Competency Differences between RN Prepared by ASN Program and BSN Program. The differences between nurses prepared to the job as associate degree nurses and baccalaureate degree nurses can be unnoticeable because both graduate as entry level nurses and sit for the same licensing examination – the NCLEX-RN, which tests technical competencies for basic practice as a nurse and gives ASNs and BSNs the same title – Registered Nurse. The associate degree was proposed for training technician RNs in time of shortage of nurses, about 60 years ago, in short two-year technical program. “This nurse was intended to be a “bed side nurse” who was not burdened with administrative responsibilities” (Joel, 2011, p.232). They are …show more content…
As we know nurses prepared with BSN degree possess the skill of good communication. They are prepared to work in all settings (hospitals, schools, nursing homes, other long time care facilities, and home sittings) contrary to ASN who are prepared to work at the bedside. BSN nurses are trained to communicate with the patient, family, and society. They are prepared to work with a group of people and in a group of people. To be able to work with the elderly patient with dementia, the communication and writing skills as well are highly required. The nurse has to communicate with the patient’s doctor, patient’s pharmacist, patient’s insurance company, and with a person who takes every day care of the patient giving clear and precise instructions, planning and directing all activities. In many situations the nurse has to act as the patient’s advocate and has to work with a group of people at different intellectual levels. Another skill required for a nurse working with the above patient is assessment. The patient is elderly and suffers from dementia. The patient’s body changes with aging and with dementia this person losses mental capacity. What the nurse needs to work with this patient is excellent assessment skill. In this case the assessment, planning, interventions, and evaluation of plan need to be totally changed. Only a nurse who possesses very good critical and analytical thinking ability is able to take care of this patient.
Competence is the ability of an individual to do a job properly. It is the combination of knowledge, skills and behavior used to improve the performance. The American Nurses Association defines a competency as “an expected level of performance that integrates knowledge skills, ability and judgment”. In these terms, the competency among ADN and BSN looks same, but there are some differences in various levels. In simple terms ADN is a “technical” nurse and BSN is a “professional” nurse. This difference is because ADN is trained mostly on clinical skills, while BSN training is focused on leadership, nursing research, management as well as clinical skills.
preparation of the nurse BSN versus a diploma or ADN degree. Besides the difference in time,
Through my research for this paper I have found that RNs who have an associate degree or diploma are more likely to make errors during clinical practice. Nurses who hold Bachelor of Science in Nursing (BSN) degrees have a stronger foundation in which to build better communication, leadership, critical thinking and problem solving skills. The high demands placed on today's nurses really challenge all of these skills on a daily basis. Nurses with Bachelor of Science in Nursing degrees have a better understanding of the importance to be proficient in these skills. In a study of RN-to-BSN degree graduates from 1995 to
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
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.
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
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).
Nurses a with Bachelor of Science in Nursing Degree (BSN) are known for their skills in critical thinking, leadership, case management, health promotion, and for their ability to practice across a variety of inpatient and outpatient healthcare settings. These nurses are well-prepared to meet the demands placed on today's nurse.
According to (Board of Nurse Examiners [BON], 2010) members of the profession of nursing, ADN and BSN have many requirements that are the same. They are responsible for ensuring quality of nursing, promoting the development of nursing, and demonstrating competence in nursing practice.
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”
There are two major educational pathways to become a Registered Nurse (RN): an Associate Degree in Nursing (ADN) and a Bachelor’s of Science Degree in Nursing (BSN). Typically, an ADN degree takes 2 years to complete while a BSN degree takes 4 years to complete. Both allow the nursing graduate to take the National Council Licensure Examination (NCLEX) consequently allowing the graduate to enter the field of nursing as a Registered Nurse. It is important to discuss and understand the differences in educational preparation as well as resulting competencies for both degrees. Prospective nursing professionals are
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.
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 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
BSN nurses not only provide more complex aspects of daily care and patient education, but also design and coordinate a comprehensive plan of nursing care for the entire length of a patient's stay from pre-admission to post-discharge, including supervising nurses aides and other unlicensed assistive personnel, designing discharge and teaching plans for patients, and collaborating with patient, physicians, family members, and other hospital departments and resource personnel.