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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Specializes in Outpatient/Clinic, ClinDoc.
TheCommuter said:

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!

I'm with you on that!! And a BSN was *required* for my newish non-bedside job, which does not involve management in any manner. Very happy I went that route.

TiredKitten said:

I did a paper last year when I started the program. I titled it "The BS in BSN". I don't argue that the statistics show that BSN nurses have lower mortality rates. But as Mark Twain liked to say, "There are three types of lies: Lies, damned lies, and statistics.".

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.

Specializes in Critical Care, Float Pool Nursing.

I completed my BSN after completing my associate degree. While some of the information was interesting, I am quite sure that it did not help me improve patient outcomes in the clinical setting. Virtually all of the material was about community health nursing, nursing informatics, nursing philosophy, and that sort of stuff.

Also, BSN in 10 or "80 by 20" are ridiculous ideas. Either the entrypoint to nursing should be an ADN or a BSN, period. Giving people a time limit to start at one entry point and then make it to another point in their education, when they're halfway through their careers already, is illogical.

KindaBack said:
While I personally believe that more education is beneficial, this 'article' is probably better labeled an 'infomercial' paid for by a private, for-profit educational institution.

Oh great, the sponsored "articles" that are really commercials are back ...

I give the content of the article as much consideration and respect as I do the commercials I fast-forward through on my TV.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
elkpark said:
Oh great, the sponsored "articles" that are really commercials are back ...

I give the content of the article as much consideration and respect as I do the commercials I fast-forward through on my TV.

Haha! I agree. I only came here to read the comments. [emoji12]

Specializes in Geriatrics, Dialysis.
elkpark said:
Oh great, the sponsored "articles" that are really commercials are back ...

I give the content of the article as much consideration and respect as I do the commercials I fast-forward through on my TV.

Absolutely. I saw the "sponsored by" and just skimmed the article. Of course a 4 year college that wants students is going to find statistics to support their agenda.

Specializes in SICU, trauma, neuro.
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.

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:

Specializes in Critical Care and ED.

I believe that while my BSN was't too valuable in terms of actual physical and applicable knowledge, it was a gateway for me to a new job, more respect and more job opportunities. Not only that, but it particularly allowed me to pursue a graduate education where I really feel like I am now learning some real science that I was hungering for in nursing school. What I have learned in grad school about pathophysiology and pharmacology makes me realize how little I knew before. I thought I was doing my job just fine (and I probably was according to educational level) but now I understand so much more about the science behind what I'm doing. It's liberating. I'm all for a BSN as entry-level requirement. It hurts the profession not to.

Specializes in ICU.

I understand that there needs to be some sponsored articles on here. I get that. But this is written by a for profit college. In my area, BSN nurses do not make an additional $7000/year. They make about an extra $468/year on their base salary. Yes, $468. That is what $.25 extra an hour gets you. That is based on a full time 36 hour a week nurse. The extra cost for me to get my BSN is $11000.

One of my instructors this semester was an instructor at a BSN program before switching to teaching us in an ASN program. One of the differences she told us is that my critical care class this semester is actually a 2 semester class in a BSN program. So, they get more time to go a little more in depth into the disease processes as ours is compressed into one semester. But she teaches us the same exact information. We just test on twice the amount of info that a BSN does. The thing is an associate degree can only be 67-69 credits so they have to do what they have to do. That honestly is the only reason I can see why they may have better outcomes. The information is not different. It's just spread out longer so the students can absorb it.

In my area, and I am only speaking for my area, ASN nurses are being hired into acute care. I graduate in May and already have a job in ICU lined up. This ICU department is exactly where I want to be and I feel that once I precept I will be able to take care of my patients just as well as my BSN coworkers.

Here is the thing. Nursing school prepares you to take the NCLEX. It does not prepare you to do the clinical tasks of being a nurse. You learn how to be a nurse on the job. If you have a good orientation period, a hospital that has a great education dept, and a great preceptor, you will be fine. That is what new grads need to look at when looking for a job. You need to ask the questions. Is there a nurse educator on the unit? What kind of orientation do you get? What if you are not comfortable after you complete orientation? Is there a way to keep you in orientation until you are comfortable? What are the nurses on the unit like? Are they helpful? What is the overall teamwork on the unit like? Those are very important questions for a new grad to ask. Because that will dictate whether or not you are going to be successful.

I am fortunate to be on the unit I am. The teamwork is amazing. The nurses are friendly and helpful. There is a nurse educator. The unit is family oriented. The director of the unit has a plan for RN retention. They care about what their nurses are learning. They encourage education but it is not forced down your throat.

I know not every hospital is like that, but it seems to be the trend. There is going to be a nursing shortage at some point throughout the country. It's happening where I am right now. In 2013 most hospital systems were laying off nurses. Now, they can't get enough. Older nurses have started to retire. Our population is aging and is needing help. The censuses have gone up dramatically. I read an article the other day that the average age of a nurse in Indiana is 54. There are plenty of programs out here and they are graduating people, but either they don't like nursing, are moving away, something is happening out here. There are a few for profit schools and they don't get hired here because of the bad reputation.

It's up to the new grad and the hospital system to keep and retain their nurses. And honestly, until the differentiate the NCLEX and start paying the BSN more, there is no real incentive to get it. I don't want to be a charge nurse, ever. I did my years in management in retail and it's terrible. You are the middle man between administration and the employees. Employees complaining all of the time and administration breathing down your neck? No thank you. I did my time with that and the extra pay was not worth it after a while. Really it wasn't for me. I will be so happy just to be the employee and take care of my patients. And hopefully, keep them alive.

Do Bachelor Degrees Save Lives? is the title of this op ed piece and the answer is a simple No. Competent Nurses Save Lives and they arrive at that competency by a number of routes, all of which are still valid and in use today. Next time my patient is circling the drain and I have to use my experience to draw on to figure out my next move maybe I should go find a Bachelor Degree since they save lives, I hear the degrees are hanging out in the breakroom lol.

Heathermaizey said:
We just test on twice the amount of info that a BSN does. The thing is an associate degree can only be 67-69 credits so they have to do what they have to do. That honestly is the only reason I can see why they may have better outcomes. The information is not different. It's just spread out longer so the students can absorb it.

A BSN new grad does not have better outcomes than a ADN new grad. BSNs having better outcomes has a lot more to do with having much more experienced nurses going to get the BSN degree later on, you and your BSN colleagues are interchangeable straight out of the chute. After you have the amount of experience that lots of the BSNs who have lots of experience also have, you'll have the same outcomes!

Specializes in Critical Care.

The only way I'd spend money on a BSN is if it was required and I couldn't afford to retire early, but I'd seriously consider retiring early and seeing if I qualify for food stamps first! lol

Everybody wants nurses to have a BSN but nobody wants to pay for it! They are requiring the new nurses to sign a contract to get their BSN in 3 years while working full time or lose their job, with yearly tuition reimbursement that might cover a class if you are lucky! When you get your BSN your pay is the same as an ADN, nothing extra!

If this is so wonderful, the next thing since sliced bread, then why aren't the govt and the hospitals willing to shell out for tuition reimbursement and raises!

I'm not against school, I enjoyed it and had a liberal arts background before I went back for my ADN, but college is just too expensive these days. Our pensions are being frozen, our wages are stagnant and our healthcare costs are thru the roof. I can't afford to go back into debt for another degree. I'm too busy paying off the roof over my head and saving for retirement and healthcare costs to go back to school. When it is free like Europe or paid for by my employer or the govt then I would be happy to go back and get another degree!