AACN Fact Sheet - Impact of Education on Nursing Practice (2023)

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The American Association of College Nursing (AACN), the national voice for academic nursing, believes that education has a significant impact on the knowledge and skills of the clinical nurse, as it does for all health professionals. Physicians with Bachelor of Science in Nursing (BSN) degrees are well prepared to meet the demands placed on nurses today. BSN nurses are valued for their critical thinking, leadership, case management and health promotion skills and for their ability to practice in a variety of inpatient and outpatient settings. Nursing executives, federal agencies, the military, major nursing organizations, healthcare foundations, magnet hospitals, and minority nursing advocacy groups recognize the unique value that licensed licensed nurses bring to the community. practice environment.

AACN encourages employers to promote practice settings that embrace lifelong learning and provide incentives for registered nurses (RNs) seeking to advance their education to bachelor's and higher degrees. We also encourage BSN graduates to seek employers who value their level of education and distinctive skills.

Different Approaches to Nursing Education

There are three paths to becoming a registered nurse: a 3-year diploma program that is usually administered in hospitals; a 3-year associate's degree typically offered at community colleges; and the 4-year bachelor's degree offered at colleges and universities. Graduates of all three programs take the same NCLEX-RN© licensing exam.

Bachelor of Nursing programs encompass all courses taught in degree and diploma programs, as well as a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the Humanities. Additional course work enhances the professional development of the student, prepares the new nurse for a broader scope of practice, and provides the nurse with a better understanding of the cultural, political, economic, and social issues that affect patients and influence in the provision of patient care. health. For more than a decade, policymakers, health authorities, and practice leaders have recognized that education makes all the difference when it comes to nursing practice.

  • In April 2021, the National Council of State Boards of Nursing published the conclusions of theNational Nursing Workforce Survey 2020which found that 65.2% of NBs were prepared at bachelor's level or higher. The survey also found that a bachelor's degree was the most sought-after credential by nurses seeking licensure to enter the nursing profession (41.8%), followed by an associate's degree (37.7%) and a diploma (11%). ,1 %).

