Highlights
- •Community colleges should partner with universities to create a shared baccalaureate curriculum providing more students at the community college the choice to enter a program where they complete their BSN before they are licensed as an RN.
- •Community colleges with RN-to-BSN programs should increase enrollment capacity and graduates from these programs.
- •Universities should increase enrollment capacity for and graduates from BSN and RN-to-BSN programs.
- •Educators and practice partners should use the BSN projection tool to set and evaluate mutual goals annually.
Abstract
Introduction
The Institute of Medicine Future of Nursing (2011) report recommended nurses achieve
higher levels of education and training through an improved education system that
promotes seamless academic progression. The report cited evidence that a higher proportion
of BSN prepared RNs in the workforce improves patient outcomes.
Methods
An extensive network of funding and grassroots support from Robert Wood Johnson Foundation
and AARP Foundation generated a host of activities to advance progress in this recommendation.
Community colleges and universities strengthened strategic partnerships and developed
tools to address identified challenges. The community colleges and universities testing
academic progression models developed a new model with the potential to accelerate
progress by providing community college RN students an option to exit with a BSN (Gerardi,
Gerardi, 2017
). Building on these successes and using a projection tool (Spetz,
Spetz, 2018
), this paper illustrates recommended next steps. Implementing the proposed changes
would accelerate progress to 83.9% RNs in the workforce with BSN or higher preparation
by 2025 rather than the predicted 64% at the current rate of progress.Recommendations/Conclusions
Accelerating progress to meet national academic progression goals will require targeted
support for increased education capacity at community colleges and universities. Addressing
faculty shortages, increased student and faculty diversity, and economic drivers will
be essential for success. The strategic action proposal described in this paper can
be the essential next step to accelerate progress in this important work.
Keywords
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References
- Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study.Lancet. 2014; 383: 1824-1830
- Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments.Medical Care. 2011; 49: 1047-1053
- New AACN data show an enrollment surge in baccalaureate and graduate programs amid calls for more highly educated nurses.(Retrieved from)
- Enrollment & graduations in baccalaureate and graduate programs in nursing (series).(Retrieved from)
- Using strategic partnerships to expand nursing education programs.(Retrieved from)
- Outcomes and cost analysis of the impact of unit-level nurse staffing on post-discharge utilization.Nursing Economic. 2011; 29: 69-87
- Four challenges facing the nursing workforce in the United States.Journal of Nursing Regulation. 2017; 8: 40-46
- Positioning a 5-state nursing workforce to flourish by advancing baccalaureate nursing education.Nursing Administration Quarterly. 2017; 41: 170-177
- Shared curriculum model: A promising practice for education transformation.Journal of Nursing Education. 2015; 54 (6p): 677-682
- The value of nursing care: A concept analysis.Nursing Forum. 2017; (Online ISSN:1744-6198, © Wiley Periodicals, Inc.)
- RN to BSN at the Community College: A promising practice for nursing education transformation.Teaching & Learning in Nursing. 2017; 12 (6p): 103-108
- The academic progression in nursing initiative: The final year outcomes.The Journal Of Nursing Administration. 2017; 47: 74-78
- Moving closer to the 2020 BSN-prepared workforce goal.AJN, American Journal of Nursing. 2018; 118 (February 2018): 43-45
- Answering the call for a bachelor's prepared nursing workforce: An innovative model for academic progression.Journal of Professional Nursing. 2015; 31 (7p): 445-451
- Foundational courses for the baccalaureate nursing degree: Enhancing efficiency for academic progression.The Journal Of Nursing Education. 2016; 55: 373-378
- Breakthrough thinking in nursing education: The Baccalaureate Big 5.The Journal Of Nursing Administration. 2016; 46: 393-399
- Nursing education transformation: Promising practices in academic progression.Journal of Nursing Education. 2015; 54: 509-515https://doi.org/10.3928/01484834-20150814-05
- Nursing education transformation. Building an infrastructure for the future.The American Journal Of Nursing. 2015; 115: 53-57
- The future of nursing: Leading change, advancing health.(Retrieved from)
- An evaluation of state-based support-for-service programs targeting nurse faculty.Nursing Education Perspectives (National League for Nursing). 2014; 35: 280-286
- 2017 (ISBN# 978-0-9903603-6-0 (series)) Research brief volume 70, 2016 NCLEX® examination statistics, copyright ©2016 National Council of State Boards of Nursing, Inc. (NCSBN®).
- Resources.NEPIN, 2018 (Retrieved from)
- Investing in nurse education: Is there a business case for health care employers? (No. RWJF grant 68816).The George Washington University, 2012 (Retrieved from)
- Summary of the 2013 Community College presidents’ meeting and progress in the year since it was convened [white paper].(Retrieved from)
- The competency/outcomes model: Advancing academic progression.Nursing Education Perspectives (Wolters Kluwer Health). 2017; 38 (Sep/Oct2017(6p)): 237-242
- Projections of progress toward the 80% Bachelor of Science in Nursing recommendation and strategies to accelerate change.Nursing Outlook. 2018; 66 (ISSN 0029-6554): 394-400
- The nursing profession, diversity, and wages.Health Services Research. 2017; 51: 505-510
- Lee Institute for Health Policy Studies. Bachelor's in Nursing Forecasting Tools. Retrieved from)https://rnworkforce.ucsf.edu/BSNforecast(June 21, 2018)Date: 2018 (
- Measuring nursing care value.Nursing Economic$. 2016; 34 (Available from: MEDLINE Complete, Ipswich, MA. Accessed May 30, 2018): 7-14
- Using social determinants of health to link health workforce diversity, care quality and access, and health disparities to achieve health equity in nursing.Journal of Public Health Reports. 2014; 129 (V): 32-36
- Economic evaluation of the 80% baccalaureate nurse workforce recommendation a patient-level analysis.Medical Care. 2014; 52: 864-869
Article info
Publication history
Published online: November 28, 2018
Accepted:
November 25,
2018
Received in revised form:
October 30,
2018
Received:
July 17,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.