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Educational Preparation Essay

1169 words - 5 pages


Education Preparation Paper
Dimple Patel
Grand Canyon University: NRS 430v
August 19, 2012

Education Preparation Paper
Teaching someone how to drive a car for the first time can be challenging because the driver has no knowledge about the rules of the roads and laws, but as the driver learns the rules and practices, then they become a safer driver (Hill, 2010). Similarly are the different levels of nursing. The new driver can be compared to the associate degree nurse (ADN) and as knowledge is mastered, the nurse continues to a baccalaureate degree (BSN) and then to an advanced ...view middle of the document...

The next level is the BSN.
Bachelors Degree (BSN)
The BSN program consists of four years of education. The first two years focus on general education and the last two years focus on a more holistic approach to nursing by incorporating additional training in theory, research, community health, and leadership (Cresaia & Friberg, 2010; Spencer, 2008). The BSN provides a stepping stone toward the APN, which will be discussed next.
Advanced Practice (APN)
The APN programs vary in time according to the specialty. Different specialties require additional licensing. In general, the APN degree enhances systems thinking and leadership with the intension of these nurses entering the profession to build upon the foundations of the healthcare system (Cresaia & Friberg, 2010). To provide a deeper understanding of the differences in competencies between a BSN versus an ADN, the following patient care scenario will be presented.
Patient Care Scenario
A seventy-eight year old male had a lumbar-sacral fusion three days ago. He has a midline back incision that is healing. He had a urinary catheter that was removed yesterday, but still does not urinate an adequate amount. The patient has a hard time ambulating with a walker and back brace with physical therapy, regardless of pain medications. The doctor’s plan is to discharge this patient home with his wife. We will now use this patient care scenario to explore the different approaches a BSN nurse takes as opposed to an ADN nurse.

Approach to Care
The difference in educational levels between an ADN and BSN directly affect the approach of care of a patient (McIntosh, Duske, Anderson, & Hill, 2008). Hill (2010) argued that BSN nurses ask more questions during report than do ADN nurses. According to the patient care scenario, a BSN nurse would ask question about why the patient is not urinating an adequate amount and why the doctor is discharging the patient home. In the BSN curriculum, theory-based practice develops critical thinking which encourages answering the question “why?” to attain clinical information (Spencer, 2008), which will be presented next.
BSN nurses use clinical information and patient history to assist in decision-making whereas the ADN nurses use written orders to make decisions (Hill, 2010). According to the scenario, the BSN nurse would measure the intake and output, bladder scan the patient after voiding, and ask if the patient has any prostate problems. By researching scholarly journal articles that include evidence-based practice, the nurse can come to the conclusion that the patient may have prostate problems. The ADN nurse may do some or all of the interventions as the BSN nurse, but would be lacking the research...

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