...Journal of Advanced Nursing, 1999, 30(6), 1432±1440 Issues and innovations in nursing education Evaluation of an innovative curriculum: nursing education in the next century 1 Senior Lecturer, Faculty of Welfare and Health Studies, University of Haifa Hasida Ben-Zur PhD Dana Yagil PhD Lecturer, Faculty of Welfare and Health Studies, University of Haifa and Ada Spitzer RN PhD Senior Lecturer and Head of Nursing Department, Faculty of Welfare and Health Studies, University of Haifa, Haifa, Israel Accepted for publication 22 March 1999 BEN-ZUR H., YAGIL D. & SPITZER A. (1999) BEN-ZUR Journal of Advanced Nursing 30(6), 1432±1440 Evaluation of an innovative curriculum: nursing education in the next century The present research focused on an interim evaluation of a new nursing curriculum made by ®rst- and second-year undergraduates. Study 1 examined the assessments made by 90 students of the new, actual programme of their studies, as well as an ideal one, on 21 bipolar criteria re¯ecting the developing changes in health care practices and higher educational processes in western society. The results of study 1 indicated that students perceived the actual programme as compatible with health care changes, but lacking in terms of the learning process. Study 2 investigated the same assessments among 105 registered nurses who evaluated the traditional nursing programme under which they were trained as well as an ideal one. The results of study 2 showed that registered...
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...Quantitative Research Article Critique Frances Vitek Winston-Salem State University NUR 3303 Nursing Research Introduction Nurse residency programs are important in the desire for nursing recruitment and retention. New graduate hires face many stressful challenges transitioning from student to professional RN in the workforce. Loss of a new graduate nurse leads to a great financial loss and ultimately increase in the shortage that in turn can lead to patient safety issues. The leaders of the nurse residency programs need to be vested and continue to follow and mentor these new professionals well into their second or third year of hire. The purpose if this paper is to critique the research article “Are rural and urban newly licensed nurses different? A longitudinal study of a nurse residency programme” by Marilyn Meyer Bratt, Marianne Baernholdt, and Jessica Pruszynski. My examination focuses on specific aspects of the article in terms of process and validity of research methods and results. According to Burns and Grove (2012) the purpose of reviewing literature provides us with evidence in theory and science about a specific problem, alloying is to decipher information about what is known to us and not. The key concept covered in Bratt, Baernholdt and Pruszynski’s article is to determine if there is a difference among rural and urban nurse residency programs that lead to a higher retention rate? The key points of this review is to assess the two different...
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...Grand Canyon University: Professional Dynamics December 6, 2015 BSN vs. ADN The discussion of rather an associate’s or bachelor’s degree should be the required educational experience of future nurses is one that will not end until one or the other is completely phased out. Some healthcare facilities have already begun the process of requiring their nurses to have a BSN versus an ADN upon hiring. A major difference between the two degrees is that a BSN readily prepares an individual for more advanced positions than an ADN, such as nurse manager. The BSN also has more preparation for entrance into an advanced degree program, such as nurse practitioner. It has reached a point where nurses are being put in positions to advocate for large groups of individuals, be involved in the politics of healthcare, and serve as a representative for nurses everywhere; however, there are only few nurses taking on these grand roles. Lack of preparation, knowledge, and ceasing further education is to blame. Obtaining a BSN as expressed by the American Association of Colleges of Nursing (AACN, 2015) “enhances both clinical competency and care delivery”. This presents another difference between the two degrees. Another difference between the ADN and BSN is that the clinical experience for both the patient and nurse is observingly different. A study done to explore the clinical differences between a nurse with an ADN vs a nurse with a BSN expressed that many times the nurse’s critical thinking...
