Design the Ideal Nurse

Nurses General Nursing

Published

We had a thread recently about what ADN grads could do vs BSN grads. Let's change course and knowing what we know about today's workplace, design the ideal entry level RN. First, I found the below blurb from the NLN interesting:

History of the National League for Nursing (NLN)

Supporting Nursing Education for over a Century

1893 - The American Society of Superintendents of Training Schools for Nurses is created. This is the first organization for nursing in the United States of America. The society is formed for "the establishment and maintenance of a universal standard of training" for nursing. Ever since that remarkable stroke of courage and spirit over 100 years ago, the National League for Nursing has continued to be the leading professional association for nursing education.

http://www.nln.org/aboutnln/info-history.htm

Looks like this is something that has been going on for a while!!

This is free-style so just start throwing out what you think re nursing education, general education, length of program, clinical, skills, types of tests, etc.. Then, when we're finished, someone will compile it all together. Not me...I'm just getting the ball rolling. Maybe we can do it in less than 100 years!

To help, I've listed program info from NSU school of nursing in Louisiana because it has ADN, BSN, and MSN programs. I've included info from the Baton Rouge Hospital School of Nursing, also in Louisiana. You can list info from each, for ex., if you think something from the MSN program needs to be taught for entry level education, put it in. If you think something from other fields needs to be included, do so. If someone has a brief blurb about diploma and BSN history, please put it in. My books are packed in preparation for a move next week and this computer at work is so slow, I can't stand it!.

Associate Degree in Nursing

A two-year technical degree nursing education program that prepares graduates for basic nursing care in hospitals and long term care settings. Four semesters of clinical are offered at Shreveport and Leesville.

Purpose

The purpose of the Associate Degree program is to provide education experiences and opportunities, which enable persons to practice nursing within the identified roles of the associate degree nurse. General academic courses in English, Mathematics, Social and Natural Sciences provide the foundation for the nursing courses. Upon completion of the course of study, the graduate is eligible to write the National Council for Licensure Exam for R.N. (NCLEX-RN).

Program Objectives

Graduates of the Associate Degree Program of the College of Nursing will be prepared to:

1. Provide nursing care founded upon selected scientific principles utilizing the nursing process.

2. Assist clients to achieve dynamic equilibrium by facilitating the satisfaction of needs.

3. Communicate effectively with clients, their significant others, health care team members and citizen groups to promote, maintain and restore health.

4. Teach clients and/or significant others who need information or support for health.

5. Manage selected aspects of nursing care for a group of clients with clearly defined health problems.

6. Demonstrate accountability for actions as members of the nursing profession and expand individual knowledge and skills through avenues of continuing education.

History

Developed by Mildred Montag from her doctoral thesis, The Education of Nursing Technicians. Started at Columbia University, Teachers College in 1952.

Bachelor of Science in Nursing

A four-year professional nursing education program that includes liberal arts education preparing graduates for beginning nursing practice in a wide variety of settings including acute and long term care, community and school health and critical care. After three semesters of academic courses and acceptance into clinical courses, students must complete five semesters of clinical courses on the Shreveport campus.

Purpose

The role of the beginning professional nurse continues to encompass three broad areas.

1. Provider of direct and indirect care to individuals, families, groups, communities, and populations.

2. Designer, manager, and coordinator of care.

3. Member of a profession.

Program Objectives

To implement the role of the beginning professional nurse which includes providing care for individuals, families, groups, and communities the graduate will be able to:

1. Integrate theory from nursing, the arts, humanities, and sciences to provide culturally sensitive care in the global community.

2. Apply the nursing process using critical thinking, communication, assessment, and technical skills.

3.Collaborate with clients and other members of the interdisciplinary health care team for health promotion, risk reduction, disease prevention, disease management, and health restoration.

4. Utilize information and health care technologies in nursing practice.

5. Integrate research findings to promote evidence based nursing practice.

6. Incorporate knowledge of economic, legal, ethical, and political factors influencing health care systems and policy to advocate for recipients of nursing care.

7. Apply principles of leadership to design, manage, coordinate, and evaluate health care delivery.

8. Demonstrate professional nursing standards, values, and accountability.

9. Assume responsibility for professional development and lifelong learning.

Master of Science in Nursing

This program provides the student with a Bachelor of Science in Nursing the opportunity to develop advanced knowledge, intellectual skills and clinical competence necessary for the role of the advanced practice nurse. Areas of concentration include: Acute Care Nurse Practitioner (ACNP), Adult Nursing Critical Care Nursing of the Adult, Family Nurse Practitioner (FNP)

Maternal-Child Nursing, Mental Health-Psychiatric Nursing, Pediatric Nurse Practitioner (PNP), Neonatal Nurse Practitioner (NNP) and Women's Health Nurse Practitioner (WHNP).

