...research the differences in educational preparation between a Baccalaureate degree nurse, BSN, and an associate degree nurse, ADN. Different approaches in decision making and patient care will be explained, using a clinical situation, amongst a BSN nurse and ADN nurse showing that BSN nurses make better decisions concerning patient care. Associate Degree Nursing and Baccalaureate Degree Nursing There are three possibilities to become a registered nurse and those are: a 3- year diploma, a 3-year associate degree, which is the equivalent of an ADN degree, and a 4-year baccalaureate degree which is the equivalent of a BSN degree. The ADN program was created by Mildred Montag due to scarcity on nurses. Mildred created a new type of nurse as she explained it in her doctoral thesis, Education of Nursing Technicians (1951). With an education of two years in a community college nursing students would be prepared for “intermediate functions requiring skill and some judgment” (p. 6). “In her suggested curriculum, there was no evidence of leadership”. (Schank and Stollenwerk, 1988,). In the Journal of Continuing Education in Nursing, Spencer (2008)...
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... Ethical and Legal Issues Paper NUR 391 University of Phoenix Francesca Beebe, Amanda Carvalho, Ricci Cornell, Shannon King Ethical and Legal Issues Learning Team A 2 Ethical and Legal Issues Paper How can the American Nurses Association (ANA) Code of Ethics influence a final decision in each of the case studies: Case Study A: End of life, Case Study B: Nursing Negligence? In regard to Case Study A, the ANA has a clearly stated position on end of life care and initiating a Do Not Resuscitate (DNR) with end of life decision making. It states, “Nursing care is directed toward meeting the comprehensive needs of patients and their families across the continuum of care. This is particularly vital in the care of patients and families at the end of life to prevent and relieve the cascade of symptoms and suffering that are commonly associated with dying. Nurses are leaders and vigilant advocates for the delivery of dignified and humane care. Nurses actively participate in assessing and assuring the responsible and appropriate use of interventions in order to minimize unwarranted or unwanted treatment and patient suffering” (ANA, p.7). With this said, the code of ethics committee would expect for the nursing staff to have given all possible information regarding a...
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...Association, “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 individuals, families, communities, and populations” (American Nurse Association 2014). Individuals who pursue a nursing career have many responsibilities, for nursing is not just a compassionate profession, but a profession that entails one to be a critical thinker with imperative knowledge in order to effectively care for individuals. Associate Degree Nursing and Bachelor degree nursing are both degrees in which help individuals who pursue a career in nursing, to gain the knowledge and critical thinking to become an effective nurse. Although the associate degree and bachelor degree produce different competencies of nursing from one another, a nurse with higher education possess qualities to provide higher level of care. Associate Degree Nursing Associate degree nursing is a two year technical academic program, developed due to a nursing shortage by Mildred Montag in 1952, that combines general education of nursing and clinical ( Creasier & Friberg, 2011, p. 27). Registered Nurses at an associate degree level are able to function adequately in the intermediate level with the amount of time they are taught in their clinical setting (Masters 1989, pg. 391). The general education of nursing provided in an Associate Degree level of nursing is limited...
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... Christel Rockwood NURS/391 March 11, 2014 Renee Martin-Thornton Ethical and Legal Issues Ethics is an integral part to nursing practice. The American Code of Ethics for Nurses (ANA) with interpretive statements acts as a guide for professional conduct by outlining the ethical values of the profession. The Code provides the profession with a statement of responsibility to the public and serves as a basis for individual nursing decisions in clinical situations when ethical dilemmas arise. The code integrates universal, ethical principles which serve as the foundation for ethical actions. Nurses face ethical dilemmas on a daily basis. Our primary goal as nurses is the commitment to protect our patients. Provision 2 of the American Nursing Code of Ethics, describes the nurse’s primary commitment is to the patient. (ANA, 2010). Another important goal is to maintain safety, dignity and accountability. Respect the patient’s confidentiality and autonomy. The Nurse acts as the person who helps and advocates for the patient and their families about health care and end of life decisions. According to the American Nurse Association Code of Ethics, Provision 1:1 states that, “a fundamental principle that underlines all nursing practice is respect for the inherent worth, dignity, and human rights of every individual” (ANA, 2010)...
