Hospital-based programs were the first source of training for RNs in the United States. They were particularly popular in the 1920s and 1930s when approximately 2,000 programs could be found across the country. Numbers have declined since then, mainly because nursing education has moved into colleges and universities. According to the National League for Nursing, fewer than 100 hospital-based programs are available today.
Becoming an RN with a Hospital-Based Diploma
If you want a lot of clinical experience before beginning your career as an RN, a hospital-based nursing diploma may be a good option for you.
Those numbers are reflected in today’s working nurses. According to the 2008 National Sample Survey of Registered Nurses conducted by the Health Resources and Services Administration, 13.9 percent of RNs have a hospital-based diploma, 36.1 percent have an associate’s degree, and 50 percent hold a bachelor’s or graduate degree.
Contact your state’s board of nursing for a current list of hospital-based programs in your area.
What a Nursing Diploma Program Can Be Like
Programs vary from one to three years in duration depending upon the hospital. All require that you have a high school diploma or equivalent (GED). Some expect you to complete non-nursing prerequisite courses such as biology and math before you apply, and some work in conjunction with local colleges so that you can take prerequisites there. A few programs teach everything within their hospital system.
After completing prerequisites, you begin nursing classes. Hospital-based programs focus on clinical or practical experience as opposed to teaching comprehensive nursing theory, so from a skills standpoint you will be well-prepared to start your first job.
Getting Your RN License
Upon graduation you will take your RN licensing exam. Contact your state’s board of nursing to learn more about how to obtain your license. Most states also require you to obtain continuing education credits to maintain licensure.
General information about the RN licensing exam can be found at the National Council of State Boards of Nursing http://www.ncsbn.org.
RNs use their education and skills to care for patients. This includes both physical care and emotional care when someone is sick and also teaching patients to care for themselves and stay well.
Nurses can work in almost any healthcare setting. Your scope of practice, hours, and pay will vary depending upon your chosen specialty and work setting.
Other Education Options
You can also choose to get an associate’s degree in nursing from a community or junior college instead of a hospital-based diploma, or a bachelor’s degree from a four-year college or university. An associate’s degree is equivalent to a hospital-based diploma in terms of education or professional advancement. A bachelor’s degree enables you to work in a greater variety of professional roles and settings, and also acts as a springboard to a graduate education.