Survey Data Tables

Analysis of the survey responses are presented in tables and charts below:

Survey Respondents & Response Rates

Demographic Characteristics of Survey Respondents

Demographics	RN = 36,617		LPN = 4,204
	n	Estimate	n	Estimate
Age
<25 years	520	1.4%	50	1.2%
25 to 34 years	6,203	16.9%	626	14.9%
35 to 44 years	7,217	19.7%	885	21.1%
45 to 54 years	6,956	19.0%	882	21.0%
55 to 64 years	7,900	21.6%	895	21.3%
65 to 74 years	4,962	13.6%	485	11.5%
75+ years	625	1.7%	48	1.1%
Unknown	2,234	6.1%	333	7.9%
Gender
Female	31,913	87.2%	3,668	87.3%
Male	3,110	8.5%	269	6.4%
Other	46	0.1%	*	*
Unknown	1,548	4.2%	258	6.1%
Race
White	31,390	85.7%	2,765	65.8%
Black or African American	2,028	5.5%	993	23.6%
American Indian or Alaska Native	430	1.2%	93	2.2%
Asian	1,128	3.1%	76	1.8%
Native Hawaiian or Pacific Islander	89	0.2%	11	0.3%
Other	609	1.7%	110	2.6%
Unknown	1,759	4.8%	300	7.1%
Hispanic or Latino
Yes	756	2.1%	119	2.8%
No	34,011	92.9%	3,783	90.0%
Unknown	1,850	5.1%	302	7.2%
Arabic or Chaldean
Yes	756	2.1%	119	2.8%
No	34,011	92.9%	3,783	90.0%
Unknown	1,850	5.1%	302	7.2%
Region
Upper Peninsula	927	2.5%	207	4.9%
Northwest LP	1,287	3.5%	119	2.8%
Northeast LP	598	1.6%	117	2.8%
West/West Central	4,987	13.6%	588	14.0%
East Central	1,647	4.5%	228	5.4%
East	2,559	7.0%	329	7.8%
South Central	1,307	3.6%	116	2.8%
Southwest	2,130	5.8%	272	6.5%
Southeast	3,509	9.6%	321	7.6%
Detroit Metro	10,756	29.4%	1,288	30.6%
MI, Unknown Region	1,096	3.0%	120	2.9%
Outside MI	4,430	12.1%	256	6.1%
Unknown	1,384	3.8%	243	5.8%

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 21.6% are 55 to 64 years old.
* Data are suppressed if count is less than 10 or sample population was less than 20.

Comparison of Survey Respondents to All Nurses Licensed in Michigan

Characteristics	RNs				LPNs
	Nurse Population		Survey Participants		Nurse Population		Survey Participants
	#	%	#	%	#	%	#	%
Total	155,199	–	36,617	–	22,434	–	4,204	–
Age
<25 years	3,493	2.3%	520	1.4%	393	1.8%	50	1.2%
25 to 34 years	31,067	20.0%	6,203	16.9%	3,859	17.2%	626	14.9%
35 to 44 years	32,312	20.8%	7,217	19.7%	4,967	22.1%	885	21.1%
45 to 54 years	32,678	21.1%	6,956	19.0%	4,692	20.9%	882	21.0%
55 to 64 years	35,113	22.6%	7,900	21.6%	5,275	23.5%	895	21.3%
65 to 74 years	17,952	11.6%	4,962	13.6%	2,870	12.8%	485	11.5%
75+ years	2,560	1.6%	625	1.7%	372	1.7%	48	1.1%
Unknown	24	0.0%	2,234	6.1%	*	*	333	7.9%
Region
Eastern/Central/Western UP	4,130	2.7%	927	2.5%	1,491	6.6%	207	4.9%
Northwest LP	4,954	3.2%	1,287	3.5%	582	2.6%	119	2.8%
Northeast LP	2,504	1.6%	598	1.6%	681	3.0%	117	2.8%
West/West Central	20,214	13.0%	4,987	13.6%	3,399	15.2%	588	14.0%
East Central	7,826	5.0%	1,647	4.5%	1,450	6.5%	228	5.4%
East	11,883	7.7%	2,559	7.0%	2,012	9.0%	329	7.8%
South Central	5,468	3.5%	1,307	3.6%	652	2.9%	116	2.8%
Southwest	9,737	6.3%	2,130	5.8%	1,519	6.8%	272	6.5%
Southeast	16,499	10.6%	3,509	9.6%	2,111	9.4%	321	7.6%
Detroit Metro	51,467	33.2%	10,756	29.4%	7,270	32.4%	1,288	30.6%
MI, Unknown Region	–	–	1,096	3.0%	–	–	120	2.9%
Non-Michigan	20,517	13.2%	4,430	12.1%	1,267	5.6%	256	6.1%
Unknown Region	–	–	1,384	3.8%	–	–	243	5.8%
APRN (Advanced Practitioner Registered Nurse)
Nurse Practitioner	9,478	6.1%	2,495	6.8%	–	–	–	–
Anesthetist	2,830	1.8%	564	1.5%	–	–	–	–
Midwife	453	0.3%	168	0.5%	–	–	–	–
Clinical Specialist	222	0.1%	1,179	3.2%	–	–	–	–

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 22.6% are 55 to 64 years old compared to 21.6% of RNs in the nursing populations overall.
* Data are suppressed if count is less than 10 or sample population was less than 20.
– Data are not available/data are not applicable.

