80% BSN staffing by 2020

Nurses Activism

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This has been on the forefront of every conversation regarding nursing I have been a party to as of late. 80% of BSN prepared nurses for acute care by 2020. Is this just being kicked around as an ideal, or did this mandate pass? Not sure if this is national or state.

A number of hospitals will only hire BSN's. That is certainly their right, however, to use the 80% by 2020 mandate as a reason to not hire less than a BSN is a bit odd to me.

My understanding is that this mandate states that currently employed nurses are grandfathered. They also have a 10 year period of time to obtain a BSN. From what I have read about this, it is a state mandate that has yet to pass in most states. But the information is vauge.

Or is administration just throwing it out there in attempts to go for Magnet status???

Curious on if you have heard this in your area?

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
I'm just completely frustrated with this whole "you need a BSN degree to continue to do the same job you are doing". It makes no sense to me. Once I get my BSN I will not get paid a cent more at my job and I'll be doing the same exact thing. Why can't they leave us ADN nurses who love bedside alone!!! I already know and understand about EBP, so why I need to spend 30,000 dollars on something I already know about is nonsense ! I'm half way through my RN-BSN program and all it has been is a bunch of fluff classes.

TPTB is interested in more than just a BSN prepared nursing work force. Judging by their actions they also seek to punish those who had the temerity to enter RN practice with only a "2 year" degree. I assume out of jealousy.

If the goal was an all BSN nursing workforce they would be advocating to grandfather in all the non BSN RNs and make BSN the sole entry point (it would be great to get rid of the direct entry MSN programs too).

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Specializes in Pediatrics, Emergency, Trauma.

If the goal was an all BSN nursing workforce they would be advocating to grandfather in all the non BSN RNs and make BSN the sole entry point (it would be great to get rid of the direct entry MSN programs too).

Agree...:yes:

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*** One of the two medical schools in my state is starting up two, three year medical programs at satellite locations. The local University's DNP FNP is 3 years of full time study.

It would seem a legitimate question.

The requirements for physician and FNP are moving much closer together, but compensation is NOT.

Not really. Have you seen the curriculum for the DNP? 90% of the classes are fluff whereas in med school only about 10% of the classes are fluff. If nursing wants to get on that compensation level get the curriculum up there as well. No more of this direct entry DNP then hope to God for OJT when you get to your first clinic...erm I mean pseudo residency.

Seriously I looked at doing the DNP eventually and saw what a joke 800-100 clinical hours was to the thousands MDs get and said screw it. Also I am sick of those fluff classes I had with my BSN and don't want to do part 2 as a DNP.

Since when is medical school 3 years in the US? It is most definitely 4.

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I agree and given the fact that a DNP ..."will keep the MDs from pushing back on giving access to healthcare a "doctors' duty", given the fact that NPs give equal care, based on EBP... "...and even though, "Nursing and Medicine are two different models of care. "... it does make sense to consider an MD degree instead of a DNP.

Sorry, couldn't address multiple threads. :) I think this is an important discussion.

Yeah EBP based on studies done by nursing accrediting bodies and or organizations...woooo :sarcastic:

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I live in Ontario Canada and here a BSN has been required since 2005. All diploma programs were stopped shortly before then. We never had ADN. I do not have a BSN and have absolutely no interest in getting it. Like the previous post said why would I spend the money to do the same job I am doing. You can be hired into different jobs as long as you graduated before 2005. A nurse from the US would either have had to graduate before then with ADN or if they graduated after that would have to have a BSN as well. We have a number of people from the US working here. Those of us without a BSN, and that is the majority still, do not have to obtain a BSN at all. We are all considered equal when it comes to front-line nursing jobs.

Here's a question--your LPN's (RPN's) have a larger scope of practice, however, correct?

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Specializes in Adult Internal Medicine.

(it would be great to get rid of the direct entry MSN programs too).

Why is that?

