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Significance of
Nursing Education
NAVAH LEMIEUX
Facilitators and Barriers to
Professionalism in BSN Nursing
 Historical Influences:
 Florence Nightingale during the Crimean War (1853-1856)
 Notes on Nursing (1859)
 St. Thomas Hospital (1860) – Model for nursing education in
the U.S.
 Other influential females in Nursing
 Mary Seacole
 Mary Ann Bickerdyke
 Clara Barton
Facilitators and Barriers to
Professionalism in BSN Nursing
 Historical Influences Con’t
 Post Civil War period
 Encouraged education of nurses
 Training schools were developed in the U.S.
 Nursing became feminized
 Stereotypes of females as nurses
Facilitators and Barriers to
Professionalism in BSN Nursing
 Gender
 Male Nurses at the NYC Training School (1886)
 Hospital in Chicago (1898)
 Nursing is primarily female – 7% of RNs are men
 Men are as equal to have a BSN as female
 Male RNs earn over $5,000 more than women annually
 Men are encouraged to join professional organizations and purse higher
degrees
Facilitators and Barriers to
Professionalism in BSN Nursing
 Nursing Shortages
 High demand for nurses
 Many ADN nurses still working
 Increasing healthcare needs of the aging population
 Lack of education resources
 Fewer teaching faculty
 Many students denied because limited faculty
Facilitators and Barriers to
Professionalism in BSN Nursing
 Nursing shortages
 Internal: Salary issues, long hours, increased responsibility of unlicensed
workers, high responsibility with little authority
 External: Change in demand, increasing age population, increasing patient
acuity, perceptions of profession (Black, pg. 47)
Facilitators and Barriers to
Professionalism in BSN Nursing
 Nursing Education
 ADN programs were introduced in the 1950s during WWII to supplement the
nursing need.
 More nurses who have their ADN are returning to school to get their BSN
 Some hospitals make it mandatory to have their nurses be BSN educated upon
hire.
 Other hospitals will hire ADN nurses with the agreement that a BSN is obtained
within a certain time frame.
Facilitators and Barriers to
Professionalism in BSN Nursing
 Nursing Education
 An ADN nurse is only allowed in entry level nursing.
 Any advanced nursing position requires a BSN
 ADN nursing is popular because an entry level nurse can begin work with a
degree earned in two years and avoid additional debt that comes with a BSN
Facilitators and Barriers to
Professionalism in BSN Nursing
 Ethical Considerations with BSN Education
 Patient outcomes are better when nurses have BSN education
 On surgical units, there are fewer patient complications when nurses have BSN
education (Black, pg. 7)
Nursing as a ‘Profession’
 Characteristics of a profession
 Service and Altruism
 Specialized Knowledge
 Autonomy and Ethics
Nursing as a ‘Profession’
 Nursing’s position on the professional continuum
 Nursing as a profession does have the characteristics of a profession that
Flexner and Hall a talk about (previous slide)
 BSN not a requirement
 Entry level nurses can have an ADN
 other professions require at least a BSN education to be considered a ‘profession’
 Nurses work along side with the interdisciplinary team, who are all healthcare
professionals (MD, PT, OT, etc.)
Influences of the Growth of BSN
Education
 The ANAs Educational Preparation for the Nurse Practitioners and
Assistants to Nurses (1965)
 1979 and the ANA
 More nurses are becoming BSN educated but many entry level nurses are
ADN educated
 Patients have better outcomes when care is provided by BSN nurses
 Surgical patients have fewer complications with BSN nurses (Black, pg. 7)
Media Images and Professional
Education
 T.V. series – Image of nursing is exaggerated or misinterpreted
 Physical image has changed, but nurses can still be stereotyped from what
nurses used to look like (the white cap with the red cross)
 Nursing is considered the profession that is most ethical and honest (Black,
pg. 41)
Media Images and Professional
Education
 Social media can be used as a communication tool. It is limited what a
nurse can share because of patient confidentiality. Nursing organizations
can bring awareness to the profession and nursing related issues. Nursing
is a profession that is still growing and evolving. It’s a complex and diverse
field. Continuing education is important in all parts of nursing, whether or
not its accurately portrayed in the media.