Education

Highest Level of Nursing-Related Education

Education Level	RN = 36,519		LPN = 4,198
	Estimate	95% CI	Estimate	95% CI
LPN diploma/certificate	0.0%	(0.0%, 0.0%)	93.4%	(92.6%, 94.1%)
RN diploma in nursing	6.5%	(6.3%, 6.8%)	0.7%	(0.5%, 1.0%)
Associate degree in nursing	33.6%	(33.1%, 34.0%)	5.0%	(4.4%, 5.8%)
Bachelor’s degree in nursing	46.5%	(46.0%, 47.0%)	0.6%	(0.4%, 0.9%)
Master’s degree in nursing	11.7%	(11.4%, 12.1%)	0.2%	(0.1%, 0.4%)
Doctorate in Nursing Practice (DNP)	1.0%	(0.9%, 1.1%)	0.0%	(0.0%, 0.1%)
Doctor of Nurse Anesthesia (DNAP)	0.0%	(0.0%, 0.1%)	0.0%	(0.0%, 0.1%)
Doctor of Philosophy in Nursing (PhD)	0.6%	(0.5%, 0.6%)	0.0%	(0.0%, 0.1%)
Other doctoral degree in nursing	0.0%	(0.0%, 0.1%)	0.0%	(0.0%, 0.1%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 6.5% had a RN diploma as their highest level of education.

Highest Level of Non-Nursing Education

Education Level	RN = 35,404		LPN = 4,138
	Estimate	95% CI	Estimate	95% CI
Non-nursing associate degree	15.1%	(14.7%, 15.5%)	27.4%	(26.0%, 28.7%)
Non-nursing bachelor’s degree	16.3%	(16.0%, 16.7%)	7.4%	(6.6%, 8.2%)
Non-nursing master’s degree	6.0%	(5.8%, 6.3%)	2.0%	(1.6%, 2.5%)
Non-nursing doctoral degree	0.8%	(0.7%, 0.9%)	0.4%	(0.2%, 0.6%)
Not applicable	61.8%	(61.3%, 62.3%)	62.9%	(61.4%, 64.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 15.1% has a non-nursing associate degree as their highest level of education.

Educational Background that Qualified for First Nursing License

Education Level	RN = 36,585
	Estimate	95% CI
LPN diploma/certificate	3.7%	(3.6%, 3.9%)
RN diploma in nursing	9.4%	(9.1%, 9.7%)
Associate’s degree in nursing	37.3%	(36.8%, 37.8%)
Bachelor’s degree in nursing	43.2%	(42.6%, 43.7%)
Master’s degree in nursing	5.8%	(5.6%, 6.0%)
Doctorate in Nursing	0.7%	(0.6%, 0.7%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 3.7% had attained a LPN diploma/certificate as their first nursing licensure.

Number of Years Working Compared to First Nursing License

Current Specialty Certifications in Michigan

Certification	n = 36,617
	Estimate	95% CI
Nurse Anesthetist	1.1%	(1.0%, 1.2%)
Nurse Midwife	0.3%	(0.3%, 0.4%)
Nurse Practitioner	4.8%	(4.6%, 5.0%)
Clinical Nurse Specialist	2.3%	(2.1%, 2.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 4.8% are certified as a Nurse Practitioner.

Current Enrollment in Nursing Educational Programs

Degree	RN = 36,617		LPN = 4,204
	Estimate	95% CI	Estimate	95% CI
Associate’s Degree in Nursing (ADN)	*	*	12.9%	(11.9%, 14.0%)
Bachelor of Science in Nursing (BSN)	5.4%	(5.2%, 5.7%)	2.4%	(2.0%, 2.9%)
Master of Science in Nursing (MSN)	3.8%	(3.6%, 4.0%)	0.1%	(0.0%, 0.2%)
Doctor of Nursing Practice (DNP)	1.3%	(1.1%, 1.4%)	0.0%	(0.0%, 0.1%)
Doctor of Nurse Anesthesia (DNAP)	0.1%	(0.1%, 0.2%)	0.0%	(0.0%, 0.2%)
Doctor of Philosophy in Nursing (PhD)	0.2%	(0.1%, 0.2%)	0.0%	(0.0%, 0.1%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 5.4% are currently enrolled in a Bachelor of Science in Nursing (BSN) program.
* Data are suppressed if count is less than 10 or sample population was less than 20.

Current Enrollment to Earn Specialty Certification in Nursing

Certification	RN = 1,388
	Estimate	95% CI
Nurse Practitioner	80.2%	(78.1%, 82.3%)
Nurse Midwife	2.7%	(2.0%, 3.7%)
Nurse Anesthetist	5.6%	(4.5%, 6.9%)
Clinical Nurse Specialist	11.5%	(9.9%, 13.3%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded they are currently enrolled in an AP associated program, 80.2% are currently enrolled in a Nurse Practitioner program.

Employment

Current Employment Status

Employment	RN= 36,617		LPN = 4,204
	Estimate	95% CI	Estimate	95% CI
Actively employed in nursing or in a position that requires a nurse license full-time	63.4%	(62.9%, 63.8%)	60.4%	(58.9%, 61.8%)
Actively employed in nursing or in a position that requires a nurse license part-time	10.9%	(10.5%, 11.2%)	10.4%	(9.6%, 11.4%)
Actively employed in nursing or in a position that requires a nurse license on a per-diem basis	5.0%	(4.8%, 5.2%)	3.7%	(3.1%, 4.3%)
On temporary medical leave from a position that requires a nurse license	1.1%	(1.0%, 1.2%)	*	*
On temporary non-medical leave from a position that requires a nurse license	0.8%	(0.7%, 0.9%)	*	*
Actively employed in a field other than nursing	2.7%	(2.5%, 2.8%)	4.8%	(4.2%, 5.5%)
Unemployed, volunteer status only	0.8%	(0.7%, 0.9%)	*	*
Unemployed, seeking work as a nurse	1.9%	(1.8%, 2.1%)	3.6%	(3.1%, 4.2%)
Unemployed, not seeking work as a nurse	3.3%	(3.1%, 3.5%)	3.6%	(3.1%, 4.2%)
Retired	10.2%	(9.9%, 10.6%)	9.7%	(8.9%, 10.7%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 63.4% were actively employed in nursing or in a position that requires a nurse license full-time.
* Data are suppressed if count is less than 10 or sample population was less than 20.

