How far do nurses go after graduation in North Carolina?

Examining the diffusion of nurses post-graduation in North Carolina.

How to Cite

To cite, please include the following: The Program on Health Workforce Research and Policy at the Cecil G Sheps Center. “NC Nursecast: A Supply and Demand Model for Nurses in North Carolina.” November 1, 2021. https://ncnursecast.unc.edu/diffusion/

North Carolina has over one hundred nursing programs. Some programs educate licensed practical nurses (LPNs) while others educate registered nurses (RNs) and award an associate’s or bachelor’s degree. Where do these nurses go after they have graduated and how do the patterns of diffusion differ between different types of programs and individual programs?

To help answer those questions, we used licensure data to determine where a nurse completed their first nursing degree for licensure and where they were working two years later. Then we put those origin and destination points on a map for each of North Carolina’s nursing programs. We drew an ellipse around those points to show the spatial distribution of approximately 2⁄3 of the graduates from each program, giving a general idea of the diffusion pattern of a school’s graduates.

If you’d like to learn more about how to use the graduate diffusion map, you can watch the video below. Or you can just keep scrolling and dive right in.


Approximate Location of Nurses Retained In-State Two Years After Graduation (2015 - 2018)

Ellipses contain approximately 2/3 of each program's graduates.

InstitutionProgram Type## Hospital (%)# Ambulatory (%)# Home Health / Hospice (%)# Rural (%)Mean Distance in MilesPercent Retention in NC
Percentages will not sum to 100% as there are additional work settings not shown. Data for these other settings are available in the downloadable file.
Note: Data, except for retention, is for registered nurses and licensed practical nurses who graduated between 2013 and 2016. Each marker on the map indicates the approximate (zip code level) practice location of each nurse two years after graduating from a nursing education program. Note that the dot marks representing nurses will overlap in dense areas, which will visually underrepresent the true number in that area. If the number of graduates for this time period was less than 20, then data for that program is not reported here. The licensure data used for this analysis is from the North Carolina Board of Nursing. Work setting is self-reported. The map shows either all nurses or only those working in a hospital setting because the number of nurses in other settings is often very low for a given program. Retention data is from NC Tower, a product of the North Carolina Common Follow-up System, which reports on the in-state employment for graduates of public universities and community colleges. The data reported here is for nurses who graduated between 2010 and 2017. We calculated the percentage employed in North Carolina two years after graduation. Rural is defined at the county level using the August 2017 vintage of the US Census Delineation file for Core Based Statistical Areas. All counties not classified as metropolitan were labeled as rural. For both the Region A and the Foothills Nursing Consortiums, data from the individual consortium members, as reported in the NC Tower data, were aggregated to the consortium level. For instance, graduates of the Isothermal Community College Associate's Degree in Nursing program are reported here as part of the Foothills Nursing Consortium.

To cite, please include the following: The Program on Health Workforce Research and Policy at the Cecil G Sheps Center. “NC Nursecast: A Supply and Demand Model for Nurses in North Carolina.” November 1, 2021. https://ncnursecast.unc.edu/diffusion
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Explore

Supply & Demand

Want to learn about the future supply and demand of our state's licensed practical nurses and registered nurses across settings and geographic regions?

See projections

Graduate Diffusion

Want to see how different North Carolina nursing programs impact the distribution of health professionals in their area and across the state?

Examine graduate diffusion

Key Findings

What are the main takeaways from the nursecast projections? In what regions and settings will nurses be in shortage?

Read key findings

Who are we?

This project is brought to you by The Cecil G. Sheps Center For Health Services Research at the University of North Carolina in partnership with the North Carolina Board of Nursing.