...The Great Nursing Debate: Differentiating Competencies between Associate-Degree Level Nurses and Baccalaureate-Degree Level Nurses By: Candace Williams Grand Canyon University: NRS 430V March 13th, 2011 The Great Nursing Debate: Differentiating Competencies between Baccalaureate-Degree Level Nurses and Associate Degree Level Nurses Since the 1960’s, there has been much debate as to what the required entry level education should be for the Registered Nurse (RN). While there are many different levels of education that an RN can obtain, the most common two types of practicing nurses are the Associate-Degree nurse (ADN) and Baccalaureate-Degree nurse (BSN). While both of these types of nurses perform the same bedside patient care, there are several differences in their educational training and competencies. In response to the passage of the Comprehensive Nurse Training Act of 1964, the American Nurses Association (ANA) publicized a position paper calling for the minimum requirement of the entry level nursing be a baccalaureate degree. The ANA began researching nursing education and scope of responsibilities and concerns were raised about the hospital-based diploma programs amidst the growing complexity of the healthcare system. The ANA noted specific changes in nursing practice that included "major theoretical formulations, scientific discoveries, technological innovations, and the development of radical new treatments" (ANA, 1965, p. 107). This paper examines the...
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...Running head: COMPETENCY DIFFERENTIAL BETWEEN ADN AND BSN Competency Differential Between ADN and BSN Grand Canyon University NRS-430V Competency Differential Between ADN and BSN The role of a nurse has been recognized for centuries. The educational requirements of a nurse have been debated for about as long. Throughout the centuries, the role of the nurse has changed and at the same time, so have the education requirements for entry into the profession. Nurses have been educated in different scholastic settings 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...
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...Competency Differences Between ADN and BSN Nurses Rashpal Mangat Grand Canyon University: NRS 430V Jayme Goodner September 18, 2013 Competency Differences Between ADN and BSN Nurses The difference in competencies between nurses trained at the associate-degree (ADN) level versus the baccalaureate-degree level in nursing (BSN) is miniscule. The BSN program incorporates most of the curriculum taught in the ADN program, excluding the leadership/ management, public health and critical thinking aspects. In 1951, Mildred Montag introduced a 2-year degree program (ADN), which trained the nurses for “intermediate functions requiring skill and some judgment” (Schank & Stollenwerk, 1988). In Montag’s curriculum, the role of nurse was focused on clinical skills and mostly task oriented. Due to the advanced education, a BSN graduate varies from a ADN graduate, in that they are well equipped to have a broader scope of practice, better comprehension of the culture, economic and public health issues that impact the patients. According to the American Association of College of Nursing (2012), nurses prepared at the BSN level, tend to have lower mortality rates, scarcer medication errors, and encouraging outcomes (Fact Sheet, 2012). In this paper, nursing judgment on patient care situations will be the differentiated between ADN and BSN competencies, which regard to the three major factors only required within BSN education: leadership/management, critical thinking and public health...
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...The Competencies of ADN Nurses vs. the Competencies BSN Nurses Grand Canyon University: NRS-430V May 5, 2012 Abstract Both ADN and BSN nurse needs to take licensing examinations to start working as a registered nurse in the United States. Associate degrees require two years of studying in a community college. However a bachelor’s degree requires four years of academic studying in a college. The first topic of the paper is whether not the risk taking propensities of the nurses changed between ADN and BSN nurses. A second topic of this paper is whether there is a different sort of management role between ADN nurses and BSN nurses. Lastly the quality of work between the Associate Degree Nurses (ADN) and Baccalaureate Degree Nurses (BSN) will be examined to see if the competency of the ADN and BSN differs. The Competencies of ADN Nurses vs. the Competencies BSN Nurses History of Nursing According to Joan L Creasia and Elizabeth Friberg, the first baccalaureate degree of nursing in the U.S.A was started in the University of Minnesota in 1909. Until the 1950’s the program usually consisted of two years of general education and then three years of nursing education. These nurses who graduated in 5 years could either begin as a general nurse who works in the hospital and is a part of patient care or they can join the management side of patient care and become managers of hospitals. For the BSN they would have to study liberal arts, patient quality...
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... 1 Educational Preparation of BSN And ADN Paper. Benice C Ejiogu Grand Canyon University: NRS 430V 8/19/2012 EDUCATIONAL PREPARATION 2 Educational Preparation of BSN and ADN The differences in competencies between Nurses prepared at the associate –degree level versus the baccalaureate-degree level should not be over emphasized due to the fact that their educational preparation differs in different ways. ADN students has 3-year associate degree program, which comprises of both theoretical and clinical experiences. While BSN has a total of 4-year baccalaureate- degree program ,both theories and practical inclusive. McIntosh, T., Duske, S., Anderson, M., & Hill, P. (2008). These nurses has many qualities in common, but their competency level differs in different ways. Competency is defined as the integration of skills and knowledge required to perform a role in a particular setting (McConnell, 2001). Competency can also be defined as an individual’s actual performance in a particular situation, described by how well the individual integrates knowledge, attitudes, skills...
