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June 16, 2024

Nursing Leadership and Management

Grandfathering is the term used to grant certain people working within the profession for a given time period or prior to a deadline date the privilege of applying for a license without having to take the licensing examination. Grandfathering clauses have been used to allow licensure for wartime nurses—those with on-the-job training and expertise—even though they did not graduate from an approved school of nursing.

Some professional nursing organizations are once again proposing that the Bachelor of Science in Nursing (BSN) become the entry-level requirement for professional nursing. Some have suggested that as a concession to current associate degree in nursing and diploma-prepared nurses, all nurses who have passed the registered nursing licensure examination before the new legislation, regardless of educational preparation or experience, would retain the title of professional nurse. Non-baccalaureate-educated nurses after that time would be unable to use the title of professional nurse.

DQ: Do you believe that the “BSN as entry level” proposal advocates the advancement of the nursing profession? Is grandfathering conducive to meeting this goal? Would you personally support both proposals? Does the long-standing internal dissension about making the BSN the entry level into professional nursing reduce nursing’s status as a profession? Do lawmakers or the public understand this dilemma or care about it?

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