Re: Is it me, or is the College of Nursing in Ontario hiding something?
Practical Nursing education developed as a result of a shortage of nurses in the 1940s. Over the years the scope of practise has changed radically. Depending on where you train and work there is very little difference in the permitted skills between both grades of nurses.
I would dispute your claim that a large number of PNs are from ethnic minorities. It's not the case in AB.
What I have seen personally, is that at the end of the '90s and turn of this century more mature students entered PN programmes due to the limited number of seats in RN programmes and the amount of upgrading that was required by many local colleges and universities to be considered for the RN diploma and degree. Norquest and Bow Valley in Alberta required a high school diploma and didn't care how old your marks were, GMCC and UoA had mature students of 35 and over competing with 21 yos for admission as mature students.
As you state people of this age just can't pack up their lives and live off student loans and savings for two or more years to acquire a degree. Mortgages, being a single parent, and the plain old cost of living make it impossible for many. The PN course used to cost around $3500 plus living expenses which made it much more palatable for this age group because the four semesters were back to back and there was a light at the end of the tunnel roughly 56 weeks later. The RN education was run on strict academic schedules and 2.5 to 3 years later the job search began.
I honestly think that nursing education in this country needs to be re-evaluated and I believe cna is doing some research on this.
It is becoming a very sad state of affairs when there are LPNs with degrees in other fields, with skills that are superior to many new grads are making less than employed nursing students. In my facility the main difference in the skills right now are I cannot hang blood or the first bag of TPN. The rest of the skills are identical but facility policy restricts my practice of them.
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