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Nursing Leadership and Education

Saturday, December 23, 2006

ADN vs. BSN Education

Nursing education is bound by its contract with society to prepare nurses with the knowledge; skills and values that enable them to provide quality care within the contemporary health care system. Implicit in this process is that a layperson will be transformed into a competent professional (Lindeman, 2000). When addressed to nurses, the question of educational preparation into professional nursing practice has long been a source of frustration. This is not limited to educators; it is pervasive among all settings and at all levels of nursing practice. Societal changes, increased technology, the shortage of registered nurses (RN’s), and most notably, the increasing shift of health care from acute to community-based settings, has led nursing leaders to raise questions about past and future trends in nursing education (Speziale & Jacobson, 2003). Although associate degree nursing (ADN) education remains a viable choice for those wanting to enter the nursing profession, the ability of these programs to appropriately prepare students for the level of practice diversity that is inherent in the current system must be assessed, and their role defined with regard to the future.
In thinking about this question about entry into practice, I had to do some reflection. As I come from an AD program, I have to say that for the time (graduated 1986), and for the expectations of entry-level RN practice at that time, I received the most complete and comprehensive education that I could have ever asked for. I knew I was prepared to begin working as a safe, competent professional and I quickly learned as I worked alongside new BSN graduates that I was more clinically prepared in many ways. That being said, I also knew that if I wanted to have more choice with regard to my

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