Will an all-degree nursing profession improve care?

Today, the government has announced that nursing is to
become an all-degree profession.

Last year, I wrote about why making nursing a degree
profession was a positive step
– the crux of the argument was that nursing has
changed significantly in recent years and, now that nurses are taking on more
advanced roles and tasks, a degree better prepares them for this.

But of course concerns remain. Unions are worried that
people who would have made excellent nurses will be put off by the academic
rigour a degree requires, while others believe the move simply promotes the ‘too posh to wash’ image of nursing.

With proper support systems and access courses in place
there should be no reason why people who would have traditionally trained on
the diploma could not undertake a degree. Meanwhile, problems relating to nurses being ‘too posh to wash’ are rarely to do with nurses’ level of training. In
most instances when patients or their families complain about the nursing care
they have received it usually comes down to poor staffing levels on wards or in
nursing teams.

At its heart, nursing is a profession that is dedicated to
caring for patients and looking after their personal needs as much
as their clinical needs. Dignity and compassion are the cornerstone of nursing
and must remain central to any nurse’s training.

However, the reality is that healthcare support workers now have
an increasingly important role to play in delivering the basic, personal care
that patient require. Perhaps it is now time that the government looked
seriously at setting standards and regulation for this group to ensure
that they are safe, competent and properly equipped with the skills to meet patients’ needs.

For those not necessarily able to undertake a nursing degree
straight away, a period as a support worker could form part of their route into nursing. This is currently the case for many people, but should this career path be
formalised again? Is a return of the enrolled nurse the way to go? 

  • tahalooa Isswarduth

    This is a positive approach to bring ,but have we thought about funding.Even now we have high dropoutsin diploma levels.
    There must be a robust approach to cover all possible hurdle only then!!!!

  • tahalooa Isswarduth

    yes!!

  • Emma Bower

    Hi Tahalooa

    I agree there have been huge problems with the number of students who drop out of nurse training, which may get worse with degree training – this is definitely something the DoH and RCN should be looking at. Do you think there is anything they could do to reduce drop out rates?

    Emma

  • Pam Schultz

    I thoroughly agree with Emma’s comments. Nursing as a profession has changed, and more academic rigour is now required. However, I have always thought the notion that “brains and caring” are mututally exclusive. It is an untenable argument that someone educated to a higher level is somehow less compassionate, or conversely someone with lower academic ability is somehow more caring.

  • patricia ahmed

    Would experienced existing nurses feel undermind by newly quailified graduate nurses?

  • Emma Bower

    Hi Pam – I totally agree. Level of education has nothing to do with how caring people are. That’s down to a person’s character and you would hope that people go into nursing because they already possess that quality.

    Patricia – that’s an interesting point. I think experience counts for a lot so perhaps this wouldn’t be a problem, but I’d be interested to know what other nurses think.

    Emma

  • Lavinia Fernandes

    I would still like to know how the content of the programme for the degree course will change from the current diploma or previous nurse training courses? Will there be more scientific theory added to accommodate the academic level associated with degrees. And would this compromise the necessary hands on clinical experience that nurses needs. Maybe nurses need more than the statutory three years to gain adequate clinical experience and knowledge to get to degree level?

  • Alanna Le Breton

    I am absolutely appauled at the idea of nurses having to have degrees, in the sense that it will raise the academic level that will need to be achieved for people to get onto nursing courses.

    I would rather be nursed by someone who has a diploma and has experience, than someone who has a degree and no previous experience.

    The simple question is, will it actually improve the quality of nursing already being delivered? Will it improve the NHS? Or will it simply put people off going into nursing?

    I think the standard of training does need to be raised, however, I don’t feel forcing all nurses to have degrees is the way forward. More rigorous practical examinations are more important, nursing is a practical profession.

    As I understand it, the only difference between a nurse with a degree and a nurse with a diploma, is that one is more academically studied than the other.

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