Baccalaureate Nursing Research Paper

Baccalaureate nursing practice incorporates the roles of assessing, critical thinking, communicating, providing care, teaching, and leading. (Grand Canyon University College of Nursing [GCUCN], 2011, p. 2) A nurse providing

They determined that patients needing surgery have a "substantial survival advantage" (Aiken, Clark, Cheung, Sloan, & Silber, 2003) if treated in hospitals with higher ratios of nurses educated at the baccalaureate degree level. They too determined through this research that the more nurses holding BSN degrees help decrease the risk of patients dying and the ability to determine the patient is in distress. This research provides the evidence that nurses with a BSN degree have a better comprehension in their ability to formulate nursing diagnoses and evaluate nursing interventions. (Giger & Davidhizar, 1990) BSN degree nurses also demonstrate improved professional integration and research/evaluation skills. (The Future of Nursing:Leading Change, Advancing Health, 2012)

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).

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.

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.

There are numerous studies depicting the correlation between the four-year degree nursing education and improved patient outcomes. In the August 2008 edition of Health Services Research, Dr. Christopher Friese and associates identified a link between patient outcomes and nursing education level. They determined that moving to a nursing practice environment with a higher proportion of baccalaureate prepared nurses led to a significant decrease in the mortality of hospitalized cancer patients who underwent surgery. In addition to lowered mortality rates, patients also experienced lower failure to rescue rates. In a separate study published by the Journal of Advanced Nursing, researchers at the University of Toronto resolved that facilities with a greater number of BSN prepared nurses had lower 30-day mortality rates. For every 1,000 patients discharged, a 10% increase in the number of baccalaureate degree nurses resulted in 9 fewer deaths (Rosster,

It provides information that is relative to nursing education and describes generalist, advance generalist, and advanced specialty nursing education. It describes framework of nursing profession such as provision of holistic care, practice from an evidence base, care for culturally diverse populations, care for the patients across the lifespan, promote safe, quality patient care. BSN Essential - Introduction will provide guidance in future nursing profession because it explains and clarifies such roles for the baccalaureate generalist nurse as a provider direct and indirect care, as designer, coordinator, and manager of care, and as a member of the profession and advocate for the patient and the

Significantly more medication errors and procedural violations are committed by nurses prepared at the associate degree and diploma levels than at the baccalaureate level” ("Ensuring An Educated," 2005, p. 12). The BSN nurse has stronger communication skills, problem solving skills and is more likely to use evidenced-base practice in their daily nursing routine. Being more alert a doctor. Having strong skills can help prevent a devastating accident by knowing when to question a doctors order, and looking for signs and symptoms of patient decomposition. A BSN nurse can make nursing diagnoses and evaluate nursing interventions better than a nurse who holds an ADN.

Some of the dilemmas associated with today’s nursing force are: Many are under-educated and task-oriented, unaware of their patient’s plan of care, medical histories, or pertinent results. Too many rely on clinical coordinators and team leaders, when it comes to critical thinking, therefore, miss out on the vital fundamentals, which make nursing such an honorable profession (Grietens, 2007, p. 10). In order to create a stronger, more knowledgeable nursing workforce, entry-level requirements for RNs, as well as APRNs, need to be uniform. In addition, research shows bachelors and masters prepared nurses, result in better patient outcomes. An example of a proposed solution includes:

Registered nurses normally take on three education paths, an associate degree in nursing, a bachelor’s degree in nursing, or a diploma that’s must be approved from a nursing program. Registered nurse must be licensed. It is an exciting profession, the working environment

Advanced Practice Nurses play an important role as innovators who can help shape school policies across the nation. APNs need to know how the school system works so they can contribute in formulating school policies aimed at keeping school children physically active. APNs need to collaborate with parents, school officials and the community to direct activities that have the greatest positive impact on school-aged

All nurses, regardless of specialty, treat patients with respect and compassion. The path to BSN is built upon the skills of a ADN/Diploma nurse. The AACN states the road to BSN, prepares the new nurse for a broader scope of practice across a variety of inpatient and outpatient settings (AACN, 2010). With the increase in complexity of today’s patients along with advances in technology, our healthcare system requires more highly educated nurses. We as nurses embrace education that prepares us to provide the best care possible for our patients.

The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.

Nursing has been constantly evolving in every direction of the health care field. In the beginning of nursing it was built and expanded on many frameworks of education/models. In becoming a registered nurse there are many stage: general educations, prerequisites, nursing school of Associate or Baccalaureate degree, Master of Nursing in multiple fields and Doctoral degree. When

Recent research has shown that hospitals and health care organizations that employ a higher number of bachelors prepared nurses see better patient outcomes as a result of the nurse having a greater capacity to practice (Impact of Education, n.d.). Studies have shown that bachelors prepared nurses practice more confidently and as a result can react faster to patient situations resulting in better outcomes (Impact of Education, n.d.). Also a bachelor’s prepared nurse is trained more extensively in “clinical, scientific, decision making, and humanistic skills, including preparation in community health, patient education, and nursing management and leadership” (Baccalaureate Degree, 2001) The education that patients get in how to care for themselves after leaving the hospital leads to better outcomes once they are gone and less recurrence of