26 | Dr. Maryann Alexander: Why the Future of Long-Term Care Depends on LPNs

In this enlightening episode of Nursing Insights, host Stephanie Olaso sits down with Dr. Maryann Alexander, visiting professor at Vanderbilt University and former Chief Officer of Nursing Regulation at the National Council of State Boards of Nursing (NCSBN). Together, they explore the current state, challenges, and future of the Licensed Practical Nurse (LPN) workforce in the United States.

With a wealth of data and decades of insight, Dr. Alexander discusses the vital role LPNs play in healthcare – particularly in long-term care – and the pressing need to recognize, support, and expand their contributions. From shifting demographics to burnout and barriers to career progression, this episode is a must-listen for anyone invested in the nursing profession and the future of patient care.

Key Takeaways:

• The LPN workforce is aging and shrinking – but more essential than ever.
• LPNs bring diversity and depth to nursing, especially in long-term care.
• Emotional burnout, stress, and inadequate staffing remain significant issues.
• Regulations on assessment vary by state, and in NJ RNs cannot delegate assessment of the patient.
• A new RN–LPN partnership model could revolutionize patient care delivery.
• We must expand and better support educational and career advancement pathways for LPNs.
• If LPNs disappear, many long-term care facilities simply won’t function.

Relevant Links:

• Learn more about the New Jersey Collaborating Center for Nursing. https://www.njccn.org
• National Council of State Boards of Nursing (NCSBN): https://www.ncsbn.org
• Journal of Nursing Regulation: https://www.journalofnursingregulation.com
• Vanderbilt University School of Nursing: https://nursing.vanderbilt.edu

Chapters

• 12:22 Move part here
• 27:34 Marker 10