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Perceived Barriers and Strategies to Increasing the BSN-Prepared Nursing Workforce.

Terri A Clark1

  • 1Terri A. Clark, EdD, MSN, RN , serves as an associate professor of nursing and RN-to-BSN facilitator at Austin Peay State University, Clarksville, TN. She is passionate about the education of nurses.

Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship
|March 4, 2024
PubMed
Summary

Requiring a Bachelor of Science in Nursing (BSN) for registered nurses (RNs) can improve patient outcomes. A Tennessee study identified barriers and strategies for increasing BSN-prepared RNs, finding leadership goals align with BSN numbers.

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Area of Science:

  • Nursing Education
  • Healthcare Leadership
  • Patient Outcomes

Background:

  • Bachelor of Science in Nursing (BSN)-prepared Registered Nurses (RNs) are linked to improved patient outcomes.
  • The transition to BSN-prepared RNs faces challenges within healthcare facilities.
  • Understanding nurse leader perspectives is crucial for advancing nursing education standards.

Purpose of the Study:

  • To explore barriers to requiring a BSN for staff nurses from nurse leaders' viewpoints.
  • To identify strategies for increasing the number of BSN-prepared RNs.
  • To examine the association between leadership goals and the proportion of BSN-prepared nurses.

Main Methods:

  • A Fall 2021 study surveyed 89 nurse leaders in Tennessee hospitals and long-term care facilities.
  • The survey focused on perceived barriers, effective strategies, and leadership objectives regarding BSN preparation.
  • Statistical analysis was used to determine associations between leadership goals and BSN prevalence.

Main Results:

  • Seven distinct barriers to implementing BSN requirements were identified.
  • Nine strategies to enhance the number of nurses holding a BSN degree were reported.
  • A significant positive association was found between facilities' plans to increase BSN nurses and their current BSN percentage.

Conclusions:

  • Healthcare facilities face identifiable barriers and have developed strategies to increase BSN-prepared RNs.
  • Leadership commitment and strategic planning are associated with a higher proportion of BSN-prepared nurses.
  • Further research can inform policies to support BSN attainment and improve nursing care quality.