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

Jessy_RN said:
Probably not. As of now you (and I) are chopped meat and risk not having a job in the near future. Once you earn your BSN you will be factored into the nice BSN statistics though. Not that your ADN and years of experience prior to earning your BSN had any contribution to you "saving lives and mattering" ;)

What chopping block? Heard that for 10 years. I've worked as NM too, and chose to step down. I wasn't chased away.

There is no chopping block.

Specializes in TCU, Dementia care, nurse manager.

I would love to have real-time, on the job, learning with real-time, on the job nurses - that is, in my LTC and TCU shifts, I would love to be able to work with an experienced nurse - experienced in both skills, time-, and BS- management. From what I hear, nurses at hospitals get this kind of training - whether it is done well or badly, but at least they can learn in a live environment like Benner talks about in her Novice to Expert book: experience, experience, experience. You just cannot get the necessary training in a school environment or in a single nurse unit, like so many LTC and TCU's are. And, even if you are paired (working the same unit, not shadowing) with another nurse, you and she are so overworked that there is little time to discuss patients and cares. All there are are "corrections" and "that was a big mistake" or "error" or write-up. That's the kind of "learning" that management seems capable of "leading" with.

I like my BSN completion program because it gives me some introduction to public health, though that could be done in a less expensive way for me, but this world is all about maximizing profits. Profit=OK, crazy maximizing, MBA style=stupid, except for the person who gets the initial credit and hands off the sequelae to those who come after.

All industries are failing to train their hands-on workers, not just nursing (though my friends in their preceptor programs seem lucky to me). We see what is happening in the work-place and to the country.

Specializes in OR, Nursing Professional Development.
Farawyn said:
What chopping block? Heard that for 10 years. I've worked as NM too, and chose to step down. I wasn't chased away.

There is no chopping block.

There is where I work. :no: No BSN on 12/31/19? No job on 1/1/20.

Rose_Queen said:
There is where I work. :no: No BSN on 12/31/19? No job on 1/1/20.

I called my old hospital and they still don't have that rule. Nor does my HH job.

The BSN in TEN law they were pushing grandfathered in those who are working in nursing already. My question is, if approx. 65 percent of nurses are associates....why do we have NO VOICE?

I'm old enough to remember hearing LPN's say the same thing. I worked with LPN's who did everything in ICU but IVP, now you almost never see one in an ICU. I watched nurses with decades of experience get demoted for not having a bsn after being told they had three years or else...because the hospital wanted magnet status. IS the ANA YOUR friend????

Specializes in Emergency Department.

This issue has been around a very long time and it's not likely to stop any time soon. I have a Bachelors in an allied healthcare field and that program was far more rigorous than my nursing program in terms of pure academics. I subsequently completed Paramedic school without cracking open the book much and a few years later, nursing school (with a solid B average) by usually studying the Powerpoint lectures and opening the book when necessary. My exam grades were never lower than a B.

Here's the thing: with the background I had (and if all routes were open at the time) I could have done an ADN program in 2 years, a BSN program in 2 years, an ABSN program in about 15 months, or an ELM program in about 2 years. All of those would have had approximately the same academic workload. The ABSN would still have been a 4 semester program, I would have not had my summers "off" from school. What was "missing" from the ADN that the BSN+ programs have? A community health class (would have gotten me certified as a PHN) and a "research" class. The "funny" thing about this is that my Bachelors required lots of research reading so I'm very much capable of both understanding and conducting research.

What would I have wanted from a BSN would be better pharm and pathophys than I got in nursing school. I got quite a bit of pathophys in my prior program (primarily injury pathophys, fascinating subject, but I digress). From discussions I've had with some recent BSN grads near home is that I got essentially the same classroom "stuff" that the BSN program had.

I'm a relative recent grad and "only" about a 1 year working nurse. During my orientation time and even now my preceptors and supervisors haven't been able to stump me much, if at all, when asking me pathophys stuff. I know the subject very well as it is and I know very well where I'm at clinically. I'm not yet at the point where my clinical skills match my academic knowledge; that point is on the horizon.

Also because of my prior education, I could (relatively) easily skip BSN and go for an MSN program. While I want to do the pathophys and pharm at that level, I don't want to pursue a full-on MSN program. Not yet. I want to seriously solidify my clinical skills.

TheCommuter said:
Jobs in acute care are seriously overrated. Everyone (and their mommas) can have those acute care hospital jobs. Meanwhile, the rest of us can enjoy non-hospital jobs that involve less stress, more money, and optimal working conditions.

The wave of nursing's future is away from the bedside. I will attempt to ride that wave for as long as possible, thank you very much!

Excuse me, but how can you out of hand dismiss acute care nursing as overrated? By your own admission, you've only worked psych, rehab and LTC. So how can you make such a sweeping statement without any experience to back it up? That would be like me saying, 'I've never tried a rollercoaster, but everyone else should avoid them, because they're seriously overrated!

From your multiple posts regarding angry family members, crappy pay, impossible ratios, and horrible working conditions in LTC, your statement about the 'rest of us' 'enjoying' non-hospital jobs with 'less stress, more money, and optimal working conditions' rings a little hollow. Doesn't sound to me like you've 'enjoyed' much - if any - of your non-hospital career. Congrats on your new position, but sounds like you took a hard road to get there.

My perception of acute care nursing - and many of my colleagues - is different than yours. I've been an ICU RN for the entirety of my career, and I'm proud of that. I went straight out of nursing school into the ICU at a Level 1 Trauma Center. I did serve as a CNA in a nursing home for my 2 years of nursing school, so don't think I haven't done my time in the trenches. But you won't find me here knocking LTC nursing or calling it 'overrated'. That's because I've never worked as an RN in LTC. My perception is that 99% of the families that I run across are grateful for the care I provide for their loved ones. There are dozens of people walking around the streets of this city because of interventions that I - and the rest of the team in the ICU - have provided over the years. One husband brings a pie to our unit every month because we saved his wife. Another lady brings us home-baked brownies every holiday to say 'thanks' for the nurses and staff that saved her life in the ICU.

I know the future of nursing is away from the bedside, but there will always be a need for those of us in the trenches that provide care for critically ill people. That's not going anywhere. You said, 'everybody and their mommas' want these jobs. That's true. But not 'everybody and their mommas' can do these jobs. Please don't knock those of us that can and do. You or your loved ones - might need us one day.

Specializes in TCU, Dementia care, nurse manager.

My RN to BSN program emphasizes public health and "leadership," which translates into changing the healthcare system through applied research (whether public health or evidence-based for trench nursing) and politics. There are no acute skills on the individual taught. This is all OK if a student is aiming at a PHN or policy wonk job.