Yeah. This scene is being repeated at this moment in many places. A nurse is many things to many people. She is called upon to fulfill many roles. She is of assistance to the physician. She's a means of comfort and counsel to the patient's family. She's a symbol of constant vigilance to the general public. To the educator, she's a competent member of the nursing profession. At this moment, to the patient, she brings reassurance, comfort, care, and a friendly smile. Under the exterior of this uniform, the patient sees someone who cares. She is confident in her ability and knowledge, knowledge gained through formal education and experience as she brings relief in answer to the call for help. As the population increases, there's a growing demand for the services nurses render. Concern not only about the supply of nurses, but the quality of nursing care is an old story, but a realistic one that produced a nationwide program of nursing education through one of the fastest growing collegiate enterprises in America today, the community colleges. Taking supply, demand, and quality into consideration, a new story of an experiment in nursing education was produced. It created an idea, an idea with a future. Any idea with the future must have a past. It began in 1952 and spread across the nation. Seven two-year colleges were selected as pilot institutions to begin the associate degree nursing program. This cooperative group included a variety of types of junior and community colleges. This college, Virginia Intermount, and Virginia State were among the pioneering seven. Along with Farley Dickinson in Rutherford, New Jersey. Orange County Community College in Middletown, New York. Henry Ford Community College in Dearborn, Michigan. Pasadena City College in California, where an associate degree nursing program is offered. In Ogden, Utah at Weaver College. It started with these seven in 1952 and has since grown to include close to 100 such community colleges. One of these colleges may be in your own community, like this one located in Suffern, New York. Rockland Community College, where a nursing program is in progress. The purpose of any community college is to serve the local educational needs of the community. Here at Rockland, a 2-year curriculum is provided in the arts and sciences, business, and nursing. Graduates may go directly into the world of industry and business or continue their studies by transferring to a 4-year institution. Two degrees, the associate in applied science and the Associate in arts are offered in its day and evening divisions. Rockland provides students of all ages with a college education that includes a full range of extracurricular activities. Come on This is Dan Meadows, science major. He plans to apply his two-year course credits toward advanced study at a four-year college to obtain a bachelor's degree. Carol Heineman is Rockland's outstanding cheerleader. Her ambition is to be an outstanding secretary in the business world when she completes her two-year course of study. Dave Charnovsky is one of the married students at the college. He came to Rockland to study accounting. Come on, come on This is Karen Hudson. She wants to become a nurse. She entered Rockland because the college is close by her home. Many of her friends attend the school. The tuition is within her means, and an associate degree nursing program is offered. This chair might well remain empty if there were no associate degree nursing program. A potential nurse would be lost to the nursing profession. But there is a Karen, a nursing program, and a class in session. How was your psychology exam? We've been discussing the problem patients have with mobility. Last week, several of you took care of patients who had difficulty getting out of bed because of paralysis. Others took care of patients who had difficulty walking because they had fractures. Still others took care of patients who had difficulty turning in bed because of surgery affecting the spinal cord. Were you able to identify what had happened to the patient to cause his limitation? You will recall from the anatomy and physiology you studied with Mr. Lake last semester how the muscles act under normal circumstances. What has happened to these patients to interfere with what their muscles would do normally? Soon these students will receive their associate degrees. Most have decided to enter the nursing field in this community. Time has a way of passing quickly for active people. For Karen, it doesn't seem so long since she first started the nursing program at Rockland. It all really began with her first interview with the chairman of the nursing department of the college. She's the key coordinator of the nursing program. It's her job to make all the pieces of a complex program not only fit into place, but to work perfectly. Welcome to Rockland, Karen. As you know, this program will take 2 years. It'll be 2 busy. To earn your associate degree will mean a great deal of work on your part. The faculty will work with you and for you During this initial discussion and in the months to come, Karen will learn what the department chairman really means by the statement. The faculty will work with you and for you. As a student, Karen will profit from the college's well planned curriculum, personal guidance, and appropriate teaching methods. She will have the opportunity to obtain direct nursing experience