...Degree Prepared Nurses Achieving a Baccalaureate of Science in Nursing (BSN), or an Associate’s Degree in Nursing (ADN), makes an individual eligible to sit for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Once either candidate successfully passes he or she is granted a Registered Nurse (RN) license and can gain employment in the workforce. With licensure as a RN come the core values that each nurse accepts while practicing nursing (Creasia J. & Friberg E., 2011). Both degrees hold the RN to the same level of accountability. These programs show varied curriculums, which produce differences in the outcome of the competencies that each RN exhibits. A BSN program is offered by a four-year college or university. The focus is on theory, collaboration, and evidence based practice, while encompassing and embracing the entire nursing picture. Within the BSN program, students discover perspectives about human diversity and promotion of spiritual and healthy wellbeing, as well as digging deeper into the ethical, political, historical, and social influences that have shaped and continue to shape the world of nursing (American Association of Colleges of Nursing, 2008). The number of BSN program options has steadily increased over the last several years. The ADN program is typically a two year program that centralizes its learning around the clinical skills and tasks of everyday nursing. It focuses on the learning the knowledge and skills required to...
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...with what they need. "Health care needs more nurses that are prepared to implement solutions – and the BSN curriculum emphasizes leadership and evidence-based practice in a way that the much shorter ADN program can not." (2014, para. 6) So how do we become more prepared? More preparation and more education. A Baccalaureate degree can help our nurses to be better prepared in many ways. Nurses with a baccalaureate level education are associated with lower mortality rates, more positive outcomes and increased critical thinking. Lower Mortality Rates There is much evidence to support that nurses with baccalaureate degrees are associated with patients that have lowers mortality rates. "In a study published in the October 2014 issue of Medical Care, researcher Olga Yakusheva from the University of Michigan and her colleagues found that a 10% increase in the proportion of baccalaureate-prepared nurses on hospital units was associated with lowering the odds of patient mortality by 10.9%."( 2015, para. 8) This article goes on to quote many more examples of research that associates nurses with a Baccalaureate degrees to lower mortality rates. Facts are facts. We want less deaths, we need more qualified nurses. More Positive Outcomes Increased Critical Thinking Patient care can be increased when a BSN prepared nurse is on the scene. Critical thinking...
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...Dynamics Diane Irby January 25, 2014 Introduction In 1860 nurse training began after the Crimean war. Florence Nightingale started the nursing program by caring for the sick, injured and dying soldiers during the war. The first nursing school was established in London. During the civil war the American women provided skilled nursing care. During world-war II they needed more nurses so an Associate’s Degree nurse program was developed. This was intended for them to work in the field of nursing as a technical nurse, assisting and working under the supervision of the professional nurse. (Creasia J., & Freiberg, E (2011). Differences in competencies between the Associate degree nurse and the Baccalaureate degree nurse There are 3 levels of nursing. 1. The diploma nurse who is trained by the hospitals this level hardly exists anymore. 2. The Associate’s degree nurse who gets the training at community colleges and Universities. They learn the technical aspects of nursing by learning the knowledge and skills needed to provide direct care to patients and families mostly in the acute care setting. 3. The baccalaureate nurse which is earned at the university. The BSN is taught the technical skills and knowledge but in more details and depth along with emphasis on assessment, research, critical thinking, Case management, Leadership and health promotion (Dianne S. Moore,PHD,RN,CNM,MN,MPH West Coast University). Research has shown that the BSN degree nurses are well prepared...
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...Competences were created to govern the continuum of several types of nursing practices in all aspects of nursing programs and thus set the pace for graduates to provide accurate and competent care at a higher level of performance that displays knowledge, skills, abilities and judgment (American nurses association 2008 pg. 3) As healthcare becomes more advanced and complicated both level of nurses at the Associated Degree Nurse and the Baccalaureate nurse tend to differ due to the fact both category has its own responsibilities and role The role of the Associated Degree nurse is primarily based on technical skills as oppose to the nurse with a baccalaureate degree is competent in both technical skills and more advanced in critical thinking communication and decision making skills an Associated Degree Nurse is none the less responsible in both hospital or non hospital environment. Even though there’s a difference with the level of competency in both categories of nursing yet both categories are expected a generally high level of safety practice in every respect . A nurse with an Associate degree in no doubt expects to apply their objectives and theories into providing the highest level of care. This nurse is expected to demonstrate experience and skills gained through her years thus administering the optimum of care to clients. It is of significance that this level of nurse develop a sense of comradely with clients and members of their family...
