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.

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.

Actually very few things frustrate me...including this issue! But the 99.9% of things that do bother nurses...are they being solved?

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.

True; one entry level would only take care of one problem. And you know what that would mean? We would have finally solved one of our problems!!

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.

Yep, very interesting! Should we debate the reason why? I've always been amazed that such a large profession has so little power...in regards to what it could have.

True; one entry level would only take care of one problem. And you know what that would mean? We would have finally solved one of our problems!!

Yep, very interesting! Should we debate the reason why? I've always been amazed that such a large profession has so little power...in regards to what it could have.

Personally I agree... we SHOULD, for our profession's sake, go to BSN as entry level by say 2010, grandfather all current RN's as Canada has done. I would also like to see more focused clinical experience in the BSN programs...stronger partnerships with facilities (perhaps incorporating paid work as techs to expose them...this worked well in my old Diploma program). Also support new grad internship programs on the hospital/facility side. We need to support our new nurses better than we are.

We can't come to a decision because ADN and Diploma nurses are good nurse, proud of our contribution, and don't feel 'less' than BSN's...which is what many BSN proponents seem to insinuate.

I also feel one entry level WILL do something towards unifying us, and hopefully bring more respect to nurses...not solve ALL our problems; but it will definitely help, IMO.

I know people get tired of talking about this stuff but its sure nice to dream sometimes...of a future with RN's united, respected, a strong force to be reckoned with. :)

Most 2 yr RN programs are actually 3 years once you complete all of the other required coursework.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Actually very few things frustrate me...including this issue! But the 99.9% of things that do bother nurses...are they being solved

Point well taken. You only sound frustrated asking "why why why??". :rotfl:

And you're right, most of what we complain about doesn't get solved. I think some issues are being solved, but it's taking too long. We complained about staffing ratios 13 years ago. It took a lot of complaints, but it was mainly when the study came out proving that more staff equals better outcomes, and that MDs were complaining out the care their patients were getting that things changed where I worked. It took a long time.

Strange situtation when there wasn't a nursing shortage (during a brief time in the mid-90s) management had the power because they had a layoff claiming no money. Now that there's a nursing shortage management still has the power because they can't supply us with what we need. But that's another topic.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
Most 2 yr RN programs are actually 3 years once you complete all of the other required coursework.

I went to school with a woman who got in at the last minute, literally found out the day before the program started she had a spot. She had just graduated high school. She completed the entire program in the one year nine months the rest of us did. Poor dear was taking English Comp I, A&P, Sociology and Nursing I at the same time and went on like that until we finished. (We were on a quarter system) :eek:

Originally that's how the ADN was designed; to be done in two years, providing the student has high school level biology, chemistry, and algerbra which this woman had. But with the advent of waiting lists most people take courses prior to starting nursing school, and many programs are requiring some college level courses prior as well.

I think that we need to move away from uni and go back to more hands on training (I am uni trained).

The "IDEAL NURSE"

8 pairs of hands, 4 legs, 6 ears, a 20 litre bladder and requires no time out for coffee or food.

I agree that we need more bedside training (or hands on -- whatever you want to call it), I am seeing some real lapses in critical thinking skills in many of our new hires -- the logical, reasoning piece is weak fairly consistantly -- of course, with experience that can get profoundly better --

Many of our staff are saying that it is a "generational issue". I'm not so sure. There are many "best and brightest" in the new nurse groups -- I tend to think that exposure to lots of the academic courses:A&P, Chem, Organic Chem, Bio, Stats, Psyc..... helps to devlepo organizational skills, prioritizing skills, -- critical thinking skills -- not learned behaviors from bedside experience (which is hugely valuable too! But it does take 5 years to get 5 years worth of experience) Having the rationale, the facts to bolster decisions r/t care is a huge bonus in my mind. Evidence based practice is a highly professional and widely accepted mode of nursing and one has to have the research skills and mentality to pursue it.

I am not saying that 2yr trained nurses are not doing a great job -- or that university trained nurses are better nurses! University nurses have had more exposure to many things and been trained to research, question things and then to change practice standards based on the research. There is NO substitute for experience though and whether you have an ADN, a BSN, an MSN or a Phd -- you will always benefit by experiening nursing as it REALLY is-- on the front line, in the midst of short staffing etc.

