Asn vs Bsn

In: Science

Submitted By lgodett
Words 913
Pages 4
Title: The differences in Competencies between Nurses Prepared at ADN versus BSN level of Nursing with- Patient Case Scenario
Name: Lu-Anna Godett
Grand Canyon University: NRS-340V
May 3rd, 2015

Nursing is a field that is constantly changing and evolving which makes it necessary for nurses to grow and evolve with it. One of the ways to facilitate these changes is through education. This paper will take a look at the difference in competencies of an Associates Degree and a Bachelorette Degree nurse. We also look at the differences in approach, and the roles that experience and skills play in the clinical decisions made by a BSN and an ADN prepared nurse by evaluating a clinical scenario of a BSN versus an ADN.
Associate Degree Nursing
This program takes about 2 to 3 years to complete, usually at a technical or community college. According to Ellis and Hartley (2008), this program was expected to put new nurses into the work field more quickly to help eliminate the nursing shortage. Mildred Montag designed the ADN in 1952 as an alternative to typical college education. Creasia (2011) states that Montag’s intent was that ADN nurses would work under the direct supervision of BSN level nurses.
Bachelor Degree Nursing
This degree is completed in a 4-year college or University. The first school to introduce this program was the University of Minnesota in 1909. Bachelorette nursing programs teach basic nursing skills along with concepts of health promotions and disease prevention for individuals and populations (Ellis and Hartley, 2008).
“Emphasis is placed on developing skills in critical decision making, exercising independent nursing judgment which calls for a broad background knowledge.” (Ellis and Hartley, 2008). The American Association of College of Nursing (AACN), (2008) defines the baccalaureate graduate as a provider of…...

Similar Documents

Asn vs Bsn Rn Comparison

... prepares the nurse for hands on bed side experience in a clinical setting. Core content focuses on a variety of topics but focuses on clinical rotation to introduce the nurse to bed side practice. An ASN degree offers a cheaper tuition for the student if cost is a factor in deciphering between pursuing an ASN or BSN in nursing. Areas of employment can include can include hospitals, long term care facilities, and doctor offices (Friberg, p30) A portion of ASN nurses is complacent with their education level and see’s no difference in pursuing their BSN due to lack of incentive. “The Knowledge needed by practicing nurse’s increases as medical knowledge evolves and becomes ever more complex. Undereducated nurses often fail to recognize their disadvantage and do not aspire to graduate education” (Neese, Majika, & Tennant, 2007, p. 160). Four Year BSN Degree A bachelor’s degree is a four year program. “Programs are accessible and accommodate RNs who are graduates of associate degree and diploma programs. Baccalaureate programs in nursing have been designated by the ANA as the entry point for professional practice” (ANA, 1965). (Friberg p37). The BSN program teaches students to critically think, learn leadership qualities, and apply nursing research to clinical practice. There are more advantages of obtaining a BSN than an ASN. Nurses with a bachelor’s degree have gained the essential tools to implement critical thinking, ethics, and research when assessing a patient (Friberg......

Words: 1243 - Pages: 5

Bsn vs. Adn Nurse

... associate’s degree nursing program became very popular, which lead to another form of entry into nursing. Presently, the entry into the profession of nursing still includes diploma, associate degree, and bachelor degree nurses. All three types of nurses all are required to take the licensing examination called the National Council Licensing Examination for RNs (NCLEX-RN). This examination only tests for minimal competency in order to practice nursing. (Rosseter) The NCLEX-RN does not measure the difference of knowledge and competency between the associate degree nurse (ADN) and the bachelor degree nurse (BSN). There is also no legal difference in licensing between these nurses. (Friberg, 2011) Associate degree nurses, which is obtained at a community college, is a common entry into the nursing field. This type of program takes approximately two years to complete. About 42% of nurses obtained their education with an Associate Degree of Nursing (ADN). (Raines, 2008) Nurses that graduate from this type of program are licensed and skilled to work safely in the clinical setting. The nurse from the ADN program is trained to effectively manage caring for patients with defined and predictable health problems using the nursing process. (Scope of Practice and Differentiated Practice Competencies) The ADN program lacks in the broad scope of education that helps students to learn critical thinking skills. Nurses that graduate from a four-year college or......

