...Magnet-designated hospitals, receive higher ratings from patients that has helped hospitals financially, in a study preformed Health Services Research using data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. In 2011, the ANCC, the world's largest and most prestigious nurse credentialing organization, and a subsidiary of the American Nurses Association awarded Yale New Haven Hospital with the distinction. Here’s a quote why, “Consumers of healthcare services today are increasingly sophisticated and they are choosing hospitals that have achieved Magnet recognition," said Richard D'Aquila, executive vice president and COO of Yale New Haven Hospital the largest hospital in Connecticut. (The American Association of Colleges of Nursing, 2015)...
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...contribute to high turnover rates. Here is a look at the evidence which promote the creation of a shared governance model for a positive practice environment and better retention rates. Shared Governance and Nurse Retention Introduction Shared governance models are being promoted as a plan to decrease nurse turnover, but there are many variable elements to the Shared governance model. True shared governance characteristics are a practice environment that has a process by which nurses take an active participatory role in the decisions of the hospital nursing practice. Most shared governance models are associated with Magnet status hospitals, but more and more hospitals are adopting this style of management without the designation. This is a relatively new concept because nursing in hospitals was paternalistic in the early years and nursing was more of an occupation than a career. Nursing is now a profession and in the hospitals with shared governance it has a professional practice model. Porter O’Grady introduced the concept of “Shared Governance in the 1980’s and it was seen as a strategy to enable...
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...University NRS 430V Jackie Johnson March 10, 2014 EDUCATIONAL PERPARATION ASSIGNMENT The associate degree of nursing also so called diploma programs verses the baccalaureate. The associate degree of nursing originally started off as a 4 month program to a few years. When the diploma program first started they were used as to meet the staffing needs of the hospital. (Brown, 1948; Goldmar and the committee for the study of nursing education in 1923). The cost of the programs sky rocketed in the money aspect of it, and money was being lost by the hospital that sponsored these programs. As a result of the diploma nursing programs being so costly, it cause other programs to join forces with other academic institutions and they formed AND, and BSN programs. They then became accredited by the regional and also they achieved their professional accreditation. Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition, pg. 25 The associate degree the students receive general education and clinical nursing courses. This program teaches nurses bedside care for other care settings such as hospitals, long term care facilities, private duty work, and home care. Some of the disadvantages of the associate degree of nursing programs do not go into detail on how to do research, management, budgeting, and statics. The course is taught so fast that you are not taught to do research, which can impede your critical thinking skills, you miss out on communication and...
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...nursing training, usually at a community college. A graduate of this program is qualified to take the National Council Licensure Examination (NCLEX), to become a registered nurse (RN). Differences in Competences of ADN VS. BSN Nurse There have been studies that showed that investments in highly qualified and educated nurses produce better patient outcomes. A study of Magnet hospitals in Pennsylvania with higher proportion of baccalaureate prepared nurses revealed that patients in magnet hospitals had lower rate of inpatient death within 30 days and lower odds of failure-to-rescue compared with patients cared for in non-Magnet hospitals (Mc Hugh et al., 2012).Other studies observed the consequence of nursing practice; skills on cancer patients going through surgery showed that the educational level of a nurse has a vital impact on patient health. The BSN nurses were linked with lower mortality and failure-to-rescue rates confirming the view that if a higher proportion of staff nurses have at least a baccalaureate-level education; this would have a positive effect on a patient outcome, and will also reduce their stay in the hospital. ASSOCIATE NURSE VS. BACCALAUREATE NURSE Patient Case Scenario Using a patient case scenario, a known male hypertensive (high blood pressure) patient on medical floor may be reported by a medical assistant to have an elevated blood pressure after consuming 2 cups of coffee and have an argument with a family member. The ADN nursemaid...
