...Associate-Degree level Vs. The Baccalaureate-Degree level July 7, 2013 Nursing is a profession that has been found of great importance and value over many centuries, since Florence Nightingale first made her rounds to her injured soldiers. The act of caring for sick people has been within us from the earlier centuries. In this modern era, nursing is considered as a profession that is of high standards due to the technological advancements and improvements in technology. Students who wish to pursue a career in nursing have different options such as Licensed Vocational Nurse (LVN), Associate Degree in Nursing (ADN), Bachelor of Science in Nursing (BSN), Masters of Nursing (MSN), and the Doctorate Degree of Nursing. These health programs are available due to the abundant need of nurses. The health care industries have recently asked many nurses with associate degree to advance their knowledge to a bachelor’s level. The completion of the associates’ degree can be done in 2 years compared to the bachelor’s degree program that’s done in 4 years. The ADN was introduced in 1952 and included clinical and theory nursing classes. According to Creasia and Friberg, “ADN programs prepare technical bedside nurses for secondary care settings, such as community hospitals and long-term health care facilities”. (Page 27) On the other hand, bachelors of nursing program degree allow nursing students to advance their nursing knowledge as well as become a well abled leader in the industry. The US...
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...versus the Baccalaureate-Degree level in Nursing. Gillian Gimby Grand Canyon University: NRS-430V August 11, 2013 Discussing the Differences in Competencies between nurses prepared at the Associate-Degree level versus the Baccalaureate-Degree level in Nursing. Nursing has been constantly evolving in every direction of the health care field. In the beginning of nursing it was built and expanded on many frameworks of education/models. In becoming a registered nurse there are many stage: general educations, prerequisites, nursing school of Associate or Baccalaureate degree, Master of Nursing in multiple fields and Doctoral degree. When becoming a registered nurse there consideration of what type of degree. Within this essay I will be viewing the differences between Associate-degree level (ADN) and Baccalaureate-degree level in nursing (BSN). Definition As defined by Wikipedia the definition of Associate -degree nurse is: “is a tertiary education nursing degree which typically takes 2-3 years to complete. This type of degree is usually awarded by community colleges or similar nursing schools. Students awarded an Associate of Science in Nursing are qualified to sit for the NCLEX-RN and apply for licensure as a Registered Nurse”. (Associate of Science in Nursing) As defined by Wikipedia the definition of the Bachelor of Science in Nursing: “is an American and Canadian four-year academic degree in the science and principles of nursing, granted by a tertiary education university...
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...Between Nurses Prepared at the Associate-degree Level Versus the Baccalaureate-degree Level. Amanda J. Perez Grand Canyon University: NRS-430V-0105 NRS-430V Professional Dynamics March 10, 2013 The Differences in Competencies Between Nurses Prepared at the Associate-degree Level Versus the Baccalaureate-degree Level. Although both an associate-degree level and baccalaureate-degree level prepared nurses may sit for the same NCLEX-RN exam, “nurses prepared at the baccalaureate-level are linked to lower mortality and failure to rescue rates” (AACN, 2012). This is simply one difference between the competencies of a nurse prepared at an associate-degree level versus one prepared at a baccalaureate-degree level. In the mid 1900’s an associate-degree level nurse was thought of as a “technical nurse”, closer to the role of a limited vocational nurse; created to assist the professional baccalaureate-degree level nurses during nursing shortages (GCU, 2013). Since then associate-degree level prepared nurses can very much function and practice on their own, once passing the state board licensing examination. However differences in patient care and nursing approach are evident between associate-degree level and baccalaureate-degree level prepared nurses. According to Table 2-1 “Comparison of Nursing Education Programs” in Conceptual Foundations: The Bridge to Professional Nursing Practice, the purpose of an associate- degree level program is to “prepare competent, technical, bedside...
