The situation is more complex for registered nurses (RNs), individuals who have received at least two years of nursing training and met national licensure requirements. In past decades, most RNs received their training through hospi- tal-based programs unaffiliated with colleges or universities. These days, most RNs still hold only associate’s degrees in nursing from community colleges, but an increasing number hold bachelor’s degrees in nursing from four-year colleges or universities. Around half of employers now require new hires to have at least four- year degrees, and virtually all prefer to hire such nurses.
Without a doubt, these nurses enjoy more autonomy and status than in the past. Many large hospitals now have a director of nursing who makes largely independent decisions regarding the nursing staff and whose status is parallel to that of the director of medicine. Meanwhile, in many wards, nurses and doctors work together in relatively egalitarian teams; this is especially true in emergency departments, intensive care units, and operating rooms, where quick decisions and good rapport between doctors and nurses are crucial
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