Grand Canyon University: NRS 430v Professional Dynamics
February 19, 2012
For many years, society has debated about the nursing degree. What are the differences? What are the similarities? As nurses we have the opportunity to choose different levels of education. Which include: associate degree, baccalaureate degree, masters’ degree and nurse practitioner.
In beginning we need to understand “What is nursing” in general? As defined by the ANA: Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of ...view middle of the document...
The additional classes in community health nursing, nursing management and research are designed to provide the BSN prepared nurse for a broader scope of practice. This enables the BSN prepared nurse to move away from direct bedside care in a hospital setting. The BSN degree also serves as a bridge to those who want to continue their education at the graduate level. The BSN program is composed of knowledge, theory and research based and the emphasis is on the entire picture of the field of nursing.
Bedside competencies need to be measured not only by educational degree, but also by level of experience and the particular environment in which the nurse practices. For example, in a hospital setting, both the ADN and the BSN prepared nurses have access to clinical nurse specialists, educators, social workers, and case managers. In contrast, the registered nurse at a smaller community hospital or long term care facility does not have the benefit of the readily available above mentioned services. In this environment, the differences in ADN and BSN prepared nurses may become more evident.
From my experiences associate degree nurses are trained to treat the patient by means of basic necessities. Bachelor degree nurses are trained to look at the environment of the patient and family. As a nurse in a long term care setting I have experienced many situations that could differentiate ADN and BSN nurses. One example that comes to mind would be an unexpected change in a patients’ condition. You have been given report and the patient is stable, alert and oriented. You make rounds and the patient is lethargic and disoriented. Vital signs demonstrate that the patient is nearing a life threatening call. The ADN prepared nurse may focus solely on the patient care and may also feel unable to assist the family with their needs. They would review code status and resume care. (i.e. labs, IV fluids, CXR etc.) However, the BSN prepared nurse may identify the family’s unique needs and plan...