...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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...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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...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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...a Baccalaureate prepared nurse? Since the development of the associate-degree (AD) nursing program began over 50 years ago it has impacted the registered nursing population in the United States significantly. This two year program based in Community Colleges is composed of half general education requirements and half nursing requirements and is centered around the fundamentals of nursing, as well as obtaining information on how to generate care plans and learning every day nursing skills. The program also focuses attention more on the patient than the disease process. Developing this program in a Community College allows for lesser tuition rates, greater geographic locations and faster completion times without sacrificing education. (Mahaffey, 2002) Today’s Associate Degree nurses are a asset to healthcare as they are called upon to do many tasks to include in improving the quality of patient care, promoting patient safety and the effectiveness of care delivery, they must possess vital information about a patient’s health condition, and maintain and perfect the skills and abilities necessary for beginner-level nursing practice. (Mahaffey, 2002) Even with the vital role of the Associate Degree nurse some hospitals that were once eager to hire AD nurses now prefer to employ nurses with a BSN level or higher. (Mahaffey, 2002) Why is that we ask ourselves? Nurses with higher education often make more money; one would think hospitals would want to keep associate degree nurses...
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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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...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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...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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...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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...The AACN has allocated the nine essentials necessary to integrate into a nursing master’s degree program. These essentials have been produced in order for nurses to extenuate their nursing practice into a leadership role. Nurses work with multiple disciplines in a multicultural environment and are their primary points of contact with clients. Therefore, the nurse is required to multitask, think fast, critically and realign the field in a wat that is fair, effect and correct. Introduction The essential of Master’s Education in Nursing surrounds the nurse’s professional education in the pursuit of attaining the skills necessary to become an effective and transformative leader. The seismic wave of advancements in technology, knowledge and...
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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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...taxonomy of Education and Its Use in Nursing Education Teresa Miller NUR/427 April 4, 2014 Kathy Cavanaugh RN, MSN, FNP, CCTC Bloom's Taxonomy of Education and Its Use in Nursing Education Bloom’s Taxonomy of Educational Objectives was originated by a group of educational psychologists lead by Benjamin Bloom and published in 1956. According to Larkin and Burton (2008), Bloom’s Taxonomy is a classification system used by educators to classify learning objectives and skills for students. Bloom’s Taxonomy is used extensively by health educators and nurses to structure lesson plans and outcome measurement because it moves learners from basic to higher levels of cognitive function (Larkin and Burton, 2008). In 2001, Bloom’s Taxonomy was revised by Anderson and Krathwohl, the Revised Bloom’s Taxonomy offers a hierarchy with three domains of learning: cognitive, affective, and psychomotor (Larkin and Burton, 2008). This classification system is utilized by nurses for patient education and is particularly effective for adult learners. Adult learners prefer education that is relevant, practical and organized around problems and tasks that can be applied to real-life (Su and Osisek, 2011). Therefore, this system is also relevant for nursing education because it allows the nurse to plan education that is applicable to the problem, clear, easily understood, and well documented with evaluation standards. The Revised Taxonomy works very well with continuing education for nurses...
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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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...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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...The Importance of Higher Education in Nursing Kristy Snyder Grand Canyon University: NRS 430V July 6, 2014 Nursing, like many professions, requires formal training and education, but it is the level of education in the nursing profession that sets on exceptional nurse apart from others. Safer patient outcomes and reduction in patient mortality and secondary insults of illness has decreased with an increase of staffing Baccalaureate Degree in Nursing (BSN) nurses over a staff consisting mainly of Associate’s Degree in Nursing (ADN) nurses. This paper focuses on the educational differences and competencies between nurses with an ADN and BSN respectively and the experience and skill sets that form the clinical decisions made by these nurses and how their decisions affect patient care and outcome. Mildred Montage was a nurse educator in the 1950’s and was the leading advocate and creator of the ADN in reaction to the stark shortage of nurses in the years preceding World War II (Creasia & Friberg, 2011, p.14-15). This degree was designed to decrease the shortage of nurses and the adequate level of clinical nursing skills and successful pass rate of graduates on the National Council Licensure Examination (NCLEX) were all taken into accountability for measuring the success of the ADN programs. An associate degree nurse is defined as a nurse attending a community college, up to three years but no less than two years, with training in clinical skills. A nurse graduating...
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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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