... After the completion of nursing education, all prospective registered nurses are required to take their NCLEX – RN exam. “Entry into the practice of nursing is regulated by the licensing authorities within each of the NCSBN member board jurisdictions (state, commonwealth and territorial boards of nursing). To ensure public protection, each jurisdiction requires candidates for licensure to pass an examination that measures the competencies needed to perform safely and effectively as a newly licensed, entry-level registered nurse (RN).” (e.g; Wendt, Kenny, Schultz. 2011. P.8). There are four categories within the NCLEX-RN exam. These include: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial integrity and Physiological integrity (P.9). Once the applicant has passed the NCLEX-RN exam they can be employed at various healthcare settings such as acute, long term care, or community based settings. There are many ways to obtain your education in nursing. One path is the Associates Degree in Nursing. The Associate’s Degree is offered at community colleges and junior colleges and is typically “two years in length and consists of a balance between general education and clinical nursing courses, all of which carry academic credit.” (Creasia & Friberg. Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition. Mosby, 102010. p. 26). Within the Associate’s Degree, students learn professionalism, collaboration and critical...
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...ask the question: Is the use of Baccalaureate Degree Nurses any more effective than the use of Associate Degree Nurses? Professional Values: The Case for RN-BSN Completion Education. (Kubsch, & Hansen, 2008). This study was done to determine if BSN nurses possess greater professionalism than ADN nurses do. The purpose of this research study was to answer two main questions. “Do differences in the perception of professional values exist among practicing RNs? If so, is the difference related to educational background or is it due to other factors?” (Kubsch, & Hansen, 2008). Nurses in hospital settings were interviewed and surveyed. Three programs were looked at. The BSN, associate degree and hospital-based diploma programs. “A total of 590 RN’s who were working at a mid-sized Mid-western hospital and 130 nurses enrolled in an RN-BSN program were invited by e-mail to participate in the study” (Kubsch, & Hansen, 2008). The survey was done solely online. There were a total of 198 surveys completed electronically. The average age of the nurses who completed the survey was 41-50 years of age. More than three fourths of the 94% worked in a hospital setting. The research confirmed the highest level of professionalism was derived from the BSN nurses. The lowest came from the ADN group. The diploma based programs fell mainly in the middle, in part, largely due to the onsite training in...
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...replication study. Nursing Ethics, 18(1), 54-63. doi: 10.1177/0969733010386162 The authors of this article were one Shelia Catlett of Western Kentucky University and Fairview Community Clinic, USA and one Sherry R Lovan also from Western Kentucky University, USA. Both authors conducted a qualitative research study, which was also a replication of a study published in 2002, investigating the qualities of a good nurse and the role ethics plays in decision making. Ethics refers to the moral code for nursing and is based on obligation to service and respect for human life. Ethical Knowledge occurs as moral dilemmas arise in situations of ambiguity and uncertainty, and when consequences are difficult to predict (McEwen Wills, 2011). Ethics in nursing is used to guide and direct nurses conduct and practices. It requires experiential of social values and ethical reasoning. Its main focus is on matters of obligation, what ought to be done, what is right, wrong and responsible. The study implemented modification related to the research questions, sample selection, data collection and Atlas.ti software for qualitative data for the purpose of providing ease of coding, viewing, mapping and storing the data for retrieval analysis. The main focus of this replication study was to understand what it means to be a good nurse and do the right thing. This research provided current and allied literature to the relationship between ethics and good nursing practice. They study was carried...
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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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...are inextricably woven together. Standards describe the "what and how" of delivering nursing care. Professional accountability is creating the standards, meeting those standards, holding peers to the standards, and revising the standards when needed. As your e-text describes "Standards of practice are the "what" and describe a competent level of nursing care. Standards ofprofessional performance are the "how" of nursing (Cresaia & Friberg, 2010). The ANA's Scope and Standards of Clinical Nursing Practice (2004) describe both the "what" and "how" of professional nursing. This document outlines nine specific standards that describe the level of competence required in the role of the professional nurse (American Nurses Association, 2004). The model in your e-text that depicts professionalism provides a graphic display of all the essential elements which nurses need to include in their practice to support professional development. The ANA's Code of Ethics for Nurses (2001) makes it clear that nurses are accountable for their judgments and actions independent of hospitals, physicians, or other health care organizations. Nurses are accountable for themselves to the patient, the public, other health care team members, and members of the nursing profession. Standards of practice are developed and found in professional specialty nursing organizations, education institutions, state boards of nursing, and other government regulatory bodies. When working to determine the standard of...
