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Nursing professional identity
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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) …show more content…
In study that examined the perceptions and professional values of RNs, Kubsch, Hansen, & Huyser-Eatwell (2008), found a significant difference in nurses’ professional values based on their level of education, job position, and membership in professional nursing organizations. RN-BSNs had the highest perceived level of professionalism as measured by Hall’s Cure, Cure, and Core model. Kubusch, Hansen, & Huyser-Eatwell attribute this difference to the variation among nurse education curriculum. They maintain that ADN programs emphasize technical training and psychomotor skills necessary for completing nursing and bedside tasks. Hospital-based programs value clinical experience. In contrast, BSN programs emphasize humanities, the arts, philosophy, theory, and complex nursing skills. According to the Kubusch, Hansen, & Husyer-Eatwell, “Baccalaureate students are provided with education that supports the American Association of Colleges of Nursing (AACN) (2005) core nursing …show more content…
In fact, some have said that the “BS” in BSN refers to bull feces because students are forced to take frill classes that have no bearing on their actual work as nurses. An RN with over 30 years of experience, Rohloof (2015) maintains that many BSN nurses to cannot perform basic clinical skills that require critical thinking, especially in specialty groups like rapid response and triage teams. Rohloof (2015) claims that recruiter for a Magnet hospital told her that most of the BSN candidate she interviews lack the skills of AND nurses. According the Rohloof, because BSN programs focus more on theory and humanities, the clinical skills of their graduates
Many may argue that one is just as capable as the other in offering patient care. But recent studies conducted by Aiken et al. have shown nurses educated at higher levels are better prepared for delivering optimal patient care. One of the key eliminates is evidence-based practice. BSN programs provide the knowledge and preparation needed for evidence-based prac...
Megginson, L. (2008). RN-BSN education: 21st century barriers and incentives. Journal Of Nursing Management, 16(1), 47-55.
The development of ADN programs has allowed many to reach their career goals by offering a shorter and less expensive way to complete their degrees. Some believe that Associate’s degree programs lack strong nursing theory and understanding of the actual science of nursing (Auerbach, Buerhaus & Staiger,
I wish I had enrolled in the RN-BSN program sooner than this time. Before the RN-BSN program, I did not fully understand my role as a nurse. I had no knowledge of the functions of the Nurse Practice Act and the Board of Nursing. Nursing research was just a part of nursing curriculum. I have no prior knowledge of the evidence based practice. However, my trajectory into the RN-BSN program changed all that. I feel more confident and equipped as a professional nurse now than before. My two specific examples of change in behavior as a result of RN-BSN program are, one, changes in my skills and two, attitudes toward family dynamics, values and believes. The complexities of nursing practice, healthcare policies, and patients' needs lead to the
Bachelor of Science in Nursing (BSN) programs strive to prepare student nurses for the National Council Licensure Examination (NCLEX) that tests not only pure knowledge, but the reasoning and application of that knowledge. These programs provide student nurses with the necessary knowledge base and ability to apply knowledge in practice; especially since the introduction of Evidence-Based Practice (EBP) has been integrated into didactics. EBP, along with hours of clinical placement, benefits student nurses by arming them with the clinical judgment skills called for in the workplace. However, if student nurses accrue more focused clinical hours in their areas of specialty, they will be better prepared for the situations they will face in their careers in which simulation labs or nonspecific clinical settings fail to adequately prepare them. With more hours spent in specialty areas, student nurses will be able to establish higher degrees of mental preparedness and hands-on experience as well as understanding of the difficulties and demands of working as a nurse in a specific field as opposed to shifting between various focuses of nursing.
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.
