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

[Rasmussen University]

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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[Spuen]

I wish that was the case here. Exams are on any computer anywhere. You just need to finish it in certain time limit. I ended up getting a C- in two classes and booted from the program.

Thankfuly Ive found a hospital with an in person BSN program running in cooperation with a local university. Im hoping to do much better.

[SmilingBluEyes]

Nope, nothing self-serving about this article here.

Come, on, now.

[Tenebrae, BSN, RN]

Purple_roses said:

Hmm...I wonder why Rasmussen College is pushing for this.

I reckon there might be about 47000 reasons why:yes:

[Dacatster, ADN]

ED Nurse, BSN RN said:

Do you have numbers and statistics on this information? If not, it's merely opinion.

I personally don't know a single BSN prepared nurse who did not pass on the first time they took the NCLEX.

Just going with personal experience

[lifelearningrn, BSN, RN]

An ADN with 20+ years under his or her belt should be grandfathered from this policy. JMO

[nutella, MSN, RN]

lifelearningrn said:

An ADN with 20+ years under his or her belt should be grandfathered from this policy. JMO

In the area I live, BSN is already pretty much the desired entrance degree. Living very close to a major city with some of the best hospitals in the nation competition is high among graduating nurses.

Hospitals usually require the BSN , some will be OK with ADN if the area is under-served or very specialized.

A lot of employers who push for the BSN also offer some collaboration with different colleges, some offer onsite classes that are convenient and affordable.

Having said that - I also know a lot of nurses who are in their 50s or older and do not consider going back to school because they do not have the desire to spend time and money in school, cannot afford it, or have been out of school for such a long time that they do not think they would be able to catch up with technology and APA.

[TriciaJ, RN]

nutella said:

In the area I live, BSN is already pretty much the desired entrance degree. Living very close to a major city with some of the best hospitals in the nation competition is high among graduating nurses.

Hospitals usually require the BSN , some will be OK with ADN if the area is under-served or very specialized.

A lot of employers who push for the BSN also offer some collaboration with different colleges, some offer onsite classes that are convenient and affordable.

Having said that - I also know a lot of nurses who are in their 50s or older and do not consider going back to school because they do not have the desire to spend time and money in school, cannot afford it, or have been out of school for such a long time that they do not think they would be able to catch up with technology and APA.

It's just not cost-effective for many of us. We wouldn't benefit, and contrary to propaganda, neither would our employers or patients.

Anyone notice the irony between requiring degrees and providing scripted responses? Maybe hospitals should require a BFA instead of a BSN.

[Dogen]

If I folded my diploma over three or four times I could probably make a pressure dressing out of it and save a life with it. So, in answer to OP's question, yes, but only if you get a bad cut in the vicinity of my garage.

[brownbook]

I have an AS degree. I took classes to obtain my BSN but dropped out. As others have posted, nursing theory, the history of nursing, etc., did not make be a better acute care bedside nurse.

I have had a variety of jobs and opportunities, including nursing administration, because I was always willing to float.

[AlphaM]

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.

[TriciaJ, RN]

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.

Actually it is the point because we keep being told the patient in bed will have a better outcome if his hands-on nurse has a bachelor's degree. But we're not actually seeing that. Many good reasons to get a degree, but that is not one of them.

[Tenebrae, BSN, RN]

In my BSN we had a large majority of classes that I've never used once in the three years since I graduated and registered.

My final year cultural safety paper was taught by one of the most culturally unsafe nurses I've ever met.

At least where we are, what sparked the move to the BSN training was that in the hospital program student nurses were being chucked in at the deep end and failing badly. However in the opinion of alot of the nurses training has gone too far into the theoretical now and missing much of the needed practical stuff.