During my research of various hospitals in central Texas, I began to notice the requirement for a basic entry-level nurse was a bachelor’s degree. Hospitals would hire an associate degree nurse on the condition the individual is actively pursuing his/her bachelors degree. There is a push nationwide for the minimum requirement of a bachelor’s degree for all entry-level nurses. How much more professional and effective are the BSN nurses versus ADN or diploma based trained nurses? This leads me to ask the question: Is the use of Baccalaureate Degree Nurses any more effective than the use of Associate Degree Nurses?
Professional Values: The Case for RN-BSN Completion Education. (Kubsch, & ...view middle of the document...
The results also supported the idea that
“students enrolled in RN-BSN programs are adopting professional values emphasized in completion programs.” (Kubsch, & Hansen, 2008). The summary also reviewed the age and work experience of the nurses. It found that “older age coupled with long-term nursing experience may have provided repeated nursing experiences that reinforce professional nursing values.” (Kubsch, & Hansen, 2008). The older nurses have acquired their professionalism through years of hard work and life experiences. In summarizing this research study, the figures do not lie. The group who possesses the most professionalism is the BSN nurses.
Educational preparation of the registered nurse (RN) may make a difference in the development of professional values. The nursing philosophy of Grand Canyon University encompasses a wide variety of nursing practices including theory, spirituality and philosophical beliefs all designed for optimal patient care. (Grand Canyon University, 2012). Associate degree programs emphasize technical skills, hospital-based diploma programs emphasize clinical experience, and baccalaureate programs emphasize liberal education. “Because RN-BSN completion programs do not have to focus on technical skills & clinical experiences, they have the time and flexibility to emphasize professional values.” (Kubsch, & Hansen, 2008).
ADN to BSN: Lessons from Human Capital Theory. (Graf, 2006). Does it really pay to obtain a BSN versus an ADN? What is in it for me? As an ADN, we go to work and believe we have similar training as that of a BSN nurse. If ADN and BSN nurses make close to the same hourly wage, why go back to school? ADN nurses care for and do much of the same things as the BSN nurses, what difference does it make to the patients? “Recent analyses have identified clinical implications of degree preparation, demonstrating that higher proportions of baccalaureate-prepped nurses (BSNs) are associated with improved patient outcomes.” (Graf,
2006). Employers are beginning to demand BSNs. The patient safety, outcomes and overall healthcare of the patient results in a more positive outcome from the care of a BSN versus an ADN. While in training for my current RN position, we had a critical situation in which the nurse preceptor was a BSN. The patient developed a central line infection after the central line was placed. The RN-BSN had previously done research on infection control regarding central line placement and resultant infections. During our debriefing of the situation, she elaborated on the subject and mentioned while she was a student, research papers were commonplace. She was interested in...