Do you need all those degrees?

Nurses Professionalism

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Where I work, we have a trend of nurses obtaining multiple degrees after obtaining basic nursing training and their RN license. At a management meeting this issue came up about why nurses are going for all these degrees (MSN, MPH, MBA, MPA, MHA, DNP, JD, Dr.P.H. etc.). I have colleagues that have two or three graduate degrees. I frequently see these degreed nurses working in staff, charge or lower level non clinical work (case management/discharge planning). The degree(s) did not get them far from the bedside.

An attending physician made a point that being a manager or charge nurse does not require an MBA degree. Another doctor stated that his son works at a Fortune 100 company in a significant job with a bachelor level education.

The impression I got is that the attendees saw this degree mania in nursing as silly and wasteful. The word wasteful was used as the facility provides tuition reimbursement.

Another comment was made that these degrees are mostly online degrees or from low standard/open enrollment schools. There appears to be true to this statement.

A department head then said why can't nurses be happy to be a nurse. If they want to be managers or executive, move on so that nurses who want to nurse can be at the bedside. He then discussed a nurse colleague who has two management degrees who is a bedside nurse and a nursing supervisor who has four graduate degrees (she has a master's in nursing to be an adult health nurse practitioner, a master's in public health, a master's in business and a master's in community health). The sad part is that the 4 graduate degree nursing supervisor could not prepare a report detailing an major event that occurred when she was on duty (she asked me to rewrite what she had written so as to not be embarrassed by her poor language skills--English is her second language). About twenty years ago I worked with a nurse who went to school to get a master's degree in journalism. She wanted out of nursing and saw journalism as her ticket. Unfortunately, when she graduated she could not locate a job that paid. She did not investigate the need to pay her dues in the competitive field of journalism. End result, she ended up staying in nursing. The impression we had of her then was she was a nice lady who was misguided and did not investigate what awaits graduates of her program. I hope by now she had paid off her student loans.

Back to the discussion...I did not respond about this issue during the meeting as I myself have mixed feelings about getting degrees especially since I do not see the degree holder having benefited from the education. Writing skills are still poor, professional presentation and presence is lacking and analytic skills are weak. When I interact with my degreed colleagues, I think to myself, what has all this schooling taught you?

In my day, you entered nursing via a diploma or associated degree and learned your trade on the floor. A degree (BSN or MSN)was needed to be a nursing director or nursing professor. I really never understood why nurses undertook going for these degrees since they stayed in nursing anyway. I know a few nurses over the years who thought that an MBA/MPH would get them into corporate America/government position only to be heartbroken that the degree got them nowhere. Having an MBA in marketing or Finance really isn't applicable to nursing even at the highest levels. Adding to this is the fact that if you do not practice these fields or specialty areas, you are not competent but rather have a degree as a trophy.

As for the DNP, I understand the logic of wanting to be like pharmacy and physical therapy, but even with a clinical doctorate degree, they are still a pharmacist or a physical therapist. If it hasn't elevated these other professions, what makes us think it will elevate us? Where I work, the culture of not calling these degree holders "doctor" prevails.

Anyway, I wanted to hear what other nurses think about the degree proliferation in nursing. Do you think this is a good trend or is this just breeding more discontented nurses who will continue to dream about careers they will never have?

Specializes in med surg, nicu.

I think there are many causes for nurses getting master degrees.

The field itself promotes masters and the new DNP degree hard. It's like you are a traitor to nursing if you don't get one.

There is still the misconceptions that nurses are uneducated puppets of doctors: the masters is a tool of worth for some.

Magnet hospitals push staff to get it quickly.

Some are really burned out and believe the hype that a masters will give you the pay you deserve away from the bedside.

And lastly, self gratification.

Now why these nurses are collecting multiple masters I don't know. I knew several senior nurses that had MPH, MSN, and ME d's but worked the floors. They had sick relatives and needed the flexibly while working.

I am getting a MSN and possibly a MPH myself. However I am only getting a MPH after working in a new field. I am thinking of a career change, but put so much time and effort in the MSN, I will complete it. If I can get a job somewhere else and I like it then I'll do MPA. I personally looked on LinkedIn and searched for people with the job title I wanted. They had MBA's and MPA's but received them mid-career.

