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Financial incentives for new nursing faculty

Health Factors: Access to Care
Decision Makers: Educators State Government Federal Government Healthcare Professionals & Advocates
Evidence Rating: Expert Opinion
Population Reach: 10-19% of WI's population
Impact on Disparities: No impact on disparities likely

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Description

Financial incentive programs offer scholarships, loan repayment or loan forgiveness in exchange for a teaching commitment, or more competitive salaries for nursing graduate students who choose to pursue careers as nursing faculty. Programs can be initiated by the public sector, philanthropic groups, academic institutions, or the health care industry (Allan 2008). As of 2016, nursing schools report needing over 1,500 additional faculty members to meet student demand (AACN-Nursing faculty).

Expected Beneficial Outcomes

Increased availability of nursing faculty

Evidence of Effectiveness

Offering financial incentives to nursing graduate students who agree to teach in nursing undergraduate or graduate programs is a suggested strategy to increase the number and availability of nursing faculty (Gerolamo 2017, McDermid 2012, Morgan 2014, Fox 2009a, Rich 2010, Allan 2008, Siela 2008, AACN-Nursing faculty). By encouraging highly educated nurses to teach, such programs may improve the teaching quality in nursing schools (Young 2016). Available evidence suggests that the cost of higher education and the salary gap between nurses working in academia and clinical settings are barriers to nurses pursuing careers as nursing faculty (Westphal 2016, Oermann 2016, Nardi 2013); the salary gap between nurses in academia and other faculty may also be a disincentive (Dreifuerst 2016, Morgan 2014). However, financial incentives alone may not be enough to mitigate the nursing faculty shortage (McDermid 2012, Duvall 2010, Hessler 2006). Additional evidence is necessary to confirm effects, especially in the long-term (Dreifuerst 2016).

Surveys of nursing faculty members suggest that financial incentives and mentoring may support recruitment, hiring, and retention of minority nursing faculty (Salvucci 2016).

Implementation

United States

Federal funding for financial initiatives to address the nursing faculty shortage include: Title VIII of the Public Health Services Act, which funds Nursing Workforce Development Programs; Nurse Faculty Loan Programs, funded through the Nurse Corps Loan Repayment Program; and Graduate Assistance in Area of National Need, which awards grants to nursing programs (ANA-Title VIII, HRSA-Nurse Corps, US ED-Graduate assistance).

Philanthropic and health care groups also often contribute to scholarships and endowments (Feldman 2015); the New Jersey Nursing Initiative (NJNI), funded by the Robert Wood Johnson Foundation (RWJF), is one example (NJNI). Individual nursing schools may also establish programs such as Pace University’s Lienhard School of Nursing’s Grow our Own program (Grow our Own).

Wisconsin

Wisconsin’s Nursing Student Loan Program, administered by the Higher Educational Aids Board, provides loans and loan forgiveness for undergraduate, master’s, or doctoral nursing students, including those who become nursing faculty. Students are eligible for a maximum loan of $3,000 per year and $15,000 total to defray the cost of tuition, fees, and expenses. Loan forgiveness is based on the number of years recipients are employed as a licensed nurse or nurse educator in Wisconsin; up to 50% of the loan amount is eligible for forgiveness (WI HEAB-Nursing student loan). 

The University of Wisconsin System’s Nurses for Wisconsin program provides pre- and postdoctoral fellowship awards ranging from $21,500 to $90,000 to nurses in doctor of nursing practice or nursing doctor of philosophy programs, and recruits faculty with a loan repayment program of up to $50,000. Fellows and faculty must commit to teach in a UW System nursing program for three years (Young 2016, Nurses for Wisconsin).  

Implementation Resources

AACN-State policies - American Association of Colleges of Nursing (AACN). Policy & advocacy: State resources. Accessed on November 14, 2017
Benefits.gov - Benefits.gov. Nursing education loan repayment program. Accessed on November 14, 2017
HRSA-Faculty LRP - Health Resources and Services Administration (HRSA). Faculty loan repayment program (LRP). Accessed on November 14, 2017
HRSA-NURSE Corps LRP - Health Resources and Services Administration (HRSA). NURSE Corps Loan Repayment Program (LRP). Registered nurses (RNs), advanced practice registered nurses (APRNs), and nurse faculty are eligible for loan repayment. Accessed on November 14, 2017
WI DHS-Primary care - Wisconsin Department of Health Services (DHS). Wisconsin primary care office. Accessed on November 14, 2017

Citations - Description

AACN-Nursing faculty - American Association of Colleges of Nursing (AACN). Nursing faculty shortage. 2017. Accessed on November 14, 2017
Allan 2008* - Allan JD, Aldebron J. A systematic assessment of strategies to address the nursing faculty shortage, US Nursing Outlook. 2008;56(6):286-97. Accessed on November 14, 2017