by educational assignments in local health agencies, agencies that can be found in almost every community. The curriculum is also designed to provide Karen with courses of study in general education. Byron, Dostoevsky, and Frost find their places in Karen's educational life along with petri dishes, test tubes, and respirators. Raskolnikov's crime, as well as the implications of his crime are not those of the usual criminal. His first motive is this Robin Hood concept in which he regards himself as sort of a modern day Robin Hood, who robs from the rich and gives to the poor. The second of these motives is the extraordinary man theory in which Raskolnikov places himself above ordinary morality, places himself above and beyond the moral code of his fellow human beings. The college aims at developing the individual as a citizen, as a worker, as a responsible person. Through cooperative planning by the faculty and the administration, a curriculum was developed that would meet the objectives of the nursing program. This is the core of the idea with the future, an idea which represents neither the first two years of a 4-year baccalaureate program nor a shortening of the traditional 3-year diploma program. General education courses account for about 15 of the curriculum. Along with other students, Karen will study such courses as psychology, physical science, world literature, sociology, biology, and English. Her education in nursing will account for the remaining half of the curriculum. Interrelated courses that provide the opportunity for study, observation, and experience will help cement a firm foundation for learning. The instructor must choose from those experiences that best meet course objectives. The community agencies offer innumerable learning experiences. Throughout the program, the college nursing instructor directs the application of the principles learned in the classroom through demonstrations and actual experiences in the hospital setting. The instructor must then help Karen and the other students to relate these experiences to the total educational program. With babies, children, or adults, Karen will have enough practice to make her confident. Oh. Ah. Learning the fundamentals of nursing will cover many areas. For example, it will provide Karen with knowledge about giving medication. She will be taught about asepsis, a technique for controlling the spread of infectious diseases from herself and her surroundings. In brief, Karen will learn the principles and practices necessary in order to care for patients. To enable her to understand the nursing roles involved in caring for both sick and well children, Karen will have the opportunity to learn in real life situations, such as day nurseries and a pediatrician's office. In this community's orthopedic hospital, the students gain an understanding of the problems associated with long-term illness and the emotional problems that often come with prolonged hospitalization. These firsthand experiences by the nursing student in this environment, as well as other cooperative community agencies provide firsthand insight into understanding nursing problems. At another specialized hospital, Karen will learn the fundamentals of nursing in a setting different from the general hospital where most of the clinical experience takes place. This hospital and other clinical facilities are used as an extension of the college campus. It becomes a college laboratory. Before Karen has experience with patients in any of these health facilities. She attends a briefing session known as a pre-conference. It is here that objectives are set for her experience in the clinical laboratory. Each day, the college nursing instructor separates the routine activities from the important activities that will be of most value in the learning process. Each laboratory session is intended to provide meaningful experiences previously agreed upon by the faculty. What she learns, where and how she learns is based upon careful selection of clinical experiences. This is the heart of her nursing instruction. Today's assignment, another aspect of maternal and child care. Each student is given an assignment, a learning experience for Jean, an assignment that she has waited for for some time. Today she will have the opportunity to observe the delivery of a baby. Betty Ann's objective is set. Today she will be in the hospital nursery. Karen will be with a mother who gave birth to a baby boy. Today's location, Good Samaritan Hospital. Here, the students will have an opportunity to carry out their objectives as planned and discussed at the pre-conference briefing. Armed with the information and knowledge of their assignments, they begin the day's experiences. How are you, Mrs. Peterson? Fine, I'm sure Dr. Davis will let me go home tomorrow. I know you'll be glad to be home to the other children. Yes, I missed them very much. Why do you have to do that again? You've been very active and it's wise to make certain there's no change in your blood pressure. No change. Thank you, Mrs. Peterson. Good, you student nurses do things so nicely. Thank you. You know, we like to think of ourselves as nursing students rather than student nurses. Oh, is there a difference? Yes, you see, I'm a college student with a major in nursing. You mean you take other courses besides nursing? Yes, I take liberal arts courses, and there's lots of opportunities for all sorts of other school activities. I'm like all the other students at the college, except they're not majoring in nursing. It sounds like a very busy schedule. Sure is. I spend most of my time at classes at the college and here at the hospital, but I have time for school athletics and I belong to the drama club. I'm also chairman of the annual concert series. By the way, I hope you'll come to our concert next month. I'll be glad to come if I can. Your nursing program sounds very interesting. It's certainly been a break for me. Here, let me fix your pillow for you. How long does it take to graduate from the course? 