by Dianne S. Moore, PhD, RN, CNM, MN, MPH Vice President of Nursing Academics West Coast University
I have heard the statement "Why should I get a baccalaureate degree in nursing (BSN) when I can get an associate degree in nursing (ADN) and still sit for the same NCLEX and get my RN license?" This is a very good question and one that every nursing student should ask. The short answer is that a nurse with a BSN has more opportunities to work in a variety of health care settings that offer an extensive array of opportunities for professional growth. Baccalaureate-prepared nurses can be bedside nurses, educators, case managers, discharge planners, administrators, and work in public health, home health, and community clinics. The armed forces require an officer in the nurse corps to have a BSN and joining the military is an excellent opportunity to serve your country, pay for your education, and receive all the wonderful benefits that go beyond the immediate financial rewards. The associate degree nurse is limited to providing direct, hands-on patient care in a more restricted type of health care setting such as hospitals, skilled nursing and long term care facilities, clinics, and physicians' offices.
There are distinct differences between the 72 ADN credits and 125 BSN credits required in each of the nursing programs' curriculum. The baccalaureate curriculum has a different focus, emphasizing evidenced-based clinical practice and leadership. Additional courses are offered in the baccalaureate curriculum, such as research, statistics, critical thinking, and public health/community health. In addition, the additional units prepare the baccalaureate nurse to pursue graduate study, leading to an advanced degree in nursing.
On the other hand, students entering associate