PDF California Advance Sheet August 2013

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Goode, C.

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Documenting chief nursing officers' preference for BSN-prepared nurses. The Journal of Nursing Administration , 31 2. Graff, C. An ethnographic study of differentiated practice in an operating room. Journal of Professional Nursing , 15 6 , The U. Institute of Medicine. Johnson, J. Differences in the performance of baccalaureate, associate degree and diploma nurses: A meta-analysis.

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Research in Nursing and Health , 11, Kendall-Gallagher, D. Nurse specialty certification, inpatient mortality, and failure to rescue. J ournal of Nursing Scholarship , 43 2 , Kramer, M. Shared values: Impact on staff nurse job satisfaction and perceived productivity. Nursing Research , 38, Magnet hospitals: Part I, Institutions of excellence. Journal of Nursing Administration , 18 1 , Kumm, S. Baccalaureate outcomes met by associate degree programs.

Nursing Educator , 39 5 , Kutney-Lee, A. An increase in the number of nurses with baccalaureate degrees is lnked to lower rates of postsurgery mortality. Health Affairs , 32 3 , McHugh, M. Lower Mortality in Magnet Hospitals. Medical Care, Publication forthcoming published ahead of print. Report to the Secretary of the Department of Health and Human Services on the basic registered nurse workforce. National Council of State Boards of Nursing Chicago: Author. Phillips, C. Journal of Nursing Education , 41 6 , Tourangeau, A.

E, Doran, D. Impact of hospital nursing care on day mortality for acute medical patients. Journal of Advanced Nursing , 57 1 , Tri-Council for Nursing. Educational advancement of registered nurses: A consensus position. Yakusheva, O. Medical Care , 52 10 , Last Update: April Robert Rosseter rrosseter aacnnursing. The Impact of Education on Nursing Practice.

Download PDF Version The American Association of Colleges of Nursing AACN , the national voice for academic nursing, believes that education has a significant impact on the knowledge and competencies of the nurse clinician, as it does for all healthcare providers. Different Approaches to Nursing Education. In February , the Campaign for Nursing's Future, an initiative of the Center to Champion Nursing in America, published a series of state maps showcasing the progress being made by nurses in attaining baccalaureate degrees.

In December , New York Governor Andrew Cuomo signed legislation into law requiring future registered nurses graduating from associate degree or diploma nursing programs in the state to obtain a baccalaureate in nursing within 10 years of initial licensure. The study showed that 42 of baccalaureate outcomes were reported met in ADN programs. The 67 outcomes that were not met were in the categories of liberal education, organizational and systems leadership, evidence-based practice, healthcare policy, finance and regulatory environments, interprofessional collaboration, and population health.

Articles focus on the evidence linking better outcomes to baccalaureate and higher degree nurses, educational pathways, and promising strategies for facilitating academic progression at the school, state, and national levels. This historic agreement represents the first time leaders from the major national organizations representing community college presidents, boards, and program administrators have joined with representatives from nursing education associations to promote academic progression in nursing.

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With the common goal of preparing a well-educated, diverse nursing workforce, this statement represents the shared view that nursing students and practicing nurses should be supported in their efforts to pursue higher levels of education. Their strong support for high quality baccalaureate degree programs as the appropriate pathway for RNs entering the profession is consistent with the views of many leading nursing organizations, including AACN.

In February , the Council on Physician and Nurse Supply released a statement calling for a national effort to substantially expand baccalaureate nursing programs. In the statement, the Council noted that a growing body of research supports the relationship between the level of nursing education and both the quality and safety of patient care. Consequently, the group is calling on policymakers to shift federal funding priorities in favor of supporting more baccalaureate nursing programs. This call was reaffirmed in a new statement released in March In March , the American Organization of Nurse Executives AONE released a statement calling for all RNs to be educated in baccalaureate programs in an effort to adequately prepare clinicians for their challenging, complex roles.

Nursing Workforce: Trends in Supply and Education. The increased complexity of the scope of practice for RNs requires a workforce that has the capacity to adapt to change. It requires critical thinking and problem solving skills; a sound foundation in a broad range of basic sciences; knowledge of behavioral, social and management sciences; and the ability to analyze and communicate data.

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Among the three types of entry-level nursing education programs, NACNEP found that baccalaureate education with its broader and stronger scientific curriculum best fulfills these requirements and provides a sound foundation for addressing the complex health care needs of today in a variety of nursing positions. Baccalaureate education provides a base from which nurses move into graduate education and advanced nursing roles.

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There is a growing consensus in the higher education community that a liberal arts education should be embedded in all the professional disciplines. Graduates with a liberal education are prized by employers for their analytical and creative capacities and demonstrate stronger skills in the areas of communication, assessment, cultural sensitivity, resourcefulness, the ability to apply knowledge, and scientific reasoning. Though some arts and science courses are included in ADN programs, the BSN provides a much stronger base in the humanities and sciences. In addition to hundreds of individual agreements between community colleges and four-year schools, state-wide articulation agreements exist in many areas including Florida, Connecticut, Texas, Iowa, Maryland, South Carolina, Idaho, Alabama, and Nevada to facilitate advancement to the baccalaureate.

These programs further validate the unique competencies gained in BSN programs. These health professionals, including physicians, pharmacists, and speech pathologists, recognize the complexity involved in providing patient care and understand the value and need for higher education. Since nurses are primarily responsible for direct patient care and care coordination, these clinicians should not be the least educated member of the healthcare team. Maya Djukic and her colleagues from New York University released details from a new study, which found that baccalaureate-prepared RNs reported being significantly better prepared than associate degree nurses on 12 out of 16 areas related to quality and safety, including evidence-based practice, data analysis, and project implementation.

The authors conclude that improving accreditation and organizational policies requiring the BSN for RNs could help safeguard the quality of patient care. Linda Aiken and colleagues reported findings from a study of adult acute care hospitals in six European nations, which found that a greater proportion of professional nurses at the bedside is associated with better outcomes for patients and nurses. Reducing nursing skill mix by adding assistive personnel without professional nurse qualifications may contribute to preventable deaths, erode care quality, and contribute to nurse shortages.

These outcomes translate into cost savings that would more than off-set expenses for increasing the number of baccalaureate-prepared nurses in hospital settings. In an article published in the March issue of Health Affairs , nurse researcher Ann Kutney-Lee and colleagues found that a point increase in the percentage of nurses holding a BSN within a hospital was associated with an average reduction of 2.

The researchers found that hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay.

The study authors conclude that these better outcomes were attributed in large part to investments in highly qualified and educated nurses, including a higher proportion of baccalaureate prepared nurses. Deborah Kendall-Gallagher, Linda Aiken, and colleagues released the findings of an extensive study of the impact nurse specialty certification has on lowering patient mortality and failure to rescue rates in hospital settings.

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Jump to main content. Jump to navigation. To build real, lasting economic security the President will work with Congress and act on his own to expand opportunity for all so that every American can get ahead and have a shot at creating a better life for their kids. The White House. For Immediate Release. This savings account would be offered through a familiar Roth IRA account and, like savings bonds, would be backed by the U. American manufacturers are adding jobs for the first time in over a decade. To build on this progress, the President will launch four new institutes through executive action this year.