The Benefits of a BSN Education
Laura Murrell
Central Methodist University
The Benefits of a Bachelors of Science in Nursing Education
Sitting with my colleagues for lunch in the cafeteria, talking about nursing as a career in general. “Where do you think you will be in 10 years?” Amanda asked me. “Lord, I don’t know, probably right here doing the same thing I’m doing now. Might have my bachelors by then though,” I replied. Then it hit me, I am 42 years old and only have a 2 year degree. Amanda then said, “Well I’m going to have to get mine too. These young nurses are coming out of two year programs and then going right back to school. They will be making more money than us and be our boss in the next 10 years if we don’t do something.”
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Many nurses, like me, do not want to be caught at 6o years old, and have no way out of working 12-hour shifts on the floor. Those nurses will want to have the higher level of education that will allow them the ability to job search when the aging process begins so they can move to a less physically taxing position and have a behind the scenes nursing related job. These jobs will allow the nurse to still feel as if he/she is impacting patient care, but on a different level. By being behind the scenes one frequently gets involved with the process improvement, patient safety, etc. and the nurse is still very much involved with the care the patients are receiving by being part of the solutions, (i.e. inceptions of new & updated policies and evidenced based protocols & procedural changes).
Associate Degree Nurses (AND) return to school for a multitude of reasons; many are personal. Frequently the reasons are one of the following: to become leaders in the field, for advancement of their career, or move up the educational level, and receive a master’s or doctorate. The opportunity to network with other nurses is often an overlooked, but important reason to go back to school. RNs with BSN degrees that are still at the bedside can guide new graduate ADN nurses to provide holistic care to patients that have been proven to also have positive impact on outcomes.
The idea of better outcomes with hospitals
There is much debate on whether there is a benefit to obtaining a Baccalaureate in Nursing. Since it is only my second week in the RN to BSN program, I don’t have a lot to base my opinion on. This paper will summarize the differences between Associates a Baccalaureate Degree in Nursing based on what I’ve been told, research I have done, and my own experiences.
Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and
Through my research for this paper I have found that RNs who have an associate degree or diploma are more likely to make errors during clinical practice. Nurses who hold Bachelor of Science in Nursing (BSN) degrees have a stronger foundation in which to build better communication, leadership, critical thinking and problem solving skills. The high demands placed on today's nurses really challenge all of these skills on a daily basis. Nurses with Bachelor of Science in Nursing degrees have a better understanding of the importance to be proficient in these skills. In a study of RN-to-BSN degree graduates from 1995 to
The BSN curriculum fosters the development of these skills. The nurse obtains knowledge regarding public health and community issues. Additionally, the nurse develops skills in nursing administration and research in order to provide optimum health care for the patient and organization, thus carrying out expert assessment and evaluation (Forster, 2008).
According to Creasia (2010), “The first baccalaureate nursing program was established in the United States at the University of Minnesota in 1909” and many programs were 5 years long (p. 4). Today, the BSN program is a 4-year college degree offered at universities, private schools and community colleges throughout our nation. The BSN degree graduate has many advantages over an ADN degree graduate and these might include: career paths that are only open to nurses with a BSN degree including administrative positions and minimum requirement for advanced practice nursing (APN). Furthermore, the BSN graduates get extensive training in components that might include: quality and patient safety, evidence-based practice, information management, clinical prevention/population health, and professional values, all of which are essential as nursing care becomes more complex (Creasia, 2010, p. 4). One of the biggest disadvantages of having a BSN degree is that the legal scope of practice is undifferentiated due to being awarded the same license as an ADN graduate “hindering the reward system for leadership responsibilities” (Creasia, 2010, p. 16).
Deciding to go back to school is one of the best decisions I have ever made; however, with four children and full time employment, I initially wondered how I was going to accomplish it. It has not been easy, but I have enjoyed the ride. What I have learnt doing the RN-BSN program has enabled me to be a better nurse than I was (though I have always considered myself excellent in assessing, diagnosing, intervening and evaluating my patients). I am ready and excited for the next stage in my career, being an Advanced Practice Nurse.
