Benefits of Continuing your Education after becoming a RN (Registered Nurse)

By Ryan Anderson

The opportunities for a RN or registered nurse are growing each day, and those who continue their education after gaining their RN license quickly learn that there is no end to their career possibilities. It is important to understand that continuing a nursing education entails an array of education, including secondary degrees, additional certifications, and specialized trainings and coursework. Though we will discuss in greater detail, continuing your nursing education and/or credentialing opens the door to a management or leadership position, the ability to change specialties, and even start your own business.

Seeking a masters or doctoral degree is one on the more traditional ways to continue your nursing education. Gaining a masters degree gives you the option of higher level nursing occupations, such as nurse practitioner or clinical nurse specialist. Not to mention the ability to obtain supervisory and leadership roles. A master’s degree program goes beyond medicine and looks at the other factors that effect healthcare, like social, economic, financial, and cultural factors. These programs teach leadership and resource management, allowing nurses who obtain a master’s degree to have careers in healthcare management and administration. A doctoral degree can possibly open the door to management and administration. Doctoral degrees allow nurses to pursue research opportunities and the abilities to teach at colleges and universities. These nurses can also be found as consultants on health systems and policies.

Another way to continue your nursing education is to obtain certification in one or more nursing specialties. Within the field of nursing, there is a long list of specializations that a nurse can choose to pursue. While some fall within the traditional idea of nursing, such as pediatric nursing, others are considered more alternative career choices such as genetic nursing. The majority of these specializations do in fact have their own certification programs. The greatest benefit of continuing your nursing education through gaining additional certifications allows you to change your specialty throughout your nursing career. You can choose to stay on the cutting edge of new and emerging specialties. You could also make yourself a more attractive candidate for various healthcare organizations.

Though it may not come with the added credentialing of a degree or certification program, there is also the ability for a nurse to further his or her education by additional trainings, seminars, and other CEU courses. In the field of nursing there are numerous opportunities for additional training. The type of training that a nurse chooses to take can be determined by particular interests within the field. There is a need to stay on top of new changes within the healthcare industry, how to get a better understanding of patients, and even new advancements in medical technology and treatments. Continuing education units or CEU’s are often required in some specialties after a specific certification has been achieved.

These may be different ways to continue your nursing education, but the actual benefit of continuing this education mirrors the benefits of going into the nursing field itself. One of the key benefits is flexibility. Having additional education in a specific or general area of nursing provides you with the flexibility of changing career paths to suite your changing life. For example, as many nurse’s children are becoming school aged, they begin looking at career paths and schedules that allow them to work during the early part of the day, allowing them to be home when their children arrive home from school. Others decide to look into a more executive or administrative role as their career progresses.

Continuing your nursing education also gives you control over your future. By gaining added credentials you can ensure that you will always be in demand. You should position yourself to allow your nursing career to transition, just as you do various stages of your life. For instance, a nurse in her 30’s may feel like the daily routine of a RN would be a bit taxing physically for her in her 40’s. She could decide to obtain her master’s degree and transition into a consulting or administrative role. Furthering your nursing education doesn’t just give you the power to secure an enviable position within a healthcare organization. It could also give you the power to enter both the academic and business sides of the healthcare field. If you have the entrepreneurial spirit you can even become your own boss. Home healthcare and nurse case management are two booming businesses that with the proper certification can be started fairly easily.

Continuing your education in any field is beneficial, but few fields can offer the benefits of continuing a nursing education. Possibly the best and most practical benefit of all is that you can easily continue your nursing education while working full time. With a career in nursing, a bright future is in your hands, all you have to do is decide which path to take.

An Introduction to Psychiatric Nursing

By Rachel Jackson


What do psychiatric nurses do?

Psychiatric nurses are nurses who specialize in the treatment of those with mental disorders. They are sometimes known as mental health nurses. Psychiatric nurses may treat patients on an in-patient or out-patient basis, and may see those suffering from depression, bipolar disorder and many other types of mental health conditions. Psychiatric nurses work with those who are seriously ill as well as those who are taking proactive steps to improve their health.

Psychiatric nurses receive specialized training to become familiar with different types of treatment therapies as well as methods of effectively dealing with what at times can be extremely challenging behavior or non-compliant patients.

What are the challenges of psychiatric nursing?

One of the largest obstacles that a psychiatric nurse must overcome is the fact that many of the patients they are responsible for may not wish to receive treatment. There are few other specialties in medicine where the patient may not wish to be well. This reluctance to receive treatment may be present whether the patient is working as an outpatient or is in a secure psychiatric facility. This general unwillingness to receive treatment complicates the treatment process.

What specialized training does the psychiatric nurse receive?

Psychiatric nurses are trained in the administration of different types of psychiatric medications. Not only must they be comfortable giving medicines both orally and through intramuscular (IM) injections, they must know what types of side effects to watch for with each type of medication.

While medication is commonly used when treating mental health patients, the psychiatric nurse must also be familiar with the different forms of therapy used as part of the treatment plan. While a physician or counselor will be in charge of any psychotherapy the patient receives, the nurse must understand the concepts of the therapy as well as the goal. Since the nurse sees the patient more than the doctor or counselor, she can be on the alert for changes of behavior or worrisome new developments that may affect the patient's recovery.

Jobs for psychiatric nurses

There are a variety of career paths for those nurses that are interested in the mental health field. While most people think automatically of working in an in-patient facility, there are many other areas where psychiatric nurses are employed. Out-patient hospitals are commonly used for those mental health patients that pose no immediate threat to themselves or others. Additionally, many psychiatric nurses work in rehabilitation hospitals, to help patients who have suffered a stroke or other health problem and need help to reclaim their life.

Psychiatric nurses also work in many community based health clinics. They may work with the public, in an office, or make home visits to those in need of mental health care. Psychiatric nurses that work in this capacity often run community based addiction programs, providing counseling for those struggling with alcohol or drug dependency. Psychiatric nurses also work with the incarcerated population, both before and after trial. Many psychiatric nurses work in retirement communities and assisted living homes. As the population ages, the incidences of dementia are increasing, and psychiatric nurses are often best trained to deal with the increasing demands of an elderly patient suffering from dementia.

