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Monday, February 25, 2019

Associate Nurse VS. Baccalaureate Nurse Essay

There has been much debate all over the years approximately the dissentences in competenciesbetween Associates Degree toy withs (ADN) versus Baccalaureate Degree (BSN) bears. In thispaper I impart discuss my findings and withal give a forbearing care short letter in which I describe hownursing care or approaches to decision-making may differ based upon the pedagogyalpreparation of the apply BSN versus a diploma or ADN degree. Besides the loss in time,credits and money studies are showing a signifi ro workt deviance in ADN nursing versus BSN.Research has shown that lower mortality rates, fewer medication errors, and positive come incomesare all linked to nurses prepared at the baccalaureate and down degree levels. (AACN, 2013)An ADN program is a two-year program in which students study the basics of nursing such as care plans and performing every(prenominal) day nursing skills, they offer courses that are more affordable and getatable which in this day and age heap be a commendation and in the end they produce competent bedside nurseswho can sit for the NCLEX. We can thank Mildred Montag for founding the ADN program back in 1956 due to a major nurse shortage after the war (Friberg, 2011, p. 87-88). But almost downfalls are when combined with practical nurses, the total number of technical nurse types being produced is excessive given current and future market demands (Benner et al, 2000). As for jobs they are limited to hospitals, skilled nursing, long-term care facilities, clinics and physicians offices.A bach of Science in treat (BSN) degree is a four-year degree that is center on theory and research. The American Association of Colleges of Nursing (AACN) states that education enhances some(prenominal) clinical dexterity and care delivery. (Rosseter, 2013) Due to more formal education the BSN nurse is more of a critical thinker advancing in daily nursing tasks and avoiding deadly errors. They tend to look farther into the illness pr ocess and critical thinking behind it rather then salutary being a task oriented ADN.Programs provide a firm liberal education and substantive upper division nursing major. both(prenominal) components are combined in ways that prepare a nurse generalist who is able to provide professional nursing services in beginning leadership positions in a variety of settings (Friberg, 2011, p. 87-88). Obtaining a BSN can open up more job opportunities for a person and in most cases makes you more desirable to employers. Many nurses get burnt out from being floor nurses so if you have your BSN you have the option to resettlement into management or many other areas like insurance companies, pharmaceutical companies, research jobs or even a clinical instructor. Research shows they use evidence based practice for better long-suffering outcomes. (Moore, n.d.) As also verbalise in the same article numerous research studies have demonstrated that the ADN and BSN nurses are not different in sk ill competency when they graduate, but within a year, the BSN nurses show greater critical thinking skills better problem solving, and the development of clinical judgment three skills of change magnitude importance for the increase in acuity of patients in hospitals and other wellness care settings. (Moore, n.d.)In the February 2013 issue of the Journal of Nursing Administration, MaryBlegen and colleagues promulgated findings from a cross-sectional study of 21 University Healthsystem Consortium hospitals which found that hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay. By having the added knowledge from school, it shows in studies that BSNs have better outcomes with less patient complications, which is good for everyone.PATIENT cautiousness SCENARIOA patient care scenario that come s to mind for me would be a patient in Labor and Delivery that has had slightly elevated consanguinity pressures former to the pregnancy, but with diet and exercise was able to avoid medication. But on admission an order for a blood pressure medication was reproducible as a PRN in case it was needed. As the patient progresses into labor, her pressures start to rise slightly. The ADN nurse comes in sees the breeding looks at her orders and dispenses the medication, because that is what she is trained to do. Whereas the BSN nurse comes in to the patients inhabit and sees the same reading, notices the patient seems more uncomfortable and is a little upset. So as the BSN nurse I would ask if she was having change magnitude pain and if she was offer her something for pain relief because that may help settle the blood pressure. I would also ask her if something else was bothering her because she seemed agitated and the patient stated that her and her boyfriend had just had a huge a rgument and she was upset over that. So with some pain relief and quiet environment the BSN nurse was able to avoid giving the patient an extra medication for her blood pressure.ReferencesBlegen, M.A., Goode, C.J., Park, S.H., Vaughn, T. & Spetz, J. (2013, February). Baccalaureate education in nursing and patient outcomes. Journal of Nursing Administration, 43(2), 89-94. Creasia, Friberg, Joan L. Elizabeth E. Conceptual Foundations The Bridge to Professional Nursing Practice. 5th Edition. Mosby, 2011. VitalBook file. Pageburst online. Pages 87-88. Moore, D.S. (February 2009). The Difference amongst Associate Degree Nurses and the Baccalaureate Degree Nurses. West Coast University doyens Corner.Retrieved from www.westcoastuniversity.net/deanscorner. Rosseter, R. J. (2013) American Association of Colleges of Nursing. Creating a More Highly drug-addicted Nursing. Retrieved from http//www.aacn.nche.edu/media-relations/NursingWorkforce.pdf

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