Everything Nurses >> Nursing Politics/Activism >> When can a nurse actually stop with all these degrees and enjoy life & family!!!!!!!!!!!!

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When can a nurse actually stop with all these degrees and enjoy life & family!!!!!!!!!!!!

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Posted 3 months ago

 

They already started this in Canada. State like CA are trying to require RNs to have a BSN to be a RN. RNs are not Doctors they should not require a BSN? An Associates degree is just fine!!!!!! if thats the case Nurse Practioners should require a PHD (not masters) and Doctors should Require 30 years of school then CNAs should get an Associate degree! lol. it’s like a non- stop thinkg “when in life can you finally stop school” and enjoy your family or be educationally secure and get married, it’s so dumb to constantly keep going to school. I should have chosen another profession! i hate nursing now! i dhould of done dental hygienist (i’m very discouraged).

In Canada LPNs are now called Registered Practical Nurses And Canada RNs need a Bachelor degree to practice? website: http://www.georgebrown.ca/nursing/index.aspx#top Recent changes in the entry to practice requirements by the College of Nurses of Ontario have resulted in changes to the registered nursing and practical nursing programs. As of January 2005, Registered Nurses beginning their practice will require Baccalaureate nursing preparation while Practical Nurses must graduate from a Registred practical nursing Diploma program.

Nurse_1__max50

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Rated 0 | Posted 3 months ago

 

So in 2005 what happens to the nurses with ADN's. Can they continue to practice, are they grandfathered in or what. Are they requiring all with an ADN to go back and get a BSN, even though they've been an RN for many, many years?

Staroflife2_max50

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This discussion has been ongoing for at least ten years. The movement is towards making the BSN the entry-level degree, however, it's still some ways away from that. At the last FSNA convention, we had a fair bit of discussion regarding this issue, as well as the recent push in the State BON for making the requirement for NP's to have Doctorate level degrees - the movement is in that direction but it will not happen any time soon. With shortages still rampant in the industry, the answer to staffing levels is not making the entry-level requirements MORE difficult, and most boards of nursing recognize this. That being said, the research bears out the truth of better patient outcomes with BSN-level trained nurses staffing, which is why the push will continue. I think that the OP was discussing the state of the issue in Canada more so than in the US.


Ted

Life can only be understood backwards; but it must be lived forwards. (Kierkegaard)

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well research can and is slanted to fit whatever agenda those in power wish it to be. I simply do not believe the research. I have worked with many ADN's and BSN's guess who wins? I've also worked with many LPN's who are better nurses than either and I count myself fortunate to having been their colleague and friend. I don't know why I get irritated because it won't affect me because by then I won't be practicing or I'll be a free soul floating around.


Deb

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Rated 0 | Posted 3 months ago

 

i agree dmazment !!!!!!!!!!!!!!!!!!!!!!!

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Rated 0 | Posted 3 months ago

 

This subject has been beaten around for many, many years and it keeps getting squelshed......hopefully it will never come to pass.

Czechit_max50

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Rated 0 | Posted 2 months ago

 

Yeah, I think that, as absurd as our government often is, they should be smart enough not to make nursing entry MORE difficult in the wake of a shortage! I've met ADNs with more brains and who could work under pressure with more competence than MSNs!

Dad_stuff_032_max50

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Rated 0 | Posted 2 months ago

 

unfortunately we as nurses have shot ourselves in the foot by not advancing our profession by requiring higher levels of education - look at PA's, PT's- they have stepped it up and have recieved $ compensation for it. And the nature of the job is requiring higher educational levels...

Dsc00096_max50

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Rated 0 | Posted 2 months ago

 

tdage said:

This discussion has been ongoing for at least ten years. The movement is towards making the BSN the entry-level degree, however, it's still some ways away from that. At the last FSNA convention, we had a fair bit of discussion regarding this issue, as well as the recent push in the State BON for making the requirement for NP's to have Doctorate level degrees - the movement is in that direction but it will not happen any time soon. With shortages still rampant in the industry, the answer to staffing levels is not making the entry-level requirements MORE difficult, and most boards of nursing recognize this. That being said, the research bears out the truth of better patient outcomes with BSN-level trained nurses staffing, which is why the push will continue. I think that the OP was discussing the state of the issue in Canada more so than in the US.

I don't agree with your statement at all that BSN level trained nurses have better outcomes than ADN nurses. I'd like to see the research and all the particulars connected to such a statement. Experience = better outcomes, not more education. (although sometimes experience and education can and does co-exist). Is the plan in place for this group pushing this requirement to pay for schooling for all those ADN's? I know I am not willing to shell out the cash on a requirement. If they pay, I'll go! I have 20+ years of student loans left for me as it is.

Dad_stuff_032_max50

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Tetany- some reference material supporting the BSN versus ADN arguement:
Fact Sheet References

Aiken, L.H., Clarke, S.P., Cheung, R.B., Sloane, D.M., & Silber, J.H. (2003, September 24). Educational levels of hospital nurses and surgical patient mortality, Journal of the American Medical Association, 290, 1617-1623.

