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.

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

Weeeeeeeeeeeeeeellllll great post, Dave. Ah but, fortunately for ME I was educated and am very skilled in the art and science of nursing, not a "mere technician". I perform as a skilled and consummate professional, and no one working with me would mistake me for a technician either. Nor would my patients or their family members. All that with just two associate's to my name (so far).

Dave, I guess this is where I bow out. This whole thread once again became an argument between people defending their education choices and I am quite sick and tired of defending mine. (as I am sure others are tired of hearing it).

I leave you with this. 60% of us RN's are ADN-prepared. Look around. I would defy you to peg me as a "technician" in my performace of my work. I would doubt you can tell the difference in most areas of nursing. I don't care what the university/college descriptions say about their degree programs. We are NOT prepared as techicians in ADN programs. I keep saying that like a broken record and you keep throwing more at me. I keep telling you, they need to change this, based on my experiences as an ADN NURSE!

I am responsible for the myriad things any RN is, including charging my floor on shifts. My manager before this one had an associate's degree and functioned better in some ways than the MSN one does now. I am NOT downing education, just saying, you need to quit saying we are "technicians". Bu you know what, I am weary of this whole argument.

I like a lot of the ideas here about the "ideal nurse"....."pulse and breathing" yea that helps! The humor here has been great and there have been some GREAT ideas shared. Especially the ones Leslie came up with. This thread appears to have run its tired course, however. Good day, everyone!

I personally do not like the college's description of the different programs that the OP posted. In my college the ADN is far from a "technical" degree. We have to enroll at our college as a Liberal Arts major for 1 year and then switch our major to nursing when and if we get accepted. My ADN program has community, peds, OB, critical care, OR, med/surg, and psych rotations. We also have a nursing management/delegation class our last semester. When I graduate next May it will only take me one semester full time to get my BSN. Not all colleges are the same on training students. I know that my ADN program is one of the only programs in the area that offers an OR rotation and that includes the BSN programs. Maybe if there were standards that all schools had to go by for each degree each graduate of that degree from no matter what school would have had the same classes and rotations.

As I am rapidly approaching the end of my nursing career, these entry to practice debates are progressively less "internalized"; On a personal, practical level it would no longer concern me if they required a Ph.D. to begin practicing nursing.

Frankly, I don't think there will ever be an answer which satisfies all stakeholders. Historically the educational establishment will always state that every profession requires advanced degrees with ever more hours required to obtain each. The health care industry wants adequately trained workers in sufficient numbers to perform the work, but at the lowest possible wages the market will bear. And the workers, while agreeing in principle that a liberal arts education would be "good" for the profession also expect a tangible reward in the workplace for their additional investment in time and money.

There is a widening disconnect between these groups; the result is a widening disconnect between reality and the ideal.

The educational establishment would have you believe that a BSN should be the entry level preparation to practice professional nursing and that critical thinking skills and specialty practice should be limited to those having that degree..... This despite their historical failure to even begin to meet the health care industry's needs at the bedside. Even now, with the so-called nursing shortage in the news, they are clearly unable to generate the numbers of nurses necessary to perform the real work of nursing---taking care of patients. Faced with the inability to provide sufficient bedside nurses, they resort to minimizing the skills of ADN prepared nurses. They fear the ADN's historical ability to provide good care and meet the industry's basic needs. And more specifically they fear the ADN program's inherent advantages: the shorter program can ramp up production faster in times of shortage and it's cheaper.

The health care industry has become cost driven, not quality or outcomes driven (despite their numerous awards, citations, certifications ). You can see it in the equipment and supplies. One can tell just by looking at what you are furnished.....cheap junk, more defects, harder to use, doesn't last etc. Well the same goes for labor. Certainly if a limited region/city has an ample supply of BSN grads (ie has an abundance of BSN programs) they will make them a preference. But generally, employers want the bare minimum. If a lesser trained person can perform the job that's who will do it because they can be paid less money. I remember a time when all RN staffs were the big thing in acute care. You sure don't see that now, and in the vast majority of markets you won't be seeing a true preference (significantly better compensated) for BSNs.