Percentage of Nurses Who are Employed by Demographic Characteristics

Demographics	RN			LPN
	n	Estimate	95% CI	n	Estimate	95% CI
Total	36,617	79.2%	(78.8%, 79.6%)	4,204	74.5%	(73.2%, 75.8%)
Age
<25 years	520	94.2%	(92.2%, 96.2%)	50	84.0%	(73.8%, 94.1%)
25 to 34 years	6,203	91.2%	(90.5%, 91.9%)	626	87.4%	(84.8%, 90.0%)
35 to 44 years	7,217	89.7%	(89.0%, 90.4%)	885	84.3%	(81.9%, 86.7%)
45 to 54 years	6,956	88.9%	(88.2%, 89.7%)	882	84.6%	(82.2%, 87.0%)
55 to 64 years	7,900	74.9%	(73.9%, 75.8%)	895	68.0%	(65.0%, 71.1%)
65+ years	5,587	34.0%	(32.8%, 35.3%)	533	38.8%	(34.7%, 43.0%)
Gender
Female	31,913	78.7%	(78.3%, 79.2%)	3,668	74.5%	(73.1%, 75.9%)
Male	3,110	84.5%	(83.2%, 85.8%)	269	75.6%	(70.4%, 80.7%)
Other	46	74.7%	(62.1%, 87.3%)	*	*	*
Race
White	31,390	78.8%	(78.4%, 79.3%)	2,765	71.3%	(69.6%, 73.0%)
Black or African American	2,028	82.6%	(81.0%, 84.3%)	993	82.2%	(79.9%, 84.6%)
Other	2,178	82.9%	(81.4%, 84.5%)	280	77.5%	(72.6%, 82.4%)
Hispanic or Latino
Yes	756	85.8%	(83.3%, 88.3%)	119	80.1%	(73.0%, 87.3%)
No	34,011	79.1%	(78.7%, 79.6%)	3,783	74.3%	(72.9%, 75.7%)
Arabic/Chaldean or Other Middle Eastern Descent
Yes	484	84.5%	(81.3%, 87.7%)	25	70.9%	(53.1%, 88.7%)
No	34,258	79.2%	(78.7%, 79.6%)	3,872	74.6%	(73.2%, 75.9%)
Residence
Upper Peninsula	927	81.8%	(79.4%, 84.3%)	207	77.8%	(72.1%, 83.5%)
Northwest LP	1,287	74.1%	(71.7%, 76.5%)	119	64.5%	(55.9%, 73.1%)
Northeast LP	598	75.0%	(71.5%, 78.5%)	117	76.2%	(68.5%, 83.9%)
West/West Central	4,987	80.1%	(79.0%, 81.2%)	588	72.8%	(69.3%, 76.4%)
East Central	1,647	80.2%	(78.2%, 82.1%)	228	73.7%	(68.0%, 79.4%)
East	2,559	80.5%	(79.0%, 82.1%)	329	68.0%	(63.0%, 73.1%)
South Central	1,307	79.4%	(77.2%, 81.5%)	116	75.9%	(68.1%, 83.7%)
Southwest	2,130	78.9%	(77.2%, 80.6%)	272	77.3%	(72.3%, 82.3%)
Southeast	3,509	78.4%	(77.0%, 79.8%)	321	77.9%	(73.3%, 82.4%)
Detroit Metro	10,756	79.7%	(79.0%, 80.5%)	1,288	76.3%	(74.0%, 78.6%)
Michigan Residence**	30,803	77.9%	(77.5%, 78.4%)	3,705	75.4%	(74.0%, 76.7%)
Non-Michigan Residence	4,430	74.9%	(73.6%, 76.1%)	256	65.3%	(59.4%, 71.1%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs 25 years or younger who responded to the survey, 94.2% are employed.
* Data are suppressed if count is less than 10 or sample population was less than 20.
**Includes individuals who indicated they live in Michigan but did not provide a zip code.

Demographic Characteristics of Employed Nurses

Demographics	RN = 27,276		LPN = 2,952
	Estimate	95% CI	Estimate	95% CI
Age
<25 years	2.7%	(2.5%, 2.9%)	2.0%	(1.5%, 2.5%)
25 to 34 years	23.0%	(22.5%, 23.5%)	20.2%	(18.8%, 21.7%)
35 to 44 years	23.6%	(23.1%, 24.1%)	25.1%	(23.5%, 26.7%)
45 to 54 years	23.6%	(23.1%, 24.2%)	23.8%	(22.3%, 25.3%)
55 to 64 years	21.4%	(20.9%, 21.9%)	21.5%	(20.0%, 23.0%)
65+ years	5.7%	(5.4%, 6.0%)	7.5%	(6.6%, 8.5%)
Gender
Female	90.5%	(90.1%, 90.8%)	92.8%	(91.8%, 93.7%)
Male	9.4%	(9.1%, 9.7%)	7.0%	(6.1%, 7.9%)
Other	0.1%	(0.1%, 0.1%)	0.2%	(0.1%, 0.4%)
Race
White	89.9%	(89.5%, 90.2%)	68.0%	(66.3%, 69.7%)
Black	6.0%	(5.8%, 6.3%)	28.1%	(26.5%, 29.7%)
Other	6.4%	(6.1%, 6.7%)	7.3%	(6.4%, 8.3%)
Hispanic or Latino
Yes	2.4%	(2.2%, 2.6%)	3.3%	(2.7%, 4.0%)
No	97.6%	(97.4%, 97.8%)	96.7%	(96.0%, 97.3%)
Arabic/Chaldean or Other Middle Eastern Descent
Yes	1.5%	(1.4%, 1.6%)	0.6%	(0.4%, 1.0%)
No	98.5%	(98.4%, 98.6%)	99.4%	(99.0%, 99.6%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey that they are employed, 23.0% are 25 to 34 years old.

