A time to reform nursing education? - page 5

After reading some very interesting posts around here lately in regards to "fluff" being taught in nursing school, I wonder if it is time to reform nursing education. I feel we could do without... Read More

  1. Visit  Rensoul profile page
    0
    Quote from Flying ICU RN
    If you really want to make a difference in nursing education, turn it into a pre-med eligible curriculum to give nurses the ability to transfer the basic science prerequisites for med school later if so desired.

    YES!!!!!

    Rensoul
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  3. Visit  ruaalien2 profile page
    3
    I'm in my first semester of an ADN program and honestly, I wish we had more clinical time. I don't feel like we have enough time in the lab (we get 4 hours a week) or in clinical (1 shift of 7 hours a week, this includes pre conference, post conference and dinner so in reality we are with patients about 4.5 hours a week). I also hate how we don't get our pts till we get there so we don't have time to look up whats going on with them, the meds they are on, or anything. Ugh.
    DogWmn, nyteshade, and Not_A_Hat_Person like this.
  4. Visit  SummitRN profile page
    1
    Quote from james_lankford
    why do people post stuff like this and never post the name of their school ?
    if your school is great, don't you think others would benefit in knowing the name ?
    Just as with employers, it is usually not wise to advertise who you are with. Saying the wrong thing in a public forum, even if you thought it was positive, can be bad for your career. I am not an official spokesperson.

    If anyone does want to know, they can message me.
    cherryames1949 likes this.
  5. Visit  nursel56 profile page
    5
    Quote from retired-603
    I have been in Nursing RN/BSN for 34 + years and never used a Nursing Diagnosis. We in the real world use Medical Diagnosis across the board to plan treatment along with the MD. I hated the concept of nursing diagnosis and found it to be a waste of time.
    This is one of my main problems with it. It introduces vocabulary that does not cross into other areas of the multi-disciplinary team. The medical diagnosis is adequate to make a nursing care plan.
    DogWmn, nyteshade, netglow, and 2 others like this.
  6. Visit  Hay, RN profile page
    4
    I have been an RN for about four months. I graduated from nursing school in June. We had TONS of clinicals during nursing school but I feel we did nothing! All we did was change beds, give baths and VERY RARELY give medications. Luckily we have a nursing practicum (the very last class) where you actually do RN stuff ... not CNA stuff. You have 120 hours to learn how to be a good RN that you should have been learning over the course of 2 years. Clinical experiences should be changed, be more student friendly and more flexible!
    DogWmn, nyteshade, netglow, and 1 other like this.
  7. Visit  Hay, RN profile page
    0
    Quote from ruaalien2
    I also hate how we don't get our pts till we get there so we don't have time to look up whats going on with them, the meds they are on, or anything. Ugh.

    That's how it is in the real world. Nurses don't have all night to fumble and think about the meds that they will be giving in the morning (unless you do night shift... haha)! My school required us to go to the clinical site the night before and get ALL the information on the patient and look EVERYTHING up and write tons of plans and look up EVERY single med, all the adverse reactions, drug interactions and all that lovely stuff. I really did hate it and it was a waste of time.
  8. Visit  cmw6v8 profile page
    5
    I'm in my first semester of nursing coursework in a BSN program, and I have a previous degree in an unrelated field. College is usually a bit different than it is in the real world. A good program, no matter what field, will try to emulate the real world as much as possible, but some programs lack the appropriate funding and resources for staff or equipment.

    All those "fluff" classes, the electives, statistics, whatever it may be may seem really useless while you are taking them. But I've found that I really appreciate my well-rounded education from my previous degree, where my curriculum was centered around humanities and journalism.

