Difference in competencies at entry level nursing education programs
Grand Canyon University
January 27, 2013
History of nursing education program begins by the establishment of Nightingale Training School for Nurses at St. Thomas's Hospital in London in 1860.In United States the first nursing schools were established in 1873 which provided necessary training for nursing students in a hospital based setting. Advancements in the fields of science and medicine and changes in socio economic conditions accelerated further development in the field of nursing education. At present there are three entry level nursing education-diploma, ...view middle of the document...
So it is clear that nurses undergo Baccalaureate nursing programs has better understanding of nursing practices and has excellent leadership qualities which is an integral part of competent nursing care.
The additional training in the Baccalaureate nursing programs helps the nurses to integrate the roles of assessing, critical thinking, communicating, teaching, and leading. Even though certification programs like CCRN and PCCN can help nurses with associate degree or diploma to improve their knowledge and critical thinking abilities, bachelors in nursing provide broader spectrum of educational advancement. This broader range of preparation serves as an asset of the nurses with baccalaureate degree to provide opportunities for leadership, professional flexibility and advancement. The baccalaureate level program is intended to enable the students’ skills to innovatively react to continuously changing health care systems throughout the world. So many hospitals today prefer employing nurses with baccalaureate level education with the understanding that they are more competent and can assist in the better patient outcomes.
Research results has strengthened the belief of experts that fewer mortality rates, less medication errors, and positive outcomes are all related to nurses trained at the baccalaureate and graduate degree levels. In a study issued in the September 24, 2003 in Journal of the American Medical Association (JAMA), Dr. Linda Aiken and her associates at the University of Pennsylvania recognized a clear connection between higher levels of nursing education and better patient outcomes. This extensive study found that surgical patients have a "substantial survival advantage" if treated in hospitals with higher proportions of nurses educated at the baccalaureate or higher degree level. In hospitals, a 10 percent increase in the proportion of nurses holding BSN degrees decreased the risk of patient death and failure to rescue by 5 percent.
Even though the difference between a nurse with Associate degree (or diploma) and Baccalaureate degree is not obvious in basic nursing care, when it comes to the complex decision making situations there is a great difference .Considering a patient care situation can better explain this-
MR Smith came to Cardiac ICU following post coronary stent placement. The assigned nurse who holds an associate degree was very diligently rendering nursing care to the patient. Mr. Smith began to complain chest pain. Up on assessment Mr. Smith has subnormal blood pressure, and post procedure cardiac enzymes were markedly elevated and EKG changed were noted. But the nurse considered Mr. Smith’s...