Types of psychiatric nurses

Licensed practical nurses and licensed psychiatric technicians are permitted to dispense medications to psychiatric patients. They also help maintain the patient's records. A registered nurse, or a specialized registered psychiatric nurse, can perform the same duties of the LPN, and also help with assessments and provide counseling (if trained). The RN that goes on to complete their masters or doctorate degree can work as a psychiatric nurse practitioner. In addition to other duties, the psychiatric nurse practitioner can provide psychiatric diagnosis and prescribe medications. In some states the psychiatric nurse practitioner can work independently, while in others they work under a physician.

Job outlook

The job outlook for psychiatric nursing, like many other types of nursing, is good. Several reasons for this are: Our aging population may increase the number of psychiatric nurses required in assisted living homes. As the cost of health care continues to increase, more insurance companies and private pay patients can make the decision to see a trained nurse rather than a more expensive doctor or counselor.

For those interested in taking on the challenge of working in this field, the career path is wide open. The job is well suited for those who enjoy a challenge, have the ability to think on their feet, and those who enjoy seeing their work directly help others. If you believe that this is the career path for you, talk to others in the field. They can give you insight on a typical day and tell you the particular challenges and rewards of working in the field of psychiatric nursing.

Know the Work of Nurses Before You Become One

By Brent McNutt

"What do you do for a living?" This question gets to the nitty gritty of our jobs. It goes beyond the job title. It goes beyond the salary. It even goes beyond the "job description." When people ask this question, it gets to the heart of our job. For example, an incident manager might reply, "I contact people who know what they are doing, and then I ask them what they are doing." Likewise, if you are considering becoming a nurse, then you should have a clear sense of what the job entails. Here are some key elements:

1. Nursing is flexible

Nurses have one of the most flexible occupations in the world. Think about it this way: every person in the world has health, thus they need healthcare services. If you are a breathing human, then you can get sick. Typically, we imagine nurses working in hospitals. However, they can labor in several different environments, including:

• hospitals
• doctors' offices
• home care places
• nursing homes
• occupational places
• schools
• government agencies
• clinics
• retirement communities

Many nurses appreciate the flexible hours that they enjoy, as nurses. This allows them to keep a balance between their professional and personal lives.

2. Nursing can be demanding

On the other hand, the demand for nurses has become increasingly high, with about 6% of nursing positions being yet unfilled. This can place a strain at some healthcare facilities, requiring nurses to work overtime or even double shifts.

Furthermore, in certain situations, nurses need to provide patient care 24 hours a day, and seven days a week. Fortunately, certain methods can help nurses to cope with the situation. For instance, scrubs such as cheap landau scrubs provide nurses with attire that is lightweight, comfortable, and hygienic. Nevertheless, providing around-the-clock nursing care for a patient can place a huge strain on the nurses themselves. This can result in both physical and emotional stress.

3. Nursing provides a solid salary and benefits

How much do nurse earn? According to official studies of the US government, RNs' median yearly earnings are about $52,000 (2004). During that year, RNs salaries ranged from about $37,000, to about $74,800. Those RNs working in emergency departments, and those with their own nursing practice, earned up to $90,000! Finally, several employers of nurses provide the workers with benefits such as bonuses, educational benefits, and childcare.

4. Nursing involves education and training

Education and training are vital in the field of nursing. All nurses must earn a nursing license, before they can practice in any state, as a nurse. Afterwards, nurses may renew their license. They can also hold licenses in multiple states. Finally, RNs can earn an associates', bachelors' or masters' degree in nursing, opening the doors for salary raises and promotions.

What is the world of nursing REALLY like? The aforementioned aspects include a few of the most important features of nurses' work, such wearing scrubs. Before knowing that you want to be a nurse, know what you would do!

A Summary of Various Nursing Positions

By Shawn Thomas

Today it is clear that the old fashioned image of a nurse no longer holds true. Thanks to the popularity of new medical dramas and sitcoms, people are seeing the field of nursing in a whole new light. We will now look at a few nursing positions that have attracted people from all backgrounds into the field of nursing.

A nurse case manager is a nurse that specializes in tailoring and coordinating health resources and service to an individual’s specific illness or health concern. Though nurse case managers can work for various types of organizations, such as insurance companies, third party administrators, and vocational rehabilitation companies, their ultimate goal is the same. Nurse case managers are brought in to ensure that a patient gets the best care at a reasonable cost.

Nurse educators are the professors of the nursing field, and usually work as consultants. However, the position is primarily designed to teach clinical practices to new nurses and nursing students; and, ensures that practicing nurses maintain their competencies. Similar to other educators, nurse educators spend most of their time working on lesson plans, instructing, evaluating, researching, and helping others solve clinical problems. Though this is a rewarding career path, some nurse educators miss working directly with patients, and are overloaded with paperwork. Those in this position typically work for nursing programs at hospitals, colleges, universities, or staff development organizations.

Though probably not as exciting as it is portrayed on television, forensic nurses use clinical practices and training to help with investigations. Typically services are needed in cases that involve sexual assault, abuse, trauma, and accidental or unexplained deaths. The biggest drawback of this position is that it is new so there are not as many positions available as there are in other nursing fields. Forensic nurses will usually work for a medical examiner, coroner, municipality, or insurance company.

Rehabilitation nurses work exclusively with patients who have illnesses or disabilities that have altered their way of life. So, it is the task of the rehabilitation nurse to help these patients regain their normal way of life. These nurses become extremely close to their patients and share in all of their accomplishments. However, they are usually brought in for extreme cases; so, they deal with their patient’s emotional health, and may have to assistant patients with depression and grief in order for them to progress physically. Usually these nurses work for hospitals, long term care facilities, and special hospitals such as burn clinics.

Since productivity is directly linked to employee health, many employers have decided to retain their own nurses. Occupational or employee health nurses focus on preventing injury, administering non-surgical medical attention and consultation, and assisting in worker’s compensation claims. These nurses may also be responsible for making sure the organization maintains accurate OSHA records and standards, promoting health and wellness, and spotting health hazards within working conditions. The unique thing about occupational health nurses is that the type of health issues you handle will depend on the functions of your organization. For example, corporate occupational health nurses will give physicals and focus on keeping employees working. Those who work for municipalities may find themselves giving trainings, working closely with police and paramedics, or consulting on worker’s compensation claims.

A similar type of nurse as the occupational nurse is the school nurse. Nearly every school in America employs a school nurse, at least part time. This can be a rewarding career for those who love children. You will play a role in teaching and promoting general wellness and a healthy lifestyle as well as dealing with scrapes, tummy aches and the occasional serious emergency.

