Grand Canyon University
Associate Degree versus Baccalaureate Degree Nurses
In order to be a registered nurse you must obtain a license through the NCLEX-RN licensure examination. The opportunity to take this exam is to be from an accredited program, wither it be a diploma in nursing, an Associates Degree in Nursing (ADN), or a Baccalaureate of Science in Nursing (BSN). The ADN program typically requires about two to three years of nursing school and focuses more on tasks and clinical skills. The BSN program is roughly four years and focuses not only on tasks and clinical skills but also focuses on knowledge, theory and research. The BSN is deemed to encompass what nursing is all …show more content…
about.
Associate degree nursing programs were constructed by Mildred Montag in 1952 and were “intended to be a collegiate alternative for the preparation of technical nurses and a response to the nursing shortage” (Creasia & Friberg, 2011, p. 27). With the ADN being about only two years in length there is somewhat of a balance between clinical nursing and general education. Aside from diploma nursing, ADN’s carry academic credit. ADN programs were primarily made to train nurses for long-term care facilities and community hospitals. Mildred Montag’s primary intent for ADN nurses was to work under the BSN nurse. Apparently, there was some confusion between an ADN or BSN and the ADN was “declared eligible for the RN licensure examination, an eligibility that graduates of these programs retain today.”(Creasia & Friberg, 2011, p. 27).
The University of Minnesota established the first American baccalaureate-nursing program in 1909.
Primarily, a BSN took about 5 years to complete the program; 2 years general education and 3 years of nursing education, now it is about 4 years to complete. The BSN offers a more broader scope of practice by offering a more in-depth look into physical and social sciences, public and community health, humanities, nursing research and nursing management (American Association of Colleges of Nursing, 2014). By having a more in-depth perspective the BSN nurse will also be more culturally, economically, and politically aware. The BSN nurse is also able to understand social issues that can affect their patients and help educate …show more content…
them.
Some nurses may not feel that there is a difference between a nurse who has a BSN versus one who may have an ADN, but it can make a difference.
For example, there is a 54-year-old male, who is a fire fighter and has a spouse and three children ranging from 21 to 15 years of age. His physician approaches an ADN nurse and explains to her that her patient has stage 3 renal cancer and that he is going to inform him now. The nurse enters the room with the physician and is at bedside while their patient is being told about his diagnosis. The ADN nurse will most likely ask the patient if he needs anything, will linger to see if the patient wants to talk, and will try and finish the rest of the tasks they may have. The ADN nurse was there for the patient and attempted to console him if needed, but they may have missed the bigger
picture.
A BSN nurse has the exact same situation as the ADN nurse, but they will most likely be able to apply a theory they learned in school, like the Jean Watson’s Theory of Human Caring/Caring Science. The reason being is, BSN nurses learned nursing theories in-depth and are better able to apply these important theories in their practice due to their education. The BSN nurse will see their patient as a whole human being instead of just a human being with a diagnosis. They will assist their patient with “basic physical, emotional and spiritual human needs”("Caring Science Theory & Research," 2014, para. 2). The BSN nurse most likely would have established a patient-nurse relationship and be able to establish for their patient if the patient would prefer their loved one(s) around receiving his diagnosis. The BSN nurse will most likely be able to “use creative scientific problem-solving methods for caring decision making” ("Caring Science Theory & Research," 2014, para. 2) for their patient and his family to help with the life altering news they received.
The ADN and BSN nurses may be proficient in skills and some situations when it comes to nursing, but the BSN nurse is able to apply further psychosocial needs to their patients. While the ADN and BSN nurses may be equally proficient in their nursing skills, the BSN nurse is not only able to apply not only in-depth knowledge, research, and management skills, but they can spiritually, socially and culturally care for their patient better than the ADN nurse.
References
American Association of Colleges of Nursing. (2014). http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education
Caring Science Theory & Research. (2014). Retrieved from http://watsoncaringscience.org/about-us/caring-science-definitions-processes-theory/
Creasia, Friberg, Joan L., Elizabeth E. Conceptual Foundations: The Bridge to Professional Nursing Practice. 5th Edition. Mosby, 2011. VitalBook file. Pageburst Online.