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...Ethical and Legal Issues in Nursing Laura Dittmer Marie Peckman Tracy Taylor Melissa Jacoby NUR/391 2/17/2014 University of Phoenix The America Nurses Association Code of Ethics provides a guideline to follow in a case that involves ethical dilemmas. In the case of Marianne, the ethical issues that arise is providing enough information for the family so they can make a decision on Marianne’s care. According to the American Nurses Association Code of Ethics, a nurse must practice with compassion, respect and be primarily committed to the patient weather individual, family, group, or community. (Thompson, 1998) In Marianne’s case, in regards to following the Code of Ethics the family should be provided with all options for treatment vs no treatment, risk vs benefit from each treatment, and the prognosis with and without treatment. By providing the family with all of their options you have met your ethical responsibility by being committed to the family with the regards in educating and allowing them to come to a decision that is right for them as a family. In the case of the malpractice lawsuit there are many ethical issues one might face. According to the American Nurses Association Code of Ethics, the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. (Thompson, 1998) In the malpractice case, your first ethical duty for yourself and the patient is to be honest, tell the truth, and protect the health, safety and rights...
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...head: Professional Development Plan Professional Development Plan Jeff S. University of Phoenix Course Number Nur/391 Mr. November 18, 20 Professional Development Introduction The field of nursing attracted me for several reasons. The first being, that a nurse is the frontline person caring for others living or dyeing. Nurses many times will discover patients who need immediate attention before physician will and it’s up to the nurse to respond accordingly within the scope of their practice to take care of that patient. That attracted me because years ago I thought of going to medical school after high school but lack of money prevented that, nursing was not introduced to me till later while attending a ACLS class at a local collage in which the instructor was a R.N., she thought I was a person whom would be good at nursing. I then searched and found out what nursing had to offer, which seemed to be along the lines of a M.D. but without the length of schooling and residency. I have been able to find a job in different areas of nursing and now working in a perioperative setting which presently meets my carrier goals. Working in an enviroment that has high technology and being self motivated, working with different disciplines and a 12 hour work days three days a week keeps me attracted. The philosophy of nursing goes beyond culture, religious beliefs, geographic location; it sometimes becomes a part of us and who we are. Though a good percentage...
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...Nursing Philosophy Laura K NURS 391 March 10, 2014 Sharon Thompson, RN MSN/MBA-HCM Nursing Philosophy Introduction “Philosophies of nursing are statements of beliefs about nursing and expressions of values in nursing that are used as bases for thinking and acting,” (Chitty & Black, 2010). Having a personal nursing philosophy can help one provide better nursing care, as well as provide an outline for living one’s personal life. Developing a personal nursing philosophy requires reflection on how one feels about nursing within four categories; personal health, patient’s health, patient’s families, and fellow healthcare professionals. Personal Health As healthcare professionals, registered nurses (RN) can be viewed as role models for personal health behaviors. Attempting to teach a patient about the adverse effects smoking has on one’s health can be more than challenging if the RN smells like smoke, or has visible cigarettes in their pocket. This RN has observed this behavior in others and has difficulty understanding these actions. Nurses are more aware than the average person of the consequences of smoking, obesity, drinking, or drug use, but research has shown that “in spite of nurses’ knowledge, no difference exists between the health behaviors of nurses and those of the general population,” (Chitty & Black, 2010, pg. 290). This author has strong beliefs and opinions about smoking, drinking, and drug use, but does struggle daily with eating healthy and...
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...Ethical and Legal Issues in Nursing Laura Dittmer Marie Peckman Tracy Taylor Melissa Jacoby NUR/391 2/17/2014 University of Phoenix The America Nurses Association Code of Ethics provides a guideline to follow in a case that involves ethical dilemmas. In the case of Marianne, the ethical issues that arise is providing enough information for the family so they can make a decision on Marianne’s care. According to the American Nurses Association Code of Ethics, a nurse must practice with compassion, respect and be primarily committed to the patient weather individual, family, group, or community. (Thompson, 1998) In Marianne’s case, in regards to following the Code of Ethics the family should be provided with all options for treatment vs no treatment, risk vs benefit from each treatment, and the prognosis with and without treatment. By providing the family with all of their options you have met your ethical responsibility by being committed to the family with the regards in educating and allowing them to come to a decision that is right for them as a family. In the case of the malpractice lawsuit there are many ethical issues one might face. According to the American Nurses Association Code of Ethics, the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. (Thompson, 1998) In the malpractice case, your first ethical duty for yourself and the patient is to be honest, tell the truth, and protect the health, safety and rights...