I think the mistakes nurses make is to get the degree before the job. How do you even know you will like what your new training will present to you. But our field is like that. You apply for a license after completing a diploma, ADN, or BSN. You can not be a NP without a MSN. So I guess your colleagues apply this logical to their master's collections.

Specializes in med surg, nicu.
I am in the "I miss the old days" camp. I think that we are getting away from what we are....nurses. Just plain old nurses. I liked it when I had a boss who got promoted because she was excellent at the bedside and proved she can lead by example yet still roll up her sleeves in a pinch to help out.

I am confused by new grads...in particular some of the BSN who feels bedside nursing tasks are beneath them...that they seek jobs with minimal patient contact and no poop. no one likes poop...but it is necessary evil. If I wanted ultimate responsibility I would have become a MD...I didn't want to be a MD....I wanted to be a nurse...a simple nurse. I think putting other down as inferior when that nurse passed the same test is detrimental to the profession as a whole. How is a nurse with a ADN degree with 30 years of practice inferior to a BSN with the same amount of years in practice.....it just isn't the case. How can any one say that one uses evidenced based practice and the other does not is not accurate...for everytime we do something according to policy/within standard we are using evidenced practice.

I remember once not long ago I was asked when was I getting my MSN/MBA...I said probably never. The interviewer was shocked....she asked why I had no ambition. It was my turn to be shocked.....I told her and her PhD in philosophy that I have a successful and satisfying career...I have had an amazing career that I have enjoyed very much that I wanted to stay near the bedside for that was where I belonged and that I didn't feel a masters would give me anything further but debt...I had 2 children soon to enter college and it was no longer about me. I have the necessary clinical expertise that was necessary to supervise the facility in off hours in a fiscally prudent and safe manner. I was more than clinically competent as a resource and that since I had been a previous director of critical care an emergency service for a facility that was larger...I have the administrative qualifications for the job.

I did get the job and I was good at it. My boss the MSN,Phd director could not tell the difference between a port, a PICC line or a multilumen and made the comment ...well they are all the same right? Well, no they aren't/ However she could quote the latest evidence based practice except she couldn't practice her way to flush a heploc.

I think it's hurting what nurses are.

When I worked on a med surg floor a nursing school classmate was pulled from the ICU. He told everyone what he wouldn't do, what assignments he wouldn't take ect. We were shocked but the charge nurse accommodated him. I even heard him say he is a nurse he doesn't clean up poop. He wasn't like that is school.

When I graduated in "05 they were giving nursing jobs away like candy during the shortage. I saw too many people who were there for the income and not the patients. I was the one tired and coming home late because I helped my patients and your patients and everyone's patients but no one would help me.

In my young carrer of 9 years I have chronically burnt out. I've tried different instuitions, and floors and I just don't know this is for me. The think is I'm good at it I'm a patient advocate, a charge nurse, advise physicians, care for my patients well, educate families. But no matter how much time off I sigh at the though of working.

Your right I see so many uneducated, inexperience people making six figures, having regular hours, delegating all their responsibilities working out of the bedside and making decisions that effect me. I just want to grind my teeth. We have a clinical manger of the woman's and children's building and none of us know what she does all day. She's been their for a couple years now. They give her a job to do when we are busy. Can you call and ask staff can they do overtime? Can you hand out papers during the inservice? She only has those duties because she walks around asking if she can help. She purposely eats lunch with staff so we know her face. But she has a masters... and less clinical experience them me. She is a second career nurse.

Sigh

I am an RN with 3 years experience and I know I need experience to be the best nurse I can be. I also feel that obtaining my BSN-MSN will help me provide the best care for my patients. I am going to obtain my MSN for myself and my patients. I will not be proud and think just because I went to extra school that I know more than the nurse with 20 years experience but right now I don't have 20 years of experience so school is one way to help me be the best nurse possible. I have met many LPN/LVN who had far better skills and expertise than a BSN prepared RN. I don't think BSN, MSN makes you but your attitude toward nursing and willingness to learn.

Specializes in Thoracic Cardiovasc ICU Med-Surg.

