july 2020...the number of bs degree graduates across campuses decreased from a peak in 2013-2014,...

Office of the

University Dean for Health and

Human Services

Office of Institutional

Research and Assessment

July 2020

Nursing Degree Programs Data Report 2019

1 CUNY Office of Institutional Research and Assessment / cuny.edu/ir / July 2020

Table of Contents

Introduction ___________________________________________________________________ 2

The Consortium of CUNY Nursing Programs ................................................................. 2

AAS Nursing Degree Programs ___________________________________________________ 5

AAS Nursing Graduates ................................................................................................ 5

Demographics of AAS Nursing Graduates ..................................................................... 6

AAS New Nursing Enrollments ...................................................................................... 7

Graduation of Students Admitted into AAS Programs ..................................................... 9

BS Nursing Degree Programs ___________________________________________________ 10

BS Nursing Graduates ................................................................................................ 10

Demographics of BS Nursing Graduates ..................................................................... 12

BS New Nursing Enrollments...................................................................................... 14

Graduation of Students Admitted into BS Nursing Programs ........................................ 15

Degree Breakdown of Undergraduate Nursing Students at CUNY ................................ 19

NCLEX-RN Pass Rates _________________________________________________________ 22

MS Nursing Degree Programs ___________________________________________________ 24

MS Nursing Graduates ............................................................................................... 24

Demographics of MS Nursing Graduates .................................................................... 25

MS New Enrollments .................................................................................................. 27

Graduation of Students Admitted into MS Nursing Programs ....................................... 29

Doctor of Nursing Degree Programs ______________________________________________ 30

DNS/PhD/DNP Program Enrollment and Graduates .................................................... 30

Summary ____________________________________________________________________ 31

References __________________________________________________________________ 32



Introduction

CUNY graduates approximately 1,700 nurses annually, from 60 credit-bearing certificate, undergraduate and graduate programs including Licensed Practical Nursing, Registered Nursing, Advanced Practice Nursing and Doctoral Nursing programs.

The following report includes enrollment, graduation, and demographic data related to CUNY’s Associate of Applied Science (AAS), Bachelor of Science (BS), Master of Science (MS) and Doctoral (DNP, DNS and PhD) degree programs in nursing from 2012 through 2019. Data are from the CUNY Institutional Research Database (IRDB). The report provides nursing administrators and faculty with baseline information that can inform CUNY’s wide array of nursing programs.

The Consortium of CUNY Nursing Programs

During the reporting period of 2012-2019, fourteen CUNY colleges offered nursing degree programs. Nine offered the AAS in Nursing. Seven offered the BS in Nursing (Generic and/or Completion). Four offered the MS in Nursing (with various specializations). Hunter College and College of Staten Island offered the Doctorate in Nursing Practice (DNP). The Graduate Center offered the Doctor of Nursing Science (DNS) and the Doctor of Philosophy in Nursing (PhD).

Tables 1 and 2 provide a summary of clinical undergraduate and graduate nursing programs across CUNY campuses.

Table 1 CUNY Undergraduate Nursing Programs

College AAS BS Generic BS Accelerated RN to BS Completion Senior Colleges Hunter ✓ ✓ ✓ Lehman ✓ ✓ ✓ Medger Evers ✓ ✓ NYCCT ✓ ✓ School of Professional Studies ✓ Staten Island (CSI) ✓ ✓ York College ✓ ✓ Community Colleges BMCC ✓ Bronx ✓ Hostos ✓ Kingsborough ✓ LaGuardia ✓ Queensborough ✓



Table 2 CUNY Graduate Nursing Programs

Program Hunter Lehman Staten Island Professional

Studies Graduate Center

Adult/Gerontological CNS MS MS, Adv Cert Adult/Gerontological NP MS, DNP MS, Adv Cert, DNP Psychiatric/Mental Health NP MS, Adv Cert, DNP Family NP DNP MS, Adv Cert Pediatric NP MS, Adv Cert Community/Public Health Nursing MS, DNP

Nursing Administration/Leadership MS MS, Adv Cert

Nurse Education MS, Adv Cert Nursing Informatics MS, Adv Cert Cultural Competence Adv Cert Nursing Science DNS, PhD

Figure 1 Trends in CUNY Degrees in Nursing, all Degree Levels, 2012-2013 to 2018-2019



Table 3 CUNY Nursing Degree Graduates, by Degree Level, 2012-2013 to 2018-2019

Degree 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Associate 897 881 734 695 656 667 706 Bachelor's 725 857 840 821 770 805 802 Master's 228 244 257 298 260 200 233 Advanced Certificate 16 29 15 28 18 17 14 Doctoral 5 14 10 12 10 17 17 Total 1,871 2,025 1,856 1,854 1,714 1,706 1,772

Source: CUNY Institutional Research Database (IRDB)

The number of nursing graduates across all degree levels has dropped, with a peak of degrees awarded during 2013-2014 over the seven-year reporting period. AAS degrees increased by 6% and MS degrees by 17% from 2017-2018 to 2018-2019. Though applications to nursing degree programs remain strong, insufficient faculty, clinical sites, classroom space, clinical preceptors and budget constraints are cited as factors limiting enrollment to nursing programs nationally (American Association of Colleges of Nursing, 2019a).



