HomeNewsletterContinuing EducationRelated LinksAbout Us Contact Us

Research ActivitiesReports & PublicationsEducation & ProgramsGrants & Proposals

Annual Report
Registered Nurse Survey '07
Nurse Staffing &
Patient Outcomes
Projected RN Workforce in Hawaii 2005 - 2020
Nursing Education Programs
2005 - 2006
Nursing Education & Practice
Hawaii's Health in the
Balance: A Report on the
State of the Nursing Workforce

Hawaii State Center for Nursing

2528 McCarthy Mall
Webster Hall 432
Honolulu, Hawaii 96822 - Map -

Ph: (808) 956-5211
Fax: (808) 956-3257


Nursing Education and Practice:
Building Partnerships to Ensure a Stable Nursing Workforce in Hawai’i

(download pdf file)

Introduction | Nursing Workforce Shortage | Opportunities & Challenge

Strategies | Partnership | Summary & References | Summit Planning Group

Spotlight on UH System


Opportunities for Nursing Education and Practice

The complexity of the nursing workforce issues and the urgent need for change provide leadership opportunities for both education and practice. Healthcare and nursing programs are in a unique position to take part in developing short-term and long-term strategies for the nursing workforce issues in Hawaii. Changes are required not only in strategies that attract qualified students into the nursing profession but also strategies that provide satisfying and rewarding workplace environments and career pathways for professional nurses. The Education and Practice Collaborative recognizes that effective solutions must address the core issues that currently impact the nursing profession: the professional image of nursing, workplace environments, the relationship between education and practice, and education capacity issues.


As identified in the AACN 2003 report, several factors exist at the point where education and practice integration occurs that create opportunities for close partnerships. First, healthcare organizations and nursing education programs co-exist in healthcare delivery settings where education is valued and preparation of the next generation of nurses is a priority goal. Second, schools of nursing prepare registered nurses with associate, baccalaureate, and higher degrees, the educational product desired throughout all sectors of healthcare. Third, a variety of different healthcare organizations are the primary teaching and clinical placement sites for student education and have the potential to model professional nursing practice. These commonalities at the point of integration provide the platform to formalize and cement partnerships between nursing education and practice.


The Challenge: Attracting & Retaining a Highly Qualified/ Competent Nursing Workforce


The immediate need to expand enrollment to ensure an increasing supply of associate, baccalaureate, and higher degree prepared registered nurses is the challenge nursing programs and healthcare facilities face. The looming shortage of registered nurses influenced by factors such as the rapidly increasing aged population and the aging of the nursing workforce itself necessitates that nursing programs must expand enrollment in order to keep in step with the growing need for qualified nurse educators and nurse workforce demand (AACN: Issue Bulletin, 2000). In December 2005 the National League for Nursing (NLN) released its preliminary National Nursing Education Survey (NNES) report showing an increase in applications, admissions, and enrollments in nursing programs at all levels. However, the NLN cautions these figures do not tell the whole story and as the number of nursing faculty continue to decline in the USA nursing programs will be forced to reject more qualified student applicants. In 2005, 147,000 qualified applicants were rejected an 18 percent increase from the 2003-04 NNES (National League for Nursing, 2005). The ability to expand student enrollment and increase capacity in nursing programs is dependent on a) adequate numbers of nursing faculty with the appropriate clinical expertise, b) adequate access to quality clinical placement sites for clinical learning experiences, c) adequate classroom and laboratory space, d) adequate or improved faculty salaries, and e) state budgets able to fund public universities to accommodate increased enrollment demand.


The longer-range challenges beyond expanding nursing enrollments and increasing graduation may be the improvement of practice environments and creation of rewarding professional career opportunities. In 2002, AACN published the Hallmarks of Professional Practice, a guide to help new graduates select employment settings where their education and potential are recognized and used. This document also serves as a guide for healthcare organizations seeking to improve recruitment and retention of nurses in the organizations.


Issues of workplace redesign and improvement related to the nursing shortage have been reviewed in several reports (American Nurses' Association, 2002; American Hospital Association, 2002; Association of Academic Health Centers, 2002; Joint Commission on the Accreditation of Healthcare Organizations, 2002; Kimball 2005; Robert Wood Johnson Foundation, 2004; University of Illinois, 2001). Consistent themes that emerge from these reports include: a) the nature of the work of nursing, b) workplace and culture factors, c) recruitment and retention, d) need to support nursing education, and e) system development and policy issues. Strategies for collaboration between education and practice are also suggested. There is general agreement that long term sustainable solutions are required to correct the underlying issues affecting nursing supply. The specific recommendations in these reports and examples will be helpful to healthcare organizations and nursing education programs working in a partnership model.


Taking up the Challenge: Building Partnerships in Nursing


The overall aim of partnership models in nursing is to use the unique position of healthcare organizations to support and implement best practices in nursing education and practice. The Education and Practice Collaborative identify the following objectives found to be positive in other settings to guide nursing partnerships in Hawaii.


1. Collaborate to recruit, retain, and expand enrollment of students in associate, baccalaureate, and higher degree programs in nursing.

2. Encourage and enhance coordination and collaboration between and among all educational institutions in the state, including P-12 schools and associate and baccalaureate degree programs, to facilitate transition from each educational level to the next.

2. Ensure a professional transition for newly graduated registered nurses through structured support programs (such as preceptor programs; mentorship; residencies; internships).

3. Ensure a professional work environment that supports the development of best practices in clinical practice and education.

4. Identify model(s) that are sustainable in and portable to a variety of settings.


Home | Mission, Vision & Values | Strategic Plan & Goals | History of HSCFN | Grants & Proposals

About Us | Contact Us | Location | HSCFN Staff | Advisory Board | Collaborative Work Groups

Hawaii State Center for Nursing copyright © 2008 | Created by Midori Designs Online