...Difference in competencies between nurses prepared at the associate degree level vs. the BSN Associate degree Nurse (ADN) nurses has 2 years training and diploma in nursing has 3 years of training .whereas Baccalaureate degree in Nursing has 4 years of training .The passing rate for NCLEX exam and basic clinical skills are the same example of I/V insertion, administering medicine and wound care. BSN training means Bachelor of Science in nursing are more focused in critical thinking skills, decision making skills, dealing with legal and ethical decision in evidence based practice and research based North Dakota was the first state that told about getting BSN after 10 years of diploma in nursing .Initiatives taken by these states New York, New jersey to increase stronger work force in nursing .AACN also emphasis of higher education level of nurses because of health care is changing more rapidly and more research is taking place and need for BSN education is increasing too. BSN nurses can work as team leader and can have many management skills because they have trained to do research and their focus is to go in depth of a problem rather than what book has stated. BSN nurses can manage and delegate nursing task to other personnel in a professional manner. BSN nurses verses ADN nurses competencies also defer in manner of decision making skills, critical thinking skills .BSN nurses involve and work with other interdisciplinary professional to solve the problem and help make...
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...Competencies Between Adn and Bsn Running head: COMPETENCIES BETWEEN ADN AND BSN Competencies Between Associate Degree Nursing and Bachelor Degree Nursing Socorro L. Lufsey Grand Canyon University: Professional Dynamics NRS 430v February 12, 2012 Competencies Between Associate Degree Nursing and Bachelor Degree Nursing This paper will touch upon the educational requirements for the profession of nursing between Associate Degree Nursing (ADN) and Bachelor Degree Nursing (BSN). It will also explore the competency differences between the ADN and BSN over the educational time frame for each degree. Also discussed will be a patient care scenario where both disciplines provide nursing care and how the care would differ. Education The profession of nursing began with Florence Nightingale in the 1800’s where she established the Nightingale School for Nursing in 1860 in London (Creasia & Friberg, 2010, p. 4). Since then the profession of nursing has grown immensely across the United States and abroad. In the United States of America the ADN requires two years of formal education covering general courses (Orsolini-Hain & Waters, 2009, p. 267) while the BSN requires four years of formal education covering “a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities” (Rosseter, 2011, ¶ 4). Despite the educational level of registered nurses, all are required to take and pass...
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...NURSING DIAGNOSIS *Risk for Dysfunctional Gastrointestinal Motility r/t colon resection a/e/b lack of bowel sounds Goal: Patient will pass flatus and have normal bowel sounds by POD 3 Nursing Interventions: 1. Maintain NPO status until bowel sounds return and patient begins to pass flatus 2. Administer antibiotics, analgesics and antipyretics as prescribed 3. Assess pain – intensity, location, quality 4. Encourage use of Incentive Spirometer 5. Assist OOB to chair and with early ambulation to help with peristalsis 6. Observe for dumping syndrome 7. Monitor bowel sounds and abdomen distention 8. Consult with dietician for nutritional counseling when diet can be resumed 9. Monitor daily lab values ensuring glucose levels are done and evaluated (elevated blood glucose levels can cause delayed gastric emptying) 10. Maintain bowel regime as prescribed to minimize risk for constipation. 11. Educate patient for signs and symptoms of constipation and obstruction and notify provider if no BM within 3 to 5 days of discharge. *Acute Pain r/t postoperative surgical procedure a/e/b numeric pain 8/10 Goal: Patient will verbalize adequate relief of pain within 1 to 2 hours of administration of analgesic Nursing Interventions: 1. Encourage use of Incentive Spirometer 2. Acknowledge and convey acceptance of the patient’s pain experience 3. Assess pain routinely asking patient to identify intensity, location, duration and quality...
