Nursing encompasses several levels of education and licensure. For decades the differentiation between these levels has been debated, primarily between the differentiation of the Associates degree in Nursing (ADN) and the Bachelors of Science degree in Nursing (BSN). The associate’s degree, which began with the intention of creating a technical nurse, has developed into being “equivalent” to a bachelors degree (Hess, 1996). The two degrees however are not equivalent, the bachelors educated nurse receives two years education beyond the associate, in the liberal arts and upper division nursing courses
Ultimately, the leaders in the nursing community must decide what they want before actually implementing any standards and regulations in regards to entry-level requirements as a Registered Nurse. There must be a consensus and plan to make a bachelor’s level education the minimum requirement to practice as a nurse. The amount of knowledge, clinical experience, background in philosophical and ethical ideals entailed in a bachelor’s program is what is necessary to create a critically thinking, competent nurse. Setting a bachelor’s standard will also help maintain the public’s trust in the nursing profession as well as within the health care community.
The field of medicine is a continually evolving field. There are developments in medicine made daily that affect both medical professionals and patients. While the positive progress of medicine offers many obvious advantages, it is important that the knowledge of everyone involved with health care grows with these advancements. With the evident importance of nurses in the healthcare setting, the education of nurses is clearly significant. There are many problems in the nursing field that are associated with the inability to set standards at the entry level (Jacobs et al., 1998). The writer believes that the nursing degree should always be advanced to a bachelor’s degree, and then fostered with continuing education courses. Furthermore, the bachelor’s program should place an importance on forming a good knowledge foundation and then building clinical skills. Ultimately the writer believes a highly clinical and critical thinking bachelor’s program is the best educational preparation for an entry level nurse.
Nursing is continuously changing and expanding. According to John Hopkins the future of nursing centers around four themes; “improving and increasing nursing education, supporting nurses in practicing to the fullest extent of their education and training, creating a culture and systems in which nurses act as full partners with other healthcare professionals, and collecting better nursing workforce data” (Brooks, 2011). Over the years, collaboration has become much more prevalent and results with fewer errors and redundancies. As years progress, it will continue to grow. Furthermore, education is becoming a very important aspect of nursing. Most workplaces require a bachelor’s degree to be hired, whereas in the past it didn’t matter. Personally, I know I will pursue my Bachelors of Science in Nursing and hopefully continue on to my
In 1965, the American Nurses Association shared its vision for the future of nursing education. A primary goal in its message was that a Bachelor of Science in Nursing (BSN) becomes the minimum requirement for entry into nursing practice (Nelson, 2002). Fifty years later, debates on this issue continue. In its report, The Future of Nursing: Leading Change and Advancing Healthcare, the Institute of Medicine shared its recommendation that 80% of nurses possess a bachelor’s degree by the year 2020. A significant number of health care facilities have adopted the practice of hiring nurses with BSN over those with two year Associate’s Degree of Nursing (ADN) or a three-year hospital based diploma program. Stakeholders in the Registered Nurse (RN)
By requiring a minimum of a BSN degree to practice as a professional nurse, nursing would improve its reputation as a profession, earn better rapport with patients and deliver better care, and finally end the constant confusion of nursing education standards. The solutions may not be easy, and they may require a lot of economical and ethical evaluation, but it would improve healthcare practice and most of all, the patients would be in more capable and skilled hands.
The history of nurses hadn’t developed until the nineteenth century. The first law was passed to require that nurses attain a license in 1938. After passing this law, the New York State began a movement to have certain programs to promise new standards in the field. Since the first schools were opened the training and criteria has changed tremendously. Education standards for nurses have improved in many different ways. Programs are an option throughout the country, and there are laws to back up the qualification and training standards for licensure. The nursing field is an important role as a part of the health care team, and can benefit one is so many ways. The history of nurses has changed from being a minor occupation to a major one. In today’s society people rely on nurses, doctors, and specialists more than ever. Nurses have brightened our future in the most beneficial way (Hopke 592).
Demand for nurses produced high amount of entry-level nurses, the study emphasizes highly educated nurses are preferred to handle today's today’s health care challenges. By 2020 the nursing work force should consist of 80% BSN (Bachelor of Science in Nursing) prepared nurses. Achieving this targeted BSN level nursing workforce involves, the use technology (simulation, online education programs) and providing upgrade options for existing associate or diplomas holders and financial support from educational institutions, nursing employers and other healthcare organizations. Furthermore, the curriculum should be made future proof to facilitate academic advancement.
