Up-credentialing: Why the move to the BSN is inevitable.

Nurses Activism

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As this article from yesterday's paper points out, more and more employers are requiring bachelor's degree for entry-level jobs that clearly do not require the credential. As you read the article, it becomes ever more apparent that the primary reasons employers are doing this is simply because they can. This is somewhat similar to what is being done in nursing with respect to employers requiring a BSN where it clearly is not an essential credential. In a large - and growing - part of the country, the BSN has become the de facto minimum educational credential and in my opinion, will shortly become the de jure standard.

As is the case with the Borg, resistance would seem to be futile.

It Takes a B.A. to Find a Job as a File Clerk

By CATHERINE RAMPELL

ATLANTA --The college degree is becoming the new high school diploma: the new minimum requirement, albeit an expensive one, for getting even the lowest-level job.

Consider the 45-person law firm of Busch, Slipakoff & Schuh here in Atlanta, a place that has seen tremendous growth in the college-educated population. Like other employers across the country, the firm hires only people with a bachelor's degree, even for jobs that do not require college-level skills.

This prerequisite applies to everyone, including the receptionist, paralegals, administrative assistants and file clerks. Even the office "runner"-the in-house courier who, for $10 an hour, ferries documents back and forth between the courthouse and the office-went to a four-year school. . .

Full text via this link:

http://www.nytimes.com/2013/02/20/business/college-degree-required-by-increasing-number-of-companies.html?src=recg

Specializes in LTC, Agency, HHC.
Currently still LPN in LTC night shift. Conditions here are horrible!!!!!!!! Moral is rapidly on the decline........Good people are rapidly leaving and I'm not far behind. BUT I just can't leave without trying to help the residents and the other workers.........I've worked in many many many different fields but have never experienced such horrible treatment of employees. I KNOW IN MY HEART I NEED TO DO SOMETHING. JUST NEED TO DO IT RIGHT. PLEASE HELP ME!!!!!!

LIST OF BAD:

1. Neglect of Residents (no snacks, pressure sores, no baths, skin breakdown etc......)

2. Not enough help at NIGHT. Adm. decided to cut down to only 3 aides/60 and 2 charge nurses.

3. LPNs are made to take call on every off days because Aides call in all the time. So we go in for Aide Work. (which contradicts them saying the census is low so they had to cut back, because we get paid time/half when we have to go in.)

4. Adm. makes Mandatory Meetings at 2pm and expects night shift to be there regardless if they just clocked out that morning at 8am and have to be back at work that night at 7pm.

5. Even if you have a perfect attendance, if you miss the meetings you get points against you and 20 points means termination.

I (as many) came in hoping to make a difference but only to have our good drained from all this silly stuff.

I do feel my License is in jeopardy I know I need to get out of there.:drowning:

Get out, run, and don't look back! Try HHC or a clinic. Go back to school if you can and get your RN.

Specializes in Med/surg, Quality & Risk.
I hear many ADN's saying a BSN is unnecessary. Not a single one of them has been able to tell me how requiring a BSN would hurt nursing as a profession.

If you don't know the difference between "unnecessary" and "BSN hurts nursing as a profession" I'd ask for my money back for my BSN.

I imagine we will go to BSN only at some point. All the cool kids are doing it. I think it's a mistake and will hurt healthcare as a business, as people with bachelors are not willing to put up with as much crap as someone without one (you know, since we're so educated and all. They should really add into their little exit surveys how many new grads that quit quickly were BSN's versus ADN's. Someone has probably already done this. I'm curious.) You'll end up crying "shortage" again, and for real this time. I just hope somehow an ASN is grandfathered in, as I don't feel that I need a BSN for my job. I already have a bachelors and a doctorate in something else. I've had all the well rounded schooling I can stand, thankyouverymuch.

I also suspect the requirements for the jobs described in the article will eventually trend the other way and employers will start screeching "on the job training again," once they can't hire anyone for peanuts.

This is one of the reasons why I'm leaving nursing if I can't stay at my current job until I'm ready to stop working. With student loans I'm still repaying and no desire whatsoever to attack O-Chem and Statistics at my age, I know I'm an endangered species: an ADN who made it into management on street smarts and sheer force of will. I cannot go back to the floor, and I'm not going back to school at this stage of life.

What, I wonder, is to become of ADNs and LPNs who, for whatever reason, are unable, unwilling, or can't afford to go back to school? I, for one, don't know how to do much of anything else---been a nurse for 16 years, and before that I was a factory shift supervisor, auto detailer, telemarketer (for about 4 hours), office worker, and SAHM. What is out there in this economy for someone like me, who is too young to retire and too old to be considered for many positions that I'd even bother to apply for?

