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Entry into Practice: Diploma Programs for Registered Nursing



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No. 20
Old Sep 24, 2009, 01:56 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
I am sorry if you felt insulted by my post, I did not mean to denigrate diploma school graduates and if I did so I apologize. I merely meant to say that I do not think that nursing practice suffers because we do not graduate with the clinical experience that diploma schools graduates were afforded. I also did not mean to imply that diploma school graduates are the lesser in any way or that they do not continue their education as may all nursing graduates. I certainly don't want to play which of us makes the better nurse, there are benefits and shortfalls to most programs and I do think that hospitals can spend more time and money orienting nurses to the scope and tools of practice in that setting. In most schools we learn about the tools of the medical trade, which has changed time and time again over the last 100 years and what we utilize now will again change in the next 100 years. In my obviously inept way, I am suggesting that the basics of nursing education include much more than the much sought after readiness to work in a hospital setting and certainly don't mean to suggest that diploma school graduates have not learned more than how to run machinery. So many nurses leave university based schools feeling less than because they have not done such or such a procedure or mastered such and such a machine...I sometimes fear that they do not understand that these are tools of the trade and not the heart and soul of nursing practice that I believe has more to do with helping people through illness and life events using whatever tools are preferred and available.
Sorry if I have offended you...truly. This conversation about entry-level into nursing education divides us more than helping us to understand who we are. I have worked on the floor with Master's level, BSN level, Diploma level graduates all on the same night and it can turn out that the best nurse on the floor is the Nurses Aide...because he/she has the heart and soul and a calling to providing comfort and care...and that could be any one of us.
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No. 21
from elkpark
Old Sep 24, 2009, 02:11 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
Originally Posted by grandmamaryof7 View Post
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.
Kudos to Diploma Programs
ITA. I got a much broader and more inclusive education in nursing in the diploma program I attended in the mid-'80s than students have gotten in the ADN and BSN programs in which I have taught or otherwise had experience since then. I get really tired of the assumption by many that diploma programs turned out robotic technicians who performed rote tasks without thinking. My classmates and I graduated with much better critical thinking skills and clinical judgment than the students and new grads I see today. I deeply regret the loss of most of the diploma programs in the US -- I'm sorry to keep saying the same thing over and over on this board, but I believe strongly that nursing has really "thrown the baby out with the bathwater" in nursing education. We used to turn out much better prepared/educated nurses than we do now. From where I am now in my career, I truly worry about the future of nursing (in the US, at least) ...
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No. 22
from Bhebhe6
Old Oct 14, 2009, 08:57 PM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
Wow its so refreshing to hear that there are people who are proud of the diploma programmes in RN. I completed mine in 1996. I have met people different nursing collages, but still have to meet someone with a Diploma like me. I have always known that Diploma Nurses are best trained nurses because they know a lot about taking care of patients, rvs, medications and all aspects of nursing. I have seen BSN nurses who come from college with no clue of what needs to be done in the ward. One thing I know is that even though our diplomas are looked down at, we are full of knowledge. I am proud of my diploma
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No. 23
Old Oct 15, 2009, 09:55 AM

Default Re: Entry into Practice: Diploma Programs for Registered Nursing
Originally Posted by elkpark View Post
ITA. I got a much broader and more inclusive education in nursing in the diploma program I attended in the mid-'80s than students have gotten in the ADN and BSN programs in which I have taught or otherwise had experience since then. I get really tired of the assumption by many that diploma programs turned out robotic technicians who performed rote tasks without thinking. My classmates and I graduated with much better critical thinking skills and clinical judgment than the students and new grads I see today. I deeply regret the loss of most of the diploma programs in the US -- I'm sorry to keep saying the same thing over and over on this board, but I believe strongly that nursing has really "thrown the baby out with the bathwater" in nursing education. We used to turn out much better prepared/educated nurses than we do now. From where I am now in my career, I truly worry about the future of nursing (in the US, at least) ...
Just wanted to thank you fellow Diploma grad. for your input. Maybe with enough oil to the squeaky wheel they will wake up and realize that what we got in diploma programs did in fact turn out wonderful nurses. And they need to add some of that to the programs of today.
I also graduated in the mid 80's, 1985 and 40 years old.
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