Region of Residency & Employment among Michigan Nurses

Region	RNs				LPNs
	Place of Residency		Place of Employment		Place of Residency		Place of Employment
	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI	Estimate	95% CI
Upper Peninsula	2.7%	(2.6%, 2.9%)	2.8%	(2.6%, 3.0%)	7.0%	(6.1%, 8.0%)	7.1%	(6.2%, 8.1%)
Northwest LP	3.0%	(2.8%, 3.2%)	3.0%	(2.8%, 3.2%)	2.2%	(1.7%, 2.8%)	2.4%	(1.9%, 3.0%)
Northeast LP	1.5%	(1.4%, 1.7%)	1.4%	(1.3%, 1.5%)	3.0%	(2.4%, 3.7%)	2.9%	(2.4%, 3.6%)
West/West Central	13.1%	(12.7%, 13.6%)	12.9%	(12.5%, 13.3%)	14.9%	(13.6%, 16.2%)	14.8%	(13.5%, 16.1%)
East Central	5.1%	(4.8%, 5.4%)	5.3%	(5.0%, 5.6%)	6.4%	(5.6%, 7.4%)	6.1%	(5.3%, 7.0%)
East	7.8%	(7.5%, 8.1%)	6.6%	(6.3%, 6.9%)	8.2%	(7.3%, 9.3%)	6.7%	(5.8%, 7.6%)
South Central	3.5%	(3.3%, 3.8%)	3.8%	(3.6%, 4.1%)	3.0%	(2.4%, 3.7%)	3.2%	(2.6%, 3.9%)
Southwest	6.2%	(5.9%, 6.5%)	6.3%	(6.0%, 6.6%)	7.1%	(6.2%, 8.1%)	6.7%	(5.9%, 7.7%)
Southeast	10.5%	(10.1%, 10.9%)	12.3%	(12.0%, 12.7%)	9.9%	(8.9%, 11.0%)	9.8%	(8.8%, 10.9%)
Detroit Metro	33.3%	(32.7%, 33.9%)	32.7%	(32.1%, 33.2%)	33.4%	(31.7%, 35.1%)	34.8%	(33.1%, 36.5%)
Outside MI	13.2%	(12.8%, 13.6%)	12.9%	(12.5%, 13.3%)	5.0%	(4.3%, 5.9%)	5.5%	(4.7%, 6.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 2.7% live in the Upper Peninsula.

Reason Primary Place of Employment is Outside of Michigan

Reason	RN = 3,311		LPN = 181
	Estimate	95% CI	Estimate	95% CI
Scope of practice regulation is more favorable outside of Michigan	6.6%	(5.8%, 7.5%)	5.3%	(2.9%, 9.7%)
Taking care of home and family	15.5%	(14.3%, 16.7%)	16.3%	(11.6%, 22.3%)
School	1.4%	(1.0%, 1.8%)	1.6%	(0.6%, 4.7%)
Difficulty finding a nursing position	5.1%	(4.4%, 5.9%)	10.0%	(6.4%, 15.2%)
Semi-retired	2.5%	(2.0%, 3.1%)	3.6%	(1.7%, 7.4%)
Better Opportunity, Pay, or Benefits	3.2%	(2.6%, 3.8%)	5.2%	(2.8%, 9.5%)
Military	0.8%	(0.5%, 1.2%)	0.6%	(0.1%, 3.2%)
Other	67.1%	(65.5%, 68.7%)	59.0%	(51.7%, 65.9%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs whose employment is outside of Michigan, 6.6% indicated that the scope of practice regulation is more favorable outside of Michigan.

Hours Worked per Week by Age

Number of Currently Employed Nursing Positions

Number of Positions	RN = 28,398		LPN = 3,134
	Estimate	95% CI	Estimate	95% CI
1 Position	86.3%	(85.9%, 86.7%)	81.6%	(80.2%, 82.9%)
2 Position	11.7%	(11.3%, 12.1%)	15.6%	(14.4%, 16.9%)
3+ Positions	2.0%	(1.8%, 2.2%)	2.8%	(2.2%, 3.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 86.3% have one nursing position.

Number of Years Working as a Nurse (RN and LPN)

Years	RN = 27,834		LPN = 3,019
	Estimate	95% CI	Estimate	95% CI
Less than 3 years	11.1%	(10.7%, 11.5%)	15.7%	(14.4%, 17.0%)
3 to less than 10 years	30.5%	(30.0%, 31.1%)	34.0%	(32.3%, 35.7%)
10 to less than 20 years	23.4%	(22.9%, 23.9%)	23.4%	(21.9%, 24.9%)
20 or more years	35.0%	(34.4%, 35.5%)	26.9%	(25.3%, 28.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 11.1% have worked as a nurse for less than 3 years.

