Advancement of Nursing Education BSN in 10 Bill - American

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					   Advancement of Nursing Education
            BS in 10 Bill



Presentation to Ad-AACN Chapter Membership
              February 23, 2012
                Objectives
n Review current workforce demographics


n Understand the rationale for the proposed
  legislative change

n Describe the intent and components of the
  legislation



                                              2
Nursing’s Importance to the Healthcare
   Industry Cannot be Understated

                 The “Numbers”

n   Approximately 263,000 RPNs in NYS
n   83.2% actively practice
n   Highest rate ever measured in our profession
n   9,800 nurses graduated in 2010
n   Public sees us as honest, trustworthy and
    ethical

                                                   3
Statewide Distribution of Nursing
         Degrees, 2010




                                    4
          “Evidence Suggests”
n The IOM (Institute of Medicine) is
  recommending increasing the proportion of
  nurses with a BS in Nursing to 80% of the
  workforce by 2020.
n Aiken, et al 2003, in a large study of surgical
  patients demonstrated that for every 10%
  increase in proportion of staff nurses with a
  BS, there is a 5% decline in mortality and
  failure to rescue of patients with post-op
  complications.
                                                    5
            “Evidence Suggests”
n Critical thinking skills, and analytic skills are
  strengthened in baccalaureate programs, better
  preparing RNs to deal with the complex healthcare
  environment.
n Nurses with a baccalaureate are more likely to
  pursue a master’s degree
      -necessary for advanced practice and faculty
       positions.
n 2010 survey from AACN (American Association of
  Colleges of Nursing) found that 65% of new BSN
  grads had job offers at graduation.
      -as opposed to other professions – 24%)
                                                      6
         “Evidence Suggests”
n In 2007, Tourangeau found that there were 9
  fewer deaths per 1000 discharges for every
  10% increase in BS prepared nurses.
n Several studies showed that more highly
  educated nurses were more satisfied and
  employed longer than AD nurses.




                                                7
Why do we Need A Legislative Change instead of a
Regulatory Change?

n The State Education Department Counsel
  formed the opinion that because our Nurse
  Practice Act states that a …”diploma or
  degree…” is granted – a legislative change is
  necessary.




                                                   8
    What is in the BS in 10 Bill?
n Not an entry level regulation
n Would require that nurses obtain a BS in
  Nursing within 10 years of licensure
n All students and current licensed RNs would
  be grandfathered
n There is a 4 year lead in from date of
  passage to allow AD or diploma students to
  complete their programs, making them
  exempt from the law

                                                9
    What is in the BS in 10 Bill?
n License would go “on hold” if degree is not
  obtained within the 10 years
n There is opportunity for an extension based
  on extenuating circumstances as determined
  by the State Education Department




                                                10
Professional Importance of the Bill
n Respond to need for critical thinking skills as
  patients become more complex
n Profession needs nurses prepared at the
  Baccalaureate level and above to fill critical
  nurse faculty vacancies
n Would equalize the professional requirement
n Give ongoing credibility to our role as
  coordinators of our patients’ care


                                                    11
    A Tall Order to Accomplish??
Traditional Route
n In NYS:
       47 BS Programs
       19 Accelerated one year programs
              Students entering nursing with a
              bachelor’s in another field
n Over 600 RN        BSN programs
       over half have components online
       University of Buffalo – totally online
n Articulation Agreements
       Concurrent admission to AD and BS
       Standardize pre-requisites for admission
                                                  12
Who Supports the Bill?




                         13
      What Can You Do For This Bill
            And In General?
n Learn about the bill, form an opinion
  and support it if you can!
n Visit your local legislator(s) and help to
  “educate” them on specific issues
n Read your specialty journals
n Participate in Lobby Days to support the
  Bill
n Participate in your local specialty
  organization!
                                           14
       What Can You Do For This Bill
             And In General?
n Know what your local senators and
 assembly people support
 -vote only for those that will have positive impact
 -write to them
 -call them
 -visit them!
 -volunteer in a political campaign
 -run for office!


                                                       15
Thank you!




             16
                                 References
Aiken, L.H., Clark, S.P., Cheung, R.B., Sloane, D.M., and Silber, J.H. (2003). Educational levels
    of hospital nurses and surgical patient mortality. Journal of the American Medical
    Association, 290 (12), 1617-1623.
American Association of Colleges of Nursing. (2008). Schools of nursing nationwide move to
    transform baccalaureate education in response to patient care needs and the changing
    nature of the registered nurse role. http://www.aacn.nche.edu/Media/NewsReleases/
    2008/BaccEssentials.html.
American Association of Colleges of Nursing. (2010). AACN data confirm that nurses with
    bachelors degrees are more likely to secure jobs sooner after graduation than other
    professionals. http://www.aacn.nche.edu/IDS/pdf/ResBriefEmpl.pdf.
Healthcare Association of New York State. (2011, June). Results from the 2011 health care
    professionals workforce survey. Rensselaer, NY: Healthcare Association of New York
    State.
New York State Assembly. (2009). Proposed Bill A.02079. An act to amend the education law
    for professional registered nurses. March 9, 2009 from New York State Department of
    Education. (2008, October 9). New York State Nursing Programs.
    http://www.op.nysed.gov/nurseprogs.
Tourangeau, A.E., Doran, D.M., H all, L.M., Pallas, L.O., Pringle, D., Tu, J.V., et al. (2006).
    Impact of hospital nursing care on 30-day mortality in acute medical patients. JAN, 14
    August, 32-44.



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