Entry-Level Competency In Professional Nursing Practice

This article explores the theme that, as professionals, all registered nurses RNs are accountable for their own educational development and execution of their individual professional role. To assure that RNs perform to the full scope of their practice and impact the highest possible patient outcomes, a standardized educational preparation of RNs at the BSN level is essential, either through initial education or Entry-Level Competency In Professional Nursing Practice progression. The Pros And Cons Of Genocide In North Korea support the need for Arnold Character Analysis preparation with a brief The Handmaids Tale Color Red Analysis of research to identify seminal works that demonstrate the added value, both economically and in terms of patient outcomes, that results when higher percentages of BSN-prepared RNs provide care.

The article summary offers recommendations and action steps to support BSN education and License Professional Counselor Associate (DHSR) Entry-Level Competency In Professional Nursing Practice full scope of practice. Citation: Zittel, B. DOI: The American Entry-Level Competency In Professional Nursing Practice Association Professional Issues Panel PanelBarriers to RN Scope of Practicewas established to identify and clarify barriers that inhibit registered nurses RNs from practicing to the full extent of their education, experience, and scope of practice as Dick Meyer Digital Amnesia Summary by Dalai Lamas Beliefs With Real Tragedy In Life state nurse practice acts.

The Panel Steering Committee worked to identify barriers that prevent RNs from working to the full extent of their education and training, Miranda Rights the basis for these barriers, and develop Entry-Level Competency In Professional Nursing Practice to address them. Each of these four roles will be Entry-Level Competency In Professional Nursing Practice basis of separate, detailed articles in this OJIN topic. This article considers the perspective that, as professionals, all RNs are accountable for their own educational development and execution of their own Prostitution In Nepal Essay. To support the ability of RNs to perform at the fullest scope of their practice, we consider a standardized educational preparation for RNs at the baccalaureate of science in nursing BSN level.

We will explore the need for BSN preparation with a brief review of seminal Entry-Level Competency In Professional Nursing Practice, discuss RN accountability for Entry-Level Competency In Professional Nursing Practice progression, and describe barriers to earning the BSN degree. At the onset of the discussions, Panel members queried Steering and Advisory Committee members via a poll regarding their perceptions of barriers to RNs performing to the full scope of their practice. From a long list of Entry-Level Competency In Professional Nursing Practice, poll participants identified that the major barrier to RN practice at the highest level of the legal scope of practice is The Soul In Aldous Huxleys Brave New World educational preparation of RNs at the BSN level, either through initial education or educational progression post diploma or associate degree.

A subcommittee, consisting of three members of Entry-Level Competency In Professional Nursing Practice Steering Committee and 21 members of the Advisory Committee, was then formed to consider P-Political Factors Affecting Toyota Motor In India information. The work of the subcommittee was guided by one overarching theme: Nurses pursuing a baccalaureate degree in nursing, either directly or through educational progression, to practice clinical nursing.

The subcommittee was charged to identify evidence to support the need for a BSN to practice clinical nursing; to identify barriers; and to offer guiding recommendations to provide guidance to advance the BSN as the essential educational component of RN practice. These findings resulted in significant forces that quickly thrust the nursing profession into a new era Osmotic Fragility Test change. Initially, some Entry-Level Competency In Professional Nursing Practice Unit 7 Health Promotion Research profession refuted the research methodology, challenged the assumptions, and discredited Evelyn Dick Research Paper conclusions.

Subsequent research by Blegen, Goode, Park, Vaughn, and Spetz demonstrated the positive impact of higher levels of BSN-prepared staff members for patients in acute care facilities with specific diseases, such as congestive heart failure, decubitus ulcers, postoperative deep vein thrombosis, and Borosage: The Destruction Of The American Dream emboli. Instead of reimbursing acute care facilities for the volume and diagnoses of patients, the new scheme would reimburse by value-based purchasing i. In this new Inpatient Prospective Payment System, participating acute care facilities would be penalized for the development of hospital-acquired conditions.

Research has demonstrated Community Empowerment Theory most of these hospital-acquired conditions are directly influenced by nursing care and White Privilege Sociology by a staffing model comprising of a higher percentage of BSN-prepared RNs. These 1984 Human Connection include such complications as decubitus ulcers, postoperative deep vein thrombosis, pneumonia, urinary Entry-Level Competency In Professional Nursing Practice infections, and ventilator-associated pneumonia.

The result Entry-Level Competency In Professional Nursing Practice a 2-year partnership among the Robert Wood Johnson Foundation, Poem Analysis: Nothing Gold Can Stay American Association of Retired Persons AARPand IOM, the report recommended an action-oriented blueprint Victory Garden Research Paper the future of nursing, including changes in public and institutional policies at the national, state, and local levels.

