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.

The only thing I got (other than a different set of initials) out of my ADN-BSN bridge was in statistics. I found more ways to skew numbers than I ever thought possible. I have not trusted a survey or my accountant since.

The word "professionalize" scares me as well. A lot of unproffesional ADNs and LPNs out there....Most take pretty darn good care of their pts.

Here is a little quote I have on my desk:

"Customer service in the healthcare field is neither a policy nor a system, it's an attitude that is rooted in the most fundamental form of care and concern for other human beings."

-Unknown

It should also say neither a policy nor a system nor a degree. You either have it or you don't. And no amount of education will change it. Sometimes you have to "uncover" the caring side of people but is already there.

What makes you think a BSN can do a better job than ASN?!?!?!?

If you go back and look at the reference I gave from a school of nursing that has ADN, BSN, and MSN programs you will see that each is different. Each grad is trained to a different level. It is a fact that each is trained to perform different roles. That is not an opinion of mine; it is what the university does. So, yes, ADN grads are unprepared for some roles if they do not receive all the training the BSN grad receives. Of course the hospital may put an ADN grad in a management role right out of school, but that is a nursing profession problem. It would be the same as an EMT-Intermediate being trained to perform a certain role, yet perform the role of an EMT-Advanced.

You may say they are unprepared but I say they are hard chargers who put forth monumental effort to learn in two years what takes other 4.

Comparing 70 something hours to 120 or so hrs does not equate to doing in 2 years "what it takes others to do in 4." Now, if a person is crazy enough and has the ability to do 120 hours in 2 years, that is fine with me.

BSN started IVs in year 3 when My wife was starting them in her second semester.

This means absolutely nothing. She could have started an IV in her first week of school. The ability to perform a technical procedure in one semester versus another only means that one type of grad started doing that procedure before another one. We've talked before about the clinical issue. I can take a person and do nothing but teach them to do just about every nursing procedure in a nursing textbook and they will be able to do them very well. However, it would be nice if they knew why they were doing them...plus other info. Clinical can consist of OJT of technical skills or I can also quiz the heck out of you re lab results and path/physio, etc..

She has a better understanding of medicine than some DOCs I know.

You really believe her education matches that of a physician?

What possable difference could her degree make if she can do the job. :angryfire

I did "the job" before I even went to nursing school. Now I realize what I did not know...and still do not feel I know enough. In our profession, we have an obligation to cause no harm. We also have ethical concerns. To do any job, I think it is beneficial to train for that role. The fact that you can do it, say take a management role, without being trained for it, may not be in the best interests of everyone involved. I've always found that training for a certain roles increase my knowledge of that role and increases my chances of success.

Damn this ignorant intolerence, next you will want only paramedics who have GOd forsaken degrees in Paramedicine to practice.

I'm ok with the EMS system as it is now. Except next time put the dang IV somewhere other than my antecubital please.

Further more, nit everybody has the resources need to go to some high on the hoorifice nursing university. SO I guess if you have made mistakes in your life or have kids, or just don't have the patience to sit for 4 long years studing what should only take two. Your screwed,...not good enough to practice medicine....go be a janitor the rest of your life.

If you want a certain degree, there are ways to get it. I just finished paying off my last degree...time to start another! I came from a dirt-poor family. As a kid, I saved up $7 and bought a used .22 cal. rifle. I picked up glass coke bottles to buy the shells for 55 cents. I hunted rabbits and squirrels so we would have something to eat. I know what Robins and Meadowlarks taste like! I was in the ARMY 3 days after I graduated from high school and that's how my career got started. You want it, you can do it. Again, you learn more in 4 yrs that you do in 2.

In this thread, I just wanted to hear what everyone thought the ideal nurse should be. Consider that we now have shorter stays and sicker patients and a more complex healthcare system, I think that we should have only one entry level and that it should be the 4 year degree. I do have some ideas about what should be taught in those 4 years versus what is currently taught now. But, I'm not for increasing clinicals. That, like many other professions, can come after graduation. Few other degree programs expect you to graduate "knowing everything."

