...Nurses Educated at Associate Level vs. Baccalaureate Level Nursing Christy Lilly Grand Canyon University: NRS-430V-O501 March 27, 2015 Differences between Nurses Prepared at Associate Level vs. Baccalaureate Level Education can be a factor in determining a person’s success and well-being. Does the difference in RN education play a role in well-being of those they care for? I will explain some educational differences between an Associate Degree Nurse (ADN) and a Baccalaureate of Science Nurse (BSN). Also, I will share a clinical case scenario to demonstrate the differences in approach, experience and skills effect clinical decisions made by a BSN and an ADN nurse. Associate Degree Nursing Education The ADN requires two or three years of college, whether at a community college or junior college. The graduate earns an Associates of Science in Nursing and is qualified to take the National Council Licensure Examination (NCLEX) to become a licensed registered nurse (RN). The idea of the ADN was founded by Mildred Montag in 1952 due to the nursing shortage post World War II. Montag proposed a two-year program in junior or community colleges. Her intent was the ADN would be more educated than the untrained nurse, otherwise known as a practical nurse. The ADN would qualify to test for RN licensure and enter practice working under the supervision of a BSN nurse. Montag’s proposed framework and model was not executed completely. Instead institutions assigned...
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...“The critical appraisal of the research evidence associated with an area of my professional practice” Introduction I am going to critically appraise of research evidence on treatment of urinary stress incontinence in women with obesity. I chose this topic because currently I am working in urology department in hospital X, I am always have the chance to deal with women experiencing stress incontinence. In current practice we will teach them behavioral intervention program (pelvic floor exercise and bladder training) to lower the severity of urine leakage. That is why I want to explore more on this issue and see whether the use of vaginal cones also effective in treatment with behavioral intervention program. Obesity is a common problem in developed countries, with an incidence of 33% (Roreyt 1998), this problem may directly leading to stress urinary incontinence (Ouslander 1996) which may hinder the normal daily life of an adult. In Hong Kong Hospital Authority (HA) policy, there are no guideline in related to treatment regarding stress incontinence, it is always depends on surgeon’s preferences. Therefore I want to search for research evidence in associated with treatment of urinary stress incontinence which may beneficial in my working place. Main Body The two answerable questions formulated using PICO tool are: Quantitative Question – In women with obesity, how does behavioral intervention program compared to vaginal cones influence the occurrence of stress...
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...National League for Nursing Evaluation and Learning Advisory Committee (ELAC) ANNOTATED BIBLIOGRAPHY ON ASSESSMENT AND EVALUATION ELAC Members: Marilyn H. Oermann (Chair) Karen Saewert (Chair-elect) Pamela Rutar Suzanne Yarbrough Sub-committee Members: Reba Childress Dawne-Marie Dunbar Sally Erdel Barbara Haas Evelyn Hayes Debra Hurd Sheila Kyle Gayle Preheim, Chair Linda Siktberg Gale R. Woolley, Chair A comprehensive literature review was completed, reflecting best practices in assessment, evaluation, and grading in nursing. This annotated bibliography of the literature is organized into four areas: assessment and evaluation in (a) the classroom, (b) the online environment, (c) clinical practice, and (d) learning and simulation laboratories. There is a fifth section that provides references on the assessment of psychomotor learning and performance; that section is not annotated. This work was completed by members of ELAC and its subcommittees as noted above. 1 CLASSROOM ASSESSMENT Ahmad, N. (2002). Evaluation of teaching: Through eyes of students. Plano: Institutional Research Office, Collin County Community College District. This article reviews the student evaluations instruments used to evaluate learning and faculty in the classroom. The purpose of this article was to search for come standardized instruments of student evaluations. Instruments used are: Individual Developmental and Educational Assessment (IDEA), Student Assessment of...