  • In February 2019, the Campaign for the Future of Nursing, an initiative of the Center to Champion Nursing in America, published astate map seriesshowing the progress made by nurses in obtaining baccalaureate degrees. The percentage of RNs with a BSN or higher is now on the rise, with a national average of about 56%, up from 49% in 2010, when the Institute of Medicine reported on thefuture of nursingHe was released. BSN maps are based on data collected from the American Community Survey.
  • In December 2017, New York Governor Andrew Cuomolegislation signed into lawRequire prospective nurses graduating from the state's undergraduate or diploma nursing programs to obtain a bachelor's degree in nursing within 10 years of initial licensure. The legislators found that, given “the growing complexity of o North American rapidly expanding health and technology system, the educational preparation of the registered professional nurse he must to be expanded".
  • In the September-October 2014 issue ofnurse educator, a research team led by Sharon Kumm of the University of Kansas publishedresults of a state study, which showed clear differences in the results of the BSN and ADN programs. The study showed that 42 of 109 undergraduate results were reported in DNA programs. The 67 outcomes that were not met were in the categories of liberal education, organizational and systems leadership, evidence-based practice, health policy, financial and regulatory environments, interprofessional collaboration, and population health.
  • In September 2013, the Robert Wood Johnson Foundation (RWJF) published an issue of its Charting Nursing's Future newsletter entitledThe case for academic progression, who described how patients, employers, and the profession benefit when nurses advance their education. The articles focus on the evidence linking better outcomes for nurses with bachelor's and college degrees, educational pathways, and promising strategies to facilitate academic progress at the school, state, and national levels. To see
  • In September 2012, theJoint Communiqué on Academic Progression of Nursing Students and Graduateshas been endorsed by the American Association of Colleges of Nursing, the American Association of Community Colleges, the Trustees of the Association of Community Colleges, the National League for Nursing, and the Organization for Graduate Associates in Nursing. This landmark agreement marks the first time that leaders of the major national organizations representing community college presidents, boards and program administrators have joined forces with representatives of nursing education associations to promote academic advancement in nursing. With the common goal of preparing a well-educated and diverse nursing workforce, this statement represents the shared view that nursing students and practicing nurses should be supported in their efforts to achieve higher levels of education.
  • In October 2010, the Institute of Medicine released its landmark report onThe future of nursing: Leading change, promoting health, initiated by the Robert Wood Johnson Foundation, which called for increasing the number of nurses with a bachelor's degree in the workforce to 80% by 2020. The expert committee charged with preparing the evidence-based recommendations in this report states that responding “to the demands In an evolving healthcare system and meeting the changing needs of patients, nurses must achieve higher levels of education.
  • In May 2010, the Tri-Council for Nursing (AACN, ANA, AONE, and NLN) issued a consensus statement calling on all RNs to advance their education with the goal of improving quality and safety in nursing homes. healthcare settings. In the statement titledEducational Advancement of Registered Nurses, the Tri-Council organizations present a unified vision that a more skilled nursing workforce is critical to meeting the nation's nursing needs and providing safe and effective patient care. In the policy statement, the Tri-Council believes that "without a more educated nursing workforce, the nation's health will be at greater risk."
  • In December 2009, Dr. Patricia Benner and her team at the Carnegie Foundation for the Advancement of Teaching published a new study titledEducating nurses: a call for radical transformation, which recommended preparing all entry-level registered nurses to the bachelor's level and requiring all registered nurses to earn a master's degree within 10 years of initial licensure. The authors found that many of today's new nurses are "undereducated" to meet the demands of practice in all settings. His strong support for high-quality baccalaureate programs as the appropriate path for RNs to enter the profession is consistent with the views of many leading nursing organizations, including the AACN.
  • En febrero de 2007, o Council on Physician and Nurse Supplyissued a statementcalling for a national effort to substantially expand nursing degree programs. Chaired by Richard "Buz" Cooper, MD and Linda Aiken, PhD, RN, the Council is based at the University of Pennsylvania. In the statement, the Board noted that a growing body of research supports the relationship between the level of nursing education and the quality and safety of patient care. Consequently, the group urges lawmakers to shift federal funding priorities in favor of supporting more nursing degree programs. This call was reaffirmed in a new communiqué issued in March 2008.
  • In March 2005, the American Organization of Nurse Executives (AONE) issued a statement calling for all registered nurses to be educated in licensure programs in an effort to properly prepare physicians for their roles. challenging and complex. AONE press release, titledEducational Practice and Partnership for the Future,it represents the vision of nursing practice leaders and the desire to create a more skilled nursing workforce in the interest of improving patient safety and nursing care.
  • The National Advisory Council on Nursing Education and Practice (NACNEP), policy advisers to Congress and the Secretary of Health and Human Services on nursing issues, called for at least two-thirds of the nursing workforce to have a bachelor's or degree senior in nursing. . Currently, only 55 percent of nurses have bachelor's degrees and higher, according to the 2013 HRSA report on The US Nursing Workforce: Trends in Supply and Education.
  • NACNEP found that the role of nursing requires RNs to manage care along a continuum, work as peers on interdisciplinary teams, and integrate clinical expertise with knowledge of community resources. The increased complexity of the RN scope of practice requires a workforce that has the ability to adapt to change. Requires critical thinking and problem solving skills; a solid foundation in a wide range of basic sciences; knowledge of behavioral, social and management sciences; and the ability to analyze and communicate data. Among the three types of entry-level nursing education programs, NACNEP has found that bachelor's education with its broader and stronger scientific curriculum best meets these requirements and provides a strong foundation for meeting complex care needs. today's physician in a variety of nursing positions. Undergraduate education provides a foundation from which nurses move on to postgraduate education and advanced nursing roles.
  • There is a growing consensus in the higher education community that liberal arts education should be incorporated into all professional disciplines. Liberal-educated graduates are valued by employers for their analytical and creative abilities and demonstrate stronger skills in the areas of communication, evaluation, cultural sensitivity, resourcefulness, ability to apply knowledge, and scientific reasoning. While some arts and science courses are included in DNA programs, the BSN provides a much stronger foundation in the sciences and humanities.
  • There are 777 RN to BSN and 219 RN to MSN programs that build on the education provided in the diploma and degree programs and prepare graduates for a broader base of practice. In addition to hundreds of individual agreements between community colleges and four-year schools, statewide articulation agreements exist in many areas, including Florida, Connecticut, Texas, Iowa, Maryland, South Carolina, Idaho, Alabama, and Nevada to facilitate advancement. to a bachelor's degree degree. These programs further validate the unique skills acquired in BSN programs.
  • Registered nurses today work as part of an interdisciplinary team with colleagues who have a master's degree or higher. These healthcare professionals, including physicians, pharmacists, and speech therapists, recognize the complexity involved in providing patient care and understand the value and need for higher education. For example, occupational therapists (OT) require education at the master's level, while OT assistants are prepared at the associate level. Since nurses are primarily responsible for direct patient care and care coordination, these physicians should not be the least educated members of the health care team.

Recognizing differences among nursing program graduates

There is a growing body of evidence showing that BSN graduates bring unique skills to their work as nurse practitioners and play an important role in delivering safe patient care.

