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Entry into Practice: Diploma Programs for Registered Nursing



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No. 10
from VickyRN
Old Sep 11, 2009, 03:19 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
Originally Posted by nurse2009 View Post

Thank you for this article you wrote. It was wonderful thinking that there are still people out there that think that diploma nurses are worth something.
I graduated this last may from one of the last 3 year diploma schools left on the east coast. My school has been around since the late 1890's.My class had 100% pass rate on the NCLEX but there are still places that look down on us here and it is difficult to find a job.
So thank you again for writing this article have a great weekend.
Tricia RN class of 2009 diploma grad and proud of it
Concerning private conversations among faculty that I have been privy to, the consensus has always been that the diploma programs turned out the "best," most prepared graduates. This includes associate degree and BSN faculty. There is almost an air of reverence and nostalgia when these programs are mentioned, along with sadness concerning their near demise. It is interesting that we are evolving back into the diploma model in some ways - the nurse externships and internship programs. Some nursing programs also have students paired with an experienced nurse in the hospital unit from day 1, in lieu of clinical instructors being with the students on the floor, instructing them (i.e., some direct entry MSN programs).
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No. 11
from nurse2009
Old Sep 11, 2009, 03:34 PM

Medical Re: Entry into Practice: Diploma Programs for Registered Nursing
Originally Posted by VickyRN View Post
Concerning private conversations among faculty that I have been privy to, the consensus has always been that the diploma programs turned out the "best," most prepared graduates. This includes associate degree and BSN faculty. There is almost an air of reverence and nostalgia when these programs are mentioned, along with sadness concerning their near demise. It is interesting that we are evolving back into the diploma model in some ways - the nurse externships and internship programs. Some nursing programs also have students paired with an experienced nurse in the hospital unit from day 1, in lieu of clinical instructors being with the students on the floor, instructing them (i.e., some direct entry MSN programs).
Its funny you say this since a hospital in my area stated they only are going to hire new grads from ASN or BSN programs no diploma nurses. I was shocked I thought we were the ones that always had the best hands on experience. I guess that is not good enough at this time in the economy crisis but im not going to let that get me down..There loss will be someone elses gain .Just move on to bigger and better things to come.
Tricia RN
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No. 12
from VickyRN
Old Sep 11, 2009, 04:49 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
Originally Posted by nurse2009 View Post
Its funny you say this since a hospital in my area stated they only are going to hire new grads from ASN or BSN programs no diploma nurses. I was shocked I thought we were the ones that always had the best hands on experience. I guess that is not good enough at this time in the economy crisis but im not going to let that get me down..There loss will be someone elses gain .Just move on to bigger and better things to come.
Tricia RN
This is indeed sad. And, like you said - their loss. Yes, keep looking and I'm sure a good job will open up for you.
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No. 13
Old Sep 11, 2009, 04:51 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
I also believe that Diploma graduates came out more prepared with both, skills and the ability to correlate their education with practice. They didn't seem to be overwhelmed, had a greater deal of confidence and were very productive. I had hoped that even my practical nursing course offered more, but didn't. I feel that I missed out on a great deal.
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No. 14
Old Sep 16, 2009, 11:37 AM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
I found your article very interesting and would like to add on a little more information.
I am an 1985 graduate of the Ravenswood Hospital School of Nursing, Chicago, Illinois. It is and was a proven fact that nurses that graduated from a hospital school of nursing usually scored higher on the state boards and also had a lower number of new nurses failing the boards.
The simple reason for that was the extensive clinical training we received as students. If the state boards were made up of information learned in college courses required for a BSN maybe the college graduates would do better then the diploma grad. The school I graduated from had a 98% passing rate. The reason for this is when sitting for boards we were able to relate the question to a patient we had in clinicals, the deep research we did on our care plans to name only a few reasons.
As diploma graduates we did have A&P, Micro, English, Pharmacology, Chemistry. No we did not take classes such as statistics.
I am proud of my school of nursing and it is a very sad day every time I have heard of another diploma program closing their doors.
As a preceptor in Obstetrics I have watched many new BSN or Associate degree nurses who were completely lacking in clinical skills. Who would I want taking care of me or one of my loved ones. A clinically adapt nurse or a college educated (book smart nurse) Let me add that there are many excellent nurses with higher education but don't ever forget those of use who have graduated from diploma schools.