Then there are today's students. It is unbelievable the amount of debt they are expected to assume these days for an education. The days of being able to work your way through school and coming out debt free are just about over. And the cost is increasing much faster than inflation. The educational establishment's answer?----more aid is available. Translation: even more student debt. Can you blame today's students for expecting a monetary return for additional education? It's not just a desire, it's a requirement to pay back the debt.

In my view, I see the ADN prepared nurse as the ideal bedside nurse including specialty areas. And it's at the bedside where the true need is.

Just my humble opinion.

As I am rapidly approaching the end of my nursing career, these entry to practice debates are progressively less "internalized"; On a personal, practical level it would no longer concern me if they required a Ph.D. to begin practicing nursing.

Being at the end of your nursing career does give you a good perspective.

There is a widening disconnect between these groups; the result is a widening disconnect between reality and the ideal.

True...who's in charge of correcting this?

The educational establishment would have you believe that a BSN should be the entry level preparation to practice professional nursing and that critical thinking skills and specialty practice should be limited to those having that degree..... This despite their historical failure to even begin to meet the health care industry's needs at the bedside. Even now, with the so-called nursing shortage in the news, they are clearly unable to generate the numbers of nurses necessary to perform the real work of nursing---taking care of patients. Faced with the inability to provide sufficient bedside nurses, they resort to minimizing the skills of ADN prepared nurses.

Or increasing the skills of other healthcare workers such as CNAs or med techs.

They fear the ADN's historical ability to provide good care and meet the industry's basic needs. And more specifically they fear the ADN program's inherent advantages: the shorter program can ramp up production faster in times of shortage and it's cheaper.

The health care industry has become cost driven, not quality or outcomes driven (despite their numerous awards, citations, certifications ). You can see it in the equipment and supplies. One can tell just by looking at what you are furnished.....cheap junk, more defects, harder to use, doesn't last etc. Well the same goes for labor. Certainly if a limited region/city has an ample supply of BSN grads (ie has an abundance of BSN programs) they will make them a preference. But generally, employers want the bare minimum. If a lesser trained person can perform the job that's who will do it because they can be paid less money. I remember a time when all RN staffs were the big thing in acute care. You sure don't see that now, and in the vast majority of markets you won't be seeing a true preference (significantly better compensated) for BSNs.

Then there are today's students. It is unbelievable the amount of debt they are expected to assume these days for an education. The days of being able to work your way through school and coming out debt free are just about over. And the cost is increasing much faster than inflation. The educational establishment's answer?----more aid is available. Translation: even more student debt. Can you blame today's students for expecting a monetary return for additional education? It's not just a desire, it's a requirement to pay back the debt.

In my view, I see the ADN prepared nurse as the ideal bedside nurse including specialty areas. And it's at the bedside where the true need is.

Just my humble opinion.

And a good opinion.

Weeeeeeeeeeeeeeellllll great post, Dave.

Dave, I guess this is where I bow out. This whole thread once again became an argument between people defending their education choices and I am quite sick and tired of defending mine. (as I am sure others are tired of hearing it).

Now you get my main point of most of what I've been doing. There is no cohesion within nursing. Never has been...probably never will..WHY...WHY...WHY?

Dave? Who's Dave? Are you off your meds again?

I am NOT downing education, just saying, you need to quit saying we are "technicians".

I'm just saying what the schools are saying; tell them your concerns...I hear you! I'd love to have free rein at a nursing school!

Specializes in LDRP; Education.

Whew, what a weird thread.

Ok, my turn. My ideal:

Degree entry: Master's Level (to be on par with docs and social workers, to name a few)

Education: Focused. None of this "generalized" nursing.

Personality: someone who takes the profession seriously and who actually gives back to it by teaching, mentoring, researching, contributing. Someone who doesn't downgrad education but rather aspires to do more. Someone who is professionally responsible and accountable and realizes that there is knowledge and a world out there outside of nursing. Someone who takes accountability and reads professional journals, strives for best practice and sees beyond the bedside. Someone who is articulate, well-read, influential and has a basic understanding of business. Someone who doesn't just come in and punch a clock or collect a paycheck. Someone who didn't choose nursing because it was a quick degree that gave you some letters after your name in an otherwise "elitist" profession as medicine. Someone who gives a damn.