Number of Years Working as a Nurse Compared to Age (RN and LPN)

Number of Years Working as a Nurse (APRNs only)

Years	APRN = 2,758
	Estimate	95% CI
Less than 3 years	1.0%	(0.7%, 1.4%)
3 to less than 10 years	24.4%	(22.8%, 26.0%)
10 to less than 20 years	33.6%	(31.8%, 35.3%)
20 or more years	41.1%	(39.3%, 42.9%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, in 2019, of APNs who responded to the survey, 1.0% have worked as a nurse for less than 3 years

Number of Years Working as a Nurse Compared to Age (APRN)

New Nurses Experience

Preparedness for Entering Nursing Workforce

Level of Preparedness	RN = 2,698		LPN = 455
	Estimate	95% CI	Estimate	95% CI
Adequately prepared	54.7%	(52.8%, 56.5%)	63.6%	(59.1%, 67.9%)
Not enough classroom time	1.8%	(1.4%, 2.4%)	*	*
Not enough clinical time	29.6%	(27.9%, 31.3%)	*	*
Not enough skills lab/simulation time	15.3%	(14.0%, 16.7%)	15.0%	(12.0%, 18.6%)
Not enough critical thinking/ prioritization practice	21.3%	(19.8%, 22.9%)	13.6%	(10.7%, 17.0%)
Other	2.7%	(2.1%, 3.4%)	*	*

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who were new nurses, 54.7% felt adequately prepared.
* Data are suppressed if count is less than 10 or sample population was less than 20.

Adequately Preparedness for Entering Nursing Workforce by Region

Region	RNs			LPNs
	N	%	95% CI	N	%	95% CI
Upper Peninsula	79	45.8%	(35.3%, 56.7%)	19	46.8%	(26.9%, 67.8%)
Northwest LP	78	67.1%	(56.0%, 76.5%)	10	77.6%	(46.6%, 93.2%)
Northeast LP	34	47.1%	(31.5%, 63.3%)	*	*	*
West/West Central	444	53.3%	(48.7%, 57.9%)	35	64.4%	(47.9%, 78.1%)
East Central	129	61.5%	(52.9%, 69.5%)	14	93.4%	(69.2%, 98.9%)
East	217	56.7%	(50.0%, 63.1%)	18	68.5%	(45.5%, 85.0%)
South Central	87	59.8%	(49.3%, 69.5%)	20	48.1%	(28.4%, 68.5%)
Southwest	149	49.4%	(41.5%, 57.3%)	20	53.3%	(32.7%, 72.8%)
Southeast	265	58.1%	(52.1%, 63.9%)	34	78.5%	(62.2%, 89.0%)
Detroit Metro	887	52.5%	(49.2%, 55.8%)	232	59.7%	(53.3%, 65.8%)
Lives in Michigan	2,502	54.2%	(52.2%, 56.1%)	427	63.2%	(58.6%, 67.7%)
Lives Outside of Michigan	145	63.7%	(55.7%, 71.1%)	15	72.9%	(47.7%, 88.9%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of new RNs who live in the Upper Peninsula, 45.8% felt adequately prepared for entering the nursing workforce.
* Data are suppressed if count is less than 10 or sample population was less than 20.

Finding Employment for Nurses Entering Workforce

	RN = 2,707		LPN = 455
	Estimate	95% CI	Estimate	95% CI
Difficulty Finding a Nursing Position
Very difficult	0.8%	(0.6%, 1.3%)	0.5%	(0.1%, 1.6%)
Difficult	7.3%	(6.4%, 8.3%)	3.8%	(2.4%, 6.0%)
Neutral	24.3%	(22.7%, 26.0%)	17.5%	(14.3%, 21.3%)
Easy	38.2%	(36.4%, 40.1%)	34.0%	(29.8%, 38.5%)
Very easy	29.3%	(27.7%, 31.1%)	44.2%	(39.7%, 48.8%)
Difficulty Finding a Nursing Position in Preferred Practice Area
Very difficult	8.0%	(7.0%, 9.1%)	6.1%	(4.3%, 8.7%)
Difficult	21.6%	(20.1%, 23.2%)	10.6%	(8.1%, 13.8%)
Neutral	31.2%	(29.5%, 32.9%)	34.3%	(30.1%, 38.8%)
Easy	25.9%	(24.3%, 27.6%)	23.5%	(19.8%, 27.6%)
Very easy	13.2%	(12.0%, 14.6%)	25.5%	(21.7%, 29.7%)
Had a Residency Placement as Part of Nursing Program
Yes	34.8%	(33.0%, 36.6%)	11.2%	(8.6%, 14.4%)
No	65.2%	(63.4%, 67.0%)	88.8%	(85.6%, 91.4%)
Satisfaction with Orientation at Place of Employment
Very dissatisfied	2.8%	(2.2%, 3.5%)	8.7%	(6.5%, 11.7%)
Dissatisfied	8.6%	(7.6%, 9.7%)	13.0%	(10.2%, 16.4%)
Neutral	20.4%	(18.9%, 21.9%)	28.2%	(24.3%, 32.5%)
Satisfied	50.1%	(48.2%, 52.0%)	32.9%	(28.7%, 37.3%)
Very satisfied	18.2%	(16.8%, 19.7%)	17.1%	(14.0%, 20.9%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who are new nurses, 0.8% thought it was very difficult to find a nursing position.

