ,I,,.,. ‘,,:~,yd,,,! centers,outpatient surgical centers, (j,;,: and other employers is causing a :.,: . 1 shortage otr -Us K1 nationwide. _.,,,, a-; : I,,, ,;: ,,y:,,x 3;’ “j*“,: ‘)‘ ,‘ : ,i,,. Declines in entry-level baccalau,-: _, -:.;, ,::;,,,::,:,I:;‘,.::i::: reate nursing enrollments were ,,,:f.;,::‘“,,‘ i,+ , Z,“’ ,;,_ ;,:“,‘,,:,$’ ,;;,‘ ‘I,,$‘,: seen in every region in fall 1999, ,:‘:_, “h ,_) ___,.,; :_ ‘.,;;,,, ,: ranging from a decline of 2% in i./, I,: Western states to a decrease of ::, ii,.j::‘ _,., o”::‘ 7.4% in North Atlantic schools I,,,,, ,:,*yj::. ..+~ 5i,::;: ,i,:r~,~rl-. :‘ -i,,,_;: ‘,,, ::.,: ,_ ‘: compared with a year ago. ./ ,‘ ,‘ ,, #,V.. ,;,, *,, ,$ if{ :,;:,; ‘;“’:,‘:;:;, ;.,f’$. ““,“;:::,“,:,-,-:’ “.?,i, However, in the same period, ,‘,:,:: ’1 ,,;:i:, ,s>: :,,,:, ,.A> ,’ -7;. ‘:; graduate enrollments grew in sev,if,$ ]:: era1regions. Master’s degree nurs,$::::: ;?:: ” ing enrollments increased in the ‘:,:~‘,,. ;r,: A,, :$p:‘ :‘ :,>::, #.,, ,“‘:‘,;:l’;‘*,,;,, ‘,;;$:;: West (6.1%), stayed virtually l.L ;,:::,:,::, unchanged (0.4%) in Southern <,..<&i “, ‘y,: schools, but fell elsewhere,declin;s;:;s,< ‘‘a: $ ing 6% in the Midwest and 4.2% in +-, ,:,#,’ North Atlantic states. Doctoral ,, ,.,‘ 2,., ;’ ‘ 1. .:.:*;, ”I/4.;;;v ‘;:,-,, *__, :’ ,;::,,:‘ _> ,, enrollments in nursing rose in most 4,-,,,; a.,:‘ ,‘,j’ ,!, ,> v,, f’ ,: :‘ Jj ]i”; regions, ranging from increasesof ‘.Ir,,:’ 11 1% and 6% in Southern and ,,.a, 1,1, “,i,‘ ;:,.:; -;~*; Western schools, respectively, but .-,:‘ ,,,,,, ; “, ,,,‘ ,. ,,S,,’ //_;,,;,I,,,,, I,%,. fell 4.9% in the Midwest. :::,,~,“,.” ,, $,,’ *,::‘:“,,: ‘.::.‘ #.‘ “,$:f,#: ) ,‘ i,,.‘ :_,, ,,,,>, ‘f,,,< AACN’s findings are based on ;,*’ ‘:y,: responses from a total of 548 :;!/’ y:;q ;,, : ,;;,-,,t! : (81.7%) of the nation’s nursing ,‘L, ;:i, i., _ ,,:5,:;’ 1 I”,. schools with bachelor’s and gradu.::’ ,$,: ate programs. Data reflect actual :,:!.-,‘ ,>l’ ‘,,.‘ ‘,,,,,. *q I>,‘ t .*i counts, not projections. Programs ,,,ZZ’“,,,, .‘.;:,,, ,,,;,:,.., ,J:i, ,.),_ n;,,‘,,‘fi,$ p,,;‘ ;j1 offering 2-year associate degrees ‘,,> and hospital diplomas were not ,,* ‘iJ!. included. For more information, ,,,,>‘ ,.,~
Certification Corporation (ONCC) : They mention that the outlook for board of directors voted to sus- nurse PIs to receiveagencyfunding pend the requirement of a bacheis good for two reasons:AHRQ is lor’s degree in nursing as eligibility interested in many of the same to take the OCN (oncology certiresearchtopics of interest to nurses, fied nurse) examination. This such as diseaseprevention, health promotion, primary care, quality of requirement was suspended for care delivery, and service delivery. two reasons. First, the American Board of Nursing Specialties, Also, the agency’s budget has which sets the standards for nursincreasedfrom roughly $45 million ing certification and from which in 1989 to more than $200 million in FY 2000. At the same time that ONCC received accreditation in funding has increased, current 1994, voted in Septemberto elimicommitments are ending, and the nate the BSN as a requirement for basic nursing certification. Second, existing application pool is small but growing. Now is a very opporONCC reanalyzed data from the tune time for nurse Pls to apply for most recent study of role delinAHRQ funding, particularly beeation in basic oncology nursing practice and found very few differcausethe agencywants to strengthen its relationship with the nursing ences in the importance and frequency of tasks of nurses with a researchcommunity. Researchapplications should be BSN as their highest degree cominnovative and well written. In pared with nurses with a diploma addition to the health services or associate’sdegree. Some ONCE publications still research focus, proposals should include an interdisciplinary rereflect the incorrect BSN requiresearch team and focus on timeliment, but future communications ness and relevance. Investigators will reflect the new OCN certificaalso should address the practical tion requirements. For more inforand applied clinical origin of the mation about this change or oncolproposal, anticipated impact of the ogy nursing certification, call the proposed study on health care ONCC at (412) 921-8597 or visit decision-making at all levels, and www.oncc.org. strengths of the research design NURSERESEARCHERS ENCOURAGED and methods. TO APPLYFORRESEARCH GRANTS For details, see the article, Six percent of all funded grants “Research funding opportunities at from the Agency for Healthcare the Agency for Health Care Policy Researchand Quality (AHRQ, forand Research,” by Jones, Tulman, merly the Agency for Health Care Policy and Research)were awarded and Clancy, in Nursing Outlook 1999;47:156-61,or visit the agency’s to nurse principal investigators website at www.ahrq.gov. (PIs) in fiscal year (FY) 1994,9% in
FY 1995,4% in FY 1996,and 2% in FY 1997. For corresponding years, nurse PIs represented 7%, 7%, 4%, and 5% of the total pool of AHRQ research grant applicants. Thus, nurse PIs should build on this success by submitting more applications, according to Cheryl Bland lanes, PhD, RN, an AHRQ senior health servicesresearcher. Jonesand her colleaguesLorraine Tulman, DNSc, RN, FAAN, and Carolyn M . Clancy, MD, recently published an article that describes ;;>;(;;;;,j$ (,,,,CC BOARD SUSPENDSBSN agency research funding opportu,I,,; REQUIREMENT FORCERTIFICATION nities and discussesthe contribu:’ Last fall, the Oncology Nursing ,., ‘.”,,‘ , ‘,Y’ ,‘:,.;‘ tions nurse researchershave made. :,.1,:,, ;‘*’ ,,‘,,,
UPDATED HIV TREATMENT GUIDELINES AVAILABLE ON-LINE An updated version of the “Guidelines for the Use of Antiretroviral Agents in HIV-Infected Adults and Adolescents”has been posted to the HIV/AIDS Treatment Information Service (ATIS) website, www. hivatkorg. These guidelines were developed by the Panel on Clinical Practices for the Treatment of HIV Infection, a joint effort of the Department of Health and Human Services and the Henry J. Kaiser Family Foundation. Initially published in 1998, the guidelines were constructed as