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...regarding the skill levels of nurses prepared at the Associate Degree level versus nurses prepared at the Baccalaureate level. There have been multiple studies done and those studies have proven that immediately after graduation the skills of both groups are equal. Where the difference begins is approximately one year after graduation, nurses prepared at the Baccalaureate level “…show greater critical thinking skills, better problem solving, and the development of clinical judgment; three skills of increasing importance for the increase in acuity of patients in hospitals and other health care settings”. (West Coast University N.D) Based generally and only education I could see how this might be true, but I look at my own experiences and realize that I am not unique and this is not always the case. In my medical career, I was ambulance attendant, an Emergency Medical Technician, an Army Combat Medic, a Patient Care Specialist (the Army’s version of an LPN), then a Paramedic. Varied but similar jobs all with their own experiences and all this before I started the nursing program. So a year after my graduation, I feel that I had better critical thinking skills, problem solving and development of clinical judgment than a new grad with no experience. In several studies, a 10% increase of nurses with BSN degrees in hospitals resulted in an increase of 2.12 to 7.47 better outcomes based on the number and type of patients sampled. (American...
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...Title: Difference in Competences between Nurse Prepared at Associate Level vs. Baccalaureate Level Nursing- Patient Case Scenario Name: Ogunniran Sesan Grand Canyon University: NRS-430V-O104 August 10, 2013 Education has an important effect on all nurse clinicians, as it does for all health care providers today, and one should be able to move forward as one learn every day .This paper will focus on the differences between an Associate degree nurse (ADN) and a Baccalaureate degree nurse (BSN). Using a clinical case scenario, this paper will also discuss the differences in approach, and the roles that experience and skills play in clinical decisions made by a BSN and an ADN nurse. Associate Degree Nursing An associate degree nurse can be defined as a nurse with two to three years nursing training, usually at a community college. A graduate of this program is qualified to take the National Council Licensure Examination (NCLEX), to become a registered nurse (RN). ADN was founded by Mildred Montage (a nurse educator) in 1956, due to the severity of nursing shortage in the post war years. Friberg, (2011). This program was offered to reduce the nursing shortages and the success of the program was measured in terms of satisfactory level of clinical nursing skills and graduates pass rate on the NCLEX. Baccalaureate Degree Nurses A baccalaureate degree nurse can be defined as a nurse with four to five year nursing training, that consist of a two...
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...graduates over the Associate degree as a new hire in the medical setting. We will also focus on magnet status hospitals and those trying to achieve magnet status and how they have promoted a change in hiring of this two degrees. The American Nursing Association view of Baccalaureate Degree in comparison to Associate degree. We will also address research that has recently be published that displayed baccalaureate patient outcomes and patient safety in writing and statistical data. Patient care situation will be analyze decision making approach relating Associate degree versus Baccalaureate degree in nursing. First we must address the similarities they both are able to be called and hold the title of Nurse, they both are able to seat to take the National Council Licensure Examination for Registered Nurses. They both work in similar settings ambulatory and inpatient medical facilities to name the most prevalent. The main difference in competency and preparation lies in education and training the Associate Degree Nurse in most cases is a two year technical nurse who graduates from a community college or nursing school. The baccalaureate degree nurse per the American Nursing Association has claim encompasses all of the course work trained in associate degree plus a more in depth education in nursing practice that integrates the roles of a more profound nursing process. Hospitals applying for Magnet status must also show policies are in set to reach the IOM sanction of having an...
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...but research suggests that overtime hours have not decreased since those policies were created. Furthermore, voluntary overtime is unregulated, with many nurses exceeding the recommended 40-hour workweek. Studies have shown that exceeding recommended hours results in workplace injuries to nurses, increased burnout and lower retention of nurses, and poorer outcomes for patients, including early readmission, medication errors, falls and nosocomial infections. More regulation may be necessary to reduce the hours worked by nurses. Advanced practice registered nurses are in a position to advocate for stricter policies in their facilities, and to implement strategies that would reduce overtime hours worked in their facilities, for example by increasing staffing. Nurse managers can ensure that their nurses doing overtime take the recommended breaks and do not exceed the recommended number of hours worked per week. Nursing Overtime and Adverse Effects Mandatory overtime is defined as employer-imposed work time in excess of one’s assigned schedule. Voluntary overtime is time worked at the employee’s discretion over and above that specified for a full-time employee. Both of these are utilized frequently by the health care sector, primarily in light of the nursing shortage. A study by Berney, Needleman and Kovner (2005) demonstrated that an average of 4.5% of total paid hours worked by registered nurses (RNs)...