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...Professionalism connotes different meaning to different people as it cuts across all walks of life. Professionalism as it relates to the medical profession embodies the relationship between medicine and society as it forms the basis of patient-physician trust. It makes salient factors like attitudes, behaviors, and characteristics which are desirable among the medical profession evident (Ross-Kerr & Wood, 2006). A high level of professionalism should be exhibited on the job looking at the example of surgeons performing a rectum operation on a patient and they busted into laughter in the process since the patient was on anesthesia. This was an unethical behavior they were shooting the video and making fun of the client lying in pain awaiting their help. “The intimacy and integrity of the nurse-client relationship demand that nurses protect the right of their clients. This achieved as nurses follow standards, policies, guidelines, and legislations regarding consent to treatment (Ross-Kerr & Wood, 2006, P 106).” In essence, the adherence to professionalism is of great significance when it comes to the medical profession. “In nursing, professionalism is described as the skills, attitude, values and behaviors common to those that undertake the practice of medicine. Professionalism to nurses includes knowledge of the human body and the skills required to maintain that body’s standard of health, personal integrity, an adherence to codes and conduct, accountability, a dedication to...
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...communication, and certifications I must possess. There are also milestones and barriers that I have to overcome to achieve my goals. My goals must be set to give me focus on advancing my career and accomplishing my goals. “Goal-setting is one of the foundational cornerstones of everything - our success, the way we make choices with our time, the quality of life we will live - everything is impacted when we have clear, written goals.” (“Setting goals is important,” 2010 para 4). Professional short and long- term goals My professional short-term goal is to become a critical care nurse. I want to increase my critical thinking skills from a novice to an expert. A critical care nurse is a nurse who can remain calm in a complex emergency situation. A critical care nurse is an expert in using special equipment while providing effective patient care. Always at the ready to provide care in a crisis patient, provide family education and collaborate multidisciplinary teams regarding patient care are also vital for a critical care nurses (Cottrel, 2010). My long term-goal, professionally, is to become a clinical educator. Mateo (1998) described clinical educator role in a clinical setting include clinical and professional development of staffs. In clinical development, main responsibility of the educator nurse is to provide structured program for orientation, in-service program and evaluate competency of staffs. Professional development of a staff is also one of many important roles...
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...delivery as well as costs, access to care, quality of care, and nursing qualities that influence evidence-based practice. Problems That Affect Health Care Delivery and Health Care Policies Hospital acquired infections The first health care problem to be discussed...
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...Professionalism: The Nursing Profession Villanova University- NUR 1102 Professionalism: The Nursing Profession Professionalism is a quality that is practiced on a daily basis by individuals in many adverse fields of employment. Atsede Fantahun (2014) said, “professionalism is defined as the conceptualization of obligations, attributes, interactions, attitudes, and role behaviors required of professionals in relationship to individual clients and to society as a whole” (p. 2). A professional is expected to display competent and skillful behaviors in relationship with their area of concentration. Nurses are required to bear a tremendous amount of responsibilities and are expected to uphold all values of the nursing profession. A serious nursing shortage is causing multiple issues in the nation’s health care system. Many experienced nurses are leaving the field and young people are not selecting nursing as a potential career. Because of this, reassessment of professionalism in nursing is recommended. The word professionalism has a multi-dimensional concept behind it. This means that there is a single basic interpretation, or any one way to assess it. Although it is multi-dimensional, it is possible to deliberate on by looking into the individual, inter-personal, and societal fractions. In nursing, professional practice is known to be a strong loyalty to compassion, caring and strong ethics, development of self and others, accountability and...
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...Overview of Difference in Competencies between ADN and BSN Overview of Difference in Competencies between Nurses Prepared at the Associate degree level versus the baccalaureate degree level in nursing Overview of Difference in Competencies between Nurses Prepared at the Associate degree level versus the baccalaureate degree level in nursing The common goal of the nursing community worldwide is to make sure that quality care is given for all patient population. While doing this, it also wants to maintain the credentials, code of ethics, standards, competencies, and continuing education. Both ADN and BSN nurses give care in a holistic method for individuals who are healthy and sick and are from all ages and cultures. An individual’s physical, emotional, psychological, intellectual, social and spiritual needs will be considered by the nurses while giving care to that person. The profession of nursing is a combination of physical science, social science, nursing theory and technology in caring for individuals. Showing empathy towards patients’ needs is one of the great qualities for which nurses are well known. Some of the core nursing competencies include nursing knowledge, patient-centered care, professionalism, ethics, leadership & communication. ADN and BSN programs help nurses to gain expertise in specific areas of practice. In the quality of patient care provided by ADN and BSN prepared nurses, there is no difference. But...
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...Changing Healthcare Professional nursing practice models enable nurses to control the delivery of care and the environments in which that care occurs. Nurses have input into decision making and can design innovations specific to a particular care setting. (Professional Nursing, 2011) Today the nursing profession is increasingly in complexity and versatility. The current healthcare reform is adding a broader scope of practice for nurses. The current standards of practice continue to evolve allowing nurse to practice at higher functioning than what was previously expected. This has caused a shift to a higher complexity and more advanced level to the profession. Advancement in science and technology has added to the complexity in the nursing practice during the past 20 years. Technology savvy nurses are required to meet the standard of practice as we continue to advance into a paperless world. These issues are raising the bar on the practice of medical care for all healthcare workers across the board. There is a wide spectrum of nursing expertise, education, and credentialing that is now necessary for the ever changing profession. Differentiated models of practice are supported by a clinical "ladder" or defined steps for advancement within the organization based on experience in nursing, additional education, specialty certification, or other indicators of professional excellence. (Erickson, 1998) Much higher expectations are placed on registered nurse new graduate. ...