American Association of Colleges of Nursing (2002). 2002-2003 Enrollment and graduations in baccalaureate and graduate programs in nursing. Washington, DC: Author.

American Association of Colleges of Nursing, American Organization of Nurse Executives, & National Association of Associate Degree Nursing (1995).
A model for differentiated practice. Washington, DC: American Association of Colleges of Nursing.

Anderko, L., Robertson, J. & Lewis, P. (1999). Job satisfaction in a rural differentiated-practice setting. Journal of Nursing Connections, 12(1), 49-58.

Anderko, L., Uscian, M. & Robertson, J.F. (1999). Improving client outcomes through differentiated practice: a rural nursing center model. Public Health Nursing, 16(3), 168-175.

Delgado, C. (2002, July/August). Competent and safe practice: a profile of disciplined registered nurses. Nurse Educator, 27(4), 159-61.

Fagin, C.M. (2001). When care becomes a burden: Diminishing access to adequate nursing. Millbank Memorial Fund, New York, NY.

Giger, J.N. & Davidhizar, R.E. (1990). Conceptual and theoretical approaches to patient care: Associate versus baccalaureate degree prepared nurses. Journal of Advanced Nursing, 15(9), 1009-1015.

Goode, C.J., Pinkerton,S., McCausland, M.P., Southard, P., Graham, R. & Krsek, C. (2001). Documenting chief nursing officers' preference for BSN-prepared nurses. The Journal of Nursing Administration, 31(2). 55-59.

Graff, C., Roberts, K., & Thornton, K. (1999). An ethnographic study of differentiated practice in an operating room. Journal of Professional Nursing, 15(6), 364-371.

Hutchens, G.C. (1994). Differentiated interdisciplinary practice. Journal of Nursing Administration, 4(6), 52-58.

Johnson, J. (1988). Differences in the performance of baccalaureate, associate degree and diploma nurses: A meta-analysis. Research in Nursing and Health, 11, 183-197.

Kramer, M. & Hafner, L.P. (1989). Shared values: Impact on staff nurse job satisfaction and perceived productivity. Nursing Research, 38, 172-177.

Kramer, M. & Schmalenberg, C. (1988). Magnet hospitals: Part I, Institutions of excellence. Journal of Nursing Administration, 18(1), 13-24.

Malloch, K.M., Milton, D.A. & Jobes, M.O. (1990). A model for differentiated nursing practice. Journal of Nursing Administration, 20(2), 20-26.

Milton, D., Verran, J, Murdaugh, C. & Gerber, R. (1992). Differentiated group professional practice in nursing: A demonstration model. Nursing Clinics of North America, 27(1), 23-29.

National Advisory Council on Nurse Education and Practice (1996). Report to the Secretary of the Department of Health and Human Services on the basic registered nurse workforce. Washington, DC: United States Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing.

National Council of State Boards of Nursing (2002). 2001 Employers survey. Chicago: Author.

Phillips, C.Y., Palmer, C.V., Zimmerman, B.J. & Mayfield, M. (2002). Professional development: Assuring growth of RN-to-BSN students. Journal of Nursing Education, 41(6), 282-283.

Rambur, B., Palumbo, M.V., McIntosh, B. & Mongeon, J. (2003). A statewide analysis of RNs' intention to leave their position. Nursing Outlook, 51, 182-88.





Dsc00096_max50

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Rated 0 | Posted 2 months ago

 

Thanks!

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kayakrn7 said:

unfortunately we as nurses have shot ourselves in the foot by not advancing our profession by requiring higher levels of education - look at PA's, PT's- they have stepped it up and have recieved $ compensation for it. And the nature of the job is requiring higher educational levels...

I'm going to make a point here. ADN's have two full years of pre-req's before they can enter into nursing courses. Does this not actually make an ADN a four year grad? Even way back in the 70's most couldn't enter the nursing programs until their pre-reqs were completed. I was fortunate enough, to also have had a semester of management courses, legal issues and nursing history along with general nursing. I received an almost perfect score on my boards and the scores in general from my community college were higher than average as was the pass rate for the entire state. Our pass rate was in the 97% percentile, the highest in the state.

The argument now is similar to the arguments back in the 70's about the differences between Diploma nurses and ADN's. The argument then was the Diploma nurses were better because they had more clinical practice, because they were hospital based. My class was the first year, the Diploma grads came to the college for the pre-reqs, while maintaining their core nursing experience at a hospital. It turned out, they had in their last year more clinical experience in one hospital, while we as the college based students had a more diverse learning experience. From my research, most BSN's do not begin their clinical experience until the second year, some not until the third year. They're taking all the courses we took for pre-reqs,plus some nursing classes before we were even accepted into a nursing program.


Deb