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Educational preparation of a professional nurse
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Creating the Professional Nurse
Nursing encompasses several levels of education and licensure. For decades the differentiation between these levels has been debated, primarily between the differentiation of the Associates degree in Nursing (ADN) and the Bachelors of Science degree in Nursing (BSN). The associate’s degree, which began with the intention of creating a technical nurse, has developed into being “equivalent” to a bachelors degree (Hess, 1996). The two degrees however are not equivalent, the bachelors educated nurse receives two years education beyond the associate, in the liberal arts and upper division nursing courses
Both the ADN and the BSN take the same licensing exam, receive the same credentials and often have little pay and benefit distinction (Hess, 1996). What appears to have little difference superficially actually has significant implications on the health of our nation, efficiency of practice, and role nursing plays in the healthcare community. The impact that this difference in degrees has is why the bachelor’s degree in Nursing is the absolute minimum requirement for entry into practice. This can ensure that the field of nursing is a field that is professional, scientifically based, and culturally aware.
Impact on Nursing as a Profession
The use of the same national licensing exam and credentials on two different levels of education causes a discontinuity in the type of nurse that is titled as a registered nurse.
The added courses in liberal arts taken by the BSN prepared nurse promotes learning as an aspect to life, opening doorways to advanced degrees (Jacobs, DiMattio, Bishop & Fields, 1998).
The liberal arts also prepare the nurse to be more versatile in their ways of thinking, creatively approac...
... middle of paper ...
...of education requirements upwards to a BSN, there are some barriers that must be addressed to allow a seamless transition. While there is a role out there for the associate’s degree in the spectrum it is not the autonomous role of the registered nurse.
Works Cited
David, T. (2008). Should the entry into nursing practice be the baccalaureate degree. ACORN Journal, 87(2), 611-620.
Hess, J. (1996). Education for entry into practice: An ethical perspective. Journal of Professional Nursing, 12(5), 289-296.
Jacobs, L., DiMattio, M. K., Bishop, T. L., & Fields, S. D. (1998). The baccalaureate degree in nursing as an entry-level requirement for professional nursing practice. Journal of Professional Nursing, 14(4), 225-233.
Schipman, D., & Hootan, J. (2010). Employers prefer bsn nurses: But where’s the financial compensation?. Nurse Education Today, 30(2), 105-106.
Obtaining a BSN requires a great deal of time and for many people that is a barrier. Nurses who have been working for several years and those that are new to the field may consider time as being a challenge for them. For the nurses that have been already working for several years would have to go back to school to obtain a BSN along with working. The work schedules of their job and classes may conflict and can cause a great deal of stress which will result in them either no longer working or postponing obtaining a BSN until another time (Megginson, 2008). Nursing is already a demanding career so including more schooling in addition to working can be very overwhelming to people. The people that are new at obtaining a degree in nursing may find it better to get an associate’s degree in nursing (ADN) rather than a BSN, as well, because it takes less time. According to David L. Taylor the price of tuition for an ADN program versus a BSN is drastically different and it also takes a great deal less time ...
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
For the past few decades, there have been ongoing discussions involving the preferred educational level for nurses entering the field of healthcare. Two routes can be taken to entering the field: one can finish a two-year program and obtain their associate or add two years and get their baccalaureate instead. There are differences, albeit minor ones, between nurses prepared at the associate degree level versus those prepared at the baccalaureate level. However, an increase in technological advances in nursing field, and a higher demand for patient care has recently sparked the discussion of whether or not it is beneficial for nurses to further their education and obtain a baccalaureate degree or even a master’s degree as the case may be.
In fact, Researchers had shown the results of outcomes having different degrees of level. According to AACN, Today 61% Nurses in the United States have a BSN degree who works in health settings. In fact, BSN nurses reduce death rate mortality, and readmission rate by using clinical practice knowledge (AACN) . Having advance level of knowledge involves nurses to manage the patient level of care and monitor for progress. American Organization of Nurses Executives states that nurses who have a higher education level promotes safe nursing care and improves patient safety. Higher educational nurses prepare herself for clinical challenging and complex roles (AACN, page 1). They develop more ideas, better intervention, and focus more on clinical
Nursing leaders nationwide believe that it is important for nurses with an Associate Degree to return to school to earn their Bachelor of Science in Nursing (BSN) education within 10 years of graduation from an Associate Degree program to keep their licensure. The reason why this bill is passed is because of patient safety. Nurses with Bachelor of Science in Nursing (BSN) have lower mortality rates in surgery department, less incidences, and better outcomes in the acute care settings which are heavily emphasized in the Affordable Care Act necessary for payment reimbursement (American Association of Colleges of Nursing, 2014). This bill A01977/S02533A was introduced in January 27, 2012 in the state of New York. At the same time the state of New Jersey also introduced similar bill A553. This author will represent one of the registered nurses with an Associate Degree who is going back for their BSN education to see the effectiveness of the bill on the healthcare system and therefore supports the bill.
