Preview

Differentiated Essential Competencies Case Study

Satisfactory Essays
Open Document
Open Document
928 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Differentiated Essential Competencies Case Study
Differentiated Essential Competencies: Application to Nursing Roles
Kimberly Ely
Lamar University
NURS 4321 Nursing Theories & Online Education

Differentiated Essential Competencies: Application to Nursing Roles There are many hats that a nurse can wear, learning every day and the type of degree you have helps determine your scope of practice and the competencies that you should have. In the case scenario where the ADN nurse and the transport tech are engaging in a social conversation not paying attention to the patient they are transferring which causes the patient to fall and suffer a fractured left femur. We will discuss the difference of and ADN vs BSN nurse using the Differentiated Essential Competencies (DECs) and the steps the nurse should take next.

Background In January of 2000 the Board of Nurse Examiners requested the Advisory Committee of Education to review and revise the then competency document so that the nursing schools of Texas can go by one document it was finalized in 2002. This would be called the Differentiated Entry Level Competencies it is for all nurses including LVN, Diploma, ADN and BSN. (Texas Board of Nursing, p vi). In 2008 the Texas Board of Nurses requested that the document be reexamined they came up with a new document that they passed around to hospitals, long term care
…show more content…
The ADN nurse did not follow protocols that are made by evidence based practice. The BSN nurse would have the knowledge of different evidence based practices to promote the safety and well being of the patient through their education. Both nurses should file incident reports to notify upper management of the incident because legally and ethically they are required to by the Texas Nurse Practice Act. In the end practicing as a nurse you have to be a patient safety

You May Also Find These Documents Helpful

  • Better Essays

    Essay Comparing ADN To BSN

    • 1165 Words
    • 5 Pages

    Nursing has continually evolved throughout time. From St. Benedict in 250 BC who initiated “The Benedictine Nursing Order” to Mildred Montag 1957-1994 with the development of “the Education of Nursing Technicians.” And, now, with nurses pursuing their advanced professional degrees from ADN to BSN we too are a part of this nursing evolution. As our world changes so must nursing to respond to the many demands of a continually evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education. It is not only that achieving a higher education would meet the needs of our patients, but, that it is the prudent path to take with differences being proven in lower mortality rates, fewer medication errors, and an increase in positive outcomes for our patients. In making the transition from ADN to BSN there are several competency differences.…

    • 1165 Words
    • 5 Pages
    Better Essays
  • Good Essays

    The role of the LVN in Texas consists of providing focused safe care along with compassion to assigned patients who have predictable health care needs. They must be under the appropriate supervision and must comply with the scope of practice of an LVN. An RN in Texas accepts the responsibility of working within the scope of practice of an RN and is capable of working in any health care setting. They are also not only in charge if providing comprehensive nursing care to patients but their families as well. The Nurse Practice Act defines the LVN and the Professional Nurse. “‘Vocational nursing’ means a directed scope of nursing practice, including the performance of an act that requires specialized judgment and skill, the proper performance of which is based on knowledge and application of the principles of biological, physical, and social science as acquired by a completed course in an approved school of vocational nursing”(Texas BON, Nurse Practice Act, Sec.301.002(5)).…

    • 290 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Nursing practice is not limited to a hospital or clinical setting. Nurses are also found in rehabilitation facilities, nursing homes, community health centers, and schools. Nursing education prepares nursing staff to care for people in all of these facilities whether it’s an Associate- degree in nursing or Baccalaureate-degree in nursing that is obtained. However there are some differences in competencies of a nurse with an ADN and BSN.…

    • 1277 Words
    • 4 Pages
    Powerful Essays
  • Good Essays

    ADN vs BSN

    • 921 Words
    • 3 Pages

    Grand Canyon University NRS-430V October 12, 2014 Differences in competencies between BSN and ADN Differences in competencies between BSN and ADN According to the AACN Nursing Fact sheet, Nursing is the nations largest health care profession, with more than 3.1 million registered nurses nationwide. And by 2008, nurses with bachelors degrees make up 36.8 percent and 36.1 percent with associates degrees. With this said, when a person steps in a hospital or any medical setting and is about to receive medical care, would they look if the nurse thats tending to them have a BSN on their badge Would it make a difference to that person and expect a different type of care Are there any differences in competencies between a nurse that has an ADN and a BSN Bachelors of Science in Nursing (BSN) and Associates Degree in Nursing (ADN) are two programs a person can achieve to be a Registered Nurse (RN). The ADN program provides the basic fundamental of nursing practice. An ADN nurse receives general education such as English and basic Sciences. An ADN also learns about nursing process, diseases, interventions and medications. An ADN degree provides the minimal education required to pass the NCLEX licensure exam. The BSN program provides general education that includes more in-depth nursing theory, leadership and management skills, models of care, and nursing research. It expands from an ADN education and makes a nurse more knowledgeable and competent. Although both degrees can earn a person to a Registered Nurse (RN) career, they differ in educations which in turn have different competencies. BSN nurses are more educated, therefore they provide high quality nursing care, stronger communication skills, and would have greater opportunities with career advancements. A nurse with a BSN would provide a higher quality of care. Due to their increased knowledge and greater thinking skills, a nurse with a BSN is able to provide a degree of care with more appropriate clinical decisions.…

    • 921 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Competency Adn vs. Bsn

    • 992 Words
    • 4 Pages

    So what is the difference in the level of education and competency of the graduating nurse from an ADN or BSN program? Especially when all RN’s regardless of…