Master's Curriculum Purpose

The Graduate Studies and Research in Nursing Program's purpose is: to provide learning opportunities for development of knowledge, intellectual skills, and clinical competence necessary to fulfillment of the role for the practice of advanced nursing, to provide learning opportunities for the development of skills and knowledge to function as an educator, an administrator, a clinical nurse specialist, or a nurse practitioner and to furnish a foundation for doctoral study

Program Objectives

1. Practice nursing utilizing advanced knowledge and skills as evidenced by scientific thinking in the use of theoretical formulations in the design of nursing interventions, and self-direction in the exercise of leadership involving health care problems.

2. Consider cultural diversity of clients and practice within ethical principles and standards.

3. Function as an advanced practitioner of nursing with people of all ages and their families, utilizing critical decision making, logical thinking and reasoning through advanced knowledge, skills and clinical application.

4. Demonstrate independent-thought and action, professional autonomy, and effective communication in collegial and collaborative relationships with peers and with members of allied disciplines.

5. Function independently in providing nursing care and interdependently with other health professionals in the coordination and delivery of health care to individuals, families and communities.

6. Implement effective strategies for management and utilization of health information to improve quality of care, contribute to the development of nursing knowledge, and facilitate interdisciplinary communication in support of the business of health care delivery.

7. Implement the research process within the context of Evidence-Based Practice as a producer and consumer of research evidence to contribute to nursing theory and improve nursing practice.

8. Analyze the needs of health care delivery systems at the national, state, and local level, and evaluate and/or prescribe nursing's present and emerging role in these systems.

9 Function as a consumer advocate in the delivery of health care by utilizing knowledge of the sociocultural, economic, and political forces which influence the health of humankind.

10. Analyze strategies to effect change relevant to the nursing profession and the health of humankind for the betterment of health care and the improvement of nursing education and nursing practice at the local, state, and national level.

11. Utilize knowledge of organizational behavior and role theory for the delineation and development of a functional role consonant with individual career goals.

12. Implement professional standards of practice by serving as a role model in the demonstration of responsibility and accountability to clients, to the nursing profession, and to society.

13. Continue learning through further graduate study and/or other avenues for post master's education.

BATON ROUGE GENERAL MEDICAL CENTER SCHOOL OF NURSING

The mission of the school of nursing is to prepare registered nurses for entry-level practice. The nursing program will prepare the graduate to practice nursing safely and effectively as a novice in a generalist setting. The graduate nurse accepts responsibility for continuing the process of personal and professional growth in the advancement from novice to expert. Faculty members expect the graduate to serve as a positive role model in the practice setting by promoting principles of heathful living and participating in the process of bring healing to the sick. The program provides graduates with a foundation to accept responsibility to develop and maintain their expertise in practice and accountability to the public.

Leslie (earle58) or anyone in general that has issue with an ASN being allowed to practice medicine.

Did you mean "practice nursing?"

:rolleyes: my goodness paramed, please, your bp is sky high now.

imagine my surprise when i 'saw' you fuming and it was directed towards me!!!

wow.... :chuckle ..

i'm talking ideals ideals ideals ! geeeeeesssshhhhhhh.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I know the ideal nurse....

ME :rotfl:

just kidding. sorry I am in NO mood to get serious tonight. Rofl...

.I like Leslie's suggestions; they provide a SOUND basis for what would be an excellent start. And --------- No problem with all BSN either, but make it ACCESSIBLE......like I have said 1,500,500,500,999 times here before. Not everyone who needs can access BSN education....if you do make it accessible, they will come, trust me. That 60% who hold or pursue ADN degrees will come. :) :)

I know the ideal nurse....

ME :rotfl:

just kidding. sorry I am in NO mood to get serious tonight. Rofl...

.I like Leslie's suggestions; they provide a SOUND basis for what would be an excellent start. And --------- No problem with all BSN either, but make it ACCESSIBLE......like I have said 1,500,500,500,999 times here before. Not everyone who needs can access BSN education....if you do make it accessible, they will come, trust me. That 60% who hold or pursue ADN degrees will come. :) :)

actually if you noticed deb, i did incorporate accessible campus sites as part of my ideal because i remember you bringing this up from a thread long time ago. so yes, i do listen to you (sometimes). ;)

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

rofl I saw that Leslie. We are on the same page, sister....grin.

Funny how we came to be.

All I am asking for is a Justification, from anyone, as to why a BSN is "ideal" over an ASN.