References
 Black, B. P. (2017). Professional nursing: Concepts & challenges. Maryland
Heights, MO: Elsevier/Saunders.

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Significance of nursing education

  • 2. Facilitators and Barriers to Professionalism in BSN Nursing  Historical Influences:  Florence Nightingale during the Crimean War (1853-1856)  Notes on Nursing (1859)  St. Thomas Hospital (1860) – Model for nursing education in the U.S.  Other influential females in Nursing  Mary Seacole  Mary Ann Bickerdyke  Clara Barton
  • 3. Facilitators and Barriers to Professionalism in BSN Nursing  Historical Influences Con’t  Post Civil War period  Encouraged education of nurses  Training schools were developed in the U.S.  Nursing became feminized  Stereotypes of females as nurses
  • 4. Facilitators and Barriers to Professionalism in BSN Nursing  Gender  Male Nurses at the NYC Training School (1886)  Hospital in Chicago (1898)  Nursing is primarily female – 7% of RNs are men  Men are as equal to have a BSN as female  Male RNs earn over $5,000 more than women annually  Men are encouraged to join professional organizations and purse higher degrees
  • 5. Facilitators and Barriers to Professionalism in BSN Nursing  Nursing Shortages  High demand for nurses  Many ADN nurses still working  Increasing healthcare needs of the aging population  Lack of education resources  Fewer teaching faculty  Many students denied because limited faculty
  • 6. Facilitators and Barriers to Professionalism in BSN Nursing  Nursing shortages  Internal: Salary issues, long hours, increased responsibility of unlicensed workers, high responsibility with little authority  External: Change in demand, increasing age population, increasing patient acuity, perceptions of profession (Black, pg. 47)
  • 7. Facilitators and Barriers to Professionalism in BSN Nursing  Nursing Education  ADN programs were introduced in the 1950s during WWII to supplement the nursing need.  More nurses who have their ADN are returning to school to get their BSN  Some hospitals make it mandatory to have their nurses be BSN educated upon hire.  Other hospitals will hire ADN nurses with the agreement that a BSN is obtained within a certain time frame.
  • 8. Facilitators and Barriers to Professionalism in BSN Nursing  Nursing Education  An ADN nurse is only allowed in entry level nursing.  Any advanced nursing position requires a BSN  ADN nursing is popular because an entry level nurse can begin work with a degree earned in two years and avoid additional debt that comes with a BSN
  • 9. Facilitators and Barriers to Professionalism in BSN Nursing  Ethical Considerations with BSN Education  Patient outcomes are better when nurses have BSN education  On surgical units, there are fewer patient complications when nurses have BSN education (Black, pg. 7)
  • 10. Nursing as a ‘Profession’  Characteristics of a profession  Service and Altruism  Specialized Knowledge  Autonomy and Ethics
  • 11. Nursing as a ‘Profession’  Nursing’s position on the professional continuum  Nursing as a profession does have the characteristics of a profession that Flexner and Hall a talk about (previous slide)  BSN not a requirement  Entry level nurses can have an ADN  other professions require at least a BSN education to be considered a ‘profession’  Nurses work along side with the interdisciplinary team, who are all healthcare professionals (MD, PT, OT, etc.)