  • In the March 2019 issue ofJournal of the Joint Commission on Quality and Patient Safety, Dr. Maya Djukic and colleagues from New York University published details of a new study, which found that registered nurses with a bachelor's degree reported being significantly better prepared than associate nurses in 12 of 16 areas related to quality and safety, including evidence-based practice. data analysis and project implementation. The authors conclude that improving organizational and credentialing policies requiring the BSN for RNs may help protect the quality of patient care.
  • In the July 2017 issue ofQuality and Safety BMJ, Dr. Linda Aiken and colleagues report results from a study of adult acute care hospitals in six European countries, which found that a higher proportion of nurse practitioners at the bedside is associated with better patient and patient outcomes. nurses. Reducing the nursing skill mix by adding care staff without professional nursing qualifications can contribute to preventable deaths, erode quality of care, and contribute to nursing shortages.
  • In a study published in the October 2014 issue of Medical Care, University of Michigan researcher Olga Yakusheva and colleagues found that a 10% increase in the proportion of nurses with a bachelor's degree in hospital units was associated with a reduction of the probabilities of mortality of the patients. by 10.9%. Titled "Economic Evaluation of Recommending 80% of the Nursing Workforce with a Bachelor's Degree," the study authors also found that increasing the amount of care provided by BSNs to 80% would result in significantly lower readmission rates and length of stays. longer. These results translate into cost savings that more than offset the expense of increasing the number of bachelor's-trained nurses in hospital settings.
  • In an article published in the March 2013 issue ofhealth matters,Nursing researcher Ann Kutney-Lee and colleagues found that a 10-point increase in the percentage of nurses with a BSN within a hospital was associated with an average reduction of 2.12 deaths per 1,000 patients, and for a subset of patients with complications, an average reduction of 7.47 deaths per 1,000 patients.”
  • In the February 2013 issue ofNursing Administration Magazine,Mary Blegen and colleagues published the findings of a cross-sectional study of 21 University HealthSystem Consortium hospitals to examine the association between RN education and patient outcomes. The researchers found that hospitals with a higher percentage of RNs with bachelor's degrees or higher had lower mortality from congestive heart failure, pressure ulcers, failed salvage, and postoperative deep vein thrombosis or pulmonary embolism and a shorter stay.
  • In the October 2012 issueofMedical care, researchers at the University of Pennsylvania found that surgical patients at magnet hospitals were 14% less likely to die as an inpatient within 30 days and 12% less likely to fail rescue compared with hospitals. patients seen at non-Magnet hospitals. The study authors conclude that these improved results were largely attributed to investments in highly-skilled and educated nurses, including a higher proportion of nurses prepared with a bachelor's degree.
  • In a January 2011 article published inNursing Journal Scholarship, Drs. Deborah Kendall-Gallagher, Linda Aiken, and their colleagues published the results of a large study on the impact of skilled nursing certification on reducing patient mortality and rescue failure rates in hospital settings. The researchers found that certification was associated with better patient outcomes, but only when care was provided by nurses with a bachelor's degree. The authors concluded that "no effect of specialization was observed in the absence of high school education."
  • In an article published inSearch for health servicesin August 2008, which examined the effect of nursing practice settings on outcomes for hospitalized cancer patients undergoing surgery, Christopher Friese, MD, and colleagues found that the level of nursing education was significantly associated with patient results. Nurses trained at the bachelor's level were associated with lower rates of mortality and rescue failure. The authors conclude that "moving to a nursing workforce in which a higher proportion of nurses have at least a bachelor's degree would lead to substantially less adverse patient outcomes."
  • In a study published in the May 2008 issue ofNursing Administration Magazine, Dr. Linda Aiken and colleagues confirmed the findings of their landmark 2003 study (see below), which shows a strong link between the educational level of the RN and patient outcomes. Titled "Effects of the Hospital Care Environment on Patient Mortality and Nurse Outcomes," these leading nursing researchers found that every 10% increase in the proportion of BSN nurses in the hospital staff was associated with a 4% reduction in the risk of death.
  • In January 2007Advanced Nursing Journal, a study on the “Impact of Hospital Nursing Care on 30-Day Mortality for Acute Medical Patients” found that BSN-prepared nurses have a positive impact on reducing mortality rates. Led by Dr. Ann E. Tourangeau, researchers from the University of Toronto and the Ontario Institute of Clinical Evaluation Sciences studied 46,993 patients admitted to hospital with heart attacks, strokes, pneumonia and blood poisoning. The authors found that: "Hospitals with higher proportions of nurses with a bachelor's degree tended to have lower 30-day mortality rates. Our findings indicated that a 10% increase in the proportion of nurses with a bachelor's degree was associated with 9 fewer deaths per 1,000 discharged patients."
  • In a study published in the March/April 2005 issue ofnursing research, Dr. Carole Estabrooks and colleagues at the University of Alberta found that nurses trained with a bachelor's degree have a positive impact on mortality rates after examining the outcomes of more than 18,000 patients at 49 Canadian hospitals. This study, titled The Impact of Hospital Nursing Characteristics on 30-Day Mortality, confirms the findings of Dr. Linda Aiken's landmark study in September 2003.
  • In a study published in the September 24, 2003 issue of theJournal of the American Medical Association(JAMA), Dr. Linda Aiken and colleagues at the University of Pennsylvania identified a clear link between higher levels of nursing education and better patient outcomes. This large study found that surgical patients have a "substantial survival advantage" if they are treated in hospitals with higher proportions of nurses trained at the bachelor's level or higher. In hospitals, a 10 percent increase in the proportion of nurses with BSN degrees reduced the risk of patient death and rescue failure by 5 percent. The study authors also recommend that public funding of nursing education be aimed at building a workforce better prepared to meet the needs of the population. They also call for renewed support and encouragement from nursing employers to encourage registered nurses to continue their education at the bachelor's level and higher education.
  • Evidence shows that the level of nursing education is a factor in patient safety and quality of care. As mentioned in the reportWhen caring becomes a burdenpublished by the Milbank Memorial Fund in 2001, two separate studies conducted in 1996, one by the state of New York and the other by the state of Texas, clearly show that nurses trained at the associate and diploma levels compared to the degree. These findings are consistent with findings published in the July/August 2002 issue ofnurse educatormagazine referencing studies conducted in Arizona, Colorado, Louisiana, Ohio, and Tennessee, which also found that nurses trained at the associate and diploma levels commit the most practice-related violations.
  • CNOs at teaching hospitals prefer to hire nurses with a bachelor's degree, and nursing administrators recognize clear differences in education-based competencies. In a 2001 survey published in theNursing Administration Magazine, 72% of these directors identified differences in practice between BSN-prepared nurses and those with an associate's degree or hospital degree, citing stronger leadership and critical thinking skills.
  • Studies have also found that nurses prepared at the bachelor's level have stronger communication and problem-solving skills (Johnson, 1988) and greater competence in their ability to make nursing diagnoses and evaluate nursing interventions (Giger & Davidhizar, 1990).
  • Research shows that RNs prepared at the bachelor's and associate's degree levels develop stronger professional-level skills after completing a BSN program. In a study of RN to BSN graduates from 1995 to 1998 (Phillips, et al., 2002), these students demonstrated increased competency in nursing practice, communication, leadership, professional integration, and research/assessment.
  • Data shows that healthcare facilities with higher percentages of BSNs enjoy better patient outcomes and significantly lower mortality rates. Magnet hospitals are model patient care facilities that typically employ a higher proportion of trained nurses with a bachelor's degree, 59% BSN compared to 34% BSN at other hospitals. In several research studies, Marlene Kramer, Linda Aiken, and others have found a strong relationship between organizational characteristics and patient outcomes.
  • The fact that the pass rates for the NCLEX-RN©, the national RN licensing exam, are essentially the same for all three types of graduates, which does not prove that there are no differences among graduates. NCLEX-RN©It is a multiple choice test that measures theminimum technical competencefor safe entry into basic nursing practice. pass rateshe mustbe high in all preparation programs for new nurses. This exam does not assess differences between graduates of different entry-level programs. NCLEX-RN©it is only an indicator of competency and does not measure performance over time or test all of the knowledge and skills developed through a BSN programme.

