Chapter 4 Flashcards
Educating nurses: a call for radical transformation
2009 Patricia Benner
The future of nursing: leading change. Advancing health. Four key messages
2011: Institute of Medicine (IOM)
Aiken and call for increased federal support
2009
- Nurses must practice to the fullest extent of the education and training.
- Nurses should obtain higher education levels through a system of improved education with seamless progression across degrees.
- As healthcare in the United States is being transformed, nurses should be full partners With other healthcare professionals in this effort.
- Improved data collections and information infrastructure can result in more effective workforce planning and policy development.
2011: IOM Report
Nursing schools should be financially and administratively separate from hospitals.
Florence Nightingale and formal
nursing preparation
Establishment of first US training schools
1873
432 hospital-owned and hospital-operated nursing programs
1900
Nursing students staffed the hospital
High quality nursing education was not a priority
Diploma program – hospital based nursing education
Investigate ways to prepare nurses for leadership.
Teachers college
Isabel Hampton Robb
First nursing professor in history.
Mary Adelaide Nutting
Mother house of collegiate education
Teachers College
Focused on the students living conditions, nursing education curricula, and teaching method
1907: Educational status of nursing
Clinical learning experiences of students
Hospital control of the schools
Desirability of establishing University school of nursing
Level find specifically for nursing education
Lack of prepared teachers
Goldmark Report focused on:
Establish the first nursing school as a separate university department with its own Dean
1924- Yale University
Nursing schools today and tomorrow – reported the number of existing school
NLNE 1934
A curriculum guide for schools of nursing – outline three-year curriculum
NLNE 1937
- Nursing education program should be established within the system of higher education
- Nurses should be highly educated
- Students should not be used to staff hospitals
- Standard should be established for nursing practice
- All students should meet certain minimum qualifications of graduation
Recommendations of early studies of nursing education
Diploma programs
Baccalaureate program
Associate degree programs
Educational path to become a registered nurse
Needs to qualify nursing as a recognize profession and provide leadership in administration, teaching, and public health
Baccalaureate program – Bachelors degree
First BSN program-1909
University of Minnesota
Five years in duration
Most BSN program
Program was in sharp contrast to the hands on skills in service orientation that was the hallmark of hospital based diploma education
The theoretical, scientific orientation of the BSN program
The Brown Report 1948
Lucille Brown
Nursing for the future:
Basic schools of nursing must be placed in universities and colleges (rather than in hospital) with an effort to recruit men and minorities
The Brown Report
It concluded that baccalaureate education should become the foundations of professional practice
ANA position paper
Recommendations concerning supplies and demands for nurses, nursing rules and functions, and nursing education.
Priorities identified by the study:
The need for increased research into both practice indications of nurses.
Enhanced educational system and curricula.
Lysaught Report
Establish a clear system of nursing education including pathways for educational mobility and development of additional graduate education programs
The major block to the advancement of nursing was the ongoing conflict about education preparation for nurses
1980: National commission on nursing
A minimum educational level for professional nursing practice
BSN
NLN Position Statement
Is the preparation for technical nursing practice
ADN or diploma
NLN Position Statement
A minimal preparation for professional practice.
Baccalaureate degree in nursing
AACN position statement
4- year program. General education plus nursing courses
Faculty qualification – minimum of masters degree
BS and graduates are eligible to take Licensure exams, prepare to move into graduate programs in advance practice certification program
AACN 2008: essentials of baccalaureate education for professional nursing practice
Rhode Island nurses institute middle college charter high school in Providence
Characteristics of Pre-licensure baccalaureate programs