    • 992 Words
    • 4 Pages
    Satisfactory Essays
  • Better Essays

    To obtain a Nursing Degree one can start at the LVN or go all the way to a PHD in nursing. This paper will focus on the abilities or competencies of a prepared Associate Degree nurse, and the abilities or competencies of a Baccalaureate Degree Nurse. This is a hot topic now and has been for many years. I have been hearing for many years that ADN will be phased out, and only BSN will be used in the future. The time period in which to mandate this event is governed differently by the state where the nurse works. There are catchy phrases out there like BNS in 10, or BSN by 2020. “As of 2010, at least 18 states, including New York, New Jersey, were considering BSN in 10 legislation.” (nursing link 2011, 07.)…

    • 1027 Words
    • 5 Pages
    Better Essays
  • Good Essays

    ADN VS.BSN Degree

    • 815 Words
    • 4 Pages

    The ADN is a two-year program that provides individuals the opportunity to provide entry level nursing care under the title Registered Nurse. Its initial purpose during the 1950s was to temporarily fill the nursing shortage gap after World War II. Nurses prepared at the Associate-degree level are expected to develop competence in safe and effective patient care including delegation and patient teaching. Today, ADN programs have grown exponentially across the nation and have become integrated in the curriculum of community colleges all over the U.S. The standard BSN program is typically 4 years in length and it exposes the student to evidence- based research, theory and science. While nurses prepared at the baccalaureate level are expected to provide the same competent care as an ADN prepared nurse, they are also required to integrate knowledge beyond the scope of the individual into practice. This requires an increased focus on critical thinking (Grand Canyon University, 2011). It is this increased focus on critical thinking and evidence- based approach that helped boost positive patient outcomes.…

    • 815 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Martin, P., Yarbrough, S., & Alfred, D. (2003). Professional values held by baccalaureate ans associate degree nursing students. Journal Of Nursing Scholarship, 35(3), 296.…

    • 1013 Words
    • 5 Pages
    Powerful Essays
  • Better Essays

    There is always a question about which program is better; Is it the associate’s degree in nursing program provided by community colleges or the baccalaureate of science in nursing program provided by colleges and universities? One similarity is for sure that nurses from both programs can take the NCLEX-RN exam. Before I started college I was debating whether I should go to school for an Associate Degree in Nursing or a Baccalaureate of Science in Nursing, but because I just had a baby and the university is one hour away from our home, I decided to go ahead and enter the registered nursing program in our community college. I know that there is a lot of differences between nurses that are prepared at the associate-degree level versus the baccalaureate degree level in nursing that is why I set a goal that someday I will go back to school for my Bachelor’s degree. This paper will be explaining the difference in competencies between nurses prepared at the associate degree level versus the baccalaureate degree level in nursing by comparing their education, patient care and opportunities. This paper will also give some examples about a patient care situation in which how nursing care approaches to decision making may differ based upon the educational preparation of a BSN versus ADN.…

    • 1073 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    While an Associate Degree Nurse, also known as an ADN, and Bachelor of Science in nursing nurse, also known as a BSN, are given the same preliminary education relating to patient treatment, there are notable differences in their professional and educational preparation, as well as their competencies. These two degrees have different levels of patient interaction and contact, as well as job expectations. ADN and BSN programs focus on different aspects and angles of education and job focus that all ultimately lead to taking optimal care of the patient. This paper compares the differences between those two areas and how important it is for these two degrees to work together as a team to provide the best possible outcome for all patients and nurses involved. This paper will touch on the differences between the educational levels and focuses, the clinical competencies, and the job expectations of the ADN and the BSN.…

    • 991 Words
    • 4 Pages
    Powerful Essays
  • Good Essays

    research paper

    • 522 Words
    • 2 Pages

    Identify a patient care situation in which you describe how nursing care of approaches to decisioin making may differ based upon the educational preparation of the nurse (BSN versus a ADN)…

    • 522 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Care Profession and it comprises more than 3 million registered nurses (RNs) in the United…

    • 1309 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Educational Preparation

    • 989 Words
    • 4 Pages

    Although both an associate-degree level and baccalaureate-degree level prepared nurses may sit for the same NCLEX-RN exam, “nurses prepared at the baccalaureate-level are linked to lower mortality and failure to rescue rates” (AACN, 2012). This is simply one difference between the competencies of a nurse prepared at an associate-degree level versus one prepared at a baccalaureate-degree level. In the mid 1900’s an associate-degree level nurse was thought of as a “technical nurse”, closer to the role of a limited vocational nurse; created to assist the professional baccalaureate-degree level nurses during nursing shortages (GCU, 2013). Since then associate-degree level prepared nurses can very much function and practice on their own, once passing the state board licensing examination. However differences in patient care and nursing approach are evident between associate-degree level and baccalaureate-degree level prepared nurses.…

    • 989 Words
    • 4 Pages
    Good Essays
  • Better Essays

    This paper is a comparison of the views of a BSN staff nurse and a BSN clinical administrator on various aspects of nursing roles and how they contribute to my professional development. Both of the nurses that I interviewed had obtained a BSN and worked in a hospital owned orthopedic and spine medical group. There were commonalities in several of their answers related to patient care but differences related to their roles…

    • 1703 Words
    • 7 Pages
    Better Essays
  • Good Essays

    Differences In Nursing

    • 1114 Words
    • 5 Pages

    ADN nurses “analyze assessment data to identify problems, formulate goals/outcomes, and develop plans of care for patients and their families using information from evidence-based data in collaboration with patients and their families, and interdisciplinary health care team” (BON, 2011, p. 7). BSN nurses synthesize the information using evidence-based data as well as published research and also include populations and communities when developing plans of care (BON, 2011, p. 11).…

    • 1114 Words
    • 5 Pages
    Good Essays