Lately, questions about the minimum
qualifications for practicing nurses have been raised. Concerns particularly
emerged when a research conducted by Aiken et al. concluded that low level of
training may have a stake in postsurgical mortality rate. Consequently, most stakeholders
are advocating for adjustments in the minimum level of education before one can
be licensed to practice as a nurse (Spencer, 2008, p.307).
Currently,
practicing nurses are either diploma holders, associate degree holders or baccalaureate
degree holders. AACN-The American Association of Colleges of Nursing and the
organization of professional nurses both concur with a recommendation submitted
by NACNEP-The National Advisory Council on Nurse Education and Practice that
required the more than 67 percent of all practicing nurses had a baccalaureate degree
as a minimum by 2010. The response has been enormous because by 2004 the number
of nurses that were diploma holders had dropped to only about 17.5 percent
while the number of baccalaureate degree holders had risen to about 30 percent.
Importance
of Baccalaureate Education
Baccalaureate degree training widens the
understanding of ADN- Associate Degree Nurses of issues such as management,
theories, communicable diseases and handling of clients’ concepts that are not
taught at diploma and Associate degree levels. The essence of baccalaureate degree
is not to undermine the importance of AND as
this forms an important base in articulating nursing skills to all nurses. Changing
nursing profession challenges are forcing practicing nurses to return to school
for baccalaureate degrees. Some of the motivators that have driven return RN
nurses to undertake BSN are fulfillment of personals goals, access to promotion
and desire to shift from clinical works (p.308). However, some practicing
nurses feel that the program is demeaning their previous education as most of
the courses provided to RN-BSN students are deemed redundant and need to be
replaced with other professional like courses.
Articulating Nursing Training
Programs
Urgent measures need to be put in place
to encourage more RN students to undertake baccalaureate degrees. Many states
have accommodated articulation process that encourages RN students to undertake
BSN programs. Articulation falls into three categories; personal, mandated and
statewide (p.309). Statewide articulation aims at encouraging voluntary enrolment
of RN students through collaborative measures from educators, legislatures and
regulators. About 24 states are currently enhancing statewide articulation with
participation from even public institutions.
RN-BSN
Curriculum
Many states have not fully articulated
these RN-BSN programs into their nursing schools; the current trends have a few
common courses. Currently, RN-BSN curricula offer five categories of course; pre-licensure
courses, bridge courses, core courses, service learning, innovative courses (p.310). Although common
courses are taught across all states, there exist numerous differences in the
core concepts delivered in different institutions that need to be streamlined
to ensure consistence across the nursing profession. National League of
Nursing has been actively trying to establish homogeneity across all states;
this process encompasses incorporation of all proposed adjustments by RN-BSN
students and other stakeholders.
In conclusion, coming up with a
curriculum that will suite everyone’s needs is very difficult, however all
involved stakeholders should make urgent adjustments that will enhance the
program’s popularity and achieve the initial goals. Research
has indicated that nurses with education skills below BSN are not as efficient as
their counterparts that have trained beyond BSN level and it’s paramount that
more nurses achieve the desired level of competence.
References
Spencer,
J. (July 2008). Increasing RN-BSN Enrollments: Facilitating Articulation
through Curriculum Reform. The Journal of
Continuing Education in Nursing. 39(7): 307-313
No comments:
Post a Comment