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...Cultural Competency in Nursing Care Dorcas Jacobs Grand Canyon University: NRS 429V Family Centered Health Promotion September 29, 2013 Cultural Competency in Nursing Care As the United States becomes more and more culturally diverse one cannot help but be exposed to various cultures and worldviews. America has long been called the melting pot, and that term has never been truer than it is today. According to Green and Reinckens (2013) the U.S. Census Bureau estimates that by the year 2041 the U.S. population will be a majority minority. In other words, less than half of the population will be non-Hispanic, single race Caucasian. This growing diversity makes cultural competence in healthcare a necessary requirement for effective communication and delivery of patient centered care. In fact, cultural competency is so necessary that The Joint Commission has produced a number of items addressing this issue, and states that organizations and their personnel must do the following in order to provide culturally competent care: (1) value diversity; (2) assess themselves; (3) manage the dynamics of difference; (4) acquire and institutionalize cultural knowledge; and (5) adapt to diversity and the cultural contexts of individuals and communities served. (The Joint Commission, 2010) This paper will explore the value of understanding one’s own heritage when evaluating the needs of others. Comparison will also be made between health traditions of three families of differing cultural...
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...The Core Competency of Leadership in Nursing James Dunn Chamberlain College of Nursing Course Number: NR351 December 2015 The Core Competency of Leadership in Nursing Leadership in nursing is a fundamental core competency that is important to the growth and development of all nurses. The success of nursing is directly related to the effectiveness of the leadership in which they receive. By providing a good example, it will help to influence those around them and inspire others to want to lead as well. Leadership is important to nursing because it promotes a positive environment for current and future nurses and can develop standards and goals for nurses to continually strive for. Good leadership can be passed down thus providing a nurturing environment for those entering the profession. Effective Leadership According to Schwartz, Spencer, Wilson, and Wood (2011), “Success in the workplace often is contingent on a leader’s ability to effect positive change and inspire others to higher levels of achievement” (p.737). Leadership is a position that is not usually appointed however it instead emerges from those who have the ability to influence others, inspire others, and have character traits that are both admired and respected (Hood, 2014). Effective leaders have the power to make change and it’s important to recognize different leadership styles and the traits that an effective leader usually displays. Leadership Styles The type of leadership style used can greatly...
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...1 Differentiating Nursing Competencies by Educational Preparation Rebecca B. Roe Grand Canyon University: NRS-430V Professional Dynamics February 15, 2013 EDUCATIONAL PREPARATION Differentiating Nursing Competencies by Educational Preparation Significant efforts are currently being designed to form partnerships between executives, 2 academia, and professional organizations to ensure nursing curricula and core competencies meet the needs of the complex and constantly changing health-care system, and those efforts will support a seamless path to advanced nursing degrees (AONE, 2005). The common goal for nursing is the promotion of academic progression between all entry levels, and support a more diverse and well educated nursing workforce that will adequately reflect and care for our changing demographic (AACN, 2012). The recently published NLN Education Competency Model (2010) provides a comprehensive overview of core nursing competencies at all levels of nursing education, listing expected proficiencies in each level attained. While debate continues for the BSN to be the accepted entry to practice, the shortage of nurses and lack of nursing instructors will dictate the need for the provision of trained nurses who can meet the needs of a more complex health-care system, and will continue a path of lifelong learning to fill important advanced nursing roles. The 2010 Affordable Care Act provides exciting and challenging opportunities for the nursing profession to seriously...
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...Competencies of Associate and Baccalaureate Nursing Education Jessica Key Grand Canyon University: NRS-430V August 16, 2014 Competencies of Associate and Baccalaureate Nursing Education The differences in competencies between associate-degree nurses and baccalaureate-degree nurses can be looked at many different ways. These can include statistics, patient experiences and correlating hospital scores or by evidence based articles researching the differences in how the diverse education levels handle certain situations (for example, cardiac arrests, a difficult patient situation, death, etc). To understand each degree level, we must first understand exactly what they do to prepare nurses to enter this profession. This paper will look deeply into where the associate and baccalaureate degrees came from and exactly what they concentrate on while a student is in the program. What is Nursing? According to the American Nurses Association, nursing can be defined as “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 Nurses Association," 2014, section 3). To acquire the label of “Registered Nurse”, one must go through one or more nursing programs to attain the knowledge to take the standardized licensure exam. The two most common programs are associate-level...