And yes, Practicing Medicine is exactly what I ment. We exist for the Patient, first and always before ourselves be it a nurse, Doctor, Medic, or even the greenest first responder on his/her first MVA scene. I was raised to believe in theses Ideals from the first time I rode a whirling fire truck at 0200 on a bitter snow tossed night to the scene of a minor house fire. A women droped her 16 month old baby from the second story window to the arms of a waiting police officier, the baby was not breathing. The medics took the child jumped into the rig and, for all intents, brought that baby back to life. They did the same thing you as a nurse would, they did the same things any doctor would do. Hence why I have come to believe that despite our liceanse level and responablitys we all Practice Medicine.

paramedic,

we need to set something straight.

nurses do not practice medicine. nps can. it is a prescriptive authority. no matter what one does to glorify it, we do not practice medicine.

secondly, the subject of this thread is 'design the ideal nurse', therefore i will not make this into a bsn vs. adn/asn debate. what i described was a subjective interpretation of how i idealize nursing. please just respect that.

thanks,

leslie

If your intent is to design an Ideal entry level nurse why can you not even back up your point.

I want to know what a BSN has over a ASN. In a nursing shortage I would think we would want nurses who are capable to be out there doing the JOB.

Also I don't "glorify" any of our positions more than they need to be. It seems alot of folks on this board have forgot why we are here.

By the way, please call me Chris if you wish, it is shorter than writing my screename

Ideal nurse !!!!!! Does not require food, has no personal needs: food, water, a kind word occasionally. Able to take the verbal abuse of EVERONE who is not happy for whatever reason:

administration

Pharmacy

medical staff

patients

family

dietary

housekeeping

spouse

and respond in a kind, gentle way that leaves everyone happy.

BE AN: adminstrator, housekeeper, dietician, ward clerk, diabetic educator, cardiac rehab...you get my drift.

Tolerate shift changes and overtime at the last minute. Able to deal with family issues over the phone. Deal with policy makers that have not been on an actual floor in years. The ability to train new grads WITH WHATEVER DEGREE OF EDUCATION that are making as much as the 10-15 year expereinced nurse (and not let it effect their proffesional obligation).

I would like to see a thread started with all the jobs nurses are expected to do these days that are outside of their original nursing education: pump clening, cart disinfection, ...

I have quite a bit of secondary education and a heck of a lot of OJT. I know a lot with the same qualifications. Give me a nurse that can deal with the above issues and I bet ADN, BSN, MSN won't matter.

It does seem odd that we would advocate making the starting requirements tougher now that we are in a so called nursing shortage as long as they have the skills for an entry level nurse. Are you hiring these new BSN students straight into management roles??? All new grads need supervision and orientation. What they grow into is up to them regardless of how many college credits they have.

These qualities wouldn't hurt if I was hiring.

36-24-34 5'6" Can open a Corona without a bottle opener

2rnitsh

I think you may have hinted at an answer to my question. Does a BSN prepare an RN for mamagement roles? Is that the justification for a 4 year degree?

if we're talking ideals, why NOT 'professionalize' nsg. and make it a bsn?

i would want more condensed and detailed nsg. courses in pathophysiology. i would also want some leadership courses even if one's intent is not to go into managerial, as i think it would only enhance the nsg image. so for the depths of learning that would hopefully put us all on even ground, then bsn is where i would like the minimum to be, given all my other rose-tinted criteria.

i am assessing the big picture of nsg chris. as we have repeatedly discussed in other threads and have concluded, the degree does not make the nurse. but if i had a choice of a starting point, it would be the bsn.

if we're talking ideals, why NOT 'professionalize' nsg. and make it a bsn?

i would want more condensed and detailed nsg. courses in pathophysiology. i would also want some leadership courses even if one's intent is not to go into managerial, as i think it would only enhance the nsg image. so for the depths of learning that would hopefully put us all on even ground, then bsn is where i would like the minimum to be, given all my other rose-tinted criteria.

i am assessing the big picture of nsg chris. as we have repeatedly discussed in other threads and have concluded, the degree does not make the nurse. but if i had a choice of a starting point, it would be the bsn.

Thank you, Leslie ( I hope I may call you by your first name). I guess in the ideal world we would not have a shortage to begin with. I believe you have the right idea, teach more leadership. Setting everyone on the even ground.

Perhaps a nationaly standardized couse should be adopted. We (the wife and I) have found even here In Boston diffrent schools teach Nursing in thier own way. Sure they all follow the basic guidlines but variances in the level of knowledge still seem to restrict the confidence we can place in the Green Nurses.

Pathophysiology? i thought that it was covered in depth already, mistaken I am? DW had to have A&p 1and 2 plus Micro-bio. Or is there more to it than that? Sorry this is were my level of knowledge blurs a bit.

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