AAS Nursing Degree Programs

AAS Nursing Graduates

Seven of the nine (78%) CUNY campuses offering AAS degrees increased the number of graduates by an overall average of 21% when comparing 2018-2019 to 2017-2018.

Figure 2 Trends in CUNY AAS Degrees in Nursing, 2012-2013 to 2018-2019

Many of the CUNY AAS programs have articulation agreements or joint degree programs between CUNY campuses and other local colleges. These agreements allow graduates of CUNY AAS programs to apply to various CUNY and non-CUNY BS programs if they meet the required admission criteria. If accepted, students may transfer qualified credits from their AAS degree toward their BS degree.



Table 4 CUNY AAS Nursing Degree Graduates, by College, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 BMCC 168 152 127 116 118 118 109 Bronx 34 54 50 35 19 15 26 Hostos 46 47 41 44 42 55 62 Kingsborough 170 136 113 106 97 100 101 LaGuardia 111 114 68 84 67 75 82 Medgar Evers 47 65 65 56 69 24 29 NYCCT 80 96 69 70 97 76 88 Queensborough 90 63 39 49 42 51 54

Dual/Joint Degree (Hunter) 15 23 35 35 26 21 34 Dual/Joint Degree (SPS) 7 12 19 Dual/Joint Degree (York) 15 2 2 4 6

Staten Island (CSI) 136 131 112 98 70 116 96 Total 897 881 734 695 656 667 706


Demographics of AAS Nursing Graduates

The demographics of CUNY’s AAS degree graduates has remained relatively unchanged over the reporting period regarding gender identity, race, ethnicity, and age. CUNY’s diverse nursing student population is greater than the national average. The National League of Nursing (NLN) Biennial Survey of Schools of Nursing (2019) reported that 15% of those enrolled in AAS degree programs in 2018 identified as men, compared to CUNY’s 19% and 20% in 2018 and 2019, respectively. CUNY AAS degree graduates also represent greater racial and ethnic diversity than the national average, with 64% of CUNY AAS degrees awarded to people of color, compared with 31% percent in pre-licensure AAS degree programs nationally in 2018 (NLN 2017-2018 Executive Summary).

Table 5 CUNY AAS Nursing Degree Graduates, by Gender, 2012-2013 to 2018-2019

Gender 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Men 19% 22% 19% 21% 18% 19% 20% Women 81% 78% 81% 79% 82% 81% 80%




Table 6 CUNY AAS Nursing Degree Graduates, by Ethnicity, 2012-2013 to 2018-2019

Ethnicity 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Asian or Pacific Islander 17% 19% 18% 18% 21% 20% 21% Black, Non-Hispanic 30% 29% 31% 31% 28% 27% 29% Hispanic, Other 14% 13% 16% 15% 18% 15% 16% White, Non-Hispanic 39% 38% 35% 36% 34% 37% 34%


Table 7 Average Age of CUNY AAS Nursing Degree Graduates, 2012-2013 to 2018-2019

2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Average Age at Graduation 31.8 31.2 30.4 30.6 30.2 29.8 30.3


AAS New Nursing Enrollments

New AAS degree enrollment was highest in 2018-2019 over the reporting period, compared to the most recent peak in 2012-2013, with 1,033 new students enrolled across AAS programs in 2018-2019. The overall decline in AAS enrollments during the period may be explained by the recently enacted “BSN in Ten” legislation in New York State on December 19, 2017. The Bill states that “in order to continue to maintain registration as a registered professional nurse in New York state, have attained a baccalaureate degree or higher in nursing within 10 years of initial licensure,” which took effect 18 months after the act became law, or June 2019. RNs, as well as those enrolled or pending acceptance into a program preparing registered nurses on the effective date of this act were grandfathered in and the provisions of the law does not apply to them (New York State Legislation to Strengthen Education Requirements for Future Registered Nurses. December 2017).

https://legislation.nysenate.gov/pdf/bills/2017/S6768



Figure 3 New Nursing Enrollments, CUNY AAS Nursing Programs, 2012-2013 to 2018-2019