Words: 1072 - Pages: 5

Adn vs Bsn

...Running head: DIFFERENCES IN COMPETENCIES BETWEEN ADN VERSUS DIFFERENCES IN COMPETENCIES BETWEEN ADN VERSUS BSN DIFFERENCES IN COMPETENCIES BETWEEN BSN VERSUS ADN The purpose of this work is to explore the differences in competencies between Baccalaureate Degree in Nursing (BSN) and Associate Degree in Nursing (ADN). Registered nurses are only legally allowed to practice on patients and clients, these nurses have to be certified and issued licenses by a licensure council after successfully completing and passing the National Council Licensure Examination (NCLEX). These nurses are either Bachelors of nurses or ADN nursing students. ADN nursing program was first introduced during the World War 11 when there was high demand of clinically skill oriented nurses to meet the rising demand the war prompted. ADN program usually take two years to complete and can be done in city or community colleges in comparison to the BSN program which is done in the university and takes about four years to complete. (Moorhead &Cowen, 2006). ADN program emphasize on the acquisition of clinical skills and does not offer the theoretical and scientific knowledge required for the nursing profession, making the program lack competency of scientific theory and ways of providing health services. BSN program, is very different because it requires four years to complete and it focuses on the whole view of nursing field and it enables the student a wide range of diverse...

Words: 1040 - Pages: 5

Bsn vs Adn

...Whether you are a diploma, or an Associates degree or a Baccalaureate degree prepared RN all are considered collaboratively as a apart of the health care team that promotes safety, maintains health and provides treatment to patients that are acutely and chronically ill. There are three different ways in which one could obtain a degree in nursing and become a Registered Nurse. An Associate’s degree of nursing (ADN) which is a 2 yr. degree, a diploma nurse which is a 3 yr. program completed in a hospital based setting and the Baccalaureate degree of nursing (BSN) which is a 4 year degree and considered to some the entry level into nursing. Completion of any of these three programs qualifies a nurse to take the National Council Licensure Examination (NCLEX). The NCLEX-RN is a state board examination that is used to test the entry level competency of nurses. This paper will pinpoint the different competencies between a nurse that has graduated with ADN and a nurse that has a BSN.The ADN program was established in the 1950’s and founded by Mildred L. Montag. After World War II there was an extremeshortages of nurses and this two year associate degree program would help reduce the nursing shortage in the nation. This program was intended to teach technical bedside nursing in multiple different settings. ADN became popular because it wasmore cost effective, and the schooling was considerably shorter. Since the BSN programs are four year programs they focus more in depth on...

Words: 732 - Pages: 3

Bsn Versus Asn

..., communicating, teaching, leading, critical thinking, providing care, and strong communications between nurses, doctors to go along with great problem solving. BSN nursing practice including health promotion, early detection of health deviations, disease prevention, and adequate treatment of the patients and response to acute and chronic illness. BSN VS. ADN NURSES Nurse’s researchers have identified that education does make a difference on how nurse practice or work. The broader and more depth education of BSN Nurses allows better understanding of many social, cultural, economic and political issues that impacts patient and influences healthcare. BSN Nurses help reduce the death rate. Researches shows that evidenced-based practice for good patient outcome. To show the differences in between Baccalaureate nurse and Associate degree nurse by giving an example of a patient. As a registered nurse working on floor reported by the nursing assistant’s staff, Patient has a blister on his back. The registered nurse went to check patient and found that the patient has a fluid filled blister on his coccyx area. Wound was measured by RN and noted 4 by 4 cm elevated with fluid filled blister. Registered nurse made the change of Condition form.MD was notified and got new orders for treatments. Responsible party, supervisor and dietician were all notified by registered nurse. Skin sheet and treatment orders care plan were made by registered nurse. Initial...

