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

Updated:  

Sponsored Content

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!

Sponsored by College

Is RN-BSN Worth It? 9 Reasons to Level Up.

Earn Your BSN Degree - Your Way

Farawyn said:
Lookit you, being all sassy as a new RN!

LOL the nurses here have taught me well.

Your study is flawed because you compare ADN prepared RN's with a nurse to patient ratio of 8:1 with BSN prepared nurses with a ratio of 6:1 or less

Specializes in Radiology nursing, emergency nursing.

Stats can be scewed to what you want them to say. The studies quoted were not apples to apples! How can they say that is a fair representation. You'd need exact patient acuity, exact patient load , etc.. I'm about 1/2 way through getting my BSN after practicing for 25 yrs. I decided to stop. I have no desire to advance to management, but since I went from working 3, 12hr shifts to 5, 8hr shifts a week, I don't have the drive to continue the aggravation of homework. I'm grandfathered in so I'm just trying to make to retirement.

I would put up the skills of any new grad ADN against a new BSN grad without any experience any day! ADN's get more clinical experience and will more than likely be able to function better than the BSN. As an ADN with over 30 years experience, I only need 6 classes to get my BSN. They are organic chemistry, statistics, leadership (which I actually got in my ADN course), community nursing, and 2 art/music classes. Now tell me why I should spend thousands of dollars on these classes? I have worked critical care and acute rehab for over half my career; and the rest of it in management as a DON, MDS Coordinator, Legal Nurse Consultant and now I'm in consulting and informatics. Tell me what those 6 classes are going to do for me to make me a better nurse? I took the identical state boards as a BSN grad and scored very high. If they want me to be a BSN, then grandfather me in. I deserve it and so do many others with experience. The only true value that is going to provide accurate statistics about patient outcomes is a lower ratio of nurse to patient. And I didn't need a class to teach me that.

Vandenhs said:
Stats can be scewed to what you want them to say. The studies quoted were not apples to apples! How can they say that is a fair representation. You'd need exact patient acuity, exact patient load , etc.. I'm about 1/2 way through getting my BSN after practicing for 25 yrs. I decided to stop. I have no desire to advance to management, but since I went from working 3, 12hr shifts to 5, 8hr shifts a week, I don't have the drive to continue the aggravation of homework. I'm grandfathered in so I'm just trying to make to retirement.

I could not agree more.

AlphaM said:
The problem, I believe, is that people think the only good nurses are bedside nurses. If that's what you want to do, then fine, do that but don't tell the rest of us looking at specializing in other areas away from bedside that a BSN, MSN or DNP doesn't make you a better nurse, because it certainly DOES. It may not make you a better "bedside" nurse but that is not the point.

Higher degrees don't make you a better nurse. They allow you to be a different kind of nurse, like a classroom teacher and a few management or research positions that require that extra degree. Bedside nursing is a critical need and does not require a BSN or higher. Neither does being a charge/head nurse, supervisor or DON. Patient care will always be the priority for most nurses.

whichone said:
And that does require at the very least a BSN. Maybe even a higher degree soon. I'm enrolled in a DNP program in something absolutely non-clinical (informatics); although a graduate or doctorate degree is not required now for certain non-bedside jobs I'm just staying ahead of the game because it will happen sooner or later.

I work in informatics and am very connected to my clinical background as an ADN. In fact, I couldn't do my job without all the experience I have had in a variety of clinical settings. I disagree with you. My programmers wouldn't know what to program without my clinical expertise. And every facility has different needs, as do their departments.

Specializes in Pediatric Hematology/Oncology.
Here.I.Stand said:
Academic Napoleon complex? I have my BSN (from a brick and mortar non-profit state you, but thanks Rassmussen). I sometimes joke "I BS'ed my way to my BSN." :cheeky: There was some talk of technical nurses vs professional nurses...but I'll tell you I learned next to nothing that made me a more competent ICU RN. Hmm my pt's ICP is still 40 after giving fentanyl, versed, and a dose of 23% NaCl. But never fear sir -- I know the Modeling and Role Modeling nursing theory!! :ninja:

I struggle so much with nursing theory. I had to keep telling myself, "Breathe, this is the only way you'll get to work at the hospital you love so much. Just get through it." It was just so much nonsense that I felt like I was back getting my psych BA again and they were trying so hard to convince me that it belonged with the hard sciences, too!! :angrybird5:

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

This entire conversation reminds me of the nurses who always made such a distinction between an LPN and an RN. Obviously the education is different as they were meant to each have a different nursing role, rather than one being better than the other. Where I live, they want to merge the LPN and the ADN and call them technical nurses. The BSN will be the professional nurse. As an ADN, I learned a lot from experienced LPN's, esp when I was new. I've always preferred team nursing and like to have an nursing assistant on the team as well with the LPN and me. But now, for my state to say that I am not really a professional is a complete insult. All of our LPN schools are closed or in the process. It will be a disaster. The all RN primary nursing didn't work in hospitals that tried it. I don't think this new goal will either. Administrators and schools are just pitting nurses against each other and creating worse environments for patients. And driving good nurses away from what they love to do. The whole thing disgusts me. There is a place and room for each level. Leave it alone and focus on patient care.

