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The Baccalaureate Degree in Nursing As an Entry-Level Requirement for Professional Nursing Practice
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The pathway to become a registered nurse starts with training and education, as most other professions. Historically and currently, there is much controversy among national nursing boards, organizations, associations, and educators on what the minimal level of education should be for entry level practice including to sit for the National Council Licensure Examination for Registered Nurses, commonly known as the NCLEX. The American Nurses Association has long supported a bachelor’s degree for entry-level nursing practice, despite the current minimum education requirement of an associate’s degree in nursing for a candidate to sit for the NCLEX. (Blaney 1986) With today’s growing demand for nurses, a bachelor’s degree in nursing science or nursing should be the new standard of education. Professionals in health care need to be prepared to grow and adapt to the current needs of society and to produce quality workers and professionals who are competent. Nursing is no exception and will continue to be a popular career choice. As a result, nursing must be able to change and adapt with technological changes, new laws, and the demands of society. (Jacobs, Bishop 1998) There is much debate about why a baccalaureate program should be the standard level of education, not an associate’s degree in nursing. A registered nurse that holds a bachelor’s degree will be well prepared to think critically to solve problems quickly, to provide successful implementation with patient care plans, and to interact with a vast and diverse group of patients, families and other healthcare professionals.
Popular routes to enter into the nursing field are either associate degrees or bachelor degrees, but an individual must consider several factors in choos...
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...education levels would positively impact the nursing profession and the United States’ overall healthcare system.
References
Blaney, David R. (May 1986). An Historical Review of Positions in Baccalurate Education in Nursing as Basic Preparation for Professional Nursing Practice 1960-1984. Journal of Nursing Education, 25 (5), 182 – 185.
Hess, Joanne D. (1996). Education for Entry Into Practice: An Ethical Perspective. Journal of Professional Nursing, 12(5), 289 – 296.
Jacobs, Linda A., DiMattio, Mary Jane K., Bishop, Tammi L, and Fields, Sheldon D.. (July-August 1998). The Baccalaureate Degree in Nursing As An Entry-Level Requirement for Professional Nursing Practice Journal of Professional Nursing, 14(4), 225-233.
Taylor, David L. (March 2008). Should the Entry Into Nursing Practice Be the Baccalaureate Degree? AORN Journal, 87(3), 611-620.
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
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 determine which educational path to pursue, Bachelor of Science in Nursing (BSN) or Associate Degree in nursing (ADN). Most will initially be educated at the associate degree level, even though the American Organization of Nursing Executives (AONE) has recommended a baccalaureate level as a minimal for entry-level nurses. With the expanding number of RN to BSN programs available there is always the option to further one’s education at a later date. The benefits for acquiring a BSN over an ADN include a better knowledge for evidence-based practice, an increased advantage for promotion, and the necessary gateway for higher education.
Taylor, D. (2008). Should the entry into nursing practice be the baccalaureate degree?. AORN Journal, 87(3), 611-620. doi: 10.1016/j.aorn.2007.07.006
Taylor, D. L. (2008). Should the Entry Into Nursing Practice be the Baccalaureate Degree? AORN Journal, 87(3), 611-619.
Implementing care plans within legal, ethical, and regulatory parameters is a competency that all registered nurses but abide by. As stated before as a baccalaureate nurse you must include not only patients and their families but also the community and population (The Texas Board of Nursing, 2011). Following the nursing process the next competency include evaluate the results of the implementations that have occurred. Once again the biggest difference between the two degree plans is baccalaureate nurses will also include the community and population as well as the patient and their family (The Texas Board of Nursing, 2011). Education is a vital piece of nursing and must be completed at every possible opportunity. Educated patients and their families on promoting health and marinating health is a very important concept. Expanding this education to the community and population is a vital step in helping reduce risk for our patients (The Texas Board of Nursing, 2011). The last competency is the nurse’s role in coordinating human information and material management resources for patients and their families as well as the expansion to include communities and populations as ones transition to a baccalaureate nurse (The Texas Board of Nursing, 2011).
Kearney, N.R. (2012). Advancing your career: Concepts of professional nursing (5th ed.). Philadelphia, PA: FA Davis
There has been great debate in the nursing community for years regarding what should be the educational requirements for a practicing nurse. There are currently many options for men and women to enter the field through LPN, ADN, and BSN programs. More recently, programs have been popping up allowing accelerated BSN obtainment through second degree programs. The debate stems from the conflicting ideas of whether nursing as a whole is a trade, requiring an associate’s degree, or should be considered a profession, often requiring a Baccalaureate degree. In this paper this author will use past nursing history, current medical demands and advancements, and clinical patient outcomes to argue that the minimum education for a nurse should be a Baccalaureate degree.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Black, B. P., & Chitty, K. K. (2014). Professional nursing: Concepts & challenges(7th ed.). St. Louis, Missouri: Saunders.
There is only so much an individual can learn from a textbook or classroom setting when it comes to nursing. Although clinical practicums are mandatory with any nursing program one can only retain so much in such a short timeframe. Student nurses mostly focus on completing their care plans and any other mandatory assignment related to their clinical experience. With that being said new graduates become novice nurses on the level of clinical practice. Patricia Benner discussed the education and experience levels of nurses by utilizing five significant stages. These stages include novice, advance beginner, competent, proficient, and expert. The ultimate goal for all nurses should
My courses and experience has empowered, and has reinforced my determination to pursue a career as a nurse. I am eager and excited about starting nursing school, and having my dream which started as a young girl to come full circle. I am convinced I am a good candidate because I have the innate drive to complete the program. I am willing to learn and use those skills and knowledge acquired to provide something meaningful to the society and humanity. I have the personal determination to face the challenges and rigors of nursing school. With hard work, perseverance, and determination I believe I have the essential character to be successful as a nursing student and an excellent quality nurse in the near future. A degree in nursing paves ways for other degrees to emerge especially for those interested in furthering their education in health care. I am committed to continue to pursed advanced degree in nursing ultimately becoming a nurse practitioner. . In the next five to ten years from now, I want to write articles and books about nursing and healthcare related. Therefore, I believe that if I improve myself further positively, I will grow from strength to strength and one day my paper will be read in one of the prestigious newsletters, journals, and textbooks. I know the sky is my starting
.... Professional nursing: Concepts and challenges (6th ed.). Philadelphia, PA: Elsevier Science Health Science div.
Nursing has always been a key career in the health care system. Although it is not often focused on media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many would mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians, support staff.
The BSN program helps the nurses in many ways including utilizing the process to the full scale and it will encourage nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program will also aid in filling the gap from the influx of patients. The baccalaureate degrees and BSN program helps prepare students for the significant part they are going to play in reinforcing the new healthcare reform. At present, I utilize and develop nursing care plans in the nursing process, even though it needs some corrections due to the nature of my work. The highest standards of nursing can only be achieved through better research and advanced training.
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,