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Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
Not really. Have you seen the curriculum for the DNP? 90% of the classes are fluff

*** I know. I didn't suggest that the DNP was going to create physician equivalents. Far from it. What I said is that the DNP dramatically increased the time and financial investment for NPs without an increase in scope of practice or compensation.

Very soon students in my state will have the option of a three year medical school, or to do the DNP NP in three years. The time and financial investments are getting closer regardless of whether or not the classes are fluff.

Since when is medical school 3 years in the US? It is most definitely 4.

*** I already explained this. Since 2014. When one of the two medical schools in my state is projected open two satellite medical programs. They will be three years full time year round, no summers off.

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Specializes in Critical Care.
Not really. Have you seen the curriculum for the DNP? 90% of the classes are fluff whereas in med school only about 10% of the classes are fluff. If nursing wants to get on that compensation level get the curriculum up there as well. No more of this direct entry DNP then hope to God for OJT when you get to your first clinic...erm I mean pseudo residency.

Seriously I looked at doing the DNP eventually and saw what a joke 800-100 clinical hours was to the thousands MDs get and said screw it. Also I am sick of those fluff classes I had with my BSN and don't want to do part 2 as a DNP.

Since when is medical school 3 years in the US? It is most definitely 4.

There's actually a big shift to 3 year medical school for primary care/family practice Physicians. Google "3 year medical school" and you'll find plenty in the US.

DNP's do about 2500 to near 5000 hours of clinical training depending on the program, which is still less than MD students in total time, but not as different as it may seem. A large portion of "clinical training" time an MD receives is being on call for middle of the night orders, bowel care meds, that sort of thing, while DNP clinical training tends to be more continuously progressive.

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There's actually a big shift to 3 year medical school for primary care/family practice Physicians. Google "3 year medical school" and you'll find plenty in the US.

DNP's do about 2500 to near 5000 hours of clinical training depending on the program, which is still less than MD students in total time, but not as different as it may seem. A large portion of "clinical training" time an MD receives is being on call for middle of the night orders, bowel care meds, that sort of thing, while DNP clinical training tends to be more continuously progressive.

Every DNP program I've seen said 800-1000 hours. You have a link? Med students and then residents have much much more than that. I'm an RN but I'm not brainwashed by the nursing organization to think the clinical education and curriculum are on par. Direct entry into DNP makes it even sadder...

I've seen the three year mod but it isn't common.

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*** I know. I didn't suggest that the DNP was going to create physician equivalents. Far from it. What I said is that the DNP dramatically increased the time and financial investment for NPs without an increase in scope of practice or compensation.

Very soon students in my state will have the option of a three year medical school, or to do the DNP NP in three years. The time and financial investments are getting closer regardless of whether or not the classes are fluff.

*** I already explained this. Since 2014. When one of the two medical schools in my state is projected open two satellite medical programs. They will be three years full time year round, no summers off.

I know what you said. If I had the choice, 3 year med school for sure. I love the force into DNP by the governing bodies with little to no gain in substance.

What was the point of the DNP? Was it a up yours to physicans by saying we now have pseudo clinical doctorates? What was wrong with the MSN?

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BSN in 10 legislation was re-introduced this year in New York (A03013/S00628). New Jersey is also working on legislation.

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Specializes in Maternal Child.

BLAH BLAH BLAH!! I graduated from an ADN program in 1979. By 1980, in Oklahoma, the buzzword was to have everyone have a BSN by 1985. The ADN nurses would be relegated to a sub professional status and LPN would be phased out. Many community colleges had already ramped up education for ADN prepared nurses and in 1976 the last diploma program in Oklahoma had closed. I dropped out of a large state university program years ago because of the fluff curriculum and high cost. Look through these comments, see the one about the young nurse who is about to finish the few weeks of orientation in a critical care setting? Would YOU want to be cared for by a Masters degree prepared nurse in an ICU who did not know an art line from a care service line? Like it or not we are a technical profession. Let's get out of the Ivory Towers and meet the needs of the patients foley caths, iv starts, life losses and all.

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