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...Nursing Competencies; ADN versus BSN All nurses are caring educated individuals that are trained to provide safe and efficient care to their patients. They are the eyes and ears for the doctor when they are unable to be present and they are the patients advocate when they are unable to be their own. It is the knowledge and education of the nurse that aids them in assessing a patient and leads them to ask the right questions so a safe clinical decision is made. (McHugh & Lake, 2010) Any person who graduates for a nursing program, weather it is a diploma, associate degree or a baccalaureate degree is eligible is sit for the licensing exam (NCLEX-RN) to become a Registered Nurse. The NCLEX test for minimum technical competency. An Associate degree in nursing (ADN) program is a two year degree that focuses more on the clinical skills of the nurse and less on the science and theory that is nursing. Many people choose to pursue this degree due to the fact it often takes less time to obtain and the cost is usually less. While associate degree prepared nurses can be great bedside nurses they tend to be task oriented and lack the education and critical thinking skills needed to be leaders in the nursing field. A Bachelor of Science in Nursing (BSN) degree is a four year degree that is based on research and theory. They are trained to treat the whole patient, not only their current issues but everything that the patient encompasses. The American Association of Colleges of Nursing...
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...The role of regulatory agencies related to nursing Marina Chandy San Jacinto College- LVN program According to Calzone (2014), “As science, advances, new competencies must be integrated into nursing practice to ensure the provision of safe, responsible and accountable care.” The purpose of the Board of Nursing is to protect and promote the welfare of the people by ensuring that each person holding a license as a nurse is competent to practice safely(Board of Nursing [BON], 2014). Regulatory agencies have been around for many years, but the regulation of nursing actually began as a registry process to protect the public and nurses. A regulatory agency is authorized to create and enforce rules or regulations that carry the full force of the law(Flook, 2003). A wide range of regulatory agencies apply in different ways in the health care field. Health care regulations are developed and enforced by all levels of...
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...Differences in Nursing Competencies: ADN vs. BSN Sheri Lancaster August 23, 2014 Differences in Nursing Competencies: ADN vs. BSN There has been much discussion recently about the need to require a minimum of a baccalaureate degree for entry-level nurses. Many hospitals have moved to this ideology and have already began to give a hiring preference to those nurses who hold a baccalaureate degree and many have hired Associate degreed nurses with the requirement that they will obtain their baccalaureate degree within so many years of employment date. This paper will discuss the differences between a nurse holding an associates degree and a baccalaureate degree, as well as, present a patient care situation describing how patient care decisions difference based upon the nurse’s educational level. History of ADN and BSN Programs It was during the post World War II years that Mildred Montage developed an associate degree level of nursing education in response to the shortage of nursing (Creasia & Friberg, 2011). She developed the associate degree-nursing program with the intent that these nurses would work under the supervision of baccalaureate level nurses who were at the time considered professional nurses. The Associate program is a two-year program that focuses on the fundamentals of nursing and teaching bedside clinical skills. The baccalaureate degree program has been in existence since 1909 and was developed as a five-year program (Creasia & Friberg, 2011). It...
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...To become a registered nurse, you must go through a stringent of nursing educational process. There are two entry educational levels: Baccalaureate Degree in Nursing (BSN), and the Associate degree of nursing, ADN, ( Lane & Kohlenberg, 2010). Completion of any of these programs allows one to take the licensing exam, National Council Licensure Examination for Registered Nurses, NCLEX-RN. The ADN is a two year program established earlier on as a quick fix to address nursing shortage in 1958. Its focus is more on application of the basic nursing skills to achieve patient care. This program is usually in community colleges. BSN is a four year college education whose program is more extensive and expansive of the fundamentals of the ADN program to include “physical and social sciences, nursing research, public and community health, nursing management, and the humanities” (American Association of Colleges of Nursing., 2012). Both BSN and ADN educated nurses have to take the NCLEX exam for initial licensure and so, one may wonder why spend more time and money in school to achieve the same result. This paper is therefore going to show the competency differences between the BSN and ADN as applied to nursing practices. It goes without saying that the BSN being a four year program will definitely mean more education, knowledge, skill and, with knowledge and skill comes confidence. BSN will...
