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Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

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Nursing Education N333
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Page 1: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Nursing Education

N333

Page 2: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

A Nurse is a Nurse is a Nurse !!!

Page 3: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Pathways to nursing education

Other professions have one pathway of educational preparation

Nursing has 3 pathways that lead to licensure and professional status! Diploma programs Associate degree programs Baccalaureate programs

Page 4: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Diploma Programs

Hospital based Apprenticeship programs Usually 24 months to 3 years in duration Were the first nursing programs to emerge

Florence Nightingale – St. Thomas Hospital, London, 1860

Famous trio here in the United States Bellevue Hospital, NY New England Hospital for Women and Children,

New Haven, Conn. Massachusetts General Hospital, Boston, MA

Page 5: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Decline in Diploma Programs

Growth of AND and BSN programs Inability of hospitals to finance nursing

education Accreditation standards Increasing complexity of health care Students earn no college credit, but may have

gateway course into an ADN program One diploma program remaining in LA

Baton Rouge General

Page 6: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Associate Degree Nursing

Developed in 1952 to help alleviate the nursing shortage, especially experienced with WWII

Mildred Montag – founder of Associate Degree Nursing Education

Primarily housed in community colleges Usually 2 years in length (minimum of 60

college credits) NOADN

ADN Professional Organization 8 ADN programs in Louisiana

Page 7: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Baccalaureate Nursing Programs

1909 – University of Minnesota Followed the three year diploma model

1919 – 7 additional BSN programs Most were 5 years 2 years liberal arts, 3 years nursing

1924 – Yale School of Nursing First nursing school established as a separate

university department with an independent budget and its own dean

Current Basic Program 4 years (minimum 120 college credits Combines general education courses and nursing

courses

Page 8: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Influences on the Growth of Baccalaureate Education The Brown Report ANA Position Paper The Lysaught Report The NLN Position

Statement The PEW Commission

Report

Page 9: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

The Brown Report

Nursing for the Future – 1948 Report prepared for the National Nursing

Council Recommended that basic school of nursing

be in universities and colleges and that efforts be made to recruit men and minorities into the programs

Page 10: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

ANA Position Paper 1965 – Educational Preparation for Nurse Practitioners and

Assistants to Nursing Concluded that the BSN should be the foundation for nursing

practice Four Major Recommendations

Education for all those licensed to practice should take place in institutions of higher learning

Minimum preparation for beginning professional nursing practice should be the BSN

Minimum preparation for beginning technical nursing practice should be the ADN

Education for assistants in health service occupations should consist of short, intensive programs in vocational education programs rather than on the job training

Page 11: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

ANA – Additional Position Statements, 1979

Proposed that by 1985 entry into practice should be the BSN level By 1985, the minimum preparation for entry

into professional nursing practice should be the BSN

Two levels of nursing practice should be identified

Professional Technical

There should be an increased accessibility to high quality career mobility programs that use flexible approaches to individuals seeking academic degrees

Page 12: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

The Lysaught Report

AKA – An Abstract for Action 1981 – Conducted by the National

Committee for the Study of Nursing and Nursing Education

Sponsored by the Kellogg Foundation Recommended 2 licensures for nurses

One in acute care One in distributive care

Page 13: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

NLN Position Statement

1982 – The Position Statement on Nursing Roles

Reaffirmed the BSN as the minimum educational level for entry into practice for professional nursing, and the ADN as entry into practice for technical nursing

Page 14: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

The PEW Commission Report

1995 - 5 Major Recommendations Change professional training to meet the

demands of the new-health care system Ensure that the health profession’s workforce

reflects the diversity of the nation’s population Require interdisciplinary competence in health

professionals Continue to move education into ambulatory

practice Encourage public service of health

professionals, students, and graduates

Page 15: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Other Types of Nursing Programs

Articulated programs LPN to RN ADN to BSN Diploma to ADN or BSN ADN to MSN

Alternative programs On-line programs

University of Phoenix Regents

Licensed Practical Nurse (Vocational) Licensed as an LVN or LPN Work under the supervision of an RN providing basic,

direct patient care

Page 16: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Accreditation Process for Nursing Education Programs Accreditation – a review process of an

educational program by an external professional accrediting organization State Boards of Nursing National League for Nursing – NLN Commission of Collegiate Nursing Education -

CCNE

Page 17: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Specialty Education

Basic education prepares a nurse generalist Learned specialty occurs in a hospital

program after basic education As nurses become more active, area of

practice become more specialized Certification Programs – offer certification in

different nursing specialties General requirements

Specific number of practice hours in specialty Certification exam Periodic recertification

Available through ANA, NCC, etc.

Page 18: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Continuing Education

Planned learning experiences beyond a basic nursing program

In Louisiana, mandatory continuing education is required to maintain licensure 5 CE’s – practicing fulltime 10 CE’s – practicing parttime 20 CE’s – not practicing

Varies by state No CE requirements in MS Higher yearly CE requirements in TX

Page 19: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Advanced Education

Master’s Degree Doctoral Degree

Page 20: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Masters Degree

Study in one particular subject area to assume advanced roles in practice, education, administration and research

Page 21: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Master’s level history 1899 – Teacher’s College, New York City

Focused on administration and education 1940’s/1950’s – saw an increase

Return of nurses from military service with GI benefits 1946 – National Mental Health Act

Provided funds for psych/mental health nurses 1954 – Rutger’s University

First clinical master’s – Psych/mental health Clinical Nurse Specialist

1965 – University of Colorado First Nurse Practitioner Program - Pediatric

1970 – 70 programs 1996 – 321 programs Current statistics (National Sample Survey of Registered Nurses,

2000) MSN – 7.5% Related field – 2%

Page 22: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Masters in Nursing Areas include:

Nursing administration Community health Psychiatric/mental health Adult health Maternal/child nursing Gerontology Rehabilitation Nursing education

Most require one year of practice experience. Takes from 18-24 mos. to complete, many have 2 focuses, ie: Education/Maternal-child nursing

Degrees awarded MA, MN, MSN and MS

Can obtain more advanced areas of practice CRNA, NP, CNS

Page 23: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Doctoral Education - History

1910 – Columbia Teacher’s College EdD Major – Nursing education

1934 – New York University First PhD program for nurses

1996 – 66 programs

Page 24: Nursing Education N333. A Nurse is a Nurse is a Nurse !!!

Doctoral Studies

Motivation for this degree stems from academic advancement or tenure in educational settings. Also includes those nurses interested in research and the development of a body of nursing knowledge

Various degrees DNSc – Doctor of nursing science DSN – Doctor of science in nursing

Only one available in LA DNEd – Doctor of nursing education PhD – Doctor of philosophy

Not available in nursing in LA EdD – Doctor of education

Current statistics (National Sample Survey of Registered Nurses) 0.3% - Doctorate in nursing 0.3% - Doctorate in related field


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