BTW, the program I went to was considered a 4 year program which was really 5 years -- and that was without taking elective courses. while other students could take an art class or a music/drama course -- our schedules were pretty much set in stone.

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.
While this is true, it is only one change in the long history of nursing. The founders of the nursing profession did not specify nursing as a University level profession - and before you respond..I absolutely see ADN nurses as professionals.- Just because ADN degree programs began after WWII, I fail to see how that make them the unwanted step-child of nursing? I also take exception to the implication that a provision for competent patient care was a "shortsighted solution".

In relation to comparing "hours" between ADN and BSN graduates, 120 hours of what? This is no more than an indication of how educational intitutions calulate class loads. The BSN programs I'm familiar with provide fewer hours in actual patient care. While you may not value the clinical experience ADN graduates have, I'll take an ADN on my team any day. With the exception of management positions (which most don't want anyway) they function at a level we are lucky to have. Their problem solving skills and ability to provide patent care far outweighs the new BSN graduate. HOWEVER, by 6-month evaluations, both degrees function quite well in providing care in the Med/Surg setting.

While this is true, it is only one change in the long history of nursing. The founders of the nursing profession did not specify nursing as a University level profession - and before you respond..I absolutely see ADN nurses as professionals.- Just because ADN degree programs began after WWII, I fail to see how that make them the unwanted step-child of nursing? I also take exception to the implication that a provision for competent patient care was a "shortsighted solution".

Nursing grew up...partly...and became a profession...which implies a university education for most professions. Lowering the hours for any profession because there is a shortage is just a knee-jerk reaction. Most places have a shortage of police officers. Should we cut their training time in half? What about teachers, physicians, airline pilots, etc., etc.. I think not!

In relation to comparing "hours" between ADN and BSN graduates, 120 hours of what? This is no more than an indication of how educational intitutions calulate class loads.

Credit hours. BSN grads have more credit hours. See the example I gave earlier for NSU school of nursing.

The BSN programs I'm familiar with provide fewer hours in actual patient care. While you may not value the clinical experience ADN graduates have, I'll take an ADN on my team any day. With the exception of management positions (which most don't want anyway) they function at a level we are lucky to have. Their problem solving skills and ability to provide patent care far outweighs the new BSN graduate. HOWEVER, by 6-month evaluations, both degrees function quite well in providing care in the Med/Surg setting.

I value clinical experience but challenge those who hold out their longer time in clinicals DURING school over the heads of other grads. So...what's being left out in place of the clinicals...which you will get later anyway. Few professions expect you to know it all when you graduate.

I just found this on entry into practice; haven't read it all yet:

http://www.nursingworld.org/ojin/admin/tocv7n2.htm

While I will always encourage coworkers: whether nurses, or environmental service folks, or dietary folks ....etc to pursue any educational opportunities they can get -- I would never say that any nurse with an advanced degree is better than an ADN, or BSN -- The NURSE is what makes the determination as to how good they are -- give me an aide with a dilligent and teachable spirit over any nurse with the "I have arrived attitude" any day!!

When you are sure you know it all -- you're in trouble:rolleyes: !! Life is about learning and developing. No matter what degree you have -- it will always take ten years to get ten years of experience!! Wish we could devleop one standard -- but life doesn't work that way!! I will just take any degree, diploma etc nurse who is willing to change and learn and grw -- and play nice :) with others!

Specializes in LDRP; Education.

I value clinical experience but challenge those who hold out their longer time in clinicals DURING school over the heads of other grads. So...what's being left out in place of the clinicals...which you will get later anyway. Few professions expect you to know it all when you graduate.

Exactly. In fact, NO unit or nurse should want and/or expect any new grad to hit the ground running.

I guess if I wanted to make myself the ideal nurse I would be:

36-24-34

I'd be 36-24-36 with a pretty face and a cute short cropped hairdo and I would wear cute little scrub suits and instead of wearing those big white shoes that look like cruise ships on my feet I'd wear a size 6 shoe and I'd have one of those stylish stethescopes with a digital display on the bell and this thing that tells time.

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