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Reasons Identified by Associate Degree Nursing Students for Planning to Attend a Baccalaureate Completion Nursing Program Within Five Years of Graduation. Candice Kiskadden, BSN, RN. Abstract Overview. Mixed design, descriptive study Approximately 100 nursing students

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Candice kiskadden bsn rn

Reasons Identified by Associate Degree Nursing Students for Planning to Attend a Baccalaureate Completion Nursing Program Within Five Years of Graduation

Candice Kiskadden, BSN, RN


Abstract overview
Abstract Overview

  • Mixed design, descriptive study

  • Approximately 100 nursing students

  • Data collected using anonymous survey technique

  • King’s Theory of Goal Attainment

  • Nursing programs can benefit from findings


Why is a bsn important

Why is a BSN important?

Higher functioning in critical skills:

Critical thinking

Communication

Leadership

Assessment

Teaching

Counseling

Case Management

Health Promotion

(Rosseter, 2012)


Encouraging more bsns
Encouraging more BSNs

  • Very few ADN RNs advance to BSN

  • BSN RNs have better patient outcomes

  • ANA, NLN, AACN support BSN as entry-level nursing

  • BSN education equals higher level of critical clinical reasoning


Background of the problem
Background of the Problem

  • Three pre-licensure pathways for RNs

    • Diploma

    • Associate degree

    • Baccalaureate degree

  • Same NCLEX-RN

  • 80% overlap in RN responsibilities in ADN versus BSN

  • Other healthcare professionals require a master’s degree


To identify reasons why second year associate degree nursing students are planning to or not to pursue their baccalaureate degree within five years.

Statement of the Problem


What reasons were identified by final semester, second year ADN students as contributing to their decision to obtain their BSN within 5 years?

Research Question


Need for the study
Need for the Study

  • A gap in the current literature why ADN students do not choose RN-BSN Programs

  • Insight to encourage current ADN students to pursue a BSN

  • Advancement of professional nursing


Significance of the problem
Significance of the Problem

  • 2010 IOM “The Future of Nursing” recommends at least 80% of nursing workforce have BSNs

  • 2008-2010 data from US Dept. of HHS: only 44.6% are BSN prepared

  • RNs with a BSN are prepared to problem solve at a higher level

  • RNs with a BSN have better patient outcomes


Assumptions
Assumptions

  • Student nurses who participate will give honest answers to survey questions.

  • Findings will be based solely on the perspective of the student nurses.

  • King’s Theory of Goal Attainment provides a sound theoretical foundation for this study.


Limitations
Limitations

  • Small sample size

  • Data from one geographic location in NW PA

  • Sample from one private Catholic university

  • Sample size may not be depictive of the focus as a whole

  • Participating student nurses may not represent the population whole

  • King’s Theory of Goal Attainmentmay not be an accurate reflection of the reasons identified


Literature review
Literature Review

Comparison of Baccalaureate and Non-baccalaureate Nursing Programs

The Educational Impact on Nursing

RN-BSN Programs: Benefits, Incentives, and Barriers

Conceptual Framework


Overview
Overview

  • Patient outcomes drive the nursing profession

  • Schools have adapted to healthcare needs

  • No real change in practice for BSN has occurred

  • Emphasis needs to be placed on the importance of a BSN to be a professional nurse.


Comparison of baccalaureate and non baccalaureate nursing programs
Comparison of Baccalaureate and Non-baccalaureate Nursing Programs

  • Nursing supervisors often do not rate performance of BSNs and ADNs differently

    • Less perceived value of BSN

    • Contradicts nursing literature

  • If nursing supervisors do not value BSN-prepared RNs, non-baccalaureate RNs are less likely to value BSN

  • Health care facilities with increased BSN RNs have better patient outcomes


The educational impact on nursing
The Educational Impact on Nursing Programs

  • Aiken, Clarke, Cheung, Sloane, and Silber (2003):

    • 10% increase in the proportion of BSN RNs equaled a 5% decrease in patient mortality and odds of failure to rescue