    Even though they may not perfectly relate to my future career as a nurse, my education has expanded my world view. With a well-rounded education, I'm not just filled with useless knowledge. I feel like I can better contribute to society because I understand and appreciate the realms outside of my specific career. It sounds corny, but I think it's true.
  9. Visit  netglow profile page
    2
    Quote from nursel56
    This is one of my main problems with it. It introduces vocabulary that does not cross into other areas of the multi-disciplinary team. The medical diagnosis is adequate to make a nursing care plan.
    Just this. Just this alone is reason enough.
    GeneralJinjur and nyteshade like this.
  10. Visit  AOx1 profile page
    6
    Quote from Fiona59
    Basically, it's a case of those who can do and those who can't teach. Nursing instructors are often so high in their ivory towers that they have NO clue of what it is like to work on the floor. Don't even start me on how little the BScN instructors know about the scope of an LPN in my province.
    This is an incredibly rude and broad generalization. I work 40 hours a week as an educator, 12 hours weekly in the ICU, full time ICU in summers, and am a full time doctoral student. I have no free time. I do this to ensure that what I teach is clinically relevant and current. My students deserve the best. Nursing education is one of the most thankless jobs, and I am as tired of that worn out phrase "those who can, do..." as I am of "all nurses eat their young."

    Trite sayings and insults improve nothing. Honest dialogue and inquiry can change things. It's too bad you prefer the former.

    It makes me sad, honestly. I thought this would be a great thread to read; I have really enjoyed all the constructive comments others have made. I simply do not understand why it is acceptable to insult an entire group of nursing colleagues. It would be met with outrage if I said "Specialty 'x' is for those who can't handle real nursing," but it is acceptable to say all nurse educators "can't do?"
    Last edit by AOx1 on Oct 7, '10
  11. Visit  14togo profile page
    1
    Livetolearn You are absolutely correct. The Staff Development Education nurses I work with are all part time practitioners in addition to their SDE duties. It helps them keep current with their clinical skills. The comment from Fiona59 is while broad and not a little unfair, it is not wholly inaccurate. There are clinical instructors (more than a few) whose only real clinical experience was their practicums. They chose the education route post-BSN and are somewhat "out of touch".

    Having said that, the problem of clinical unpreparedness large begins in the academic arena. It is widely known as the 'Theory to Practice Gap" and it has been recognized since as far back as 1937. Dr. H. Baum, a Canadian doctor who was assigned to assess nursing education in Canada stated: “It is what is seen on the wards which sticks and it is a great pity the instruction of nurses is not at present based on that fact.” In order to begin to influence nursing care, a restructuring of formal nursing curricula is necessary. The difficulty of trying to develop a clinical curriculum based on academic theory that must be successfully combined with clinical skills training and practical know-how is huge with so many mitigating factors.
    In many university programs clinical faculty and educators are often distanced from development of curriculum. Therefore, they are hard pressed to incorporate relevant material to practice situations. And as has been stated many time throughout this thread it is the lack of of relevant clinical practice that seems to precipitate the real or perceived notion of clinical unreadiness to practice. Through a practice driven approach, educators and students can re-evaluate curriculum and can offer opportunities to revise curriculum to meet common goals of systematic change. It is very difficult sometimes to reach out across the span of the abstract to the concrete. As long as power struggles occur in academia as to what philosophical bent should be adopted and, equally important, how it should be taught, nursing will continue to have an appreciable spread between what is and what should be. Off the soap box now. ta
    nyteshade likes this.
  12. Visit  CuriousMe profile page
    0
    Quote from james_lankford
    why do people post stuff like this and never post the name of their school ?
    if your school is great, don't you think others would benefit in knowing the name ?
    Because this is anonymous board and some programs are small enough that posting your school is akin to posting identifying information.
  13. Visit  CuriousMe profile page
    0
    All this talk about skills is fine, but we just had 6 hiring managers come and speak at my school. Each one said that they're far more concerned about a new grad's ability to critically think (which you can only do if you understand all the why's....which is why all that theory is taught). They each explained that they don't care how many IV's you have or haven't put in, and certainly don't care about how many foley's you've put in, as they want them used as little as possible.....physical skills are physical skills, with enough repetition, anyone can learn them. They felt that they could teach any physical skills that were needed....they wanted us to have all that theoretical information and the ability to synthesize it so that we could critically think.

    That being said, my BS program has over 1,300 clinical hours (I forgot the actual number) which includes our 6 month preceptorship (25 - 30 hours a week) before graduation.
  14. Visit  klone profile page
    0
    Quote from james_lankford
    why do people post stuff like this and never post the name of their school ?
    if your school is great, don't you think others would benefit in knowing the name ?
    Because they want to maintain anonymity on the internet?


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