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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Great insight - Thanks for sharing!

1 Votes
Rocknurse said:
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.

Here's the thing (and it's especially evident to those of us who have practiced for a number of years with an ADN or a nursing diploma and then went back to school for a BSN)... one of the main problems with twisting nurses arms into getting a BSN is that the RN to BSN programs offer almost zero real educational value for your time and money spent. It didn't have to be that way. Take those grad school pathophys and pharmacology classes that you found were actually useful - imagine if they could be substituted for core credits towards the BSN rather than the busywork, theory, and indoctrination courses that make up the core of said programs? There's so much to learn about nursing practice that RN to BSN programs don't begin to cover. Why bog nurses down with subject matter that makes little difference to their practice (and this even includes those nurse who'd like to be managers) while offering so little in the way of education that does? I could offer up some answers to my (mostly-rhetorical) question, but they would probably make me sound even grumpier and more cynical than I already do.

I honestly believe that I would stand to improve my practice more by taking classes in Spanish than by earning a BSN at this point. Much more, in truth. That doesn't speak well of the RN to BSN program.

I understand that a BSN offers some degree of job security, opportunities to get a further education that might actually be useful and practical, or even more prestige/clout for the nursing profession as a whole. But it's also very easy to see an employer-required BSN as a massive load of mandatory overtime for which instead of getting paid, I fork out the cash.

1 Votes
Specializes in Geriatrics.

In Canada, they successfully transitioned to BSN only nurses in 9/10 provinces, where those with the associate degree equivalent are grandfathered in.

I can understand the reluctance to get a BSN, when there's minimal pay difference and one is happy with their career. However, it only makes sense to streamline educational standards so every one has the same qualifications. Every other health professionals is like that, right?

Given the proven increase in patient safety outcomes, it makes sense to change the standards for future nurses to go about the push...and not penalize already registered nurses.

1 Votes
CanadianRN16 said:
In Canada, they successfully transitioned to BSN only nurses in 9/10 provinces, where those with the associate degree equivalent are grandfathered in.

I can understand the reluctance to get a BSN, when there's minimal pay difference and one is happy with their career. However, it only makes sense to streamline educational standards so every one has the same qualifications. Every other health professionals is like that, right?

Given the proven increase in patient safety outcomes, it makes sense to change the standards for future nurses to go about the push...and not penalize already registered nurses.

I'm not objecting to your entire post - just the part in bold. If there is a study with a large sample size comparing BSNs to ADNs that actually controls for total years of professional experience and clinical setting in making their calculations that BSNs are safer, I'd LOVE to see it. Otherwise, don't just state it as though it were a fact.

1 Votes

It does not matter as much that some nurses do not see the advantage of a BSN education or want to spend time as well as additional money to obtain it. The job market and desire for non bedside or hospital jobs drives the market for BSN educated nurses. Where I live BSN is standard and nurses without a BSN have a hard time finding desired jobs.

I do not agree that the BSN classes are just added fluff but not everybody finds for example nursing theory valuable and want to apply that knowledge in daily work.

The BSN alone does not save life ... it is the work conditions with too many patients per nurse and not enough CNA that makes good nursing hard to accomplish and increases the risk for unsafe practice imo.

Because there are too many nurses in the market to begin with, healthcare administration does not even have to look and change any ratios or get sufficiently functioning CNA because if a RN leaves there are already new grads in line to take a job , no matter how crappy or unsafe.

In my area there is a shortage of hospice nurses. The work conditions for home hospice case manager (which is not a desk job...) are rough due to time constraints, huge amount of documentation, and salaried employment. You would think that they look at what is going on and change the case load that has been going up for years. But no - instead they just put a stop onto admissions because there are literally not enough nurses to care for hospice patients or nurses with necessary experience.

1 Votes

RN-BSN vs BSN right out of the gate?

Very different.

I have a BA. Then I got my ASN.

Now in the process of the bridge. All I can say is *yawn*.

I probably won't complete it. I have 2 jobs now, despite being a lowly ASN.

1 Votes
Specializes in Pharmaceutical Research, Operating Room.
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!

Could not have said it better myself!

1 Votes
Specializes in Pharmaceutical Research, Operating Room.
brandy1017 said:

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!

Because if you can force people into debt slavery through outrageous student loans for years and years to come, you can all but guarantee that those people will be stuck working in low wage jobs with no or almost no opportunity for advancement away from said crap job for years and years to come......

1 Votes
flying_ace2 said:
Could not have said it better myself!

I don't think everyone can do acute care. It takes smarts, strength and endurance.

I think acute care nurses are underrated.

1 Votes

I think experience is the best teacher, not earning a BSN. I am currently doing a BSN online program and much of the content is repetitive and is what I already learned in my ASN program. I feel that I learn so much more while I am at work every day.

1 Votes
Specializes in Ped ED, PICU, PEDS, M/S. SD.

They Irony about the whole ASN BSN debate, I have seen more ASN pass the NCLEX on the first try then BSN. Guess all that paper writing didn't give the critical thinking skills after all.

1 Votes

Diploma program in my state changed hands to a private university. Cost for the BSN $16,000 a semester.

1 Votes