Based on my experience, I do not believe that having a Bachelor's degree necessarily makes one a better nurse. While there is certainly something to be learned from obtaining a Bachelor's degree, the bulk of nursing, at least in my experience, is learned in the first two years or the Associate's degree program. My ADN was where I learned my nursing skills and knowledge and applied it to the clinical setting. My Bachelor's degree program focused more on public health nursing and research. Unless your goal was to go into either of those areas, it was not extremely beneficial and certainly did not make for a better bedside nurse. As you can tell, I have a Bachelor's degree myself, but I have classmates who only have their Associate's degrees that are doing better at the bedside. Honestly, I would take better bedside skills over a BSN.

Experience and knowledge saves lives...and that is never because of the 'alphabet soup' following your name!!

I've employed some of the dumbest 'many degree' nurses, but more RNs who had far more knowledge, common sense and experience.

Extra degrees more often than not... do not translate to better nurses or better patient care. Before you get your knickers in a twist..it's a nurse's observation skill as well that create safer patient care, not degrees. It's the bedside nurse (with or without extra degrees) who learns through experience and hands on knowledge when a patient is in distress, what to do to make them more comfortable..the simple things to relieve anxiety, and when to hold the hand of the patient and the family. That can not be absorbed because you read another book. I found the 'letters' did not make me a better nurse..it simply took me farther and farther from the bedside and further and further into paperwork! Sure, the more letters, a little more money, but was that your reason for becoming a nurse....to do paperwork? It wasn't mine. I'm a people person...I wanted to care for people. Decide what type of nurse you want to be...bedside, career, or management and plan your degree with that in mind. Too often RNs find themselves pushed to earn degrees to take positions they never wanted. There is room for all types of nurses...but before you get caught up in the 'alphabet soup' race, decide what brought you into nursing in the first place. I bought the Kool-aid and earned all the 'letters'. I ultimately chucked it all... for less money, less paper, fewer headaches and far more rewarding, bedside nursing. If 'Academia' has its way there will be no one left to properly fluff a pillow or position a patient comfortably! Think, before you become an 'alphabet junkie'... if that's the nursing you really want.

Specializes in Surgery.
brandy1017 said:
Truthfully bedside nurses are not really professionals in the true sense of the word. We lack real autonomy and are treated more like work mules than professionals! Not every nurse is interested in climbing the ladder and doing research, to those that do, more power to them! I'm sorry I don't believe a BSN will give us more say at the table because to hospitals we are worker bees not professionals. If anything requiring more college enables hospitals to push workers around more because student loan debt is the most dangerous debt out there and there is virtually no way to get out of it except pay it off or die! Over 100,000+ seniors are seeing their social security garnished over unpaid student loans. In fact the it was just in the news the Texas rangers accosted a man over a very small amount of old unpaid student loans and arrested him and they are planning on doing this to many more people!

So, now we're sliding backwards to the dark ages of debtor's prisons, are we? Joy oh joy.

And - there is one other way to get out from under your onerous Student Loan Debts, and that is to become totally physically disabled and unable to work, and eligible to collect Social Security Disability. You have to jump through many hoops to get to that point to begin with, and then more paperwork to prove your case, regarding the student loan debt forgiveness, but it can be done. The drawback to that is that it's not as cut and dried as that even - you must pay income taxes on the amount of debt that was actually forgiven. If they don't get you one way, they'll get you going another.

Things are getting crazy out there! It is becoming common where I work to talk to nurses who have six figure debt for their education and they aren't even all BSN's! Many have another BA/BS from a private college and then get their ADN from another expensive private college!

As to your hospital paying 100% for BSN that is rare, most hospitals are cutting tuition reimbursement to save money and aren't offering bonuses to help pay off student loans now that there isn't a shortage anymore. The VA is the only hospital system I know of that really helps pay off student debt and pay for a BSN! Most private hospitals aren't that generous! Heck even our health insurance requires several thousand out of pocket if we are hospitalized!

The citizens of Europe must look at the USA and shake their head at how we have become a third world nation where neither health insurance or education is paid for by the govt! We are one of the only wealthy countries where people must indebt themselves just for the hope and chance of a good job with no guarantee and if we have the misfortune of becoming sick we may find ourselves bankrupt financially!

England is going through a complete upheaval in their nursing education system though. Apparently the government is proposing (read that likely "requiring") nursing students, and midwifery students, beginning with the fall 2017 classes, to begin paying out of pocket for their education, through loans rather than the NHS grants they have been getting, same as us, as a " budget cutting measure." The entire nursing education system, in addition to many members of the general public, is in a complete uproar over that. Looks like they are trying to follow in our footsteps?

George Osborne considers axing student nurse bursaries | Society | The Guardian