Trauma nurses treat patients in emergency situations. It is imperative that they use quick thinking and sound judgment to stabilize patients, typically using little or no background information or previous medical history. The biggest challenge to these nurses is that every situation and every day is filled with stress and pressure. Yet, they must overcome obstacles such as language barriers in a matter of minutes. Trauma nurses usually work in emergency centers and specialty hospitals.

Nurse practitioner is a specialty that requires an advanced level of nursing skills. These nurses perform tasks that involve diagnosing, ordering lab and other tests, prescribing medicine, and monitoring patient status. Although these nurses are similar to actual physicians they may face opposition from their colleagues and patients who are unaware of their level of skills. And, they are able to find work at almost any health related organization.

Understand that this is only a few of the career paths in the expanding world of nursing specialties. It is important to note that all of these positions will require a nursing degree and/or certification. If you are interested in any nursing specialty, you should talk to one or more people in that position and in the industry to get a realistic picture of what the position is like. Though there are several types of nursing specialties, not every path is right for everyone.

Nursing Scholarship Sources

There are many scholarships available to any and all people that are going into the nursing profession. Some people don't want to take the time to find out about scholarships for nursing school. Many believe that the monies that they receive from financial aid will be sufficient. Indeed, sometimes it is, that is if you also take the student loans that eventually have to be paid back.

The payback period usually begins approximately six months following graduation from nursing school. But be careful, if you drop out of nursing school for any reason, and do not apply for a hardship extension, you will be liable to begin paying back the student loan, in spite of your circumstances. With scholarships, you do not have to pay them back, period! This is true even if you have to drop out of nursing school for a short period of time. There is another false hood that is widely accepted. That is, that one has to have a 3.0 grade point average or greater to be eligible to apply for a nursing school scholarship. Not true.

There are many factors that allow an individual to apply for a nursing school scholarship. Maybe your are a single mother living on government aid, there is a scholarship for you. Maybe you are of a low income bracket and have a particular ethnicity, there is a nursing school scholarship for you, maybe you just live in an area that is considered economically challenged, there is a nursing school scholarship for you. The list goes on and on.

Where do you begin to find out if there is a nursing scholarship available for you. Other than the internet, the best other place to begin is in your home town, at your place of worship, your place of employment and the schools that offer a nursing program. You will be surprised to find that there are scholarships out there just for being you! Many places of employment or large companies have foundations and wealthy founders that put monies into funds for scholarships. Maybe your parents worked at a company for most of their lives that now makes you eligible to obtain a scholarship. Automotive company founders offer scholarships. Even large supermarket chains offer scholarships for nursing school.

The main idea behind scholarships is to promote education in the community. So don't ever feel that you are left out in the cold. It might be that you may run into a counselor that may not seem to have the time to do any research for you, but don't let that discourage you. Sometimes when you are going after something that you really want, like a career in the nursing field, you have to take the reigns and be assertive. That means finding someone to help you, if someone else won't.

The point is, that there are people that are hired to help you find the scholarships for nursing school that best fit your needs. That does not mean that you shouldn't do your own research as well. The chances of you finding some other scholarships for nursing school in addition to those found for you can only help not hurt.

Venango-Clarion County Residents Build Nursing Careers and Personal Success with Online BSN Program at Clarion University

By Professor Andrew Lingwall
Associate Professor of Public Relations
Clarion University

For Paula Scalise and Dawn Linn, it’s all about personal energy and faith.

Personal energy to return to college as adults, to hold down jobs and hold together their families while finishing college degrees. Faith to know that graduation and career success is just around the corner.

“I guess you could say that I’m kind of an adrenaline junkie,” says Scalise, who works as an emergency room nurse at Clarion Hospital. ‘I enjoy the buzz when a new patient comes in and needs attention. That’s how I’ve approached my coursework, too.”

The 43-year-old Fryburg resident is earning her Bachelor of Science in Nursing (BSN) degree at Clarion University, with plans to graduate in 2010. Taking one or two courses each semester, she has worked full time while raising daughters Sarah, age 18, and Maria, age 13, with her husband Vince.

Linn is back in college for the third time. In 2005, the 31-year-old Franklin resident earned her Bachelor’s Degree in Applied Science from Slippery Rock University. In 2007, she completed her Associate of Nursing (ASN) degree from Clarion University. This time around, she plans to finish her BSN in 2010.

Clarion University’s BSN is a 60-credit degree program that builds upon the background and knowledge of registered nurses (RNs), and enables them to continue their education at a professional level. Founded at the Venango campus in 1962, Clarion’s Nursing program is accredited by the National League for Nursing Accrediting Commission.

All along, Linn says her academic journey has been one of faith. “I remember that when I started at Slippery Rock in 2004, I had to quit my job,” she recalls. “The very next day, my husband David was laid off from his job. We lost our health care, and I remember being so scared. But eventually it all worked out. I learned that you have to take a chance and have some faith. Now, I couldn’t be happier.”

Enter the Internet

However, beyond personal energy and faith, Scalise and Linn have drawn upon another powerful tool to finish their degrees: the Internet. Thanks to the availability of online programs at Clarion University, both women have been able to complete their BSN coursework while continuing to work and take care of their families back at home.

“Returning to college as an adult, I was concerned about what the online classes would be like,” notes Scalise. “I am a really a hands-on type of learner, and so I was apprehensive about how it would all work.”

Having earned her Associate of Nursing degree at Clarion in 2003, Scalise was more accustomed to classroom-based work. “But it took only about two weeks for everything to fall into place. I realized that online work is so convenient for adults who have a life outside of academia,” she adds. “You can adjust it according to your job and family demands, and do the work when you are available. A classmate might e-mail me at 11:30 one night, and I could get back to her at 10 the next morning. The flexibility has been unbeatable.”

If Scalise works a 3-11 p.m. shift, she can catch up on her class readings during the day while her daughters are at school. Or, if the girls need help with their homework in the evening, she can fit that in too and still be an active parent. “Also, if I happen to be at the hospital or somewhere else, I can sit down and access the class from anywhere with an Internet connection,” Scalise says.

As Linn completes her BSN degree, she is working as a health facility quality examiner with the Pennsylvania State Department of Health in Meadville. To supplement her family’s income, in 2004 she enlisted in the U.S. Navy Reserves, where she serves as a hospital corpsman. “I have to manage my time carefully, but Clarion’s BSN has been so much more doable because it is all online,” Linn notes. “For me, it’s been far easier to manage than a classroom-based program.”