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...Running Head: COMPETENCY DIFFERENCE BETWEEN ADN AND BSN LEVEL OF NURSING Competency difference between ADN and BSN level of Nursing Presented to Professor Mandy Sheriff By Marlene Holmes Grand Canyon University: NRS-430-102 November 4, 2012 Competency difference between ADN and BSN level of Nursing This paper will look at the competencies between the Associate Degree of Nursing (ADN), and the Bachelors of Science Degree in Nursing (BSN) as it relates to the educational requirements for both programs. It will also discuss a patient care scenario where both nursing disciplines provide nursing care or the approach in the decision making process based on educational preparation of the nurse. When we speak of where the nursing profession is heading in the future, we must take a look at our past in order to fully understand current practices. Originally, nursing was not seen as a “profession” it was a job for the undesirables (Friberg & Creasia, 2010). The undesirable were men and woman who would help the sick, poor and abandoned individual and nurse the sick back to health. It was not until the 1800’s when Florence Nightingale, the founder of modern nursing, helped to change the way things were being done in military hospital as it relates to taking care of the sick. She fought for sanitary changes in the hospitals as well as educational advancement for nursing practices (Friberg & Creasia , 2010). In the 1860’s Nightingale established...
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...Differences in Competencies Between Associate and Baccalaureate Degree in Nursing Babrin Guisha Grand Canyon University: NRS 430 October 7, 2012 From the beginning, nursing has been the way of caring for sick individual, who are unable to care for themselves. The concept has not changed till today, but event surrounding it has changed tremendously in regards to civilization, modernization and technological advancement. This knowledge of nursing profession evolved around education, community health nursing, and research. Today, more is required from the nurses before you can practice as a professional nurse to the benefits of the patient, family and community at large. Therefore this has force many nurses to go back to school to attain more knowledge in other to fit into today’s world of nursing and to be able to give excellent and qualitative care to their patient, family and society. According to the American Association of College of Nursing (AACN), “Quality patient care hinges on having a well educated nursing workforce” (2011). There are two types of nursing degrees, an Associate Nursing Degree and a Baccalaureate degree level in nursing. The ADN is a two year program that is task and skill oriented. This type of education received does not prepare them for nursing research and this degree has limited interaction with community health and minimal knowledge of patho-physiology of disease. On the other hand, BSN is a four...
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...move forward in our day to day activities. More education brings more opportunity. The more educational experience you have, the more doors are open for you, just like many doors are open to nurses with a BSN, than nurses with a diploma or an associate degree. An associate degree nurse is a nurse with three years nursing training which are usually offered at community/junior colleges. After graduating from the program the associate nurse is qualified to take the National Council Licensure Exam (NCLEX) to become a registered nurse (RN). The program was offered to reduce the nursing shortages at hospital. Associate degree nurse program was formed by Mildred Montag (a nurse educator) in 1956 due to severe shortage of nurses after World War 11. Baccalaureate degree nurses are nurses with four years of nursing training that are offered at summer colleges and universities. The graduates of this program are qualified to take the National Council Licensure Exam (NCLEX) and become a Registered Nurse. The BSN program includes all the courses taught in an associate or diploma degree program, but the courses go more in depth in physical sciences, social sciences, and nursing management. The educational background a nurse receives from the Baccalaureate degree while in school helps the nurse to understand religious, cultural and social matters related to patient care and safety. The degree also helps to better understand social-cultural, economic and potential concerns that may have emotional...
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...Differences and in Competencies between Nurses Prepared at Associate-Degree versus the Baccalaureate-Degree Level in Nursing The nursing profession has multiple entry levels which are diploma, Associate (ADN) degree and Baccalaureate (BSN) degree (Lane & Kohlenberg, 2010). Historically, The Bachelor of Science in nursing degree was established in 1909, whereas the Associate degree was established in 1958 (Hood & Leddy, 2006). BSN students are required to attend 4 years of college education, mostly given at colleges or universities, and on the other hand ADN students are required to attend 3 years of a community college nursing program (AANC, 2011). These variations in the years of education create differences in competences between BSN and ADN. Some variations include critical thinking, decision making, problem solving, and ethical reasoning. Both, ADN and BSN prepared nurses sit for the same licensure examination (Taylor, 2008). According to Lane & Kohlenberg (2010), “Baccalaureate education provides nurses with critical thinking for complex patients and opportunities for leadership, professional mobility, and advancement, this does not mean associate degree nurses are unimportant” (p. 220). Associate degree nurses demonstrate the critical role in nursing (Lane & Kohlenberg, 2010).They continued by adding that through building onto the fundamentals of Associate degree education, emphasis on research, social and physical sciences, and management of community health;...
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