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...leaders and professional nursing organizations say the primary differentiator between a technical nurse and a professional nurse is the level of education. The Nursing Diploma and two-year Associates-Degree Nurses (ADN) are considered “technical” while a nurse with a four-year Bachelors of Science Degree in Nursing (BSN) is considered “professional”. The distinction of differentiating nursing capabilities based on education arose after the creation of the two-year ADN programs at junior colleges. After World War II there was a sudden growth in junior colleges to support the demand for technical training and education of returning veterans. At the same time there were accelerated advances in medical sciences and facilities and a supporting demand for more nurses. Creative educators, led by Dr. Mildred Montag, starting in the early 1950’s created the two-year ADN curriculum to help meet the growing demand for nurses. “Dr, Montag’s doctoral research, not only as the spark that began the Associate Degree Nursing movement, but also the research base that proved her ideas could work in the real world and established Associate Degree Nursing as the only nursing program that was research proven over time.” However, some educators took liberties and experimented with the ADN curriculum as they worked to provide the best mix of clinical and classroom education. In 1965, the American Nurses Association (ANA) published a position paper titled “A Position Paper on Education Preparation...
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...BSN is better than ADN really? Grand Canyon University Grand Canyon University NRS 430V November 3, 2013 Education Preparation Paper With the focus on economical, Political, and technological advances, the healthcare is moving at a rapid pace in today’s world. To meet the consumers educational healthcare needs they are looking for the safest and most effective care they can receive. There are differences in collegiate competencies between nurses prepared at the associate degree (ADN) level versus those with a bachelorette degree (BSN). Scope of practice and state regulations are the same for either nurse. However, how the nurse cares for or approaches decision-making tends differ between the two entities. Allowing nurses to be academically prepared in the workplace and to offer the community professional knowledge needed to care for their families and loved ones with preventive care and improve patient outcomes (Sexton, Hunt, Cox, Teasley, & Carrol, 2008, p. 105) Differences in Competencies Associate Degree programs are offered at community colleges around the country. Associate Degree in Nursing (ADN) provides and efficient, economical pathway to becoming a registered nurse (Raines & Taglaireni, 2008). The number of ADN programs around the country has steadily increased since being introduced in 1958 with about 1000 programs across the country (Raines & Taglaireni, 2008). The ADN program is shorter and more concise which focuses on the clinical skills and...
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...Running head: ADN vs. BSN ADN vs. BSN ADN vs. BSN When I read the assignment for this paper, I thought the answers were clear cut and easy. As I was researching for the paper, I found that I was becoming extremely defensive in the cases where studies were attempting to prove Associate-Degree Registered Nurses were not as competent as Baccalaureate-Degree Registered Nurses. I felt personally attacked. When I asked myself why I was taking this course to further my education and proceed towards obtaining a Baccalaureate-Degree, the answers became clear and obvious once again. In researching the differences in competencies of nurses prepared at the associate-degree level verses the baccalaureate-degree in the nursing field there was little evidence to show a significant difference in initial practice. Both ADN and BSN nursing graduates are required to pass the same National Licensure Council Examination (NCLEX). BSN and ADN nurses initially practice at a similar level. (Davis-Martin & Skalak, 1992, p. 27). In the both ADN and BSN nursing programs students are prepared with courses in ethics, nursing process, critical thinking, accountability, and basic understanding of cultural diversity among the nursing curriculum. Yet there are some basic preparation differences. BSN prepared nurses are required to take courses in liberal arts and humanities which create a well diverse or well-rounded student. The BSN program also requires courses in community health, and more...
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...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...Title: differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level. Patient Care Scenario Barbara Doherty Grand Canyon University: NRS-430-O102 September 21, 2014 Differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level. Patient Care Scenario “BSN- prepared nurse have a positive impact on lowering mortality rate.” (Tourangeau et. al. , 2007 p.6). As the health care industry is constantly evolving at a fast pace, education is with no doubt one of the most influential aspect that nurses have to conquer to be able to give the best patient care. This paper will argue with solid evidence-based research the differences in educational preparation between a Baccalaureate degree nurse, BSN, and an associate degree nurse, ADN. Different approaches in decision making and patient care will be explained, using a clinical situation, amongst a BSN nurse and ADN nurse showing that BSN nurses make better decisions concerning patient care. Associate Degree Nursing and Baccalaureate Degree Nursing There are three possibilities to become a registered nurse and those are: a 3- year diploma, a 3-year associate degree, which is the equivalent of an ADN degree, and a 4-year baccalaureate degree which is the equivalent of a BSN degree. The ADN program was created by Mildred Montag due to scarcity on nurses. Mildred created a new type of nurse as she explained it...
