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Main articles: Nursing in the United States and History of nursing in the United States In the US, scope of practice is determined by the state or territory in which a nurse is licensed. Each state has its own laws, rules, and regulations governing nursing care. Usually the making of such rules and regulations is delegated to a state board of nursingwhich performs day-to-day administration of these rules, licenses for nurses and nursing assistants, and makes decisions on nursing issues.

In the hospital setting, registered nurses often delegate tasks to LPNs and unlicensed assistive personnel. RNs are not limited to employment as bedside nurses. Some registered nurses are independent consultants who work for themselveswhile others work for The Role Of Ethical Dilemmas In Nursing Practice manufacturers or chemical companies. Research nurses conduct or assist in the conduct of research or evaluation outcome and process in many areas such as biology, psychology, human development, and health care systems. Many employers offer flexible work schedules, child care, educational benefits, and bonuses. About 21 percent of registered nurses are union members or covered by union contract. Inthere were more than 4, registered nurses andlicensed practical nurses nationwide.

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Nurses comprise the largest single component of hospital staff, are the primary providers of hospital patient care, and deliver most of the nation's long-term care. The primary pathway to professional nursing, as Dilenmas to technical-level practice, is the four-year Bachelor of Science in Link BSN degree.

Registered nurses are prepared either through a BSN program; Nyrsing three-year associate degree in nursing; or a three-year hospital training program, receiving a hospital diploma. All take the same state licensing exam. The number of diploma programs has declined steadily—to less than 10 percent of all basic RN education programs—as nursing education has shifted from hospital-operated instruction into the college and university system.

Educational and licensure requirements[ edit ] Diploma in Nursing[ edit ] Main article: Diploma in Nursing The oldest method of nursing education is the hospital-based diploma program, which lasts approximately three years. Students take between 30 and 60 credit hours in anatomyphysiologymicrobiologynutritionchemistryand The Role Of Ethical Dilemmas In Nursing Practice subjects at a college or university, then move on to intensive nursing classes.

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Untilmost RNs in the US were initially educated in nursing by diploma programs. Some four-year colleges and universities also offer the ADN. Associate degree nursing programs have prerequisite and corequisite courses which may include Link, Math and Human Anatomy and Physiology and ultimately stretch out the degree-acquiring process to about three years or greater. For the first two years in a BSN program, students usually obtain general education requirements and spend the remaining time in nursing courses.

In some new programs the first two years can be substituted for an active LPN license along with the required general studies.

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Advocates for the ADN and diploma programs state that such programs have an on the job training approach to educating students, while the BSN is an academic degree that emphasizes research and nursing theory. A BSN degree qualifies its holder Practicw administrative, research, consulting and teaching positions that would not usually be available to those with an ADN, but is not necessary for most patient care functions.

The Role Of Ethical Dilemmas In Nursing Practice

Further information: Master of Science in Nursing and Doctor of Nursing Practice Advanced education in nursing is done at the master's and doctoral levels. It prepares the graduate for specialization as an advanced practice registered nurse APRN or for advanced roles in leadership, management, or education. The clinical nurse leader CNL is an advanced generalist who focuses on the improvement of quality and safety outcomes for patients or patient populations from an administrative and staff management focus. Doctoral programs in nursing prepare the student for work in nursing education, health care administration, clinical research, public policy, or advanced clinical practice. Licensure examination[ edit ] Completion of any one of these three educational routes allows a graduate nurse to take the NCLEX-RNthe test for licensure as a registered nurse, and is The Role Of Ethical Dilemmas In Nursing Practice by every state as an adequate indicator of minimum competency for a new graduate.

However, controversy exists over the appropriate entry-level preparation of RNs. Others feel the on-the-job experiences of diploma and ADN graduates makes up for any deficiency in theoretical preparation. Shortage in the United States[ edit ] Main article: Nursing shortage RNs are the largest group of health care workers in the United States, with about 2. There are data to support the idea that the nursing shortage is a voluntary shortage.

The Role Of Ethical Dilemmas In Nursing Practice

In it was estimated that approximately 1. RNs make up the majority of the healthcare work force, therefore these positions will be filled primarily by nurses. The BLS also states that bythere will be 1. Information must be verifiable and based on reliable published sources. Please help improve it by removing unsourced speculative content.]

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