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...BSN and ADN Prepared Nurses. he eThe endeavor to maintain properly trained and educated nurses dates back to the 20th th century with the inception of the Diploma program and the Baccalaureate thereafter. In their undifferentiated roles to affect positive outcomes in the multilevel entry nursing professional practice, the Bachelor of Nursing (BSN) prepared nurse is more prepared than the Associate Degree (AD) and Diploma in Nursing prepared nurses in professional competency, therefore thecompetency. The purpose of this paper is to examine the professional competencies as evident in education, evidence-based practice (EBP), critical thinking and communication. Multi-level entry and undifferentiated roles are discussed as they have a significant connection to the nursing professional competency. Undifferentiated roles Undifferentiated roles BSN, AD and Diploma prepared nurses hold the same licensure, received upon passing the minimum required technical skills for entry to the nursing practice. The test is conducted by the National Council of State Boards of Nursing (NCSBN). Education The first nurse training program, the Diploma, was based on the apprenticeship model, championed by Florence Nightingale. The Diploma program is hospital-based and still exists today. The wars, federal legislation legislations and the high demand for the nurses were the greatest...
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...professions (Gopee, 2011) as too have the requirements for mentors within the health profession. The current definition from the Nursing and Midwifery Council (NMC, 2008a) states that “A mentor is a registrant who has met the outcomes (of a mentor preparation course) and who facilitates learning, supervises and assesses students in a practice setting” (NMC, 2008a). The role of a clinical nurse mentor is described as someone who supervises, teaches and assesses student nurses in a practice setting (Jokelainen et al, 2011, Ousey, 2009), although the role is more complex in that a clinical nurse mentor needs to process the ability to select and support learning opportunities, they have a responsibility to manage diversity and equality, be accountable and ensure standards are maintained (NMC, 2008a). This is supported by Jokelainen et al (2011) who describes mentoring as being complex due to contextual, collegial, pedagogical and clinical teaching. Student nurses are supernumerary in the practice placement, meaning they are there as learners even though they must make an active contribution to the work of the practice area (RCN, 2007). Their active contribution is additionally supported by Morgan (2002) who emphasises that students may feel surplus to requirements through their supernumerary status. Standards relating to mentoring nursing students are set by the Nursing and Midwifery Council (2008a). They include; establishing effective working relationship through placement orientation...
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...competencies between the nurses with Associate Degree (ADN) and Bachelor’s degree (BSN) in Nursing. The contemporary nursing career demands critical thinking, effective communication skills and comprehensive knowledge. To be equipped with these attributes, a Nurse must pursue at least the BSN degree program. The salient points considered for this analysis and finding are: • A comparison of curricula of both programs. • Increasing requirement of Educators, Researchers and Administrators in Nursing. • Patient safety, quality of care, sync with technological advancements. • A patient care situation. DIFFRENCES IN COMPETENCIES OF NURSES WITH ASSOCIATE DEGREE AND BACCALAUREATE DEGREE Education is an infinite process. Everyday, new developments emerge and new deceases and remedies discovered. The overall outlook of healthcare professions has dramatically changed in the past few decades. Nursing plays a very critical and important part in efficient care and patient safety. Nurses work shoulder to shoulder with physicians in treatment planning and management. Legal and ethical responsibility of the care provided is also increasingly shared by the Nurses. Nursing profession thus calls for better qualified and well groomed nurses. Even though associate degree programs prepare nurses for patient care in a hospital setting, that training is insufficient for a variety of nursing roles. Comparison ADN program is designed to provide the skills and knowledge to become...