Dr. Kathy Patterson, Clarion University’s Director of the School of Nursing and Allied Health, adds, “Students should consider online coursework as a unique way of fitting the pieces of their lives together. It enables them to plan their education around their lives, instead of the other way around. It’s like attending a university without walls.”

Online learning at Clarion

Patterson notes that nursing faculty at Clarion have worked hard to build an online BSN program that serves it students well. “Our instructors have made a concerted effort to use technology to engage students…to really pull them into the online learning environment and create a virtual learning community,” she says. “And they are always working to learn new technologies and the best techniques for online teaching. That’s a unique level of dedication that you don’t see in every faculty.”

By design, online coursework in the BSN program is “asynchronous,” meaning that students can complete assignments and discussion board postings at their own convenience, rather than being required to participate at specific times.

“I have been impressed with how organized the online coursework is at Clarion, Scalise says. “Everything is set up so clearly – it’s almost like being in the classroom in your own home. And if I need help, the professors are just a couple of clicks away.”

According to Linn, online coursework at Clarion has been an interactive and interesting experience. “It is much different from being in a classroom, but online learning can be just as interactive,” she says. “My professors always answered my questions and got back to me quickly when I encountered any issues. They kept office hours, so I could call them. One professor even invited me to visit during her office hours, which really helped.

“At Clarion, I don’t feel like a number,” she adds. “All of the faculty and staff know my name. People like (faculty secretary) Patti Shontz are always there to help me out with registration issues or any questions I encounter. They really go out of their way to recognize you and take care of you personally.”

A Bright Future in Nursing

So where does the BSN degree lead a nurse on his or her career path? Scalise says that she plans to use hers as a foothold to earning her Master of Science in Nursing (MSN) and to becoming a nurse practitioner. “I have researched the salaries, and it is worth earning that extra degree,” she says. “Also, in these scary economic times, I like the luxury of being more marketable and mobile.”

Before entering Clarion’s Nursing program, Linn worked as an accountant in the business sector. Here, she had to fight for every entry-level job she got. So far, her experience in the nursing profession has been very different. “It was a real eye-opener,” she says. “I had three different job offers right as I graduated with my ASN degree. I felt so blessed. I had never seen anything like it before. Also, nursing has enabled me to utilize my skills in accounting and business. That’s the great thing about medicine: you can use it to pursue a specialized interest.”

National trends indicate a bright outlook for the nursing profession. The U.S. Bureau of Labor Statistics predicts that about 230,000 new jobs will open for registered nurses through 2016, on top of about 2.5 million existing positions. In 2007, registered nurses earned an average of $62,480, according to the bureau. Including overtime, the most experienced nurses can earn more than $100,000 annually.

In her own career, Scalise says that working with the elderly is the most rewarding aspect of her work. “They are so grateful and kind,” she notes. “You just need to sit with them and listen to them for a while. In nursing, it’s often the little things that mean the most.”

Patterson notes that although Clarion’s Nursing program is based on the Venango campus, its students and graduates are everywhere. “We are of high quality, yet we are very affordable,” she said. “In 2008, we awarded $350,000 in scholarships across all nursing programs through public channels and the Clarion University Foundation. If you want to earn your degree here, we can help make it attainable for you.”

Other Online Programs at Clarion

In addition to the BSN program, Clarion University offers online programs in fields including business administration, education, library science, radiologic technology, rehabilitative sciences, mass media and more. Here, students can earn a two-year associate degree, a four-year bachelor’s degree or an advanced certificate online while working full-time, without having to come to the Clarion campus. Online study can be an ideal choice for people who are unable to travel to campus due to distance, job commitments or family responsibilities. Financial aid is available. Clarion University is approved for the G.I. Bill, and offers in-state tuition to active-duty military personnel.

“Clarion University delivers online educational programs that are convenient and flexible, and which are held to the same quality standards as traditional on campus instruction,” said Dr. Art Acton, Assistant Vice President for Academic Affairs. “These programs all meet or exceed the rigorous requirements for regional and national accreditation.”

Clarion professors draw upon a broad mix of academic expertise and field experience in their teaching and research. Most faculty hold doctorates, and have worked extensively in their fields.

For more information

Anyone interested in finding out more about online degree or certificate programs at Clarion University can call 1-866-272-5612, option 2, or via e-mail at distanceed@clarion.edu. They can also visit the university’s website at www.clarion.edu/distance/.

“To any adult student who is considering returning to college, I say go for it!” Linn concludes. “Whatever your aspirations are, just step out there and take that leap of faith. In the end, you will be so glad that you did. But first, you have to take that chance.”

New Year’s Resolution: Education

The road ahead always appears long and difficult; the terrain unmanageable. Looking back at the road traveled helps to assess our needs, wants and what is right; often we struggle to make the necessary changes. A new year triggers a time of renewal for our hearts and minds and brings us to that proverbial clean slate that makes us more energetic for making those changes.

There is so much to be done – where do we start?

We can not accomplish everything overnight. The question for each of us is what can we do now? Keep it simple. Simply put, once begun is half done. It is that simple! The thing that we can be sure of is that we need to do something. A few mouse clicks on the internet can take us anywhere.

Everything in our profession revolves around education. We can not stand still. Assess the knowledge and credentials in which you are in need and recommit to education. Are you in need of a degree or just simply some refresher courses? How about ReLicensure?! Please see October 31 article from Villanova University concerning ReLicensure.

As this blog continues to evolve, research the opportunities that are provided. Explore the schools of nursing that participate (and the many that are forthcoming) for the program and specialty they offer and take that first step.

Many of you maybe ready for your next step, a new beginning. Please examine the postings on CareerBuilder.com at left for the latest job openings and click on “Nursing Positions in Pennsylvania” and “Nurse Educator Postings in Pennsylvania” for a complete list.

Thank you for visiting this site in 2008. Your comments are not only welcomed here but encouraged. Your contributions will help make each one of us better, and in turn, better the healthcare industry. I look forward to hearing from you in 2009.


