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Entry Level into Practice

Entry Level into Practice. Michelle Rowe NURS 450 Ferris State University. Objectives. You will be able to identify the difference in education levels one must pass to be eligible for the NCLEX exam to obtain licensure.

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Entry Level into Practice

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  1. Entry Level into Practice Michelle RoweNURS 450Ferris State University

  2. Objectives • You will be able to identify the difference in education levels one must pass to be eligible for the NCLEX exam to obtain licensure. • You will have increased knowledge if patient outcomes are affected by the nurse’s education level. • You will have increased knowledge of which nursing organizations support and promote entry level nurses to have bachelor degrees.

  3. Question at Issue • What education level is best for nurses to obtain prior to entering the workforce?

  4. Outline • Introduction • What is the best education level for an entry level nurse? There are 3 levels of education which all lead to the same licensure. • Theory Base • Benners’ Theory of From Novice to Expert • Rogers’ Theory of Diffusion of Innovation • Assessment of the Healthcare Environment • Studies show that patients who were cared for by a BSN nurse have a lower risk for complications and errors.

  5. Outline continued • Inferences and Implications/Consequences • Patient outcomes increase while being treated by a higher educated nurse. • There is a connection between education and clinical judgment. • Recommendation for Quality and Safety Improvements • Nurses will possess attitudes showing they acknowledge their own potential to contribute to effective team functioning by participation in lifelong learning and striving to advance their education. • Nurses will gain skills in identifying gaps between local and best practice by extending their education level.

  6. Questions to Consider • Would you rather have a nurse who has more experience or more education care for you? Why? • Does your current facility have criteria for nurses and their education level upon hiring? • What educational level do you feel should be the minimal requirement for nurses? Why?

  7. Introduction • ADN vs. BSN • Studies support higher education • IOM supports 80% of RNs to have BSNs by 2020 (DeBasio & Fetsch, 2011)

  8. Nursing History • Many societies chose women to fill the role of caregiver • No formal education • Oral traditions passed from generation to generation • Observations of others caring for the sick • System of trial and error • Florence Nightingale: nursing school (Egenes, nd)

  9. Diploma of Nursing • Oldest and most traditional type of nursing education in the United States • Education primarily in the hospital setting • Graduates receive a diploma opposed to a degree • A strong emphasis on clinical experiences in direct patient care • Able to sit for the NCLEX • In 2004 there were only 68 diploma programs in the US (White, 2001)

  10. Associate Degree • Community Colleges- 2 year program • General education courses completed prior to core nursing classes • Combines classroom with skills lab and clinical experience • Able to sit for the NCLEX (White, 2001)

  11. Bachelor Degree • More in-depth course work than the associates degree • Traditional 4 year university • RN-BSN program • Accelerated BSN • Able to sit for the NCLEX or need to have a RN license (AACN, 2012)

  12. Nursing Theory • Describe, predict, and explain the phenomenon of nursing • Helps us to decide what we know and need to know (Current Nursing, 2012)

  13. From Novice to Expert • Dr. Patricia Benner • 5 levels of nursing experience • Novice • Advanced Beginner • Competent • Proficient • Expert (Current Nursing, 2011)

  14. Diffusion of Innovation • Dr. Everett Rogers • Five attributes of innovation • Relative advantage • Compatibility • Complexity • Trialablity • Observability (Robinson, 2009)

  15. Case Study Increased risks for patient complications and errors (Institute of Medicine, 2011)

  16. Root Cause Analysis ? ? Increased Risks for Complications and Errors ? ? (Mind Tools, 2012)

  17. Root Cause Analysis Working Relationship Staffing Increased Risk for Complications and Errors Education/ Experience Care Environment

  18. BSN IN TEN • Life Long Learning • American Nurses Association & American Association of Colleges of Nursing Support BSN • SEIU rejects any bill mandating a BSN as entry level • Some states are seeking legislation supporting the BSN (Smith, 2009) (SEIU)

  19. ANA Standards/QSEN • Teamwork & Collaboration • Nurses will demonstrate attitudes reflecting they feel equally educated to effectively contribute in collaboration with others health care members by receiving higher education (ANA, 2004) (QSEN, 2012)

  20. Quality Improvements • Quality Improvements / Quality of Practice • Nurses will have obtained the skills needed to provide improved quality of care using aims, measures and changes to reach their goals. (ANA, 2004) (QSEN, 2012)

  21. Safety & Resource Utilization • Safety/Resource Utilization • Entry level nurses will demonstrate effective us in technology and standardized practices that support safety and lead to improved patient outcomes. (ANA, 2004) (QSEN, 2012)

  22. Conclusion

  23. References • American Association of Colleges of Nursing. (2012). The impact of education in nursing practice. Retrieved from https://fsuvista.ferris.edu/webct/urw/lc4779355726061.tp4844248911011/RelativeResourceManager/sfsid/5226378117051 • American Association of Colleges of Nursing. (2000). The baccalaureate degree in nursing as minimal preparation of professional practice. Retrieved from http://www.aacn.nche.edu/publications/position/bacc-degree-prep • Current Nursing, (2012). Application of theory in nursing process. Retrieved on September 21, 2012 from http://currentnursing.com/nursing_theory/application_nursing_theories.html • Current Nursing. (2011). From novice to expert: Patricia Benner. Retrieved from http://currentnursing.com/nursing_theory/Patricia_Benner_From_Novice_to_Expert.html • DeBasoi, N. & Fetsch, S. (2011). Educational advancements of Registered Nurses BSN in ten. Retrieved from http://www.mlnmonursing.org/Content/CMSUploads/White%20paper.pdf • Egenes, K. J. (n.d.). History of nursing. Retrieved from http://www.jblearning.com/samples/0763752258/52258_CH01_Roux.pdf

  24. Hawkins, P. (2000). Entry level competence of nurses by type of program. Retrieved rom http://www.csm.edu/wfdata/files/Academics/Library/InstitutionalRepository/9.pdf • Institute of Medicine, (2011). The future of nursing: Focus on education. Retrieved from http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx • Mind Tools. (2012). Root cause analysis; Tracing a problem to its origins. Retrieved from http://www.mindtools.com/pages/article/newTMC_80.htm • Robinson, L. (2009). A summary of Diffusion of Innovations. Retrieved from http://www.enablingchange.com.au/Summary_Diffusion_Theory.pdf • SEIU. (n.d.) SEIU Healthcare; Position statement on BSN requirement for RN practice. Retrieved fromhttp://www.seiu.org/a/healthcare/position-statement-on-bsn-requirement-for-rn-practice.php • Smith, T., (2010). A policy perspective on the entry into practice issue. The Online Journal of Issues in Nursing, 15(1). DOI: 10.3912/OJIN.Vol15No01PPT01 • White, L. (2001). The foundations of nursing; Care for the whole person. Albany, NY: Delmar

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