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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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...The Differences between an Associate Degree prepared nurse, and a nurse prepared with a Bachelorette Degree Scott E. Scherpenberg Grand Canyon University: NRS-430V April 19th, 2014 Nursing is a profession that has a multitude of educational, ability, and professional affiliation levels. Registered Nurses can advance their careers simply by the skills they develop, the work environments they choose, or through supplemental training programs. A nurse can hone into a particular specialty, and advance quite far with that specialty. Supplemental training, on the job, and off can assist in professional development. However nurses can also advance their careers through development of their educational level, and title. Still today many practicing nurses of a multitude of even advanced level nursing prepared with a mere Associates Degree. However the ever changing landscape of the nursing field has shown the demand for a higher level of preparedness from the Registered Nurse to readily adapt. The fairly recent standard being implemented, almost nationwide is the demand of all nurses to obtain their Bachelorette Degree. The Associates Degree program lasting usually around two years is a streamlined program geared towards preparing the student to function as a nurse and past the National Council Licensure Examination or NCLEX. The Bachelor Degree nurse still has to past the NCLEX examination to practice as nurse, but the typical four year degree includes key differences usually...
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...ADN VS BSN: Differences in Competencies Juline DiSilvestro Grand Canyon University Professional Dynamics NRS-430 V Monica Kidder RN, MSN May 11, 2013 ADN VS BSN: Differences in Competencies The complexity of modern healthcare and the patients of today mandate a higher level of academic preparation than in the past. Advanced critical thinking skills are a must. Nurses need to function independently, making clinical decisions, providing bedside care, case management, education to patient and family in regards to disease process, treatment, and how to adapt to a healthier lifestyle. As healthcare continues to evolve and become more complex, it is necessary to assure proper education has been achieved. Controversy among the nursing profession has existed for many years regarding what is the acceptable minimum education for nursing practice. The ADN program takes 2-3 years to complete. The ADN programs started due to a need for nurses during a nursing shortage brought on by WWII. The ADN program provided a shorter period of time to acquire the necessary minimal skill to obtain licensure, and practice safe entry level nursing without the emphasis on leadership, nursing theory and critical thinking. The focus of ADN programs has been to prepare the nurse with considerable clinical experience and technical nursing tools needed to provide patient care at the bedside (Cresia & Friberg, 2011). They do not have the education to perform research activities which becomes the basis...
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...Comparison of Competencies ADN vs. BSN xxx xxx Grand Canyon University NRS 430V January 18, 2012 Comparison of Competencies ADN vs. BSN What is the difference between a Registered Nurse with an ADN (Associates Degree) and one with a Bachelor of Science in Nursing (BSN)? The American Association of Colleges of Nursing (AACN) and many others believe that education has a significant impact on the knowledge and competencies of a nurse (American Association of Colleges of Nursing [AACN], 2011). Studies suggest that graduates of Baccalaureate degree programs have a better understanding of the conceptual and theoretic approach to nursing care in specific nursing situations. There is also a significant relationship between the level of basic nursing education and degree and proficiency of leadership demonstrated. Moreover, there is a significant relationship between educational preparation and degree and proficiency to which the nurse makes nursing diagnosis, executes and implements the nursing process, and evaluates the effects of nursing intervention (Giger & Davidhizar, 1990). Nursing has changed greatly over the years, to keep up with the demands of an evolving healthcare system and changing patient needs, nurses must achieve higher levels of education. An ever increasing body of research reinforces this claim and shows a connection between baccalaureate education and lower mortality rates (“Creating a more qualified nursing workforce“, 2011). According to the 2008...
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...Differences in Nursing Competencies: ADN vs. BSN Sheri Lancaster August 23, 2014 Differences in Nursing Competencies: ADN vs. BSN There has been much discussion recently about the need to require a minimum of a baccalaureate degree for entry-level nurses. Many hospitals have moved to this ideology and have already began to give a hiring preference to those nurses who hold a baccalaureate degree and many have hired Associate degreed nurses with the requirement that they will obtain their baccalaureate degree within so many years of employment date. This paper will discuss the differences between a nurse holding an associates degree and a baccalaureate degree, as well as, present a patient care situation describing how patient care decisions difference based upon the nurse’s educational level. History of ADN and BSN Programs It was during the post World War II years that Mildred Montage developed an associate degree level of nursing education in response to the shortage of nursing (Creasia & Friberg, 2011). She developed the associate degree-nursing program with the intent that these nurses would work under the supervision of baccalaureate level nurses who were at the time considered professional nurses. The Associate program is a two-year program that focuses on the fundamentals of nursing and teaching bedside clinical skills. The baccalaureate degree program has been in existence since 1909 and was developed as a five-year program (Creasia & Friberg, 2011). It...
