GCU
Nursing Competencies
The first school of nursing in the United States was the Bellevue Hospital School of Nursing, founded in 1873. The Bellevue offered a Baccalaureate degree in Nursing with principles of nursing established by Florence Nightingale. In later years, the Associate-degree in nursing was formed by Mildred Montag, to help with the nursing shortages in WWII. “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 level nurse during the nursing shortages (GCU, 2014).”
The Associate and Baccalaureate degrees are still offered today. After receiving a diploma, …show more content…
There is more education on community health, cultural nursing, and research within the four year program. With a BSN the nurse has more opportunities to advance in the field, as a managers or higher positions. The Bachelors degree also offers for progression in education, such as a master to receive your license to practice as a Nurse Practitioner or a Doctoral degree. According to the American Association of Colleges of Nursing (AACN), “the nurse prepared at the Baccalaureate level are linked to lower mortality and failure rates” (AACN, …show more content…
The nurse may change a diaper, obtain a weight, and complete an assessment. She may give a med or change out fluids. In an emergency, she would achieve the steps of the Neonatal Resuscitation Program (NRP). All of these extensive skills where taught in a year long orientation program for the NICU. The Associates degree nurse is task oriented and focused on clinical skill. The nurse lacks in the depth of education the Bachelors nurse has. She may not be as culturally competent in the bedside assessment with the family. The family whose new baby is in an ICU and isn’t born with the “perfection” they dreamed of. The family, who maybe doesn’t speak English, isn’t used to the way the hospitals are run in this country, and are scared. The bachelors nurse would have more knowledge of cultural nursing and may be a better fit for this family and their stay. The Associate nurse can perform the steps of NRP but may not have the research education to know more about the neonate and the emergency it is