Plans to Continue Working

Plans to Continue Working as a Nurse (RN and LPN)

Years	RN = 27,802		LPN = 3,013
	Estimate	95% CI	Estimate	95% CI
Less than 2 years	4.8%	(4.6%, 5.1%)	5.1%	(4.3%, 5.9%)
2 to 5 years	12.4%	(12.0%, 12.8%)	12.6%	(11.4%, 13.8%)
6 to 10 years	15.3%	(14.9%, 15.7%)	14.1%	(12.8%, 15.3%)
More than 10 years	61.6%	(61.0%, 62.2%)	58.1%	(56.4%, 59.9%)
Don’t know	5.8%	(5.6%, 6.1%)	10.1%	(9.0%, 11.2%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 4.8% were planning to continue to work as a nurse for less than 2 years.

Plans to Continue to Practice Nursing (in years) by Age (RN and LPN)

Plans to Continue Working as a Nurse (APRN)

Years	APRN = 3,569
	Estimate	95% CI
Less than 2 years	4.1%	(3.9%, 4.3%)
2 to 5 years	10.5%	(10.1%, 10.8%)
6 to 10 years	13.7%	(13.3%, 14.1%)
More than 10 years	67.5%	(67.0%, 68.1%)
Don’t know	4.1%	(3.9%, 4.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of APNs who responded to the survey, 4.1% were planning to continue to work as a nurse for less than 2 years.

Plans to Continue to Practice Nursing (in years) by Age (APRN)

Plans to Work 5 Years or Less by Region

Region	RNs			LPNs
	N	%	95% CI	N	%	95% CI
Upper Peninsula	699	20.4%	(17.6%, 23.5%)	153	24.8%	(18.7%, 32.2%)
Northwest LP	903	22.0%	(19.4%, 24.8%)	72	23.6%	(15.3%, 34.5%)
Northeast LP	412	21.9%	(18.2%, 26.1%)	84	15.4%	(9.2%, 24.6%)
West/West Central	3,713	16.6%	(15.4%, 17.8%)	393	23.5%	(19.6%, 28.0%)
East Central	1,230	14.8%	(12.9%, 16.9%)	153	19.0%	(13.5%, 25.9%)
East	1,934	17.2%	(15.6%, 18.9%)	214	17.7%	(13.2%, 23.4%)
South Central	977	16.9%	(14.7%, 19.4%)	81	21.2%	(13.7%, 31.3%)
Southwest	1,569	20.3%	(18.4%, 22.4%)	190	18.7%	(13.8%, 24.9%)
Southeast	2,552	19.2%	(17.7%, 20.8%)	230	20.1%	(15.4%, 25.7%)
Detroit Metro	7,880	18.6%	(17.8%, 19.5%)	864	17.2%	(14.8%, 19.9%)
Lives in Michigan	22,654	18.0%	(17.8%, 18.8%)	2,505	19.6%	(18.1%, 21.2%)
Lives Outside of Michigan	3,148	19.0%	(17.7%, 20.4%)	153	22.8%	(16.8%, 30.0%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who reside in the Upper Peninsula, 20.4% were planning to continue to work as a nurse for less than 5 years.

Reasons for Leaving Nursing for those Leaving Nursing in Less than 5 Years

Reason	RN = 5,228		LPN = 519
	Estimate	95% CI	Estimate	95% CI
Retiring	84.5%	(83.5%, 85.4%)	80.7%	(77.1%, 83.9%)
Enrolled in education program	4.6%	(4.1%, 5.2%)	5.0%	(3.5%, 7.3%)
Difficulty finding a nursing position	0.6%	(0.4%, 0.8%)	0.6%	(0.2%, 1.7%)
Too stressful/Workload	16.3%	(15.4%, 17.4%)	19.9%	(16.7%, 23.5%)
Difficulties with EMR/new technology	1.5%	(1.2%, 1.9%)	0.4%	(0.1%, 1.4%)
Violence/safety issues	4.5%	(3.9%, 5.0%)	4.5%	(3.0%, 6.7%)
Other	2.9%	(2.5%, 3.4%)	3.9%	(2.6%, 6.0%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who plan to leave nursing in less than five years, 84.5% were retiring.

Direct Care

Hours per Week Spent Providing Direct Care Services

Hours	RN = 20,527		LPN = 2,462
	Estimate	95% CI	Estimate	95% CI
<8 Hours	4.7%	(04.4%, 05.0%)	5.0%	(04.1%, 05.8%)
8 to <30 Hours	28.9%	(28.2%, 29.5%)	28.7%	(26.9%, 30.4%)
30 to <40 Hours	42.3%	(41.6%, 42.9%)	31.2%	(29.4%, 33.1%)
40 to <50 Hours	20.4%	(19.8%, 20.9%)	26.5%	(24.8%, 28.3%)
50+ Hours	3.4%	(3.1%, 3.6%)	8.2%	(7.1%, 9.2%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who provide direct care services, 4.7% work less than 8 hours per week providing direct care services.

Hours per Week Spent Providing Direct Care Services by Age

Plans to Stop Working in the Next Five Years by Nurses who Provide Direct Care

Provides Direct Care for 8+ Hours/Week	RN = 13,621			LPN = 1,564
	n	Estimate	95% CI	n	Estimate	95% CI
Yes	12,427	12.2%	(11.7%, 12.8%)	1,401	15.0%	(13.3%, 16.8%)
No	1,194	22.1%	(21.4%, 22.8%)	163	21.9%	(19.8%, 23.9%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who provide direct care for less than 8 hours per week, 12.2% plan to leave nursing in the next five years compared to 22.1% of RNs who provide direct care for more than 8 hours per week.

