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Why scope of practice is important in nursing
Nursing scope of practice
Essay on the nursing scope of practice
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Required Educational Preparation for Nursing Practice
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.
Why Baccalaureate Degree in Nursing?
The need for a BSN is for entry into nursing practice is widely supported dating back to 1965 when the American Nurses Association (ANA) published a paper stating the BSN to be the minimal level of education for entry in to practice (Taylor, 2008, p. 611). In the opinion of this author, in order to move the practice of nursing from a technical job to a professional career it is vital to have a minimal education of a BSN. Having a BSN helps to level the ...
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...o earn more advance education. This author thinks that a BSN is critical to better patient outcomes and collaborative work among team members. When enter a health care related field education should continue on though out the career continuously advancing. Leadership roles as nurses are important to the advancing health care field and in order to achieve such positions advanced education is essential. A BSN is what a standard minimum for a professional career in nursing with expected desire for furthering beyond.
References
Chitty, K. K., & Black, B. P. (2014). Professional nursing: concepts & challenges
(7th ed.). Maryland Heights, Mo.: Saunders/Elsevier.
Hess, J. Education For Entry Into Practice: An Ethical Perspective.
Journal of Professional Nursing, 289-296.
Tayloriii, D. Should The Entry Into Nursing Practice Be The Baccalaureate Degree?.
AORN, 611-620.
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.
Taylor, D. (2008). Should the entry into nursing practice be the baccalaureate degree?. AORN Journal, 87(3), 611-620. doi: 10.1016/j.aorn.2007.07.006
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
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
Taylor, D. L. (2008). Should the Entry Into Nursing Practice be the Baccalaureate Degree? AORN Journal, 87(3), 611-619.
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
Recent research has exhibited that a decrease in mortality rates and medical blunders, in addition to an increase in positive outcomes, are associated with nurses who have studied at baccalaureate and graduate degree levels. With the technological advances made in health care, the increase of patient need, and more importantly, an increase in the practice demands across healthcare settings, a larger emphasis must be placed on nurses furthering their studies to that of a baccalaureate and even a master’s degree. At the end of the day, patient care is the number one focus for all healthcare professionals, and if further education for a nurse can assist in improving that aspect, then a larger onus should be placed on nurses in the present and the
The Institute of Medicine (IOM) recommended in a 2010 report that eighty percent of registered nurses (RNs) hold a baccalaureate degree by 2020. This is not a new goal, but rather one that has yet to be realized, despite being first recommended in 1965 by the American Nurses Association. Healthcare has made significant advancements since that time, but nursing standards to entry and licensing regulations have not reflected these changes (Hess, 1996). Students of both Associate Degree of Nursing (ADN) programs and Baccalaureate Degree (BSN) programs sit for the same national licensing exam, the NCLEX-RN. This is a disservice to the entire profession. Associate degrees are publicly perceived as 'technical' degrees. This influences public opinion on the competency and skill of all nurses (Jacobs, et al., 1998). In addition, the lack of differentiation of graduate degrees equates different educational levels and blurs expectations and requirements of the individual nurse. It also fost...
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
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...uickly changing medical technology and environment. The bickering and infighting amongst nurses has to come to a stop if the profession is to move forward alongside the other medical professions. It is too late to take nursing back to the point of basic care of the 19th century now fulfilled by certified nurse aides. A nurse is the first and last person many people will ever see. They provide complex care, recognize symptoms and changes when the ever shrinking physician pool is not available, advocate for patient and families, and care deeply for their patients recovery. In this paper the author used 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 in order to meet the Institute of Medicines goal of 80% of nurses should have BSNs by 2020.
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