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Julie A. Coon, RN, Ed.D Testifies on Senate Bill 793

Submitted to: The Senate Higher Education Appropriations Committee on Senate Bill 793 to establish Nursing Scholarships for Michigan Nursing Students.

Date: February 12, 2002

Submitted by: Julie A. Coon, RN, Ed.D

My name is Dr. Julie Coon. I have been a registered nurse for 26 years, and a nursing educator for the past 20 years. I am currently the Academic Department Head for Nursing and Dental Hygiene at Ferris State University. I have been a member of the Michigan Nurses Association (MNA) for over 20 years and I am currently a member of the MNA Congress on Public Policy.

I am here today primarily as the administrator of the nursing programs at Ferris State University to provide my support for the concept of establishing nursing scholarships for students in the State of Michigan. Let me first say that Senator Schwarz and this committee have been recognized by Ferris State University as friends of higher education, especially in these very turbulent economic times. As the administrator of both an Associate Degree and an RN to BSN completion program, I am very appreciative of this effort to attract students into the profession of nursing, as many of us in higher education are experiencing declining enrollments in our nursing programs.

With that said, I would like to take this opportunity to express some concerns I have with Senate Bill 793 as it is currently written. First, the term “nursing program” is defined in this bill as “an accredited program for the training of individuals to become registered nurses operated in this state by an eligible institution”. I would like to note that the term “accredited” would eliminate a large number of the currently existing Associate Degree Nursing (ADN) programs in this state because many ADN programs have deliberately elected to not commit the extensive resources required for the accreditation process. This does not decrease the quality of these programs, as I would submit that all nursing programs which produce graduates eligible for nursing licensure must be approved and continuously monitored by the State Board of Nursing. Accreditation is much more imperative for Baccalaureate or higher degree programs, where this credential is required for graduates to enter the military or graduate nursing programs. I would like to respectfully suggest that the term “accredited” be replaced with “State Board of Nursing approved” if it is indeed the intention of this bill to make these scholarships available to students in all programs which prepare registered nurses.

I would like to stress that the elimination of ADN students from this scholarship opportunity would serve to undermine the intention of the bill, which is obviously to increase the number of bedside nurses in structured and acute care settings. Associate degree nurses currently provide the majority of the direct nursing care in the settings designated in this bill as required places of employment upon graduation. While I agree with my nursing colleagues that there is also an undersupply of Baccalaureate and higher degree nurses, nurses prepared at these levels do not typically remain in the direct, bedside nursing care roles within the acute care setting as associate degree prepared nurses do.

I would also share with you that I have personally been involved during this academic year in a quest to secure similar types of scholarships from hospitals within a 60-mile radius of Big Rapids. I have sought scholarships which would fully fund tuition and fees at an approximate cost of $5,000 per year. I have found unanimous support from the hospitals I have approached to provide these scholarships. I tell you this to demonstrate that many opportunities for nurses to receive scholarships currently exist. The “catch” is in the required service after graduation most of these agencies wish to include. I am finding many students are somewhat reluctant to make that kind of commitment. In addition, the current work environment for registered nurses is so stressful that many elect to work only part time as a way to cope with the demands of today’s nursing role. This would make them ineligible for loan “forgiveness” in this current bill. These observations are only presented to you to demonstrate how the intentions of this bill may, unfortunately, be negated by today’s hospital work environment, which is, in my opinion, the greatest impediment to attracting academically talented people into the profession of nursing.

Finally, I must admit that I am concerned that the “tobacco funds” would be used to fund this initiative. Although this proposed utilization of the funds is a little more closely related to the specified intention for their use than the current initiative to underwrite MEAP scholarships, as a registered nurse I feel that we can still make better use of these funds, which would be more in alignment with the original purpose for their allocation.

Thank you for this opportunity to share my thoughts on S.B. 793 with you today. Again, I applaud your efforts in helping us address this critical issue of the nursing shortage.

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