Okay, since I've read and participated in discussions basically about this topic on other threads, I am curious to know what all nurses (LPN's included) feel about the issue of having one entry level degree for RN's. Specifically, I would be referring to the argument that all new RN's should be BSN prepared. Please tell me what you all think and why. Thanks in advance for your input.
Jul 30, '99
I am a BSN prepared nurse from Ohio. I do not feel strongly about this topic, but I know some facts that make me lean toward requiring professional nurses to have BSNs. Here are my top three:
1. Most all professions require a bachelor's degree for entry level.
2. ADN programs do not (and cannot) include comprehensive education in family health, community health, advanced assessment, research, grant writing, etc.
3. BSN prepared nurses have more opportunity for specialization in their education, such as gerontology certification or school nurse certification.
Jul 30, '99
I disagree that most BSN programs provide "comprehensive" education about such topics as community health, etc.
I have worked with new BSNs, and, for the most part, they have egos, and a lot to learn.
I wish there was some kind of stepping stone program. I'm currently in an RN-BSN completion program. The information we are absorbing would have been wasted on nurses with no hands-on experience.
I feel that the entry level to 'professional nursing' - Registered Nursing - should be a BSN. ADN programs should produce LPNs.
I don't have an answer to new BSNs who think they are God's answer to the need for nurses. I can't forget the one who told me my patient, who was 10 days post-op, and who was preparing to return to surgery for a colon resection, couldn't go to the shower because she "has an abdominal incision",... and "we don't have an order to let her shower". Where did her common sense get misplaced?
I completely agree that in order to be recognized as a true profession, we must accept the mandate of a minimum of a baccalaureate education as the entry level to practice. I am currently an ADN prepared RN.
Jul 31, '99
i think that nurses can't get ourselves taken seriously until we can stop fighting about who the "real" nurse is. i understand that it is very confusing for people to figure out the difference (although many do not care). i do think that we do need to either decrease the number of possible ways to enter the profession, or come up with better titles than calling all diploma/ASN/BSN "rn". i have seen the strength (and weakness)in all the programs (including LPN), but think that a BSN should probably be the entry level (i hear it is a DOCTORATE in turkey).
i agree that some BSN grads have attitude problems, but they probably had them LONG before they went to college. take heart, though that they will get bored with it and leave (hopefully with a "jerky" md)
Jul 31, '99
About the ADN vs BSN discussion. I don't think the BSN programs prepare the individual for "real nursing" nearly as well as the ADN programs. I think they are equally as green with a few exceptions. Most of us went into nursing to care for the patient..bedside care. Some of us prefer research and that's great. The BSN program prepares you for that. The BSN programs do not provide nearly as much hands-on, clinical, bedside experience as the ADN programs. Also, the BSN students that I have worked with are not being taught any problem solving skills. They are unable to think "on their feet." This carries over into new graduate. They write a great nursing note, but they don't know what to do about a blood sugar of 13. I realize that all of this comes with time and experience but the BSN nurses think they have an edge. Ha Ha.
Aug 1, '99
I agree with sfmrn. I'm an ADN who is as professional as any BSN nurse. What makes a nurse a "professional" is experience at the bedside not a bunch of letters after their name. BSN is great if you want to go into research of go for a MSN/Doctorate degree or if you want to go into administration. I believe however, when you go into administration, your use to nursing becomes extinct because you give iton the "bottom-line" side where $ become the important factor rather than patient care (our fellw human beings). Plus when you have the ADN-vs-BSN debate going nurses can't seem to get together to fight what managed care has done and continues to do to us and our patients.
There is a coming shortage of nurses because of low pay and long hours and if it takes a BSN for entry level nursing the shortage will be even greater because a 4 yr. program is to cost-prohibitive to a lot of people, there may be a lot of miles between one's home and the closest 4 yr. program and an ADN program might be closer. Pluus for it to be entry level, the pay will have to start at least $45,000+/yr. and hospitals won't be willing to pay that because it'll cut into the profits and the big bonus $$$ at the top.
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