2 years. Then I'll get an associate degree from the college. There now, isn't that better? What do you mean by an associate degree? Won't you be a registered nurse? The degree is given by the college to show that I've completed all of the college courses, but I have to pass the state board examination to become licensed as a registered nurse. The RN is not a degree. It indicates registration by the state. I'll take the exam right after graduation. You'll make a fine nurse. Just between you and me, I don't think you have a thing to worry about. And Hello, Mrs. Peterson. Oh, doctor, I will be going home, all I. My blood pressure is fine. Well, now, let's just take a look. Do. Of course, everything's fine. I'll have to call my husband right away and give him the good news. Everyone's been so wonderful, including the student nurse, or I mean the nursing students. No, doctor, I had no idea our community college taught nursing. Yes, we've all been pleased with this development in our community. We've been working with the college from the start. Do you teach the students? Well, not in the usual sense of classroom lectures. We, the doctors help the student in the hospital setting to better understand the medical implications of the patient care they are learning. In my opinion, it is a most dynamic way of teaching. Type of medications, this is Peterson. Immediately after each hospital experience, the students attend a post conference. Here, the skill and understanding of the faculty are put to the test. Impressions, comments, opinions are reported and discussed concerning the immediate and newly gained knowledge. Karen will have an opportunity to share her experiences with other students, and they will share theirs. I don't know how to explain how I felt. I'm not even sure where to start. I've never seen anything. So wonderful. It was the most exciting experience, and I was so glad to be able to help. If only all of you could have been there, you'll probably all have a chance later. How do you think the mother felt when you showed her the baby? It was thrilling to see the mother's reaction. Why don't you start at the beginning? All right, Ms. Rubino. It started when you and I admitted the patient. We assisted her during her labor. Here the comments about the students' experiences are drawn out and examined by the faculty and other students. What were the responsibilities of the nurse in the delivery room? What did the doctor do to assist with the delivery? And so the questions go. The answers come and knowledge increases. Through group discussion, the experiences of the individual student becomes the experience of all. Karen and her classmates will remember only too well their past learning experiences. If it were not for the associate degree nursing program, many would have missed this opportunity to find their place in the nursing field. Housewives and mothers who have raised their families often welcome the chance to prepare themselves for a second career, that of bedside nursing. Men also needed in the nursing field are being attracted to these programs. With half the curriculum concentrated in the sciences and humanities, students develop a broad educational background that is a benefit to them and their community. The chance to attend general education classes with other non-nursing students is an important part of their educational experience. Of equal importance is the way in which they are being prepared to adapt nursing knowledge and skills to a constantly changing pattern of health care. What does the development of the community college nursing program mean? The meaning depends upon whose eyes see the program. To each group, it has a different meaning. It is seen through many eyes. To the nurse, it means. The associate degree nursing program with its emphasis on direct patient care is in itself a contribution to our profession. To the citizen, the nursing program has meaning in the community. We're very much aware of the college's contribution to the people of our community in providing preparation for nursing as well as other occupations. Direct benefits to the community will be realized through the graduates of this program. The program seen through the eyes of the educator. The nursing program at our community college has provided educational benefits for the students by making possible a close working relationship between the members of the faculty, the students, non-nursing and nursing, and the many community agencies which cooperate with the college. To the student, it has a very special meaning. It's the inner satisfaction of knowing that I'm able to answer the call for help. To get a college education is in itself an accomplishment. To become a nurse while getting that education is the fulfillment of a dream.