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...Since the beginning of nursing, there has always been different ways of preparing ones self for the field. Although the American Nurses Association decided that the BSN is the “entry point into professional nursing practice” (Cresia & Friberg, 2011) in 1965, there are still 3 “equal” ways of becoming a nurse. The three ways of becoming a registered nurse today are associate degree programs, diploma programs, and baccalaureate programs. Upon completion of all of these programs, the nurse will sit for the licensure exam, NCLEX. They all lead to the same path, a registered nurse. The first nursing program in the United States was the hospital based diploma program, which was established in 1873 in Boston, and in 1909 the first baccalaureate degree in nursing (BSN) program was established. The associate degree in nursing program (ADN) became available in 1952, by Mildred Montag. Her intent with this program was to help the nursing shortage, because the ADN is shorter in length, and these nurses would work under baccalaureate prepared nurses. (Cresia & Friberg (2011) It is often argued that having a nurse who has completed a baccalaureate program, versus a nurse who has a diploma or two-year degree, will result in safer care and better patient outcomes. According to the American Association of Colleges of Nursing, the National Sample Survey in 2008 said the majority of currently employed registered nurses hold a baccalaureate degree, and the least amount hold a diploma (AACN...
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...decision-making skills. Let us first take a brief look at the history of the baccalaureate and associate degree programs. The first baccalaureate nursing program was started in 1909 at the University of Minnesota. The baccalaureate program got off to a slow start and students were committed to a total of five years of study. It wasn’t until after World War II did the baccalaureate programs pick up pace. (Creasia & Reid, 2011) With a critical nursing shortage shortly after World War II came the associate-degree nursing program developed by founder and director of the Adelphi College School of Nursing, Dr. Mildred Montag. She wanted to create a “technical” nurse with skill and judgment with the ability to function at the intermediate level. Leadership and management were a part of the baccalaureate programs but not part of the ADN curriculum. (Masters & Masters, 1989) Most believe that quality patient care starts at having a well-educated nurse. Having a 2 or 4 year degree will enable you to take the NCLEX-RN licensing examination, but because the NCLEX-RN only tests for minimum technical competency it does not mean all entry level nurses are equally prepared. According to the American Association of Colleges of Nursing fact sheet, there is more emphasis on physical and social sciences, nursing research, public and community health, nursing management and public humanities. (Rosseter, 2012) Leadership and management are just some of the differences between the BSN and ADN...
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...The Vision for Nursing is a Bright Nur/391 Sharon Berry Facilitator Arlene Leyba December 1, 2014 United ICN, the nurses of all nations speak with one voice. We speak as advocates for all those we serve, and for all the unserved, insisting that prevention, care and cure be the right of every human being. We are in the vanguard of health care progress, shaping health policy around the world through our expertise, the strength of our numbers, the alignment of our efforts, and our collaboration with the public and with other health professionals. This statement identifies for me my vision of our future. We will no longer be held solely to bedside practices. We are ever changing and evolving. In order to look to the future we must recognize our past. Nursing theory has evolved from Florence nightingale’s principle relating the importance of ones surroundings to promote one’s health and well-being. She wrote “Nursing is the act of utilizing the environment to assist him in his recovery.(Nightingale,1860/1969).To now recognizing the theory of Virginia Henderson who added to the theory by promoting the functions of the nurse as recognizing the whole body meeting the patients basic needs. “the unique function of the nurse …is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or peaceful death) that he would perform unaided if he had the necessary strength will or knowledge” (pg306)...