By Jenn Foster

Overview of Nursing School Programs

By: Lisa Parker

If you are interested in obtaining a degree in nursing, you could not have picked a better time. Nurses are in great demand today, and with people living longer, that demand is likely to increase in the coming years. Nursing school programs can be characterized by the type of degree they offer, and although there are actually 5 degree types that one can obtain as a nurse, the more popular degrees are the Associate's and the bachelor's. However, if you are interested in newer professions such as forensic nursing, there are also certificate programs. Maybe you are considering legal consultation or teaching and you may even decide to get your master's degree. The other defining characteristic is whether you are in an online or distance learning program, or taking courses at a traditional college or university.The Associate's degree programs focus predominately on teaching students what is needed to prepare them to enter the workforce with the skills of a professional nurse. Their education typically has four major components, which consist of evaluation of care, health teaching, wellness and prevention, and the administration of treatments and medications. The evaluation component includes observation, nursing diagnosis, assessment, and intervention. The main focus of the Associate's degree is for their student to achieve employment either while in school or directly after graduation. Although it is not a requirement, most nursing programs for a bachelor's degree operate from the assumption that most of their students are registered nurses and/or they have already obtained their Associate's degree in nursing. The focus of these programs is to prepare students for a higher position, such as a supervisory role, or to enter into a master's degree program. These programs usually revolve around the cultural, political, economic and social issues that can affect patients and the health care industry in general. There is also a focus on understanding the allocation and management of resources, which includes but is not limited to, people, money, and time. The most common variations of the Bachelor of Science Degree in Nursing or a student's route to this degree include going from an RN to a bachelor's degree. Other variations include the accelerated bachelor's program, LPN to a bachelor's, the traditional 4-year bachelor's, the online RN – bachelor's degree, and the second-degree bachelor's program. The master's degree program revolves around the type of career you want, as you can get a master's degree that focuses on a more specific nursing path such as, Nursing, Nurse Education, Midwifery, Administration, and Health Care Systems Management. If your focus revolves around Nursing, Nursing Education, Midwifery, or any other similar specialty, your training should focus more on the actual health and expanding upon the knowledge received in your previous educational programs. If you have decided on receiving a masters degree with a focus on Leadership in Healthcare Systems, Nursing Administration, Health Care Systems Management, or any other similar specialty, your program should focus on management, leadership, finance, managed care strategies, workforce management, and other courses designed to prepare students for obtaining leadership positions in their chosen health care organization.

It is important to note that in the field of nursing many programs often offer certificates as well as degree programs. The certificate programs are more specialized than degree programs and there are certificates that can be obtained before you receive a bachelor's degree or after you gain your master's degree. Some of the certificate programs that are pre-master's degree include case management and geriatric care management. A few certificates for those with a master's degree include legal nurse consulting and life care planning. Most online schools and traditional colleges and universities also offer more specialized programs like the Nurse Practitioner program and Clinical Nursing Specialist programs. As other nursing careers and specialties gain popularity, you should begin seeing more degree and/or certificate programs available in the field of Nursing. Unlike online programs, colleges and universities can boast a combination of classroom training, lab work, and on the job experience as a part of their programs. Although this has been the greatest advantage of traditional schooling, some online programs are starting to catch up, especially the distance learning programs. One of the greatest selling points of distance learning offered by traditional colleges and/or universities is the ability to graduate or "walk" with their traditional program peers. Yet, the main draw of complete online programs is the ability to gain a degree on your own time that works with your schedule while allowing you to work a full time job. Take your time and financial situation into account before settling in on a program. Regardless of the certificate or degree program that you choose, be sure that you pick a program that is good for you. There are many options available in the field of nursing and this information can help you find the correct path to the degree that you are seeking.


Lisa Parker is a freelance writer who writes about topics pertaining to nurses and the nursing profession including nursing school and nursing accessories.

Nursing, the Next 10 Years, a Brief Overview

By: Craig Elliott


General Outlook for Nurses

The outlook for individuals considering entering the nursing field is excellent. Registered nurses, or RN's, make up the largest number of health care workers in the country. In addition, registered nurses will make up one of the fasted growing population of workers in all occupations over the next ten years.

Many registered nurses begin their career in the hospital setting. This allows the nurse to become familiar with various branches of medicine. While there is a demand for hospital nurses, this area of nursing will remain relatively level over the next ten years.

Many healthcare experts predict a surge in demand for registered nurses in the home health care setting. As Americans live longer, have more disposable income, and desire to remain home, nurses that can oversee care and treatment in the home setting will become increasingly valuable.

Another area of nursing that will see a surge in growth is with nurses who continue their education with Master's level work. With the rising cost of healthcare many families are using nurse practitioners and nurse midwives as a replacement for their primary care physician.

Hospitals, also, are realizing the cost saving benefit of highly trained nurses, and many employ nurse anesthetists, clinical nursing specialists, and nurse practitioners to keep their costs under control.

Not a Registered Nurse?

Job prospects for licensed practical nurses, or LPNs, while positive, are not as strong as those of registered nurses. Licensed practical nurses will continue to be in demand, particular in hospital and long term care facilities.

Many licensed practical nurses continue their schooling to become RNs while employed. The responsibilities of an RN are greater, but they also include more opportunities. RNs typically supervise LPN in a clinical setting, and the greater skill level allows the RN more job options.

RN or BSN?

The schooling necessary to become a registered nurse can be completed in anywhere from two to four years. The coursework is very intensive and involves many clinical hours. A program completed in less that four years, however, will leave you with an RN, not a BSN, or Bachelor of Science in Nursing. An RN is fully qualified to do all the duties required of a registered nurse, depending on the state. Obviously, the addition of a bachelor degree has many benefits.

An RN with a bachelor's degree in nursing is at an advantage when administrative positions open up in a hospital or clinical setting. In fact, due to the degree of federal and state oversight on healthcare facilities, many require a BSN for administrative, case management, and supervisory positions.

If you are considering working on your Master's degree, either as a nurse anesthetist, nurse practitioner, or to teach, you are required to have a bachelor's degree. While not all programs will mandate that your bachelor's must be in nursing, it is certainly helpful.

Considering a Career Switch?

Nursing is an excellent opportunity for individuals looking to move into a different career. With the high demand for nurses, many potential employees, particularly hospitals, will pay for most or all of your schooling. Even if you must foot the bills for your education initially, signing bonuses, combined with the near guarantee of a job upon graduation, takes much of the risk out of a career switch.

