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Competencies of the Baccalaureate Prepared Nurse

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Competencies of the Baccalaureate Prepared Nurse
Marie L. Niragira
Texas Tech University Health Sciences Center School of Nursing

1. Discuss the general differences between the Associate Degree/Diploma nurse and the Baccalaureate prepared nurse with regards to Provider of Patient-Centered Care as stated in the Competencies. Do some of these differences surprise you? Were you aware that the BON had these differences in competencies in writing?
In patient-centered care, the patients are actively involved in their care and the services they receive are focused on their individual needs. Patients’ involvement and shared decision making promote adherence and lead to improved outcome (Hinds, 2013). Nursing curricula include patient-centered care strategies in order to prepare and empower nurses about this level of care.
According to the Texas Board of Nursing (2010), with regards to the provider of patient-centered care, diploma and associate degree nursing (ADN) prepare the nurses particularly to provide safe, compassionate bedside patient care in the hospital setting. A nurse with a baccalaureate degree in nursing (BSN) is prepared for greater orientation to community health, public health issues, leadership and management in addition to what a registered nurse holding ADN or diploma is required to do. A nurse with a baccalaureate degree is also required to develop a plan of care for patients, families, populations, and communities based on evidence-based practice and published research. In addition to the courses taught in associate degree, the BSN student takes additional course work to enhance professional development for a broader scope of practice that goes beyond the acute care hospital.
I did not know the BON has differences in competencies between ADN and BSN. I thought we were both nurses since we all sit for the same NCLEX to get our RN license and

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