There has been a lot of debate regarding whether it is profitable for all nurses to attain at least a BSN to work as a Nurse. This paper addresses the differences in competences between BSN RN 's and ADN RN 's. It exposes the advantages to the patient population treated under the care of BSN RN 's as opposed to ADN RN 's. The purpose is also to describe how nursing care approaches to decision-making may differ based upon the educational preparation of the nurse (BSN vs. a diploma or ADN degree).
A nurse is a healthcare professional who is trained care for sick. The key roles in nursing are promotion of health and prevention of illness, and also education, research, advocacy, health system management and promotion of safe environment. There are two different categories of nurses based on educational level. One is an Associate Degree Nurse (ADN), a 2 year program and other a Baccalaureate Degree Nurse (BSN), a four year program. Though educational programs are different, the students of each program have to pass the same NCLEX-RN examination to practice as nurses.. The following will give a good understanding of differences in competency between ADN and BSN Nurses.
A BSN represent a Baccalaureate of Science in Nursing, while an ADN is an Associate’s Degree in Nursing. Both degrees will qualify a person to take the same licensing exam NCLEX. There are several differences in the competency levels of these two-degree programs. BSN program is a four-year degree, which is knowledge, theory and research based and the emphasis is on the entire picture of the field of nursing. Exposing the nurse to human diversity and global perspective, health promotion, spiritual perspectives, ethical, legal, political, historical and social influences using liberal arts including biblical concepts for complete
There is much debate on whether there is a benefit to obtaining a Baccalaureate in Nursing. Since it is only my second week in the RN to BSN program, I don’t have a lot to base my opinion on. This paper will summarize the differences between Associates a Baccalaureate Degree in Nursing based on what I’ve been told, research I have done, and my own experiences.
Conversely, the main difference between an ADN and a BSN degree is the emphasis on leadership and management, wellness, and community nursing. Equally important, as noted by Ellis (2006), “BSN prepared nurses possess greater knowledge of health promotion, disease prevention, and risk reduction as well as illness and disease management
The differences can be seen when looking at the responsibilities of these two degrees. For example: “the associates degree graduates are expected to provide safe bedside care to clients with defined and predictable health problems” (Creaisa and Friberg, 2011, pg.26), while nurses with their baccalaureate degrees are expected to treat patients with complicated and unpredictable problems. Another difference between the associate’s degree holders and the baccalaureate degree is that once these graduates get to their workplaces, the ones with the baccalaureate degree are expected to display leadership skills such as teaching and also to focus on the need of not just the patient but also the patient’s families and communities. Like Linda Moore Rosen explains “ADN can assess needs, plan interventions, implement care, and perform evaluations with individuals and families under the supervision of a nurse prepared with a BSN or MSN” (Rosen, 2000, p.236). Baccalaureate nursing practices include working in unstructured settings with little or no kind of established procedures, while associate nursing practices only include secure setting with established procedures.
Education increases both clinical competency and quality care. Associate degree in Nursing can be completed in three years. It was initially started to fill the shortage of nurses. BSN degree is four year nursing education and it helps the nurses to be well- rounded academically. ADN versus BSN have been in discussion for some time now. According to “HRSA’s 2013 report, titled The U.S. Nursing Workforce, found that 55% of the RN workforce held BSN or higher degree. In a separate study conducted by National Council of State Boards of Nursing found that 61% of RN workforce in U.S. was BSN or Higher degree”
“Programs provide a solid liberal education and substantive upper division nursing major. Both components are combined in ways that prepare a nurse generalist who is able to provide professional nursing services in beginning leadership positions in a variety of settings” (Friberg, 2011, p. 87-88). Obtaining a BSN can open up more job opportunities for a person and in most cases makes you more desirable to employers. Many nurses get burnt out from being floor nurses so if you have your BSN you have the option to move into management or many other areas like insurance companies, pharmaceutical companies, research jobs or even a clinical instructor. “Research shows they use evidence based practice for better patient outcomes.” (Moore, n.d.) “ As also stated in the same article “numerous research studies have demonstrated that the ADN and BSN nurses are not different in skill competency when they graduate, but within a year, the BSN nurses show greater critical thinking skills better problem solving, and the development of clinical judgment; three skills of increasing importance for the increase in acuity of patients in hospitals and other health care settings.” (Moore, n.d.)
Obviously, the BSN program will take more time and money over the ADN program. Although most colleges and universities offer traditional four year nursing programs, some offer accelerated programs. It will usually cost the same, however you are able to enter the nursing profession sooner. Unlike the ADN program, “the BSN nurse is better prepared to practice in all health care settings – critical care, outpatient, public health, and mental health” (Baccalaureate Degree, 2000, para. 8).
‘Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels.’ [AACN], 2012, ¶ 1) In 2011, one research study published as, Nurse specialty certification, inpatient mortality, and failure to rescue, found that “a 10% increase in hospital proportion of baccalaureate and certified baccalaureate staff nurses, respectively, decreased the odds of adjusted inpatient 30-day mortality by 6% and 2%.” (Kendall-Gallagher, Aiken, Sloane, & Cimiotti, 2011, p. 188) These findings along with other research findings conclude that the competencies between ADN and BSN prepared nurses are different and these differences can greatly affect the outcome of nursing care at the bedside.
A growing number of employers prefer BSN nurses to ADN nurses according to recent reports (Spetz and Bates, 2013). This indicates that hospitals consider nurses with a BSN to be more professional than nurses with an ADN. According to Spetz, there has been a
There is also an increased advantage to having a BSN when attempting to move beyond a staff nurse position. A study conducted by Kearney (1994), on academic advising of RN to BSN students, found that one of the main motivations for returning to school for RNs was the gained potential for promotion. BSN programs will provide more course work focusing on leadership and communication skills, which are essential for advancement within the workforce. Based on the findings by the U.S. Department of Health and Human Services in 2004, BSN prepared nurses only accounted for approximately 30 percent of the workforce, with the majority of practicing registered nurses only holding associate degrees. It’s easy to see how it would significantly improve one’s advantage for promotion by acquiring a BSN, due to the significantly low number of BSNs in comparison to ADNs within the workforce. The BSN might be the only difference to give that slight edge needed for
The implications for BSN-prepared nurses in addition to those of RNs with an associate degree
The battle between Associate vs. Bachelors have been raging over years. The debate seems to be heavily to receive in BSN and or higher education. The American Nurses Association (ANA), American Association of College of Nursing and Institute of Medicine (IOM) have published many articles, facts and book about the important of a nurse to become BSN or higher educations. Just by researching between the ADN and BSN the developments and growth are very different. Using the description from Grand Canyon University College of Nursing Philosophy, “Baccalaureate nursing practice incorporates
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.