Specializes in ICU, CCU, Trauma, neuro, Geriatrics.

The ideal nurse has many approaches:

MY DEFINITION of a perfect nurse is one who can do the job, pass meds, chart and properly identify true issues and report them appropriately and then go home and relax and leave work at work. This nurse would of course come to work the next day and leave home at home, no calls from the velcro attached hubby/sig other and the kids who can't think on their own. When too sick to work this nurse would call off in an appropriate manner like 3 or 4 hours before the shift started instead of being a NCNS and called at home 15 mins after the shift started.

THE PATIENTS definition of the perfect nurse is one who is 15 people crouched at the foot of the bed ready at beck-and-call.

THE DOCS perfect nurse doesn't call after 5pm for orders for anything and is always charting so well that the doc dosen't have to even visit the patient. Just kidding about the after 5 thing, the doc wants what is going on and you should know your patient before calling for orders.

THE ADMINISTRATIONs perfect nurse works 24/7 at beck-and-call and doesn't even want a paycheck.

THE SUPERVISORS perfect nurse is one who shows up for work on time and doesn't vent for hours in the office.

THE HUMAN RESOURCES perfect nurse is one with no probs in the background and willing to work the hours needed and who shows up for orientation.

THE MAINTENANCE workers perfect nurse doesn't need to have their car jump started at midnight in a rain or snow storm.

THE NURSE AIDES perfect nurse gives appropriate info about the patients they are caring for and helps lift when needed and doesn't complain but smiles.

THE DIETICIANS perfect nurse alerts them to problems with what is offered, patient complaints about this and weight gains and losses.

THE PSYCHIATRISTS perfect nurse charts behaviors before calling for intervention.

THE SECRETARYS perfect nurse communicates well, with verbal and notes about what needs to be done and is willing to listen to what the secretary has to offer as they are the communication line of the unit.

Hey its team work.

I like your answer Snowfreeze. Are those ADN, BSN, or MSN traits??

Have A Pulse -- Breathing -- Prefferably Mobile

Specializes in ICU, CCU, Trauma, neuro, Geriatrics.
I like your answer Snowfreeze. Are those ADN, BSN, or MSN traits??
Hey those are Diploma/ADN/LPN traits, the other degrees just enhance that.
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?

The management role is only one role; there are others. A BSN may never intend to assume management roles. Here's the difference (from NSU College of Nursing):

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.

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. .

In a nursing shortage I would think we would want nurses who are capable to be out there doing the JOB.

The ADN degree was created to help with a shortage of nurses after WW II. It was a shortsighted solution to a problem. It is the same as cutting paramedic training in half due to a shortage, or creating med techs to relieve nurses, or cutting basic training in half due to a shortage of soldiers. Not a good solution.

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

I think the colleges and universities need to redefine their program descriptions. These you quote are misleading and wrong...... NEVER is an ADN a "two year degree" anymore, nor is a BSN a "four year degree". Most ADN's spend a minimum of 3 years pursuing their "2 year degree" and most BSNs exceed 4 years when studying for their baccalaureate. That is the nature of nursing. We are often required to study WAY above and beyond what other people pursing different majors do.

And where I was educated, we were prepared as rural nurses, meaning, we were prepared to take CHARGE of the floor, even manage, not just function as worker bees. Our degree was beyond technical, emphasizing critical thinking and supervision skills as well. Written and verbal communication was also heavily emphasized and numerous reports and care plans were part and parcel of our study (like BSN).

You see, that is part of the problem--- programs do vary by content. Where I studied nursing, we had to have all the base courses BSNs do.....I mean, liberal arts, foreign language/art/music, speech, college-level algebra, chem, etc. ALL of it. We do lack in community health, nurse research and stats mostly. It just depends on the school. some ADN programs prepare an RN to do more than just what a technical worker would do. I know that first hand. I think with just a bit of tweaking, my ADN could easily have been converted to a BSN....too bad it was not. I honestly lack nothing my BSN coworkers have, except the courses I mentioned.

