PA is one of the top 3 states in educating nurses.
24 Diploma Programs, 5 in Philadelphia
22 ADN Programs
34 BS Programs, 2 closing
39 LPN Programs
Our SBON is conservative due to the legislature who controls expenditures for modernization and appointments to the SBON. We have a diverse population in our two cities of Pittsburgh and Philadelphia while most of the state is rural. Both of these cities offer a wide avenue of practice settings, especially nontraditional. Phialdelphia has several independent NP groups serving low income residents, a niche market they chose due to grant funding for nursing demonstration projects in econically underserved areas. The Abbottsford Homes Center has decreased ER visits at MCP hospital by 15,000 a year...quite impressive.
I am seeing NP's increasing being utilized in fast track ER's, doing Preadmission testing health screenings, working in outreach vans and with several Specialty groups: cardiology, transplant, + dialysis.
The nursing shortage is evident in the 5- county Phila area with marked increase in sign-on and retenion bonuses in the newspapers.
Over the past 5 years, the unionized facilites in the Phila area have broken away from being managed by non-professional groups and formed a seperate nursing union: PASNAP which last year affiliated with CNA. I know several of their nursing leaders who have been exceptional nurse advocates over the past 15 years. They said NO to management when mgmt wouldn't listen to them, and unionized. When non-nurse management wasn't meeting the nurses needs, they formed PASNAP (www.pennanurses.org
) leading the way for nursing workplace conditions in the Phila. area and now the state.
PSNA is highly influential in the state, has good working relationship with SBON for promoting and PROTECTING nursing
practice and has been working vigirouosly to promote healthcare legislation in the state. It was successful in stopping physicians from having UAP's be under their jurisdition and fought a long campaign for NP prescriptive practice against both MD's and legislature.
So no, I don't think PA is a bad place to practice in. We have no more problems than any other area.