Table 8 New Nursing Enrollments, CUNY AAS Nursing Programs, by College, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 BMCC 158 149 146 146 157 158 157 Bronx 83 87 67 52 37 30 75 Hostos 60 43 53 51 62 64 47 Kingsborough 143 162 135 141 153 152 150 LaGuardia 93 96 103 107 106 105 102 Medgar Evers 76 67 58 46 39 36 38 NYCCT 137 104 133 141 142 149 148 Queensborough 127 130 125 141 129 141 164 Staten Island (CSI) 153 147 116 133 149 148 152 Total 1,030 985 936 958 974 983 1,033




Graduation of Students Admitted into AAS Programs

The rate at which students graduate with an AAS degree remained relatively unchanged over the past seven years (2012-2013 through 2018-2019), with an average 46% of students graduating within two years, and 66% of students graduating within three years of enrollment in the program.

Figure 4 Percent of Students Graduating from AAS Nursing Degree Programs Within Two, Three, and Four Years After their First Nursing Course, 2010-2011 to 2016-2017

Table 9 Percent of Students Graduating with an AAS Nursing Degree within Three Years After their First Nursing Course, by College, 2010-2011 to 2015-2016

College 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 BMCC 77% 82% 79% 77% 75% 77% Bronx 33% 42% 46% 38% 27% 25% Hostos 78% 77% 78% 81% 79% 90% Kingsborough 86% 88% 74% 73% 68% 65% LaGuardia 75% 68% 60% 53% 45% 40% Medgar Evers 70% 84% 87% 79% 86% 59% NYCCT 42% 43% 45% 38% 52% 57% Queensborough 63% 67% 53% 69% 59% 69% Staten Island (CSI) 74% 69% 77% 69% 60% 76%




BS Nursing Degree Programs

BS Nursing Graduates

The number of BS degree graduates across campuses decreased from a peak in 2013-2014, with an overall increase in Generic BS program graduates in the past five years, and an overall decline in RN to BS Completion (BS Completion) program graduates, which have leveled off in the past three years. On average, 803 baccalaureate degrees were awarded each year over the reporting period, with an average of 228 generic BS degrees and 575 BS Completion degrees awarded annually. CUNY BS degree data reflect statewide trends of declining BS Completion graduation rates, with a corresponding increase in four-year BS programs, as outlined in the Center for Health Workforce Studies (CHWS) report (2019, p2), though the number of BS degree graduates from privately-sponsored nursing education programs in NYS have nearly tripled from 2011-2018 (2019, p3).

Figure 5 Trends in CUNY BS Degrees in Nursing, by Program, 2012-2013 to 2018-2019

CUNY offers two full-time Accelerated BS degree programs (Hunter College and Lehman College) aimed at students seeking a second degree in Nursing. The number of accelerated degree students have increased over the reporting period, with the Lehman program opening in 2015-2016. This is consistent with national trends showing an increase in enrollment in accelerated nursing programs, with a 9.3% increase from 2017 to 2018. (American Association of Colleges of Nursing 2019a, p2).

Over the seven-year reporting period, 2018-2019 had the highest overall number of BS generic nursing degrees awarded. This represents a 50% increase compared to the low point in 2015-2016.



Table 10 CUNY BS Generic and Accelerated Nursing Degree Graduates, by College, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Generic

Hunter 111 95 78 62 89 97 102 Lehman 71 66 77 68 90 85 89 York 20 18 19 29 36 32

Accelerated Hunter 28 29 14 28 27 24 29 Lehman 17 7 40 20

Total 210 210 187 194 242 282 272 Source: CUNY Institutional Research Database (IRDB)

During the seven-year reporting period, 2014-2015 had the highest number of BS Completion program graduates, with a slight increase in the number of overall degrees awarded in 2018-2019 compared to 2017-2018. According to the CHWS 2019 report, there was a steady increase in BS graduates in NYS from 26% to 41% (both BS Completer and traditional four-year Generic programs) from 2002 to 2018. While there was a steady increase in BS graduates overall, the CHWS 2019 report noted that the percentage of BS-Completer graduates in NYS declined since 2014.

Table 11 CUNY RN to BS Completion Nursing Degree Graduates, by College, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Hunter 73 61 94 80 52 43 18

Dual/Joint Degree (QCC) 8 19 29 24 Lehman 156 201 216 166 98 93 119 Medgar Evers 40 86 47 45 39 27 25 NYCCT 112 148 129 115 98 114 89 School of Professional Studies 40 66 119 147

Dual/Joint Degree (QCC) 3 Staten Island (CSI) 107 122 135 136 133 83 97 York 27 29 32 32 19 13 7

Dual/Joint Degree (QCC) 5 4 2 1 Total 515 647 653 627 528 523 530




Demographics of BS Nursing Graduates

The gender identity of graduates who received BS degrees from Generic Nursing Programs and BS Completion programs remained relatively unchanged, with more students identifying as men receiving generic BS degrees during 2018-2019 (24%) than in the RN to BS completion programs (17%). CUNY programs are more diverse compared to the overall US workforce and nursing data nationally. According to the Health Research Services Administration (HRSA) Report (2017) 90% of RNs identify as female. The 2017 National Nursing Report Survey* reported that 9% of RNs who have baccalaureate degrees identify as male. *NOTE: percentages are rounded up and based on weighted sample values.

