After tussling over proposed legislation to allow community colleges to offer a bachelor’s of nursing degree, Los Angeles County’s 19 community colleges and the California State University system are working together to tackle local nursing shortages. The partnership, spearheaded by Compton College, may signal a new phase of cooperation between the two systems.
The Nursing 2035 Initiative aims to foster collaboration between community colleges, the CSU system and other stakeholders; conduct research; and devise strategies to graduate more registered nurses in the region over the next decade. The project also includes the Los Angeles Economic Development Corporation, the Department of Economic Opportunity with the County of Los Angeles and California Competes, an organization focused on higher ed and workforce development in the state.
Keith Curry, president of Compton College, said the need for more nurses in the region is dire. Lightcast, a labor market analytics firm, projected 6,454 job openings for registered nurses in Los Angeles County annually through 2035, but degree-completion data from 2023 shows local colleges only produced 5,363 graduates with relevant degrees that year.
Curry described a nearby medical clinic’s emergency room as “flooded” with patients at the same time aspiring nurses face barriers to entering the profession, such as vying for limited spots in nursing programs. Programs, meanwhile, struggle to grow because of challenges with retaining nursing faculty, who can find better wages working in hospitals, and competition for scarce clinical placements.
The goal is “really trying to address health disparities in the community I’m from, and nursing is just another one of those issues that we have to address,” Curry said.
Teamwork After Tensions
The move comes after Gov. Gavin Newsom encouraged more CSU–community college partnerships on nursing last year after he vetoed two bills that would have allowed some community colleges to offer B.S.N. programs as part of a pilot program.
At the time, community college leaders argued that expanding their nursing offerings beyond associate degrees would make nursing education more affordable and combat nurse shortages in the state. But CSU leaders opposed the legislation, countering that the new programs would be duplicative and force the CSU’s existing programs to compete for resources, like clinical placements. (The two systems have also cyclically battled over community college baccalaureate degrees since the state allowed them a decade ago.)
Newsom came down on the CSUs’ side.
“All segments of higher education should continue to focus on building these programs together,” he wrote in one of his veto messages, “and I am concerned this bill could inadvertently undermine that collaboration.”
The initiative is an attempt to do just that, Curry said.
“It’s not us versus them,” he said. “It’s about how can we partner together to solve a problem. So, I felt that CSU has to be the table.”
Jose Fierro, president of Cerritos College and co-chair of the Los Angeles Regional Consortium, a coalition of L.A. County’s 19 colleges, said he and other community college leaders were “disappointed” by Newsom’s rejection of community college B.S.N. degrees because he felt like they would help his place-bound students. He said his campus is nine miles on average from local universities.
Students “may not be within driving distance because they would have to uproot their families, or because of the high cost of housing, they wouldn’t be able to move to a different city to be able to access these programs,” he said.
At the same time, he believes the collaborative approach will benefit students.
“We are bringing county representatives, hospital representatives, state officials, California State and community colleges to look at our programs and our shortage of nurses in a comprehensive manner,” to think about “how can we work together to meet the needs of the community?”
An Example for Others
Some nursing partnerships between community colleges and CSUs already exist. For example, California State University, Northridge, has an A.D.N.-B.S.N. Community College Collaborative Program, which allows students earning nursing associate degrees at partnering community colleges to earn a B.S.N. on an accelerated timeline. A program at Cal State Long Beach also allows nursing associate degree students to take B.S.N. classes while in community college.
Nathan Evans, deputy vice chancellor for academic and student affairs and chief academic officer at the CSU Office of the Chancellor, believes the Nursing 2035 Initiative can serve as an example of how community college and CSU leaders can strategically confront local nursing shortages together.
“The boundaries of our institutions don’t have to be what they were in the past,” he said. “Our hope is that this is a model of what collaboration looks like between our segments and there’s a lot less friction in terms of the student experience, that there are clear road maps for students, particularly in the nursing field.”
As a first step, the group plans to research the region’s nursing education and workforce and release a report in the fall with policy and budget recommendations on how to expand nursing programs in the area. The goal is to work on the recommendations through 2035.
Evans said the initiative is “using data to really drive a needs assessment and then allow that to lead us to, what are the ways we collectively can respond?”
The hope is that process leads to new, innovative partnerships, said Fierro. For example, he can imagine CSUs offering B.S.N. programs on community college campuses, or partnering with community colleges on collaborative programs, so that students who struggle to commute to universities because of work or family obligations have more options.
“To me, the main objective is to ensure that we bring that value to the local communities,” he said, “regardless of whose name is issuing the diploma.”