What's REALLY with the hospitals using Magnet as a cover for wanting BSN only nurses? - page 17

by foreverLaur

25,281 Visits | 166 Comments

I'm in an associate degree RN program. I have a previous BA in Psychology and just finished up my last two classes online to also get my BS in Business Administration. I have worked for over a year as a PCA at a local hospital... Read More

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    I work for a Magnet facility - we just received our fourth re-designation. Magnet designation gives an institution bragging rights in that most RNs are retained for longer periods of time. Magnet facilities promote direct input from their nursing staff, provide clinical ladder programs (with monetary incentive) and certification incentive. That said, our hospital was union many years before it was Magnet and all of those things existed. I am an ADN with 10 years experience, a national certification (CAPA) and do clinical ladder at level 3. If I choose to pursue a BSN, I will have the debt of additional education (my facility only reimburses $2000/year for education while I am still paying off school loans for my ADN) and get no hourly increase upon the completion of my BSN. I can continue to work where I do and continue to make very good money - I have no desire to be in management. If I choose to leave, there are plenty of non-Magnet designated facilities out there. Remember, this is also a pendulum - that will swing back at some point. Don't panic.
    OCNRN63, taj09, and LadyFree28 like this.
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    You're right on point. I do have a question though. Magnet gives the institution bragging rights of longer nurse retention. I know each facility is different but from what you see at your facility, is there validity to the bragging. Also, where things better when the hospital was simply union or have working conditions been made better after becoming magnet.

    I'd value your take on this. Thanks in advance.
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    Quote from avengingspirit1
    This is the bottom-line truth on Magnet Status:

    Magnet status has become a private joke in the nursing profession. When the evaluators come, hospitals are well aware in advance and make sure that only nurses who fit a certain profile are scheduled during that time. More of these nurses are staffed and patient loads are reduced. The hospital pays the accrediting division of the ANA (ANCC) thousands of dollars and when the check clears, Magnet Recognition is granted. The hospital then qualifies for large government stipends for acquiring and maintaining Magnet Status. After the evaluations are complete, the hospital goes back to it's previous staffing levels and patient loads.

    Many nurses have been quoted as saying this is nothing more than a money making scheme for the ANA. While some hospitals may truly aspire to provide superior patient care, there are many that should have their fake seal of approval taken away from them. I tell patients that hospitals need to be judged on their own individual merits and not on the magnet recognition flags they fly outside their doors.

    As as far as the BSN goes, it's just another part of this phony degree inflation going on today which is merely scheme to suck more money from the pockets of students and professionals and line the pockets of people and organizations who are in any remote way affiliated with four year institutions. I've spoken to physical therapists here in Phila., PA who told me that changing the requirements from an entry-level master's degree to a D.PT program only served to put PTs into more debt upon graduation and did nothing to enhance the practice of physical therapy. Even professional degree programs have been so watered-down that they have much less value than they did some 40 years ago. And why? Because schools like to promote a large percentage of graduates as a marketing tool and a way to qualify for more funding.

    Any nurse with an ounce of sense will tell you that the BSN is very long on the BS part and short on the N part. And to keep the dollars flowing, once they can convince nurses to run back for BSNs, they'll then say nurses need a master's to elevate the profession. The thing nurse employers love to hear is that you're thousands of dollars in debt. They know these nurses are less likely to speak up about unsafe patient loads and the other unethical things that go on in hospitals.

    You're right. BSN is an easy way to thin the herd. It gives employers an indication of who are the most gullible and easy to manipulate. As for me; I'd rather spend the money investing in a business rather than helping to line the pockets of nurse academic elitists so they can keep their cushy, never-having-to-produce-results positions. Also, as a result of declining reimbursements to providers due to the Affordable Care Act, many hospitals will be downsizing and consolidating. A nurse can spend thousands of dollars getting that BSN and find they may no longer have a job. If a hospital claims they are laying nurses off due to economic reasons, they no longer have to honor tuition reimbursement contracts.

    Anyone who will tell you that the BSN and Magnet Status push is not money-driven is either lying, stupid or both.
    do you think for profit or non profit will suffer more under the ACT
    taj09 likes this.
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    "If you could do the same job for more money, wouldn't you?"
    The pay scale for nurses in my facility is based on years of nursing service and not education level. They are asking for BSN prepared nurses without paying them more money. ADN's and Diploma nurses with more experience make more because they have longevity. How can they expect this higher level of education (wall paper) in my opinion and strive for Magnet when they don't pay for the professional levels correctly?
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    I honestly can't say I see a difference as an employee. When I was in nursing school and knew that the institution was Magnet designated, it did make me want to work there more - because of what the Magnet statement includes (shared governance, clinical ladder, nurse retention). But we see the same issues every other facility does, Magnet or not. The union is the real saving grace in many situations - and Magnet designation doesn't make sure you have fair representation in a situation where your job is on the line. Unions do.
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    Quote from OCNRN63
    Why do they make nurses do posters and other arts and crafts projects for Magnet?.
    I had the same question for years. Then in my studies for BSN I would be researching for a paper and find links to poster presentations given at conferences. I now know that professional poster presentations are a long-respected medium for quickly & succinctly communicating research findings. Scientists, researchers (including medical doctors) did these for years before nursing took it up. Arts and crafts can enhance one's poster but is far from mandatory.

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    "do you think for profit or non profit will suffer more under the ACT"

    Good question. Honestly, I'm not sure. I'll have to run that by either my brother, who is an actuary or an acquaintance of mine who works in the insurance industry. For-profit hospitals may have a little more leeway as far being able to do things to increase revenue without jeopardizing non-profit status and the tax breaks that come with it. Both for and non-profits are just starting to feel the repercussions of this law. And it's just getting started. A non-profit community hospital here in Northeast Phila. which is part of a university healthcare system just downsized a few weeks ago and went from 180 inpatient beds to 110. They stated that one of the major reasons for the change was declining reimbursement for services.