Table 12 CUNY BS Nursing Degree Graduates, by Gender, 2012-2013 to 2018-2019

Gender 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Generic

Men 21% 20% 18% 23% 22% 20% 25% Women 79% 80% 82% 77% 78% 80% 75%

Accelerated Men 11% 7% 7% 42% 26% 34% 20% Women 89% 93% 93% 58% 74% 66% 80%

RN to BS Completion Men 14% 14% 16% 15% 17% 17% 17% Women 86% 86% 84% 85% 83% 83% 83%

Note: Accelerated Programs in years 2014-15 and earlier include only Hunter College. 2015-16 and later years include both Hunter and Lehman Colleges

During the reporting period, the majority of CUNY BS Generic and BS completion degree graduates identify as people of color (74% and 69% respectively) where the HRSA data collected from 2011-2015 reported that 74% of RNs identify as white. According to the 2017 National Nursing Report Survey*, approximately 43% of RNs who have BS degrees identify as white. *NOTE: percentages are rounded up and based on weighted sample values.



Table 13 CUNY BS Nursing Degree Graduates, by Ethnicity, 2012-2013 to 2018-2019

Ethnicity 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Generic

Asian or Pacific Islander 39% 28% 33% 32% 31% 34% 37% Black, Non-Hispanic 23% 29% 30% 33% 36% 26% 26% Hispanic, Other 15% 17% 15% 16% 15% 22% 18% White, Non-Hispanic 24% 26% 22% 20% 18% 17% 19%

Accelerated Asian or Pacific Islander 21% 14% 21% 22% 15% 16% 24% Black, Non-Hispanic 7% 3% 21% 16% 12% 27% 22% Hispanic, Other 7% 7% 18% 6% 25% 10% White, Non-Hispanic 64% 76% 57% 44% 68% 33% 43%

RN to BS Completion Asian or Pacific Islander 22% 18% 25% 20% 20% 19% 21% Black, Non-Hispanic 37% 45% 38% 40% 35% 36% 30% Hispanic, Other 11% 9% 9% 9% 11% 10% 17% White, Non-Hispanic 30% 28% 28% 32% 35% 35% 32%


The average age of BS graduates remains relatively unchanged, with Generic degree graduates consistently younger than those graduating from BS Completion and Accelerated programs. In 2018-2019, Generic degree graduates were on average eight years younger than those graduating from the BS Completion programs. The average age over the past seven years of all BS graduates was 33 years old, with 27, 32 and 35 years old being the average age for Generic, Accelerated, and BS Completion programs, respectively.

Table 14 Average Age of CUNY BS Nursing Degree Graduates, 2012-2013 to 2018-2019

Average Age at Graduation 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Generic 27 28.3 27.9 27.7 26.8 25.9 26.1 Accelerated 29.7 31.2 27.5 32.7 29.1 35.6 32.1 RN to BS Completion 35.3 35.5 35.4 35.2 34.2 34.3 34.5




BS New Nursing Enrollments

Figure 6 New Nursing Enrollments, CUNY BS Nursing Programs, 2012-2013 to 2018-2019

Table 15 New Nursing Enrollments, CUNY BS Generic and Accelerated Nursing Programs, by College, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Generic

Hunter 99 144 98 110 117 114 119 Lehman 71 90 88 101 87 93 113 York 20 23 28 38 34 49 54

Accelerated Hunter 29 14 29 28 24 30 26 Lehman 18 11 41 17 23




Graduation of Students Admitted into BS Nursing Programs

New student enrollments for BS Generic nursing programs were highest in 2018-2019 over the seven-year reporting period. Overall, BS Completion enrollments are decreasing while Generic programs enrollments are increasing. Accelerated Program enrollments remain relatively unchanged. As noted earlier, CUNY BS degree enrollment is reflective of NYS trends.

