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Please respond to each classmate with at least 125 words with a reference.
Discu
Please respond to each classmate with at least 125 words with a reference.
Discussion 1:
Nursing began to dramatically change from the 1970’s to the 1980’s. Nurses began to attend lecture classes at a university as part of their transition from a diploma to a degree program but in the 1970’s a majority of their training remained in the hospital setting working and learning as part of the staff. “The day after we reported for our course we went to work in our assigned ward for two weeks until lectures started at the University” (Zurakowski et al., 2021). Nursing uniforms were a dress and apron, cinched at the waist, and a white cap was worn. By the 1980’s the climate of health care began to change and so did nursing, from new technologies and the shift to degree programs for nursing education and, by the late 1980’s the nursing process and care plans were introduced. Nurses also began to use paper charting, they utilized metal charts that they would document vital signs and any changes in the patient throughout the shift. These charts were then handed off to the oncoming nurse during shift change. During this time nursing education had to advance for nurses to be able to advance their skills and keep up with the times. Martha Rogers defined Nursing as an art and science that is humanistic and humanitarian therefore she believed that nursing education needed to evolve with the times so that nurses would have the compassion and the skills to care for their patients. “Rogers claims that nursing exists to serve people, and the safe practice of nursing depends on the nature and amount of scientific nursing knowledge the nurse brings to his or her practice” (Razoni & Baker, 2023). Today nurses must be prepared to meet diverse patients’ needs with that comes the need for more extensive nursing education. Also with the many different roles nurses are now taking on in healthcare such as management positions, Infection Control, Case managers, Chief Nursing Officers, etc. the advancement in nursing education and obtaining a higher degree is very much needed. Martha Rogers also stated that the goal for nurses is to participate in the process of change. I think she meant that as nurses we must continue to educate ourselves to keep up with the ever-changing healthcare systems and patient needs. So with that being said changing the way a nurse obtains her education was essential for all nurses to continue to practice effectively through the changing times.
Discussion 2:
As a Canadian diploma nurse graduate from the 1990s I have found the evolution of nursing training and education in the United States to be fascinating. When I was interested in becoming a nurse in Ontario, Canada, my options were a 3-year diploma at a local college or a 4-year bachelor’s degree at a university out of town. A two-year associate degree was not an option. At the time, diploma programs offered more hands-on experience compared to the bachelor’s degree, they were significantly less expensive, and they allowed one to enter the workforce at the same entry level as the bachelor’s degree, only sooner. Needless to say, I took what I thought to be the more efficient route and it has served me well.
As I have researched for this week’s discussion post I have learned that in the United States, the interest in moving nursing education away from hospital-based programs and into colleges and universities, began in the late 1940’s, following nursing educators and administrators concerns around nursing shortages and a need to find a more efficient methods for training nurses (Mahaffey, 2002). In the 1950’s the two-year associate degree nursing programs were introduced. These programs included broader nursing courses and a wider variety of options for clinical experiences. These early programs were highly successful and led to huge growth in the production of nurses.
In the 1960’s there was a push for baccalaureate programs to become the basic educational foundation for the nursing profession (Mahaffey, 2002). This very quickly became controversial and remains controversial to this day. In the late 1970’s and the early 1980’s the controversy continued and there was a lot of conversation about technical nurses versus professional nurses, with associate nurses being the technical nurses and the baccalaureate nurses being the professional nurses.
In the 1970’s marked a new era with Martha Rogers’ An Introduction to the Theoretical Basis of Nursing (Smith et al., 2020). Rogers believed that nursing as a profession required a great deal of knowledge that was better acquired through university education versus vocational training. Her strong advocacy for graduate and doctorial nursing education has led to the abundance of opportunities for today’s nurses to advance their education.
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