Academic Achievement Of Graduate Education

In 2008 the National League of Nursing (NLN) conducted a survey of students enrolled in nursing schools across the United States. Fifty three percent of students were enrolled in ADN programs, forty three percent were in BSN, while the remaining four percent were in a Diploma of Nursing program (National League of Nursing Data Review 2010). The rate of completion of the ADN nurse has exceeded that of the BSN, creating a deficit in higher educated

An ongoing debate for the requirements to become a Registered Nurse (RN) has been unsettled. Several different educational pathways lead to an RN licensure; however, the minimum educational requirements must be standardized at the baccalaureate level for several reasons. Spetz and Bates (2013) published that a growing number of hospitals prefer hiring nurses with a Bachelor Science in Nursing (BSN) as this increases the status of the nursing profession (p. 1). Associate Degree in Nursing (ADN), as well as a certificate on-the-job training Diploma are two other educational pathways to become an RN, which can be disadvantageous to the nursing profession in several ways (Tollick 2013; Spetz and Bates 2013). If entry-level nurses

Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and

Healthcare systems and the way safe, quality health care is delivered are continually changing to better serve patients and communities. Professional nursing practice is a large component in the healthcare system today. Back in the 1960s, professional nursing leaders tried to adopt the bachelor degree programs as the only educational track to become a registered nurse (Creasia & Friberg, 2011). Due to nursing shortages and demands this motive did not hold fast. Individuals entering the nursing profession today must first decide which educational pathway to take to become a Registered Nurse (RN).

With an ever-increasing body of knowledge in the field of nursing, more education is being required to enter the field of nursing. Many healthcare institutions are raising the educational requirements in order to become employed or maintain employment in their facilities. Healthcare organizations are transitioning to hiring registered nurses (RN) who have a higher level of education, such as, a graduate from a Baccalaureate Degree Nursing (BSN) program. The goal of these institutions is to have nurses with a broader array of skills that can meet the growing demands of our patient population. BSN prepared nurses are recognized for their well-rounded skills in critical thinking, management, case management and health promotion versus Associate Degree nurses (ADN)/Diploma nurses that focus on direct patient care.

According to Creasia (2010), “The first baccalaureate nursing program was established in the United States at the University of Minnesota in 1909” and many programs were 5 years long (p. 4). Today, the BSN program is a 4-year college degree offered at universities, private schools and community colleges throughout our nation. The BSN degree graduate has many advantages over an ADN degree graduate and these might include: career paths that are only open to nurses with a BSN degree including administrative positions and minimum requirement for advanced practice nursing (APN). Furthermore, the BSN graduates get extensive training in components that might include: quality and patient safety, evidence-based practice, information management, clinical prevention/population health, and professional values, all of which are essential as nursing care becomes more complex (Creasia, 2010, p. 4). One of the biggest disadvantages of having a BSN degree is that the legal scope of practice is undifferentiated due to being awarded the same license as an ADN graduate “hindering the reward system for leadership responsibilities” (Creasia, 2010, p. 16).

The American Association of Colleges of Nursing (AACN, 2011).  The essentials of Master’s Education for Advance Practice Nursing. Retrieved July 09. 2015.

This focus is adapted to primarily prepare the ADN student for more day to day nursing activities. In 1952, Mildred Montag, in response to the nursing shortage, designed a program to counter the college level nursing programs. An associate degree was the end result. (Haase, 2006, p. 1)

The Carnegie Foundation reports that nurses today “are undereducated for the demands of practice” (Benner, Sutphen, Leonard, & Day, 2009, ¶ 17). Education of the ADN centers around the hands-on skills needed to care for a patient at bedside and less on the scientific theories that allow the holistic treatment of a patient. A report by the Milbank Memorial Fund in 2001 reports that nurses educated at the ADN level have a higher incidence of mistakes made while performing their duties (Rosseter, 2011, ¶ 24). Registered nurses who graduate with the two year degree lack research skills, leadership and managerial skills as well as informatics needed to deliver quality medical care within today’s health care system (Orsolini-Hain & Waters, 2009, p. 269).

The need for expansion in their roles for higher levels of education and an improved system of education are required for nurses now for meeting the diverse needs of the patients and to provide better care. Improving the education system and achieving a more educated work force is increasing with nurses having baccalaureate degrees , that is, a traditional Registered Nurse to Bachelor of Nursing program or a traditional 4 year Bachelor of Nursing program or a program that allows seamless transition from Associate in Diploma Nursing to Bachelor of Nursing.

Nurses have been an integral part of health care for years. Many of the nurses people see regularly are Registered nurses or BSN, aka Bachelor of Science nurses that more or less are similar in work load, only separated by amount of education. It takes two years to receive an RN as well as passing a rigorous examination while it takes four years to receive ones “BSN”. Advanced practice nurses are those who have taken their education further and have received a master level education, these master level programs can be Certified Registered Nurse Anesthetist, Midwives and Nurse practitioners and their various intra-specialties’. However, in 2004 the AACN (American Association of Colleges of Nursing) introduced

There is an increasingly high demand for students going into nursing careers in our society, but there are also varying educational pathways for these students to get into these careers. Are the three educational pathways (Diploma, Associate Degree, and Baccalaureate Degree) preparing prospective nurses to be at the same competency level after schooling? Advancement in education has become an increasingly important topic amongst health care organizations. Educational preparation can indeed affect nursing care and the decision making of nurses. In this paper, an analysis of nursing history and the degree programs themselves will provide evidence of an increased level of patient care by BSN nurses vs. ADN nurses.

In order to acquire a degree in nursing, the steps required are having a high school diploma and some form of formal education post high school. There are three different paths available: a Bachelor of Science Degree in Nursing (BSN), an Associate Degree in Nursing (ADN), or a hospital diploma of nursing (Krannich 72). A BSN program includes four years in college with the curriculum consisting of “assessment, disease management, decision making, health promotion and prevention, health care technology and policy, research, quality assurance, leadership, and management.” (Gregory 5). You are also required to complete clinical training, meaning working in a hospital for experience in the field with real people and situations. The ADN program only requires two to three years of education (Gregory 5). However, the ADN program had the most educational opportunities, or universities offering the program. The hospital diploma career path is not offered by every hospital, but only by seventy. The ADN programs available in

Nightingale had the power and was in the right position to establish modern nursing (Stein 1998). Nightingale said, “Let us never consider ourselves as finished nurses…we must be learning all our lives”. In the years of 1860 through 1899 the Unites States laid the groundwork for nursing. Following England’s format, the school of nursing would remain separate from the hospital, so that the educational needs would be kept separate from patient needs. The first doctoral program for nursing was instituted at the university of Pittsburg in 1954 (Stein 1998). In today’s society, the education and learning of nurses consist of programs, offerings, and independent studies in order to broaden a nurse’s ability (Stein 1998). The education required to become a register nurse today is, a Bachelor in science degree along with a nursing degree.

Nursing achievements and requirements today vary within education. There are three entry levels in nursing, the Associate Nursing, (ADN), Bachelorette of Nursing, (BSN) and the Diploma in Nursing (DN). On the contrary, other professions have a greater amount of educational requirements such as law, engineering and medicine. When entering into specified careers, it is essential as well as required to further one’s knowledge base to a graduate level. However, in the nursing career there are no specific requirements which create a barrier for the profession by means of fewer achievements towards success in the nursing profession.