Another attractive fact concerning the nursing profession is the attractive tuition reimbursement plans offered by many employers. These offers, combined with the flexible shift scheduling available at many hospitals and care facilities make it possible to go from a LPN, to RN, to RN with BSN and on to acquiring a master's in your desired specialty without hefty student loans or a disruption of your income.

The Future of Nursing

Clearly all nursing professions will continue to grow over the next ten years. Nursing is an excellent career choice for those who wish to make a good income, have a flexible schedule, and continue their education. While the hours can be long, and the work physical, a quality nurse should never find themselves without their choice of jobs.

While long hours and the physical demands of the job may scare some people off, many others are attracted to the flexibility, the fast paced environment, and the ability to help others. For those concerned about the rigors of a nursing career, there are many positions available in private doctor's offices, public schools, and other lower stress environments. Nursing, whether in a clinical setting or administrative is a job in great demand.


Craig Elliott is a freelance writer who writes about topics concerning the nursing profession.

Misericordia University: An 84-year Tradition of Hospitality, Justice, Mercy and Service

Misericordia University - Description of Program

Misericordia’s nursing program is committed to providing an educational experience which produces competent nurses who are critical thinkers and educated consumers of research. This program prepares its graduates for productive careers in nursing and advocates for life-long learning. As an entry-level professional program, the nursing curriculum reflects a commitment to the relationship between liberal arts and professional studies that enables graduates to adapt to constantly evolving societal and professional needs. The Department of Nursing is committed to the provision of affordable, quality professional education that expresses the founding Sisters' values and attitudes of hospitality, justice, mercy, and service. The overall goal is to develop a competent professional who will provide the highest quality of care to individuals, aggregates, and populations.

The goals/outcomes support the mission of the University and the principles of academic excellence, service leadership, and professional preparation which are components of the Trinity of Learning. Evidence based practice is a strong component of this curriculum which requires students to critically think and problem solve. This curriculum will build on the reputation of the nursing program and continue to provide high quality graduates. The proposed changes are consistent with the program’s mission, goals and educational goals of the university.

Philosophy for Misericordia’s Department of Nursing

The nursing department at Misericordia University supports the mission statement and philosophy of the University. The undergraduate nursing program is based on a complementary relationship between liberal arts and professional studies. The approach to education focuses on critical thinking, as well as on the values and attitudes of justice, mercy, service, and hospitality. Humans are viewed as intellectual, spiritual and creative beings that are in constant interaction with their environments. Human beings have the potential for self-direction based on their developmental level and are characterized by the capacity for emotion, reasoning, and perceiving. The holistic view of humans takes into account the physical structure, mind and spirit of the individual, as well as the environment in which each functions. Humans interact on the basis of respect for each other’s worth and dignity.

The environment as experienced by human beings is multidimensional and dynamic. It can be viewed as encompassing biological, physical, psychological, socio-cultural, political and economic forces. Human beings experience the environment as individuals, families, groups and communities who can be described in terms of micro-systems and macro-systems.

Health is a dynamic sense of wellness, which results from a process of making choices over time. A particular sense of wellness is perceived by individuals and is influenced by their self-esteem, inner sense of meaning, and desire to achieve their highest potential.

Nursing is an art, involved in caring, and a science based on its own theory and research. The nursing process guides nursing practice and involves critical thinking as related to the cognitive, affective and psychomotor domains of knowing. Ethical and legal issues have a strong impact on the practice of nursing. Professional nursing is a vital, effective health service to the community. The faculty believes that professional nursing is committed to making quality health care available and accessible to all, thus reflecting the commitment to mercy, justice, and service. Professional nursing exerts an influence on, and is influenced by several factors that contribute to the complexity of the health care system. These include: the newly developing patterns of providing services, the roles of other members of the health team, scientific and technological advances, research, and social and economic pressures. Leadership in nursing involves directing and managing client care, as well as collaborating with other health care professionals.

Learning is directed toward the development of values and professional role identification. It is lifelong and involves developmental changes. Learning involves critical thinking, which encompasses analysis and synthesis of knowledge. The faculty believes that learning occurs when the student actively participates in the learning process. Students have the responsibility to achieve their highest potential with the assistance of the faculty who act as facilitators. Teaching, therefore, is a collaborative process in which a student assumes progressive responsibility for personal learning.

Undergraduate education in nursing is built on a strong core of general education requirements and is generic in nature. Included within the undergraduate nursing curriculum are liberal arts and the sciences such as nutrition, anatomy and physiology, and developmental psychology, as well as other pure and behavioral sciences. The undergraduate program prepares nurse generalists who are capable of using nursing research, nursing process, and theories in a variety of settings. Students are prepared for graduate study in nursing.

Graduate education enables professional nurses to realize their creative leadership potential and provides opportunities for collaborative functioning with health professionals and others in effecting change in nursing practice and health care. Specialization occurs on the graduate level which provides for in-depth knowledge and experience in specific clinical and functional areas. Advanced knowledge provides the foundation for effective leadership in nursing. Scientific inquiry is an integral part of graduate education in nursing. Such inquiry provides the basis for acquisition of increased competencies in utilization of research and increased knowledge base in the analysis and synthesis of theories related to the practice of nursing. Graduate education provides the foundation for doctoral study in nursing.


By Cynthia Mailloux, PhD, R.N.
Associate Professor
Chair Nursing Dept - Misericordia University

RN to BSN - Career Benefits and Education Options

By: Michael V. Gruber, Mph

The complexities of a changing medical field in technology, advanced information, and facing a growing leadership role among nurses has increased the need for a degree of a Bachelor of Science in Nursing among registered nurses (RN to BSN). This higher level of education takes commitment and dedication and in the following article, we will outline how to achieve these goals.

Advancing your nursing degree – The difference between RN and BSN

Beginning a career in nursing for those who desire an abbreviated education will get an associate’s degree (AD) which usually involves 2-3 years of schooling. A nurse may also follow a diploma program, usually through a hospital, that is also 2-3 years in length before becoming an RN. According to the Bureau of Labor Statistics Sample Survey, 70% of nurses have AD or diploma level degrees. An RN must also pass all required examinations such as the NCLEX-RN (National Council Licensing Examination for Registered Nurses) before practicing with patient contact.

For many nurses looking to advance their careers, a BSN is the natural next step. It is a 4 year program that includes research oriented learning, leadership training, and liberal arts. Many of the students that are enrolled in the BSN program are previous RN’s with associate degrees or diplomas. They are now going back to school with all the hardships involved; financially, time inflexibility, family and other outstanding commitments.