  • Friese, Lake, Aiken, Silber, and Sochalski (2008):

    • Increased BSN RNs had lower odds of patient death and lower levels of failure to rescue

  • With RN-BSN Programs, a culturally, socio-economically and ethnically diverse RN workforce is possible

  • Recognition of importance of RN-BSN Programs from nursing governing bodies


Rn bsn programs benefits incentives and barriers
RN-BSN Programs: Benefits, Incentives, and Barriers Programs

  • Improved patient outcomes

  • Opportunity for all RNs to be BSN prepared through RN-BSN Programs

  • 70% of RNs are diploma or ADN, only 15% currently will achieve BSN or higher

  • RNs who felt likely to have success in RN-BSN Programs were more likely to pursue BSN

  • Incentives:

  • Right time in life

  • Options

  • Personal goal achievement

  • Professional identity

  • Peer encouragement

  • User-friendly RN-BSN Program

  • Barriers:

  • Time

  • Fear

  • Lack of recognition for experiential knowledge

  • No differential treatment

  • Negative past school experiences


Imogene king s theory of goal attainment application to the study
Imogene King’s Theory of Goal Attainment: Programs Application to the Study

  • The “action” of nursing students to consider options like RN-BSN Programs

  • Optimum use of resources to reach full potential

  • RN-BSN Programs can influence RNs to optimally use resources and reach their full potential


King s theory of goal attainment
King’s Theory of Goal Attainment Programs

Imogene King’s Conceptual Framework for dynamic nursing interactions

(Sieloff-Evans, 1991, pg.6)


Methodology
Methodology Programs

Study Plan


Research design
Research Design Programs

  • A mixed-design, descriptive study

  • Uses both quantitative and qualitative data

  • The survey:

    • Three questions related to demographic data items and

    • Eight closed-ended study questions

      • Calculated using descriptive statistics

    • Thematic analysis of three open-ended study items

      • Presented in the narrative


Setting
Setting Programs

  • The study will be conducted at a private, Catholic university, located in Northwestern Pennsylvania

    • Pending IRB approval

  • The university has approximately one hundred second year nursing students enrolled each year


Sample
Sample Programs

  • Includes second year nursing students enrolled in an associate-degree nursing program in the springof 2014

  • Convenience sample

  • Only second level nursing students will be used


Ethical considerations
Ethical Considerations Programs

  • Participation is strictly voluntary

  • Permission will be obtained from the IRB

  • Return of the reply considered consent for participation

  • No names or identifying data will be collectedfor confidentiality

  • No risks posed to participants or coercion through distribution of the surveys


Instrumentation
Instrumentation Programs

  • A 14-item survey instrument used for data collection

    • Developed specifically for this study

    • Factors identified in the review of literature

    • King’s Theory of Goal Attainment

  • Survey items will be:

    • Designed to elicit specific responses

      • Second-year associate degree nursing students

        • Decide to not pursue a BSN within five years

        • Plan to pursue a BSN within five years


Instrumentation continued
Instrumentation Continued Programs

  • Survey instrument includes:

    • 3 demographic data items

    • 8 closed-ended study questions

    • Calculated using descriptive statistics

    • Thematic analysis of three open-ended study items

      • presented in the narrative


Instrumentation continued1
Instrumentation Continued Programs

  • The questionnaire will include:

    • Demographic data

      • Age

      • Gender

      • Home city and state

        • Collected to enhance the description of the sample

    • Open-ended questions

      • May be quoted to enhance discussion

  • No way to attribute any specific quote to any individual student who participates in the study


Data collection
Data Collection Programs

  • Obtain approval of the university’s IRB

  • Data will be collected from the second-year nursing students

    • Arrangements will be made to identify the appropriate classes


Data collection continued
Data ProgramsCollection Continued

  • On an approved date and identified time:

    • Online survey questionnaire

    • Using Blackboard learning platform

    • Overview presentation of study and request for participation

    • Students will be able to review instructions for completion

    • Contact information will be listed

    • Reinforcement of anonymity

    • No names will be able to be retrieved from the survey


Data analysis
Data Analysis Programs

  • 3 demographic data items

  • 8 closed-ended study items

    • Calculated using descriptive statistics

    • Findings will be presented

  • Thematic analysis of the 3 open-ended study items

    • Common “themes” in answers

    • Findings will be presented in the narrative


Time schedule
Time Schedule Programs

Students will be given sufficient time to complete the survey during the visited class.