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...Bachelor Degree in Nursing (BSN) versus an Associate Degree in Nursing (ADN) when it comes to taking care of patients and employment?” I received a variety types of answers. Some of the answers were that there is more theory with Bachelors, they get paid more, helps with going into management, depends on the situation and experience is what makes a better nurse - no matter the degree. Besides the obvious of the longer length of the education and higher costs in obtaining a higher degree, what is that many employers are now preferring and requiring staff to have at least a BSN? Now, I am looking into studies that have been done and are ongoing through many schools and agencies. These findings continue growing. I found several differences between the ADN and the BSN educated nurse. I will discuss a few of them here. Similarities between the BSN and ADN Both the ADN and the BSN are similar and can function in many roles. Caring for the sick, skilled in promoting and maintaining health, having the same nursing philosophies and teachings, and many of the hands on skills. Both are qualified in passing of the same NCLEX licensing exam. ADN’s education are affordable and accessible which prepare the nurse for competent technical bedside nursing. Both students experience many of the same fears and stressors in obtaining their degree. A study from Oermann, Marilyn H., compared the stresses and clinical experiences between associate and baccalaureate degree nursing programs. The...
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...Running head: EDUCATIONAL PREPARATION PAPER Educational Preparation Jill Blackman Grand Canyon University: NRS430 December 8, 2011 Educational Preparation Nursing is a distinctive healthcare profession that has several different paths that can be taken to become a nurse. One can be considered a nurse with as little as one year of preparation. However, the public does not take this into consideration when they hear the word “nurse”. The Associate’s Degree Nurse (ADN) and the Bachelor’s Degree Nurse (BSN) both take the same exam for licensure. Entry level nursing positions from both programs typically start at the same pay rate. The Associates’ Degree nurse is considered by many to enter at the technical level. The bachelor’s nurse is considered the professional nurse. Most employers prefer to have BSN nurses. They value them for their higher level of education and can utilize their expertise in more ways. Some employers only accept BSN nurses, such as the military, public health and the public school system. Although ADN and BSN provide safe patient care, only the BSN can truly provide holist patient care. Differences in Education The associate’s degree in Nursing emerged as a result of the nursing shortage. Programs that teach ADN nurses are easily accessible in most areas. The cost is minimal compared to other programs. Currently ADN programs require 60-112 credit hours to meet the requirements for graduation (Seago & Spetz, 2002). Typically it...
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...Abstract: Aim: To search and critically review research literature, concerning management and technique of compression bandaging. Background: Compression bandaging is required for venous leg ulcers, which is due to damage and loss of skin above the ankle that is the result of a problem with the veins in the leg. Although leg ulcers are not a life-threatening condition, it can have considerable effects, not only on health, but also on the quality of life, self-esteem and healthcare cost. Method: Extended literature review, to extrapolate best available evidence, in order to address the focus question. Computerised and manual searches of previous literature were used; refining searches by means of constantly re-evaluating inclusion and exclusion criteria. Results: Eight (8) articles were decided upon, seven (7) of which were quantitative and one (1) which was qualitative in design. Two main themes emerged from these articles, that of management strategies for leg ulcers and technique of applying compression bandages. Recommendations: Episodes of venous ulceration can be reduced with management strategies, such as graduated compression therapy with comprehensive technique. However, without further education for nurses and patients towards compression therapy, venous ulceration will prolong and management strategies will fail. Conclusion: Knowledge of compression bandaging technique needs to be increased through further training/education. ...
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............ 8 b) New or Revised Mission Statement ................................................................................8 i) Vision Statement (Current) ................................................................................. 9 ii) New or Revised Vision Statement ..................................................................... 9 c) Goals............................................................................................................................... 9 1) Non-financial Goals ..........................................................................................9 2) Financial Goals ................................................................................................ 10 d) Core Competency and Sustainable Competitive Advantage........................................ 10 6) SITUATION ANALYSES ...................................................................................................... 11 a) SWOT Analysis.............................................................................................................11 b) Industry Analysis ......................................................................................................... 12 c)...
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...2009 Malcolm Baldrige National Quality Award Application TABLE OF CONTENTS Glossary of Terms and Abbreviations Organizational Profile i Responses Addressing All Criteria Items Category 1: Leadership 1 Category 2: Strategic Planning 6 Category 3: Customer Focus 10 Category 4: Measurement, Analysis, and Knowledge Management 14 Category 5: Workforce Focus 18 Category 6: Process Management 23 Category 7: Results 7.1: Best Quality (Healthcare Outcomes) 27 7.2: Best Customer Service (Customer Focused Outcomes) 32 7.3: Best Financial Performance & Growth (Financial & Market Outcomes) 35 7.4: Best People and Workplace (Workforce Focused Outcomes) 38 7.5: Best 5 Bs (Process Effectiveness Outcomes) 41 7.6: Best 5 Bs (Leadership Outcomes) 45 GLOSSARY OF TERMS AND ABBREVIATIONS APP: Annual Planning Process 5Bs: AtlantiCare’s five “Bests” or performance excellence commitments – Best People and Workplace, Best Quality, Best Customer Service, Best Financial Performance, Best Growth ARMC : AtlantiCare Regional Medical Center ASC: Ambulatory Surgery Center ASPP: Annual Strategic Planning Process A AAAHC: Accreditation Association for Ambulatory Health Care AAI: AtlantiCare Administrators Incorporated AAP: Annual Action Plan B BFP: Best Financial Performance Big Dots: The system-level measurements or targets for each of the 5 Bs (performance excellence commitments). Business units...
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