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ADN to BSN – What a Difference

When considering our nursing profession, we must look at the differences that a Baccalaureate Degree program offers compared to an Associate Degree program. Both nurses are caregivers, patient advocates and have an interest to promote health. The Associate Degree nurse holds the minimum entry level of education required for a Registered Nurse license. Associate Degree programs focus on applied sciences and clinical experiences. A Baccalaureate Degree program focuses on a broader range of theory, community and leadership. Advanced knowledge allows the nurse to better assess, utilize critical thinking skills and provide a more holistic care which leads to improved patient outcomes. Nursing has evolved greatly over time and to fully appreciate the differences of the degrees, we must look at the history of nursing and what brought about the different education levels. It all began with Florence Nightingale, the founder of the profession of nursing. Florence Nightingale recognized the need for an organized and formal education in nursing. She developed the nurse apprenticeship and the basis of what we learn today. She made nursing a respectable profession. In the early 1900’s most nurses received training in hospital based programs. After WWII, many women left the workforce to marry and start families. This left the country with a critical shortage of nurses. Congress enacted the Hill-Burton Act (Coleman, 2005) which funded construction of many new hospitals across the country. Along with a rise in chronic disease among elderly populations, advancements in medicine and an increase in patients with health insurance demanding care; the need for more nurses escalated. Many strategies were offered to try to bring relief. Utilizing nurse’s aides, practical nurses, importing foreign nurses and improving

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