Direct Care Services

Main Role Outside of Direct Patient Care

Practice Setting

Workplace Setting (Inpatient, Community-Based, and Education)

Workplace Setting	RN = 28,454		LPN = 3,142
	Estimate	95% CI	Estimate	95% CI
Inpatient	57.4%	(56.9%, 58.0%)	58.4%	(56.7%, 60.1%)
Community-based	20.7%	(20.3%, 21.2%)	27.7%	(26.1%, 29.2%)
Education	4.8%	(04.5%, 05.0%)	3.0%	(2.4%, 3.6%)
Other**	19.9%	(19.4%, 20.3%)	16.5%	(15.2%, 17.8%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 57.4% worked in an inpatient setting.
*Nurses may work in multiple settings.
**Other was not a response option and was created from nurses who answered no to each of the above employment settings.

Inpatient Settings

Inpatient Settings	RN = 16,444		LPN = 1,905
	Estimate	95% CI	Estimate	95% CI
Assisted living facility	1.3%	(1.1%, 1.4%)	17.6%	(16.0%, 19.4%)
Behavioral health facility/psychiatric	4.3%	(4.0%, 4.6%)	6.7%	(5.6%, 7.9%)
Correctional system	0.6%	(0.5%, 0.8%)	2.3%	(1.8%, 3.1%)
Home health care	0.4%	(0.3%, 0.5%)	3.6%	(2.8%, 4.5%)
Hospice	1.8%	(1.6%, 2.0%)	5.1%	(4.2%, 6.2%)
Hospital (acute care & acute rehabilitation)	83.7%	(83.1%, 84.2%)	15.0%	(13.4%, 16.6%)
Nursing home/long-term care facility	8.9%	(8.5%, 9.4%)	72.8%	(70.7%, 74.7%)
Traveling/staffing agency	2.6%	(2.4%, 2.8%)	4.9%	(4.0%, 5.9%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who responded to the survey, 1.3% worked in an assisted living facility.

Community-Based Practice Setting

Academia Settings

Academia Settings	RN = 1,402		LPN = 90
	Estimate	95% CI	Estimate	95% CI
ADN Educator	13.7%	(12.0%, 15.6%)	2.3%	(0.6%, 7.8%)
BSN Educator	24.8%	(22.6%, 27.1%)	1.2%	(0.2%, 6.2%)
CNS Educator	1.4%	(0.9%, 2.1%)	1.0%	(0.2%, 5.9%)
NP Educator	5.6%	(4.5%, 6.9%)	2.3%	(0.6%, 7.8%)
Nurse Anesthetist Educator	0.6%	(0.3%, 1.2%)	0.0%	(0.0%, 4.1%)
Nurse Midwife Educator	0.3%	(0.1%, 0.8%)	0.0%	(0.0%, 4.1%)
Simulations & Patient Education	18.3%	(16.4%, 20.5%)	20.0%	(13.1%, 29.5%)
Clinical/didactic	26.6%	(24.3%, 28.9%)	21.8%	(14.6%, 31.4%)
Administration & Research	17.1%	(15.3%, 19.2%)	18.6%	(11.9%, 27.9%)
Faculty	29.5%	(27.1%, 31.9%)	17.4%	(10.9%, 26.5%)
Adjunct	20.0%	(18.0%, 22.2%)	7.2%	(3.4%, 14.5%)
Other	16.0%	(14.2%, 18.0%)	31.3%	(22.6%, 41.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who work in academia, 13.7% worked as an ADN educator.

Change in Employment Setting

Change in Employment Setting	RN = 26,990		LPN = 2,952
	Estimate	95% CI	Estimate	95% CI
Did not make a change	59.3%	(58.3%, 60.2%)	58.4%	(55.6%, 61.1%)
Made a change	40.7%	(39.8%, 41.7%)	41.6%	(38.9%, 44.4%)
Of those who made a change:
An inpatient setting to a community-based setting?	12.9%	(12.2%, 13.5%)	11.8%	(10.1%, 13.7%)
A community-based setting to an inpatient setting?	4.7%	(4.3%, 5.1%)	5.6%	(4.5%, 7.1%)
A primary care setting (e.g., family practice, general medicine) to a specialty care setting?	4.5%	(4.1%, 4.9%)	6.3%	(5.1%, 7.8%)
A specialty care setting to a primary care setting?	2.7%	(2.4%, 3.0%)	3.9%	(2.9%, 5.1%)
A sub-acute care setting to an acute care setting?	3.3%	(3.0%, 3.7%)	3.3%	(2.4%, 4.5%)
An acute care setting to a sub-acute care setting?	2.6%	(2.3%, 2.9%)	3.1%	(2.3%, 4.2%)
A direct patient care setting to a non-direct patient care setting?	12.7%	(12.1%, 13.3%)	9.8%	(8.3%, 11.6%)
A non-direct patient care setting to a direct patient care setting?	4.9%	(4.5%, 5.4%)	5.3%	(4.2%, 6.7%)
I changed locations but stayed in the same care setting.	31.5%	(30.6%, 32.4%)	36.7%	(34.0%, 39.4%)
Some other type of change in employment.	28.6%	(27.8%, 29.5%)	25.5%	(23.1%, 28.0%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who made a change in employment, 12.9% indicated they changed from an inpatient setting to a community-based setting.

Plans to Stop Working in the Next Five Years by Employment Setting

Plans to Stop Working in Next 5 Years	RN			LPN
	n	Estimate	95% CI	n	Estimate	95% CI
Inpatient	14,704	16.2%	(15.6%, 16.8%)	1,561	23.6%	(21.5%, 25.7%)
Community-based	5,667	14.5%	(13.6%, 15.4%)	772	16.2%	(13.6%, 18.8%)
Education	1,337	27.8%	(25.4%, 30.2%)	83	25.7%	(16.3%, 35.1%)
Other**	5,228	23.4%	(22.3%, 24.6%)	443	28.7%	(24.5%, 33.0%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who plan to work for five years or less, 16.2% were in an inpatient setting.
*Nurses may work in multiple settings.
**Other was not a response option and was created from nurses who answered no to each of the above employment settings.