Words: 949 - Pages: 4

Asn vs Bsn

...Associate Degree Nursing An associate degree nurse can be defined as a nurse with two to three years nursing training, usually at a community college. A graduate of this program is qualified to take the National Council Licensure Examination (NCLEX), to become a registered nurse (RN). Differences in Competences of ADN VS. BSN Nurse There have been studies that showed that investments in highly qualified and educated nurses produce better patient outcomes. A study of Magnet hospitals in Pennsylvania with higher proportion of baccalaureate prepared nurses revealed that patients in magnet hospitals had lower rate of inpatient death within 30 days and lower odds of failure-to-rescue compared with patients cared for in non-Magnet hospitals (Mc Hugh et al., 2012).Other studies observed the consequence of nursing practice; skills on cancer patients going through surgery showed that the educational level of a nurse has a vital impact on patient health. The BSN nurses were linked with lower mortality and failure-to-rescue rates confirming the view that if a higher proportion of staff nurses have at least a baccalaureate-level education; this would have a positive effect on a patient outcome, and will also reduce their stay in the hospital. ASSOCIATE NURSE VS. BACCALAUREATE NURSE Patient Case Scenario Using a patient case scenario, a known male hypertensive (high blood pressure) patient on medical floor may be reported by a medical assistant to have an...

Words: 754 - Pages: 4

Asn vs. Bsn

... Associate Degree level of nursing is limited to the theories and leadership roles of bachelor degree students, “…BSN graduates are prepared are prepared as generalists to practice nursing in beginning leadership positions in a variety of settings” ( Creasier & Friberg, 2011 p. 25). Upon entering the workforce much of the associate’s competency is learning the nurses endure are in the clinical setting and experiences they gain in the workforce. Baccalaureate Degree in Nursing According to Robert J. Rosseter, A bachelor degree is a four year program that an individual learns all materials of what is provided in an associate degree level, with in addition to in depth coursework (nursing research, nursing management) that prepares the nurse more efficiently in the scope of practice (Rosseter 2014). A nurse with a high level education such as a bachelors degree have more of the critical thinking and autonomy to which the interventions they choose are more effective than a newly associate degree nurse. In an article by author Ann Kutney Lee and her colleagues, researched, “found that a ten-point increase in the percentage of nurses holding a baccalaureate degree in nursing within a hospital was associated with an average reduction of 2.12 deaths for every 1,000 patients—and for a subset of patients with complications, an average reduction of 7.47 deaths per 1,000 patients” ( Kutney, Aiken, Sloan, 2013, pg. 1). Kutneys research is evidence based practice that shows how......

Words: 1052 - Pages: 5

Bsn vs Adn

... inadequately prepared for the leadership roles that are required in today’s nursing industry. Associate degree nursing programs lack strategies to promote personal identity in their graduates (Mbewe, Jones 2015) therefore those individuals are not confident to see themselves as nurses without a proper internship program that will teach them leadership and delegation skills. Baccalaureate Science Degree Nursing In 1909 the University of Minnesota established the first permanent undergraduate nursing program in the United States (Creasia 2011). Many baccalaureate programs were five years in length and consisted of two years of general education and three years of nursing until the mid 1950s; most are now four academic years in length (Creasia 2011). The BSN programs incorporate all of the course work taught in the ADN program along with liberal education, quality and patient safety, evidence based practice, information management, health care policy and finance, communication and collaboration, clinical prevention and population health, public health, and professional values (Creasia 2011). These components prepare individuals for the demands placed on today’s nurses. As nursing grows as a profession it is important for individuals to continue to advance in their education. The stronger, comprehensive curriculum best fulfills the requirements of today’s health care advancements. BSN nurses are able to take on leadership roles with confidence. Nurses educated at the...

