ADN vs. BSN
Grand Canyon University
August 14, 2015
ADN vs. BSN
At face value, comparing the difference in competencies of the Associate to the Baccalaureate appears to be a relatively simple mathematical equation. The addition of more education equates to more competencies. As undeniable as the math may seem, it fails to grasp the complexity of the topic. At the Associate level the core knowledge to perform many, if not all, of the aspects of the nursing profession has been established. The Baccalaureate should be viewed more as an adjunct to the personal traits that lead an individual to the nursing profession. Taking ...view middle of the document...
The wealth of individuals more or less determined the necessity of nursing in the private setting.
Professional organization began to develop, which gave a voice to nurses. These organizations in turn used their growing influence to advocate for measures that ensured standards and ethics. By 1903 legislation was successfully passed at the state level that established regulation of standards and practices. This was mirrored in short order by many states. The foundation of the registered nurse had been laid.
By the close of the first quarter of the twentieth century the social construct of American society began to shift. Rural America began to give way to burgeoning urban centers. Cultural, economic, and social shifts dramatically changed and along with this came the change in healthcare. Nurses as the primary healthcare provider in a non-hospital setting were now on the frontline of pressing health issues.
With the onset of the great depression came yet another chapter in healthcare. The preceding years of urbanization and social shifts in concert with dwindling resources made ever clearer the need to rethink how society interacted. The preceding century having been an age of enlightenment and altruistic philosophies was now giving way to an age of realization not for want but need. Business demanded acute care in hospital settings that needed to be provided to an ever growing patient base, in a cost effective manner. The graduate nurse was now seen as a capable and financially viable way to extend new services. As medicine continued to expand and branch into new territories the graduate nurse was a steadfast fixture regardless of the practice or setting. With diversification both in medicine and society the hands on training in the homes and clinics of the registry nurses became an ever more desirable trait giving birth to the idea of the Associate nurse.
The Associate degree format was originally intended to provide a brief curriculum on nursing, specifically emphasizing the acquisition of clinical skills that would formulate the nurse to be task oriented in a clinical setting (Moorhead & Cowen, 2006).
As effective as the ADN program is, it does not offer the theoretical and scientific background required for application in today’s healthcare services. According to The National Organization for Associate Degree Nursing they “promote” the academic progression of ADN graduates to further their education to reach their maximum professional potential (National Organization for Associate Degree Nursing [N-OADN], 2013, p. 4). As a result, most nurses pass through the ADN program and continue on to the BSN program.
The foundations of the Baccalaureate Nurse were established through interpersonal relationships developed in the course of employment of the graduate nurse. The ability to understand the needs of a patient go far beyond just treating an ailment. It’s the ability to recognize cultural, religious, familial, and economic...