Public and Private Support for BSN Prepared Nurses

The federal government, military, nursing executives, health foundations, nursing organizations, and practice settings recognize the unique value of bachelor's-trained nurses and advocate for an increase in the number of BSN nurses in clinical settings.

  • the nationsmagnetic hospitals, which are recognized for nursing excellence and superior patient outcomes, now require all nursing managers and leaders to have a bachelor's or graduate degree in nursing. Settings applying for the Magnet designation must also show what plans are in place to meet the IOM recommendation of having an 80% bachelor's degree-ready RN workforce by 2020.www.nursecredentialing.org
  • ONational Advisory Board on Nursing Education and Practice(NACNEP) requires that at least two-thirds of the nursing workforce have a bachelor's degree or higher in nursing. Currently, only 56 percent of nurses have bachelor's degrees or higher.
  • With the objective of providing the best patient care and the leadership of its nursing staff, theamerican army,United States NavymiUnited States Air Forceall require a bachelor's degree to practice as an active nurse. Commissioned officers within theUS Public Health ServiceYou also have to be prepared for high school.
  • Oveterans administration(VA), the nation's largest employer of registered nurses, has established a bachelor's degree as the minimum preparation for its nurses to advance beyond entry level.
  • Minority nurse organizations, including theNational Association of Black Nurses,Hispanic Association of Colleges and Universities, miNational Association of Hispanic Nurses, are committed to increasing the number of minority nurses with bachelor's degrees and above.
  • Based across the countryharris pollconducted in June 1999, an overwhelming percentage of the public (76%) believes that nurses must have four years of education or more after high school to perform their duties.
  • OPew Health Professions Commissionin a 1998 report, it called for a more concentrated production of nurses with bachelor's and postgraduate degrees. This commission was an interdisciplinary group of healthcare leaders, policymakers, academics, corporate leaders, and consumer advocates created to help policymakers and educators produce healthcare professionals capable of meeting the changing needs of the American healthcare system.
  • Countries around the world are moving to create a more highly-skilled nursing workforce. Canada, Sweden, Portugal, Brazil, Iceland, Korea, Greece, and the Philippines are just a few of the countries that require a four-year college degree to practice as a registered nurse.

References to the fact sheet

Aiken, LH, Sloan, D., Griffiths, P. et al. (2017). Matching nursing skills in European hospitals: association with mortality, patient assessments, and quality of care.Quality and Safety BMJ, 26(7), 559-568. doi:10.1136/bmjqs-2016-005567.

Aiken LH, Clarke SP, Sloane DM, Lake ET. & Cheney, T. (2008, May). Effects of the hospital care environment on patient mortality and nursing outcomes.Nursing Administration Journal,38(5), 223-229.

