OBJ 2
Nursing
Education
Accreditation
Regulation
Roles
The Original “Sim” Lab
Intent on Studies
Diploma Program
Oldest form of preparation in the US
Dominated nursing education until mid-1960’s
Emphasized skills needed to provide acute care for patients
Granted “diploma” / not academic degree
Only 67 accredited diploma programs in 2014
Associate Degree Nursing
Developed based on planned research and experimentation
Open program based in the community college
Initially intended to provide bedside (technical) nurses with more knowledge than LPN, but narrower role than professional
Started in 1951, currently produces most nursing graduates over any other program (1092 programs in 2014)
Terminal degree to provide nurses for immediate employment
“nurse technician”
5
Baccalaureate in Nursing
Began as 5 year program-combining 3 year diploma program with additional 2 years of liberal arts
710 programs in 2014
Now a wide variety of options for BSN nursing education
Accelerated
LPN to BSN
RN to BSN
Demographics have changed!
Graduate Nursing Education
Needed advanced preparation in education and clinical nursing skills
Master’s degree considered terminal degree for nurses until the 1960’s
Emphasis has varied based on need
Management
Education
Clinical specialists
Nurse practitioners
Nurses as “Doctors”
Doctor of Nursing Practice (DNP)
Clinical practice-oriented leadership training
Doctor of Nursing Philosophy (PhD)
Scholarly research and inquiry
Picture the differences
From top to bottom
Questions
What nursing program currently produces the most registered nurses?
What program is the oldest?
What educational program is preferred for entry into professional nursing?
Which kind of program are you in and what will that education prepare you to do?
ADN
Diploma
BSN
Enter into the nursing profession as a generalist nurse able to work at “entry level” in nursing.
12
Accreditation & Regulation
What is nursing’s relationship with society?
Both nursing and nursing education are highly regulated
Why are they regulated?
Who is in control of the regulations?
Nurse Practice Acts
Receiving health care is inherently risky to patients
There is no federal authority to regulate nursing
To protect patients, states provide education and practice standards
Additionally, these standards legitimize nursing in the eyes of the public
Raise quality of professional nurses & improve educational standards
State Nurse Practice Acts
Each state and territory enacts a Nurse Practice Act (NPA) and it is passed by the state legislature
Each NPA establishes a state board of nursing
State board of nursing establishes administrative rules and regulations consistent with the NPA
Each state’s NPA determines requirement for licensure
What’s included?
Vary from state to state
Definitions
Authority, power & composition of Board of Nursing
Educational program standards
Standards and scope of nursing practice
Types of titles and licenses
Protection of titles
Requirements for licensure
Grounds for disciplinary action
Virginia Board of Nursing
Virginia State Board of Nursing (VSBON)- (https://www.dhp.virginia.gov/nursing /)
This is your guidance for what and how you practice nursing in Virginia
Nurses need to be familiar with the NPA and the BON in their state of practice
Go to the site and search for the NPA for Virginia
Nursing Program Standards
Schools of Nursing must first be approved by their state board of nursing
This approval is to ensure graduates are successful on the national licensure exam (NCLEX)
Often contingent on the program’s NCLEX pass rates
Why does this matter to you?
Accreditation
Is it required?
Technically…well, no
But, can impact
Financial aid
Tuition reimbursement
Transfer of credits
Job prospects?
So, do you care about accreditation?
AACN
American Association of Colleges of Nursing (AACN)
National voice for baccalaureate and graduate nursing education
Programs include
Curriculum standards (Essentials Document)
Health policy advocacy
Research and data services
Conferences and webinars
Accreditation through the CCNE
Clinical nurse leader certification
CCNE
Commission on Collegiate Nursing Education (CCNE)
Autonomous accrediting agency (AACN)
Ensures quality and integrity of baccalaureate, graduate, and residency programs in nursing
Non-governmental peer review process
Fosters trust in the public and continuing improvement in nursing education and professional practice
NLN
National League for Nursing (NLN)
“The voice of Nursing Education”
Founded in 1893 (American Society of Superintendents of Training Schools for Nurses)- first nursing organization in US
Dedicated to excellence in nursing
Professional development
Networking opportunities
Testing services
Nursing research grants
Public policy initiatives
CNEA
NLN Commission for Nursing Education Accreditation (NLN CNEA)-established 2013
NLN accreditation was formerly known as NLN Accrediting Commission (NLNAC) & became a separate entity, the Accreditation Commission for Education in Nursing (ACEN) which continues to accredit nursing programs
Accredits all types of nursing education programs, including practical, diploma, associate, bachelor, and graduate programs
Nursing Roles
Generalist nurse
Advanced practice nurse
Nurse educator
Nurse administrator
Nurse researcher
Nurse policy analyst
Nurse practitioners
Certified Registered Nurse Anesthetists
Certified nurse-midwives
Clinical nurse specialists
Nursing Roles
Where can you work?
Very Useful Sites!
AACN- American Association of Colleges of Nursing (http :// www.aacn.nche.edu/about-aacn)
ACEN-Accreditation Commission for Education in Nursing (http://www.acenursing.org/)
ANA- American Nurses Association (http://www.nursingworld.org /)
NLN- National League for Nursing (http://www.nln.org /)
NCSBN- National Council of State Boards of Nursing (https:// www.ncsbn.org/index.htm)