Last month, we posed the question: Do you have what it takes to be in management? This question prompted several responses from across the state, from nurses who are already in management and those aspiring to move beyond supervisory roles into administration.

With this in mind, we're looking at the debate this month, based on one particular inquiry.

"I've been in nursing for 25 years, 15 of those as a supervisor. I've just been promoted to chief nursing officer at my small hospital, and I only have an associate's degree. Which is better: my bachelor's of science in nursing or business and management classes?"

That's an excellent question, and one that can apply at any time to any nurse who's interested in moving in management.

According to Vickie Moore, MSN, RN, CHE, CNAA, senior vice president of operations and chief nursing executive at Saint Joseph's Hospital, it's essential that any nurse considering a move into management and administration have a BSN degree.

"First and foremost, having a BSN is the minimum because it is the entry into a master's program," Moore said. "It's possible that this nurse has been supervising people with BSNs and other degrees. As she moves into management, she needs to be aware of the level of preparedness of her colleagues and aspire to be equal to them in her education level."

However, there's more. As nurses move into management, their clinical experience will be invaluable, but they must also have a strong grasp of business.

"She'll be at the table with the [hospital's] administration and it's also essential that, as a chief nursing officer, she have the skills and knowledge to properly advocate for the resources the organization needs. A BSN alone won't prepare her for the business issues she will face."

Moore suggests several resources:

• Engage colleagues within the organization for support and input.
  
• Find a CNO mentor in another similarly sized hospital nearby to talk with and provide guidance.
  
• Use the resources of The Advisory Board Nursing Leadership Academy online at www.advisoryboardcompany.com/public/nla.asp, for various training opportunities and information.
  
• Check with the American College of Healthcare Executives at www.ache.org. This group has a comprehensive Web site that offers seminars and workshops, self-study opportunities, plus books and articles for nurse executives.

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