Aiken LH, Clarke SP, Cheung RB, Sloane DM, and Silber JH. (2003, September 24). Education levels of hospital nurses and mortality of surgical patients,Journal of the American Medical Association, 290, 1617-1623.

American Association of Colleges of Nursing (2019). 2018-2019 Enrollment and graduation of undergraduate and postgraduate degrees in nursing. Washington, DC: Author.

American Association of Colleges of Nursing, American Association of Community Colleges, Association of Community College Administrators, National League for Nursing, National Organization of Nursing Graduates. (2012, September). Joint Statement on Academic Progression for Nursing Students and Graduates. Available online athttps://www.aacnnursing.org/News-Information/Position-Statements-White-Papers/Academic-Progression.

American Organization of Executive Nurses. (2005). Practical and educational association for the future. Washington, DC: American Organization of Nurse Practitioners.

Benner, P., Sutphen, M., Leonard, V. y Day, L. (2009).Educating nurses: a call for radical transformation. Carnegie Foundation for the Advancement of Teaching. San Francisco: Jossey-Bass.

Blegen, M.A., Goode, C.J., Park, SH, Vaughn, T. & Spetz, J. (2013, February). Bachelor of Nursing Education and Patient Outcomes.Nursing Administration Magazine, 43(2), 89-94.

Delgado, C. (2002, July/August). Competent and safe practice: a profile of disciplined nurses.educated nurser, 27(4), 159-61.

Djukic, M., Stimpfel, A.W. and Kovner, C. (2019, March). Nurses with bachelor's degrees report higher quality and safer educational preparation than associate degree graduates. Journal of the Joint Commission on Quality and Patient Safety, 45(3), 180-186.

Estabrooks , C.A. , Midozi , WK , Cummings , G.C. , Ricker , K.L. & Giovanetti , P. (2005, March/April).The impact of hospital nursing characteristics on 30-day mortality.nursing research, 54(2), 72-84.

Fagin, CM (2001). When care becomes a burden: decreased access to adequate nursing. Millbank Memorial Fund, New York, NY.

Friese CR, Lake ET, Aiken LH, Silber JH. & Sochalski , J. ( 2008 , August ). Hospital nursing practice environments and outcomes for oncologic surgical patients.Search for health services, 43(4), 1145-1163.

Giger, J.N. and Davidhizar, R.E. (1990). Conceptual and theoretical approaches to patient care: graduate versus licensed nurses.Advanced Nursing Journal, 15(9), 1009-1015.

Goode, C.J., Pinkerton, S., McCausland, MP, Southard, P., Graham, R., & Krsek, C. (2001). To document the preference of nurse managers for nurses prepared for the BSN.The Journal of Nursing Administration, 31(2). 55-59.

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Graff, C., Roberts, K. & Thornton, K. (1999). An ethnographic study of differentiated practice in a surgical center.Professional Nursing Magazine, 15(6), 364-371.

Health Resources and Services Administration, National Center for Health Workforce Analysis. (2013, April). The US Nursing Workforce: Trends in Supply and Education. Accessible online athttp://bhpr.hrsa.gov/healthworkforce/reports/nursingworkforce/index.html.

Institute of Medicine. (2010).The future of nursing: Leading change, promoting health. Washington, DC: National Academies Press.

Johnson, J. (1988). Differences in the performance of undergraduate, graduate and postgraduate nurses: a meta-analysis.Nursing and Health Research, 11, 183-197.

Kendall-Gallagher, D., Aiken, L., Sloane, D.M. and Cimiotti, J. P. (2011, January). Nursing specialty certification, hospital mortality and rescue failure. jnursing scholarship magazine, 43(2), 188-194.

Kramer, M. and Hafner, L.P. (1989). Shared values: Impact on nursing staff satisfaction and perceived productivity.nursing research, 38, 172-177.

Kramer, M. and Schmalenberg, C. (1988). Magnetic Hospitals: Part I, Institutions of Excellence.Nursing Administration Magazine, 18(1), 13-24.

Kumm, S., Godfrey, N., Martin, D., Tucci, M., Muenks, M., & Spaeth, T. (2014). Bachelor's degree results obtained by associate degree programs.nursing educator, 39(5), 216-220.

Kutney-Lee A, Sloane DM. & Aiken, L. (2003, March). An increase in the number of nurses with bachelor's degrees is associated with lower rates of postoperative mortality.health matters, 32(3), 579-586.

McHugh M.D., Kelly L.A., Smith HL., Wu E.S., Vanak JM. and Aiken, L.H. (2012, October). Lower Mortality in Magnet Hospitals. Medical Care, forthcoming (published ahead of print).

National Advisory Council on Nursing Education and Practice (1996).Report to the Secretary of the Department of Health and Human Services on the core workforce of registered nurses. Washington, DC: US ​​Department of Health and Human Services, Health Resources and Services Administration.

National Council of State Nursing Councils (2002). 2001 Employer Survey. Chicago: Author.