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...Initially, when I graduated from my nursing program with an Associate’s Degree of Applied Science in Nursing, I thought I had reached the pinnacle of my formal education. After all, the rest was ‘on the job’ training. The opinion I held of Bachelor degree nurses was, quite frankly, that they were more educated in research and theory than they were in actual patient care. In my eyes, only nurses who wanted to pursue administrative roles were interested in furthering their degree. Pursing a greater nursing experience, I sought out any and all continuing education opportunities in my respective field. I completed short courses pertaining to critical care and hemodynamics, attended seminars and presentations, and acquired any certifications I was able. This served me well for several years. As my career progressed, I came to realize the irony of my prior sentiment. Ever more appreciative of the nursing process and affected by changes in modern medicine, I found myself looking for ways to improve the environment in which I devoted so much time and energy. In the pursuit of improving my department’s methods and practice, for both patient satisfaction and financial efficiency, I accepted my first leadership position in the cardiac catheterization lab. The rest, as they say, is history. A new passion was formed, and the love of contributing to continuous process improvement was born. Suddenly, I needed the formal education and degree I had previously rebuffed. So here I stand, humbled...
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...Grand Canyon University: NRS 430v Professional Dynamics February 19, 2012 Abstract For many years, society has debated about the nursing degree. What are the differences? What are the similarities? As nurses we have the opportunity to choose different levels of education. Which include: associate degree, baccalaureate degree, masters’ degree and nurse practitioner. In beginning we need to understand “What is nursing” in general? As defined by the ANA: 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. In my eyes nursing involves the use of critical thinking and clinical judgment to help us understand a client’s response to actual needs. Both ADN and BSN prepared nurses can provide the similar clinical bedside nursing skills, however, ADN prepared nurses training prepares them for specific patient care diagnoses and situations. BSN prepared nurses training prepares them for a more holistic approach, such as decision making, delegating, and oversight. However, the debate still turns to ADN vs BSN. ADN vs. BSN: Differences in competencies ADN: Associate Degree Nursing Associate degree programs are designed to train students to provide entry level care in a hospital setting. The ADN is an attractive option for many...
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...Running head: THE ASSOCIATES 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...
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...FALLS, CALL LIGHT USAGE Hourly Rounding Decrease Falls, Call Light Usage and Increase Patient Satisfaction Jacqueline Madison Grand Canyon University Introduction to Nursing Research NRS 433v Diana Nassar August 12, 2012 Hourly Rounding Decrease Falls, Call Light Usage and Increase Patient Satisfaction Hourly rounding is a continuing challenge for hospitals across the United States. What’s effective about this method is that it has brought some positive changes to some Health care facilities. There are three factors that have been constantly tested to improve patient care. These factors are: 1) fall rates 2) call light usage and 3) overall patient satisfaction. Previous researchers have done experiments that may have helped with improving the three factors. Reduction in patients’ injury due to falls is one of the safety goals of the Joint Commission. Research would suggest that patient’s falls can be damaging to the patient, their family members, staff, and can cause increase in health care cost. Prior studies have acknowledged the importance of fall prevention and patient satisfaction in hospital settings. Nurses, who are the primary care-giver for the patients, are the central impact of patient care. Therefore, the researchers depended on the medical-surgical nurse specialists (CNS) and nursing managers (NM) to make sure that all the patients’ needs were met in order to address the factors mentioned before. The researcher’s purpose for this...
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...is known as the “mother of modern nursing.” Her intelligence, classical education, religious beliefs as a Unitarian, and her family’s social status were all attributes that stimulated her drive to begin what nursing is currently. Nightingale’s Environmental Model is one of the earliest grand theories. It connects the concepts of the patient, the nurse, the environment, and health. Florence Nightingale pioneered the theory that the environment affects an individual’s health and illness, and that nurses can influence health by controlling environmental factors such as light, temperature, noise, sanitation, cleanliness, and diet. Florence Nightingale’s Environmental Model is still one of the most utilized theories today. It is known as a grand theory, but can also be used at the practice level. Keywords: Florence Nightingale, Environmental Model, environment, grand theory Florence Nightingale: Environmental Model Florence Nightingale was a pioneer of her time. She has had a great influence on what Nursing is today. Many nursing schools all over the world have been named after her and base their teachings after her original thoughts and theories. She was one of the first to inspire ideas such as equality for each patient, independent of their religion, sanitation regulations, and the idea that the environment can influence a patient’s health and illness. Florence Nightingale is known as the “mother of modern nursing.” She defined nursing as putting patients in the, “best...