Data collected over two classroom days for each of the second year nursing student classes.

Data analyzed within the week of collection

Completed within 3 weeks of the study.


The survey instrument
The Survey Instrument Programs

The Second-Year Associate Degree Nursing Student Questions


Demographic data
Demographic Data Programs

  • My age is:

  • [ ] at least 18 years of age, but less than 23 years of age

  • [ ] at least 23 years of age, but less than 28 years of age

  • [ ] at least 28 years of age, but less than 33 years of age

  • [ ] at least 33 years of age, but less than 38 years of age

  • [ ] at least 43 years of age, but less than 48 years of age

  • [ ] 48 years of age or older

  • My gender is: [ ] Female [ ] Male

  • Identify your city and state of residence (your home town).

  • City: _____________________________________

  • State: _____________________________________


Study data the first question
Study Data: The First Question Programs

  • After obtaining my Associate of Science in Nursing degree, I plan to pursue a Bachelor of Science in Nursing by enrolling in a RN-BSN Program within the next 5 years.

    • [ ] Yes

    • [ ] No


Study data continued
Study Data Continued Programs

  • An associate degree to baccalaureate degree in nursing (RN-BSN Program) is worth the time commitment to me.

    • [ ] completely agree

    • [ ] somewhat agree

    • [ ] neither agree nor disagree

    • [ ] somewhat disagree

    • [ ] completely disagree


Study data continued1
Study Data Continued Programs

  • An ADN nurse is considered to be a professional nurse.

    • [ ] completely agree

    • [ ] somewhat agree

    • [ ] neither agree nor disagree

    • [ ] somewhat disagree

    • [ ] completely disagree


Study data continued2
Study Data Continued Programs

  • An ADN program of study prepares me nursing equally for the workforce as a BSN program of study.

    • [ ] completely agree

    • [ ] somewhat agree

    • [ ] neither agree nor disagree

    • [ ] somewhat disagree

    • [ ] completely disagree


Study data continued3
Study Data Continued Programs

  • An associate degree in nursing offers me the same level of practice and nursing care as other nursing tracts (Diploma, BSN) at a lower educational expense.

    • [ ] completely agree

    • [ ] somewhat agree

    • [ ] neither agree nor disagree

    • [ ] somewhat disagree

    • [ ] completely disagree


Study data continued4
Study Data Continued Programs

  • A baccalaureate degree in nursing provides me more opportunity for advancement in the workforce.

    • [ ] completely agree

    • [ ] somewhat agree

    • [ ] neither agree nor disagree

    • [ ] somewhat disagree

    • [ ] completely disagree


Study data continued5
Study Data Continued Programs

  • Having a baccalaureate degree will allow me to make more money in my lifetime than an associate degree in nursing.

    • [ ] completely agree

    • [ ] somewhat agree

    • [ ] neither agree nor disagree

    • [ ] somewhat disagree

    • [ ] completely disagree


Study data continued6
Study Data Continued Programs

  • Abaccalaureate degree provides me more opportunity for advancement in the workforce.

    • [ ] completely agree

    • [ ] somewhat agree

    • [ ] neither agree nor disagree

    • [ ] somewhat disagree

    • [ ] completely disagree


Three open ended questions
Three ProgramsOpen-Ended Questions

Students are to complete ALLquestions


Open ended questions
Open-Ended Questions Programs

  • Reasons why I would obtain my BSN after graduating from an ADN program…

  • Reasons why I would NOT obtain my BSN after graduating from an ADN program…

  • I would look for a RN-BSN Program that offers…


Conclusion

Conclusion Programs

Findings can assist nursing programs to foster better transitions from ADN programs to BSN through effective bridge programs


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