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...Professional Development of Nursing Professionals Grand Canyon University October 12, 2014 Professional Development of Nursing Professionals Nursing is the profession where the need of continuous education and advancing the skills to move along with the inventions of technologies and evidenced based research are imperative. Nursing is all about caring and health. The more knowledge and skills a nurse acquire the better the quality of care they provide and promote optimal health of living for the patients. The education in nurses has several steps and levels; Associate, bachelors, masters, PhD, nurse practitioner, advanced nurse, critical care nurse and many other certifications. Here we discuss the two basic levels of nursing the Associate degree in Nursing (ADN) and the Bachelors of Science in Nursing (BSN). ADN programs prepare technical bedside nurses for secondary care settings, such as community hospitals and long-term health care facilities. (Creasia 32). ADN is the base, the foundation of nursing education. Associate level education educate the nurse the basics of science and human body and their relevant illness and disease. It provides with the knowledge of various diseases and their treatment. Basic clinical skills like taking vital signs, listening to lung sounds and bowel sounds, checking pulses and different methods of medicating the patient are few skills that a nurse learns at an associate level. Baccalaureate level of education in nursing is advanced learning...
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...and BSN Nursing is a self-motivated and multifaceted discipline, one that requires skilled, knowledgeable, and self-sufficient practitioners. The roots of nursing are firmly based on service to other individuals, groups, and communities. ADN Program Associate degree nursing programs are intended to be two years in length based to prepare practical bedside nurses for secondary care settings, such as community hospitals and long-term care facilities. The Associate degree nurse is prepared .to function at the intermediate level, not in leadership and management position. The professional behaviors, communication, assessment, clinical decision making, caring interventions, teaching and learning, collaboration, and managing care are the eight center competencies of ADN. By using clinical and thinking skills ADN graduate is responsible for caring for others while keeping the values of nursing profession for better outcomes. The inclusion of public health nursing as a part of curriculum is main difference between nursing in baccalaureate and diploma programs. BSN Program The Baccalaureate graduates are prepared in order think reasonably, evaluate critically, and communicate effectively with clients and other health care professionals. Baccalaureate programs are four academic years in length, and the nursing major is typically concentrated at the upper division level. There are vital components to prepare the baccalaureate graduate as generalist to practice nursing in beginning...
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...Impact of IOM The nursing profession is the largest segment of the nation’s health care work force ("Leading Change," 2010, p. 1). Nursing, as we know it is changing based on recommendation for Institute of Medicine. Increased education requirements, enabling nurses to deal with multisystem disease processes requires advanced critical thinking skills ; BSN nurses face issues with customer service and bedside nursing skills, and Advance Practice Nurses (APN) practicing to their full capacity to ,can fill in for physicians when positions are lacking in the family practice setting, In addition nursing leadership being involved in policy and legislative changes ,can only enhance our field as a profession .There is only a positive outcome for our working environment and professionalism. Education is the vital step in accomplishing the changes recommended by IOM. . The IOM report set goal of 80% of nurses must have a Bachelor of Science in Nursing (BSN) degree by 2020 and current BSN nurses should be working on MSN and Doctoral degrees. It is important that lower entry (two year, AND programs) level nursing education should stay in place, with the requirement that they continue to pursue their education post-graduation. Hospitals must offer incentives to current employees to begin working on higher education’s goals. Evidence based practice continues to support higher education and patient outcomes go hand and hand To be able to increase levels of education we must be able to...
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...Nursing has been around for many of years that started off by military men and nuns taking care of the wounded in times of war. Back then it was not a respected profession and was more for the low class, poor, uneducated types of women with who took care of the sick. The conditions were poor and undesirable. Florence Nightingale, founder of modern nursing, who came from upper class family found a calling for nursing and paved the way in which nursing is today. Nightingale not only used evidence based nursing believing the surroundings of the patient affected the health and wellbeing of them, she also incorporated and emphasized the importance of education which was later founded in 1860 in London. Registered Nursing can be accomplished in three ways, Diploma in Nursing, Associates in Degree of Nursing, and Bachelors of Science in Nursing. Whichever educational path you take, all these degrees will lead you to be a RN but with healthcare always evolving, nurses who achieve higher levels of education are more qualified to keep up with the demands of the continuous change and quality of care. Diploma nursing has been established in Boston in 1873 and it was the first formal type of education in the United States where nurses received their technical skills while working in the hospital. They were not considered nursing students as they are known today because they were used as workers when there shortages of staffs and started off as 4 months based programs to now which...
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