Workplace Violence

Demographics of those Nurses who Experienced Workplace Violence in the Past Year

Characteristics	RNs	LPNs
Total	35.6%	25.1%
Age
<25 years	53.9%	23.9%
25 to 34 years	46.5%	25.1%
35 to 44 years	38.0%	27.8%
45 to 54 years	32.1%	23.0%
55 to 64 years	27.6%	28.0%
65+ years	17.5%	14.5%
Unknown	37.5%	0.0%
Gender
Female	34.9%	24.8%
Male	42.4%	27.9%
Ethnicity
Hispanic/Latino	38.8%	26.6%
Arabic, Chaldean, or of other Middle Eastern descent	37.1%	29.0%
Race
White	36.6%	27.7%
Black	26.5%	19.9%
American Indian	44.8%	19.4%
Asian Pacific Islander	27.8%	20.9%
Other	39.0%	25.2%
Employment Region
Eastern/Central/Western UP	35.1%	27.0%
Northwest LP	37.4%	21.7%
Northeast LP	35.3%	24.6%
West/West Central	38.4%	27.5%
East Central	38.8%	34.0%
East	39.9%	29.9%
South Central	41.8%	33.8%
Southwest	41.9%	30.7%
Southeast	34.3%	25.8%
Detroit Metro	35.4%	21.1%
Outside of MI	24.1%	19.5%
Unknown MI Region	37.1%	19.8%
Region of Residence
Upper Peninsula	33.7%	26.7%
Northwest LP	37.7%	19.1%
Northeast LP	34.4%	22.9%
West/West Central	38.9%	27.7%
East Central	39.9%	31.1%
East	39.3%	33.7%
South Central	41.1%	33.6%
Southwest	40.2%	29.2%
Southeast	35.2%	26.1%
Detroit Metro	34.9%	20.4%
Non-Michigan Residence	24.6%	21.1%
Unknown MI Region	40.5%	21.2%

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs less than 25 years old, 53.9% indicated they experienced workplace violence.

Employment Setting of Nurses who Experienced Workplace Violence in the Past Year

Length of Employment of the Nurses who Experienced Workplace Violence

Perpetrator and Type of Violence Experienced by Nurses

Time Missed from Work and Type of Violence Experienced by Nurses

Knowledge of Reporting Process of Workplace Violence Incidents through Organization

Methods of Reporting Workplace Violence Incidence

Nurses who Experienced Workplace Violence in Inpatient Care Settings

Inpatient Care Setting	RNs & LPNs
	n	Estimate	95% CI
Assisted living facility	512	27.1%	(23.3%, 31.0%)
Behavioral health facility/psychiatric	795	57.1%	(53.7%, 60.6%)
Correctional system	142	55.8%	(47.7%, 64.0%)
Home health care	124	25.6%	(17.9%, 33.3%)
Hospice	370	40.7%	(35.7%, 45.7%)
Hospital (acute care & acute rehabilitation)	13,416	44.7%	(43.8%, 45.5%)
Nursing home/long-term care facility	2,699	32.5%	(30.7%, 34.2%)
Traveling/staffing agency	497	44.7%	(40.4%, 49.1%)
Other nursing employment setting	558	29.6%	(25.8%, 33.4%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who worked in an assisted living facility, 27.1% experienced workplace violence.

Type of Violence Experienced by Nurses in Inpatient Care Settings

Nurses who Experienced Workplace Violence in Community-based Care Settings

Community-based Care Setting	RNs & LPNs
	n	Estimate	95% CI
Ambulatory care	1,017	27.9%	(25.1%, 30.7%)
Assisted living facility	376	27.1%	(22.6%, 31.6%)
College health center	43	14.0%	(03.6%, 24.4%)
Community health/public health/coaching/wellness	597	21.3%	(18.0%, 24.6%)
Correctional system	90	44.3%	(34.0%, 54.5%)
K-12 school health	295	23.2%	(18.4%, 28.0%)
Federally qualified health center	232	35.7%	(29.5%, 41.9%)
Home health care	1,366	19.2%	(17.1%, 21.3%)
Hospice	671	21.8%	(18.7%, 24.9%)
Insurance company/health plan/benefits	231	13.2%	(08.8%, 17.5%)
Specialty office/clinic	744	26.9%	(23.7%, 30.1%)
Nurse managed clinic	85	30.5%	(20.7%, 40.3%)
Long-term home care	373	23.5%	(19.2%, 27.8%)
Nursing training/continuing education	134	23.5%	(16.3%, 30.7%)
Primary care/clinic	808	26.9%	(23.9%, 30.0%)
Private practice	352	20.6%	(16.4%, 24.8%)
Public/community health	723	28.8%	(25.5%, 32.1%)
Retail clinic	18	33.7%	(11.9%, 55.6%)
Rural health clinic	165	33.5%	(26.3%, 40.7%)
Surgical center	260	21.6%	(16.6%, 26.5%)
Traveling/staffing agency	57	45.9%	(33.0%, 58.9%)
Other	479	29.7%	(25.6%, 33.8%)

All percentages reported in the table are presented as weighted estimates that reflect Michigan’s overall nurse population. For example, of RNs who worked in an ambulatory care setting, 27.9% experienced workplace violence.

Type of Violence Experienced by Nurses in Community-based Care Settings