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...competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level. 2. Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree). Refer to the American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce as a resource. Prepare this assignment according to the APA guidelines found in the APA Style Guide, Within the nursing profession, education is an essential component to the training and preparedness of nurses. This is also true with all healthcare providers as education provides the necessary tools and resources for personnel to complete tasks. The following paper will discuss the differences between an Associate degree in nursing and a Baccalaureate degree in nursing including each degrees’ implications in competencies. Additionally, to further explore these differences, a case scenario will be provided to demonstrate differences in decision making between each level of education. Associates Degree A nurse receiving his or her associate’s degree implies that they have undergone a minimum of two years of training and education. This can be achieved at most colleges including community colleges. Additionally, in order to graduate from an Associate’s degree in nursing, the individual must pass the National Council Licensure Examination...
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...Standardization of Nursing Protocol for Cardiac Arterial Bypass Patients Abstract Evidence-Based Practice (EBP) is an important factor in determining medical courses of action. Nurses have long used tradition rather than evidence in making decisions about beside care; to convince them to switch practice, it is useful to draw a comparison between the efficacy of these disparate routes. Our study designed a research question based on the PICOT model for the cardiac floors and designed procedures using the Kotter and Cohen’s Model of Change. In order to study the effect discussed in our PICOT question, a web search was conducted and the quality of each pertinent study reviewed. Introduction In the nursing staff of an adult Cardiac Surgical Care unit, how does the buy-in from the staff for Evidence-Based Practice (EBP) changes in a new Coronary Arterial Bypass Graft (CABG) pathway affect the decreases in infection rate among this patient population when compared to the old way of delivering patient care through nursing tradition in a six month time frame? The formation of a guideline for practice in nursing is not a new occurrence; books and manuals have been a reality for many years. However, in the past these resources lacked the evidence for standards of care, which traditionally have been based on professional consensus and tradition. The Joint Commission has recognized processes that can be measured regarding patient outcomes and care in order to meet standards for Medicare...
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...of Nursing NUR 391 September 19, 2011 Ethical and Legal Aspects of Nursing Nursing is an ever-changing profession that responds to diverse and complex issues of health maintenance, protection of patient safety, human rights, and dignity. Professional nurses are in a unique position as patient advocates, regardless of practice setting. Nurse’s face inherent ethical decisions making, and they are frequently involved in the ethical decisions both personally and professionally when ethical reason both for and against the choice are both equally desirable (Pierce, 1997). The ANA Code of Ethics with Interpretive Statements offers a statement for every professional nurse’s ethical obligations and duties, ethical standard, and commitment to society (ANA, 2001). Nurse must continuously meet standards of care and the ANA Code of Ethics and uphold fundamental legalities. Taking a closer look into the nurses ethical responsibility and fundamental legalities associated with direct patient care and as it would apply in the case study case study of patient Marianne, a 79 year-old female, who is admitted to the emergency department with hemorrhagic stroke, a grave prognosis of recovery and no advance directive. This paper will discuss legal responsibilities of the registered nurse as witness in a malpractice case of a nurse colleague found negligent in following standards of nursing practice. “The nurse’s primary commitment is to the patient who is the recipient of nursing care...
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...journal of Advanced Nursing, 1994, 19, 1024-1031 Curriculum evaluation in nursing education: a review of the literature Judith Chavasse BA RGN Dip Nurse Tutors Postgraduate Student, Departments of Education and Nursing Sfdies, The Queens University, Belfast, Northern Ireland Accepted for publication 29 September 1993 CHAVASSE J. (1994) lournal of Advanced Nursing 19, 1024-1031 Curriculum evaluation i nursing education: a review of the literature n Most curriculum evaluations in the literature have been reported by nurse evaluators; aims, criteria and methods are drawn chiefly from sociology, general education or management. There is an absence of studies exploring relevance to national health care need, nurses’ accountability to their clients and outcomes of cumcula. There appears to be much interest in innovatory programmes, students’ experiences and sociological understandings, with some concern for specific aspects of cumcula generally recognized as being problematic. The number of qualitative or mixed methodology studies is compatible with process cumcula and with academic and professional validation. EVALUATION OF NURSING CURRICULA The following year the erstwhile Joint Board o Clinical f Nursing Studies, finding that course planners lacked Evaluation of nursing curricula as a major consideration in knowledge and skills to evaluate their courses, produced nursing education in Britain and Ireland began to be a package which helped to introduce the practice...