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...reasoning in relation to your development in the Nursing field, one will have to define these two terminologies. Personal development means to include activities that improve awareness, can develop potential that will ultimately enhance the quality of life. Medical colleges advocate personal development plans as a basis for continuing professional development. Whereas, reflective reasoning is where a nurse can apply learning and insights of others into their own work. In nursing courses students learn through lecture and discussion, which is the primary method for teaching theoretical principles, but when you add a more complete understanding of the relationship between theory and practice one may become a more competent nurse. Awareness of issues and analysis of knowledge and feelings are some stages that are involved in reflection but then identification and integration of new learning is needed as well. By consciously engaging in their own and others reflection it is believed that the level of professional interaction will improve. Motivation, one issue bound to crop up in ones work life, as well as leadership and of course managing conflict these are some issues when speaking of personal development. The ability to reflect upon us is a valuable part of human life, insisted Taylor (2000). Reflection and reflective practice are claimed to enhance professional development, link theory and practice, promote critical thinking, lead to self-awareness and understanding, empower...
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...significant noting that low retention rates are costly for health care facilities as well as for the economy. According to Gemberling, Tretter-Long, Reiner, Potylycki, and Davidson in their article Clinical Support for the Off-Shift Nurse and the Graduate Nurse: The Clinical Rock Stars, “Depending on the specialty, estimated replacement costs for an RN were $42,000-$64,000 [in 2005]” Gemberling et al. (2011). This topic is especially important for new graduate nurses when considering a first place of employment. Nursing educators and health care managers have been analyzing and designing new ways to combat low retention rates specifically for newly graduated nurses. Review of Literature Several factors influence job satisfaction, which is a key characteristic that effects job retention rates. Gemberling et al. (2011) found that most new nurses leave their first job because of stress related to feeling overwhelmed, lack of guidance and support from management and seasoned nursing staff, limited clinical skills, feeling of unpreparedness, and fear of causing harm to the patient. These complications are mainly related to a general lack of confidence by new graduate nurses when practicing under minimal supervision. Even though most of these concerns are acquired with experience,...
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...reasoning in relation to your development in the Nursing field, one will have to define these two terminologies. Personal development means to include activities that improve awareness, can develop potential that will ultimately enhance the quality of life. Medical colleges advocate personal development plans as a basis for continuing professional development. Whereas, reflective reasoning is where a nurse can apply learning and insights of others into their own work. In nursing courses students learn through lecture and discussion, which is the primary method for teaching theoretical principles, but when you add a more complete understanding of the relationship between theory and practice one may become a more competent nurse. Awareness of issues and analysis of knowledge and feelings are some stages that are involved in reflection but then identification and integration of new learning is needed as well. By consciously engaging in their own and others reflection it is believed that the level of professional interaction will improve. Motivation, one issue bound to crop up in ones work life, as well as leadership and of course managing conflict these are some issues when speaking of personal development. The ability to reflect upon us is a valuable part of human life, insisted Taylor (2000). Reflection and reflective practice are claimed to enhance professional development, link theory and practice, promote critical thinking, lead to self-awareness and understanding, empower...
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...Management & Education Services Chicago, Ill For most of my career, I've been in leadership positions. Only 6 months after beginning my nursing career I was “promoted” to assistant head nurse, night shift. At the time, I was naïve enough to think it was my innate skill and ability, when the reality was more likely the fact that no one else wanted the job. I continued to serve in leadership or managerial positions when I became a nurse-midwife. Several years ago, after many years serving as a director of various nurse-midwifery services, I had the disconcerting but ultimately rewarding revelation that I was not a very good boss. Sure, I was good at negotiating the budget, and getting the midwives decent working conditions, but I was autocratic and aggressive, not very desirable characteristics of a leader. I decided to shift into teaching, something I enjoyed and did not require that I be “in charge” of anyone but myself. To keep clinically active, I took a per diem position as a nurse-midwife at a local hospital. It is a position which I still hold today and one that gives me great pleasure. And it is in part because my current boss is such a skilled leader, a leader that I am proud to follow, that I became interested in the concept of followership. | | It seems that a lot gets written about leadership in both business and healthcare. And, certainly we can all agree that leadership is critical to successful teamwork. In fact, teamwork seems to be the topic du jour in many...