I can teach the above ideal to insert an IV in a heartbeat, too, by the way. To me, that's not what's important OR what makes a nurse, especially when I have techs inserting IVs all day around here.

Whew, what a weird thread.

Ok, my turn. My ideal:

Degree entry: Master's Level (to be on par with docs and social workers, to name a few)

Education: Focused. None of this "generalized" nursing.

Personality: someone who takes the profession seriously and who actually gives back to it by teaching, mentoring, researching, contributing. Someone who doesn't downgrad education but rather aspires to do more. Someone who is professionally responsible and accountable and realizes that there is knowledge and a world out there outside of nursing. Someone who takes accountability and reads professional journals, strives for best practice and sees beyond the bedside. Someone who is articulate, well-read, influential and has a basic understanding of business. Someone who doesn't just come in and punch a clock or collect a paycheck. Someone who didn't choose nursing because it was a quick degree that gave you some letters after your name in an otherwise "elitist" profession as medicine. Someone who gives a damn.

I can teach the above ideal to insert an IV in a heartbeat, too, by the way. To me, that's not what's important OR what makes a nurse, especially when I have techs inserting IVs all day around here.

I love you! I'll call you next time I'm a patient.

Whew, what a weird thread.

Ok, my turn. My ideal:

Degree entry: Master's Level (to be on par with docs and social workers, to name a few)

Education: Focused. None of this "generalized" nursing.

Personality: someone who takes the profession seriously and who actually gives back to it by teaching, mentoring, researching, contributing. Someone who doesn't downgrad education but rather aspires to do more. Someone who is professionally responsible and accountable and realizes that there is knowledge and a world out there outside of nursing. Someone who takes accountability and reads professional journals, strives for best practice and sees beyond the bedside. Someone who is articulate, well-read, influential and has a basic understanding of business. Someone who doesn't just come in and punch a clock or collect a paycheck. Someone who didn't choose nursing because it was a quick degree that gave you some letters after your name in an otherwise "elitist" profession as medicine. Someone who gives a damn.

I can teach the above ideal to insert an IV in a heartbeat, too, by the way. To me, that's not what's important OR what makes a nurse, especially when I have techs inserting IVs all day around here.

LOVE IT!!! Will this Ideal nurse work for free too? He/She ought to be earning 6 figures + fo setting a fabulous example!!!

Specializes in LDRP; Education.
I love you! I'll call you next time I'm a patient.

:imbar

Aww, thanks!

:kiss

you know, after further contemplating, my ideal nurse will have mastered the art of nursing.

as zenman has pointed out so readily, anyone can learn the science. anyone, in an ideal world, has the resources to obtain a degree.

but all the degrees in the world, will not teach you the art of nsg.

thank you zenman, for putting it all in perspective for me.

thank you zenman, for putting it all in perspective for me.

My pleasure.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Now you get my main point of most of what I've been doing. There is no cohesion within nursing. Never has been...probably never will..WHY...WHY...WHY?

I appreciate what you've been saying. But seriously is it that big of a deal to nursing? My co-workers and I, BSN and ADN prepared, are concerned with safe patient nurse ratios, pay, patient safety, etc. rather than the education level of RNs. Seriously, it's not that big of an issue. Read this message board 99.9% of our venting is not about education levels. Don't mean to demean the fact that it's a big deal to you, but you're so frustrated with shoving it down our throats you can't see that a lot of us don't really care.

It's been noted before that if suddenly all nurses became BSNs, there still would be issues and lack of cohesion. The fact that all RNs aren't BSNs is not the reason for no cohesion in nursing. IMO.

Let me also say that I agree. The entry level for an RN should be the BSN. That it hasn't happened after decades of debate is interesting in and of itself. As an ADN prepared nurse I wouldn't be bothered a bit if the education requirements were raised. I still feel there would a place for me and my fellow ADN RNs in nursing if that happened. Good luck with your mission. :)

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