What do Canada, Sweden, Portugal, Brazil, Iceland, Korea, Greece and the Philippines have in common? They are just some of the countries that require a four-year undergraduate degree to practice as an RN — a move some believe is necessary to create a more-informed, higher-skilled nursing work force. Similar initiatives have been awaiting approval in the New York, New Jersey and Rhode Island legislatures for the past two years. Although they have yet to pass, states across the country are taking notice. With reports of as many as 18 states preparing some type of initiative requiring newly graduated RNs to obtain a BSN in order to maintain their licensure, the idea is gaining momentum.As associate director, state government affairs for the Silver Spring, Md.-based American Nurses Association, Janet Haebler, RN, MSN, is no stranger to the debate over minimum licensure requirements. In 1964, ANA’s House of Delegates designed a position statement calling for all nurses to advance their education in order to improve competencies. However, Haebler says, the ANA does not endorse state legislation. “We endorse the concept,” she says.
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