...in Nursing Nikole J. Martel, RN Grand Canyon University: Nursing History, Theories, and Conceptual Model NRS-430V 3 May 2015 Introduction Nursing education has been at the center of debate for many years. Differences between Associate degree nurses and Baccalaureate degree nurses are at the center of the educational debate. While studies have shown that an increase in Baccalaureate educated nurses decreases patient deaths, rates of readmission, and improves overall patient outcomes, many nurses still opt for the Associates degree path first. This paper will examine the differences between nurses prepared at the Associate degree level vs. nurses prepared at the Baccalaureate degree level. Associate Degree Nurse The Associate degree nurse (ADN) is a nurse who has gone to school for two years. Many types of schools offer these programs, including community colleges and trade schools. After completion of the program, graduates are prepared to take the National Council Licensure Examination or NCLEX which if passed, allows the student to practice as a Registered Nurse. These programs increase the amount of nurses coming into the field of nursing. Many nurses chose this route due to being able to graduate in less time and incur less costs to receive their education. In 1958 Dr. Mildred Montag, a leader in nursing education sought to reduce the shortage of nurses by creating a two year program at the community college level. By moving nursing education...
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...The Call For More Nursing Education JANUARY 3, 2013 - ELIZABETH TANNEN The nursing workforce needs more education. That's one of the main statements from a recent report by the Institute of Medicine, and the field of nursing is taking it seriously. Called The Future of Nursing, the IOM committee—led by former Health and Human Services Secretary Donna Shalala—made several specific policy recommendations: among them, a call for an eighty percent increase in the number of nurses with a baccalaureate degree by 2020, and double the number of doctorates.1 But with doctorate programs taking up to six years to complete, many nurses who wish to advance in their careers are opting for an intermediate option: an MSN, or Masters of Science in Nursing. One reason in particular: the emergence of numerous "bridge" programs that allow you to use credits from your associate degree toward getting an MSN. According to the AACN (American Association of Colleges of Nursing), there are now 168 RN to MSN programs nationwide—a more than fifty percent increase since fifteen years ago.2 And many more are in the planning stages. And, more and more of them—like Aspen—are online, allowing nurses to work through their degrees and fit studying into their individualized schedules. The recommendation to get a BSN, from a policy perspective, is rather straight-forward: research has shown that baccalaureate degrees translate to better patient outcomes. But the reasons to get an MSN aren't, necessarily...
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...Running head: Education and Nursing Education and Nursing Grand Canyon University December 26, 2011 Education and Nursing Many nurses have asked themselves the question “Why?” Why should I go back to school to get my baccalaureate degree when I’ve been doing fine with an associate’s degree? Does that extra piece of paper really matter? What additional skills would I learn? These are some of the questions that many of todays’ working nurses ask themselves before returning to school to increase their knowledge base. Looking at the associate degree nurse (ADN) and the baccalaureate degree nurse (BSN), what competencies differentiate them? How does a higher level of education impact patient care? The quality of patient care relies on having well educated nurses in the work force. Research shows lower mortality rates and fewer medication errors when looking at higher educated nurse. Positive outcomes are linked to nurses who are prepared at the baccalaureate and graduate levels of education (Rosseter 2011). Associate degree level schools usually focus on clinical skills that are needed in order to take care of patients. Bedside care was stressed and students were taught to do additional assessments. They ate taught to do activities of daily living (ADL’s), and to give medications as ordered. The program was centered on getting a list of necessary skills completed by the end of the school year. Students would be running around to complete most or all...
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...Running head: Education and Nursing Education and Nursing LaSonia Carr Grand Canyon University December 26, 2011 Education and Nursing Many nurses have asked themselves the question “Why?” Why should I go back to school to get my baccalaureate degree when I’ve been doing fine with an associate’s degree? Does that extra piece of paper really matter? What additional skills would I learn? These are some of the questions that many of todays’ working nurses ask themselves before returning to school to increase their knowledge base. Looking at the associate degree nurse (ADN) and the baccalaureate degree nurse (BSN), what competencies differentiate them? How does a higher level of education impact patient care? The quality of patient care relies on having well educated nurses in the work force. Research shows lower mortality rates and fewer medication errors when looking at higher educated nurse. Positive outcomes are linked to nurses who are prepared at the baccalaureate and graduate levels of education (Rosseter 2011). Associate degree level schools usually focus on clinical skills that are needed in order to take care of patients. Bedside care was stressed and students were taught to do additional assessments. They ate taught to do activities of daily living (ADL’s), and to give medications as ordered. The program was centered on getting a list of necessary skills completed by the end of the school year. Students would be running around to complete...
