TRANSFORMING PRELICENSURE NURSING EDUCATION: Preparing the New Nurse to Meet Emerging Health Care Needs

摘要: THE CARNEGIE FOUNDATION FOR ADVANCEMENT OF TEACHING joins a chorus of calls for transformation prdicensure nursing education (Benner, Sutphen, Leonard, & Day, 2009). Citing the shift significant responsibility to nurses managing complex medical regimens, as well increasing complexity community-based practices, Benner and colleagues concluded that entering field are not equipped with essential knowledge skills today's practice nor prepared continue learning tomorrow's (p. 3 I). They found: a) weak curricula in natural sciences, technology, social humanities, developing cultural competency; b) classroom instruction limited integration between clinical experiences; c) strategies helping students develop habits inquiry, raising questions, seeking evidence practices; d)faculty student perception ill their first job dissatisfaction teaching preparation current faculty; e) multiple pathways eligibility licensure examination, tremendous variability prerequisites, curricular requirements, quality offerings. ********** The Carnegie study is one many citing inadequate complex, acute care environments (Berkow, Virkstis, Conway, 2008; Burritt Steckel, 2009; Joint Commission on Accreditation Healthcare Organizations [JCAHO], 2002; National Council State Boards Nursing [NCSBN], 2001). There growing body confirms registered indeed patient safety (Agency Health Care Research Quality, 2007) experts warn further compromise experienced retire droves ratio new graduates-to-experienced increases (Orsolini-Hain Malone, 2007). While 84 88 percent graduates employed hospital-based position (Kovner et al., 2007; NCSBN, 2006), numbers have migrated nonacute settings. Currently only 60 all hospitals while over 40 settings, such ambulatory clinics, homes, schools, public health (Health Resources Services Administration [HRSA], 2004).As continues from population ages management community becomes more needs emerge, kind nurse will be needed. Educational programs must redesigned better prepare this nurse. In addition these issues, educational capacity issues also addressed. projected shortage documented (Buerhaus, Auerbach Staiger, 2009), academic institutions done remarkable enrollments (American Association Colleges [AACN], League [NLN], 2009a), but without action, supply fall short demand result serious limitations capacity. 2006-2007 year, qualified applicants prelicensure did gain admission (NLN, 2008), 2008-2009, approximately 40,000 were turned away Djukic, Principal causes insufficient number, quality, type sites education; budgetary constraints (AACN, 2009, 2010; NLN, 2006, 2009a, 2009b). paper, I offer three recommendations related address provide possibility leveraging existing resources order make critical changes. …