Phillips, C.Y., Palmer, C.V., Zimmerman, B.J. and Mayfield, M. (2002). Professional Development: Ensuring the growth of students from RN to BSN.Nursing Education Journal, 41(6), 282-283.

Tourangeau AE, Doran DM, McGillis Hall L, Pallas O'Brien L, Pringle D, Tu JV. & Cranley, LA (2007, January). Impact of hospital nursing care on 30-day mortality of acute medical patients.Advanced Nursing Journal, 57(1), 32-41.

Tri-Council of Nursing. (2010, May). Educational advancement of registered nurses: a consensus position. Available online athttps://www.aacnnursing.org/Portals/42/News/5-10-TricouncilEdStatement.pdf.

Yakusheva, O., Lindrooth, R., & Weiss, M. (2014, October). Economic evaluation of the 80% recommendation of the bachelor's degree nursing workforce: a patient-level analysis.Medical care, 52(10), 864-869.

Last update: July 2021


Roberto Rosseter
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What impact does the AACN have on nursing practice? ›

AACN encourages employers to foster practice environments that embrace lifelong learning and offer incentives for registered nurses (RNs) seeking to advance their education to the baccalaureate and higher degree levels.

How does the AACN Essentials apply to nursing practice? ›

Used to define quality in nursing education, the AACN Essentials outline the necessary curriculum content and expected competencies of graduates from baccalaureate, master's, and Doctor of Nursing Practice programs.

What is the position statement of AACN vision for nursing education? ›

To improve healthcare outcomes and the overall health of the population, nursing faculty will need to prepare nurses with a solid knowledge and skill set to practice across settings, provide care to diverse populations, address the social determinants of health, and minimize health disparities.

How does nursing education affect patient outcomes? ›

Over the past two decades, a substantial body of research in the U.S. and abroad has documented that hospitals with a higher proportion of registered nurses with a bachelor's degree in nursing (BSN) experience significantly fewer deaths, have shorter hospital stays and fewer readmissions, and have lower Medicare ...

Why are the AACN essentials important in nursing? ›

The AACN Essentials provides a framework and expectations for professional nursing education, including all advanced level nursing practice programs. The 2022 NTFS delineates standards for one subset of advanced-level students: nurse practitioner students only.

What is the impact factor of nursing education today? ›

The 2022-2023 Journal's Impact IF of Nurse Education Today is 3.906, which is just updated in 2023.

What part of nursing excellence does the AACN provide? ›

AACN excellence programs recognize our peers doing outstanding work on behalf of high acuity and critical care nursing to improve patient care through system improvements, research and other meaningful contributions that advance the profession.

How does the AACN support quality patient care? ›

AACN Certification Corporation drives patient health and safety through the comprehensive credentialing of acute and critical care nurses, advancing practice consistent with standards of excellence. All nurses caring for acutely and critically ill patients and families are certified.

What are the ethical principles of AACN? ›

There are commonly accepted principles in bioethics that include autonomy, beneficence, non-maleficence, and justice. The study of ethics as it relates to nursing practice has led to the exploration of other relevant concepts, including moral distress, moral hazard, moral community, and moral or critical resilience.

What is the nursing goal for patient education? ›

The ultimate goal of patient educational programs is to achieve long-lasting changes in behavior by providing patients with the knowledge to allow them to make autonomous decisions to take ownership of their care as much as possible and improve their own outcomes.

What is the difference between AACN and CCNE? ›

The main difference between the two organizations is that ACEN accredits all nurse education levels, but CCNE acts as an accrediting organization for graduate programs and fellowships. ACEN also works with several government agencies to ensure their programs meet required standards.

What are the changes in nursing education? ›

Nurses can now earn an Associate's, Bachelor's of Science in Nursing and, due to more recent changes in nursing practice, a Master's of Science in Nursing and even doctorate-level degrees for those who would like to teach or conduct research.

How does education improve patient outcomes? ›

Patient education promotes patient-centered care and increases adherence to medication and treatments. An increase in compliance leads to a more efficient and cost-effective healthcare delivery system. Educating patients ensures continuity of care and reduces complications related to the illness.

How does education affect health outcomes? ›

Health Behaviors

Education can also lead to more accurate health beliefs and knowledge, and thus to better lifestyle choices, but also to better skills and greater self-advocacy. Education improves skills such as literacy, develops effective habits, and may improve cognitive ability.

How does patient education impact patient outcomes? ›

Patient education can help providers inform and remind patients of the proper ways to self-manage care and avoid nonessential readmissions. Better education can also help patients understand the care setting most appropriate for their condition and avoid unnecessary trips to the hospital.

How does the AACN support quality patient care quizlet? ›

The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care, implement interventions, and evaluate care.

What is the most important core value in nursing? ›

One of the most important values of nursing is to respect the dignity of their patients. This means treating patients with kindness and thoughtfulness as you provide care, and remembering to consider their emotions about the situation as you talk with them, care for them and educate them about their health.

Why is advanced nursing education important? ›

As you advance your education, you will learn to make better healthcare decisions. This can help you to achieve better patient outcomes, reduce costs and optimize operational efficiency.