It sounds negative, I'm sure, but I'm just being realistic. There are too many of my age-mates looking for jobs that aren't there for older and perhaps 'less-educated' people (sorry, but as one of the only two members of my family who graduated from college, it's hard for me to think of myself that way). I don't even want to think about working fast food or retail, but if it's what I've got to do to survive, well, it's "Welcome to WalMart. How may I help you today?":rolleyes:

This is why a person, no matter what field they work in, must keep their eyes on the future. It's just not realistic anymore, if it ever was, to just get a job and become complacent and expect things will never change.

This is why I will start working on my BSN as soon as I finish my ADN. I had not really considered it when I decided to become a nurse, but now that I see the opportunities that are out there for me as a nurse, that I can work towards even a doctorate part-time while still working and spending time with my family and that it will be necessary to achieve a higher degree so that I won't be left behind and so that I can continue to be able to work well into my sixties.

I am older than many new grad ADN's and because I know I do not want to work as a floor nurse in my fifties and knowing that the retirement age is getting pushed back further and further, I need to plan appropriately for my future. So after my BSN I will gather vital experience as a floor nurse as I work part-time towards my Masters. Working as an NP will be less physically demanding or I can work as an educator, so I have options for the future. I will start working on this now so I won't be in my late forties and realize that I need to make some major changes. I can start now and do a little at a time and not feel like I am missing out on life.

We are lucky that education is so easily accesable to us now...we can work full-time and go to school part-time, take classes on-line, work towards advancing our future and still maintain a family and personal life.

Statistics and chem may seem like insurmountable obstacles, but you are only as old as you think you are. I have seen a woman in her 80's walk across the stage to recieve her Ph'd...it was amazing to see someone breach the age issues as well as generational issues that she must have faced. I have always loved learning and have never felt as if it was something I was forced to do but rather something is necessary for life and something that I love and I will forever consider myself a student, even when I am 90. When I saw that lady walk across the stage I knew that I would never have any excuses.

Specializes in Nursing Professional Development.

I dont agree with that. I would be very interested to see where someone can get an ADN in only 18 months.

There are such programs in my area. They are "for-profit" schools, such as ECPI (MCI), ITT Tech, Centura, etc. -- not well-respected, but legal. Their graduates are awarded an Associates's Degree and can sit for NCLEX-RN boards. One of those programs was advertising that they can be completed in 15 months!

Nurses graduating from the better ADN programs should be outraged that such programs are allowed to exist, as they are hurting your reputation and contributing to the de-valuing of an ADN education.

Specializes in L&D, Nursery, and Post-Partum.
Furthermore, nursing is global, and the standard for entry to practise as a registered nurse is the BSN in many nations such as Australia, Canada, and the UK. It is inevitable that the US will follow.

Australia recognizes ADN nurses from the U.S. Also, the BSN requirements in Australia and the UK is 3 years versus 4 in the U.S. I'm not sure about Canada. Australia and UK qualifications are regarded as ADN equivalent when evaluated for U.S. credentials. One of the problems with comparing nurses globally is that the scopes of practice and education requirements vary greatly. Most nurses outside of the U.S. do not require maternity rotations, and they are therefore deemed lacking when trying to come into the U.S. U.S. nurses, on the other hand, do not meet the clinical hours required by New Zealand and are therefore deemed inadequate. Global comparisons, when talking about degrees, are kind of hard to accurately compare when all factors are considered. Just my opinion, and I'm not in any way trying to be dismissive about your observations.

On the other hand, in my region in Alabama, nurses come out of school making $18-$18.50/hour rather they have an ADN or a BSN. They use to pay $0.50 more per hour for BSN's, but even that has changed. Most hospitals around the area have also cut back or cut out scholarships, so the nurses no longer have an incentive to go back for their BSN. On top of that, the hospitals say "BSN preferred" but you have one school popping out maybe 30-40 BSN nurses a semester, and about 200 nurses a semester coming out of the area's ADN schools.

The hospitals have their pick and can get away with paying little, so they're going to continue to get ADN nurses until they decide to do something different. They can't give ADN nurses the "go back to school or else" threat because the nurses will just be like "good luck filling all of your vacancies!"

Specializes in Med/Surg, LTACH, LTC, Home Health.

Actually, some of these kids are taking college courses while in high school. My cousin's daughter graduated from high school in May and by the end of the Sumer, had her college degree. I was shocked because I didn't know there were any such program that allowed dual studies. Of course her degree wasn't in nursing but times have seemed to advance a little without letting us in on it. So 18 months is nothing today. These kids are actually leaving us behind.

On another note, there are actually BSN programs that require no math at all. One is American Sentinel University. It's all essays. It's worth a peek. 10 courses, 8 weeks each. Now their MSN requires Stats. So if its math that's holding you back, have a look at ASU.

Specializes in Med/Surg, LTACH, LTC, Home Health.