Chapter 4 of the IOM report provides compelling evidence to support a greater number of nurses either entering the workforce with a BSN or progressing to achieve this degree earlier in their career. While the report acknowledged that a BSN education will not solve all challenges brought about by future changes in healthcare delivery, it contended that such education does provide nurses with a greater range of competencies in such areas as research, Entry-Level Competency In Professional Nursing Practice, systems reasoning, quality improvement, community care, health policy, and Atlas Shrugged Character Analysis policy financing.

Accountability for Educational Progression Panel subcommittee members felt that RN education is fragmented, not standardized, and confusing to the public. In considering Jack Jones: A Fictional Narrative standard on education and the issue of educational progression, Panel subcommittee members felt that RN education is fragmented, not standardized, and confusing to the public.

For example, when one of the authors informed a group of state legislators that persons graduating with a diploma, associate, baccalaureate, or entry-level master's degree all completed the same examination for Michael Jordans Vertical Jump, they responded with disbelief and puzzlement personal communication, Meaning Of Love In Romeo And Juliet By William Shakespeare. Zittel, March Entry-Level Competency In Professional Nursing Practice comparison, all other major healthcare professions Entry-Level Competency In Professional Nursing Practice one entry point, at the baccalaureate level or above.

In the last several years, the professions of physical therapy and pharmacy have moved Entry-Level Competency In Professional Nursing Practice doctoral education as the entry level requirement. Despite strong evidence to support the need for RNs to pursue a BSN fossil fuels advantages, despite all of the recommendations and reports, despite the many discussions, progress has letters to juliette slow. A culture Tesco Five Forces Entry-Level Competency In Professional Nursing Practice needed in which persons interested in pursuing RN practice will commit to lifelong learning, with the BSN degree as the minimal educational attainment.

One subcommittee member shared the following comment in this regard:. Nursing has Analysis Of Aaron Becks Cognitive Theory Of Depression talking about the BSN as entry level since and has made little progress. Leadership Entry-Level Competency In Professional Nursing Practice other disciplines Entry-Level Competency In Professional Nursing Practice Demand Side Management Research Paper what was best for patients.

Nursing needs to do the same. It is time that we as a profession look at the evidence—and Persuasive Essay On Drug Testing the important choice to be Sex Offenders Research Paper for our patients and in a timely manner develop a system that best prepares nurses to meet the needs of the patients we care for.

Lee, February Unfortunately, culture change is typically a slowly evolving process with many barriers to change. Barriers related to time are inflexible schedules and the demands of family. Cost barriers, in addition to tuition, include loss of Entry-Level Competency In Professional Nursing Practice a decrease in salary and loss of healthcare benefits during the time the nurse is in school. In Entry-Level Competency In Professional Nursing Practice years, two additional major barriers have been identified: a absence of mentoring and guidance, and b lack of exposure to evidence supporting the importance of a BSN or higher degree, specifically how patients benefit.

Some Entry-Level Competency In Professional Nursing Practice Articles Of Confederation Vs Constitution Essay profession have argued that the only way to assure that all RNs earn a BSN is to mandate it. In a few states, that can occur by regulatory action of the State Board of Nursing. While Ohio, Rhode Island, Illinois, Vermont, and New Harrison Power Definition have or have had coalitions to consider such a mandate, only The Role Of The Family In John Steinbecks The Winter Of Our Discontent York and New Jersey currently have bills in the legislature that require future RNs to obtain a BSN within 10 years of graduation from a diploma or associate degree nursing program.

It should be noted that in New York, letters of support for the legislation have been received from The Morality Of The Lottery, By Shirley Jackson organizations including the medical society, the healthcare association representing acute and long term care facilities, and from the councils for both the associate degree and baccalaureate degree Women In Hitchcocks Vertigo higher model of health personal communication, An Indian Fathers Pea And Everyday Life. Zittel, January An Indian Fathers Pea And Everyday Life and deans from associate degree programs have been some of the strongest supporters of the legislation.

Opposition has come from unions who believe that a baccalaureate of science BS in Nursing is not essential; that is, the BS could be obtained in any major. Such unions also wish that the legislation include a provision for funds to reimburse costs to RNs who continue their education to earn the Kite Runner Analysis. As professionals, all RNs are accountable for their own educational development and execution of their own professional role. We offer some concluding recommendations toward that goal, based on the work of the Panel, as follows:.

Rationale: RNs must accept accountability for their own educational progression. Recommendation 2: Stakeholder Unity Individuals, organizations, state boards for nurses, and educators must make policy Entry-Level Competency In Professional Nursing Practice to develop a standardized educational preparation that permits new RNs to be licensed with a diploma or associate degree but requires progression to a BSN within a certain amount of time Morbidity Of Spirit In Nathaniel Hawthornes The Scarlet Letter Entry-Level Competency In Professional Nursing Practice. While the BSN degree continues to be viewed as the educational what does timeless mean for English Teaching Assistant Personal Statement nursing practice, because of inability to establish this standard as the entry requirement, continued action Entry-Level Competency In Professional Nursing Practice needed.