Words: 913 - Pages: 4

Bsn vs Adn

...BSN: Closing the Primary Care Gap As the shortage of physicians grows, so does the demand for care. Patients and organizations will rely on nurses to close this gap in primary care. This will require nurses to provide a higher level of care and a broader range of services. They will be expected to be more independent, accountable, professional, and highly educated. Baccalaureate programs provide advanced training in critical thinking, leadership, education and patient safety (Cresaia & Friberg, 2010). Associate degrees are more focused on the technical aspects of nursing care and teach only the basics of leadership (Moore, 2009). Nurses that obtain a BSN degree are more prepared to face today’s challenges in health care and provide patients with the level of care they need. America’s population is becoming older and more diverse. With an aging population of patients, health care will be faced with more chronic conditions such as hypertension, diabetes, arthritis, cardiovascular disease, and mental health conditions (IOM, 2011). Nurses will need advanced critical thinking skills in order to care for patients with chronic conditions. Managing these conditions will prevent the disease from progressing further and prevent acute care episodes. A study spanning twenty-one University Healthsystem Consortium hospitals found that nurses with baccalaureate degrees or higher their patients “had lower congestive heart failure mortality, decubitus ulcers, failure to...

Words: 944 - Pages: 4

Asn vs Bsn

... experienced nurses observed the great benefits of training and educating the new nurses with this technique and, “formed national specialty organizations…these organizations practice standards and developed continuing educations programs and certification for their respective emerging clinical specialties (Fairman and Lynaugh,1998; Keeling, 2004). The Diploma, ADN, and BSN students who are able to pass the NCLEX are considered entry level, and can be interpreted to work at the same level. The difference can be found in the mentality and focus of patient care. According to the AACN: The NCLEX tests for minimum technical competency for safe entry into basic nursing practice. Passing rates should be high across all programs preparing new nurses. This exam does not test for differences between graduates of different programs, measure performance over time, or test for all of the knowledge and skills developed through a baccalaureate program. (HRSA, 2013) Although the NCLEX tests for basic and nominal impendence, it is the BSN that will be able to advance into leadership roles. The extended education that the BSN nurse acquires greatly influences the individual’s perspective on nursing concepts and foundations, ultimately effecting patient care by providing care through evidence-based practice. This is in contrast with the ADN program in which the primary focus is basic skill set and requirements to enable the individual to pass the NCLEX exam and work as a Registered...

Words: 806 - Pages: 4

Adn vs Bsn

...Grand Canyon University: NRS 430v Professional Dynamics February 19, 2012 Abstract 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 individuals, families, communities, and populations. In my eyes nursing involves the use of critical thinking and clinical judgment to help us understand a client’s response to actual needs. Both ADN and BSN prepared nurses can provide the similar clinical bedside nursing skills, however, ADN prepared nurses training prepares them for specific patient care diagnoses and situations. BSN prepared nurses training prepares them for a more holistic approach, such as decision making, delegating, and oversight. However, the debate still turns to ADN vs BSN. ADN vs. BSN: Differences in competencies ADN: Associate Degree Nursing Associate degree programs are designed to train students to provide entry level care in a hospital setting. The ADN is an attractive option for...

Words: 916 - Pages: 4

Adn vs Bsn

...Running head: DIFFERENCES IN COMPETENCIES ADN VS BSN The Differences in Competencies between Nurses Prepared at the Associate Degree Level vs. the Baccalaureate Degree Level. A competent nurse has the knowledge and skills needed to perform well in her work environment. There has been much discussion over how the level of competency is affected by a nurse’s educational preparation. Before the influence of Florence Nightingale there was no formal education for nurses and their work and social status was considered very low. Now partly because of the work of our nursing pioneers nurses are respected and educated professionals. In the United States there are currently three recognized routes to becoming a Registered Nurse. There are Diploma Schools which are hospital based and rely on the apprentice model, the Associate Degree, started by Mildred Montag in response to a post World War II nursing shortage and the Baccalaureate degree. According to the American Association of Colleges of Nursing, Fact Sheet: Creating a More Highly Qualified Nursing Workforce:” The fact that new nurses pass the licensing exam at the same rate does not mean that all entry-level nurses are equally prepared for practice. The NCLEX tests for minimum technical competency for safe entry into basic nursing practice.” The test does not differentiate between the ADN and BSN educational backgrounds. The ADN graduates from a two year program most often in a Community...

