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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References
- About APIN.(Retrieved from)
- Education policy initiatives to address the nurse shortage in the United States.Health Affairs. 2009; 28: w646-w656
- Educational levels of hospital nurses and surgical patient mortality.Journal of the American Medical Association. 2003; 290: 1617-1623
- Registered nurses returning to school for a bachelors degree in nursing: Issues emerging from a meta-analysis of the research.Contemporary Nurse. 2011; 39: 256-272
- 2009–2016 Data reports.American Association of Colleges of Nursing Research and Data Center, Washington, DC2010–2017
- Employment of new nurse graduates and employer preferences for baccalaureate-prepared nurses.(Research Brief, October; Retrieved from)
- 2015–2016 Annual school report: Data summary and historical trend analysis.California Board of Registered Nursing, Sacramento, CA2017
- Baccalaureate education in nursing and patient outcomes.Journal of Nursing Administration. 2013; 43: 89-94
- A stock-flow model to analyse and forecast labour market variables.Labour (Committee on Canadian Labour History). 1988; 2: 55-116
- Dashboard indicators.AARP, Washington, DC2017 (Retrieved from)
- Effects of nurse staffing, work environments, and education on patient mortality: An observational study.International Journal of Nursing Studies. 2015; 52: 535-542
- Survey of nurse employers in California, fall 2017.University of California, San Francisco, San Francisco, CA2018
- Community college baccalaureate: A fixed effects, multi-year study of the influence of state policy on nursing degree production.Higher Education Policy. 2011; 24: 377-398
- The future of associate degree nursing.Nursing and Health Care Perspectives on Community. 1997; 18: 20-24
- The impact of hospital nursing characteristics on 30-day mortality.Nursing Research. 2005; 54: 74-84
- Hospital nurse practice environments and outcomes for surgical oncology patients.Health Services Research. 2008; 43: 1145-1163
- Nursing studies laid end to end form a circle.Journal of Health Politics, Policy and Law. 1994; 19: 597-631
- Creating tomorrow's leaders and innovators through an RN-to-Bachelor of Science in Nursing consortium curricular model.Journal of Professional Nursing. 2012; 28: 163-169
- The future of nursing: Leading change, advancing health.The National Academies Press, Washington, DC2011
- Nurse specialty certification, inpatient mortality, and failure to rescue.Journal of Nursing Scholarship. 2011; 43: 188-194
- An increase in the number of nurses with baccalaureate degrees is linked tolower rates of postsurgery mortality.Health Affairs. 2013; 32: 579-586
- The rural pipeline: Building a strong nursing workforce through academic and service partnerships.Nursing Clinics of North America. 2011; 46: 107-121
- NCLEX statistics from NCSBN.National Council of State Boards of Nursing, Chicago, IL2017
- Forecasts of the registered nurse workforce in California.California Board of Registered Nursing, Sacramento, CA2017
- Is a baccalaureate in nursing worth it? The return to education, 2000–2008.Health Services Research. 2013; 48: 1859-1878
- Survey of nurses' educational experiences, 2013.California Board of Registered Nursing, Sacramento, CA2014
- Transitioning associate degree in nursing students to the Bachelor of Science in Nursing and beyond: A mandate for academic partnerships.Journal of Professional Nursing. 2011; 27: e20-e27
- Memorandum filed with Senate Bill 6768.State of New York, Albany, NY2017
- Impact of hospital nursing care on 30-day mortality for acute medical patients.Journal of Advanced Nursing. 2007; 57: 32-44
- Summary file, 2016 American Community Survey.U.S. Census Bureau, American Community Survey Office, Washington, DC2017
- The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: Analysis of administrative data.International Journal of Nursing Studies. 2009; 46: 796-803
- Economic evaluation of the 80% baccalaureate nurse workforce recommendation: A patient-level analysis.Medical Care. 2014; 52: 864-869
- Nurse value-added and patient outcomes in acute care.Health Services Research. 2014; 49: 1767-1786
- Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe.International Journal of Nursing Studies. 2013; 50: 154-161
- Advancing the education of nurses: A call for action.Journal of Nursing Administration. 2010; 40: 529-533
Article info
Publication history
Published online: May 03, 2018
Accepted:
April 29,
2018
Received:
December 23,
2017
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.