Irene Miranda-Henson
Grand Canyon University
Professional Dynamics
NRS-430V-0102
Ms. Harris
July 06, 2013 Associate Degree Nursing versus Baccalaureate Degree Nursing
In 1935, an organization was developed for collegiate nursing programs in American universities. The organization was known as the Association of Collegiate School of Nursing today is the American Association of Colleges of Nursing (Creasia & Friberg, 2011). The members of this organization strongly suggested “nursing could not develop into a profession until it could generate scientifically sound nursing knowledge that could sustain the practice of nursing” (Stewart, 1943).
Today in the United States …show more content…
we have three different degree Registered Nurses; Diploma, Associate and Baccalaureate. Diploma program were the model for nursing education in the US, these nurse’s completed their program in 2-3 years. Associate degree nurses (ADN) get their education in a 2-year community college. Baccalaureate nurse (BSN) receives his/her training in a 4-year university. All three qualify to take the RN licensure examination (NCLEX-RN). Confusion within the profession and the public has happened because there have not been any clear or exact requirements set (Creasia & Friberg, 2011).
Competencies vary among the degrees, discussed later in this text.
The Diploma degree model was a program which imitated what Florence Nightingale established in London. The nurse’s in this program received their training or education through a hospital. Typically was a 2-3 years program (Creasia & Friberg, 2011).
Due to the nursing shortage in the postwar era Mildred Montag, a nurse educator developed a program (ADN) that would enable nurses to complete a technical program in 2-years. These nurses would receive their education in community colleges. With the availability and affordability of this program groups of individuals like men, older women and those with children were able to enter the field of nursing (Creasia & Friberg, 2011).
The Baccalaureate Degree (BSN) nurse did not become popular until after World War ll due to the small number of faculty that had the qualifications to teach, universities and colleges were hesitant because that would mean that they would have to hire faculty that would not meet the qualifications for working at a university level. Attending a university for 4 years full-time would earn a BSN degree (Creasia & Friberg, 2011).
Competencies vary between the ADN and BSN programs.
According to (Hood, 2009, p. 18) (Prime 1987) the ADN degree is centered around caregiver, counselor, educator roles, provides nursing care to person with similar health alterations in a structured setting, are most qualified for entry-level hospital or nursing home practice and more technical and task oriented. The BSN is an advocate, educated to engage in independent thinking to provide nursing care to person with complex and differing health alterations within a variety of setting including the community, assume responsibility for developing research-based care protocols, assumes nursing management positions, coordinates care with person with complex interactive healthcare needs, hospital based care management, community based practice, plans nursing care from admission-discharge (Hood, 2009, p. 18) (Prime …show more content…
1987).
The American Association of College of Nursing states that the BSN includes all the ADN requirements plus detailed treatment of the physical and social sciences, nursing research, public and community health nursing management, nursing management and humanities, the additional courses increases professional development, preparation for wider scope of practice and gives better understanding of the cultural, political, economic, and social issues that will ultimately affect the delivery of health care. ("The Impact of Education on Nursing Practice," “n.d”).
In the Grand Canyon University College of Philosophy (2011) the concepts of health, environment, person and nursing and are the beliefs of the faculty. The ANA, Jacqueline Fawcett and Grand Canyon University College of Philosophy collaborates the same idea. Health is a characteristic that includes the physical, emotional, intellectual, spiritual and social dimensions of the person, in other words you look at the patient’s whole being. Environment is the interaction with the physical, emotional, intellectual, spiritual and social environments in which the person lives, plays and works. These are the internal or external factors that affect the person’s care that needs to be delivered. Person is individual, families, groups, communities and populations; in general it’s the surrounding that the person interacts around and with. Nursing involves assessing, critical thinking, communicating, providing care, teaching and leading; it’s intervening when needed so that the person as a whole is provided with the optimal environment for healing (Grand Canyon University College of Nursing Philosophy, 2011).
Graduating from an ADN program I thought that I was prepared to handle any type of nursing situation I remember a patient that had a cerebral vascular accident, he was left with a speech impairment, inability to move the left side of his body and was unable to control his emotions and had a hard time swallowing or chewing his food.
I remember seeing the frustration in his eyes; he tried to communicate and would move his mouth to tell me his needs but I was unable to understand. He would become angry, sad and even cry uncontrollably. I took care of his physical needs but I was lacking the ability to grasp him as a whole being.
The knowledge and education that I will receive as a BSN prepared nurse will enable me to be prepared to tackle patients with extensive health issue like the homeless man, the abused elderly patient that lives with her daughter, the pregnant teenager that doesn’t communicate with her parents. As nurses, it is our responsibility to provide the support and resources to help the patient move toward having an optimal, safe and healthy life.
In conclusion, The AACN stated in order for nursing to be sustainable it must have sound nursing knowledge. The difference between the ADN and BSN education is between a 2 year and 4 year education. ADN is more of a technical and skilled nurse and the BSN is prepared to critical think, deal with complex patients, think independently and writes protocols. My current place of employment is requiring all nursing
managers to get their BSN, the goal to acquire Magnet status.
References
Creasia, J. L., & Friberg, E. E. (2011). Conceptual Foundations: The Bridge to Professional Nursing Practice (5th ed.). [evolve.elsevier]. Retrieved from http:/evolve.elsevier.com
Hood, L. J. (2009). Conceptual Bases of Professional Nursing (7th ed.). []. http://dx.doi.org/. Retrieved from amazon.com
The Impact of Education on Nursig Practice. (“n.d”). American Association of College of Nursing
Retrieved from http://www.aacn.nche.edu/media-relations/fact-sheets/impact of education
Grand Canyon University College of Philosophy (2011)