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...the Baccalaureate - degree level in nursing My theory is that the more education a nurse has the better he/she can be at their job of taking care of patient as a whole and on a complex level. To obtain a Nursing Degree one can start at the LVN or go all the way to a PHD in nursing. This paper will focus on the abilities or competencies of a prepared Associate Degree nurse, and the abilities or competencies of a Baccalaureate Degree Nurse. This is a hot topic now and has been for many years. I have been hearing for many years that ADN will be phased out, and only BSN will be used in the future. The time period in which to mandate this event is governed differently by the state where the nurse works. There are catchy phrases out there like BNS in 10, or BSN by 2020. “As of 2010, at least 18 states, including New York, New Jersey, were considering BSN in 10 legislation.” (nursing link 2011, 07.) The first step is to define nursing. “Nursing is the knowledge based discipline, which focuses on the wholeness of human being.” (studymode, 2012,02.) The ADN nurse and BSN take a different approach in teaching their students. They both take the same state mandated NCLEX, but have a different time of training. “The Associated Degree takes a shorter path of two years where the BSN takes a longer with 4 years of education to complete the degree.” (studymode, 2012,02.) Now to break this down and let you know the difference of a 2 and 4 year nursing program. The Associate trained nurse...
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...Title: Difference in Competences between Nurse Prepared at Associate Level vs. Baccalaureate Level Nursing- Patient Case Scenario Difference in Competences between Nurse Prepared at Associate Level vs. Baccalaureate Level Nursing history has proven the necessity of education in practice. Even though all nursing license or diploma have the same target of protection, promotion human being well-being and illness prevention, there are many different levels of tasks that different degree of nurses can proceed. Differences in Competencies between Associate Degree Nurse vs Baccalaureate Degree Nurses Education is the key factor for the growth and development of nursing. With associate degree, students have been prepared with all knowledge and skills to work in the real world. Information about diseases, treatments, diagnosis, signs and symptoms along with interventions are applied to the plan of care and communicated among the team. Within 3 years, an associate degrees program will prepare hands-on nurses to be ready for the real world of nursing. However, a 4 years of baccalaureate nursing program will encompass the associate program plus a broader scope of practice such as nursing research, management, public and community health, humanities and sciences. It opens up a bridge to get to master degree for a more in-depth nursing knowledge. All the additional courses of baccalaureate nursing program provide nurses ways to empower the roles of assessing, critical thinking...
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...ADN VS. BSN: The Differences Anna Hernandez Grand Canyon University ADN VS BSN The Differences New trends in healthcare system are requiring optimal patient outcomes in shorter amount of time period. Patients are requiring more advance care for more complex issues hospitals are now in need of highly skilled, trained professionals to provide this level of care. The quality of patient care and outcome of the patient depends a lot on the level of education of the nurse. Case studies have proven that where positive patient outcomes have been linked to nurses that have a higher level of education Baccalaureate prepared. With that being said one of the main differences between the ADN vs. the BSN is the level of education. There are three educational pathways to become a Registered Nurse 1. Three-year diploma program. 2. Two year Associate Degree program offered at a community college 3. Is a four year program Baccalaureate Degree program. (AACN, 2014, #3) An Associates degree in nursing is earned over a course of two years and the curriculum is more technical and bedside focused (Creasia &Friberg, 2011). The Bachelor of Science in nursing includes the same course work as the ADN. The BSN is more in depth in the treatment of the physical and social sciences, nursing research, public and community health, nursing management and humanities (AACN, 2014, para#4) According to the AACN “ The additional course work enhances the students professional development, prepares...
