The Nursing Field In Need of Distinction of BSN and ADN Practices Essay

The Nursing Field In Need of Distinction of BSN and ADN Practices Essay

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Nursing is a profession that will never go out of style. It continues to evolve today to meet the needs of society and will continue for as long as human beings are getting sick. Many conditions shape the direction that nursing is headed. Nursing technique changes as resources shift, as technology improves, and education aims to satisfy the public's need. As needs for nursing transform it is important to make sure quality of care is only increasing and becoming more efficient. There has been an on-going debate for nearly the past fifty years about whether a Baccalaureate degree should be the minimum degree required to be a nurse (McEwen & White, September 13, 2013). When discussing this topic it is important to understand the differences between an Associate's Degree in Nursing (ADN) and a Bachelor's Degree in Nursing (BSN), to identify what makes nursing a profession rather than an occupation, and the changes that need to be established in order to have more congruity within the nursing field.
The main discrepancy causing controversy is the fact that the ADN program involves less overall credit hours and lower division classes have the same job description and benefits as graduates of a BSN program. BSN programs cost more and require twice as long of a time commitment in order to graduate. NCLEX eligibility is present after graduation from either program. A BSN program includes both upper and lower division classes including classes in fields such as humanities, ethics, and sciences. Because nursing encompasses such a large spectrum of care a BSN degree is necessary to be proficient in the day to day practices of this career.
Less than half of all Registered Nurses have a baccalaureate degree according to McEwen and White (...

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...l and local policies” (Bishop & Jacobs, 1998, p. 228). As a profession nursing needs to have clearly defined pathways leading to specific scopes of practice. Once these scopes are defined they can begin to improve, specialize, and proliferate a more holistic care.

Bishop, T. L., Jacobs, L. A. (1998). The Baccalaureate degree in nursing as an entry-level requirement for professional nursing practice. Journal of Professional Nursing, 14 (4), 225-233.
Hess, J. D. (1996). Education for entry into practice: An ethical perspective. Journal of Professional Nursing, 12 (5), 289-296.
McEwen, M., White, M. (2013). Eighty percent by 2020: The present and future of RN-to-BSN education. Journal of Nursing Education, 52 (10), 549-556.
Taylor, D. L. (2008). Should the entry into nursing practice be the Baccalaureate degree?. Aorn Journal, 87 (3), 611-622.

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