Proposed changes in the nursing industry and their effect on nursing practice


The AACN recommendation is that employers should enable a real practice setting that encourages long life learning as well motivating all registered nurses who are in their path of advancing their education levels to that of baccalaureate and higher degrees. In addition, AACN gives encouragement to BSN nurses to look for employers who can provide value to their studies (Hardin-Pierce, 2005).

The new baccalaureate nursing program that is to be introduced in the nursing department requires all the nurses to apply the techniques taught both in degree and diploma programs and also have a good knowledge of physical treatment, community health, nursing research and public health as well as nursing humilities and management. In addition, the coursework taught should enable the nurses to be able to identify and deal with political, cultural, social and economic issues affecting patients and that may affect the quality of health care offered. Both the all the stakeholders in the healthcare industry have recognized the importance of education and proposed several changes to occur in the nursing practice. In 2012, there was a joint statement that was supported by the AACN, AACC, ACC, NLN and NOADN that was based on academic progression for nursing graduates and students (Spetz et al., 2013).  The goal of this statement was to have a prepared and educated nursing workforce. The statement was a representation of shared views that anybody taking nursing should be offered all the nessary support needed to pursue higher educational levels.

From the survey conducted to identify the impressions of healthcare nurses about proposed changes in nursing indicated that the number of nurses currently seeking BSN has raised to 3043 compared to the initial value of 1984 in 2008. The amount represented 74% of the total number of RN's perusing BSN. 46% of the respondents prefer BSN hiring policy while 31% of the respondents has no formal policy of hiring as indicated in the figure below

BSN only BSN with timeframe         no policy     

                                                            BSN preference

figure 1: Percentage hiring policy for RNS from different nurses

About the question of safe patient handling, 70 % of the respondents indicated that the system that they currently use has a designated committee that they do not consider as either new nor old to them.  69% of the respondents indicated that the policy that they use involves risk assessment as well as an evaluation of the situation to come up with the proper equipment to be used in repositioning and lifting. 77% of the respondents stated that the SPH policies offer education as well as training to the employees (Cimiotti, 2011).

Today, in the US and other developed countries health care delivery has significantly drawn up with the introduction of new models and payment techniques and care thus changing the face of the healthcare environment.


Nursing health care education have not been well arranged as indicated in the the surveys done. Delivery system redesigning activities is dependent on skills and experience which has not yet been upheld fully. Basic nursing education has to date has some roots in the care environment. Healthcare nurses have shown great acceptance to the current educational reforms taking place in the industry, and this has resulted in them taking an extra step of advancing their education. The fruits of the high level of education have been noted by the nurses holding only a diploma in nursing since their comes with elevated levels of education are much valued. According to nursing organizations and other close bodies related to the health industry, nursing employee with BSN are believed to have the skills and knowledge to handle issues appropriately and in the most professional way. Some of the skills that these employees hold include leadership, managing cases, health promotion, critical thinking as well as their capability to offers services both in inpatient and outpatient environment. All the groups connected to nursing such as minority nurse advocacy, magnet hospitals, the military, prized nursing organizations, nurse executives, and federal agencies have an exceptional value that baccalaureate nurses have the ability to bring the practice environment.



Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of nursing administration38(5), 223.

Butler, K. M., & Hardin-Pierce, M. (2005). Leadership strategies to enhance the transition from nursing student role to professional nurse. InNursing Leadership Forum (Vol. 9, No. 3, p. 110). Springer Publishing Company.

Blegen, M. A., Goode, C. J., Park, S. H., Vaughn, T., & Spetz, J. (2013). Baccalaureate education in nursing and patient outcomes. Journal of Nursing Administration43(2), 89-94.

KendallGallagher, D., Aiken, L. H., Sloane, D. M., & Cimiotti, J. P. (2011). Nurse specialty certification, inpatient mortality, and failure to rescue. Journal of nursing scholarship43(2), 188-194.

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