It cracks me up when I hear these anecdotes about the ICU nurses who won't clean up poop. Sorry, find that really hard to believe. When you have tubed and vented patients on 75ml of promote an hour, well....Those folks are NOT having solid stools, LOL.

Anyway, to get back on topic--I have been an RN 13 years, 12.5 of which were spent as an ADN. The process of obtaining my BSN helped me become a better nurse. How? Well I know how to research stuff now, and I can put together a WICKED powerpoint! I've done a ton of presentations and group work. One of my poster projects is hanging on the wall of my unit, and I am thinking of submitting to NTI next year. I was happy as an ADN, but wanted to make sure I was not left behind as the trends are clearly pointing toward making the BSN entry level.

Specializes in retired LTC.

This is an older thread that has been re-upped. But I just wanted to add some thoughts. No use arguing about the BSN - it's a done deal necessity. Graduate education is the prerequisite for advanced practice. And the jury is still out for the DNP; I think of it as a 'designer' degree and I'm unsure.

But as a tangent to this thread, I'm astounded by all the initials after some nurses' names. I receive a nsg publication that has an "achievement" or "recognition' page. I find the page interesting reading but something I've seen more and more that just blows my mind is all the initials (degrees & certifications) some nurses have attained. One particular nurse has THIRTEEN degrees and certifications behind her name. She has more letters behind her name than what's IN her name!! I just wonder what her ID badge contains - I'd think she would need 2 badges. :roflmao:

Now I believe that the woman is highly intelligent, well-educated and an expert in her field. And I DO admire her for her educational endeavors. But I find it so over-the-top when I read it in such an article. I've tried signing BSN behind my name when I did my charting. But it looked so 'pretentious' like I was bragging! And I have heard that comment from some nurses when others have written their degrees. And that 'alphabet soup' really is what is does look like to me. Sorry!

If one works to achieve a Master's and esp a Doctorate (and they are achievements), then by all means you have the right to sign it. But this woman had multiple Master's listed with a Doctorate. She just looked so 'top heavy' with all those initials!

Specializes in Nurse Scientist-Research.
. . . I've seen more and more that just blows my mind is all the initials (degrees & certifications) some nurses have attained.

If one works to achieve a Master's and esp a Doctorate (and they are achievements), then by all means you have the right to sign it. But this woman had multiple Master's listed with a Doctorate. She just looked so 'top heavy' with all those initials!

I hear you! But I have to admit I did get some scrub jackets cluttered up with my initials, My name is still longer than those.

I recently went to a nurses' week talk by one of our local Nurse Researchers. Her name was listed as:

Mary Doe, RN, PhD.

And she commented on it. Said she has multiple initials, from degrees and certifications in several specialties; but that after she got her PhD she felt like RN PhD is quite enough. I liked her thinking.

Specializes in retired LTC.

I agree re her name and credentials. Down to earth woman, she. I respect that.

Specializes in Nurse Scientist-Research.
I agree re her name and credentials. Down to earth woman, she. I respect that.

She's my current idol, I want to be her when I "grow up".

Specializes in School Nursing.

I think it's none of your concern how many degrees another person has. If they want to learn and earn, that is their business. I can't for the life of me understand why people need $300 purses, flat screen TVs in ever room, and $80,000 SUVs in the drive way.. but it's their money and their life, so who am I to judge?

Some people like going on vacations and spending money on expensive gadgets. Other people like to learn and spend their money taking classes to further that interest. End of story.

Specializes in geriatrics.

It's a matter of preference. Depending what your career goals are and how long you intend to practice, then maybe you will need all those degrees.

Years of experience is only one component in the job market. Many employers are requiring BSN or Masters simply because they can.

I think this debate is similar to the one in the uk. There is alot of concern about nursing graduates when they get on the wards. There is concern about communication skills clinical competence and drug calculations etc. That is why the nursing profession in the uk became degree level because of these concerns. I always thought nursing in the USA was high calibre and that being educated to degree level would natrually move you away from the bedside to management anyway

Nursing has become a more evidenced based profession. Patients are becoming more educated about health and disease, therefore Nurses need to be more educated. Gone are the days when nursing was task orientated. It seems the old school nurses prefer that nursing was still task orientated. Nursing today gives more scope intellect and challenge it should be embraced

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