  • 12. Influences of the Growth of BSN Education  The ANAs Educational Preparation for the Nurse Practitioners and Assistants to Nurses (1965)  1979 and the ANA  More nurses are becoming BSN educated but many entry level nurses are ADN educated  Patients have better outcomes when care is provided by BSN nurses  Surgical patients have fewer complications with BSN nurses (Black, pg. 7)
  • 13. Media Images and Professional Education  T.V. series – Image of nursing is exaggerated or misinterpreted  Physical image has changed, but nurses can still be stereotyped from what nurses used to look like (the white cap with the red cross)  Nursing is considered the profession that is most ethical and honest (Black, pg. 41)
  • 14. Media Images and Professional Education  Social media can be used as a communication tool. It is limited what a nurse can share because of patient confidentiality. Nursing organizations can bring awareness to the profession and nursing related issues. Nursing is a profession that is still growing and evolving. It’s a complex and diverse field. Continuing education is important in all parts of nursing, whether or not its accurately portrayed in the media.
  • 15. References  Black, B. P. (2017). Professional nursing: Concepts & challenges. Maryland Heights, MO: Elsevier/Saunders.

Editor's Notes

  1. During the Crimean War from 1853-1856, Florence Nightingale saw a need for cleaner and safer environments for wounded soldiers (Black, pg. 26) Florence Nightingale founded the St. Thomas Hospital in London in 1860 as the first training school for nurses. This became the model for nursing education in the U.S. (Black, pg. 26) Nightingale wrote Notes on Nursing in 1859 Although there are other important females in nursing history, Florence Nightingale is the most well known.
  2. In 1873 three American training schools opened (Bellevue Training school for Nurses, The Connecticut Training school for Nurses, and the Boston Training school for nurses) These schools were developed specifically for women (Black, pg. 28) In 1886 a nurse training school in NYC developed for male nurses (Black, pg. 28) Later, in 1898, Hospital in Chicago opened to train male nurses. Females were considered intellectually inferior to men and less physical, Florence Nightingale focused on breaking this stereotype where women were capable of the physical aspect of nursing, as well as the intellectual part (Black, pg. 38)
  3. In 1886 a nurse training school in NYC developed for male nurses (Black, pg. 28) Later, in 1898, Hospital in Chicago opened to train male nurses. More men are pursuing nursing degrees, with a 50% increase in male enrollment between 2000-2008 (Black, pg. 2) American Assembly of Men in Nursing (AAMN) of 1974 – encourage men to be involved in research and education and help create an equal view of nursing between male and female nurses (Black, pg. 40)
  4. The current nursing shortage may continue to be an issue in the future because there is not enough qualified teaching faculty to meet the amount of potential nursing students. Prospective students are sometimes denied because of the lack of faculty or other resources, making most nursing schools very competitive. Since there is not enough faculty to meet the amount of students ADN nurses are still needed because the nursing shortage. Although a BSN is ideal and it is slowly moving toward BSN education only nurses, there will still be jobs for nurses with an ADN (Black, pg. 47). There is already an increasing demand for working nurse because the aging population and increasing healthcare needs
  5. Flexner and Hall who were both sociologist talked about characteristics of a profession. Some of their similarities were that a profession has service or altruism, specialized knowledge, and autonomy or ethics (Black, 2017, pg. 52, 53).
  6. Professional preparation “includes orientation to the beliefs, values, and attitudes expected of the members of the profession, as well as the standards of practice and ethical considerations” (pg. 54).
  7. The 1965 ANA published a ‘position paper’ that stated nurses should have a BSN at a minimum to be an RN. In 1979 The ANA said that by 1985 all nurses should be BSN educated. The ANAs stance on BSN education being a requirement created a divide and protest among some diploma and ADN nurses and their institutions. (Black, pg. 71). Although BSN is still the recommendation, there are still many ADN degrees being offered, and still there are more entry level nurses who begin their career with a ADN, where they pursue a BSN later. BSN educated nurses is growing and many hospitals won’t hire ADN nurses, or if they do higher an ADN, then it is the expectation that a BSN be obtained within a certain time period.
  8. Nursing is so diverse that it is difficult to describe a mold for one type of nursing. Some media images portray nursing as the stereotypical female with a stethoscope at a patients bedside.