Figure 7 Percent of Students Graduating from Generic BS Nursing Degree Programs Within Three and Four Years After their First Nursing Course, Sophomore Entry Cohorts, 2011-2012 to 2015-2016

Table 16 Percent of Students Graduating with a BS Generic Nursing Degree Within Four Years After their First Nursing Course, Sophomore Entry Cohorts, by College, 2011-2012 to 2014-2015

College 2011-2012 2012-2013 2013-2014 2014-2015 York 80% 100% 87% 96% Hunter 98% 92%

Includes only programs where students take their first clinical nursing courses as sophomores: York College and Hunter College from 2013-14 on. Source: CUNY Institutional Research Database (IRDB)



Figure 8 Percent of Students Graduating from Generic BS Nursing Degree Programs Within Two and Three Years After their First Nursing Course, Junior Entry Cohorts, 2010-2011 to 2016-2017

Table 17 Percent of Students Graduating with a BS Generic Nursing Degree Within Three Years After their First Nursing Course, Junior Entry Cohorts, by College, 2010-2011 to 2015-2016

College 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 Hunter 97% 99% 96% Lehman 79% 85% 96% 83% 81% 91%

Includes only programs where students take their first clinical nursing courses as juniors: Lehman College and Hunter College from 2012-13 and earlier. Source: CUNY Institutional Research Database (IRDB) The graduation rate of Generic BS degree programs remained relatively stable throughout the reporting period. On average, 90% of students graduated within three years after enrolling in their first nursing course, and an average of 45% graduating within two years of entering the BS Completion program.



Figure 9 Percent of Students Graduating from BS Accelerated Nursing Degree Programs Within Two, and Three Years After their First Nursing Course, 2010-2011 to 2016-2017

Table 18 Percent of Students Graduating with an Accelerated BS Nursing Degree Within Three Years After their First Nursing Course, by College, 2010-2011 to 2015-2016

College 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 Hunter 100% 100% 100% 100% 97% 100% Lehman 94% 82%




Figure 10 Percent of Students Graduating from an RN to BS Completion Nursing Degree Programs Within Two, Three, and Four Years After their First Nursing Course, 2010-2011 to 2016-2017

Table 19 Percent of Students Graduating with an RN to BS Completion Nursing Degree Within Three Years After their First Nursing Course, by College, 2010-2011 to 2015-2016

College 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 Hunter 79% 92% 85% 89% 87% Lehman 65% 82% 84% 81% 74% 59% Medgar Evers 38% 74% 70% 69% 54% 58% NYCCT 55% 59% 59% 57% 64% 58% Staten Island (CSI) 60% 51% 54% 66% 75% 73% York 85% 86% 80% 96% 90% 82% School of Professional Studies 54% 53% 49%




Degree Breakdown of Undergraduate Nursing Students at CUNY

Table 20 BS (Generic and Completion) Graduates as a Percentage of Total Graduates of Undergraduate RN Programs, 2012-2013 to 2018-2019

2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Total BS Graduates 725 857 840 821 770 805 802 Total AAS Graduates 897 881 734 695 656 667 706 Total AAS and BS Graduates 1622 1738 1574 1516 1426 1472 1508 Percent BS Graduates 45% 49% 53% 54% 54% 55% 53%


Table 21 BS (Generic and Completion) New Enrollments as a Percentage of Total New Enrollments of Undergraduate RN Programs, 2012-2013 to 2018-2019

2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Total BS New Enrollments 962 973 1004 1013 957 941 910 Total AAS New Enrollments 1030 985 936 958 974 983 1033 Total AAS and BS New Enrollments 1992 1958 1940 1971 1931 1924 1943

Percent BS New Enrollments 48% 50% 52% 51% 50% 49% 47%


For the past four academic years, beginning 2013-2014, the percentage of CUNY AAS graduates who enroll into a CUNY BS Completion Program has remained stable at between 58% and 60%. This represents a significant increase since 2011-2012, where only 43% of AAS graduates enrolled in a CUNY BS Completion program.



Table 22 Percent of CUNY AAS Graduates Ever Enrolling in a CUNY BSN Completion Program, by College and Academic Year of AAS Graduation, 2012-2013 to 2016-2017

2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 BMCC 30% 35% 47% 61% 62% 59% Bronx 48% 38% 43% 42% 60% 58% Hostos 44% 45% 56% 71% 80% 74% Kingsborough 20% 29% 31% 19% 14% 10% LaGuardia 44% 47% 62% 68% 61% 51% Medgar Evers 42% 55% 45% 42% 38% 30% NYCCT 81% 84% 89% 76% 85% 89% Queensborough 21% 43% 56% 64% 69% 86% Staten Island (CSI) 72% 86% 86% 93% 82% 83% All CUNY AAS Programs 43% 50% 58% 59% 60% 59%


Table 23 Associate Colleges of Students Enrolled in CUNY RN to BSN Completion Programs between 2012-2013 and 2018-2019