I think the colleges and universities need to redefine their program descriptions. These you quote are misleading and wrong...... NEVER is an ADN a "two year degree" anymore, nor is a BSN a "four year degree". Most ADN's spend a minimum of 3 years pursuing their "2 year degree" and most BSNs exceed 4 years when studying for their baccalaureate. That is the nature of nursing. We are often required to study WAY above and beyond what other people pursing different majors do.

And where I was educated, we were prepared as rural nurses, meaning, we were prepared to take CHARGE of the floor, even manage, not just function as worker bees. Our degree was beyond technical, emphasizing critical thinking and supervision skills as well. Written and verbal communication was also heavily emphasized and numerous reports and care plans were part and parcel of our study (like BSN).

You see, that is part of the problem--- programs do vary by content. Where I studied nursing, we had to have all the base courses BSNs do.....I mean, liberal arts, foreign language/art/music, speech, college-level algebra, chem, etc. ALL of it. We do lack in community health, nurse research and stats mostly. It just depends on the school. some ADN programs prepare an RN to do more than just what a technical worker would do. I know that first hand.

clapping heartily.....

I think the colleges and universities need to redefine their program descriptions. These you quote are misleading and wrong...... NEVER is an ADN a "two year degree" anymore, nor is a BSN a "four year degree". Most ADN's spend a minimum of 3 years pursuing their "2 year degree" and most BSNs exceed 4 years when studying for their baccalaureate. That is the nature of nursing. We are often required to study WAY above and beyond what other people pursing different majors do.

The fact that it takes some people longer does not change the fact that it is a 2 year or 4 year degree. Most programs have a time limit, such as 6-7 years for a 4 year program. And some motivated people finish sooner. How can you say what I quoted is "misleading and wrong?" It is a fact; that is their program. Some may vary, but all universities report to a higher power and cannot go off on a tangent.

The ADN degree was created to help with a shortage of nurses after WW II. It was a shortsighted solution to a problem. It is the same as cutting paramedic training in half due to a shortage, or creating med techs to relieve nurses, or cutting basic training in half due to a shortage of soldiers. Not a good solution.

Hey Randy, How in the hell does LIBERAL ARTS help a nurse in a rural setting when the neorificet Dr is 30 minutes away and you have a 12 gauge shotgun hole in your abdomen or in the middle of an AMI???? I sure don't care if they quote Shakespeare or understand anything they learned in liberal arts. NO I TAKE THAT BACK...MAYBE IT WILL HELP THEM TELL THE FAMILY THAT YOU PASSED AWAY BECAUSE THEY COULDN"T FIND ANYTHING IN THEIR LIBERAL ARTS TRAINING THAT WOULD HELP SAVE A LIFE.

Like I said earlier, I have completed my BSN and am proud of it. I FEEL BETTER ABOUT MYSELF. I AM NOT NECESSARILY A BETTER NURSE.

It is people like you, RANDY, that continue to drive a wedge between nurses who want to do one thing and that is take care of patients and the others who for whatever reason decide to further their LIBERAL ARTS education and take care of patients. I am sure that you would have to refuse being taking care of by a lowly LPN. They only have 18 months of training. How in Gods name can they even think about caring for someone. ( I worked in a 10 bed ICU with an LPN. Still one of the sharpest nurses I have ever worked with).

In the above ER situation, GIVE ME AN ADN ANY DAY OF THE WEEK, WITH 10-15 YEARS EXPEREINCE IN ER AND YOU STAY AT HOME WITH YOUR NOSE IN THE BOOKS. I THINK YOU ARE THE SHORT SIGHTED ONE RANDY.

(To the rest of the world...please do not assume I mean all nurses with BSN and up. There are quite a few that would do the job nicely. You understand that education comes in all shapes and sizes, not just from a University and that as long as we present the argument with the tone that Randy uses, we will never get anywhere).

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