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- Feb 10 by BlueDevil,DNPQuote from lumbarpainCompassion is nice, indeed. Communication skills are very valuable in all instances. Incompetence in any nurse is obviously always a concerning safety issue. However, one can never overstate the value of quality post secondary education and I am genuinely sorry if you did not have the opportunity to realize this for yourself personally. It does not demean those in any way that did not, but it is a credit to the efforts of those that did achieved more. Let's give credit where credit is due.through my 17 years of nursing I found that its not the amount of education and letters at the end of your name, its the compassion, heartfelt dedication to patients, and intense love of taking care of the patients that was important. Good communication skills and getting the work done was essential also. This makes a smooth flow amongst the faciltiy when people are working synergistically . Your stress, as well as the patients, families and staff are confident and relaxed when everyone is doing their share of the job.
I have worked with many incompetent Nurse with even Masters degrees that didnt know the practical side of nursing from their rough elbows. ICU nurses who couldnt tolerate working with geriatric patients, Degrees mean nothing, if you are geared and able to work with certain patients, disease processes and ages in Nursing then this is where you belong. Some nurses believe that the Degrees make them think they can do any job, In my opinion, I dont think thats the case. But its just my opinion.
- Feb 10 by BrandonLPNI still maintain that what this country really needs is to shift the focus of post-secondary education away from the "well rounded" university model and more toward the focused, vocational model.
Kids should be geared toward a certain profession the first year in high school, and the last year or two of HS should cosist mainly of vocational, hands on education. We need kore plumbers, electricians, engineers, computer technologists. We need more unemployed liberal arts grads like we need a hole in the head.
- Feb 10 by subeeBut we also need more people with more education. Education is NEVER a waste and we have waaay too many unenlightened who don't understand the forces of society acting on them (like people who go into nursing because you'll always have a job). Vocational tech is just vocational tech. It's fine for people who don't want, or can't, go to college. But life if very complicated today and if people want to stay one step ahead, you've got to read and understand the issues - not easy when most news is skewed towards infotainment.
- Feb 10 by BrandonLPNHmmm, well, people who watch sunny boo-boo (or whatever it is) and who think Hard Copy or their Yahoo! Home page are adequate news sources *probably* aren't the type who would benefit from higher education in the first place.
The bulk of the population is uncultured and uninformed. It's always been that way and it always will be.
And you don't necessarily need a college education to be "enlightened". I have no post secondary education beyond practical nursing, but I consider myself to be fairly well read and enlightened. I listen to NPR. I watch PBS. I have a subscription to a couple literary journals and have the sunday NewYork Times delivered. Much of what one would describe as cultured or enlightened is simply lifestyle choices. One *chooses* whether or not to be informed.
There's a need for higher education, of course. But for the vast, vast majority education is simply the means to an end. For most people, any higher education that doesn't directly result in gainful employment is, indeed, "wasted". It's time to stop being naive about this.
- Feb 10 by AnoetosQuote from IsisCBecause your experience with one nurse's incompetence necessarily implies a deficit on the part of a whole group.?Im a ADN nurse who just had to go on a home visit to fix a mess that a BSN nurse made. So much for the better care theory. Just saying.
When we do this sort of thing with skin color or religion it's called bigotry.
- Feb 10 by DesireeRN2011I have a BSN. It was the best choice for me in terms of college. I believe everyone should do what is best for them considering cost, time commitment and job prospects post-graduation. I'm the first person in my mom's family to have a 4 year degree (only the second college grad, my brother will be the 3rd in a year ). If I had to make the choice to do it all over again, I would, perhaps exactly the same way I did it. The only thing I would do differently would be I would have kept my Spanish minor (it would have been a huge PITA to complete but I should have done it).
I had a "liberal arts" education at my university, but the curriculum I had to take was 85% nursing (clinical nursing classes, nursing support classes (nutrition, pharm, research, elective), chemistry, biochem, psychology, sociology, anatomy and physiology, pathophysiology, child development, microbiology, etc) or directly related to nursing and the other 15% was other stuff and useful. I had to sit through a western civilization classes, other miscellaneous history classes, philosophy and religion classes (my world religions class has helped me so much as an RN - I have an ability to grasp some basic knowledge about many religions). I had to take a series of writing/lit and comp classes in college. There is nothing wrong with being a person who can read, write and communicate well. My education is well-rounded, and because I have a bachelors degree I can do almost anything with very few additional pre-reqs when I choose to go to grad school. I may not choose a "nursing" plan of study for grad school.
The way it was, in the state I went to nursing school, the programs with the most clinical hours were all BSN programs. I point this out only because so many people say "ADN programs give a better clinical preparation." My program was second in the state for highest number of clinical hours by undergraduate nursing students on average. Our clinical groups never had more than 6 students in a group, which meant we got a lot of 1:1 time with our clinical instructor for skills and personal growth. I had coworkers from when I was a PCA/CNA at a hospital during nursing school who got WAY less experience and way less clinical time in ADN programs. But, that's how it was in the area I went to college, and I know the same cannot be said everywhere. The job market where I went to school leaned heavily in favor of BSN new grads if they were hiring new grads. I wasn't gonna waste my time in an ADN program only to not be able to get a job. Again, this isn't the situation everywhere, just where I lived. The program I went to has one of the best rates (in that area) of their new grad RNs securing meaningful employment or being accepted to grad school.
I think it's hard to judge all BSN programs as 'A', and all ADN programs as 'B' (insert whatever you'd use to describe them in place of A and B). There are some really good BSN programs and some really good ADN programs. There are also some really bad BSN and ADN programs. There are good and bad LPN/LVN programs (the list could go on similarly for eternity throughout all of healthcare's professions).
A commenter posted about being an ADN that had to go in and clean up a mess left by a BSN. TRUST me, that road goes BOTH WAYS. As a new grad BSN RN on a very busy step down acuity unit, I had to clean up after an "experienced" ADN RN on many occasions. I cleaned up after experienced LPNs many times. I've cleaned up after experienced BSNs too. I'm positive I didn't do everything perfectly because I'm human too. We're (hopefully) constantly changing and learning.
- Feb 10 by kalevraBSN/MSN/PHD make the rules simple as that.
Evidence based papers written by these guys guide the course of the nursing profession. They do the research, they end up publishing the research, and their papers end up being used to justify changes in policy. Which means they make the rules.
Specifically those in academia make the rules. I do not know of any full time BSN or MSN working bedside and overtime that have the spare time to go perform market analysis. The ones researching are usually those in academia. Now it would not be in their best interest if their papers show anything contrary to the held belief that having only an ADN makes you inferior to a BSN.
No matter how much you may bash BSNs or higher degrees, they are the ones writing the papers that the big wigs read.
Let us unite and set one standard for entry.
My own two cents.
- Feb 11 by AnoetosAs long as the perception is that all nurses do is wipe butts, pass meds, carry out orders and chart, it's not likely to change.