RN to BS Completion College AAS College* Hunter Lehman Medgar

NYCCT School of

Staten

York BMCC 129 122 21 105 207 11 12 Bronx 2 132 4 18 4 2 Hostos 6 110 1 9 83 1 Kingsborough 21 6 15 81 64 38 3 LaGuardia 73 152 10 30 167 2 25 Medgar Evers 2 8 109 12 37 NYCCT 4 7 2 515 27 3 1 Queensborough 206 59 10 12 150 50 Staten Island (CSI) 1 4 2 6 15 699 Outside CUNY* 52 378 138 158 287 120 40

Note: Bold numbers denote an existing articulation agreement and/or Dual/Joint program. * College of CUNY AAS graduates from 1996-97 to 2017-18. Outside CUNY may include CUNY AAS graduates with degrees earned before 1994-95 Source: CUNY Institutional Research Database (IRDB)

The overall rate of AAS students enrolled in CUNY BS Completion programs has remained stable over the past four years, though those programs with dual/joint degrees across CUNY campuses have experienced a steady increase in graduates proceeding to BS degrees (Queensborough, Hostos, BMCC), as well as those campuses with both AAS and BS Completion degree programs (Medger Evers, CSI, NYCCT).



Figure 11 Percent of CUNY AAS Graduates Ever Enrolling in a CUNY BSN Completion Program within one, two, and three years of AAS Graduation, by Academic Year of AAS Graduation, 2012-2013 to 2017-2018



NCLEX-RN Pass Rates

The National Council Licensure Examination (NCLEX) is a nationwide examination for the licensing of nurses in the United States. After graduation from a school of nursing, one takes the NCLEX exam to receive a nursing license.

CUNY’s NCLEX pass rate for first-time candidates has been consistently higher than the percentage of total NYS exam takers and other NYC Nursing Programs since 2016.

Figure 12 NCLEX Pass Rates, CUNY Total vs. Other NYC Programs and NY State Total, 2015 to 2019



Table 24 CUNY NCLEX Pass Rates, by College, 2015 to 2019

2016 2017 2018 2019 College Take Pass Pct Take Pass Pct Take Pass Pct Take Pass Pct Senior Colleges Hunter 91 81 89% 118 103 87% 121 111 92% 129 116 90% Lehman 72 66 92% 116 101 87% 111 92 83% 108 77 71% Medger Evers 52 36 69% 69 41 59% 30 25 83% 31 24 77% NYCCT 72 63 88% 97 89 92% 77 74 96% 88 84 95% Staten Island 102 84 82% 70 66 94% 117 109 93% 93 90 97% York College 19 13 68% 29 29 100% 36 34 94% 32 32 100% Community Colleges BMCC 115 99 86% 118 96 81% 120 107 89% 111 100 90% Bronx 37 32 86% 22 20 91% 13 12 92% 26 21 81% Hostos 42 30 71% 39 32 82% 55 43 78% 64 58 91% Kingsborough 104 93 89% 96 84 88% 106 92 87% 104 94 90% LaGuardia 84 76 90% 71 69 97% 74 71 96% 81 81 100% Queensborough 84 78 93% 78 72 92% 88 84 95% 113 107 95% CUNY Total 874 751 86% 923 802 87% 948 854 90% 980 884 90% Other NYC Nursing Programs 1,886 1,508 80% 1,850 1,565 85% 1,949 1,633 84% 2,231 1,867 84% New York State Total 9,393 7,785 83% 9,425 8,018 85% 9,891 8,647 87% 10,784 9,252 86%

First-time candidates Source: New York State Education Department, Office of the Professions



MS Nursing Degree Programs

MS Nursing Graduates

2018-2019 represents the first year of an increase in MS degrees awarded after a decline from the peak of awards conferred in 2015-2016.

Figure 13 Trends in CUNY MS Degrees in Nursing, 2012-2013 to 2018-2019



Table 25 CUNY MS Nursing Degree Graduates, by College, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Hunter

Adult/Gerontological CNS 7 5 7 14 14 20 Adult/Gerontological NP 67 62 73 39 62 70 72 Community/Public Health Nursing 23 4 26 21 6 16 15

Nursing Administration/Leadership 21 18 18 20 24 6 15

Psychiatric/Mental Health NP

19 23 29 35 22 47

Lehman

Adult Health Nursing 27 27 20 8 20 3 1 Family NP 52 89 94 134 79 71 52 Nursing of Older Adults 2 1 3 2 Parent/Child Nursing 2 1 Pediatric NP 1 1 2 1

Staten Island (CSI) Adult/Gerontological CNS 10 12 6 8 1 1 Adult/Gerontological NP 12 19 18 11 9


