A college sophomore has become disillusioned with her current field of studies and has begun exploring careers in nursing. To her surprise, she is unable to identify any hospitalbased programs of study in her home state
Which of the following factors have contributed to
the demise of hospital-based diploma programs? (Select all that apply.)
A) Increased patient acuity in hospitals
B) Increased popularity of college- and university-based nursing programs
C) The growth of managed care and its influence on hospital management
D) Increased costs to hospitals for maintaining nursing programs
E) The emergence of the baccalaureate degree as the entry to technical nursing practice
Ans: B, D
The elimination of hospital-based programs occurred because hospitals could not
sustain the costs of supporting the programs and because students became more attracted to
programs located in colleges and universities. Patient acuity and managed care have not been
identified as causative factors. The baccalaureate degree has been proposed as the entry to
professional nursing practice, not technical nursing.
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