The healthcare field is continually evolving, and nurses are at the forefront of these changes. For nurses to be able to keep up with the changes and progression that is occurring, nursing education must continue to grow. Once a nurse receives their license to practice, the education does not and cannot stop. Nurse must keep up on their education and stay informed on the advances that are occurring within healthcare to be equipped with knowledge and skills that are required to provide safe-quality patient care. Nursing leadership is another subject that goes hand in hand with nursing education as it allows nurses to make changes to the care that is provided. “With accelerating advances in health information and technology, physicians, nurses, and other health professionals must maintain and improve their knowledge and skills throughout their careers in order to provide safe, effective, and high quality healthcare for their patients” (Hager, Russell, and Fletcher, 2008, p. 13). Although there is a great emphasis on the need for continuing education within the healthcare workforce, there are several issues that stand in the way. Rather than focusing on competence and performance, most education is based on hours of attendance. Most continuing education lacks in promoting collaboration and feedback from colleagues and patients (Hager et al., 2008). To educate the future workforce in the most successful way possible and better prepare nurses for lifelong learning, interpersonal education is a great solution. It involves integrating education into everyday practice in the clinical setting, providing the most up to date evidence based practice that is available, and supporting collaboration amongst healthcare providers in all areas of the workforce (Hager et al., 2008). The care being provided to patients is becoming more complex and nurses must remain competent to provide such complicated care. A great amount of emphasis within recent years has been placed on encouraging nurses that are entering the workforce to have received a baccalaureate degree. The reason for encouraging more nurses to enter the workforce with a baccalaureate degree is to provide a more “uniform foundation” (Institute of Medicine, 2011, p.
They determined that patients needing surgery have a "substantial survival advantage" (Aiken, Clark, Cheung, Sloan, & Silber, 2003) if treated in hospitals with higher ratios of nurses educated at the baccalaureate degree level. They too determined through this research that the more nurses holding BSN degrees help decrease the risk of patients dying and the ability to determine the patient is in distress. This research provides the evidence that nurses with a BSN degree have a better comprehension in their ability to formulate nursing diagnoses and evaluate nursing interventions. (Giger & Davidhizar, 1990) BSN degree nurses also demonstrate improved professional integration and research/evaluation skills. (The Future of Nursing:Leading Change, Advancing Health, 2012)
An ongoing debate for the requirements to become a Registered Nurse (RN) has been unsettled. Several different educational pathways lead to an RN licensure; however, the minimum educational requirements must be standardized at the baccalaureate level for several reasons. Spetz and Bates (2013) published that a growing number of hospitals prefer hiring nurses with a Bachelor Science in Nursing (BSN) as this increases the status of the nursing profession (p. 1). Associate Degree in Nursing (ADN), as well as a certificate on-the-job training Diploma are two other educational pathways to become an RN, which can be disadvantageous to the nursing profession in several ways (Tollick 2013; Spetz and Bates 2013). If entry-level nurses
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).
In today’s healthcare system, nursing is a challenging field as a result of rapid technological advances and changes in healthcare policies. As a dedicated nursing professional, with a great passion for learning, I strive to stay on top of these changes. I am determined to increase my knowledge to be an instrumental part of providing quality healthcare. The demands of nursing are high; however the rewards are even higher. Nursing requires both a supreme understanding of the science of health, and a caring bedside manner befitting only those who seek a position of such a personal involvement in the well-being of a patient. Academically, I will put forth all of
The Baccalaureate Essentials are educational tools that are utilized to prepare the graduating Baccalaureate Generalist nurse to practice at the professional level delivering safe, top-quality, competent care to an ever-changing diverse patient population. “Baccalaureate-prepared nurses provide patient-centered care that identifies, respects, and addresses patients’ differences, values, preferences, and expressed needs” (AACN, 2008). The Essentials expand on previous learned skills and knowledge of sciences and humanities to promote enhanced communication, critical thinking/reasoning and encourage the continuation of life-long learning.
