nurseguy22

bureau of labor statistics Registered nurses held about 2.8 million jobs in 2014. The largest employers of registered nurses were as follows: Hospitals; state, local, and private 61% Nursing and residential care facilities 7 Offices of physicians 7 Home healthcare services 6 Government 6 And even so the knowledge in the BSN program is not applicable to daily work flow. Are you gonna walk into a pt's room and do a peek assessment? Are you going to sit down with them and explore their family's ability to communicate effectively? No, that is not your job, nor is it what the patient is there for. They are relying on you to be competent in medications, VS, symptoms, interventions, and cares. They want their loved one to get home safely. they are not there for you to break down their family dynamics like they teach in a BSN program. That being said you DO need to be aware of the social dynamics especially to identify abuse neglect ect. But we aren't going to be doing CFIM assessments for an 2 hours and exploring each family members home life. Its silly how we try so hard to make these things relevant and they just aren't. They have a niche. A time and place. They belong in a masters of public health program. pls excuse my bad grammar. Im not really proof reading here.

But my point is that the "knowledge resource" part is no good if they aren't giving me the knowledge I need on a daily basis.

EKG's are done on my floor all the time. Would be nice to be able to read them a bit better than my limited knowledge. Obviously I can read overt rhythms in lead 2. But why not teach the other leads and rhythms or how to measure intervals? I see it everyday and have to wait for someone more qualified to look at them for me. It would be great to get that with my BSN. I need it. It's important.

No i think a lot of you missed my points. Maybe I wasnt clear. 1. i want to learn things I know I will use and will advance my practice. I want to be more competent. For example a co-0worker and I were looking over a patient's chart the other day. My co-worker who is an MSN knew so much more than me about the labs and tests. I want that knowledge. 2. I am required to get my BSN to keep my job. 3. I expect a BSN program to be advanced nursing. Not the exact same social concepts covered in my ASN. 4. Not many nurses work in public health or research. Why are we focusing so hard on preparing nurses for research when almost none of us work in that area? I mean sure we need to use EBP. But we don't need to be trained to the extent, or in the fashion the BSN trains us. 5. No language. We need languages. We deal with all sorts of people. Why doiesn't nursing curriculum have language? Seriously we spend all this time on a skill like APA formatting or in home family dynamics which we will rarely use or see, but no language. No advanced lab values study, etc. 6. After a year of working I think another pharm class wouldn't be terrible. Combine it with the lab values class or something, or like advanced assessments. Heck even a class on medical equipment would be great. I run into stuff all the time I'm not quite sure about, but am responsible for. 7. Why doesn't BSN have useful things like certifications? Like med surg or ACLS? 8.Honestly the skills in most BSN programs dont apply to most positions nurses fill. Nurses who actually do home visits or work in demographics or research are relatively rare. Why don't we focus on what most nurses do and need to know? 9. Not everyone gets a terminal degree like me. The number one thing new nurses need is how manage time and be efficient. Why don't we work on that? 10.I really think there is an enormous diufference between what I actually do day to day, and what BSN programs teach. If you want to go in public health save it for a masters specialty. Most of us never will.

I am a nurse at a major hospital where I have worked over a year after gaining my ASN. I have returned to get my BSN. What I'm not understanding is why there is such an ENORMOUS disconnect between what I do at work and the class work I need to do. It doesn'y apply at all. I have to take family care classes and informatics with very little practical application. I have to memorize all the rules of APA. My patients don't care if I can wrote a wonderful APA formatted paper. They just don't. It's like there is no appreciation in BSN education for what nursing is really about. At no time will I EVER do a CFIM on my patient or a PEEK readiness assessment. Get real. Where is the disconnect? Everyone I talk to say's the same thing about their BSN program, that it is completely useless. Who decided that nurses needed extensive training in social work and paper formatting?!?! I don't deal with social work. I have a team of social workers for that. At no time will I ever be in a patients home trying to improve the communication between family members ect. There are family counselors ect for that. It isn't my job! Yet here I am getting trained in areas I have no interest in, and will never ever use in my career. And for what? So I can say I have 3 letters behind my name and the school and hospital can make more money? Its a joke. I'm learning nothing of value. I would drop out and find a new school, but everyone I talk to has the same opinion about where ever they went. Basically healthcare has become obsessed with accolades, but forgot that those accolades were supposed to represent a level of expertise. Why is there such an enormous disconnect between real life nursing and nursing education??!?!?