Presentation on theme: "BSN in 10-What Every Nurse Needs to Know"— Presentation transcript:
1BSN in 10-What Every Nurse Needs to Know Barbara Zittel, RN, Ph.D.
2Trends in Nursing Education 0%20%40%60%80%100%Before 19601960s1970s1980s1990s2000sDiplomaAssociate'sBachelor's/Master'sTrends in Nursing Education
3Each year, out of 100 RNs seeking NYS licensure, 62 are Associate and 38 are Baccalaureate Graduates
4Graduates from basic nurse baccalaureate programs are over 3 times more likely to obtain graduate degreesInitial BSN GraduatesInitial ADN GraduatesAdapted from: Aiken, Cheung, Olds Health Affairs 28(4)
5RESEARCH FINDINGSMultiple Researchers have demonstrated a significant relationshipbetween nursing education and improved patient outcomes
6As Nurse Education Increases, Patient Mortality Decreases. Deaths per 1000 patients with complicationsAiken, 2003, JAMA90deathsin1,000patients84deathsin1,000patients76deathsin1,000patientsEducation(Percentage of hospital nurses with BS degrees.)232,342 patients from 168 PA non-federal adult general hospitals.
7NYS Thirty Day Surgical Mortality Preventable with each 10% Increase in BS Prepared Nurses NYS 30 day mortality surgical dischargesPercentage of Decreased Deathswith each 10% increase in BS Prepared Nurses
8Replication of Aiken study in 18,142 patients in 49 hospitals in Alberta, Canada with identical resultsEstabrooks, et al. (2005)Hospitals with a higher proportion of BSN RNs experienced lower rates of 30-day patient mortality
9Tourangeau (2007) Study of 46, 993 patients Demonstrated 9 fewer deaths per 1,000 discharges for every 10% increase in BS prepared nurses
10Blegen & Goode (2009)Longitudinal study of 21 US hospitals over 84 quartersIn hospitals with a higher proportion of BS educated nurses:Lower rates of CHF mortalityFewer Hospital Acquired Pressure UlcersLower Rates of Failure to RescueShorter Hospitalizations
11Changes in the Health Care Environment *Advances in science*Increasingly diverse population*Care over continuum - medical homes*Value Based Purchasing – paying for outcomesThese factors have resulted in increased patient complexity,accelerating the need for nurses with broader skills and knowledge to manage & coordinate care of more diverse andchallenging populations across all settings.
12Transformation of Nursing Education Canada:New RNs must be BS preparedEuropean Union:BS requiredPhilippines:BSN RequiredSince 1988Turkey:BSN requiredsince 1997Thailand:BS requiredAustralia:BSN RequiredSince 1992
14Educating Nurses: A Call for Radical Transformation 2010 Carnegie Foundation reportEducating Nurses: A Call for Radical Transformation(Patricia Benner, et al.) calls for the BS degree in nursing for licensure
152008-RWJF-IOM Collaboration Chaired by formerDepartment of Health and Human Services Secretary Donna Shalala2010- Release of the Report
16Recommends that 80% of RNs be prepared with the BS degree by 2020. October 2010 ReportRecommends that 80% of RNs be prepared with the BS degree by 2020.
17Question 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.TrueFalse
18Question 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.TrueFalse
19PROPOSALWould 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 nursing10 years after that initial licensure.
20PROPOSAL 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 parentedOpportunity 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.
21Current Status of the Board’s Motion Assembly Bill # ?? Sponsor?? NYONE takes Lead in Seeking Legislative SupportAssembly Bill # ?? Sponsor??Senate Bill # ?? Sponsor??
22Benefits 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.
24Many hospitals are responding to research and Magnet expectations by requiring their nursing staff to hold the BS in Nursing degree.
25Perceived Problems/Concerns STATEMENTRESPONSEIf 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!