The main paths to becoming a Registered Nurse and the core differences in competencies between nurses with the associate-degree versus the baccalaureate degree
Grand Canyon University: NRS-430V Professional Dynamics
November 26, 2014
The Origin of Nursing Education Programs
Regardless of the general recommendation proposing to move nursing schools from hospitals to universities throughout the first half of the 20th century, it was not till 1950s when hospitals finally agreed to this significant change. Nonetheless, the baccalaureate nursing programs (BSN) did not generate enough nurses to eliminate the post-war nursing shortage. Fortunately in ...view middle of the document...
Additionally, it is the BSN program that qualifies nurses to fill in most of the administrative and leadership nursing positions and can serve as the foundation for earning a graduate degree later.
Differences in Competencies
Nowadays, there is a common agreement inside the nursing community that nurses differentiate in their nursing practice based upon the obtained degree. Edie Miskewicz believes that the ADN program trained her “how” to be a nurse; whereas, the BSN program equipped her with the “why” behind many nursing interventions (Trossman, 2009). ADN nurses are well equipped with clinical and general hands-on skills; however, they are short of leadership, management, and research skills. Not like ADN nurses, BSN nurses are armed with a social and cultural understanding as well as current health trends that they can apply to their patients. BSN nurses are prepared to manage any technical issues that necessitate critical thinking. Moreover, Rosseter (2010) points out that BSN nurses can look into any medical treatment or order that may appear inappropriate thanks to their technical expertise. Their analyzing skills allow BSN nurses to consider patient’s present and past health history as well as nutritional requirements, age and current condition. In addition, BSN nurses can arrange for continuing multifaceted planning of nursing care for patients with complex health problems. Besides, BSN nurses can practice in different community settings and even undertake management roles. Finally, BSN nurses may have an advantage when specialization in particular areas becomes an option.
Studies and Research
There are many studies that depict the differences between BSN and ADN nurses. One study, “Nurse Staffing and Education and Hospital Mortality in Nine European Countries: A Retrospective Observational Study” represents findings from more than 300 hospitals. The general conclusion was that patients undergoing post-op complications are expected to survive with no problem providing they were treated in hospitals with an adequate number of BSN nurses (Aiken et al., 2014). In another study, Mary Blegen and her colleagues uncovered that hospitals employing a higher number of BSN nurses had a significant drop in decubitus ulcers, congestive heart failure, failure to rescue, postoperative deep vein thrombosis or pulmonary embolism, and shorter length of stay (“American,” n.d.). Conclusively, the Institute of Medicine believes that the BSN degree is an essential minimum; therefore, in 2010 the IOM proposed the “80/20” goal that calls for 80% of nurses to obtain a BSN degree by 2020.
Patient Care Scenario
It is a post-op day three; the registered nurse assists a patient during a short walk as requested by the physical therapy (PT). The patient is unsteady and weak following her/his knee replacement. In scenario one, a nurse with an ADN coaches the patient to walk slowly and follow the PT recommendations. The nurse also put the patient...