NR 439 Discussion Samples and Data Collection
NR 439 Discussion Samples and Data Collection
You mentioned the nursing faculty shortage so I will throw my 2 cents in here.
In most states, including Illinois where I live, you need an MSN to teach nursing. Some states allow a BSN to teach clinical or skills lab to ADN students, but not Illinois. In many universities, you need a doctorate or be actively pursuing it to teach nursing.
Entry-level college professors with a DOCTORATE make an average of $70,000 annually. To earn this money at a university, in addition to their teaching workload, they have to conduct and publish research, sit on committees and advise students.
Now, it does not take a rocket scientist to figure out how much a nurse has to spend to get an MSN and then a doctorate. Spending all that money in order to earn $70,000 a year? Many BEDSIDE nurses with a BSN earn that much or more! A nurse with an MSN can earn way more than that in administration or as a clinical educator or a nurse practitioner.
Not to bash any other field, but what are most people with a doctorate in English or History or Math going to do with it except teach, or work outside of their field? Nurses with higher-level degrees have so many more opportunities. You have to really love teaching, or have some other reason to teach, to take a job as faculty.
Thanks for sharing with the class!
Thanks for sharing your thoughts! The link that you provided is very informational. It was something I want to look into it for a long time. I also have read several articles regards to the cause of the phenomena. It appears that the cause of it is complicated.
My mom was a teacher. There were 4 teachers/instructors in her generation in my family. There are only two in my generation. For the very reason you mentioned, my cousin who is a full-time college professor in Hong Kong decides to stay single. So that he can enjoy teaching and doing research, and not to worry about crowding his quality of living life.
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I remember many of my teachers in my primary school some 40 years ago. When people talked the profession of teaching, they often said the poor teacher. This is exactly like you said, “you have to really love teaching” to stay in the job. I am thankful that God put these wonderful teachers in my life. Their passionate love of teaching helps me and so many others to develop into who we are today.
I also want to thank you for investing so much time into helping me and our class to learn, giving constructive feedback, and providing such an encouraging learning environment. You and those who teach with enthusiastic are the most respected!
You are absolutely correct in regards to nursing school availability. There are numerous private nursing schools that have become available. However, I feel the quality of the education in the smaller private schools is inadequate. Or should I say too condensed. The time spent in the specialty areas is too short, supervision and support from the instructors is lacking. Students are turning to these smaller private schools because of wait list for Cal-State Universities which are up to a 1-1 ½ years. The cost of private nursing schools however is expensive, 100,000.00 or more with high interest rates. Students and their families are financing their education, getting students into debt that will be hard to manage.
Urban RNs have higher levels of education
compared to rural RNs. Urban: 46.6% have a
bachelor’s, 11.4% a master’s or doctoral degree. Rural: 33.9% and 6.8%, respectively.
I found it interesting that rural nurses have less education than urban nurses. I wondered if maybe the requirements for the hospitals are different. The hospitals in urban areas are usually a higher level of care than those in rural areas. In my rural hospital, We have 256 beds compared to the 886 beds that the nearest big city has. There would more money for the hospital in the city because of the number of patients who require inpatient services. I wonder if all of this would give the hospitals in the city more funding to be able to offer their nurses better compensation for continuing their education.
You were right on the mark when you said “On one hand, it has been great shortages of RNs in work force, but on the other hand, there is not enough school for people who has interest becoming a nurse to get nursing education due to teaching staff storage”. This is so true, especially in my area. The local nursing schools are starving for instructors. The program I completed just lost 50% of their nursing staff and is on the verge of having a big problem and possibly cutting their class size in half. The need is there for sure, but the money unfortunately is not. Therefore, the nurses are better off working as bedside nurses or going forward for their NP to make a good hourly wage. As an RN in my hospital, a nurse starting out would make $30, at the local college they would start out making $25- $26 an hour as an experienced nurse. Nursing is not all about money, but to pay off student debt and live comfortably it is a necessary part of life. Good job on your post. American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, Salaries, Education, Demographics & Trends. https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdf (Links to an external site.)