The differences between an RN and BSN are not necessarily clear to the patient who is being treated with basic care. A nurse treating a patient won’t be asked, “excuse me, are you a RN or a BSN?” Yet the differences lie within. The education gained, the additional technical training, and the potential advancement are not immediately recognized by the patient. A nurse with a BSN can review research papers, advocate for the patient, work with leaders in the hospital or medical facility with confidence and advanced management skills. A nurse with an RN may have all these abilities, yet a BSN enhances them and increases advancement opportunities.

Career Opportunities with a BSN

RN’s return to school for a number of reasons, yet many are personal in nature: To become leaders in the nursing industry, advancing their careers, or move to the next level and receive a master’s or doctoral degree.

Management-level nursing requires an advanced degree such as a BSN. According to the U.S. Department of Labor, Bureau of Labor Statistics, in management, nurses can become anywhere from the assistant head nurse or head nurse, to assistant director, director, and vice president and upwards. Other career opportunities include research, consulting, and teaching. A nurse with a BSN can manage a home health care clinic and ambulatory services, etc. Nurses can also move into the business side of nursing to becoming an manager of an insurance company, pharmaceutical manufacturer, and managed care organization (U.S. Dept. of Labor, 2005).

Salary Benefits of advancing a degree from RN to BSN

Advanced nursing degrees create new career opportunities and justify an increased salary. An RN and a BSN will receive the same salary for the same nursing position, but as the BSN moves through the ranks to a higher position, salaries tend to increase. For example, a promotion to a management position of head nurse with a BSN has a higher salary than being the floor nurse with an RN.

Education Opportunities and Education Cost

In 2004, there were 600 RN to BSN programs in the United States. Many RN's use the tuition reimbursement from their employer as an incentive to go back for the BSN. There are also accelerated BSN programs for those individuals who already attained bachelor or higher degrees and wish to go into nursing. There are more than 165 of these programs in the United States. These programs are 12 to 18 months in length (U.S. Dept. of Labor, 2005). In choosing the appropriate program, it is necessary to choose whether to work in a classroom setting or study through an online RN to BSN program.

The classroom setting has many benefits which include peer contact and live lectures. Sharing experiences with others and learning from other previous like-minded RN’s is a great benefit. The dilemma with classroom education for most nurses is the stringent scheduling and time management needed to attend class and work around an RN’s busy schedule.

An online nursing degree course is the other alternative. It is a way for nurses to work while continuing with their education with flexibility around time commitments. The non-clinical portion of the classroom courses are given online and the clinicals are usually arranged at a medical facility near the nurse’s home. There may be timed lectures or the nurses may do lectures at their own time with assignments being sent to the lecturer by fax or mail on designated due dates. Examinations are usually offered online. Many times the online school follows a semester schedule and has a set start and finish date, though this is not true for all schools. To learn more about online RN to BSN programs, refer to your school of choice and learn what that school offers.

Conclusion

Personal satisfaction, a qualitative factor that can not be measured or quantified, is what many BSN students say is most important about receiving their advanced degree. Our society is advancing in all areas, with technology and intellectual expertise. The information is available and the prerequisites allow many RN's to attain an advanced degree; the determining factor is, we must advance as a society and create leaders in all areas of industry. A BSN gives the degree and knowledge and critical leadership skills for an RN to advance in the world of medicine, business, and personal achievement.

Do You Need Mandatory Continuing Education for Re-Licensure?

…If you live in California, Kansas, Delaware and now Pennsylvania, you do. About 60 percent of the states in the United States have some kind of CE requirement. Each State Board has its own specific requirements on the number of hours, prescribed time periods, and mandated topics such as domestic violence and medication error reduction, as in Florida. The National Council of the State Boards of Nursing (NCSBN) is considering criteria for ensuring the continued competence of RNs. Nurses need to monitor the NCSBN Web site ( http://www.ncsbn.org/ ) for information about the development of recommendations based on a continued competence regulatory model.
The Pennsylvania State Board is implementing this process in a cyclical manner (see table below). You do not need to submit CE certificates with your renewal form but must keep the documents for 5 years for auditing purposes. If you do not complete the 30 hours your license will be renewed but you will incur fines. You then have 6 months to complete the CE or be subject to disciplinary action from the Board. Note: Continuing education must meet accreditation standards and certain course content is not acceptable for re-licensure such as: mandatory annual institutional policies, basic life support and self improvement. See www.dos.state.pa.us/nurse for more information.


If your expiration date on your license is:
October 31, 2010

Then you must obtain 30 hours of Board Approved CE from:
11/1/08 through 10/31/10

If your expiration date on your license is:
April 30, 2011

Then you must obtain 30 hours of Board Approved CE from:
5/1/09 through 4/30/11

If your expiration date on your license is:
October 31, 2011

Then you must obtain 30 hours of Board Approved CE from:
11/1/09 through 10/31/11

If your expiration date on your license is:
April 30, 2012

Then you must obtain 30 hours of Board Approved CE from:
5/1/10 through 4/30/12

(source: www.dos.state.pa.us/nurse )


Villanova University College of Nursing offers accredited continuing education in a variety of approved areas of study. Day programs on topics like clinical research, nursing management, role excellence and I.V. catheter insertion are just a few of the courses offered in the new state-of-the art Driscoll Hall. Online CE is also available at www.villanova.edu/nursing/ce.


By Margaret “Peggy” Lyons MSN, CRNI
Program Coordinator, Continuing Education
Villanova University College of Nursing

L.E.A.D. (Learn. Educate. Advocate. Disseminate.)

It may seem old fashioned to affirm; nursing is a calling. Goetzman (2005) defines a great nurse as: (a) someone who comes to the profession with natural talents; (b) a creative mind, ready to innovate in ever changing patient situations; (c) a deep sense of compassion, enabling them to intuitively provide the emotional as well as physical care their patients need; (d) and an affinity for collaborative work, as the rigors of the job include working with a team of other nurses, physicians, and family members all holding the same goal in mind to provide the best possible care of the patient. What about the individuals who feel the calling to join the nursing discipline but whose talents are not well defined, and creativity is limited? Do individuals who lack the so called natural elements of nursing have an inability to reach the levels of nursing compassion, innovation and collaboration? It is possible to have the heart of a nurse and yet require assistance in completing a nursing actualization. The possibilities lie within nursing education. Colleges’ doors are being pounded upon by individuals who wish to answer the nursing calling. The need for nurse educators is not being met by colleges and the nursing discipline in need of members who will keep the profession’s commitment to serve as the first line life savers, care givers and health promotion innovators. Nursing today is rapidly moving into the path of a perfect storm; complex healthcare infrastructure, shortage, and an educational void (Bartels, 2005). The future quality and maybe professional existence of nursing is dependent on discipline individuals realizing their duty to learn, educate, advocate and disseminate lessons learned (L.E.A.D.).

