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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lifelearningrn said:
My B.S. with a major in nursing (apparently different than a BSN) definitely prepared me better for my career than the ADN programs in my area would have. I have worked in three specialties, LTC, Hospice and School nursing. My full semesters in community health and peds included clinical rotations with a school nurse and hospice company. My geriatric course helped prepare me for working with the elderly. My program definitely laid the foundation for my ability to analyze research and apply it to practice.

I don't believe my program was "fluff"... Did it make me a better nurse? Who knows.. but it helped prepare me for my career.

My schooling included everything you described was in yours and it wasn't a BSN program. I know it prepared me at least as well as you believe yours prepared you, but I don't have a BSN, so I still don't see how it better prepared you than someone who had the same clinical components but fewer courses overall? if you mean you are better prepared than certain ADN programs in your area then that I can understand but if you're saying that your schooling was more comprehensive than any or all ADN programs I'd have to disagree.

Couldn't agree more

I bet you 100,000 dollars that instead of spending time writing papers to get my BSn I spent the same amount of time learning, discussing the problems, complications (and how to recognize them) my stepdown patients face, that the mortality would be lower too.

I think that traditional BSN programs give more clinical hours which may make better nurses, however you have these accelerated 5 week/semester courses and people are getting their degree faster than ever which takes away from the bedside hours- IE less experienced nurses.

Or you have RN-BSN where all you do is write papers. Literally, all they do is write paper after paper.

Its a joke really.

When the original paper came out from penn it said that an increase in RN's made for better outcomes. Now here I will ask you , what the hell are you and the rest of the BSN's doing??? I have a ADN and have worked in MS, ortho, surgical, renal, dialysis, onc, step down cardiac, transplant, and level 1 trauma, along with my love ED. I was able to walk onto the floor and take care of 3 pt without supervision when I first started. I did not nor have I EVER seen that with a BSN. As a new nurse I was TEACHING 1-2 yr BSN's how to put a coude in. how to monitor a CBI. Also I am wondering if, still today, the pass rate of rn's. Back when I graduated it was 80+% ADN passed first time out to less than 50% BSN. I am getting ready to retire after 20 beautiful years following my calling, NURSING. Either you have it or you do not. PS MOST BSN's, that I know stop keeping up on **** that relates to their specialty, but most, including yours truly, educate the BSN's on new stuff all the time. I have never and will never want to be management. The reason is simple 1st year nursing taught me the most important think I DO NOT GIVE A RATS ASS HOW MUCH IT COSTS. I WORK FOR THE PATIENT NOT THE MONEY CHANGERS> I am TIRED of this crap. it has been going on like this since BEFORE Vietnam. STOP IT NOW!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! The original study was done by some "to be" BSN's at penn in hershey ,PA. I was there and met them and we talked about their research and they only said RN's but then other people took what they wanted and screwed the whole thing up.

Specializes in Trauma ICU.

I agree with you! Also take a look who usually has conducted or funded studies that show a link with mortality and BSN educated nurses. It's always someone who stands to gain something from it like educational institutions. Shocker this article is written by a college that I am sure has a RN to BSN program.

The best way to EVOLVE is to FIRST MAKE MANAGEMENT allow us to do what we are supposed to do. Take care of our pt's and advocate for them. No round up the cattle and get them in/out asap no matter what. Time is money lets dc them at 2200 so we can get another pt in the bed before midnight and charge for the whole day.

Nope not in my hospital said all management.

I am still annoyed by this. I went to a nursing school where I practiced what we learned. I have seen many new BSN's come to work who didn't have enough skills to be near patients. After 2 years on the floor yes, but do you really need statistics? I loved being a floor nurse, but most of the BSN's leave acute care by 5 years, not all. Lots of education expenses to not have the heart. I am so glad I am not working now.

Specializes in Med Surg, ICU, Infection, Home Health, and LTC.

I have mixed feelings about the pros and cons on ADN vs BSN and which is the best for the patient...or the nurse for that matter. After 30 plus years of nursing I really do not think there can be an end point or equation that says A+B = best Pt outcome. There are too many variables. I have never seen any research study consider all the variables. Nurse to patient ratios are also a huge factor. Higher degrees give nurses more voice to stand up for the patient's needs or better working conditions. Degrees in any field encourages critical thinking skills. However there is also the variable of time and experience. It takes years to accomplish a BSN/Masters/PhD and the years of learning while working part-time or full-time also allow greater experience for the nurse. The experienced nurse is who I want at the bedside if I am ill, one with an inborn gut instinct and hiding a pair of big-kahunas in their britches if a doctor isn't figuring out what I need.

:yes:

Specializes in Behavioral Health.

I'm not sure bashing BSN prepared nurses is a helpful addition to this conversation. It seemed like we'd done a pretty good job of covering the "we're all nurses" angle, so trashing your colleagues who have BSNs seems counterproductive. But what do I know? :)

My LPN and ADN made me the nurse I am today. My BSN just have me more debt .

Dogen said:
I'm not sure bashing BSN prepared nurses is a helpful addition to this conversation. It seemed like we'd done a pretty good job of covering the "we're all nurses" angle, so trashing your colleagues who have BSNs seems counterproductive. But what do I know? ?

Agree.

As I've said, I think there is a difference between BSN out of the gate and the RN bridge after years of practice. I think it's redundant and I'm resentful that it will make me more marketable. Supposedly. I'm in NY and have not had a problem thus far.

I have no problem with BSN vs. ASN. It's the bridge that bothers me.

For those experienced nurses going back, unless you want to pursue higher education, my opinion is the bridge is a waste of time.

ETA: I'm currently in a bridge program, but I think I'm going to abandon it. :blink:

Specializes in Peds/outpatient FP,derm,allergy/private duty.
Dogen said:
I'm not sure bashing BSN prepared nurses is a helpful addition to this conversation. It seemed like we'd done a pretty good job of covering the "we're all nurses" angle, so trashing your colleagues who have BSNs seems counterproductive. But what do I know? ?

Agree 100%.

I would add, for myself and most likely the others, we're not bashing education itself.

Back in the misty epoch (before the early 80s I think), continuing education was just something professionals did, and while I get the reasoning behind the mandatory CEU laws, I remember keeping current/lifelong learning was deeply ingrained as part of the job and was a little offended that we would be required to submit proof.