Degree.
Patient Care Situation-BSN versus Diploma/Associate Degree
Student: Gurdeep Kals
Grand Canyon University: NRS-430V
JAN 11th, 2015
competences differences between Nurses ADN/Diploma vs. BSN Nurses play a very critical and important part in patient care and safety, bedside care regardless of degree. Education has an important effect on all health care providers. We are learning every day, we should go more forward to learn better to get more education. This paper will explain the differences between ADN/Diploma and BS Nurse. Health care trends are leading to more complex, advance care and needs. …show more content…
Trends are impacting on the profession of nursing, where most of the employers are looking for BSN Nurse versus ADN/Diploma.
To become a licensed registered nurse, all nurses should be graduated from nursing school and must pass the NCLEX Licensing Exam. Both nurses are graduated from nursing school, they are wonderful nurses even they have been trained from other countries. It depends upon which program works for one nurse while another program may better suit another nurse’s needs. All programs will make very good nurse. They both are eligible for NCLEX Licensing Exam. But still education, skills and experience play a role in clinical and decisions making.
Associate Degree/Diploma: Majority of Licensed nurses are an ADN/Diploma nurses. An Associate degree/Diploma nursing can take their degree within two to three years and became a RN. ADN Degree required 72 credits in nursing programs. Diploma nurses attend the classes and clinical practice in nursing schools/colleges associated with hospital or medical facility. Full time student will attend the classes and clinical experience , most college send student for clinical experience at least 5 days a week. Associate’s degree in Nursing (ADN) program was started in 1952 at Fairleigh Dickinson University. An ADN is defined by many nursing entities as “an entry-level tertiary education nursing degree.” In the U.S.A Data shows enrollment in AD programs increased until the early 1990s, but the ADN had started …show more content…
the path to a BSN and a career in professional nursing.
Baccalaureate degree Nurses: Today RNs are seeking the BSN degree. A BSN Degree Nurse need to go to school for four to five years. BSN Degree required 125 credits in nursing programs. Evidence-based research indicates nurse with BSN or higher degree, they have better communication skills and critical thinking processes. NACNEP found that nursing’s role calls for RNs to manage care along a continuum, while they should work peers in interdisciplinary manners, and clinical expertise with knowledge.
The scope of practice for RNs requires a workforce to increased complexity of that has the capacity to adapt to change. Baccalaureate education are strong scientific curriculum best fulfills these requirements. BSN nurse should have critical thinking and problem solving skills.
Competences differences between ADN VS. BSN Nurse: However, ADN/DIPLOMA program taught all courses in the program, but in BSN program taught more in depth in physical, social sciences, nursing management. There is a study showed that highly qualified and educated nurses produce better patient outcomes. There are different programs prepare nurses for different path in their career. Cerritos college website explained, “The Associate Degree Nurse (ADN) graduates prepared and expected to practice within the framework of the educational competencies.” The ADN graduate need to utilize their critical thinking and clinical competence. They are committed to caring for others and valuing the profession of nursing. ADN/DIPLOMA may pursue bachelors, masters and doctoral degree to advance their level of
practice. Connection between bachelor educations are lowering mortality rate. Education has very strong impact on a nurse. The patient deserves the best-educated nursing workforce. In an article published in the March 2013 issue of Health Affairs, nurse researcher Ann Kutney-Lee and colleagues found that a 10-point increase in the percentage of nurses holding a BSN.
Patient care situation:
The keywords in nursing practice are expertise, nursing education, experience and nursing practice, environment. Using a patient care situation, Patient called c/o short of breath, history of hypertension, cancer admitted with pleural effusion. Newly graduated ADN nurse was taking care of him. She went into the room. Patient stated, “having difficulty breathing.” She came out from the room start calling the doctor first, without assessing him, not checking the o2 saturation, vital signs and making him comfortable. The ADN nurse should done first assessment, check o2 saturation, vital signs, give him o2 as supplement, make him comfortable and proceed to call the doctor. While BSN nurse may have done differently and think critically, may have assess the patient first, check vitals, o2 saturation, ask him if he was getting out bed, wants to go the bathroom and assess the situation, possibly excretion may involved. Then call the doctor if patient still needs further treatment. Working with cancer patient, they are terminally sick. Based upon the disease and prognosis, patient need advance and more research. They go for trial treatment, new chemotherapy drugs. Going into research and advance care need highly educated nurses, who are recognized in excellence and better outcomes. But some point I believe associate and diploma nurses are better than highly educated nurses, because some nurses even they are highly educated, they do not want to work with the patient and bedside care. Their thinking is, they went to school to get advance education, only want to stay behind the curtain like office work, appeals, head nurses, directors, case manager, and financial work etc. Nurse came out from school got her BSN degree, do not have any clinical experience, her expectation was too high always saying I got my BSN do not want work with patients. She was always looking for other nurse who can do her patient care. The fact is without a better education there will be no better outcome .The nurse must be able to make a decision with her critical thinking about patient care and question the doctor if any medication/procedure ordered inappropriately or if there is any doubt. The nurse is a patient’s advocate during his/him hospitalization.
Cite/References:
American Association of Colleges of Nursing (2002). Hallmarks of the Professional Nursing Practice Environment. [On-line]. Available: http://www.aacn.nche.edu/publications/positions/hallmarks.htm. Accessed September 22, 2008. - See more at: http://www.bestnursingdegree.com/adn-to- bsn/#sthash.iU2bQIZ3.dpu.
American Association of Colleges of Nursing (AACN). (2014). Creating a more highly qualified nursing workforce [Fact Sheet]. Retrieved from http://www.aacn.nche.edu/media-relations/fact-sheets/nursing-workforce
Creasia, J. L., & Friberg, E. E. (2011). Conceptual foundations. The bridge to professional nursing practice (5th ed.). St. Louis, MO: Elsevier/Mosby Publishing. Retrieved from http://pageburstls.elsevier.com/books/978-0-323-06869-7/id/B9780323068697100054 _p1090
Differences in competencies: The associate-degree level versus the baccalaureate-degree level in nursing. (2013). In Business & economy – Trade unions. Retrieved from StudyMode website: http://www.studymode.com/essays/Differences-In-Competencies-The-Associate- Degree-
Texas Board of Nursing Education Guideline 3.7.5.a. Defining Quality Indicators for Baccalaureate Degree Nursing (BSN) Education As Indicated in the Differentiate Essential Competencies (DECs) of Graduates of Texas Nursing Programs September 24, 2012
The Impact of Education on Nursing Practice. (2014, January 21). Retrieved January 17, 2015, from http://www.aacn.nche.edu/media-relations/fact-sheets/impact-of-education