Is a baccalaureate in nursing worth it? The return to education, 2000-2008

Health Serv Res. 2013 Dec;48(6 Pt 1):1859-78. doi: 10.1111/1475-6773.12104. Epub 2013 Sep 16.

Abstract

Objective: A registered nurse (RN) license can be obtained by completing a baccalaureate degree (BSN), an associate degree (AD), or a diploma program. The aim of this article is to examine the return to baccalaureate education from the perspective of the nurse.

Data sources: National Sample Survey of Registered Nurses, 2000, 2004, and 2008.

Study design: The effect of education on RN wages is estimated using multivariate regression, both for initial education and for completing a second degree. The coefficients are used to calculate lifetime expected earnings. Multinomial logistic regression is used to examine the relationship between education and job title.

Principal findings: Lifetime earnings for nurses whose initial education is the BSN are higher than those of AD nurses only if the AD program requires 3 years and the discount rate is 2 percent. For individuals who enter nursing with an AD, lifetime earnings are higher if they complete a BSN. The BSN is associated with higher likelihood of being an advanced practice registered nurse, having an academic title, and having a management title.

Conclusions: Because baccalaureate education confers benefits both for RNs and their patients, policies to encourage the pursuit of BSN degrees need to be supported.

Keywords: Registered nurses; school choice; wages.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Career Choice
  • Education, Nursing / economics*
  • Education, Nursing / statistics & numerical data*
  • Education, Nursing, Continuing / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Salaries and Fringe Benefits / statistics & numerical data*
  • Sex Factors
  • Socioeconomic Factors
  • Time Factors