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...What is your view of “Professional Nursing”? Nursing is a profession that has its depth and breadth in meeting different health care needs of the population (American Nurses Association (ANA), 2010). What is it that makes a professional nurse? Is it caring for the patient with compassion and devotion? Based on the interviews conducted among the three categories of staff, it was echoed that professional nursing takes a lot more than just attending to the needs of patients. From a professional perspective, nursing has a complex natural history of identification as a vocation with aspiration of being a profession from a long time (Brown & Libberton, 2007). In the past, the image of a nurse was as clear as, “the nurse is one whose studies give him or her just enough knowledge to follow and apply the decisions taken by the doctor or surgeon” (Gordon, 2000, p.218 cited in Harmer, 2010, p.295). Today, with the diversity of the nursing profession and the extension of the role of the nurse, defining a professional nurse is becoming complex. The identity of nursing is becoming blurred while trying to advance the profession (Harmer, 2010). According to Styles (2005) cited in Allen (2007), the attributes that are expected in professional nursing are higher academic education, a research based specialized body of knowledge, distinct service to society, a code of ethics, autonomy, accountability and authority over work. Be this as it may, the International Labor...
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... integrity, strong leadership skills, and is a health educator. The healthcare leader was born in the city and raised to farm life with her grandparents and enjoyed helping her grandfather with the animals on the farm. She knew as a teen she wanted to be a nurse. If she could help animals feel safe and secure, she believed she could do the same with people. The healthcare leader is hard working and never asks anything from anyone she is not willing to assist with or do herself. She has energy and is a goal achiever. Individuals who know or work with the leader know her determination. She has a vision and strives to achieve the goal of that vision with her team of students. The result is always for the benefit of the patient, the organization, and the team. She currently holds the position as program coordinator for the practical nursing program. Student: You have achieved a position of leadership in the nursing community as a health educator. Could you tell me a bit about your background and the role that you have today? Leader: “Graduating from high school I entered the practical nursing program at Saline County Career Center (SCCC). I graduated from SCCC as a practical nurse. After obtaining licensure, I worked in long-term care for two years. Deciding I wanted more, I returned to school to continue my education. I wanted to teach and share my knowledge and ideas with others. I graduated from State Fair College with an associate’s degree in nursing. I worked two years...
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...will detail the differences between ADN(associate degree nurse) and BSN(baccalaureate degree nurse). Both are nurses but they are different in the amount of education each degree requires. Associate Degree Nurse ADN nurses are those that attend community colleges for 2 to 3 years. ADN graduates are qualified to take the National Council Licensure Exam (NCLEX). If the AND graduate passes the NCLEX, they are licensed as a registered nurse in the state they live Baccalaureate Degree Nurse BSN nurses attend college for 4 to 5 years. The first 2 years are mainly general education classes. The last 2 to 3 years are nursing classes. BSN graduates are also eligible to the NCLEX. They also are licensed as a registered nurse if they pass the state text. In the post war years both ADN and BSN programs were founded. The ADN program was established to address the nursing shortage. It was a shorter program that concentrated mainly on clinical skills. BSN programs also focused on clinical skills but went on to teach education and administrative skills. BSN programs are mainly taught in universities unlike ADN programs. Some studies have shown that higher qualified and educated nurses such as those with a BSN degree, produce better patient outcomes. A study of Magnet hospitals in Pennsylvania which employed more BSN nurses, had a lower rate of inpatient deaths within a 30 day period and lower odds of failure-to-rescue compared to non-magnet hospitals with more less educated ADN nurses...
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...Nursing is said to be the largest healthcare job in the United States with above 2.6 Million registered nurses (RN’s) working in the hospital and other different settings in the nation. Nursing programs offered by community colleges and four-year universities must meet the growing demand to replace the nearing retiring nurses. (www.aacn.nche.edu/aacn-publications/position/joint-statement) Increasing expansion of clinical knowledge and complexities of patient’s health status mandates current nurses to have a high level of education with diversified skills. The registered nurses requires not only can practice across multiple setting such as simply performing procedures, giving medication and starting an IV’s but also they must exceeds in out of the hospital settings as well. They must know how to think logically and critically in making the appropriate decision in regards to patient care and able to manipulate high tech equipment. Preparation includes greater knowledge to community based health care, giving importance to health promotion, maintenance and cost effective care ("American Association of Colleges of Nursing," 2000, p.1). Nowadays, student can have choices either to have Associate level degree of nursing or Baccalaureate level degree of nursing. Both ADN and BSN must pass the NCLEX-RN licensing examination. The truth is even though nurses pass the NCLEX exam at the same rate does not mean that all entry level nurses are equally prepared for practice. The test only requires...
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