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...throughout the ages and although nurses function in similar roles within the workplace, there are differences in competency based on educational background. This paper will focus on the competency differences in students trained at the associate level versus those trained at the baccalaureate level. Prior to 1909, prospective nurses were taught in hospital-based schools. These nurses earned their Diploma in Nursing after spending 2-3 years of intense training, living and working in a hospital. In 1909, the first permanent undergraduate university nursing program was established at the University of Minnesota. The time and money that was required for university programs made it difficult for many and enrollment was extremely low compared to the hospital-based diploma programs (Creasia & Friberg, 2011). In 1924, working with an endowment established by the Rockefeller Foundation, Annie Goodrich started a baccalaureate program, Bachelors of Science in Nursing (BSN), at Yale University. In addition to the core training that nurses received in diploma programs, Goodrich’s program was based on acute illness, psychosocial dimensions of illness and public health principles (Creasia & Friberg). Brought on by a desperate nursing shortage after World War II, nurse educator, Mildred Montag proposed a new program for training nurses....
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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...vs. THE BACCALAUREATE PREPARED NURSE 1 Educational Preparation Doris N. Nwoko Grand Canyon University College of Nursing Author Note Discussion on the differences in competencies between an associate degree prepared nurse versus the baccalaureate degree prepared nurse Abstract As nursing continues to strive for its rightful recognition in healthcare settings and the world at large, there has been and continues to be scrutiny and questions arising about the nursing profession. Also discussed is how does one differentiate the duties and responsibilities associated with one level from the other after all the term synonymous with both levels is a registered nurse (RN). The ANA definition of nursing is "Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations" (www.nursingworld.org). The ANA made no reference to the level of preparedness required to achieve the defined scope. On one hand, one might argue that the Associate Degree Nurse (ADN) and a Bachelor of Science in Nursing (BSN) both sat for and passed the same NCLEX-RN examination (www.aacn.nche.edu). On the other, the medical field in general continues to advocate investment in the baccalaureate prepared nurse in its effort to substantially reduce...
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...Adverse Events Associated With Organizational Factors of General Hospital Inpatient Psychiatric Care Environments Nancy P. Hanrahan, Ph.D., R.N. Aparna Kumar, M.A., M.P.H. Linda H. Aiken, Ph.D., R.N. Objective: Although general hospitals receive nearly 60% of all inpatient psychiatric admissions, little is known about the care environment and related adverse events. The purpose of this study was to determine the occurrence of adverse events and examine the extent to which organizing factors of inpatient psychiatric care environments were associated with the occurrence of these events. The events examined were wrong medication, patient falls with injuries, complaints from patients and families, work-related staff injuries, and verbal abuse directed toward nurses. Methods: This cross-sectional study used data from a 1999 nurse survey linked with hospital data. Nurse surveys from 353 psychiatric registered nurses working in 67 Pennsylvania general hospitals provided information on nurse characteristics, organizational factors, and the occurrence of adverse events. Linear regression models and robust clustering methods at the hospital level were used to study the relationship of organizational factors of psychiatric care environments and adverse event outcomes. Results: Verbal abuse toward registered nurses (79%), complaints (61%), patient falls with injuries (44%), and work-related injuries (39%) were frequent occurrences. Better management skill was associated...
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...Medicine, 853. doi:10.1186/1741-7015-8-53 Background Information The purpose of this article was to study if only changing peripheral intravenous catheters when clinically indicated verses every 72-96 hours was beneficial in regards to cost, patient outcomes, and staff workload. This subject made sense to this author as a practicing nurse on an inpatient oncology unit that manages all intravenous access sites. As a practicing nurse, it was not a rational process. This author often questioned discontinuing an access site when there was no evidence of clinical necessity. The authors indicated that peripheral intravenous catheters are the most common invasive treatment that patients experience while hospitalized. As an invasive procedure, the authors note that there is a risk of phlebitis and bloodstream bacterial infections. Phlebitis is indicated if there is pain, redness, or swelling at the site due to irritation from the catheter. The CDC currently recommends replacement of peripheral intravenous catheters every 72-96 hours. The authors reference previous studies indicating that the longer the need for treatment requiring a catheter the greater the risk of developing phlebitis versus the length of time one catheter is left in place. Using this information, the authors were compelled to challenge current recommendations of the CDC through a randomized controlled equivalent study. The authors’ use of a well structured purpose statement and introduction gave rise to my interest...