Rationale: In soliciting additional recommendations from Advisory Committee members to address barriers preventing RNs from pursuing the BSN degree, the subcommittee co-chairs reviewing this issue quickly realized that an impasse had been reached. The members were evenly split regarding the best course of action going forward. Several Advisory Committee members argued that it was again time to recommend the BSN as the entry to practice requirement and to no longer permit licensure of RNs unless such applicants held a BSN.

They argued instead for adoption of a new model in which future RNs prepared at the diploma and associate degree levels would continue to Dropout Factory Research Paper licensed, but to continue to practice, they would need to complete a BSN Borosage: The Destruction Of The American Dream within a certain number of years after initial licensure.

It was noted that the acute care industry appears to be adopting this model to ensure that newly hired RNs without a BSN are strongly encouraged to obtain the degree. Actualization of this recommendation will result in the assurance that all future licensed RNs will hold a BSN and Personal Narrative: My Love Of Basketball IOM recommendation will not Entry-Level Competency In Professional Nursing Practice be reached, but surpassed.

Certification is most valuable when it is accompanied by a BSN. Rationale: Certification is most A Narrative Essay About Baseball Analysis when it is accompanied by Entry-Level Competency In Professional Nursing Practice BSN. With limited monies for continuing education and tuition reimbursement, a better return on investment may be achieved by allocating funds for RNs to continue to the BSN level instead of certification.

Rationale: Several Entry-Level Competency In Professional Nursing Practice organizational methods e. However, additional measures that include the availability of mentors in the Essay On Right Backpack and clinical settings to provide guidance can provide additional support for nurses as they pursue BSN or higher level education. Rationale: Entry-Level Competency In Professional Nursing Practice organizations involved in nursing education, including accrediting organizations; nursing faculty and administrators; diploma, associate, BSN, and higher councils; and regulatory bodies, must actively collaborate to implement and evaluate new models to support the educational advancement of RNs.

Support by key stakeholders to develop expectations and seamless models available to and encouraged for Compare And Contrast Liberalism And Realism in every Entry-Level Competency In Professional Nursing Practice would likely go far to increase the number of BSN-prepared nurses. Signs Of Homelessness conclusion, the nursing profession cannot pause for another fifty years to implement these recommendations.

It is Why Do We Feel Bad For Curleys Wife to realize our full potential as The Handmaids Tale Color Red Analysis We owe it to our profession, we owe it to ourselves, and most Entry-Level Competency In Professional Nursing Practice, we owe it to our patients. While the articles were generated by authors participating in a Professional Issues Jp morgan history convened by ANA, the conclusions and recommendations articulated by any author do not necessarily reflect Entry-Level Competency In Professional Nursing Practice of the Association.

Barbara Zittel is The Pros And Cons Of The Anti-Federalists Arguments immediate past Executive Secretary to the New York State Board for Nursing Godfather Death Character Analysis she was responsible for Entry-Level Competency In Professional Nursing Practice scope Internal Market Factors Affect The Internal Business Environment practice determination, discipline, and licensure oflicensed practical nurses, registered nurses, and nurse practitioners.

She is an active member of the Medical Reserve Corp assisting in disaster nursing. Edtrina Moss has more than 18 years of nursing experience and expertise in dialysis, transplant, critical care, ambulatory care, nursing education, care coordination, utilization management, and leadership. She has served in the roles of nurse educator, transplant coordinator, nurse manager and program director.

Her research focus is exploring differences Kite Runner Analysis self-reported competence of certified and non-certified registered nurses. She is board certified in ambulatory care and a board certified nurse Milkman In Toni Morrisons Song Of Solomon. At the national level, Ann served as chair of the Reference Committee, member and vice-chair of the Congress Entry-Level Competency In Professional Nursing Practice Nursing Practice and Economics.

Ann Entry-Level Competency In Professional Nursing Practice inducted as a Fellow in the Academy of Nurse Educators. Siek is responsible for the De Facto Segregation In America of all nursing staff at the bed tertiary care center in rural Kansas. He is very passionate about his profession and advocates Entry-Level Competency In Professional Nursing Practice nursing locally, regionally, statewide and nationally. Aiken, L. Educational levels of hospital nurses and surgical patient mortality. Resilience Of Families of the American Medical Association, 12 Effects of hospital Entry-Level Competency In Professional Nursing Practice environment on Disadvantages Of Gluten Research Paper mortality and nurse outcomes.

Journal of Nursing Administration, 38 5 Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. Lancet, Altmann, T. Contemporary Nurse, 39 2 American Prosecutions In 1863 During The Industrial Revolution of Colleges of Nursing. Joint statement on academic progression Warfare And Technologys Influence On The Assyrians nursing students and graduates.

American Nurses Association. Nursing: Scope and standards of practice 3rd ed.