Learning is a fundamental element of nursing’s foundation. The knowledge of nursing is vast, complex and in a state of constant evolution. Learning takes courage and the realization that educational stagnation is devastating for the profession and patient outcomes. Nursing leadership is not for a few in the profession. Every nurse is a leader. Miracle (2006) notes lifelong learning as a characteristic of leadership. It is worth noting that every nurse who is not afraid to learn does not have to utilize lessons learned to leave the bedside; learning is necessary at every level of nursing. However, learning tends to open doors that an individual never knew existed. Acting to learn may move an individual to hunger for greater challenge such as becoming involved in hospital, local and national organizations to promote excellence in the discipline. Motivation for preceptorship and mentorship without need of request may follow. Knowledge empowerment can open a nurse’s vision to become a professional innovator in ensuring the continuance of the profession. The individual may dare to take on a baccalaureate, masters or even a doctorate program. Learning can open awareness paths unknown to the stagnant nurse. Once knowledge empowerment takes place a drive to educate colleagues blinded by stagnation may become a renewed nursing mission.

Educate is an act of growth and an opportunity which every nurse needs to embrace. Educating is career building, and a life restoring action congruent with nursing’s calling. Taking the hand of a novice and providing the leadership that teaches successful strategies has rewards equaled to life restoration. Is it not life restoring to lead others to practice in a life saving profession? Effective leaders are people who can empower others and assist them in identifying their passions and talents so that they can make the most significant contribution possible (Grossman, 2007). The key is to remember that you are the leader upon which the future of nursing depends. A progression away from stagnation and embrace educating those who feel a calling to be a nurse, novices newly graduated, or experienced professionals awaken to the realization of the need to stay current is the cultivation of the nursing mission. There is no need to limit nursing’s potential. Nurses with master’s or doctoral degrees have many career choices (Nursing Education, 2006). Excuses abound in limiting the self in taking on an advanced educator role; lack of time, age, and resources. The time issue can be rectified by taking the on line route to an advanced degree. The age excuse is no excuse as second career individuals are attempting to enter nursing programs; awaiting your presence. Resources can be attained via the workplace, nursing organizations, grants, scholarships and tuition management programs. Nurses, realize that by limiting yourself, you are limiting the present and future of the profession. Nursing must develop self and professional advocacy.

Advocate is nursing’s voice in action. Silence is important in promoting patient comfort. It is not and should never be nursing’s defining characteristic. It is nurses who consistently rank as the most respected professionals in America (DeMoro, 2007). Others deem the nursing profession as an entity worthy of advocating respect, trust, and excellence in care. Knowledge stagnation is contrary to professional advocacy. Communicating nursing’s contribution to humanity should be a nurse’s life slogan. There is no greater act of advocacy than sharing lessons learned, triumphs, and life changing nursing experiences with others who have a vision to follow in your foot steps. Every time a nurse takes a step toward growth, professional advocacy takes place. However the crux of advocacy depends on nurse’s willingness to advance and educate. Who better to carry on Nightingale’s legacy than you? Evolving into a professional educator by reaching for a Masters and doctorate is within every nurse’s grasp. Advocacy via educating is an opportunity that can not be discarded. An advance degree in nursing is an excellent way to build self esteem, knowledge, and leadership in the profession; it can be one of the most rewarding choices a nurse will make (Nursing Education, 2006). One of the greatest rewards of advancing professionally is the strengthening of your nursing voice; advocacy. Once a nurse utilizes professional voice, disseminating lessons learn is sure to follow.

Disseminate is a selfless act of spreading nursing’s calling to learn, educate, and advocate. Once a nurse awakens the individual inherent leadership synonymous with the profession, communicating lessons learned follows and is typically displayed by cultivating mentorship. Mentoring is thought to be one of the highest forms of leadership and consequently, to be very significant in assisting individuals to empower themselves (Grossman, 2007). A great remedy in overcoming nursing advancement barriers is mentorship. Sharing strategies in dealing with time management, financial restraints, and self doubt can impact the present and future quality of the nursing profession. Establishing the ground work for increasing the number of educators in hospitals and colleges can have a direct impact not only in ensuring professional excellence but in diminishing shortages as doors are opened to a greater number of nursing students. Mentorship is a professional development strategy that strengthens collegial relationships, facilitates the retention of skilled nurses, and enhances overall practice (Nickle, 2007). Nursing’s present and future is in the hands of every practitioner and their willingness to answer the calling to L.E.A.D.

Leadership in nursing education is within the grasp of every nurse. Nurses forging toward educational advancement strengthen nursing’s professional foundation. Professionalism is not an award or a gift. Professionalism is the result of a collaborative knowledge development dedicated to constant cultivation and a commitment to never stop learning.

Roxana Gonzalez RN, CCRN
Saint Michael’s Medical Center
Newark, N.J.

References

Bartels, J. E. (2005). Educating nurses for the 21st century. Nursing & Health Sciences, 7(4), 221-225.

DeMoro, R. A. (2007). Nursing power goes beyond bedsides: Nurses will be the group leading the healthcare revolution in America. Journal of Patient Advocacy, 103(9), 11.

Goetzman, A. (2006). Educating the nurses of tomorrow. Creative Nursing, 11 (1), 3.

Grossman, S. (2007). Assisting critical care nurses in acquiring leadership skills. Dimensions of Critical Care Nursing, 26(2), 57-65.

Miracle, V. A. (2006). Leadership. Dimensions of Critical Care Nursing, 25(2), 93.

Nickle, P. (2007). Cognitive apprenticeship: Laying the groundwork for mentoring registered nurses in the intensive care unit. Dynamics, 18(4), 19-27.

Nursing Education: At the Crossroads of Change. (2006). Critical Care Nurse, 26, supplement, 49-73.