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Journey on becoming a registered nurse
Journey on becoming a registered nurse
What are the benefits of pursuing nursing degree
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Education for Nurses: What is Best for the Patient?
Giselle Palumbo
State College of Florida- Nursing
The concern over having a BSN into the entry level of nursing has been debated for many years. Since the American Nurses Association has proposed the change, the controversy as to what is the difference has between having an associate’s degree in nursing rather than a bachelor’s degree in nursing has sparked a fire in the health field. The education of a nurse is highly important, because the lives of others are in the hands of a nurse. Nurses tend to spend more time with patients than doctors. Their ability to respond, treat, and communicate is imperative to the health field and overall, the patient’s life. Nurses should be able to understand the definition of what a nurse is, what is expected of a nurse, and the education requirements and options that are available. Going through an associate’s degree program prepares the nurse for a broader and more basic care of patients. BSN programs infiltrate a better understand of nursing as a leader, the health field, and educates the nurse in more detail on the care of patients. There are also more hospitals requiring BSN as an entry level, like Magnet hospitals. These hospitals are shown to provide better care and lower statistics, like in death hospitals.
Nursing has many definitions. According to Florence Nightingale the goal of nursing is “to put the patient in the best condition for nature to act upon him” (as cited in Smeltzer, Bare, Hinkle & Cheever, 2010, p. 5). Essentially, Florence Nightingale was referring to ensuring the patient’s physiological needs were being met and the patient was stable. Maslow’s Hierarchy of Human needs is continuously used throughout nursi...
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...rsing. (Last updated 2012, October 24th). Fact Sheet: The Impact of Education on Nursing Practice [PDF document]. Retrieved from American Nurses Association Web site: http://www.aacn.nche.edu/media-relations/EdImpact.pdf
American Nurses Credentialing Center. (2014a). Magnet recognition program overview. Retrieved from http://www.nursecredentialing.org/Magnet/ProgramOverview
American Nurses Credentialing Center. (2014b). Benefits. Retrieved from http://www.nursecredentialing.org/WhyBecomeMagnet
Smith, T., (October 5, 2009) "A Policy Perspective on the Entry into Practice Issue" OJIN: The Online Journal of Issues in Nursing, Vol. 15, No. 1. DOI: 10.3912/OJIN.Vol15No01PPT01 or retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No1Jan2010/Articles-Previous-Topic/Policy-and-Entry-into-Practice.html
The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must determine which educational path to pursue, Bachelor of Science in Nursing (BSN) or Associate Degree in nursing (ADN). Most will initially be educated at the associate degree level, even though the American Organization of Nursing Executives (AONE) has recommended a baccalaureate level as a minimal for entry-level nurses. With the expanding number of RN to BSN programs available there is always the option to further one’s education at a later date. The benefits for acquiring a BSN over an ADN include a better knowledge for evidence-based practice, an increased advantage for promotion, and the necessary gateway for higher education.
One of the many theorists that followed the founder of modern nursing, Florence Nightingale, was Merle Mishel (Alligood, 2014). However, Florence Nightingale’s theory is different
The question of whether or not nurses should be required to obtain a bachelor’s degree in nursing (BSN) to work has become a very big and controversial topic. As with any great debate, this situation comes with many advantages and disadvantages. Although some statistics may lead you to believe that the good outweighs the bad, when making the decision of whether or not obtaining a BSN should be mandated there are a great deal of barriers that have to be taken into consideration. Obtaining a BSN requires more schooling and for those who are already nurses, it means having to go back to school. This requires a lot of money, time, and motivation to balance family work and school. Nurses should not be required to obtain a BSN to work.
The topic of "ADN versus BSN" is one that has plagued the nursing profession for decades. Does a nurse’s level of education really matter? Can ADN nursing graduates perform their duties as well as BSN graduates? These are the types of questions that continue to be debated by policymakers, educational organizations and associations, and the general public. This may be because nurses are now one of the least educated health care roles when compared to other health care professions that are now requiring bachelor degrees or higher for entry. A more likely reason is undoubtedly due to the growing body of evidence suggesting that BSN graduates are more prepared when entering the workforce than their ASN counterparts. These findings have made some hospitals decide to only hire BSN prepared graduates or higher. Linda Aiken, director of the center for health outcomes and research at Penn State, recently stated "the evidence base is growing, and a number of hospitals are acting on it” (Burling, 2010). If employers prefer BSN prepared nurses, why don’t more of them offer pay differentials or other incentives to return to school? The answer to that question is still unknown. The Veterans Administration (VA) is one exception. The VA leads the country in employing the most registered nurses according to the American Association of Colleges of Nursing (AACN, 2011). The VA made the decision a decade ago to establish the BSN as a requirement for new hires. The VA devoted $50 million in approximately five-years to help
Lord, M. (14/5/2002). Making a difference: The implcations for nurse education. Available: http://www.nursingtimes.net/making-a-difference-the-implications-for-nurse-education/206457.article. Last accessed 17/12/2013.
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
The primary barrier to nurses being able to practice at their full potential is the states varied legislation (Fairman, Rowe, Hassmiller, & Shalala, 2011). The IOM (2011) report suggests that state scope of practice regulations should model the National Council of State Boards of Nursing Model Nursing Practice act and Administrative rules to provide legal authority to practice to the accomplished level of training. The IOM (2011) report also requested a review of states laws to identify potentially anticompetitive effects that do not protect the health and safety of the public. The new recommendations are to build a common ground with interdisciplinary groups and to include a diverse coalition for the Future of Nursing: Campaign for action (IOM,
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
Routson, J (2010) Healthcare Reform and Nursing: How the New Legislation Affects the profession; HEALTHeCAREERS.com. Retrieved, September, 16, 2011 from: http://www.healthecareers.com/article/healthcare-reform-and-nursing-how-the-new-legislation-affects-the-profession/158418
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.
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
Aside from Florence Nightingale, there are other icons in the history of nursing. For example, some important individuals are Virginia Henderson, Dorothy Johnson, Martha Rogers, Abraham Maslow, and Sister Callista Roy. These icons believed that the goal of nursing is to help clients, reduce stress, to help identify their needs, prevent illness, and promote health (O’Neill, pg. 4, 2014). All of these principles play a major role in the nursing profession. Some other their frameworks or principles are involved with the fourteen fundamentals needs, 7 behavioral subsystem in an adaptation model, Maslow’s hierarchy of needs, evidence-based practice, primary caring, advance practice nursing, cultural competence, holistic approach, primary prevention, secondary prevention and tertiary prevention (O’Neill, pg. 4, 2014). These changes has improved and reformed many aspect of
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
In the todays century, the responsibilities, roles, and opportunities for nursing and nurse education has grown abundantly to that of modern day nurses. Many nurses in the eighteen century were not educated nurses and never attended nursing school; however, they still provided care for the sick, poor, and needy and played a vital role in health maintenance. With the hard work from many notable nurses in history such as Florence Nightingale, Clara Barton, and Isabel Robb and the persistence and dedication for change from influential nurses such as Mary Mahoney and Mabel Staupers; nursing today has transformed in many aspects of practice. Although nursing as a profession is continuously evolving throughout the years, the core foundation of nursing hasn’t changed in that nursing is a profession of caring for others and servicing those in need.
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.