Quote from dollparts13
Wow, this is unsettling almost.
I am currently in my third semester of a two year ADN program.
Every semester we have had clinical once a week, along with the strenuous class work, reading, and tests of nursing classes. I believe we get enough clinical time. It is scary to think some people would rather a person get trained to do a job, and they might not fully understand it, or have the intellectual background needed to critically think in nursing.
Don't think that is what the OP is advocating, but rather diving into the stormy waters of if nursing is still a "practical" profession, requiring a return to the apprenticeship method of education.
Many diploma and ADN programs of old had two or more days of clinical time, and were talking full shift days of 8 or 12 hours of duty. In such programs one not only rotated through the entire nursing service of a hospital, but you did "everything". From L&D to scrubbing in OR, to bed making, and so forth one spent quite allot of time on the floors observing, learning, and practicing over and over again nursing tasks. By the time one graduated (assuming you did
), one had not only the academics to pass the boards, but the skills to step right onto the floors taking a full load of patients, or close to it.
As the classroom part of college education for nurses bit into clinical time, hospitals upped the orientation time of gradaute nurses (yes, at one time most hospitals would hire you right out of school, even before one took the boards), to get them up to speed.
What seems to be happening is a perfect storm if you will of expectations from nursing education. Hospitals no longer wish to spend sums on "training" new nurses, up to and including covering material they feel should have been covered in school. In short they want a fully competent nurse right out of the box, one that requires just a bit of seasoning. This explains why new grads are having such hard time finding employment in many areas, especially those with a surplus of experienced RNs.
Nursing programs for their part are have several masters to serve. On one hand they must educate nurses that are safe to let loose on the world. But they also have to prepare nurses that can pass the NCLEX and so forth. There being only a finite amount of days in a school year, something has to give.