The Differences in Competencies Between Nurses Prepared at the Associate-Degree Level Versus the Baccalaureate-Degree Level in Nursing.

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

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

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).

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.

The differences between the baccalaureate-prepared and a master’s-prepared nurse are the deeper understanding theories and practices. Communication skills now have evolved to include all departments involved to improve patient’s care outcomes while being mindful of cost (American Associations of Colleges of Nursing, 2011). Advanced knowledge and analytical thinking generates a higher level of self-esteem leading to professional growth. In turn, colleagues identify you as a role model perusing their own personal growth (Cotterill-Walker, 2012).

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.

Bachelor degree nursing programs are highly regarded for the skilled, clinical thinking, and professionalism of nurses they provide for the community. Obtaining a baccalaureate in nursing provides the same skills and knowledge encompassed in most associate’s programs, while allowing a broadened look into research, public health, management, and humanities (AACN IENP, 2012). Many facilities are now providing incentives for nursing staff to continue their education; from tuition reimbursement, an increase in pay, and played time off for the sole purpose of education. Research has proven that with a more educated

Nurses must achieve a higher level of education in order to meet the demands of evolving health care and the changing needs of patients (Rosseter, 2012). Nurses will need to be prepared for a broader scope of practice and to maintain quality within the health care setting. Associate degrees are still valuable tools when used as stepping stones to baccalaureate programs and performing the technical aspects of nursing. BSN-educated nurses are equipped with a more diverse skill set that assists them in leading and reacting appropriately in critical situations. In addition, they have the opportunity to pursue advanced practices. Baccalaureate programs can help develop a good or adequate associate degree nurse, into an outstanding nurse.

A person who wishes to become a registered nurse may enter three different program types: a diploma degree program, an associate degree program or a baccalaureate degree program. These three different types of educational programs can result in the same destination, taking the National Council Licensure Examination for a Registered Nurse (NCLEX-RN). There are a few differences in competencies between the associate degree level nurses and baccalaureate degree level nurses these include, level of commitment, leadership skills and their quality of patient care given. Even though associate degree programs may prepare nurses for patient care in a hospital setting, that training is insufficient for a variety of nursing roles. The “baccalaureate

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

The implications for BSN-prepared nurses in addition to those of RNs with an associate degree

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.

Nursing education has progressed throughout history from one of uneducated lay persons to the current standards we know today. As the career has progressed it has become apparent that there is a need for a skilled labor forced trained to deal with the sick and dying, “the provision of nursing care by American women…demonstrated the effectiveness of skilled nursing on improving outcomes for sick and injured soldiers” (Creasia & Friberg, 2011, p. 4). However, as the career progresses so does the need for more specialized training amongst nurses to help them deal with the changing atmosphere of patient care. The future

An associate degree in nursing is obtained after a two-year period in junior or community college and is provided online by some schools. On the contrary, a baccalaureate degree in this field is earned after a four-year academic period in a university or traditional college. There are several distinctions between the two degrees as baccalaureate degree has emerged as an important requirement for professional practice in nursing. One of the major differences is type as an associate nursing degree is an academic achievement in Applied Science while a baccalaureate nursing degree is labeled as a bachelor's of science in nursing (BSN). However, the two degrees prepare students for the National Council Licensure Exam, which is a prerequisite for practicing as a registered nurse. After licensing, graduates of these degrees can work as new nurses in various facilities like clinics, hospitals, long-term care, and other health facilities at the entry-level position.