Demographics of MS Nursing Graduates

The majority of CUNY MS degree graduates identify as female, ranging from 81% to 93% over the seven-year reporting period. CUNY’s gender demographics appear to be in line with national trends. According to HRSA, 85% of Advanced Practice Nurses identified as female in 2011-2015. The National Center for Education Statistics (NCES 2019b) reported that 82% of MS degree recipients in the health professions and related programs identify as female. According to the 2017 National Nursing Report Survey*, 91% of RNs who have MS degrees identify as female. The survey also revealed that those who identify as male comprise a higher percentage of Nurse Practitioner program graduates compared to other MS programs (14% vs 11%). This variation is notable among CUNY NP and MS program graduates with 21% vs. 9% who identify as male, respectively. *NOTE: percentages are rounded up and based on weighted sample values.



Table 26 CUNY MS Nursing Degree Graduates, by Gender, 2012-2013 to 2018-2019

Gender 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Nurse Practitioner Programs

Men 12% 19% 9% 8% 14% 14% 21% Women 88% 81% 91% 92% 86% 86% 79%

Other Programs Men 13% 17% 3% 11% 11% 8% 9% Women 87% 83% 97% 89% 89% 92% 91%


The majority of MS degree graduates are people of color, with 64% on average across the seven-year reporting period. When looking at individual races and ethnicities, an average of 34% of MS graduates identified as Black, non-Hispanic, 24% as Asian or Pacific Islander and 6% as Latinx. CUNY’s graduates are more racially and ethnically diverse than those reported by AACN (2019d) during the period from 2010 to 2019, with an average of 14.4% national MS graduates identified as Black, non-Hispanic, 8.5% as Asian or Pacific Islander and 9.8% as Latinx in 2019. Furthermore, CUNY graduates represent greater racial and ethnic diversity than the NYC and NYS NP reported data in the CHWS Research Brief (October 2018), with an average of 11.5% NYS NPs identified as Black, non-Hispanic, 9.7% Asian or Pacific Islander and 5% Latinx.

Table 27 CUNY MS Nursing Degree Graduates, by Ethnicity, 2012-2013 to 2018-2019

Ethnicity 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Nurse Practitioner Programs

Asian or Pacific Islander 30% 31% 36% 25% 22% 22% 19% Black, Non-Hispanic 24% 33% 28% 31% 32% 32% 34% Hispanic, Other 8% 5% 4% 9% 4% 9% 7% White, Non-Hispanic 38% 31% 31% 35% 42% 37% 41%

Other Programs Asian or Pacific Islander 16% 28% 10% 12% 20% 12% 17% Black, Non-Hispanic 40% 41% 55% 51% 38% 62% 23% Hispanic, Other 10% 1% 3% 9% 8% 11% White, Non-Hispanic 34% 30% 32% 28% 34% 27% 49%




The average age of MS degree graduates is the youngest since 2012-2013 at 36.1 years old in 2018-2019. According to the Biennial Survey of Schools of Nursing, 2018 conducted by the National League for Nursing (NLN), 34% of MSN students are age 26-30.

Table 28 Average Age of CUNY MS Nursing Degree Graduates, 2012-2013 to 2018-2019

Average Age at Graduation 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Nurse Practitioner Programs 37.7 37 37.1 38 36.8 35.8 35.5 Other Programs 39.8 41.6 41.1 40.3 39.4 41.2 38


MS New Enrollments

New student enrollments for the four MS nursing programs, which include clinical and leadership degrees, were the highest in 2014-2015 and lowest in 2015-2016. Overall, there was an increase of approximately 6% from 2017-2018 to 2018-2019 across MS programs.

Figure 14 New Enrollments, CUNY MS Nursing Programs, 2012-2013 to 2018-2019



Table 29 New Enrollments, CUNY MS Nursing Programs, by College, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 Hunter

Adult/Gerontological CNS 18 16 19 13 14 9 12 Adult/Gerontological NP 73 57 76 80 114 98 95 Community/Public Health Nursing 24 21 12 14 18 8 7

Nursing Administration/Leadership 22 41 21 8 7

Psychiatric Nursing 2 Psychiatric/Mental Health NP

25 32 34 32 62 46 55

Lehman

Adult Health Nursing 9 22 23 3 17 Family NP 102 128 134 93 110 87 82 Nursing of Older Adults 1 1 1 3 Parent/Child Nursing 1 1 Pediatric NP 4 3 2 1 1

School of Professional Studies Nurse Education 24 16 Nursing Administration/Leadership

26 11

Nursing Informatics 19

Staten Island (CSI) Adult/Gerontological CNS 30 30 21 1 1 1 1 Adult/Gerontological NP 15 13 18 7 20




Graduation of Students Admitted into MS Nursing Programs

The rate at which students graduate with an MS degree in three years decreased to 33% in 2015-2016, the lowest percentage recorded during the reporting period. Sixty-nine percent of students completed their MS within four years, and 76% of students completed degrees within five years of enrollment.

