Difference In Competencies Between Nurse Prepared At Associate Level Vs. Baccalaureate Level

1221 words - 5 pages

Professional nurses who either obtains their Associates degree or Bachelors degree have significant effect towards patient care. Education plays a vital role for nurses and other health care professionals to encompass their knowledge, skills and care to the patients. The discussion will be focused on the differences between an Associate degree nurse (ADN) and a Baccalaureate degree nurse (BSN). It will also explain a case scenario of which will demonstrate the differences in methods used in decision-making that may differentiate based on their educational preparation as an Associates and Bachelors degrees.
Associate Degree Nursing
A nurse who obtains an Associates degree requires a two to ...view middle of the document...

As an important component of education to prepare the nurse for the responsibility of a wider scope of practice, several components are indispensable for baccalaureate programs such as liberal education, quality, patient safety, evidence-based practice and information management. According to Grand Canyon University College of Nursing Philosophy, baccalaureate nursing practice incorporates the roles of assessing critical thinking, communicating, providing care, teaching and leading (Grand Canyon University, 2011). Furthermore, nursing education is based on theory of which it originated from the following concepts: humanities, sciences and biblical. This helps nurses understand more in depth beyond the technical care as instructed in an Associated degree program. The Nurse with the BSN degree has more of an understanding of the political, socio-cultural and economic concerns that might affect the patient’s overall health.
ADN VS. BSN Differences in Competencies
The Competences of Associates versus Bachelors nursing degree is evident. There have been studies that demonstrated how vital it is for a nurse to pursue a higher degree. In 2013, according to Ann Kutney-Lee and colleagues, they found that a 10-point increase in the percentage of nurses holding a BSN within hospitals was associated with an average reduction of 2.12 death for every 1,000 patients and for a subset of patients with complications, an average reduction of 7.47 deaths per 1,000 patients (American association of colleges of nursing, 2014).

Another study conducted by Mary Blegen and colleagues, analyzed the association between RN education and patient outcomes. The hospitals who employed registered nurses with a Bachelors degree or higher, their patients had a reduced length of stay at the hospital. It also decreased the mortality rates of patients with congestive heart failure. Furthermore, it decreased the failure to rescue, postoperative deep vein thrombosis and pulmonary embolism in patients. This ratifies the purpose of the crucial need for nurses to pursue and obtain at least a Bachelors degree in nursing.
Patient Case Scenario
In a patient case scenario, an 82 year-old female patient who has type 1diabetes, hypertension and anxiety is inpatient on the medical surgical floor. The nurse assistant reports to the ADN nurse that the patient’s glucose level is 250 after breakfast and her blood pressure is elevated. She also reports that the patient was upset due to a family altercation. Immediately, the nurse took her blood pressure again then administers her the insulin per sliding scale and blood pressure medication as ordered while not considering other factors from a BSN point of view. The BSN on the other hand would have investigated further by assessing the patient...

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