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...Difference in Nursing Degrees Melissa Rintz Grand Canyon University NRS 430V September 1, 2013 Nursing today has many different levels of degrees. Nurses have choices in the types of nursing schools they can attend. Nurses can obtain their degree through diploma programs that are based out of hospitals, through local community colleges, or through universities. Now in healthcare evidence based research supports that patients receive higher level of quality care with fewer adverse outcomes for patients [ (Friese, 2008) ]. A nurse is not just a nurse anymore. This paper will explain the differences in the competencies between nursing degrees including the differences between the Associate Degree Nurse (ADN), and Baccalaureate Degree Nurse (BSN). The differences will be exposed with patient care situations and the different approach based on the level of nursing degree. Associate Degree Nursing There are many differences between the ADN nurse and BSN nurse, but only a few similarities. The major correlation between the two degrees is they both sit for the NCLEX-RN licensing examination is exam is taken upon completion of your nursing program (American Association of Colleges of Nursing, 2012). The ADN nurse attends school for two years and takes significantly fewer credit hours and is generally less expensive [ (Link, 2010) ]. In both ADN and BSN programs the core curriculum is somewhat the same. The ADN nurse focuses more on learning technical clinical skills...
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...Painter Subject: Research Analysis Two articles selected for review derive from The Journal of Perinatal Education. The first article I read was titled, “Evidence Based Maternity Care: Can New Dogs Learn Old Tricks?” It was written by Merilyn Curl. Curl is a Certified Nurse Midwife, Lamaze Certified Childbirth Educator, and a Fellow of the American College of Childbirth Educators. The article illustrates the efforts of reform applied to the founding cultures and purpose given to a modern day Certified Nurse Midwife. Assessing the Situation She begins unfolding her story at the time of hire with a concise perspective of the culture and practices of the community hospital she worked for. Curl describes the time old “Nursing Process” as assessing the situation, making a plan, then finally evaluating the outcome. She follows this same progression in her attempt to restructure nursing practices at this community hospital. She very clearly presents her personal experience as what practices (whether or not they were best practices) she was seeing in the nursing community verses research based best nursing practice. One piece of evidence she presents for this is how “This meant that labor nurses were assigned only one patient allowing the time to provide continuous labor support. Despite strong encouragement to remain at the bedside, most nurses remained tethered to the central monitoring station” (p.235). This observation strengthens the argument that research based best practices...
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...do the same things at a glance. They may perform procedures similarly but is the thought process equal? Defining an Associate Degree in Nursing nurse (ADN) and a Baccalaureate of Science in Nursing nurse (BSN) helps to begin understanding the differences they incur. An Associate’s degree program can be completed in 2 years and the focus is on the technical aspects of nursing, at the community college level (Hood & Leddy, 2006, p.18-19). This nurse is usually more task oriented or technical. The Baccalaureate degree RN is a four-year program at a college or university level. The focus is towards more independent thinking within a community as a whole (Hood & Leddy, 2006, p. 19). This nurse concentrates on evidence-based practices. There has been discussion and debate over the mentioned differences and desires since 1965. More recently, In the October 2012 issue of Medical Care, researchers from the University of Pennsylvania found that surgical patients in Magnet hospitals had 14% lower odds of inpatient death and 12% lower odds of failure-to-rescue compared with patients cared for in non-Magnet hospitals. The study concluded that better outcomes were attributed in large part to investments in highly qualified and educated nurses, including a higher proportion of baccalaureate prepared nurses. McHugh, MD et al. (2012) Both degrees take the same exam with the board of nursing. Clinical competencies between the ADN and the BSN are the same with mastery of the skills...
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...Educational Preparation ADN vs BSN Maria Valdez Grand Canyon University Annette Saint Educational Preparation ADN vs BSN We, as students, in the United States of America have the remarkably wonderful opportunity to have many educational avenues to pursue. As a nursing student we have the ability to enter into different programs. You have the 3-year diploma program, which is administered in the hospital setting, the Associate Degree 2-year (ADN) which is acquired at a Community College or the four-year Baccalaureate Degree (BSN) which is awarded at a University. Regardless of what pathway is chosen by the graduate you still have to sit and take the same boards also known as the NCLEX-RN Licensing Examination. Baccalaureate nursing graduates have all the education of a diploma and an associate degree nurse but have a more in depth understanding of nursing research, nursing leadership, including management, humanities, and public health nursing (April 2009). This extra education gives a comprehensive understanding on many social, cultural, economic and political issues (2009). In 1965 there was a 3-yr study done by the American Nurses Association (ANA). It issued “A Position Paper on Education Preparation for Nurse Practioners and Assistants to Nurses.” The main point that was made is the “the education of all of those who are licensed to practice nursing should take place in institutions of higher education” (2009). Nursing Education is being associated with...
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