Figure 15 Percent of Students Graduating from MS Nursing Degree Programs Within Three, Four, and Five Years After their First Semester, 2009-2010 to 2015-2016

Table 30 Percent of Students Graduating with an MS Nursing Degree within Four Years After their First Semester, by College, 2009-2010 to 2014-2015

College 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 2014-2015 Hunter 67% 69% 66% 60% 69% 61% Lehman 73% 82% 83% 84% 74% 76% Staten Island (CSI) 28% 57% 50% 63% 50% 47%




Doctor of Nursing Degree Programs

DNS/PhD/DNP Program Enrollment and Graduates

The total number of graduates across CUNY Doctoral programs, which include PhD, DNS and DNP degrees, peaked at 17 graduates per year for the past two years (2017-2018 and 2018-2019), representing a 70% increase over the reporting period. The DNS degree at The Graduate Center was retired in 2016. Enrollment in CUNY’s DNP programs rose consistently during the reporting period, until 2018-2019, whereas enrollment in the PhD nursing program declined from 2013-2014, with a slight increase starting in 2017-2018.

The 2017 National Nursing Workforce Survey prepared by the National Council of State Boards of Nursing and the National Forum of State Nursing Workforce Centers revealed that the highest level of education of nurses surveyed was 1.2% with a DNP; 0.6% with a PhD; and 0.1% with another type of doctorate (AACN 2019f). As noted in the AACN Campaign for Action Dashboard (2019e), the national number of doctoral degrees conferred in nursing increased 218% between 2012-2018, with significantly higher numbers of DNP degrees than PhD degrees conferred over the reporting period, at 278% and 31%, respectively.

Table 31 Graduates, CUNY Doctoral Nursing Programs, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 DNP

Hunter 4 6 3 6 9 DNS

Graduate Center 1 1 Ph.D.

Graduate Center 4 14 6 5 7 11 8 Total 5 14 10 12 10 17 17


Table 32 New Enrollments, CUNY Doctoral Nursing Programs, 2012-2013 to 2018-2019

College 2012-2013 2013-2014 2014-2015 2015-2016 2016-2017 2017-2018 2018-2019 DNP

Hunter 7 11 6 5 17 15 12 Staten Island 1 3

Ph.D. Graduate Center 10 13 8 7 6 7 9




Summary

Registered nursing remains one of the largest licensed health professions in New York State, and nationally, with projected increases of 12% from 2018-2028 (Occupational Outlook Handbook, May 2019). Though enrollment and employment projections may shift due to various economic and clinical consequences of the COVID-19 crisis, the demand for nursing is expected to continue in response to other immutable factors, including an aging population and a shift to alternative care settings and care delivery models, with an increasing focus on population health and chronic disease management.

CUNY’s 14 nursing programs, representing more than 60 degree and credit-bearing certificate programs, include opportunities for seamless transitions with a platform for continued lifelong learning to advanced degree and certificate programs. CUNY nursing graduates are clearly distinguished by greater diversity in race, ethnicity, gender identity and age than NYC, NYS and national nursing graduates. In addition, CUNY nursing graduates have a consistently higher average NCLEX first-time passing rate (90%) than city, state and national nursing program average NCLEX first-time passing rates of 84%, 86% and 88%, respectively (National Council on State Boards of Nursing, 2019). These characteristics represent the high value of CUNY nursing programs, as expressed by local healthcare and social service industry partners, who seek out CUNY nursing graduates due to the quality of our clinical and educational programs and the successful professional practice networks of CUNY nursing graduates across New York City.

Though the COVID-19 pandemic is still active, with NYC only in Phase 1 of the state re-opening plan at the writing of this report, the value of professional nurses has been well recognized during the pandemic, especially in New York City—the national epicenter of the crisis. It’s too early to predict the impact of COVID-19 on the nursing profession, though there are clearly opportunities to integrate the evolving COVID-related scientific, public health and practice innovations into the education and clinical training of CUNY’s nursing professionals. CUNY will continue to evolve the professional training of nursing students—advancing pedagogy, learning modalities and clinical training models in response to changing needs, such as the immediate transition to distance and simulated learning in the early phases of COVID-19, and the rapid adoption of innovative methods of student engagement and assessment to ensure the quality and integrity of our successful nursing programs.

In summary, CUNY continues to enroll and graduate highly qualified nurses, representing the cultural and ethnic diversity of New York City, who are well prepared for a rapidly changing healthcare landscape.



References

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