Major issues in nursing

Subject: Health Care
Type: Informative Essay
Pages: 4
Word count: 1019
Topics: Nursing, College Tuition, Management


An associate degree in nursing (ADN), is a program that offers a primary career foundation in the pursuit of a nursing degree. It equips learners to be able to take up an entry-level position in the nursing carrier which makes it common among many registered nurses. On the other hand, a bachelor of science in nursing degree (BSN), synthesizes an individual to be able to work as a registered nurse (RN) who with respect to ADN, is charged with greater responsibilities, supervisory duties as well as payment of higher salaries which makes them more superior in this regard of comparison. In (Sizemore, M., Robbins, L., Hoke, M., and Billings, D., 2007), several types of research tend to prove that higher degree achieved by colleges as well as universities makes ready a registered nurse more ready for more responsibilities and other complicated practices. It also purports that obtaining a higher BSN by a registered nurse or hospital staff may result in better outcomes for patients. In the recent research, there is a greater association between high BSN staffing and better patient outcomes since the newly obtained skills and knowledge will improve patient care such as reduced mortality rate of surgery victims and reduced acquisition of infections within the hospital environment. Therefore, today in real-life situations, the environment for the delivery of healthcare becomes more complicated day by day with the invention of new drugs and the emergence of more technical diseases and viruses increasing the number of sick people, both young and older people. There is a need for more BSN staffing in the healthcare unit as compared to the ADN.


The Doctor of Nursing Practice (DNP) is a degree associated with a clinical practice that focuses on implementing research into real practice while the Doctor of Philosophy in Nursing (Ph.D.) is a nursing degree that focuses on conducting research in order to advance nursing as a science. In a bid to compare the DNP and Ph.D., the paper comes up with various differences between the two (Beverly, 2014). DNP focuses on the improvement of patient health care with a high level of experience in practice with correspondence to the academic programs. It also gives nurses access to information and technology resources in healthcare with correspondence to the area of study and also leadership expertise in the jurisdiction of the role and population practice. On the other hand, a Ph.D. in nursing is aligned with the development of primary knowledge and scientific inquiry in nursing. It gives a better experience of leadership in the jurisdiction of the outcome presented by the research findings and also a high experience level in research in correspondence with the academic program of the researcher. If I utilize the opportunity to pursue my learning to the doctorate level, then I would prefer to take a Doctor of Philosophy in Nursing. This is driven by the urge to undertake various researches that would help grow the Nursing profession and the delivery of healthcare services to a larger scale so that the emergence of new diseases and viruses is controlled as well as the invention of new medicines to fight the rising complex medical conditions facing the human race.

Health Legislator

In history, there have lived a number of nurses who have legislated for better healthcare side by side with their job as nurses. Among them is Florence Nightingale who has been an all-time example of various nurses who have demonstrated efforts in history in order to put the nursing profession in shape. Looking back in 1853-1856 (Abood, S., 2007), Florence was deeply involved in a lot of work especially during the Crimean war in order to provide better care for the sick and the injured soldiers who acquired different types of wounds in the course of the fight. She also put female nurses into the hospitals of the soldiers and put up kitchens so as to give good food to the ill and the injured soldiers. Florence started up her own school of nursing, with the name Florence Nightingale School of Nursing, with an aim of providing better education to all aspiring nurses which in return helped reduce the barrier of class that existed among nurses since the school was open to nurses from all social classes. This did not just make her famous but also improved the social status of the nurses across the country. Also through the efforts of Florence Nightingale, the British Parliament passed a bill allowing the formal registration of nurses in 1904 and 1918.

CMC ‘Never Events’

According to (Medicare’s ‘‘never –event’’ Initiative, 2008), the Centre of Medicare Services in the recent past made an announcement that federal programs not anymore reimburse the provision of certain medical care services that overcome or treat various complications in relation to healthcare. In as much as CMS makes choices on most of these medical complications due to the fact that they are preventable in a reasonable manner through guidelines that are evidence-based, the patient advocacy groups hand in hand with the national media have come up with the term ‘never events’ in their description. The new CMS policy has an effect on the liability of any individual charged with the provision of inpatient care. This is covered in their press release during the announcement of the current payment policy where they stated that when one gets into a hospital with a desire for treatment of a single health problem, he or she dent want to get out with another problem or injury that catches up with him in the course of the stay in hospital since some of the injuries or illnesses of such kind can be prevented if the hospital takes more precautions to improve the quality of care while handling the patients. Therefore, CMS policy was primarily introduced in order to reduce the conditions and complications that could be acquired from the hospital during the process of a patient seeking medical care as well as medical errors that occur in the course of the provision of health care and are preventable.

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  1. Sizemore, M., Robbins, L., Hoke, M., and Billings, D. (2007). Outcomes of AND-BSN Partnerships to increase Baccalaureate Prepared Nurses. International Journal of Nursing Education Scholarship, 4(1).
  2. Abood, S. (2007). Influencing Health Care in The Legislative Arena. The Online Journal of Issue In Nursing, vol. 12. No. 1, Manuscript 2.
  3. Beverly, C. (2014). Changing Health Care Environment: Getting Beyond the Ph.D. versus DNP discussion. Journal of professional nursing, 30(2), 101-102.
  4. Medicare’s ‘‘never-event’’ Initiative, (2008).  Virtual Mentor, 10(5), 312-316.
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