Words: 1216 - Pages: 5

Asn vs Bsn

...Becoming a Competent Nurse: ASN vs. BSN The history of nursing education has evolved through the centuries. The Baccalaureate degree began with formal education in the hospitals and slowly moved into colleges and universities. With nursing shortages in the United States during and following World War II, the Associates degree was proposed to be a temporary need to help increase the amount of educated nurses in the workforce. (Creasia & Friberg, 2011). Recently, there have been many ongoing debates on which degree should be required before a student is able to receive the RN licensure- Diploma, Associated Degree, or Baccalaureate Degree. The answers that may be heard vary from organization to organization, each having research to support their decision. Many have argued that regardless of the reasons, the pathway to becoming an educated nurse is disorganized and confusing. Many say that change is needed, and many suggest, that there be only one way to become a professional nurse (Creasia & Friberg, 2011). Outlined below are the competencies for each degree and how it applies to the medical settings. The Competencies of an Associate Degree Nurse Associate degree programs (ASN) offer students an opportunity to become a competent nurse, and once completed, is eligible to take the NCLEX-RN and work as a licensed Register Nurse (RN). The ASN program can take 2-3 years and is designed to educate and train to be “technical nurses” and provide entry level care in hospitals...

Words: 1058 - Pages: 5

Why Continue Education from Asn to Bsn

... positive outcome for this disabled veteran is what is desired by Jen and her VA team. Conclusion This is pointed out in the American Association of Colleges of Nursing article when they state “BSN nurses not only provide more complex aspects of daily care and patient education, but also design and coordinate a comprehensive plan of nursing care for the entire length of a patient's stay - from pre-admission to post-discharge - including supervising nurses aides and other unlicensed assistive personnel, designing discharge and teaching plans for patients, and collaborating with patients, physicians, family members, and other hospital departments and resource personnel.” ("The Baccalaureate Degree in Nursing as Minimal Preparation for Professional Practice," 2000, p. 10) So now I understand the differences between an ADN degree and a BSN degree prepared nurse, and am very excited to continue the path I have chosen in furthering my nursing education and practice. I am now prepared to answer the questions people ask me “why would you want to go back to school?’ References Cresai, J., & Friberg, E. (2010). Conceptual Foundations: The bridge to professional nursing practice (5th ed.). Retrieved from Forster, H. (2008). ADN vs. BSN. Retrieved from Journal. (2000). Retrieved from

Words: 1419 - Pages: 6

Adn vs. Bsn

...BSN vs. ADN Molly Kurian GCU Professional Dynamics NRS-430V May 18, 2012 BSN vs. ADN Nurses are expected to be independent decision makers due to the complexities their jobs entire. Fast growing clinical knowledge and advancing technology in health care have made the difference amongst associates and baccalaureate degrees. One of the largest differences in the degrees is the years of education required; 2 years for associate degree (ADN) and 4 years for baccalaureate degree (BSN). “ADN nurses are educated to provide nursing care to persons with similar health alterations in structured settings, whereas BSN nurses are educated to engage in independent thinking and to provide nursing care to persons with complex and differing health alterations within variety of settings, including the community” (Hood, 2010, p. 18). Even though both ADN and BSN are getting the same license, the education related to communication, critical thinking, and leadership skills vary. Firstly, the competency level between ADN’s and BSN’s differs in both listening and verbally communicating. ADN uses basic communication skills to coordinate with other health care members to meet the immediate needs of patients. The associate degree nurse recognizes the individual’s need for information and can modify a standard teaching plan. The nurse with a bachelor’s degree uses complex communication skills in multiple settings to collaborate with other...

Words: 1071 - Pages: 5