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Research Article| Volume 66, ISSUE 4, P394-400, July 2018

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Projections of progress toward the 80% Bachelor of Science in Nursing recommendation and strategies to accelerate change

  • Joanne Spetz
    Correspondence
    Corresponding author: Joanne Spetz, Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94118. (J. Spetz).
    Affiliations
    Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA
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      Highlights

      • Despite growth in entry-level Bachelor of Science in Nursing (BSN) education and Registered Nurse (RN)-to-BSN graduations, the Institute of Medicine recommendation that 80% of RNs have a bachelor's degree or higher by 2020 will not be attained.
      • Based on current patterns of entry-level and RN-to-BSN education, approximately 66% of RNs are projected to have BSN+ education by 2025.
      • To reach the 80% goal by 2025, changes in the mix of entry-level education and/or an increase in the number of RN-to-BSN graduates will be required.
      • Employers can support tuition costs and offer rewards to RNs who complete baccalaureate degree, as many do now.
      • Programs that support entry-level BSN education should be expanded, including collaborative agreements between community colleges and universities and community colleges offering bachelor's degrees in nursing.

      Abstract

      Background

      In 2011, the Institute of Medicine recommended that 80% of RNs have a bachelor's degree or higher by 2020. Progress toward this recommendation has been slow.

      Purpose

      This paper presents a model that projects whether the 80% recommendation can be met within a 10-year period and estimates the impact of education changes that might accelerate progress.

      Methods

      A projection model for 2016 to 2026 was created using a “stock-and-flow” approach. Secondary data were extracted from multiple sources for the projections. The model includes the option to enter alternative values of key parameters to estimate the impact of changes.

      Discussion

      Based on current patterns of entry-level and RN-to-BSN education, approximately 66% of RNs are projected to have BSN+ education by 2025.

      Conclusions

      To reach the 80% goal by 2025, changes in the mix of entry-level education and/or an increase in the number of RN-to-BSN graduates will be required.

      Keywords

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