February 2004, Volume 34 Number 2 , p 8 - 8 [FREE]





  • Figure. No Caption A...

    A nurse starting a new job in an unfamiliar hospital expressed dismay that she wasn't assigned one preceptor while she learned the ropes (“Changing Jobs: Jump Right In,” Legal Questions , August 2003). Instead, she was expected to get guidance from a different nurse each day. Because of her many years' experience, the other nurses expected her to “jump in” without help.

    Figure. No Caption Available. I was concerned about your response, including the comment that “a nurse with 14 years' experience can reasonably be expected to practice without one-on-one oversight.” Although each individual is responsible for her own learning needs, this doesn't exempt the facility or unit from ensuring that she receives a proper orientation by individuals who are well versed in orientation and training.

    I know a lot of short-staffed units whose nurses are barely keeping their heads ...


As soon as I saw your recent news item, "RN Education: Research Results Stir Controversy," I thought, Here we go again!! (Clinical Rounds, November 2003). The item described research headed by Linda H. Aiken, RN, PhD, linking BSN or higher educational levels with lower postoperative mortality rates. Apparently the BSN-as-entry-level-into-nursing zealots are alive and well.


This has been said before but needs to be said again. The nursing credits required for any National League for Nursing-accredited program, whether ADN, diploma, or BSN, are the same. The BSN graduate simply has more general-education support courses. This means the nursing degree is not what influences the graduate's performance, but rather the quality of the education, the nurse's personal dedication to excellence, and her experience in the field.