Bsn Critical Thinking

‘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.

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)

The researchers determined that for every 10% increase in nurses at the BSN level, there was a 4% decrease in patient death ("AACN Fact Sheet," 2012). From this study it can be ascertained that a BSN nurse can perform at a more competent and safe level for patients. The amount of knowledge regarding patient care and skills between ADN and BSN prepared nurses is very similar. The BSN however has supplemental skills in critical thinking and communication that allow them to look at and solve problems differently. A BSN is more likely to utilize evidence based practice and team problem solving to minimize their margin of error.

In addition to the content taught in ADN programs, the humanistic BSN education encompasses more of the physical and social sciences (Impact of Education, 2011). The BSN nurse is better prepared to work more independently, therefore is well qualified to practice in healthcare systems outside of the hospital. Bachelor programs “prepare professional nurse generalists for acute care settings, community-based practice, and beginning leadership /management positions” (Creasia & Friberg, 2011, p. 32). This course of study is crucial to the delivery of good, safe, quality patient care. There have been several research studies completed to see if there is a correlation between higher RN education level and better patient outcomes. Several studies concluded there is decrease in mortality rates within hospitals that employee a greater percentage of bachelor prepared nurses (Creating a More, 2011).

BSN is expected to also use research studies for a basis for their decision making. ADN analyzes assessment data, where BSN synthesizes comprehensive assessment data to solve problems. ADN’s evaluate and report outcomes and plan interventions from evidence based practice, where BSN nurses compare these interventions and outcomes to benchmarks in research and evidence-based practice and plans follow-up nursing care. They both create teaching plans to promote healthy outcomes, although BSN’s go on to assess population risk (BON,

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,

2. In the 21st century exposure to media is an everyday event for most of us. Even at the grocery store, we see magazines and newspapers with eye-catching headings that may not be true. Also, the news is everywhere, and with technology on the rise, we even get news alerts on our phones. The media has taken over society. Most of the stories we read about seem to be true but in reality, are they giving a true insight of what is actually happening? Some of the stories cause people to become blindfolded from reality. This is because the stories that people read or see have a profound impact on shaping our reality rather they are true or not. We see the news about events that are going on in the world; rather they are catastrophic events or devastating events that were done by humans.

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BSN can provide quality care because of better critical thinking, problem solving and communication skills. They also take leadership in giving quality care. Thus they lower mortality rate. “Nurse staffing and educational preparation of registered nurses were significantly associated with patient outcomes.” (Friese,

In a study published in the May 2008 issue of the Journal of Nursing Administration, Dr. Linda Aiken and her contemporaries presented their findings which showed a “strong link between nurse education level and patient care outcomes”. The researchers found that “every 10% increase in the proportion of BSN educated staff on the hospital staff was associated with a 4% decrease in the risk of patient death”. The study concluded that employing nurses from bachelor’s degree programs rather than from two year associate’s degree programs could produce a considerable enhancement in patient care. Aiken and her colleagues claimed that nurses with a higher level of education tend to be better at critical thinking, which is a critical part in nursing practice.

The BSN program of nursing concentrates on studies that affect the patient as a whole. They are able to perceive and comprehend the nature and significance of each individual in their care. Nurses with their BSN degree are trained in skills to include case management, leadership, critical thinking and health promotion for the betterment of the patient. They are able to apply the skills acquired during their education to both inpatient and outpatient scenarios (Rosseter, 2011, ¶ 1). Having nurses with a BSN degree will benefit patients across the spectrum due

In Chapter 3, there were 12 areas of bias spread across the 3 areas of heuristics. The main theme of the text was to prove that we are predisposed to certain outcomes. As we make important decisions we rely on our memory, or a number of past events, or even ignoring facts. Overall, we are biased in many ways when it comes to making decisions, or predicting outcomes of a particular event.

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