(This is a discussion on LPN phase out d/t Medicare regulations??? in LPN / LVN Corner, part of General Nursing ... Today in a meeting, my nurse manager said that d/t medicare compensation changes, the private...

by Salesman217 Feb 25

Today in a meeting, my nurse manager said that d/t medicare compensation changes, the private hospitals in our area (Cleveland Clinic, University Hospitals) are laying off LPNs from the bedside, that all bedside nurses would be RNs. I'm an RN in the VA hospital, but my wife teaches an NCLEX review course for both LPNs and RNs and she would be interested in this information. She stated this, not in the context of the rumors we've been hearing forever, but stated it as a fact. Anybody else hear about this?)

I copied the above from the LPN/lLVN corner on the ALLNURSES website. I still maintain my LPN license even though I became an RN 3 years ago. So, being that I was an LPN for way more than 20 years before going back for RN, I'm still very interested in the issues that they have. I feel it's all relative because of the trickle-down effect. If LPNs are phased out, guess who will be taking their places? The ADN. So, the BSN will take the place of ADN, and before you know it, the MSN will be required as charge nurse, with the Ph-D as manager. It may be an exaggerated statement now, but........

Specializes in Trauma.
I agree that BSN is going to be the new normal. This is because there are just more and more nurses out there looking for work. Extra education never hurts. Im an ADN right now, but looking forward to going back for another 15 months and getting my BSN.

I dont agree with that. I would be very interested to see where someone can get an ADN in only 18 months. Where I went to school not only did you have to do all your preqs, but a student wasnt even considered unless they had all their non nursing courses done as well (chem, A&P, micro, english, math ect). That took 2 years before even starting the program, which then takes another 2 (scheduled, you cant cram and get it all done in 18 months). ADN programs are very hard to get into, and almost unheard of straight out of high school.

There are several students in my class that graduated last May will all of their prereqs completed except Micro and something else. They are called duel enrollment students. They take college classes at the college and get college credit as well as high school credit for them. I was slightly mistaken about the 18 months part, it is 21 months in a traditional ADN program. In my area to enroll you have have basic Biology completed and be eligible to enroll in Pre-Cal. Most students either take these the summer before Fall admission or during high school. You can take all of the other courses concurrently with your nursing classes. I know several that have done that

Specializes in Trauma.
If you don't know the difference between "unnecessary" and "BSN hurts nursing as a profession" I'd ask for my money back for my BSN.

Perhaps a nap would have helped before you typed this. I have no idea what you are talking about here. Read my post a little more carefully.

Don't get so defensive about what others can see coming from a mile away. With all things equal a hospital will choose a BSN over an ADN almost every time. Hospitals do not hire strictly for beside nursing, they are hiring what they hope will be future managers. That jump is more likely for a BSN rather than an ADN.

Specializes in Med/surg, Quality & Risk.
Perhaps a nap would have helped before you typed this. I have no idea what you are talking about here. Read my post a little more carefully.

Don't get so defensive about what others can see coming from a mile away. With all things equal a hospital will choose a BSN over an ADN almost every time. Hospitals do not hire strictly for beside nursing, they are hiring what they hope will be future managers. That jump is more likely for a BSN rather than an ADN.

Yes, I know personally my manager is sitting there thinking, "Is this person management material???" when she's trying to fill up her schedule for the next month. I'm sure she really cares.

I'm sorry you don't know what I'm talking about. Maybe you should re-read your own post, and then take a nap, and then come back, four more days later, and you'll be better at understanding.

"All things being equal" all things are NOT equal, that's the point. There aren't a whole lot of BSN's vying for a busy med surg floor at a small-ish hospital that is one of many in a metropolitan area. So when there are a whole bunch of BSN's with 3 years of experience that would like to come work on my med surg floor, I'll be sure to worry about it.

Specializes in Med Surg, Tele, PH, CM.

I am a proponant of education beyond the ADN that I received in 1983, however, the BSN is not necessarily the answer. Having obtained a 4 yr degree before nursing, I was in no hurry to take the BSN path. It was not until 15 years later, when I applied for an advanced certification for which I was qualified, that the NLN told me I was inelegible because I lacked a 4-year degree in "health care". After looking at BSN program curriculums, I decided that none of them would teach me a single thing that I already knew, and if I had to pay tuition, I was going to seek some sort of program that would offer me a positive educational experience. I received a BBA in Health Care Administration, then a MBA in Health Care Management. Most of my classmates were nurses, which I find to be encouraging. While bedside nursing will always be important, nurses need to realize that there is a "whole new world" outside the hospital. Since receiving my degrees, I have enjoyed positions in both direct patient care and administration. I have never been treated as "inadequate" by my employer because of my lack of a BSN. In fact, the only job I would not qualify for is nursing school faculty, which has never been a goal for me. I am currently a Case Manager, which I love. I team with physicians, hospitals and other providers to deliver quality care, and it is the most fulfilling job I have ever had. As I said, I believe a 4-year degree is necessary to maintain the integrity of the profession, but nurses need to understand that they are not limited to a BSN or even MSN behind their name.

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