The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must
The implications for BSN-prepared nurses in addition to those of RNs with an associate degree
“Programs provide a solid liberal education and substantive upper division nursing major. Both components are combined in ways that prepare a nurse generalist who is able to provide professional nursing services in beginning leadership positions in a variety of settings” (Friberg, 2011, p. 87-88). Obtaining a BSN can open up more job opportunities for a person and in most cases makes you more desirable to employers. Many nurses get burnt out from being floor nurses so if you have your BSN you have the option to move into management or many other areas like insurance companies, pharmaceutical companies, research jobs or even a clinical instructor. “Research shows they use evidence based practice for better patient outcomes.” (Moore, n.d.) “ As also stated in the same article “numerous research studies have demonstrated that the ADN and BSN nurses are not different in skill competency when they graduate, but within a year, the BSN nurses show greater critical thinking skills better problem solving, and the development of clinical judgment; three skills of increasing importance for the increase in acuity of patients in hospitals and other health care settings.” (Moore, n.d.)
Education increases both clinical competency and quality care. Associate degree in Nursing can be completed in three years. It was initially started to fill the shortage of nurses. BSN degree is four year nursing education and it helps the nurses to be well- rounded academically. ADN versus BSN have been in discussion for some time now. According to “HRSA’s 2013 report, titled The U.S. Nursing Workforce, found that 55% of the RN workforce held BSN or higher degree. In a separate study conducted by National Council of State Boards of Nursing found that 61% of RN workforce in U.S. was BSN or Higher degree”
In addition to the content taught in ADN programs, the humanistic BSN education encompasses more of the physical and social sciences (Impact of Education, 2011). The BSN nurse is better prepared to work more independently, therefore is well qualified to practice in healthcare systems outside of the hospital. Bachelor programs “prepare professional nurse generalists for acute care settings, community-based practice, and beginning leadership /management positions” (Creasia & Friberg, 2011, p. 32). This course of study is crucial to the delivery of good, safe, quality patient care. There have been several research studies completed to see if there is a correlation between higher RN education level and better patient outcomes. Several studies concluded there is decrease in mortality rates within hospitals that employee a greater percentage of bachelor prepared nurses (Creating a More, 2011).
(Friberg 26) When ADN programs were started they were only meant to be short term. If a nurse had ADN they were team up with and BSN nurse. In the past the ADN degree was used for nursing shortage, they need nurses. Not to say that having an ADN is a not expectable. As the federal, state and many hospitals combine together the percentage and numbers of how the nurse caring for patient should have a higher education. I have an Associate degree. I have been a floor nurse for about five year. Our hospital became Magnet in 2011, with this award we have to have certain percentage of bachelors’ nurses by next designation. This is not why I am getting my bachelors to be a percentage but to have more windows of opportunities in having my BSN. I am planning on continuing on to get my Masters.
Rachel Gotbaum did an interview on nursing shortage in 2007. There were multiple interviews with health care professionals through her interviews she found that “In the next decade 80 million people will retire. She has stated that since health care changes constantly that nurses need to continue their education no matter how old or how many years they have been in the medical field. When medicine is involved you should always be up-to-date on the latest technology and diagnosis. Nurses may become suddenly ill or injured were they are no longer able to give care anymore. You can never plan if an
While Magnet Status hospitals have a goal of 80 percent of the nursing staff obtaining a Bachelor of Science in Nursing or higher by 2020 is a rational reason to return to school. However, I chose to pursue by BSN for personal reasons and rather than being mandated by my employer as I am Grandfather and do not need to complete a BSN to keep my current position. I do agree that evidence-based practice shows that BSN nurses decrease infection rates, improve hospital length of stay, and have improved outcome rates. BSN nurses seem to have superior communication and problem-solving skills.
By 2010, unless many more young people become nurses, about 40 percent of the nursing work force will be over age 50, according to the General Accounting Office (“Nursing Workforce”, 2001).