The 'De-Skilling' Of Nursing - page 19

What should be our greatest concern for the future of nursing? We must fear the day if (or when) registered nurses (RNs) and licensed practical nurses (LPNs) will be less needed in healthcare due... Read More

  1. Visit  nursel56} profile page
    1
    Quote from VICEDRN
    Nursing journals, JAMA and IOM have all reviewed the issue. There are tens of thousands of patients in at least two countries. At this point, it's about believing what you want to believe, not about questioning the work itself.
    Not really. The IOM is joined at the hip with the AACN, and JAMA doesn't vouch for everything it publishes. Here is an excerpt of what a panel of researchers hired by the AACC found as the major flaws in the study.

    Associate Degree Nurses Vital to the Nation's Health Flawed Study Unduly Alarms Public
    Last edit by nursel56 on Nov 8, '12 : Reason: removed formatting horror
    tnmarie likes this.
  2. Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  3. Visit  VICEDRN} profile page
    2
    Quote from nursel56
    Not really. The IOM is joined at the hip with the AACN, and JAMA doesn't vouch for everything it publishes. Here is an excerpt of what a panel of researchers hired by the AACC found as the major flaws in the study.

    1. Dismissing the study’s own major finding:
    2. Simple logical fallacy:
    3. Experience matters: T
    4. Self-Selected Respondents Skew Data:
    5. Loading the Deck:

    7. True Representation?
    :
    Really. You are responding to the one study that was completed in PA. There are more studies, including the one done in Canada. I think we can imagine that in Canada, resources are divided a little more evenly since they have a universal coverage system.

    You also neglect the fact that the sheer volume of participants in these studies actually decreases the likelihood that the outcome is not correlated with the findings. Also, since I work at a large institution, the logic that more patients die at smaller institutions makes no sense to me. Smaller institutions do not take the high acuity trauma patients and medical patients that we do and if they do, they ship them to us so they can die in our ICU. They simply aren't equipped to do anything but intubate these folks and ship them to the big city.

    The only thing we agree on is that the studies are a smoking gun and do not provide us with a reason why the baccalaureate prepared nurses tended to have better outcomes as a group.
    Last edit by VICEDRN on Nov 8, '12 : Reason: typo
    SoldierNurse22 and tnmarie like this.
  4. Visit  nursel56} profile page
    1
    Quote from VICEDRN
    The only thing we agree on is that the studies are a smoking gun and do not provide us with a reason why the baccalaureate prepared nurses tended to have better outcomes as a group.
    No argument there! The PA study is the study that is consistently pointed out as "proof" you are more likely to die if an ADN nurse takes care of you after your surgery. Thanks for turning that tome into a short list, though!
    tnmarie likes this.
  5. Visit  VICEDRN} profile page
    0
    Quote from nursel56

    No argument there! The PA study is the study that is consistently pointed out as "proof" you are more likely to die if an ADN nurse takes care of you after your surgery. Thanks for turning that tome into a short list, though!
    I think the logical leap is that you are more likely to die if your nurse is an adn but this, in fact, has not been studied and no matter where I am, I won't claim that as the findings.
  6. Visit  tnmarie} profile page
    0
    I admit that I haven't read any of these studies (yet!) but there are so many variables in patient care settings (and in nurses, regardless of their education) that I don't see how they can make the claim that the BSN has such an influence on pt outcomes. I don't see how the kind of controlled study that it would take to make such a claim would be remotely possible. I may be "just" an LPN but even I know that correlation =/= causation. I'm really interested in seeing the studies though. Thanks for posting info on them! And thanks for the interesting debate about them.

    I also agree with the previous poster about bias. The BSN prepared RN's study finds that units with more BSN prepared nurses have lower mortality rates, hmmm. You can't discount a study just for that but it should at least give you pause and cause you to do more research before rushing out to get your BSN or causing you to dismiss your ASN nurse the next time you find yourself in a hospital.
  7. Visit  wooh} profile page
    3
    Why do we even bother going to nursing school at all? All that counts is experience. Education is useless. Let's just license high school graduates. Heck, why bother with that? If you're old enough to work after 10pm, come on in.
  8. Visit  VICEDRN} profile page
    2
    Quote from wooh
    Why do we even bother going to nursing school at all? All that counts is experience. Education is useless. Let's just license high school graduates. Heck, why bother with that? If you're old enough to work after 10pm, come on in.
    I've said it before around here and I'll say it again now: experience just means you have practiced doing it many times over and not necessarily the right way. Education is key for all of us.
    SoldierNurse22 and nursel56 like this.

Need Help Searching For Someone's Comment? Enter your keywords in the box below and we will display any comment that matches your keywords.



Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

Top