There is much controversy about the educational requirement to prepare nurses for practice. Rather the minimal education level be a diploma, associate degree in nursing (ADN), or bachelor of science in nursing (BSN) a need for an agreed upon education level for practice is necessary. There is a wide range of nursing related practices all of which do not require the same amount of education and this author agrees with the National League of Nursing (NLN) concerning scope of practice and preparation for the field of nursing; that an ADN or diploma program is a sufficient level of education for technical nursing practice and the BSN should be the minimum for practice as a professional nurse (Black, 2014, p. 136). This author thinks that the option for an ADN is vital to nursing as a whole, however agrees with the idea that any career requiring only two years of schooling is technical and not professional. This places ADNs in the same category as technicians and assistance in other health care fields (Taylor, 2008, p. 613). This paper examines the necessity for nursing education beyond an associate degree for professional nursing practice in order to meet the increase of complex medical needs.
As a proficient professional, a Registered Nurse (RN) should take responsibility for own personal, educational, and professional growth as a healthcare provider to perform the comprehensive scope of ever-evolving nursing practice for highest patient outcomes. As X. Malcolm (n.d.) stated, “Education is the passport to the future, for tomorrow belongs to those who prepare for it today.” Similarly, the nursing educational growth is fundamental to nurses’ personal and professional growth. There are two pathways to begin as a registered nurse: Associates Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN). A student can opt for ADN or BSN degree, but his or her title remains same: Registered Nurse. Although both nursing degrees fulfill
The difference and similarities in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level is a frequent topic of discussion for years. The focus of this essay is to compare and contrast the core competencies between an associate degree in nursing (ADN) and bachelor’s in nursing (BSN). Both degrees will qualify a person to take the same licensing exam NCLEX. According to (Friberg & Creasia, 2016), ADN programs provide registered nurses to have the skill set necessary to work in health care settings such as community hospitals and long-term health care facilities. In comparison, BSN prepared clinicians are trained to function on a broader scope of nursing practice which encompasses not only the
What is a nurse? Is a nurse a caregiver, a patient advocate, a professional? There certainly could be a place for the technical and professional nurse in today’s world, but they are not differentiated in the workplace. Hospitals have stopped hiring Licensed Practical Nurses altogether, and Registered Nurses with an Associates Degree in Nursing (ADN) are doing many of the same jobs as nurses with a Bachelors of Science Degree in Nursing (BSN) in the hospital and clinical setting. While the Registered Nurse with the higher level of education may have more opportunity for advancement, their roles are not clearly differentiated in everyday practice. It appears that ADNs and BSNs are being used interchangeably in the workplace due to the lack of availability of BSNs. It seems as though the pendulum has swung more toward the direction of ADNs being placed in management roles due to years experience, rather than level of education (Hess, 1996).
Over the past several years, policymakers, researchers and practice leaders have identified that education does makes a difference on how a Nurse practice. The Baccalaureate nursing program include all the content in the diploma and associate-degree program, plus it provides students with more in-depth study of the physical and social sciences, nursing research, nursing leadership and management, community and public health nursing. This in-depth education allow the baccalaureate professional better u...
An ongoing debate for the requirements to become a Registered Nurse (RN) has been unsettled. Several different educational pathways lead to an RN licensure; however, the minimum educational requirements must be standardized at the baccalaureate level for several reasons. Spetz and Bates (2013) published that a growing number of hospitals prefer hiring nurses with a Bachelor Science in Nursing (BSN) as this increases the status of the nursing profession (p. 1). Associate Degree in Nursing (ADN), as well as a certificate on-the-job training Diploma are two other educational pathways to become an RN, which can be disadvantageous to the nursing profession in several ways (Tollick 2013; Spetz and Bates 2013). If entry-level nurses continue to practice without the BSN degree, then the deficit of highly educated nurses will be very detrimental to the nursing profession for years to come (Tollick, 2013).
Taylor, D. L. (2008). Should the Entry Into Nursing Practice be the Baccalaureate Degree? AORN Journal, 87(3), 611-619.