The education requirement for nursing is changing - Page 2Register Today!
- Aug 27, '12 by colesedwardsI read the article you linked but I think the education requirement many hospitals are imposing and the new rules for degree attainment (ex: you will need a doctorate to get NP after , um 2014?, I think) down play the importance of experience on the job, the individual RN and the facilities that he/she have worked at.
There are several RN's on the floor where I work that have ADN degrees and are smarter than many of our residents and truly know how to care for our patients. Then there are some BSN 's who do not have the same experience and practical knowledge needed for floor work and it takes them years to catch up and gain that experience.
I think that the distinction is weird and the seperation is crazy as whether you are ADN, diploma or BSN, we ALL take the same NCLEX if you are a registered nurse and a new grad is a new grad-its what you do with your time working is what makes you the nurse you are-not your education background that allowed you to take NCLEX.
- Aug 27, '12 by bae2012Yes they do; the BSN was first established in the early 1900s at Minnesota. I'm always confused when people seem to think the BSN is a new concept... the ADN didn't come into existence until the 1950s.
- Aug 27, '12 by HouTxADNs were introduced as an effort to increase the Nursing educational pipeline during WWII and they quickly became very popular.
Despite popular opinion, nursing is a "knowledge-based" profession. Sure, we do a lot of patient-touching, but the essence of Professional Nursing is the ability to analyze and make decisions based upon our knowledge of what is going on and what needs to be done. Unfortunately, current nursing jobs do not really differentiate by skill levels (due to a huge number of factors) so RNs are spending a lot of time doing tasks that 'someone needs to do' rather than limiting the work to RN-specific areas of practice. Let's face it, basic hygiene, endless documentation, road trips to pharmacy & central supply, filling out PI forms, . . . etc. could all be either automated or done by other types of staff. It's just cheaper at this point to use RNs. This may change if RNs become too expensive.
Like all other knowledge-based professions, basic educational requirements for nursing is increasing as the practice environment becomes more sophisticated. For example, years ago, a reasonably intelligent person could become a database administrator simply by paying attention to on-the-job training... These days? Employers require graduate degrees. So, why would nursing be any different?
- Aug 27, '12 by wish_me_luckThe education thing is because like others said, nursing used to be looked at as only a skill/trade (floor nursing) but it has evolved into it's own little world. Nurses can do a lot now--floor nursing, public health, research, management, etc. In order to branch out beyond the floor, you have to have higher education (Master's, Doctorate and post doctorate). The BSN allows for a person to do this (you can't go for a Master's or higher unless you have a Bachelor's).
- Aug 27, '12 by Dragonnurse1For me I think there is room for both programs. When I went into nursing I had the choice to go ASN or BSN but I had no desire to go into management, research or public health - I wanted to work in an ER and that is what I did. I saw many new nurses that graduated with a BSN come to the ER as new grads and not one of them stayed in our department, they went to floors. I never worked on a floor so I do not know how floor nursing works but in our department we, as nurses, had the most autonomy in our hospital.
I do not know of a single doctor's office in my area where they employ any RN's so in what non-hospital area will ASN's work? I think there is room for both degrees. To snub ASN's because they do not have 65 hours of NON nursing education? The only reason I would have gone back to get my BSN and above would have been to get my NP. It is sort of like the military. It is nice to be an officer but the services cannot function without the grunts - you know - the NCO's and the enlisted men. Nursing can and should have room for both degrees.
- Aug 27, '12 by neurorn6I truly believe that it is a bunch of BS. The "boards" don't have different levels. From what I have seen, most BSN nurses just want to move on into management or get their NP. Bedside nursing is just a stop on the way. This arguement about our education is unproductive. It just divides us as a profession. While education is a starting a point. Experience seems to be overlooked too often in our world. This is non starter as far as I am concerned. I personally don't need alot of letters after my name. RN suits me just fine.
- Aug 27, '12 by DoGoodThenGoQuote from bae2012Following does a pretty good job of explaining things:Yes they do; the BSN was first established in the early 1900s at Minnesota. I'm always confused when people seem to think the BSN is a new concept... the ADN didn't come into existence until the 1950s.
Associate’s Degrees in Nursing: The Road Ahead
While the BSN was basically launched to advance the profession of nursing, the ADN served to produce nurses with *some* college background faster than the normal three year diploma programs of the time.
The ADN also served the purpose of further removing nursing education from hospitals (where it had almost firmly been since Florence Nightingale and her methods deemed such places best to train and govern nurses), and give it to colleges. This fit in with the launch and growth of community colleges post WWII.
Movement of nursing education into colleges en masse, remember there had been BSN programs since the early 1900's but the major number of nurses up until about the 1970's or 1980's were diploma grads, coincided with a movement away from the apprenticeship/tasked based method of training nurses towards theory and rationale.
- Aug 27, '12 by DoGoodThenGoEducation requirements for the nursing profession have always changed as the practice evolved to cope with changes in medicine and the healthcare system.
Hospitals and other facilities have been telling local schools of nursing for ages to step up their game if they wanted their graduates to be hired. What is happening in many local areas is that hospitals have stopped merely *talking* and setting down rules upfront as to what sort of new graduate they will hire, period.
Here in NYC for most intents and purposes whether or not one is able to land a new grad spot at any of the top tier hospitals/healthcare systems is determined in nursing school if not pre-nursing. NYP, NYU-Langone and others will only consider new grads with minimum of 3.0 GPA (NYU is 3.5) overall. In addition they want to see the same in all science classes as well. If you get a 2.5 or 2.9 say in A&P I or manage to graduate with only a 2.7 or so, then you pretty much are out of luck.
It does seem to me at least there is a movement away from merely posessing skills, to the value of critical thinking, problem solving, abillity to research and or interpet data.
- Aug 27, '12 by JZ_RNUh, I went to community college and I have a college degree, thank you very much. Why do people say nasty things about community colleges? My ADN school had a higher NCLEX pass rate than the BSN program in a large and well-known 4 year school in the area. And we take the same freaking test either way. Busywork classes and citations and leadership nonsense do not make a better nurse.
- Aug 27, '12 by BrandonLPNThe "BSN preferred" trend has much more to do with the tight job market then it does with hospitals actually thinking BSNs provide better care than ADNs. The only ones who seem to think so are a handful of "pie in the sky" academics who are far removed from the bedside. Millions of diploma and ADN trained RNs disprove this theory every second of every day.