Job security is good for those looking at becoming a nurse, for no matter how the world evolves, it will always need nurses to care for a wide variety of patients, In the United States, the number of qualified nurses are needed for bedside care continues to grow as well as the numbers needed for leadership roles, education and advocacy. The need for nurses will continue to grow as the population continues to increase and as the baby boomer generation ages and retires creating more patients and less nurses. There are several paths to becoming a nurse, an associate-degree preparation or a baccalaureate-degree level preparation; both program graduates will take the same NCLEX exam prior to being able to practice as a registered nurse. The American Association of Colleges of Nursing makes a statement that even though graduates of entry-level nursing programs will all sit for the NCLEX-RN© licensing examination. The fact that new nurses pass the licensing exam at the same rate does not mean that all entry-level nurses are equally prepared for practice. The NCLEX tests for minimum technical competency for safe entry into basic nursing practice (AACN, 2015). So while all graduates will take the same exam, their training isn’t considered the same just the minimum for safe practice. Associate Degree Preparation When considering schools and degree programs it is important to note that an associate degree program takes less time to complete and generally costs less. This allows the
Associates prepared nurses are able to sit for the NCLEX as well as bachelors prepared nurses. They are both able to practice and perform many of the same skills and procedures. Their differences in clinical competencies are few, but their differences in critical thinking, decision making, communication, leadership, and management techniques and abilities, are many. The bachelors prepared nurse has received a higher and more in depth level of education in their field. This additional study and preparedness gives the bachelors prepared nurse the ability to understand not only the “what” and “how” of their clinical procedures, but also the
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 ultimate goal for many that attend nursing school is to sit for the NCLEX-RN, or National Council Licensure Examination for Registered Nurses. This exam is taken once a students graduates from an accredited nursing school and wants to become licensed as a registered nurse. Often schools use other tests during their programs as a predictor of student pass rates on the NCLEX-RN exam. The article “A Study of the Usefulness of the HESI Exit Exam in Predicting NCLEX-RN Failure,” the authors perform a study using a “retrospective descriptive, correlation design. Logistic regression analysis was used to predict NCLEX-RN failure from Exit Exam scores.”
National Council Licensure Examination (NCLEX) is an examination administered by the National Council of State Boards of Nursing, Inc. to graduate nurses in the United States before they can obtain a practicing license. An NCLEX test blueprint is a document produced by NCSBN, which contains a summation of what is assessed in the NCLEX examination as well as the core values of nursing practice. The blueprint serves as a guide for aspiring nurses and nursing student who need to learn the basic requirements of nursing and nursing examination. The blueprint is valuable in exam preparation and as a study guide.
The associate degree of nursing was founded in “the year of 1952 at the Fairleigh Dickinson University” ( http://viuw.fdu.edu/default.aspx?id=166). The purpose of starting the program was to solve the nursing shortage after the World War II. The ADN is a three year degree for those who want to be in the health care field. Nurses play an important role in a health care system. Once a student has completed their ADN, then they take the NCLEX to become a registered nurse. This test will certify that the person is safe to practice as an entry level nurse. The pace at which a person earns the degree is one reason why students go for ADN instead of any other degree. While a person is in the AND, he or she will learn important skill that would be extremely useful in health care. Associate degree of nursing is more
ADN/Diploma nursing programs meet the minimal educational standard to become eligible to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The minimal education time for eligibility for the NCLEX is at least two years of academic course work in the discipline of nursing. With successful completion of an ADN/Diploma program and passing of the NCLEX-RN allows graduates to gain eligibility of an entry-level nursing position. According to recent analysis of the nursing job market, ADN/Diploma nurses qualify for 58% of nursing related jobs. Statistics from the United States Department of Labor (2012) shows the median income for a RN is
Nursing is a crucial field, which affects the lives of people. The public does not have enough information pertaining those who practice nursing this led to the introduction of nursing licensure to protect the public from unqualified persons. This license sets qualifications and competence of nursing professionals. Compared to state nursing licensure, national nursing licensure advocates for a more effective practice for nurses. It reduces or lessens nursing shortage by promoting mobility of the nursing professionals. National nursing licensure has a number of advantages over individual state nursing licensure. These include enhanced patient access to quality nursing care, improved discipline and information distribution amongst the states, physical and electronic provision of care by competent nurses, and ease of employers to more movable and proficient nurses (Fraziea, 2012).
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
An Associate’s degree would be the first step in achieving a Bachelor’s degree in electrical engineering, my overall goal. With a Bachelor’s degree, I hope to design new technologies for smartphones, computers, and more while working for a large company such as Google or Intel. This has been my dream for years now, and therefore obtaining an Associate’s degree will make this dream more of a reality. Without this degree, I will probably become a mechanic like the majority of my family. It’s not a terrible
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).
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
“Throughout the last decade, policymakers and practice leaders have recognized that education makes a difference” (Impact of Education, n.d.). Hospitals are also trending towards preferred hiring of bachelors prepared nurses for their workforce. Even national organizations are jumping on the bandwagon requiring “all nurse managers and nurse leaders to hold a baccalaureate or graduate degree in nursing by 2013” (Impact of Education, n.d.), likewise the Institute of Medicine has also recommended that all hospitals have at least 80% of their nursing staff with a BSN or higher by the year 2020 (Impact of Education, n.d.).
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.
With a consistent change in modernizing medicine, along with the continuing advancement in technology, continuing education in nursing is essential for a variety of reasons. The nurse’s main concern is providing safe, efficient, and effective patient care with positive patient outcomes. This paper will examine the differences in competencies between nurses prepared at an associate-degree level versus a baccalaureate-degree level, in order to provide an evidenced-based understanding of the variation in the educational preparation of nurses.
Before the NCLEX exam was established, each state created its own nursing regulations and exams to determine the competency of nursing students (“NCLEX-RN® Examination”, 2016). In 1941, the National League of Nursing created a better exam that was adopted by all states, in order to streamline the process, and the test was called the State Board Test Pool Examination (“NCLEX-RN® Examination”, 2016). Locations to take the exam were very limited and had to be big enough to accommodate many people at once, since the test was only offered twice a year, and in order to take it, student nurses had to register about six months in advance by mailing in their approval to test (Johnson & Kappel). The exam was given using paper and pencil, and for every thirty-five students, a retired nurse was hired as a proctor (Johnson & Kappel). The questions were the same for all the students in order to make testing fair, and students had to wait for weeks before their results arrived in the mail (Johnson & Kappel). The test was officially named the NCLEX in 1982 after the National Council of State Boards of Nursing took over the responsibility of the test nationally a few years beforehand (Johnson & Kappel). The total number of questions on the test before 1982 was 720, before being reduced to 480 and then 370 questions (“NCLEX-RN® Examination”, 2016).