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...Education Today’s health care environment is undergoing significant changes due to complex patient’s needs, chronic health conditions, and technological innovations. Educating nurses within the 21st century requires a creative integration of knowledge, skill set, and caring within an increasingly complex healthcare system (Institute of Medicine [IOM], 2010). Nursing education is heavily laden with continuous content increases to be covered within the curriculum (Devereaux-Melillo, Dowling, Abdallah, Findeisen, & Knight, 2013). The need to examine curricular transformation is imperative in order to manage content saturation, and abate the separation of the classroom and clinical teaching. This paper will outline the following processes: (a) the development of a concept-based curricular plan for a baccalaureate program, (b) the impact of a concept-cased curriculum (CBC) on the faculty, students, finances, community of interests, accreditation, and (c) examples of the integration of competencies. Development of Concept-Based Curricular Plan Nursing faculty are challenged with curriculum, for they are presenting an astronomical amount of material to “cover the content”. According to Duncan and Schulz (2015) nurses practice conceptually on a daily basis by focusing on the patient needs, regardless of the medical diagnoses assigned. In order to practice conceptually, nurses must think conceptually by grouping important facts into concepts that can then be transferred from one...
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...Nursing History, Theories, and Conceptual Model (Author’s name) (Institutional Affiliation) Nursing History, Theories, and Conceptual Model There is a need for the existing nursing workforce to be well educated, in order to provide patient care that is of high quality. Furthermore, it has been found out through research that nurses who have graduate and baccalaureate degree levels perform well in their jobs (Parker & Creasia, 2006). They are known to have positive outcomes, fewer medication errors, as well as lower mortality rates. In an attempt, to come up with a workforce of qualified nurses, the American Association of Colleges of Nursing has set up new standards that have to be met. AACN seeks to ensure that the nurses are well educated in order to promote care delivery and clinical competency. This means that nurses who attend four year colleges have more positive outcomes as compared to those who do not receive such an education. The fact sheet provided by the AACN (2011) gives information regarding Registered nurses who are estimated to be about 3 million. Moreover, it shows that among the RN work force, half of them either have a graduate or a baccalaureate degree. The rest of the nurses either had a nursing diploma or an associate degree. According to the Robert Wood Johnson Foundation, there is a need for the nursing population that have baccalaureate degrees to be more educated. A report for the foundation claims that nurses...
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...Developing Effective Diabetes Care Interventions in Rural Populations Salem International University Traci L French May 20, 2013 Abstract: Diabetes mellitus wreaks a high toll on Americans in regards to shortened life expectancy, decreased quality of life and staggering health care expenses. Prevalence of this disease in some populations can reach nearly 30%, with 11.3% of the total population affected in 2010 (Texas Diabetes Institute, San Antonio, TX). In Arkansas, prevalence rates of the illness in some counties exceed 20% (Bradley, 2010). Recent statistics show that annual direct expenditures on diabetes care total $116 billion dollars per year with an additional $58 billion per year in indirect costs due to lost productivity and increased mortality (Texas Diabetes Institute, San Antonio, TX). The goal of this paper is to assess the development and implementation of current interventional strategies for diagnosing diabetes mellitus in affected populations in the southeastern United States. Outcomes of current programs will then be evaluated on a local, regional and national level. The final area of study will examine possible improvements to existing programs using culturally sensitive methodology to increase access to care within these populations and improve clinical outcomes while following evidence-based care guidelines. Diabetes mellitus is a costly illness, both in the number of lives affected as well as actual expenditures on health care and lost wages. In 2007...
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