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...t Educational Preparation Candace Tiley GCU RN-BSN Professional Dynamics NSG-430V April 7, 2013 Nurses with a Baccalaureate in nursing education versus Associate Degree in nursing education are prepared to deliver a higher standard of patient care. The differences in the core curriculum of the baccalaureate program set it above the associate degree program giving the nurse who holds a BSN better critical thinking skills The BSN educated nurse has a broader base of education in such areas as the fine arts, as well as important nursing courses that emphasize evidence-based practice. BSN educated nurses are also taught leadership skills, management skills and nursing theory. To understand the differences in competencies between nurses prepared at the associate degree level versus the baccalaureate level requires at least a short review of the history of the development and introduction of the associate degree program (ADN). Of importance is when the ADN Program was introduced and the reason it was introduced. In the mid-1940’s the BSN Programs that had been in existence for 60 years were responsible for graduating about 15% of the new nurses. The remaining graduates came from the Diploma programs that had been in existence for 100 years. The ADN Program was introduced after World War II as a result of the severe nursing shortage during that time. The concept was initially explored by...
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...Nursing Competencies Between the Associate Level Prepared Nurse and Baccalaureate Degree Prepared Nurse - Including a Patient Case Scenario Elizabeth A. Borowiak NRS 430V-0109 09/07/2014 ADN vs. BSN – The Big Debate The ADN/BSN debate has been going on for decades. This conflict could possibly negatively affect nurses, our profession and ultimately the patients we serve. There will always be nurses who will excel in the field independent of their educational preparation. Patient’s conditions and the healthcare environment are becoming more complex and having a better-educated workforce helps to improve patient outcomes, but how? What are the differences between a nurse who has her ADN degree versus an RN with a BSN degree? Are there advantages of being a BSN prepared nurse? Nurses today have a difficult time choosing between the Associates Degree in Nursing (ADN) and the Baccalaureate Degree in Nursing (BSN). One might ask, “Why should a nurse take the BSN route when they can take the ADN route and still be a Registered Nurse (RN) in less time and cost” (Moore, 2009). Yes, you can still be an RN, but studies show the ADN prepared nurse will approach clinical situations differently than that of a BSN prepared nurse. The skills differ in many ways, and the BSN prepared nurse is better for patient outcomes. The Associate Degree program teaches nurses the fundamentals and basics of nursing. “The ADN focuses on bedside nursing and technical aspects of the job” (Moore...
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...will be more competent in clinical aspects and deliver high quality of care. Presently, successfully completion of Associate Degree in Nursing (ADN) or Baccalaureate Degree Nursing (BSN) graduate program study is the route to become a nurse in the United States, after passing the NCLEX exam. Both program are differed by when they started, reason for establishment and the study contents of it, are as follows. In 1952, ADN program is was first designed by the Mildred Montag, to alleviate the nursing shortage by creating technical nurses. Associate Degree in Nursing (ADN) is normally subsist of general education and clinical courses credits coursed and study time is 2 years long. It is normally awarded by the Community colleges and nursing schools. Upon completion of such program, nursing student is eligible for NCLEX-RN license exam. As stated by Creasia & Friberg (2011), ADN program is very successful nursing program, which make ADN nurse eligible to pass NCLEX-RN exam and start a career as nurse with strong clinical competency. While Baccalaureate of Science in Nursing (BSN) program was started in 1909 in University of Minnesota. This Program required 5 years of study, divided in 2 years of general education and 3 years of nursing credit courses, with more focus study in public health nursing. As mentioned by Creasia & Friberg (2011), BSN programs are become 4 year long and Nursing major taught in the upper level division. BSN graduate nurse also eligible for NCLEX-RN...