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...Competencies between Nurses Prepared at ADN versus BSN level of Nursing with- Patient Case Scenario Name: Lu-Anna Godett Grand Canyon University: NRS-340V May 3rd, 2015 Nursing is a field that is constantly changing and evolving which makes it necessary for nurses to grow and evolve with it. One of the ways to facilitate these changes is through education. This paper will take a look at the difference in competencies of an Associates Degree and a Bachelorette Degree nurse. We also look at the differences in approach, and the roles that experience and skills play in the clinical decisions made by a BSN and an ADN prepared nurse by evaluating a clinical scenario of a BSN versus an ADN. Associate Degree Nursing This program takes about 2 to 3 years to complete, usually at a technical or community college. According to Ellis and Hartley (2008), this program was expected to put new nurses into the work field more quickly to help eliminate the nursing shortage. Mildred Montag designed the ADN in 1952 as an alternative to typical college education. Creasia (2011) states that Montag’s intent was that ADN nurses would work under the direct supervision of BSN level nurses. Bachelor Degree Nursing This degree is completed in a 4-year college or University. The first school to introduce this program was the University of Minnesota in 1909. Bachelorette nursing programs teach basic nursing skills along with concepts of health promotions and disease prevention...
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...Communication Regulations at Nightingale Hospital Western Governors University Communication Regulations at Nightingale Hospital Nightingale Hospital complying with Joint Commission’s is not occurring. The Universal Protocols (UP) met on some months and not on others. The Time-Out Hospital Wide UP looks like hospital was increase in compliance over the year and reached the one hundred percent make until December. This protocol should be preform at every surgery or minor procedure (where necessary) according to hospital policy in which involves laterality. The National Patient Safety Goal Data (NPSG) for communication in Hospital Wide Compliance of Reporting Critical Results within sixty minutes met one hundred percent, zero months during the year. This Joint Commission has this rule because it wants to protects the patients to be safe such the another event will not occur. The second NPSG is a Verbal Order/Read Back Audit by different department. The department with the lowest percentage is the Orthopedic. The nest NPSG is Unacceptable Abbreviations. The abbreviation which is not in compliant at the end of the year is Unit (U). The violation even increase to sixty-three percent from seventeen percent. The Joint Commission purpose is to conducted periodic audits of hospitals. This audits determine whether the hospital puts the patients in danger or not. The Joint Commission believes seventy percent of the sentinel events occur because of communication failure...
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...Running Head: My Philosophy of Nursing My Philosophy of Nursing Ethics Paper * Sarah Penrose, RN * Grand Canyon University * NRS 437 5-15-11 My Philosophy of Nursing Ethics Paper Ethics is known as the study of moral thought in regards to one’s own religious beliefs, values, feelings, and standards to issues or situations confronted by. This paper I am writing will describe my view of philosophy of nursing which everybody has different beliefs about nursing overall. In my paper I define a nurse as someone who is an advocate, compassionate, caring, educated, and encouraging about their career in every aspect. Personal, Cultural, and Spiritual Values Since I was twelve years old, I have wanted to become a nurse to help others because of my parents. My father broke his neck when I was twelve and it was devastating because he was a piece of me I didn’t want to live without and he was there for me for everything. I watched my father and family struggle when this accident happened and it was hard to adjust. My dad lived in Las Vegas for almost two years going through surgeries and rehabilitation after the accident and by watching the amazing physicians and nurses working with my father had me amazed, inspired to achieve something great in my life and that choice was to become a nurse. I believe the personal values a nurse holds for themselves is a critical role in their profession of nursing and can have an impact on how ones community accepts the...
