Running head: BACHELOR PREPARED NURSES 1 Bachelor Prepared Nurses Danielle Douglas Walden University
BACHELOR PREPARED NURSES 2 Bachelor Prepared Nurses The purpose of this paper is to describe a national healthcare stressor and how it impacts Troy Hospital within the Kettering Health Network. The paper will look at data from the hospital for support. An article review provides additional resources on the selected healthcare stressor. We will look at how our competitor is focusing on this national stressor within their organization. Finally, a summary of strategies will be addressed to describe the positive and negative outcomes within the new hospital. The identification of two competing needs will be discussed, including a relevant policy that is in place in our organization concerning our healthcare issue. The policy will be reviewed for ethical considerations, and any strengths and challenges will be examined. Recommendation for a policy change will be submitted to address competing needs of resources, workers, patients, and any ethical faults. Bachelor Prepared Nurses There are nearly 3.1 million registered nurses (RNs) in the United States, and most of these RNs have an associate degree or diploma in nursing (McIntosh, Thomas, & Siela, 2016). The educational level of the RN directly links to improved healthcare outcomes (Hawkins, Wiles, Karlowicz, & Tufts, 2018). When there are more bachelor of science in nursing (BSN) RNs at the bedside, patient outcomes and costs are lower (Hawkins et al., 2018). This is why the Institute of Medicine (IOM) has asked that the hospital transition to an 80% workforce of BSN RNs by 2020 (Gerardi, Farmer, & Hoffman, 2018). Currently, 68% of RNs in urban areas possess their BSN, and 41% of rural RNs have their BSNs (Hawkins et al., 2018). Impact on Workflow The Kettering Health Network is opening its ninth hospital within the network. Troy Hospital is located in an urban area with a population of about 25,000 people. There is four
BACHELOR PREPARED NURSES 3 intensive care unit (ICU) beds, 16 medical/surgical beds, and eight observation/overflow beds. Opening a new hospital can be very stressful, and trying to incorporate different personalities, and previous experiences can be tricky. However, one thing that the network focused on was hiring RNs with their BSNs. The ICU and medical/surgical units have 40 RNs hired for full-time positions, and these nurses will also work in the observation/overflow unit. Of these 40 RNs, 26 of them have completed their BSN, and 8 of them are currently enrolled in their BSN with less than one year left to completion. This means that 65% of RNs that have their BSN and that number should rise to 80% by the end of the first year of opening. This high percentage provides an additional level of care for the patients. Newly licensed nurses with BSNs feel more prepared than RNs with their associate degree in nursing (ADN) in areas such as evidence-based practice (EBP), quality improvement data analysis, and assessment of gaps in teamwork, collaboration, and practice (McIntosh et al., 2016). BSN programs also
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