Gramobrn
Pingree Grove, Il.
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No. 15
from Diploma'82
Old Sep 16, 2009, 11:42 AM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
Thanks for this article, diploma grad of 1982
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No. 16
from nurse2009
Old Sep 16, 2009, 11:55 AM

Stethescope Re: Entry into Practice: Diploma Programs for Registered Nursing
Originally Posted by grandmamaryof7 View Post
I found your article very interesting and would like to add on a little more information.
I am an 1985 graduate of the Ravenswood Hospital School of Nursing, Chicago, Illinois. It is and was a proven fact that nurses that graduated from a hospital school of nursing usually scored higher on the state boards and also had a lower number of new nurses failing the boards.
The simple reason for that was the extensive clinical training we received as students. If the state boards were made up of information learned in college courses required for a BSN maybe the college graduates would do better then the diploma grad. The school I graduated from had a 98% passing rate. The reason for this is when sitting for boards we were able to relate the question to a patient we had in clinicals, the deep research we did on our care plans to name only a few reasons.
As diploma graduates we did have A&P, Micro, English, Pharmacology, Chemistry. No we did not take classes such as statistics.
I am proud of my school of nursing and it is a very sad day every time I have heard of another diploma program closing their doors.
As a preceptor in Obstetrics I have watched many new BSN or Associate degree nurses who were completely lacking in clinical skills. Who would I want taking care of me or one of my loved ones. A clinically adapt nurse or a college educated (book smart nurse) Let me add that there are many excellent nurses with higher education but don't ever forget those of use who have graduated from diploma schools.


Gramobrn
Pingree Grove, Il.
From a newly graduate of a Diploma nurse thank you for your kind words and knowledge. Our class had 100% pass rate on the NCLEX.
Tricia RN
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No. 17
from VickyRN
Old Sep 16, 2009, 06:59 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
Originally Posted by grandmamaryof7 View Post
I found your article very interesting and would like to add on a little more information.
I am an 1985 graduate of the Ravenswood Hospital School of Nursing, Chicago, Illinois. It is and was a proven fact that nurses that graduated from a hospital school of nursing usually scored higher on the state boards and also had a lower number of new nurses failing the boards.
The simple reason for that was the extensive clinical training we received as students. If the state boards were made up of information learned in college courses required for a BSN maybe the college graduates would do better then the diploma grad. The school I graduated from had a 98% passing rate. The reason for this is when sitting for boards we were able to relate the question to a patient we had in clinicals, the deep research we did on our care plans to name only a few reasons.
As diploma graduates we did have A&P, Micro, English, Pharmacology, Chemistry. No we did not take classes such as statistics.
I am proud of my school of nursing and it is a very sad day every time I have heard of another diploma program closing their doors.
As a preceptor in Obstetrics I have watched many new BSN or Associate degree nurses who were completely lacking in clinical skills. Who would I want taking care of me or one of my loved ones. A clinically adapt nurse or a college educated (book smart nurse) Let me add that there are many excellent nurses with higher education but don't ever forget those of use who have graduated from diploma schools.


Gramobrn
Pingree Grove, Il.
Thank you for sharing
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No. 18
Old Sep 24, 2009, 12:05 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
I must admit as a graduate of an Associate Degree Program who later went on to receive a non nursing Bachelor's Degree that I did not have the extensive clinical experience that Diploma school graduates received and neither did I end up with an absolute loyalty to hospital based and/or Western allopathic healing methods. I do think that University based education for nursing has opened doors beyond the nurse as physician assistant or believing that Western Medicine holds all the means of healing. My own practice has evolved with a more integrated approach to nursing. I see the role of nurses as one that works with patients and families to help advocate for a healing environment and to explore with patients how that might look. In our culture this most often means machines and medications, surgery and technology. If the hospital is where you decide to bring your nursing care, it is important that you learn how to utilize the tools in that environment as they represent the healing "environment" in those places and the means to healing that a patient may believe in. At other times, patients opt for other pathways to healing and nursing needs to be able to integrate these other belief systems and pathways to best serve the needs of those patients and families. So while we might thank Diploma schools for teaching us to utilize the tools of Western Medicine and medical practitioners, I am glad that I received the more broadly based education with a liberal arts education that helps me to think beyond current models of healing and health care. I have worked in hospitals and community health institutions and feel that if the practitioners and patients in those settings require that I understand and am able to manage the technological tools that patients have opted for, those settings can take the time to teach me how to use them. I prefer that nursing education be increasingly focused on what it means to serve patients according to their needs, their beliefs and what makes them most comfortable and that we advocate for a plan of care based on choice, understanding and generous listening. Someday, maybe we will work for patients and not for institutions. When that occurs we will need a broadly based education to help us to understand and explore all the options available for serving the needs of those who are suffering from dis-ease.
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No. 19
Old Sep 24, 2009, 12:59 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
I just read your reply to me.
I was taught the holistic approach to nursing not just the technicalities of nursing. I will say that I take what you wrote as an insult to all nurses out there who graduated from diploma schools.
What ever made you think that all we know is technology, and hands on nursing?
Much of our education was based on family, patient, extended family, listening sometimes just sitting next to a mother who's baby was stillborn letting her cry, scream or whatever she or her family needs. I have spent over 24 years in the obstetrical field of nursing, believe me obstetrics takes in every aspect of a human being and their family. I also work with hospice patients this is very saturated with cultures and beliefs. Don't label diploma grads as machines with no feelings or brains to look at the whole picture.
I have become a bereavement instructor and counselor for fetal and neonatal deaths.
How many diploma grads do you think never expanded on their knowledge learned, yes learned in a diploma school who taught the holistic approach to nursing.
Again let me say I am insulted by your comments.
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