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...How the IOM Report will Impact Nursing Education and Nursing Practice. Lisa Arroyo Grand Canyon University Professional Dynamics NRS-430V Professor Varnell Hudson August 28, 2013 How the IOM Report will Impact Nursing Education and Nursing Practice. The focus of the report is to show a need for more education for the graduate level nurse and a continued education plan for nurses already in the field. The IOM cited many reports that touched on the need for diversity amongst nursing graduates to meet the need to function as leaders and the dimensions of health professionals to deliver safe and excellent patient care (Johnson, 2010). The transformation of clinical practice key message was changing a nurse’s role (Johnson, 2010). This would require changing the old nurse roll to a more involved role using critical thinking, clinical judgment and nursing process (Creasia, 2011). The focus on other topics beyond the provision the NCLEX-RN would need to alter the test to encompass a more diverse multitude of questions that would be considered critical thinking (Johnson, 2010). The impact of the IOM report on transforming education is to incorporate more consistent competencies among nursing schools (Johnson, 2010). By providing nursing facilities with strategies to integrate quality and safety content into their curricula, with an interactive course work focused on a six core Quality and Safety Education for Nurses (QSEN), competencies. Using a Train the Trainer...
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...Nursing is believed to have begun in 1854 with Florence Nightingale when she and a group of British women nursed British soldiers in the Crimean Peninsula. (American Nursing: An Introduction to the Past, n.d.) When she returned to England, she helped establish nursing education programs in hospitals throughout Great Britain. In the United States, nursing began to become prolific as hospitals increased in numbers and the need for caregivers to care for patients in these hospitals began to grow. Nursing education began in the United States in the early 19th century as the Nurse Society of Philadelphia trained women in caring for women during childbirth and postpartum period. (American Nursing: An Introduction to the Past, n.d.) During the Civil...
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...Questions: 1. Based from the report, what are the significant contributions provided by the era of intuitive, apprentice, educated and contemporary nursing? 2. If you will be given the chance to weigh the order of importance of the different elements in the nursing metaparadigm what element will you consider the most important one? Explain. Answers: 1. During the intuitive era, nursing has been based on our own human instinct, which was to help and care for others. Nurses acted as slaves yet demonstrated the role of physicians, which made the role of nurses crucial in human existence. In the apprentice era, nursing has become more systematic since this was the time wherein hospitals, uniforms and nursing hierarchy (superintendent or director of nursing) have been developed. During the educated nursing, schools for nurses were established which trained them formally and gave emphasis on the importance of knowing the “why” (rationale) and not just the “how” (procedures) in nursing. And lastly, during the contemporary nursing, national and international organizations were built such as the World Health Organization (WHO), which helped the society of nurses in promoting health, fighting diseases and improving nutrition for all. 2. The four elements of the nursing metaparadigm are all vital and works hand in hand in the promotion of human well being but If I will be given the chance to weigh them, I will consider person as the most important element. Why? Because...
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...of Nursing in Reference to the IOM Report In Transforming Nursing Education, Primary Care, and Leadership Grand Canyon University: NRS-430V October 23, 2015 Impact and Future of Nursing in Reference to the IOM Report in Transforming Nursing Education, Primary Care, and Leadership Nursing’s future is greatly impacted by the need for major transformation as recommended by the Institute Of Medicine report (IOM, 2010). Nursing must act fast and come forward as leaders to make changes in their practice. Demand for highly educated nurses and the growing healthcare customer needs are the focus point of IOM report. This paper shows the impact of the IOM report on nursing education, primary care, and nurse leadership. Changes that could be made to the daily practice of nursing to meet the goals, as well as some of the writer’s thoughts, are also explained. If the IOM report (2010) recommendations are not followed, the future of nursing could be negatively impacted because nurses have to be well educated and adequately prepared to practice nursing to their full magnitude of training; more advanced practice nurses (APRN) are needed to meet the growing healthcare needs of society, and nurses need to be involved in decision making affecting the health of future population. For the future of nursing, current nursing education needs to be transformed. Compared to other healthcare professions nursing is undereducated starting with one year practical nursing programs...
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...History of Nursing Focusing on Education Rebecca Ford Southwestern Oklahoma State University History of Nursing Focusing on Education The history of nursing is important to study and gain knowledge from as a nurse. As a nurse if you do not know where nursing started from, you cannot know how to advance your career as a nurse. Learning from our past nurses in history, who made a difference in how we function today as nurses is extremely important. Significance A basic understanding of nursing history is essential to the development of a mature perspective and appreciation of the nursing profession. (Judd and Sitzman, 2014). Knowledge is power and learning about nursing history empowers nurses to acknowledge where the profession has started from and to take ownership in the fact that nurses today will be shaping nursing history for future nurses to grow and learn from the profession. Education in nursing started out as apprenticeship and observation with physicians guiding nurses in the field. Nurses were not given the opportunity to question these physicians or understand the why of what treatment was given to patients many times. Nurses merely followed physician orders like robots. Progression of nursing education resulted in a variety of education degrees that determined possibilities for role or function, certification, and practice. (Judd and Sitzman, 2014). Can you imagine a nurse practicing in the Civil War era being able to utilize today’s advancements in technology...
