Essay on Competency Differences Between Adn vs Bsn Nurses

Competence is the ability of an individual to do a job properly. It is the combination of knowledge, skills and behavior used to improve the performance. The American Nurses Association defines a competency as “an expected level of performance that integrates knowledge skills, ability and judgment”. In these terms, the competency among ADN and BSN looks same, but there are some differences in various levels. In simple terms ADN is a “technical” nurse and BSN is a “professional” nurse. This difference is because ADN is trained mostly on clinical skills, while BSN training is focused on leadership, nursing research, management as well as clinical skills.

“Programs provide a solid liberal education and substantive upper division nursing major. Both 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 move 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 patient outcomes.” (Moore, n.d.) “ As also stated in the same article “numerous research studies have demonstrated that the ADN and BSN nurses are not different in skill 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 increasing importance for the increase in acuity of patients in hospitals and other health care settings.” (Moore, n.d.)

They determined that patients needing surgery have a "substantial survival advantage" (Aiken, Clark, Cheung, Sloan, & Silber, 2003) if treated in hospitals with higher ratios of nurses educated at the baccalaureate degree level. They too determined through this research that the more nurses holding BSN degrees help decrease the risk of patients dying and the ability to determine the patient is in distress. This research provides the evidence that nurses with a BSN degree have a better comprehension in their ability to formulate nursing diagnoses and evaluate nursing interventions. (Giger & Davidhizar, 1990) BSN degree nurses also demonstrate improved professional integration and research/evaluation skills. (The Future of Nursing:Leading Change, Advancing Health, 2012)

A growing number of employers prefer BSN nurses to ADN nurses according to recent reports (Spetz and Bates, 2013). This indicates that hospitals consider nurses with a BSN to be more professional than nurses with an ADN. According to Spetz, there has been a

The researchers determined that for every 10% increase in nurses at the BSN level, there was a 4% decrease in patient death ("AACN Fact Sheet," 2012). From this study it can be ascertained that a BSN nurse can perform at a more competent and safe level for patients. The amount of knowledge regarding patient care and skills between ADN and BSN prepared nurses is very similar. The BSN however has supplemental skills in critical thinking and communication that allow them to look at and solve problems differently. A BSN is more likely to utilize evidence based practice and team problem solving to minimize their margin of error.

ADN is shortened program time and reduced tuition rates. This program is more concise which focuses on the clinical skills and more tasks oriented. It lacks the theory and science behind nursing as a profession.ADN nurses are educated to provide nursing are to persons with similar alterations in structured setting.ADN degree graduates to meet the needs of the pt.

Obviously, the BSN program will take more time and money over the ADN program. Although most colleges and universities offer traditional four year nursing programs, some offer accelerated programs. It will usually cost the same, however you are able to enter the nursing profession sooner. Unlike the ADN program, “the BSN nurse is better prepared to practice in all health care settings – critical care, outpatient, public health, and mental health” (Baccalaureate Degree, 2000, para. 8).

Along with the before mentioned competencies of a BSN nurse, they are taught advanced communication skills and are better at educating, making them excellent leaders and resources. Although ADN nurses have been in management positions, I have seen an obvious difference between the two. The BSN managers are far more competent, demonstrating fair practices amongst their employees, they are able to communicate to them in a way that makes them feel like they understand, a way that is not only informative but in no way demeaning. It appears that they take pride in what they do, what they have achieved, and desire to help

Nurses a with Bachelor of Science in Nursing Degree (BSN) are known for their skills in critical thinking, leadership, case management, health promotion, and for their ability to practice across a variety of inpatient and outpatient healthcare settings. These nurses are well-prepared to meet the demands placed on today's nurse.

Nursing education encompasses a vast continuum. Within the undergraduate subdivision, there are two preparatory levels of nursing education: Associates Degree in Nursing (ADN) and Baccalaureate Degree in Nursing (BSN). Although the underlying philosophies of patient-centered care and compassion remain consistent between both degree-levels, there are distinctions pertaining to clinical decision-making and care delivery. Major differences in competency of critical thinking and problem solving skills, evidence-based practice and clinical judgment, exist between nurses prepared at the associate-degree level and baccalaureate degree level, thus

Education increases both clinical competency and quality care. Associate degree in Nursing can be completed in three years. It was initially started to fill the shortage of nurses. BSN degree is four year nursing education and it helps the nurses to be well- rounded academically. ADN versus BSN have been in discussion for some time now. According to “HRSA’s 2013 report, titled The U.S. Nursing Workforce, found that 55% of the RN workforce held BSN or higher degree. In a separate study conducted by National Council of State Boards of Nursing found that 61% of RN workforce in U.S. was BSN or Higher degree”

Conversely, the main difference between an ADN and a BSN degree is the emphasis on leadership and management, wellness, and community nursing. Equally important, as noted by Ellis (2006), “BSN prepared nurses possess greater knowledge of health promotion, disease prevention, and risk reduction as well as illness and disease management

To practice evidence-based nursing, one must understand the concept of research and how to precisely evaluate research. ADN programs are primarily geared towards the basic nursing skills and lack exposure to this type of research. The BSN programs will cover a broader range of theory-based practice, as well as encourage more developed adaptation skills. The result will be an overall better patient outcome, due to the higher level of education.

The differences can be seen when looking at the responsibilities of these two degrees. For example: “the associates degree graduates are expected to provide safe bedside care to clients with defined and predictable health problems” (Creaisa and Friberg, 2011, pg.26), while nurses with their baccalaureate degrees are expected to treat patients with complicated and unpredictable problems. Another difference between the associate’s degree holders and the baccalaureate degree is that once these graduates get to their workplaces, the ones with the baccalaureate degree are expected to display leadership skills such as teaching and also to focus on the need of not just the patient but also the patient’s families and communities. Like Linda Moore Rosen explains “ADN can assess needs, plan interventions, implement care, and perform evaluations with individuals and families under the supervision of a nurse prepared with a BSN or MSN” (Rosen, 2000, p.236). Baccalaureate nursing practices include working in unstructured settings with little or no kind of established procedures, while associate nursing practices only include secure setting with established procedures.

This paper will touch upon the educational requirements for the profession of nursing between Associate Degree Nursing (ADN) and Bachelor Degree Nursing (BSN). It will also explore the competency differences between the ADN and BSN over the educational time frame for each degree. Also discussed will be a patient care scenario where both disciplines provide nursing care and how the care would differ.