The shortage of registered nurses (RNs) in the United States has been a cyclical topic dating back to the 1960s. Only recently have employers in certain regions of the nation stated a decline in the demand for RNs. Consequently, according to the American Association of Colleges of Nursing’s (American Association of Colleges of Nursing [AACN], 2014) report on 2012-2013 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, American nursing schools denied admission to 79,659 qualified applicants from baccalaureate and graduate nursing programs in 2012. The reported decrease in job availability and rejected admissions has left many individuals to question if the nursing shortage still exists. On the other hand, some experts project that the United States will be short more than one million RNs by 2020 (Dolan, 2011). Although some parts of the country are in less of a demand than others, it is undeniable that there is a national shortage of RNs.
Higher education is a highly encouraged aspect in today’s society. The higher degree a person has, the more knowledgeable they are said to be. The education and degree that a registered nurse acquires affects not only the nurse, but their patients and their fellow coworkers as well. It is crucial to consider how different education levels of registered nurses will impact the patients, the nurse, the medical field, and the view on nurses as a whole. A nurse with a BSN rather than an ADN could perhaps provide more knowledgeable care that is consistent with the advances of today’s society. With our society and technologies always advancing and changing, it is safe to assume that a Bachelor of Science in Nursing degree should be the required level of education for a registered nurse.
In recent years, hospitals are seeking to hire more nurses with a bachelor’s degree rather than nurses who have obtained a certification or associate degree (ADN) in the United States. As of today, there are 2.8 million registered nurses that are employed in the work force and 61% of these population holds at least a BSN degree or received a higher education (AACN, 2015). The Future of Nursing reports that there will be an increase of 50% to 80% of BSN prepared nurses in the work force by 2020 (Kutney – Lee et al, 2014). A bachelor of science in nursing (BSN) is a program that requires 4 years of college education and associate degree in nursing (ADN) requires 2 years of college education to complete the program (Ciambelli, 2014).
While on the unit I made sure to use my time wisely, I completed my assessment in a timely manner, advocated for pain medication, checked on fellow nursing students, and kept patient’s rooms organized and clean. Professionalism was also exhibited in my clean outfit, with my hair back, name badge on, nails cut, and appropriate footwear and clinical tools on hand.
Nursing as a profession has undergone many changes with increased clinical research and scientific advancements. Nursing started out by promoting hygiene and focusing on patient comforts. While these initial components of nursing are still important to practice, the nurses today are required to have much more knowledge in body functions, pathologies and interventions. With increased scientific knowledge came increased demands for nurses to care for the sick and even more so now with an increasing aging population. Now there are specific educational requirements people must complete in order to enter into the workforce as a nurse (SHOULD ENTRY INTO NURSING BE BSN?). Currently, the three entry level positions as a nurse include Licensed Practical Nurse (LPN), Associate’s Degree in Nursing (ADN), and Bachelors of Science in nursing (BSN). While LPN’s are rarely encountered in the hospital setting as healthcare providers there is a much bigger ongoing debate on whether ADN prepared nurses or BSN prepared nurses are better suited to enter the hospital workforce. This paper will focus on promoting future nursing students to obtain a BSN instead of ADN due to increased research findings that nurses with BSN degrees have better patient outcomes, and better career outlooks.
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,
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 is the opportunity to increase the knowledge and understanding of the nursing career. “Nursing is a unique profession because of its synthesis of practice, multidimensional assessment/intervention, interpersonal communication, case management, and resource-linking on behalf of patients” (Jackson et al. 150). I love my work and as a registered nurse I feel totally complete, nevertheless, an advance education as the BSN program, will incorporate critical thinking expertise and leadership skills, required qualities in order to get a better position in the nursing
There are many different roles in the profession of nursing. The role of a nurse is determined by experiences the nurse has had over the years and the particular needs of the patient at the time of care. Two of the many roles that nurses perform in the healthcare setting are provider of care and member of the profession. The responsibilities nurses have acquired over the years shows the value of caring toward the patient in need. The roles and professional values listed above play a major part in how evidence-based practice is used in the healthcare setting. Pursuing a Bachelor of Science in Nursing(BSN) will help me develop more values in regards to patient care.