1. BSN in 10-What Every Nurse Needs to Know
Barbara Zittel, RN, Ph.D.

2. Trends in Nursing Education0%
20%
40%
60%
80%
100%
Before 1960
1960s
197 0s
1980s
1990s
2000s
Diploma
Associate's
Bachelor's/Master's
Trends in Nursing Education

3. Each year, out of 100 RNs seeking NYS licensure, 62 are Associate and 38 are Baccalaureate Graduates

4. Graduates from basic nurse baccalaureate programs are over 3 times more likely to obtain graduate degrees
Initial BSN Graduates
Initial ADN Graduates
Adapted from: Aiken, Cheung, Olds Health Affairs 28(4)

5. RESEARCH FINDINGS
Multiple Researchers have demonstrated a significant relationship
between nursing education and improved patient outcomes

6. As Nurse Education Increases, Patient Mortality Decreases.
Deaths per 1000 patients with complications
Aiken, 2003, JAMA 90
deaths in
1,000
patients 84
deaths in
1,000
patients 76
deaths in
1,000
patients
Education
(Percentage of hospital nurses with BS degrees.)
232,342 patients from 168 PA non-federal adult general hospitals.

7. NYS Thirty Day Surgical Mortality Preventable with each 10% Increase in BS Prepared Nurses
NYS 30 day mortality surgical discharges
Percentage of Decreased Deaths
with each 10% increase in BS Prepared Nurses

8. Replication of Aiken study in 18,142 patients in 49 hospitals in Alberta, Canada with identical results
Estabrooks, et al. (2005)
Hospitals with a higher proportion of BSN RNs experienced lower rates of 30-day patient mortality

9. Tourangeau (2007) Study of 46, 993 patients
Demonstrated 9 fewer deaths per 1,000 discharges for every 10% increase in BS prepared nurses

10. Blegen & Goode (2009)
Longitudinal study of 21 US hospitals over 84 quarters
In hospitals with a higher proportion of BS educated nurses:
Lower rates of CHF mortality
Fewer Hospital Acquired Pressure Ulcers
Lower Rates of Failure to Rescue
Shorter Hospitalizations

11. Changes in the Health Care Environment
*Advances in science
*Increasingly diverse population
*Care over continuum - medical homes
*Value Based Purchasing – paying for outcomes
These factors have resulted in increased patient complexity,
accelerating the need for nurses with broader skills and knowledge to manage & coordinate care of more diverse and
challenging populations across all settings.

12. Transformation of Nursing Education
Canada:
New RNs must be BS prepared
European Union:
BS required
Philippines:
BSN Required
Since 1988
Turkey:
BSN required
since 1997
Thailand:
BS required
Australia:
BSN Required
Since 1992

13. Minimum Entry-Level Education Requirements for
Select Licensed Health Professions
Midwifery
Nurse Practitioner
Occupational Therapy
Speech Lang. Path.
Audiology
Lic. Clin. Soc. W.
Lic. Masters Soc. W.
Lic. Mental Hlth Couns.
Physical Therapist
Medicine
Dentistry
Podiatry
Psychology
Pharmacy
Athletic Training RN
Diploma/Associate
Master’s
Doctorate BS

14. Educating Nurses: A Call for Radical Transformation
2010 Carnegie Foundation report
Educating Nurses: A Call for Radical Transformation
(Patricia Benner, et al.) calls for the BS degree in nursing for licensure

15. 2008-RWJF-IOM Collaboration
Chaired by former
Department of Health and Human Services Secretary Donna Shalala
2010- Release of the Report

16. Recommends that 80% of RNs be prepared with the BS degree by 2020.
October 2010 Report
Recommends that 80% of RNs be prepared with the BS degree by 2020.

17. Question 4.
The “BS in 10” proposal would close associate degree programs because every RN would need to obtain a BS degree after the bill is passed into law.
True
False

18. Question 5.
The “BS in 10” proposal would require every currently licensed RN to obtain a BS degree within 10 years after the bill is passed into law.
True
False

19. PROPOSAL
Would permit persons with a diploma or associate degree in nursing,
seeking future licensure, to obtain that licensure but,
would require such applicants to obtain a BS degree in nursing
10 years after that initial licensure.

20. PROPOSAL Grand parenting of all currently licensed (RNs);
Time to permit all students on a waiting list or enrolled in associate or diploma programs to complete their studies and be grand parented
    
   
Opportunity for an extension beyond 10 years, for extenuating circumstances, as determined by the Department.
Provisions that would place a Registered Nurse’s license on “hold” if the baccalaureate degree is not obtained in 10 years.

21. Current Status of the Board’s Motion Assembly Bill # ?? Sponsor??
NYONE takes Lead in Seeking Legislative Support
Assembly Bill # ?? Sponsor??
Senate Bill # ?? Sponsor??

22. Benefits to New York
*Project 6,000 fewer surgical deaths annually when 60% of nurses are prepared at the BS level.
*Project a 10% reduction in the 200,000 hospital acquired pressure ulcers each year. The published additional length of stay from hospital acquired pressure ulcers is 3.98 days, thus the potential savings is 17.5 million dollars annually.
*With the reduction of the Length of Stay (LOS) by 0.2 days there is a potential capacity for 400,000 additional patient days.
*Every 1% reduction in RN turnover saves $12.9 million statewide.

23. The Plight of New Graduates

24. Many hospitals are responding to research and Magnet expectations by requiring their nursing staff to hold the BS in Nursing degree.

25. Perceived Problems/Concerns
STATEMENT
RESPONSE
If I get my BS I will be removed from bedside nursing.
I’m content at what I’m doing why should I go on to the BS degree?
I’m just as good as any BS prepared nurse!