What is an impact factor in Nursing? ›

Impact factors (IFs) are scores based on the frequency with which articles in a journal have been cited in other journals during a 2-year or 5-year period.

What is the impact factor of education studies? ›

The 2022-2023 Journal's Impact IF of Educational Studies is 1.5, which is just updated in 2023.

What is the impact factor of Nursing standard? ›

The impact score (IS) 2021 of Nursing standard (Royal College of Nursing (Great Britain) : 1987) is 1.06, which is computed in 2022 as per its definition.

How does accreditation impact nursing education? ›

Accreditation may also facilitate the transfer of credits to another nursing program if you decide to change schools, and it's often required for admission to graduate-level nursing programs. Earning a degree from an accredited nursing program can also affect your ability to get a job or advance your nursing career.

How do you promote excellence in nursing practice? ›

Create a vision for your nursing culture and work environment. Talk with all levels of nurses about their frustrations and dreams and what they would like to accomplish. Engage your CNO and administration in a dialogue about their vision for patients and nursing care and what resources they are willing to commit.

What are the benefits of accreditation in nursing education? ›

Accredited nursing programs may be eligible to seek additional federal and state funding resources to support the program's mission and goals. Graduating from an accredited nursing program can facilitate students' future academic progression goals and employment opportunities.

How does accreditation impact patient care? ›

Goal of accreditation for healthcare organizations

Achieving and maintaining accreditation provides benchmarks for measuring how your organization is doing. The process helps you maintain compliance with healthcare laws and regulations and keep up to date with industry standards.

How does excellence apply to nursing? ›

As noted above, nursing excellence looks like a lot more than just good job perks and satisfaction, although those factors can be important. Instead, nursing excellence is about developing and advancing strong nurse leaders, who are then able to advocate for their patients and nurse peers.

How can nurses improve quality of care? ›

Respect: To truly provide a high quality of care, nurses should never become desensitized to their patients' humanity and must always exercise a high degree of respect. Successful nurses maintain a professional demeanor, take confidentiality seriously, and keep patients' wishes at the forefront of treatment.

What are the most important ethical principles in nursing? ›

There are four main principles of ethics: autonomy, beneficence, justice, and non-maleficence. Each patient has the right to make their own decisions based on their own beliefs and values.[4].

What are the 7 principles of ethical decision making in nursing? ›

The ethical principles that nurses must adhere to are the principles of justice, beneficence, nonmaleficence, accountability, fidelity, autonomy, and veracity.

What is the Aacn position statement on ethical triage and end of life care? ›

AACN's Position

Healthcare institutions have a duty to ensure that decision-making under crisis standards of care be fair, ethical, legal, transparent, and compassionate. Institutions must also ensure that decision-making in triage situations is shared so no clinician bears this burden alone.

What is the most important purpose of patient education? ›

Patient education helps chronic disease management because it informs and involves patients in both the care instructions and lifestyle changes necessary to keep adverse outcomes at bay.

What is the most important goal in patient education? ›

The most important goal of patient education is to help patients achieve the best state of health possible through their own actions. This focuses on patient autonomy and patient-centered care.

What is patient education example nursing? ›

Patient education can include many types of instruction, such as: Maintaining treatment outside of a medical facility, such as dressing a wound. Administering injections for medication like insulin. Practicing preventative care, such as diet modifications for sustained health.

Is AACN nationally accredited? ›

Accreditation for AACN certification programs is granted by the Accreditation Board for Specialty Nursing Certifications (ABSNC) or the National Commission for Certifying Agencies (NCCA).

Why be a member of the AACN? ›

AACN is committed to continually reviewing our products, services and benefits to ensure that we are meeting the needs of our members and customers. Additional benefits of membership include: Subscriptions to Critical Care Nurse, American Journal of Critical Care and AACN Bold Voices.

What accreditation is important for nursing? ›

The Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE) evaluate nursing schools and programs in the United States. Each school or program must meet ACEN or CCNE standards in order to earn accreditation.

What are the current challenges in nursing education? ›

Nurse Educators Face Challenges Due to Nursing Shortage
  • Lack of Resources. ...
  • Curriculum Challenges. ...
  • Representation in Faculty and Training. ...
  • Fostering and Maintaining Student Relationships. ...
  • Pay Inequality. ...
  • Lack of Preceptors. ...
  • Lack of Opportunity to Update Knowledge and Skills.

How can nurses improve education? ›

Some of the things nurses can do to advance patient education include:
  • Delegate more responsibilities to support staff and be more focused on patient education.
  • Begin educating patients with every encounter from admission.
  • Find out what the patient already knows. ...
  • Feed patients information in layman's terms.

How do you stay current in nursing education? ›

Strategies to stay current
  1. Attend local and national educational meetings and conferences.
  2. Join professional organizations.
  3. Listen to podcasts to learn on the go.
  4. Set aside time for learning — even taking 30 minutes once or twice a week to review a case or journal will advance your knowledge base.
Feb 10, 2022

Does continuing education improve patient outcomes? ›

Better Care for Patients

New medications, technologies and protocols can all contribute to improved patient care and CE can help you stay up to date on these advancements. This will allow you to be better equipped to help your patients.

