Competencies between nurses prepared at Associate Degree level vs. Baccalaureate Degree level A nurse is a person formally educated and trained in the care of the sick or infirm. The nurse works in collaboration with other healthcare professionals and is responsible for the treatment, safety, and recovery of sick people who are in need of close observation and physical, emotional, spiritual and social care. This paper will explain the competencies for nurses prepared at the ADN and BSN levels.
Nursing shortage in early 1990’s inspired the nursing organization to differentiate educational and work requirements to attract new job.
In 1993 the American association of college of nursing (AACN) and the American organization of nurse executives began differentiating nursing competencies into separate carrier for associate degree level and BSN levels. By originating distinct duties, academic options and requirements for each nursing certification, both associations thought they could fight nursing shortages increase the work efficiency and increase job growth. “American Association of Colleges of Nursing,” 1993) Some of the basic competencies for ADN and BSN who have successfully completed the NCLEX is that they can perform physical assessment, intravenous and drug administration, blood sampling, and use of medical equipments.
Also life saving practice skills likes cardiac monitoring, airway management, drains, oxygen delivery and wound care. The additional skills that the BSN exhibits other than the basic skills are stronger communication skills used to communicate with the patient’s family and a larger community.
BSN manage the patient experience from admission to discharge in a more unstructured environment that requires more direct, long term communication with the patient.
BSN nurses also are able to think logically and analytically in patient management. Other benefits are that different positions are available to provide more choices in job focus, education, and certification requirements. (Hood, 2010) Baccalaureate nursing practice incorporates the roles of critical thinking, communicating, providing care, teaching, and leading.
Read also: Competencies Between Nurses Prepared at Associate Degree Level vs Baccalaureate Degree Level
The caring professional approach includes the values of autonomy, altruism, human dignity, integrity, and social justice with unconditional regard for all people. Nursing practice includes health promotion, disease prevention, early detection of health deviations, prompt and adequate treatment of the human response to acute and chronic illness, and compassionate care for those experiencing death. (Grand Canyon University, 2011, p. 2).
BSN collaborate with nursing instructors to incorporate nursing research findings develop, protocols; manage comprehensive client care for client as a charge nurse. Responsible for own practice and assign care to other nursing personal practice within the legal and ethical parameters of nursing. Nursing education is theory driven. Theories are derived from humanities, science, and biblical concepts. Nursing knowledge theory ,research and health promotion are influenced by spiritual perspectives and ethical, legal political historical, and social influences .
Teaching includes a variety of methods learning modalities, and practice situations . faculty provide opportunities for students to give comprehensive care to diverse client populations (grand canyon university, 2011,p 2) In 1965 the American nurses took a courageous position in publishing a position paper asking for the baccalaureate degree to be the minimal level of education for the profession of nursing (A position paper 1965). his was the first step attempted to change the level of education of nurses from technical based education to a scientific based education. The position that the ANA held had many of the obstacles to overcome. The interference of the government funding programs, Nurses to go beyond just the technical based profession and the perception of nursing as a care giver.
For example if a elderly women complaints of abdominal pain and she is restless and short of breath, If it is a ADN who is assigned to this pt her skills and critical thinking ability is limited and she would be look at the problem which the patient complaints and help the client to be comfortable, But if it is a BSN she would use her critical thinking ability and look beyond the present complaints and think of other body system that can issues like as study shows that female client does not exhibit any chest pain even if they are having myocardial infarction, so the BSN uses her kills and look at that and try to do a cardiac workup and call the MD and do all that is needed to treat the pt and keep the client out of danger. By this action she will keep the clients family happy. Obtaining a BSN the door opens into management positions clinical educator positions, A masters of the science of nursing, moving forward as an advance practice nurse within your specialty and obtaining a doctorate in nursing within your specialty and obtaining a doctorate in nursing and doctorate in nursing science.
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