There is much controversy about the educational requirement to prepare nurses for practice. Rather the minimal education level be a diploma, associate degree in nursing (ADN), or bachelor of science in nursing (BSN) a need for an agreed upon education level for practice is necessary. There is a wide range of nursing related practices all of which do not require the same amount of education and this author agrees with the National League of Nursing (NLN) concerning scope of practice and preparation for the field of nursing; that an ADN or diploma program is a sufficient level of education for technical nursing practice and the BSN should be the minimum for practice as a professional nurse (Black, 2014, p. 136). This author thinks that the option for an ADN is vital to nursing as a whole, however agrees with the idea that any career requiring only two years of schooling is technical and not professional. This places ADNs in the same category as technicians and assistance in other health care fields (Taylor, 2008, p. 613). This paper examines the necessity for nursing education beyond an associate degree for professional nursing practice in order to meet the increase of complex medical needs.
There has been great debate in the nursing community for years regarding what should be the educational requirements for a practicing nurse. There are currently many options for men and women to enter the field through LPN, ADN, and BSN programs. More recently, programs have been popping up allowing accelerated BSN obtainment through second degree programs. The debate stems from the conflicting ideas of whether nursing as a whole is a trade, requiring an associate’s degree, or should be considered a profession, often requiring a Baccalaureate degree. In this paper this author will use past nursing history, current medical demands and advancements, and clinical patient outcomes to argue that the minimum education for a nurse should be a Baccalaureate degree.
To be a nurse in today’s current system, one can obtain either an associates degree or a bachelors degree to be in line to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). These degrees are distinguishable and allowing both roads as an option, it adds to the incapacity to define nurses. To differentiate the two degrees, you must begin looking at where and how you obtain the specific degree. With an associates degree, you obtain a two year degree from a community college. The bachelors degree you acquire a four year degree from a University. Both the associates and bachelors degree classes are taught by educated professor whom most have their masters or higher level of education. Page 613 of the article Should the Entry Into Nursing Practice Be the Baccalaureate Degree? states that “in the public’s eye any career requiring only two years of schooling is technical, not professional” (Taylor, 2008). To be taken serious as a professional, it must be effectuated that the minimal requirements must be a four year bachelors degree. This will allow the public to know that all nurses hav...
McEwen, M., Pullis, B. R., White, M. J., & Krawtz, S. (2013). Eighty Percent by 2020: The Present and Future of RN-to-BSN Education. The Journal of nursing education, 1-9.
In 1965, the American Nurses Association shared its vision for the future of nursing education. A primary goal in its message was that a Bachelor of Science in Nursing (BSN) becomes the minimum requirement for entry into nursing practice (Nelson, 2002). Fifty years later, debates on this issue continue. In its report, The Future of Nursing: Leading Change and Advancing Healthcare, the Institute of Medicine shared its recommendation that 80% of nurses possess a bachelor’s degree by the year 2020. A significant number of health care facilities have adopted the practice of hiring nurses with BSN over those with two year Associate’s Degree of Nursing (ADN) or a three-year hospital based diploma program. Stakeholders in the Registered Nurse (RN)
The second key message focused on the recommendation that registered nurses receive greater levels of training and education. This message emphasized the need for nurses to enter the work force with a baccalaureate degree, or obtain it shortly afterwards. It also stressed the need more graduate nurses, specifically “nurse faculty and researchers at the doctoral level” (IOM, 2011, p. 164). Innovative solutions were devised to speak to nursing school capacity and curriculum in order to attain the IOM recommended goal of 80 percent of nurses holding a BSN by the year 2020.
There are various incentives and disincentives for practicing nurses to continue their formal education. Dr. Tanya Altmann, Sacramento State University Associate Professor, published a meta-analysis of ten studies of the concerns faced by diploma nurses (DN) and associates degree nurses (ADN) about pursuing a bachelor’s degree.
Having and bachelor’s degree in the science of nursing (BSN) opens many doors for the registered nurse (RN). Amongst the opportunities also come additional expectations and responsibilities. In the new testament Jesus Christ refers to this by saying much is required of those that have received much (Luke 12:48). This is true for BSN-prepared RNs, but one must consider the risks and the benefits.
Professionalism in the workplace in many professions can be simplified into general categories such as neat appearance, interaction with clients, punctuality, general subject knowledge, and likability. In nursing, professionalism encompasses a much more broad and inclusive set of criteria than any other profession. Nurses specifically are held to a higher standard in nearly every part of their job. Nurses are not only expected to uphold what it seen as professional in the aforementioned categories, but they are also expected to promote health, wellbeing, and advocate for patients, but also continually provide the highest standard of care, demonstrate exemplary subject and procedural knowledge, and abide by the Code of ethics set forth by the American Nurses Association. This Code of Ethics includes the complex moral and ethical principles of autonomy, beneficence, nonmaleficence, fidelity, honesty, and integrity.
The BSN program helps the nurses in many ways including utilizing the process to the full scale and it will encourage nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program will also aid in filling the gap from the influx of patients. The baccalaureate degrees and BSN program helps prepare students for the significant part they are going to play in reinforcing the new healthcare reform. At present, I utilize and develop nursing care plans in the nursing process, even though it needs some corrections due to the nature of my work. The highest standards of nursing can only be achieved through better research and advanced training.