Do Bachelor's Degrees Save Lives? - The Facts about Earning a BSN

In most lines of work, there’s one clear path to getting your foot in the door. But nursing is unique in that it offers multiple paths to entry-level positions. Whether you’ve earned a diploma, an associate degree or a bachelor’s degree, you know there is more than one way to become an RN. Nurses General Nursing Article

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Some assert that there are some pretty distinct differences in the capabilities, responsibilities and patient outcomes that come with each educational milestone. It's no secret that more voices in the field are citing those differences as a driving force behind the push to convince more RNs to pursue BSN degrees. But are the benefits as clear-cut as they've been made out to be?

Here's what we found from doing some research on what has been written.

The push for more BSNs

Initiatives like "80 by '20" and "BSN in 10" have become hot topics in the nursing world, but they're often misunderstood. Here's a quick breakdown of the differences:

  • 80 by '20 is a call-to-action that requires 80 percent of nurses to hold bachelor's degrees by 2020. This initiative has been put in place by the Institute of Medicine in tandem with the Robert Wood Johnson Foundation.
  • BSN in 10 is a proposed policy that would require new nurses to obtain their BSN within 10 years of entering the field if they wish to continue practicing. The initiative originated with the New York State Nurses Association and has received support from the House of Delegates of the American Nurses Association.

The motivation for initiatives like these is threefold. Proponents hope to see improvements in patient care; increased prospects and longevity in nursing careers; and efficiencies in the ability of healthcare facilities to manage increasing patient loads.

It hasn't taken long for other healthcare organizations to align with these commitments. Many hospitals may be drawn by the motivation to uphold high standards of patient care and professional development in order to achieve magnet status, while others can't seem to ignore the question, "Do bachelor's degrees really save more lives?"

The link between education & mortality rates

Healthcare organizations and hospital leadership continually recognize the contributions made by nurses of all educational levels. But many have acknowledged reports that suggest qualifications impact mortality rates.

What does the data say?

Studies suggest a correlation between patient mortality rates and the level of education achieved by their nurses. A 2014 study supported by the National Institutes of Health reported a 7 percent decline in patient mortality for each 10 percent increase in the number of nurses who hold bachelor's degrees. Put simply, nurses with more education appear to have better patient outcomes.

The study brought the conversation a step further by comparing patient outcomes with nursing workload. Hospitals in which 60 percent of nurses hold bachelor's degrees and care for six or fewer patients saw a 33 percent decrease in patient mortality when compared to hospitals in which only a third of nurses hold a bachelor's degree and care for up to eight patients.

This suggests a significant decrease in the number of patient deaths for nurses who have more education and also care for fewer patients. The data suggests that healthcare organizations recognize the need to not only increase RN qualifications, but also increase the number of nurses available to care for patients.

The added benefits of earning a BSN

Because many healthcare facilities are prioritizing a bachelor's level education for RN candidates, the number job prospects for nurses with bachelor's degrees has seen a huge surge in recent years.

In fact, Burning-Glass was used to identify more than a million RN job postings from the past year and found that candidates holding a bachelor's degree qualified for 78 percent of them, while diploma and associate degree holders qualified for just 53 percent.1

The prospects are also greatly increased for RNs hoping to progress into advanced nursing positions later in their careers. For example, we examined nearly 100,000 nurse manager job postings from the last 12 months. The data revealed that candidates with bachelor's degrees qualified for 70 percent of the jobs available, while associate degree holders qualified for just 25 percent of them.2

But the job vacancies don't tell the only story here. There is also increased earning potential for bachelor's degree holders. Nurse manager candidates with bachelor's degrees can expect a $7,000 increase in mean annual salary.3

Are BSNs worth more than the hype?

The initiatives in place to encourage more RNs to earn bachelor's degrees are hard to ignore, but there are two sides to every coin. Some professionals are pushing back despite support from leading healthcare organizations. It's a debate that continues to rage throughout the comment streams of nursing blogs across the Internet.

So what do you think? Are there tangible benefits to a nursing workforce with a higher percentage of bachelor's degrees? Is the jump from RN-BSN worth it? Share your thoughts in the comments below!

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The article is misleading. Decreased patient load means less patient mortality no matter what Nursing Degree you hold. I have spoke to former Nurses and Manager whom I worked with in the ER and they agree. Higher degree does not mean a competent, organized, patient oriented Nurse with a heart for her patients. As a 60 year older Nurse who will soon be leaving the Nursing profession when I retire due to what was listed above. I do not care to be a Charge Nurse, Manager or anything but a patient care Nurse I realize as stated above I will become unemployable due only having a ADN degree. Financially most of the older Nurses are unable to afford to pay for schooling at this time in our lives. I worked in the ER with Nurses with all types of degrees. I found a few of the BSN Nurses were lazy and unwilling to learn. One actually told me she had gotten her BSN and would never clean another person's bottom again. As an ER Nurse you get anybody coming through the doors and yes we cleaned a lot of people. I have worked in Long Term Care, Emergency Room and now will retire from being a College Health Nurse. I have a vast amount of skills but will soon be not able to find a job. Just hope the Nurse that takes care of me is a caring, competent Nurse. The article is misleading.