Citations - Evidence

AACN-Nursing faculty - American Association of Colleges of Nursing (AACN). Nursing faculty shortage. 2017. Accessed on November 14, 2017
Allan 2008* - Allan JD, Aldebron J. A systematic assessment of strategies to address the nursing faculty shortage, US Nursing Outlook. 2008;56(6):286-97. Accessed on November 14, 2017
Dreifuerst 2016* - Dreifuerst KT, McNelis AM, Weaver MT, et al. Exploring the pursuit of doctoral education by nurses seeking or intending to stay in faculty roles. Journal of Professional Nursing. 2016;32(3):202–212. Accessed on November 14, 2017
Duvall 2010* - Duvall JJ, Andrews DR. Using a structured review of the literature to identify key factors associated with the current nursing shortage. Journal of Professional Nursing. 2010;26(5):309-17. Accessed on November 14, 2017
Fox 2009a* - Fox RL, Abrahamson K. A critical examination of the US nursing shortage: Contributing factors, public policy implications. Nursing Forum. 2009;44(4):235-44. Accessed on November 14, 2017
Gerolamo 2017* - Gerolamo AM, Conroy K, Roemer G, et al. Long-term outcomes of the New Jersey nurse faculty preparation program scholars. Nursing Outlook. 2017;65(5):643-651. Accessed on November 14, 2017
Hessler 2006* - Hessler K, Ritchie H. Recruitment and retention of novice faculty. Journal of Nursing Education. 2006;45(5):150-4. Accessed on November 14, 2017
McDermid 2012* - McDermid F, Peters K, Jackson D, Daly J. Factors contributing to the shortage of nurse faculty: A review of the literature. Nurse Education Today. 2012;32(5):565-9. Accessed on November 14, 2017
Morgan 2014* - Morgan JC, Oermann MH, Pathman DE, et al. An evaluation of state-based support-for-service programs targeting nurse faculty. Nursing Education Perspectives. 2014;35(5):280–286. Accessed on November 14, 2017
Nardi 2013* - Nardi DA, Gyurko CC. The global nursing faculty shortage: Status and solutions for change. Journal of Nursing Scholarship. 2013;45(3):317–326. Accessed on November 14, 2017
Oermann 2016* - Oermann MH, Lynn MR, Agger CA. Hiring intentions of directors of nursing programs related to DNP- and PhD-prepared faculty and roles of faculty. Journal of Professional Nursing. 2016;32(3):173-179. Accessed on November 14, 2017
Rich 2010* - Rich KL, Nugent KE. A United States perspective on the challenges in nursing education. Nurse Education Today. 2010;30(3):228-32. Accessed on November 14, 2017
Salvucci 2016* - Salvucci C, Lawless CA. Nursing faculty diversity: Barriers and perceptions on recruitment, hiring and retention. Journal of Cultural Diversity. 2016;23(2):65-75. Accessed on November 14, 2017
Siela 2008* - Siela D, Twibell KR, Keller V. The shortage of nurses and nursing faculty: What critical care nurses can do. AACN Advanced Critical Care. 2008;19(1):66-77. Accessed on November 14, 2017
Westphal 2016* - Westphal J, Marnocha S, Chapin T. A pilot study to explore nurse educator workforce issues. Nursing Education Perspectives. 2016;37(3):171-173. Accessed on November 14, 2017
Young 2016* - Young LK, Adams JL, Lundeen S, et al. Nurses for Wisconsin: A collaborative initiative to enhance the nurse educator workforce. Journal of Professional Nursing. 2016;32(4):292-299. Accessed on November 14, 2017

Citations - Implementation

ANA-Title VIII - American Nurses Association (ANA). Title VIII of the Public Health Service Act: Nursing Workforce Development. Accessed on November 14, 2017
Feldman 2015* - Feldman HR, Greenberg MJ, Jaffe-Ruiz M, Kaufman SR, Cignarale S. Hitting the nursing faculty shortage head on: Strategies to recruit, retain, and develop nursing faculty. Journal of Professional Nursing. 2015;31(3):170–178. Accessed on November 14, 2017
Grow our Own - Pace University. Lienhard School of Nursing. Grow Our Own: doctoral program in nursing with the intent to become faculty upon degree completion. Accessed on November 14, 2017
HRSA-Nurse Corps - Health Resources and Services Administration (HRSA). Nurse Corps Loan Repayment Program, includes Nurse Faculty Loan Programs. Accessed on November 14, 2017
NJNI - New Jersey Nursing Initiative (NJNI). Support faculty development. Robert Wood Johnson Foundation. Accessed on November 14, 2017
Nurses for Wisconsin - Nurses for Wisconsin. Learn, teach, lead. University of Wisconsin System. Accessed on November 14, 2017
US ED-Graduate assistance - US Department of Education (US ED). Graduate Assistance in Area of National Need. Accessed on November 14, 2017
WI HEAB-Nursing student loan - State of Wisconsin Higher Educational Aids Board (WI HEAB). Financial aid programs: Nursing student loan. Accessed on November 14, 2017
Young 2016* - Young LK, Adams JL, Lundeen S, et al. Nurses for Wisconsin: A collaborative initiative to enhance the nurse educator workforce. Journal of Professional Nursing. 2016;32(4):292-299. Accessed on November 14, 2017

Page Last Updated

November 14, 2017

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