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...Associate vs. Baccalaureate Degree Nursing Julie Jones Grand Canyon University Nurses can earn many different degrees. Two of the most common degrees received by nurses today are the Associate Degree of Nursing (ADN) and the Bachelor of Science in Nursing (BSN). Both of these degrees allow the holder of the degree to take the nursing boards which will confer the title of Registered Nurse (RN). However, each of these degrees are very different from the other in terms of educational requirements, competencies, time to complete the degree and scope of practice. The ADN is a two year degree that is an entry level degree requiring only seventy credit hours of core nursing courses (Blegen, Goode, Park, Vaughn, & Spetz, 2013). Some of the advantages of the two year degree include a reduced cost, faster entry into the clinical or hands on experience, and the ability to obtain licensure as a Registered Nurse. Obtaining the license of the RN allows the graduate to apply for and receive a good paying job sooner than the four year degree. However, there are also several disadvantages to the ADN. Some of these disadvantages include a lack of comprehensive theory, a program of study that is more task-oriented instead of being a well-rounded, holistic, and goal oriented nursing. This lack leads to an inability to use the critical thinking skills that are taught at the baccalaureate nursing level. This lack can hinder the ADN’s ability to gain employment at the more preferred...
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...Running head: NURSING ROLES IN THE THREE LEVELS Nursing Roles in the Three Levels of Health Promotion and Prevention April Nguyen Grand Canyon University: NRS 429v 03/18/2012 Instructor Melinda Darling, MSN, FNP Nursing Roles in the Three Levels of Health Promotion and Prevention For over a decade, health promotion and prevention has been the main focus of healthcare professionals in general and nurses in particular. What does it mean by health promotion and prevention? According to Edelman & Mandle (2010), it’s “the science and art of helping people change their lifestyles to move toward a state of optimal health” (p. 14). In other words, it’s the strategy used in purpose to increase a sense of well-living and to decrease episodes of illness that can happen to anyone at any age. By doing this, it helps lessen the expensive cost government and patients have to spend for the cure. Being alongside with the vulnerable population, nurses work as critical roles of advocates, healers, educators, and researchers throughout all three levels of promotion and prevention (Edelman & Mandle, 2010, p. 19-20). Primary Prevention The focus of the first level is to promote good health and to protect individuals from diseases. There’re many ways nurses can help with general health and with fighting specific illnesses. The most common ways include (1) educating benefit of vaccination, (2) giving vaccines, (3) instructing benefits of healthy diet and regular exercise...
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...Grand Canyon University Professional Dynamics Nursing 430V Sylvia Robertson April 26, 2012 Explored Differences of ADN Prepared Nurses vs. BSN Prepared Nurses In this paper I would like to explore the differences between Associate Degree Prepared nurses and Baccalaureate prepared nurses. I will discuss the education and training of both types of nurses. I will also discuss how they function in different practice settings, envisioned and actual current functioning. The educational preparation of both types of nurses will be explored in determining how each type would approach a complex patient care situation and the type of nursing care they would provide. Prior to the 1950’s nurses in the United States were either prepared for beginning nursing careers in hospital based hands on learning Diploma Programs or in colleges in Bachelors of Science Degree, (BSN) programs. At that time in society there became a need for more nurses to provide care. The need for more registered continues until this day. Based on that need a program to train nurses was developed and called the Associate Degree in Nursing, (ADN).(Cresia & Friberg, n.d.) The BSN programs in colleges include in their education of nurses two years of general education courses in math, science, sociology, etc. Then two years are spent learning the science of nursing that includes learning the basic principles of nursing practice like developing nursing diagnosis’s, care plans, safe medication administration...
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...different sort of management role between ADN nurses and BSN nurses. Lastly the quality of work between the Associate Degree Nurses (ADN) and Baccalaureate Degree Nurses (BSN) will be examined to see if the competency of the ADN and BSN differs. The Competencies of ADN Nurses vs. the Competencies BSN Nurses History of Nursing According to Joan L Creasia and Elizabeth Friberg, the first baccalaureate degree of nursing in the U.S.A was started in the University of Minnesota in 1909. Until the 1950’s the program usually consisted of two years of general education and then three years of nursing education. These nurses who graduated in 5 years could either begin as a general nurse who works in the hospital and is a part of patient care or they can join the management side of patient care and become managers of hospitals. For the BSN they would have to study liberal arts, patient quality care, patient safety, as well as finance and other courses of study to be able to successfully run a hospital or a patient care facility (Creasia and Friberg 2011). According to Creasia and Friberg the Associate Degree of Nursing was established by nurse educator Mildred Montag so that the shortage of nurses can be addressed during World War II. Within five years of the degree being...
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