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...Cindy Johnson Grand Canyon University: NRS-430-V 03-26-15 Differences in Associate Degree prepared Nurse and Baccalaureate prepared Nurse Competencies. The rise in morbidity and mortality rates among hospitalized patients in the United States heightens concerns about professional competency. Nurses and other healthcare professionals are under increased pressure to provide safe, effective patient care. 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. This paper will compare the differences between an Associate degree prepared nurse (ADN) and a Baccalaureate degree prepared nurse (BSN). Education Differences An ADN or associate degree nurse is as a nurse with two to three years training, usually at a community college or technical school. The curriculum usually consists of fundamentals, the basics of nursing and clinicals. A BSN or baccalaureate prepared nurse is a nurse with four or five years of training usually at a University. With the BSN, a nurse will have to think outside the box, use credible research, theory, leadership skills, all of which will make the nurse a better critical thinker, and in turn her patients will be safer. Both ADN and BSN will be qualified to take the NCLEX exam upon graduation from either community college or a university and become RNs. ADNs get primarily fundamental education in school consisting...
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...Competencies Among Associates Degree Nurses (ADN) and Baccalaureate Degree Nurses (BSN) Kristel Garan, RN Grand Canyon University: Nursing 430V April 13, 2014 Competencies Among ADNs and BSNs Does the educational level of a registered nurse (RN) have an impact on patient outcomes and safety? Yes, in fact the Baccalaureate Degree in Nursing (BSN) prepared RN has been linked to lower mortality rates, medication errors, decubitus ulcers, and shorter lengths of stay (Blegen, Goode, Park, Vaughn, & Spetz, 2013). According to the American Association of Colleges of Nursing [AACN] (2013), there are approximately 2.8 million RNs actively practicing, of which 55% currently hold a BSN degree. In the United States, both graduates of ADN and BSN degree should pass the National Council Licensure Examination (NCLEX) for Registered Nurses licensing examination (Rich & Nugent, 2009). However, this does not mean that every nursing graduate is equally prepared for practice. It has been emphasized that the entry-level licensing exam measures only minimum technical competency for safe nursing practice (AACN, 2013). Merriam-Webster’s Online Dictionary (n.d.) defines competence as “the ability to do something well”. Since it has been demonstrated that the BSN prepared RN is more “prudent” in yielding safer patient outcomes, it is critical to examine the differences in competencies among ADN versus BSN prepared nurses, as well highlight these differences by examining a developed...
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...Suarez Grand Canyon University: NRS-430V March 6, 2015 High demands of nursing and more nursing schools existing are creating more competition for job opportunities that has evolved into hospitals raising the bar on nurses’ knowledge. Living here in Miami makes job searching a difficult task unless if you know someone who knows someone or you have all of the qualifications for the job which lately it’s including have a BSN, as opposed to many years ago where having an associates degree was sufficient. The hospital I just got hired at to do an emergency department residency program is not a magnet hospital but due to healthcare foundations and the hospital itself trying to become a magnet hospital they required me to either have my bachelors degree or at least be enrolled in one. I understand and respect this approach of the hospital because I do know that nurses with a BSN bring more to the hospital practice setting in the sense of their prized critical thinking skills, health promotion, and leadership skills. For example, being in the ER and having a patient that has been admitted with a possible ischemic stroke requires fast critical thinking skills in assessing the patient and following the hospitals protocols for this type of patient such as conducting a CAT scan and drawing labs to be able to diagnose if the patient is having a stroke or not so if need be give Activase as soon as possible since time is brain. Besides the fact...
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... The Differences in Competencies between Nurses Prepared at the Associate Degree Level vs. the Baccalaureate Degree Level. A competent nurse has the knowledge and skills needed to perform well in her work environment. There has been much discussion over how the level of competency is affected by a nurse’s educational preparation. Before the influence of Florence Nightingale there was no formal education for nurses and their work and social status was considered very low. Now partly because of the work of our nursing pioneers nurses are respected and educated professionals. In the United States there are currently three recognized routes to becoming a Registered Nurse. There are Diploma Schools which are hospital based and rely on the apprentice model, the Associate Degree, started by Mildred Montag in response to a post World War II nursing shortage and the Baccalaureate degree. According to the American Association of Colleges of Nursing, Fact Sheet: Creating a More Highly Qualified Nursing Workforce:” 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.” The test does not differentiate between the ADN and BSN educational backgrounds. The ADN graduates from a two year program most often in a Community College setting that prepares nurses to provide safe nursing care...
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