When you talk about private nursing schools; are you talking about just small private colleges in general? Around me there are many small colleges with good nursing programs, so I am curious why you feel the quality of the education is lacking. When I decided to go back to nursing school after I graduated from a 4 year university with a different degree I looked into many options. As you said, cost was one of the top factors, and many of these schools were going to require me to retake humanities classes when I had just graduated. I also looked into an accelerated bachelors program. I ultimately chose the community college near me; because the nursing school had a great reputation. Several of the small schools I looked into also did their clinicals on my unit at work, so I often observed how their day went; and I can say that even though I was “just” getting an associates degree, we were held to a much higher standard than some of these schools. My hospital was starting to put a freeze on hiring associate degree nurses and I don’t agree with this. Especially when you see the numbers in reports like this one about the shortage we are, and will continue to be facing. I know this is often done for magnet status, but often times ADN students are older and in a career change. They have life experience behind them along with their nursing license.
Some of the key characteristics and attributes noted in the article ANA Fast Facts are growth rate, needs, and salary of nurses. It continues to point out opportunities that nurses have in different areas referencing salary and population. According to U.S. Dept. of Bureau of Labor Statistics, RN ranks first of all occupations requiring at least an associate’s degree for entry.
I feel the purpose of this article is to acknowledge the proposed rising need for Registered Nurses until 2022 pointing out the benefits of salary as incentive. It references advanced practice nurses growing along with Registered Nurses. What I found interesting was that the American Association of Colleges of nursing states that, “New BSN graduates employed in nursing 4-to-6 months after graduation is 89%.” On a personal level, I like that this number is high as I feel we have an obligation to educate, prepare, and groom our upcoming colleagues to the best of our ability.
“The instruments and tools that we use to collect data need to be reliable and valid.” Reliability and validity are concepts used to evaluate the quality of research, Reliability is how accurate our information is and about the consistency of a measure. Validity relates to its accuracy. Both are important as they work together to indicate how well a method, technique or test measures something.
U.S. Dept. of Bureau of Labor Statistics
American Association of Colleges of Nursing
The data for the ANA Fast Facts discuss many demographics within the field of nursing throughout the United States. The data presents key statistical information regarding specific attributes and characteristics of the nursing world from 2014 (ANA, 2014). These characteristics include: job growth, salaries, location density of nurses, male RN statistics, and nurse education breakdowns. The rate of job growth is broken down by region and is forecasted to grow by as much as 50% in some states (ANA, 2014). The location density of nurses is about 1 nurse to every 100 residents in many of the East Coast and Midwest states, whereas, less than 1 nurse per 100 residents for many of the Mountain and West Coast states (ANA, 2014). The average age of nursing workforce was 50yrs old with 53% of the nurses being over the age of 50. The article even provided statistical data for the number of male nurses in the workforce had risen from 5% before 2000 to 11% by 2013 (ANA, 2014). Nursing educational breakdowns include the number of RN licensures from 2000-2013, hiring preferences of BSN graduates vs. ADN graduates, and nursing school capacity/faculty shortages.
One of the data points that I found particularly interesting was the average number of students that passed the NCLEX annually from 2010-2013: 143,809 (ANA, 2014). According to the U.S. Census Bureau (2021), the estimated population of the United States in 2013 was 316.1 million. In doing the math, this means only 0.04% new nurses were added to the workforce per year for 3 years to care for the entire population of the United States. This is still an extremely small number of new nurses – which I believe was the intent of the ANA for sharing these results. With baby boomers at or nearing retirement age, the number of nurses in the workforce may decline while the number of patients that need care may increase. Therefore, publishing these numbers would help researchers and statisticians indicate that there is a need for more nurses in the workforce.
Houser (2018) defines validity as, “The ability of an instrument to consistently measure what it is supposed to measure,” (p. 204). Moreover, Houser (2018) defines reliability as, “The ability of an instrument to consistently measure a given trait with precision,” (p. 202). In other words, validity measures accuracy, whereas, reliability measures consistency. For example, we know that the boiling point of water is 100oC. Therefore, if we wanted to measure the validity and reliability of brand a new thermometer, we would need to place the thermometer in water and verify that the water did in fact boil at 100oC (validity) over several trials (reliability).