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...The Future of Nursing: “Leading Change, Advancing Health” Introduction In brief report of Institute of Medicine (IOM) of october 2101 “ the Future of Nursing” states that the nursing profession is the leading agent of work force in health care today. With the implementation of the Affordable Care Act (ACA), which will entitle additional 32 million Americans to have access to health care, the nurses will need to be well educated and be prepared to meet the current and future demands of the health care system.( pg 271). In this paper I will be discussing the impact of the IOM Report on nursing education, on nursing practice, particularly in primary care, impact of the IOM Report on nursing role as a leader, and finally, how I as a nurse will implement these changes in my practice to meet the goals of the IOM Report. Impact on Nursing Education; With the evolving health care demands, changing and expanding nurses role in acute setting as well as in the community education plays most important part. In the IOM report the emphasis was placed on advancing nursing degrees, to make easy, seamless transition to advance nursing practices and to improve education system. Advancing Nursing Degree. First is advancing nursing degree by increasing the proportion of nurses with a baccalaureate degree to 80 percent by 2020, and double the number of nurses with a doctorate by 2020. ( pg 22). IOM directs health care organizations to encourage nurses to advance their degrees...
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...Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice Grand Canyon University Theoretical Foundations for Nursing Roles and Practice NUR-502 Jennifer Wood, BSN, MSN, PhD. January 1, 2015 Applying Theory to a Practice Problem: Part 1: Introduction and Problem of Practice Theory serves as the foundation for understanding the essence of nursing and it gives the nurse the opportunity to understand the reason for the occurrence of an event (McEwen & Willis, 2014, p. 413). In different clinical settings, nurses care for patients amidst all the interruption and distraction and therefore are prone to making medical errors despite their best intentions. Medical errors are common in most healthcare settings and more so in the critical care units. According to the 1999 Institute of Medicine (IOM) report, several thousand people die each year from avoidable medical errors. Medical errors have been defined in different ways by various authors but one that captures the essence of this problem is that contained in the IOM report of 1999 which described this issue as “the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim” (IOM, 1999). Medical errors include but are not limited to medication errors, errors associated with medical and surgical procedures, those associated with transcription and charting activities, adverse drug events, restraint-related injuries, or mistaken identities and are more likely...
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...Discussing the Differences in Competencies of AND vs. BSN Norma Gill Grand Canyon University: NRS-430V November 10, 2013 There was a time when a being Registered Nurse (RN) was sufficient and society did not express concerns on how an education was obtained. The baccalaureate nursing program is considered to be the beginning level of professional nursing. The nursing profession is often confusing mainly because of the various entry levels into the nursing field (Creasia & Reid, 2011 p 25). The ways it can be received are from a hospital diploma program, community college or four-year university. Nursing is a wonderful and humbling profession and it is often a self-disciplined one. No longer is it mainly focused on direct patient care and clinical skills, but one of more complexity that requires advanced skills, assessments, critical thinking, leadership, clinical decision making, case management, health promotion, and collaboration with other discipline of healthcare (Rosseter 2012). There are two types of RN’s, an Associate Degree Registered Nurse (ADN) and a Baccalaureate of Science Degree Nurse (BSN). Both of these types of graduates sit for the same examination to become licensed which is called the NCLEX-RN. However, there are differences in competencies between the two. In relation to nursing, competencies are defined by education and skills for each nursing titles (Hardy, 2013). The ADN is usually comprised of being a two or three year program and is found...
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...The Future of Nursing through Education, Practice and Leadership Grand Canyon University Nursing 430 Professor Jude Belmonte Raeanne Shope December 15, 2013 The Future of Nursing through Education, Practice and Leadership In the 21st century the focus of healthcare and the way it is disbursed needs to change to fit the needs of an aging population. As the face of healthcare changes, nurses must change and become more involved in all aspects of patient care. Nurses must step out of the shadows and assume a leadership role and shape policies that affect patient care. The Institute of Medicine report” The Future of Nursing” researched nursing education, practice and leadership and made recommendations on how to elevate nurses to their full potential. Changes need to occur throughout the profession with emphasis on education, practice changes and leadership. There are numerous barriers that prevent nurses from responding to the rapidly evolving heath care setting. These barriers will need to be removed so nurses can lead changes and drive advances in health care (The future of, 2011). Nursing is one profession with multiple entry level positions, LPN, ADN, and BSN. With so many levels of education and no seamless transition of education from one level to another, nurses struggle to achieve higher education. Improving the education system and achieving a more educated workforce, specifically increasing the number of nurses with baccalaureate degrees, will change...
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