There are numerous studies depicting the correlation between the four-year degree nursing education and improved patient outcomes. In the August 2008 edition of Health Services Research, Dr. Christopher Friese and associates identified a link between patient outcomes and nursing education level. They determined that moving to a nursing practice environment with a higher proportion of baccalaureate prepared nurses led to a significant decrease in the mortality of hospitalized cancer patients who underwent surgery. In addition to lowered mortality rates, patients also experienced lower failure to rescue rates. In a separate study published by the Journal of Advanced Nursing, researchers at the University of Toronto resolved that facilities with a greater number of BSN prepared nurses had lower 30-day mortality rates. For every 1,000 patients discharged, a 10% increase in the number of baccalaureate degree nurses resulted in 9 fewer deaths (Rosster,
Furthermore according to American Association of College of Nursing, “the baccalaureate degree is designed to prepare nurses for work within the growing and changing health care environment. With nurses taking more active role in the health care, they are expected to develop critical thinking and communication skills in addition to receiving training in clinics and hospital”(American Association of College of Nursing) .
Bachelor degree nursing programs are highly regarded for the skilled, clinical thinking, and professionalism of nurses they provide for the community. Obtaining a baccalaureate in nursing provides the same skills and knowledge encompassed in most associate’s programs, while allowing a broadened look into research, public health, management, and humanities (AACN IENP, 2012). Many facilities are now providing incentives for nursing staff to continue their education; from tuition reimbursement, an increase in pay, and played time off for the sole purpose of education. Research has proven that with a more educated
The basic nursing function is only the beginning. The need to monitor complex pumps, deal with advanced electronic charting, a challenging health care environment and face an increasing number of colleagues with bachelor degrees, all point to the need for BSN. Studies also found that nurses prepared at the baccalaureate level have stronger communication and problem solving skills (JOHNSON, 1988) and a higher proficiency in their ability to make nursing diagnoses and evaluate nursing interventions. (Giger & Davidhizar, 1990) Hospitals are increasingly looking to improve outcomes for their patients whether for a routine checkup or surgical stay. BSN’s because of the increased training are able to provide the best outcome
The Institute of Medicine (IOM) noted that nursing is the largest profession in healthcare in the United States, with more than three million members (2010). Thee IOM also noted that there are many barriers that prevent nurses from adapting to the ever-changing healthcare setting and system, and that these berries need to be addressed in order for nurses to advance health and lead in the change that is happening within the healthcare system (IOM, 2010). The four barriers the IOM focused on were: nurses should practice to the full extent of their education and training; nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression; nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States; and effective workforce planning and policy making require better data collection and an improved information
Nursing career is one of the few fastest growing fields in the health care industry not only in the United States but also in the world. Nurse practice has drastically changed in the last decade and as a result the need for changes in nursing practice is becoming more and more important. The Institute of Medicine report discusses so many aspects in nursing but this paper requires detailing the impacts on Nursing Practice (Transforming Practice), Nursing Education (Transforming Education), and the Nurse’s role as a Leader (Transforming Leadership). These three key aspects are discussed in the following pages.
Finally the Baccalaureate Curriculum Model shows a competency difference in the level of nursing education. Patient safety and quality of care are improved with the level of nursing education. “Because nurses make decisions that affect clients’ lives, nurses need intellectual capability to master scientific concepts, understand the impact of self on others, use this information in clinical practice and understand potential consequences” (American Association of Colleges of Nursing [AACN], 2007). In other words the baccalaureate level nurses have a broader body of knowledge than the associate degree nurse. While the ADN nurse goes to school to focus on just skills the BSN nurse goes to school and focuses on many different competencies. “The
This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to
Attaining a high level of education will improve the healthcare system only if nurses are fully utilizing their knowledge and abilities. Many times nurses face challenges in exercising their abilities and knowledge due to institutional policies or government regulations,
My philosophy of nursing education grows out of my philosophy of nursing. Much has been said related to healthcare reform, healthcare globalization, and healthcare delivery. A resounding theme in all of these discussions is the need for nurses to take a position of leadership in the healthcare industry (Institute of Medicine, 2010). I believe nurses, as leaders, are uniquely qualified to bridge the gap between the healthcare industry and a rapidly changing global environment. Nurses are educationally in tune to the proposed changes that are being made, yet sensitive enough to address the needs of individuals affected by these changes. In a global community, nurses advocate for the individual.