Where Are the Visionary Nursing Leaders of 1965

Where Are the Visionary Nursing Leaders of 1965

Where Are the Visionary Nursing Leaders of 1965

Susan LaRocco

In 1969, when I began my nursing training, everyone “knew” that the best nurses came from hospital-based diploma programs. At the hospital, we believed that the students who attended a baccalaureate program had book learning but lacked practical skills and common sense.

Don't use plagiarized sources. Get Your Custom Essay on
Where Are the Visionary Nursing Leaders of 1965
From $10/Page
Order Essay

But lurking in the background was the “American Nurses Association’s [ANA’s] First Position on Education for Nursing,” published in AJN in 1965, which asserted that “the education for all those who are licensed to practice nursing should take place in institutions of higher education” and that “minimum preparation for beginning professional nursing practice at the present time should be baccalaureate degree education in nursing.” In the same paper, the ANA proposed that the “minimum preparation for beginning technical nursing practice” should be an associate’s degree education.

As a student, I was concerned. What would my diploma education mean in the future? We were assured by our nursing instructors that we would be grandmothered in and that our license as a professional nurse, an RN, would be secure. It is now more than 40 years since I graduated from my hospital-based diploma program and almost 50 years since the ANA position paper was published. Rather than worrying about the status of my nursing license, I am worried about the profession of nursing.

In 1965, the ANA argued that the knowledge needed by the nurse practicing today “differs greatly from that needed 20 or even 10 years ago. She is now being required to master a complex, growing body of knowledge and to make critical, independent judgments about patients and their care.” At the time of my prelicensure education, though, there was far less technology to master on the usual hospital unit. Even in ICUs and dialysis units, the technology was basic. But after four decades as a direct care provider, as an administrator, and in faculty positions in associate’s degree and baccalaureate programs, I believe that the increased complexity of the work and the explosion of knowledge require nurses who have a minimum of a baccalaureate education. Students need more than two years to prepare to take their place as members of an interprofessional health care team in a variety of complex health care settings.

Countries large (Brazil, South Korea, China) and small (Portugal, Ireland, Sweden) have implemented a baccalaureate requirement or a near equivalent for entry into professional nursing practice. For 10 years, New York State has flirted with a proposal popularly known as the “BSN in 10” initiative. If enacted, all new nurses would need to obtain a baccalaureate within 10 years to maintain their license (currently licensed RNs and current nursing students are exempt). However, this bill has languished in the legislature.

Other states, such as Oregon, have also developed initiatives to promote baccalaureate education. But encouraging education is not the same as passing legislation that makes it a requirement, and North Dakota, the one state that had successfully established the requirement of a baccalaureate for entry into practice, rescinded it in 2003.

While state boards of nursing and legislatures fail to act to change the entry requirements for professional nursing, in many areas of the country the baccalaureate is becoming the de facto requirement. Major medical centers in the Boston area no longer hire nurses with associate’s degrees. At least one large, for-profit hospital chain has decreed that their nurses must obtain a baccalaureate within a stipulated period of time, typically three to five years. Nurses with associate’s degrees are limited in both their initial employment opportunities and their long-term options.

While the leaders of 1965 were visionary in their proposal of baccalaureate education as the entry to professional nursing, they were less effective in creating the change that they proposed. Will our current nursing leaders be successful in completing this unfinished business?

 

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 20% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with My Course Writer
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 10k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Sociology
Thank you so much! Appreciate it!
Customer 452483, November 8th, 2021
English 101
I would like to thank you for the writing, it was a very busy week for me and had no time this week to do a writing. I would recommend you to others and would utilize you again.
Customer 452639, October 16th, 2022
Communications
Thank you! It was great :)
Customer 452483, July 26th, 2021
Psychology
Thank you for all of your help and hard work, truly appreciate you guys always being there with my hectic schedule. Thank you again!
Customer 452483, September 20th, 2021
Microbiology
Thank you so much! I appreciate what you do and all of the great help you've given me!
Customer 452483, September 6th, 2021
Microbiology
Appreciate all of your hard work! Thank you so much!!
Customer 452483, September 14th, 2021
Nursing
Good job!! Thank you!!!
Customer 452487, September 9th, 2021
Classic English Literature
Great paper, thank you!
Customer 452591, May 5th, 2022
Nursing
Good job! Thank you
Customer 452487, October 17th, 2021
Communications
Thank you for your hard work; I enjoyed reading the essay and appreciate your writing.
Customer 452483, July 18th, 2021
Communications
EXCELLENT JOB!!! VERY PLEASED :)
Customer 452483, July 5th, 2021
Healthcare Writing & Communications
Perfect! Thank you for also remembering to highlight the necessary words. Appreciate all of your help and hard work!
Customer 452483, November 7th, 2021
1159
Customer reviews in total
96%
Current satisfaction rate
2 pages
Average paper length
47%
Customers referred by a friend
OUR GIFT TO YOU
20% OFF your first order
Use a coupon 20OFF and enjoy expert help with any task at the most affordable price.
Claim my 20% OFF Order in Chat