Scrubs magazine article/BSN in 10? - page 2

It looks like Scrubsmagazine is validating what many of us are feeling/experiencing out there in Nursing Land. BSN for entry level and some states are mandating BSN in 10 after your entry(other entry... Read More

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    Quote from soxgirl2008
    I don't see this at all where I live. I know it's happening in places across the country, but I haven't seen it here... The hospitals around here regularly hire ADNs. Even the magnet hospitals are still hiring some ADN new grads, and I've never ever heard of a new BSN getting a job over an experienced ADN around here. Then again, where I live there are many more ADN programs than BSN. In the capital 2 hours north of here I know it's predominantly BSN. There is talk of having all the state ADN programs pair up with BSN programs so you can complete your BSN right away
    It is fair to say that an ADN with nursing experience will likely be hired when competing for the same job with new grad BSN. This is largely true nearly everywhere, and is even the case, for the most part, in my oversaturated area.

    The BSN preference issue is really germane only with respect to new grads. In that case, the scales are tiped overwhelmingly toward BSNs. In many areas, such as metro Phila, NYC, Miami, much of CA and AZ, NJ and no doubt many other places, many hospitals - not just Magnets - are restricting new hires to BSNs. That does not mean that ADNs are completely shut out however. Many ADNs who worked as PCTs or CNAs wind up being hired as RNs at the hospitals that employed them. Even the Magnet hospitals will occasionally hire an ADN. But the job market is very, very tight for new grad ADNs in terms of hospital jobs in a growing number of places in the US.

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    Think in areas of the country that have both a surplus of nurses (both experienced and new grads) along with a tightening employment market brought about by various reasons, yes the BSN is going to be de facto mandatory for landing at least a new hire gig at any TOL or MOL hospital if not across the board. LTC, nursing homes, home care, rehab, etc... maybe a different story.

    Here in NYC we have lost something like 15 hospitals over the past decade and all but a few of those remaining are sitting very near the window's edge. Just this week for instance there was news that SUNY Downstate and Long Island College Hospital in Brooklyn are in dire financial straits and the latter may be closed.

    Against this backdrop we still have local nursing programs chugging out new grads every six or twelve months. While a few ADN programs have closed (Long Island College Hospital) most have remained and couple of new ones (Swedish Institute) have opened. Then you have the vast expansion of ABSN programs being offered by most every nursing school with an undergraduate BSN program.

    In 2008 2,246/2,849 (passed/took) NYS BSN grads took the NCLEX. That number grew each of the following years to reach 2,609/3,156 in 2011 which is the last year of data reported. On the ADN side we have 5,295/6,271 (passed/took) in 2008 and 5,565/6,568 in 2011.

    When you read the latest state workforce survey two things stand out: NYS hospitals predict a shortage of "experienced nurses" and are actively seeking to increase their numbers of BSN prepared nurses.

    Those last bits taken together go far to explain the current nurse employment market in much of NYC if not NYS.

    Experienced nurses are first choice for hires. Better if she has the BSN but can offer incentives or conditions to ADN hires that they correct.

    New grad hires are next but for most units the BSN is preferred if not mandatory. If an ADN is hired see above.
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    The situation described by DoGoodThenGo for NYC is very similar to that in the Philadelphia area.

    In 2008, the BLS data showed 42,740 RNs employed in the greater Philadelphia area, rising to 42,820 in 2009, a net increase of 80 nursing jobs. In 2009, there were 2,142 nursing graduates of the 24 programs in the immediate Phila area who passed the NCLEX. Of this number, 1,177 were from BSN programs, 698 associate degree programs and 278 diploma programs (who by the way, have by far the best first-time NCLEX pass rate).

    While it is probably too simplistic to say that this means there are nearly 27 new nurses competing for every new available RN position (2142/80), it does paint a picture of a very tight job market. It is worth considering though that the numbers I've presented almost certainly understate the magnitude of the problem in the Phila area: The RN numbers above do not include all the nursing schools in the overall Phila SMSA (only those in the city and adjacent PA counties) while the BLS data includes the much larger metro area.

    Given the nursing oversupply that the numbers above suggest, it should be no surprise that new grad ADNs are finding it extremely difficult to find jobs - all new grads are finding it tough. It should also be no surprise that in the tight job market, new grad BSNs are strongly preferred. It is not an exaggeration to say that the BSN has now become the de facto minimum educational credential for new nurses in the Phila region, and likely NYC, Boston, DC, LA, PHX and other simlar areas as well.

    So, after nearly two decades of advocating for the BSN as the standard for nurses, the ANA has finally seen their vision effectively realized. Unfortunately, this also virtually guarantees some very hard times for ADN and diploma nurses from this point forward.

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