What are the links between education and positive patient outcomes? ›

It's no secret that quality patient care is tied to a well-educated nursing workforce. In fact, research has shown that lower mortality rates, fewer medication errors, and positive patient outcomes are all related to nurses prepared at the baccalaureate and graduate degree levels.

Why training and education are vital in health care? ›

It helps them stay abreast on the latest treatments and procedures, maintain their licensure, and improve the quality of care they provide to their patients. There are many ways to continue your education, so find one that works best for you and make time for it in your busy schedule.

How does education affect healthcare access? ›

Education typically leads to better jobs, more money and many other benefits, including better health insurance, which leads to better access to quality health care. Higher earnings also allow workers to afford homes in safer neighborhoods as well as healthier diets.

How does education influence health give two examples? ›

More educated people are less likely to be hypertensive, or to suffer from emphysema or diabetes. Physical and mental functioning is also better for the better educated. The better educated are substantially less likely to report that they are in poor health, and less likely to report anxiety or depression.

Are higher educated people more healthy? ›

When it comes to promoting good health, education is the best prevention,” Cutler wrote in a January 20, 2018 Politico article. Unhealthy behaviors contribute to 40% of U.S. deaths, he wrote. “By every metric measured, more educated people have healthier behaviors than less educated people.

What is the impact of the nurse on patient care outcomes? ›

Studies have found that the nurse's communication with their patient's care in every setting promotes lower readmission rates, lower lengths of stay, higher safety scores and lowered instances of hospital-acquired conditions.

What are the problems in patient education? ›

language barriers, low literacy, or poor comprehension skills (Your patient may be ashamed to let you know that he or she has these problems.) lack of motivation. psychological barriers, such as fear, anger, and depression. impaired psychomotor skills or inability to handle necessary equipment.

Is patient education a nursing intervention? ›

Providing physical treatments, emotional support, and patient education are all examples of nursing interventions. Nurses typically perform these actions as part of a nursing care plan to monitor and improve their patient's comfort and health.

How does the American Association of critical care nurses AACN promote quality patient care? ›

The AACN Standards for Acute and Critical Care Nursing Practice delineate the nursing process as applied to critically ill patients: collect data, determine diagnoses, identify expected outcomes, develop a plan of care, implement interventions, and evaluate care.

What is purpose and impact of accreditation? ›

Its purpose is the improvement of academic quality and public accountability. This continuing quality control process occurs usually every five to ten years.

What is the impact of accreditation in healthcare? ›

Healthcare accreditation can help your organization improve the quality of care, streamline operations, reduce liability risks, and more. Achieving and maintaining accreditation gives you a clear picture of how to constantly improve your organization for years to come.

What is accreditation in education and why is it important? ›

Accreditation is a big fancy word that simply means a quality check. An accredited school has gone through a rigorous check by an authority on education to make sure the school meets their standards and is qualified to teach students the programs they are offering. A degree from an accredited school is valuable.

What are the AACN values? ›

As AACN works to promote its mission and vision, it is guided by values that are rooted in, and arise from, the Association's rich history, traditions, and culture: accountability, leadership, innovation, and collaboration.

What are the AACN standards of professional performance? ›

AACN, its members, volunteers and staff will honor the following: Ethical accountability and integrity in relationships, organizational decisions and stewardship of resources. Leadership to enable individuals to make their optimal contribution through lifelong learning, critical thinking and inquiry.

What are the benefits of nursing education? ›

Having more knowledge means you'll be a better nurse. You'll have the most current information on new treatments and medications. You'll learn new techniques that will make your treatment of patients easier and better.

How does patient education improve quality of care? ›

Patient education can help providers inform and remind patients of the proper ways to self-manage care and avoid nonessential readmissions. Better education can also help patients understand the care setting most appropriate for their condition and avoid unnecessary trips to the hospital.

What is the impact factor of nursing in critical care? ›

The 2022-2023 Journal's Impact IF of Nursing in critical care is 2.897, which is just updated in 2023.

How did the AACN address the concept of moral distress in nursing? ›

AACN's Position

In addition, nurses must not hesitate to seek professional ethical support and other types of counseling when experiencing moral distress or feeling a loss of personal integrity.

What are the benefits and uses of the American Nurses Association's Code of Ethics? ›

The ANA Code of Ethics for Nurses serves the following purposes: It is a succinct statement of the ethical obligations and duties of every individual who enters the nursing profession. It is the profession's nonnegotiable ethical standard. It is an expression of nursing's own understanding of its commitment to society.


1. The Impact of the DNP on Nursing Practice
(Sara Liles)
2. 2021 QSEN International Forum: June 1 - Understanding the New AACN Essentials
(QSEN Institute)
4. American Association of Colleges of Nursing: The Essentials
5. Nurs 416 Interview, Myers, Crystal
(Crystal Myers)
6. 2022 Year in Review


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