I was curious what everyone thinks about the debate over the law being proposed in New York which seeks to require all registered professional nurses to attain a baccalaureate degree in nursing within ten years of their initial licensure?
The New York bill A01977 wouldn't apply to registered professional nurses who are already licensed in the state of New York. Also those currently in school to become registered professional nurses in the state of New York would also be grandfathered in and exempt from the new legislation.
I have looked into research regarding this topic and the research I have seen seems to support the fact that nurses educated at the baccalaureate degree have lower mortality rates for patients. One study indicates that increasing nurse's educational level decreases the risk of patient death and failure to rescue by four percent (Aiken et al., 2008). Also hospitals with a higher proportion of baccalaureate-prepared nurses have a lower mortality rate (Friese et al., 2008). In fact the Institute of Medicine has issued a call for 80% of registered nurses to possess a baccalaureate degree or higher by 2020 (Institute of Medicine, 2011). Other research I found supports the fact that BSN nurses are associated with lower mortality rates. I have included this research below:
Estabrooks, C. A., Midodzi, W. K., Cummings, G. G., Ricker, K. L., & Giovannetti, P. (2005). The impact of hospital nursing characteristics on 30-day mortality. Nursing Research, 54(2), 74-84.
Tourangeau, A. E., Doran, D. M., Hall, L. M., Pallas, L. O. B., Pringle, D., Tu, K. V., et al. (2006). Impact of hospital nursing care on 30-day mortality for acute medical patients. Journal of Advanced Nursing, 57(1), 32-44.
To be fair I tried locating research that would cast doubt on the research above or that would come to a different conclusion. I was however unsuccessful in locating any such research. If anyone has any additional research that would repudiate the fact that nurses prepared at the bachelor's level seem to have a lower rate of mortality for their patients could you please post it? I would love to see such a study and would be very interested in reading it.
References
Aiken, L.H., Clarke, S.P., Sloane, D.M., Lake, E.T. & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration, 38(5), 223-229.
Friese, C.R, Lake, E.T., Aiken, L.H., Silber, J.H. & Sochalski, J. (2008). Hospital nurse practice environments and outcomes for surgical oncology patients. Health Services Research, 43(4), 1145-1163.
Institute of Medicine. (2011). The Future of Nursing: Leading Change,Advancing Health. Washington, DC: The National Academies Press.
