Concerns and Suggestions About the Future of the ADN and the BSN
When you view the chart, realize that the higher in the chart you are, the fewer years of experience you are actually receiving.
Above is a link to a rough post where I have graphed a very rough flowchart of where I think nursing is heading. I believe current goals will result in a forced exodus of experienced nurses from existing acute care facilities when they are not able to accommodate their schedules and finances to higher education.
I believe the push for higher nursing education is a good one, but if hospitals want to keep their best nurses, they need to begin to formulate a plan that sets aside paid time for educational goals and work with universities to bring the needed education into the hospital. BSN programs need to be closely reviewed to be sure the information they are teaching ADNs is relevant to practice and the goal should be to increase knowledge of the ADNs instead of simply fulfilling the core tenants of a Bachelor’s degree. In a utopic situation, the course would be created so that ADNs coming into a BSN program would actually emerge with a certification reflective of their years of experience and knowledge and placing them higher in the nursing hierarchy than new graduate BSNs with no experience.
Yes. This will require hospitals to pay nurses floor pay to attend classes. The hospitals will benefit with higher patient satisfaction scores, lower patient injuries, and better physician/nurse relations. Many hospitals already offer education assistance and scholarships in exchange for time worked after graduation. This does not need to be any different.
If nurses have time set aside for classes that they are attending with their coworkers, they have a ready made support system, which is necessary for successful education. If nurses are allowed to work fewer hours on the floor while they are receiving their education, advancing ones education will not appear so monumental and burdensome.
As far as funding these paid hours that are performed off the floor, hospitals should look to their political force. This is a viable method that can be used to increase the knowledge and the size of the nursing force, at a time when an influx of patients threatens to cripple the current United States medical system. Nurses will emerge from these programs empowered, better team players, and will receive knowledge they can apply to the bedside at their next shift rather than trying to find time to take off work, struggling through APA format and trying to find a way to pay for their own college education as well as that of their children.
No ADN currently working full time should be forced to carry a burden of student loans to maintain their current career. This is a burden that many nurses with families and current student loan debt cannot handle. Instead of requiring 2 years of work in order to receive student loan relief, while paying student loans, give the relief IMMEDIATELY, and require nurses to pay back a prorated sum if they leave the area or change careers.
It is my belief that this kind of incentive is what is needed to get ADN nurses into BSN classes. Current BSN programs focus on papers and theory, but there is very little meat added to the pot of nursing experience already held. This is a waste of the time of experienced nurses. Because it has already been decided that management roles should be held by holders of nursing doctorates and master’s degrees, only individuals who are interested should be required to take additional classes in nurse management. Nursing programs need to be divided into tracks: Research. Management. Advanced Care. Hospital Management.
Instead of this, we have nurses sitting in History, Music and Philosophy classes to earn their BSN. All of these are valid courses of study but are they actually efficient for people whose priority is to get back on the floor? Nurses who have an ADN and have years of floor experience do not necessarily need these classes but could use classes in new techniques, evidence based practice, and advanced practice.
As a floor nurse who has worked in multiple hospitals, including LTAC, rehab and nursing homes as I made my way up from being a tech to a RN, I feel the the nursing profession is missing a valuable opportunity to increase the abilities of their current workforce while making nursing a more rewarding experience.