Nursing Resource Centers
A publication of the California Institute for Nursing and Health Care                  
July 2015 EDITION
In This Issue
Bay Area and Los Angeles
 Nursing Resource Centers

Clinical Placement Trends in California Nursing Schools

The California Board of Registered Nursing collects information on clinical placement experiences and trends as part of their annual pre licensure school report with the most current academic year report recently completed. (Annual BRN 2013-2014 School Report)
Competition for clinical space due to the number of nursing students in the region continues to be the most frequently reported reason that clinical placement requests are declined as reported by 46.9% of schools.

Various reasons reported in further detail by schools that impact the availability of clinical space exhibit the complexity of the processes and systems involved in providing sufficient aggregate access to clinical education in for each region:
  • Insufficient number  of qualified nursing staff (45.7%)
  • School displaced by another program (43.2%)
  • Decrease in patient census (28.4%)
  • Facility closure or partial closure (25.9%) 
  • Organizational change or operational event such as implementation of EHR (22.2%) or regulatory site visit (21.0%)

Despite these challenges, the availability of clinical placements have continued to show consistent improvement in each of the past 4 academic years with 71.4% of schools reporting a lack of placements in 2010-2011, now down to 46.9% in 2013-2014. 

Factors likely to contribute to this level of improvement and success in securing needed clinical placement capacity include:
  • Stabilization of the number of students enrolled in pre licensure nursing programs compared to the prior 5 years of rapid growth
  • Simulation methods have been adopted by more schools in the past six years with 68 nursing schools in 2007-2008 and 120 schools reporting use of simulation in 2013-2014. A portion of simulation time is used to provide clinical experiences not otherwise available (81.0%), or to make up for needed clinical time (63.5%). Evidence that simulation has supported increased student enrollment capacity is reported by 13.5% of schools.  
  • Diversification in the type of clinical settings and expansion of the number of affiliated practice partners is consistent with programs providing a broader range of student experiences in progressive nursing roles.  
  • Effective decision making in addressing challenges and change in dynamic practice settings involving  shared planning, flexibility, and evaluating alternative options to assure patient safety while meeting core student learning needs.

The importance of developing effective academic practice partnerships is essential to clinical placement planning. While hard to measure, certainly utilizing standardized systems among academic institutions with healthcare organizations across a region, and extending leadership commitment and contributions of clinical placement coordinators and leaders working together are successful strategies to achieving shared results. 


A copy of the complete BRN Annual School Report can be found on the California BRN website BRN 2013-14 Annual School Report (pg 13-18), with separate regional reports Bay Area Region (pg 11-16)  and Los Angeles Region (pg 10-14).
Bay Area News and Updates

We continue to value and incorporate feedback from our users.  For any ideas about system improvements, contact Nikki West at

Los Angeles Area News and Updates
LANRC/CCPS Annual Survey Coming in July
The Los Angeles Nursing Resource Center will be conducting the Annual CCPS Coordinators Survey in July.  The survey will be sent out via email.  Please help us to make improvements to the CCPS
System and the program by providing your feedback related to your user experience. 
Your participation in the survey is appreciated.
Los Angeles Nursing Resource Center
CCPS Training Dates
If you would like to attend training
Register by contacting
Training will be held at Huntington Memorial Hospital (Pasadena)

New Coordinators Training (Schools)

August 21
9am to 12pm

 New Coordinators Training (Clinical Agencies)

August 21
1pm to 4pm

Refresh Training (Clinical Agencies)

September 4
9am to 12pm

Refresh Training (Schools)

September 4

1pm to 4pm


CCPS Placement Cycle Calendar
Spring/Summer 2016

August 17 - September 4, 2015

Hospitals review, confirm and extend availability through August 31, 2016 for both cohort and preceptor programs. We understand some hospitals will need to modify future availability if census and building plans change. These changes can be done as needed throughout the year.


September 7 - September 25, 2015 (Preceptor requests due November 13)

Schools make requests for all courses that start January 2016 through the end of the spring/summer terms. (Courses that usually end by August 31)


September 28 - October 16, 2015 (Preceptor placement decisions due December 4)

Hospitals review proposed requests and make placement decisions. Hospitals are encouraged to accept long-standing/historic placements and to decline proposals they know they cannot accommodate as quickly as possible, as a courtesy to schools.