One method of data collection that I was not familiar with was Secondary Data. Secondary data is essentially building and refining on data that has already been collected. One of the benefits of a secondary data collection is that the information is already gathered for you, however, one of the main drawbacks is that if the primary data is flawed, then the results for the secondary data collection will also be flawed. What I didn’t realize is that the act of analyzing data gathered from an EHR is considered secondary data (Houser, 2018). Thereby, EBP studies can be considered secondary data collection studies. This is very eye-opening when considering that decisions may be made based on flawed information from the primary data. Therefore, the researcher needs to make sure the data gathered from the primary collection were both valid and reliable.
American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, Salaries, Education, Demographics & Trends. https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdfLinks to an external site.
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones & Bartlett.
U.S. Census Bureau. (2021). 2013 Total Population. https://data.census.gov/cedsci/table?q=2013%20population&tid=ACSDT1Y2013.B01003&hidePreview=falseLinks to an external site.
It was very interesting to learn that the act of collection is considered the primary…and then decisions based on those results are considered secondary. This would mean all MD orders are also considered secondary.
This reminds me of my math teacher in high school. In regards to our calculators, she always said, “Garbage in, garbage out.” This meant that if we inputted the wrong information, we’d get the wrong information out. She always emphasized to double check our numbers. This is would also be true for the healthcare field. While all efforts are made to make sure we have the right information for every patient, it does happen when healthcare workers have looked at a wrong chart and/or documented on the wrong patient. Therefore, making sure all information is correct, whether it is primary, secondary, or even tertiary, is vital for patient level care and evidence-based practices.
The ANA Fast Facts shows that there is an increasing need for RN. The numbers are alarming of nurses leaving and nurses entering. There is a nursing deficit is 1.13 million new jobs and or replacements in the near future. As we all know the average age of a nurse over age 50 is 53%. That is also alarming, due to the fact that a large portion of seasoned nurses will be leaving the force. Comparing salaries around the country the ANA Fast Facts also compares salaries across the country. I as a nurse in Northern California expect to make significantly more money even than southern California which is amazing. We also have learned in this article that hospitals prefer BSN nurses and by 2020 ,80% of nurses will have their BSN degree.
Magnet hospitals as we know must have a larger number of their staff nurses with BSN degrees. Nurses earning a BSN are in a good position to work for Magnet Hospitals. Even though some nursing positions do not require a BSN, Magnet hospitals hire a higher percentage of BSN educated nurses than non-Magnet hospitals.
A growing body of research indicates that Magnet Organizations enjoy lower nurse dissatisfaction and nurse burnout, Higher nurse satisfaction and lower registered nurse RN turnover. (ANCC)
Exactly what is a Magnet Hospital? A Magnet hospital is a medical facility considered the gold standard for nursing practice. (snhu.edu 2019)
Research needs to be reliable and valid. The information needs be truthful and accurate when conducting research. As we define reliability it is consistent, and the validity is that the measurement will be also consistent in measuring what is needed to be measured. The two terms are sometimes used interchangeably in research. They do however have different meanings in that reliability is the consistent measure and validity is the accuracy of that measure. (Houser 2018)
What kind of sampling could I use to determine my research on Sleep deprivation in the hospital setting? Could I use purposeful sampling. I could use Quantitative research because the subjects I have picked have been either monitored with the Actigraph and I could easily determine who would benefit from additional nursing interventions to promote sleep. I would use only the patients that have shown abnormal sleep patterns and interrupted sleep patterns as well as those patients who have little REM sleep.
Purposeful sampling is a method in which I would select the best subjects in my sample in my case it would be hospitalized patients it would be purposeful.
American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. : ANA
American Nurses Credentialing Center Certifications/ANA httphttps://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth
Links to an external site.Houser. J. (2018) Nursing research: reading, using, and creating evidence. Burlington, Ma: Jones and Bartlett learning.