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...the Profession of Nursing Monica Soto Grand Canyon University October 17, 2013 The IOM’s recommendation on improving the delivery of care begins with the transformation of the nursing profession. The Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine (IOM) established a two year Initiative on the Future of Nursing (Institute of Medicine [IOM], 2011, p. 2). In an unprecedented partnership to explore challenges central to the future of the nursing profession. The IOM and RWJF stated that accessible, high quality care cannot be achieved without exceptional nursing care and leadership (IOM, 2011, p. 2). This paper will discuss and explore how the IOM report impacts nursing education, nursing practice, and the nurse’s leadership role. The IOM recommends entering the field of Nursing prepared with a baccalaureate degree can provide a consistent foundation. Due to the complexities of managing patient care with chronic illnesses qualified nurses will need to possess the knowledge and training of a higher level of education. The IOM recommends that hospitals have a workforce of at least 80 percent of registered nurses with a minimum of a BSN degree by the year 2020 (IOM, 2011, p. 173). Although, there still exists various modalities to entering the nursing profession without having a BSN. The goal for nurses with a diploma and associate degree are encouraged to further their education by entering a baccalaureate nursing program. The future...
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...Advantages of Higher Education in Nursing Professional Dynamics April 19, 2013 Advantages of Higher Education in Nursing: ADN vs. BSN In the early 1900's Susan B. Anthony suggested that a "day will come when nurses will be university prepared." That statement describes ongoing controversy by many states and nursing boards that want to change nursing requirements to Bachelors rather than Associate Degree training for todays and tomorrows Registered Nurses. The institute of medicine's report on The Future of Nursing, calls for increasing the numbers of baccalaureate prepared nurses in the workforce to 80% in order to respond to the demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education (Rosseter, 2012). Today's healthcare system has come a long way from where it all began. When nursing started training was minimal and almost anyone who wanted to could practice as a nurse. Times changed and the BSN degree was the main method of getting RN licensure. After WWII there was short supply of nurses nationwide so a "fast track" route to getting RN licensure was created, the ADN program. Montag's intent when this program was created was that nurses with associate degrees would work under direction of registered professional nurses who were prepared at the baccalaureate level (Creasia & Friberg, 2011). Due to the short length of programs they grew in popularity and soon became the primary method...
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...Journal of Advanced Nursing, 1999, 30(6), 1432±1440 Issues and innovations in nursing education Evaluation of an innovative curriculum: nursing education in the next century 1 Senior Lecturer, Faculty of Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered...
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...The future of nursing is changing day by day. Therefore, the healthcare system needs to adapt to the change. This is critical for patient care and work environment. Patient’s and employee’s safety should be number one in a health care facility. This where Institute of nursing (IOM) comes in. “[They are] an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public” (About 2013). They release annual reports to clarify and answer any difficult question regarding the healthcare system. In 2010, IOM and Robert Wood Johnson Foundation (RWJF) released remarkable report, called The Future of Nursing: Leading Change, Advancing Health, which provided a plan to transform the nursing profession for the better. “[Their plan was for nurses to achieve higher levels of education] and training through an improved education system that promotes seamless academic progression, Nurses should practice to the full extent of their education and training, and [nurses to expand their opportunities and serve as leaders]” (Hanus 2014). This essay will expand on each criteria to achieve the goals of the IOM report. Impact one Nursing Education New diseases and treatments are discovered every day in the healthcare system. It is very important that nurse is well educated and trained to do their job very well. Any mistake from their part risks the health of a patient. Therefore nurses need to continue receiving higher...
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...Competencies of Associate and Baccalaureate Nursing Education Jessica Key Grand Canyon University: NRS-430V August 16, 2014 Competencies of Associate and Baccalaureate Nursing Education The differences in competencies between associate-degree nurses and baccalaureate-degree nurses can be looked at many different ways. These can include statistics, patient experiences and correlating hospital scores or by evidence based articles researching the differences in how the diverse education levels handle certain situations (for example, cardiac arrests, a difficult patient situation, death, etc). To understand each degree level, we must first understand exactly what they do to prepare nurses to enter this profession. This paper will look deeply into where the associate and baccalaureate degrees came from and exactly what they concentrate on while a student is in the program. What is Nursing? According to the American Nurses Association, nursing can be defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” ("American Nurses Association," 2014, section 3). To acquire the label of “Registered Nurse”, one must go through one or more nursing programs to attain the knowledge to take the standardized licensure exam. The two most common programs are associate-level...
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...Professional Development of Nursing Professionals Vivienne Wulff Grand Canyon University Professional Dynamics NRS-430V October 10, 2014 Abstract Institute of Medicine (IOM) put out a report in 2010 about the future of nursing. It is an in-depth look at the role nurses should play in a changing healthcare system, as the new legislative reforms are phased in over the next decade. The report contains three key messages related to nursing. The key messages that the IOM recommends are for transforming nursing practice, transforming nursing education, and nursing leadership. I will be discussing the impact of the report on the above mentioned key messages. I also will look at how this report will impact or change the way I practice nursing today to meet there stated goals. Professional Development of Nursing Professionals Impact on Nursing Education In order to give quality, safe and effective care, we as nurses must be up to date on the current practices and continue with our education. By continuing our education, we can ensure that we, as nurses, are up to date on the latest medical treatments, medications, and infectious diseases. “The primary goals of nursing education remain the same: nurses must be prepared to meet diverse patients’ needs; function as leaders” (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, 2011, p. 164). Patient care has become more complex over the years with all the new technology that is out...
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