It's a joke and a terrible article, you can't compare ASN nurses with BSN nurses that have different patient ratios, that makes no sense! Of course there were better outcomes they had less patients they were taking care of...... Compare them to the same patients and then show me your increased rates. I am almost done with my BSN because I have to get it where I work and I can assure you it hasn't changed a damn thing about my nursing and had just destroyed my credit report with all these student loans..... Every facility that requires them in these short terms that require the nurse to pay for it should be ashamed of themselves, they are just putting everyone into debt......

Why not compare ASN holders with less number of patients to BSN with more number of patients and see which one will have an increase in mortality rate. When I read that part I was like, really?

In my opinion, if a RN intends furthering his/her education then BSN is fine; however, if they intend remaining a bedside nurse, then ASN is just fine.

What save lives IMO will be Low Patient - Nursing ratio and having on the Job Experience coupled with proper nursing ethics whether as a BSN or ASN degree holder.

Oh well didn't read all the comments when I decided to jump on the bandwagon. Looks like the previous poster already mentioned the patient ratio thing and their expected outcomes LOL. Was thinking I was the only one that saw that part of the article SMH.

The following excerpt from an assignment I did in 2008 while I was in nursing school. The assignment was to read an Op/Ed on the ANA website that used a study in the JAMA to laud the "BSN in Ten" movement and write a paper concerning the subject:

…The official conclusions of the study was that the nurse education conjecture fell marginally and questionably in favor of the BSN degreed nurses, but definitively cites ideal nursing to patient ratios as the cause for better patient outcomes. The study is performed using 232,342 patients over eighteen months. 232,342 sounds like a lot of patients, but it is roughly 0.3% of over 64,000,000 invasive procedures performed in this country over the same amount of time. I am sure that you could find another 0.3% of those 64,000,000 patient episodes that statistically refute this study. As far as the writer's conclusions concerning study and the BSN advantage over ADN, it is nothing but supposition.” …

This statement could roughly be applied to just about any BSN vs. ADN study I have read. Scrutinizing those studies most of them can be rebutted as false causation or cherry picking data clusters, or in the case of the Institute of Medicine an "Appeal to Authority" fallacy (i.e. IoM is an authority of the medical discipline not the nursing discipline), the question is are we, as a profession, going to continue to address this with ambiguity? I thought nursing was an evidence based practice not a practice based on the presumptions of others.

If you scrutinize who is beating the ‘BSN in Ten' drum it is overwhelmingly administrators and educators. Why are They” putting factoids and fallacies in the media concerning the advantage of a BSN degreed nurse. When something doesn't make sense or reeks of subterfuge I say Follow the Money”. Many of the covert reasons for ‘BSN in Ten' rhetoric is to cheapen for healthcare facilities, give a good sound bite for hospital advertising (think Magnet Status), and create an influx of nontraditional students into post-secondary educational systems. It is also inevitable that if BSN in Ten becomes mandated merit raises and compensation for having a BSN will evaporate and scrutinizing the long term effects of the ‘BSN in Ten' fad one realizes it is a backdoor effort to make a BSN a requirement for entry level nurses. Considering current trends, healthcare and nursing education are industries like anything else that could be called an industry and they are taking this relatively new role very seriously.

Obviously, hospitals care so much about decreasing patient mortality rates that they ought to hire BSN only nurses, right? For the safety of the patients!

Oh wait, they don't. So there must not be much truth behind that theory.

ICUman said:
Obviously, hospitals care so much about decreasing patient mortality rates that they ought to hire BSN only nurses, right? For the safety of the patients!

Oh wait, they don't. So there must not be much truth behind that theory.

I personally, as an ASN, have left a gaggle of corpses behind me. Darn it, shoulda gotten that BSN!

NightOwl0624 said:
Pretty gutsy to write a paper with that title! I love it! You probably caused quite a stir among the professors!

In my program, we wrote paper after paper with the general idea "BSN good; ADN bad, very very bad". No other profession would have actual required credits focusing on why a 4year degree is better that a 2 year degree.

My program took down my discussion post and gave me a 0 for not drinking the Kool Aid and saying bs that I'm soooo much better a nurse because of the degree change. The ANA is NOT my friend, this is all a money making racket. The lack of respect and support for experienced nurses is appalling. I'm strongly resent being forced to lie. I'm all for education but this slam to experienced nurses is ridiculous. It infuriates me to hear bs like well AS degree nurses just do what they were told because that's how it was always done. That is the biggest bs crock of crap I ever heard. The BSN has made no change in my nursing, only made it possible to remain employed.

Specializes in Geriatrics, Home Health.
ICUman said:
Obviously, hospitals care so much about decreasing patient mortality rates that they ought to hire BSN only nurses, right? For the safety of the patients!

Oh wait, they don't. So there must not be much truth behind that theory.

Where I live, hospitals only hire BSNs, and have for a while.

Not_A_Hat_Person said:
Where I live, hospitals only hire BSNs, and have for a while.

NY hires mostly NEW BSNs over New ADNs. Experienced as an ASN, no problemo. They hire you.

Not_A_Hat_Person said:
Where I live, hospitals only hire BSNs, and have for a while.

Yea but I bet their reason being is not to decrease patient mortality rates. As this article suggests.

ICUman said:
Yea but I bet their reason being is not to decrease patient mortality rates. As this article suggests.

Lookit you, being all sassy as a new RN!