BSN as entry into practice; why we decided against it. - page 4

by MunoRN

25,019 Views | 240 Comments

While hopefully avoiding stoking the ADN - BSN debate unnecessarily, I thought I'd share my experience with my state's consideration of BSN as entry into practice, as well as the BSN-in-10 initiative. About 3 years ago I sat... Read More


  1. 5
    Just sayin' but there is a 10/30/12 article on Medscape describing lower mortality rates for surgical patients in Magnet hospitals. What other "profession" whines about the cost of schooling as much as we do? Just because we're married with kids and have OTHER OBLIGATIONS, we should put our education on the back burner? There is a reply several posts up in which the poster argues for the adequacy of ADN education with spelling errors that make me embarrassed for us. As long as the CC's keep cranking the grads out, nurse's salaries will lag behind other "professions" with similar responsibilities and staff satisfaction will be poor. I don't understand why your kid's piano teacher must have a degree in music but the nurse that cares for your intubated newborn can come from an RN with a CC education. I wish that the CC's could provide the pre-nursing courses while we did something more akin to a diploma program for the last two years to keep tuition costs down while the students provided labor for the hospital.
    elkpark, Maritimer, LibraSunCNM, and 2 others like this.
  2. 0
    Quote from trueblue2000
    The biggest advantage of a BSN requirement in my opinion would be higher wages and a higher degree of respect for nurses as professionals. Nurses are the least educated of the health care workers if you think about it. I think this a big reason why we are treated like crap by physicians, administration and patients. A two-year junior college degree will never command the wages, recognition and respect we deserve.
    That's the problem right there. At this point, a BSN degree doesn't provide a significant wage increase over an ASN, therefore making it an unattractive option for nurses. I am an ASN prepared nurse and the reason I'm currently working on a BSN (at one of those substandard online programs ) is that it will provide me more money down the road. There has to be a tangible benefit to spending more time and money on essentially the same degree, as evidenced by the fact that we take the same boards.

    I think you make a brilliant point about community colleges' role in all of this. Why would they want to give up the money and prestige associated with nursing programs?
    Last edit by Aurora77 on Nov 17, '12
  3. 4
    Quote from PureLifeRN
    I cant stand this type of argument. Why is it always assumed that BSN's DONT know what they are doing?!?
    Uh, because no one said that? The woman said exactly what she meant, which was that she'd rather have a nurse that knew what they were doing. She never at any time specified which degree the person who "knew what they were doing" had. It's really simply stated: she doesn't care what degree her nurses have as long as they know what they're doing.
    Everline, MichiganRN13, B in the USA, and 1 other like this.
  4. 0
    I think it is fruitless to argue the I'm better than you stand. Nursing needs to start think(critically thiking that is) about practicality and reality- gived the nurse a job before you demand she make a "sofie's choices" decision which will impact her/his family's wellbeing. Isn't that the business nursing is supposed to be in Health and Well being"/
  5. 0
    Quote from merlee
    I have always been concerned about who stays at the bedside. Why would someone pay 40 - 60 - 80 thousand dollars for a BSN to stay at the bedside working shifts, weekends, holidays? How many people are staying in 24/7 positions 10 years out?

    Salaries have not kept pace with the cost of a quality education, and some nurses are finding their salaries are topped out at less than what they paid for their education. In other words, they may not ever make a yearly base salary of 60 grand even though they paid that or more for their education.
    after years of nursing, and with the yearly hourly wage increase, then things start to look better... meaning after 5 to 7 years in nursing, you should be i would hope making at least 60 grand a year. in nursing, the money takes time to come in... but after years of experience, it usually pays off
  6. 0
    I have my BSN. I think it varies across state boards and accreditation requirements but where I live all one needs is college level A&P courses (just 8 hours) and a good ACT score before entry into an ADN program. I personally feel like these schools focus more on building nursing skills while BSN programs focus more on the WHY we use these skills and evidence-based practices. The level of critical thinking is different. Both extremely difficult and both produce great nurses. The people in my class all passed NCLEX the first time, but a test has nothing to do with what kind of nurse a person will be. Honestly I would have gotten my ADN first if I would have decided on nursing as a career straight out of high school, but a higher degree is a personal choice. My facility pays just a dollar more per hour for a BSN..that's not much comparing the cost of education. Anyone can go back to school through online programs (my school offers a RN TO MSN PROGRAM no Bachelor's required) and can work while learning. Earning my BSN was expensive. I lived on student loans and a pt on campus job that was more stress than what it was worth. It would have been nice to have a good paying PRN job that actually enhanced my nursing education. There's nothing wrong with either program as entry level. One is not better than the other. They're different paths to the same end. The sky is the limit in this field for anyone starting out. I personally don't feel either superior or inferior to an ADN nurse.
    Last edit by sosweetrn on Nov 17, '12
  7. 0
    All the following refer to populations, not individuals:

    The problem isn't that ADN programs aren't good enough. They are good enough on the own! Here is the problem:
    • The pool of applicants to nursing schools vastly exceeds slots.
    • There are more nursing students than there are acute care clinical placements.
    • There is no nursing shortage of new nurses.
    • Every time a new grad job is posted, recruiters get 100+ qualified resumes per open slot.
    • Job searches are frequently taking over a year with many NGRNs becoming "stale grads"
    It has been this way for 5 years in most markets, much longer in some markets. This market trend seems stable. Therefor, the situation is ripe to increase the barriers to entry.

    From an employer standpoint, it eases HR duties and gain more educated providers without increasing cost.

    This is ethical from the patient care standpoint if there is no loss in quality of care. There is a benefit if patient care improves which studies suggest despite the OP's "new math."

    This is ethical from the labor standpoint as it provides less numerical opportunities due to the barrier, far fewer who invest time and money will find themselves unemployable "stale grads."

    It isn't that the ASN programs aren't good enough, it is that the market wants BSNs and the BSN programs and grads are out-competing the ASN programs in many markets. That may not be "fair" in idyllic world, but we live in the REAL WORLD.

    a
    Quote from PureLifeRN
    I cant stand this type of argument. Why is it always assumed that BSN's DONT know what they are doing?!? All these posts from ADN's stating "My ADN school had more clinical hours", "My community college school is sooooo much better than the university." "ADN's know more than BSN's"

    Well how about this? MY BSN school has more clinical hours, better NCLEX pass rate and prepares students to be better nurses than the local community college.....but no, that would be an inflammatory remark.
    So it is around here. My BSN program provided 800-1200 clinical hours depending on the student's choice of electives. I ended up getting significantly over 1200 clinical hours.

    The ASN programs do the state minimum of 750 hours, do not rotate to the specialty pediatric hospital, usually have shorter OB rotations, and many have to use LTC for med surg and more because there aren't sufficient acute care placements.
  8. 1
    Let's bring this back a few steps. Local CC is NOT going to accept preceptors w/o BSN. Even if they've been an RN for 25 years. Who would you rather learn from? A new BSN, or someone who has experience?
    redhead_NURSE98! likes this.
  9. 3
    Quote from subee
    What other "profession" whines about the cost of schooling as much as we do? Just because we're married with kids and have OTHER OBLIGATIONS, we should put our education on the back burner? There is a reply several posts up in which the poster argues for the adequacy of ADN education with spelling errors that make me embarrassed for us. As long as the CC's keep cranking the grads out, nurse's salaries will lag behind other "professions" with similar responsibilities and staff satisfaction will be poor. I don't understand why your kid's piano teacher must have a degree in music but the nurse that cares for your intubated newborn can come from an RN with a CC education. I wish that the CC's could provide the pre-nursing courses while we did something more akin to a diploma program for the last two years to keep tuition costs down while the students provided labor for the hospital.
    In the medical fields, there is but one other field besides nursing that hasn't realized the improved patient care and higher salary comes with higher education, understanding deeply the why, the research, and broadening scope and field.

    Look at PT, OT, speech, social work, RT, Radiology, Pharmacy etc... all of those used to be vocational education, associates, or bachelors that have progressed to bachelors, masters, or doctorate level for entry.

    The only field that hasn't besides nursing is EMS. If you look on the EMS forums, you'll see threads like this arguing that a GED and 600 hours of voc-ed certificate is good enough for a paramedic who incubates, does 12 leads, ACLS, etc, too heck with those hoity-toity associates degrees. The next thread will be decrying why paramedics only make $14/hr.
    Maritimer, mystory, and trueblue2000 like this.
  10. 1
    Quote from subee
    Just sayin' but there is a 10/30/12 article on Medscape describing lower mortality rates for surgical patients in Magnet hospitals.
    *** Magnet has not required a hospital to staff BSN RNs or a percentage of BSN RNs at the bedside. All 3 magnet hospital in my state recruit and hire associates degree nurses. Only one of the three, the one associated with the university school of nursing, even says "BSN prefered". One of those hospitals will only consider associates new grads for it's Critical Care Residency for the SICU (due to so few BSN grads completing their contract).
    I wasn't able to read the Medscape article but it would seem that it is evidence that Magnet certification results in lower moretality rates but says nothing about BSN vs ADN RNs.
    redhead_NURSE98! likes this.


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