To pursue a career as a registered nurse, there are two direct primary levels of educational preparation; an Associate Degree in Nursing (ADN) and a Bachelors of Science in Nursing degree (BSN). After finishing their degree, students of both programs take the same test called the NCLEX in order to become a registered nurse. However, there are some distinct differences in the educational preparation of both groups.
The American Association of Colleges of Nursing (AACN), cites that educational preparation of BSN nurses includes the following components of:
- Community Education
- Nurse Management and Leadership
- Patient Education
- Clinical, Scientific, Decision Making, and Humanistic Skills
The Difference between an ADN and a BSN Education
Besides the liberal education that a four year degree provides, most associate degree programs lack many of the separate nursing courses that a BSN program includes. For example, some of the separate nursing courses that may not be included in an ADN program are:
- Community Nursing
- Nursing Research
- Nursing Theory
- Psychosocial Nursing
- Health Assessment
- Nurse Management and Leadership
- Nursing Ethics
- Senior Seminar/ Special Topics/ Capstone
All programs vary slightly in how nursing courses are labeled and which courses they include in their curriculum. However, in general, ADN programs are constructed to compress basic nursing content into a few nursing courses. The focus of most ADN programs is nursing skill acquisition and NCLEX preparation.
Additionally, BSN programs teach their students nursing skills and NCLEX preparation strategies but they strive to deliver a broader educational perspective. Ultimately, one focus of a BSN program is on preparing their students to pursue advanced nursing degrees. As a result, BSN programs often focus on interdisciplinary course work, and strengthening their student’s writing and research knowledge so that students have the skills to succeed in graduate school.
Featured BSN Program
Reasons to Pursue a BSN
While the AACN does not discount ADN nurse’s practice or their usefulness, they have supported the baccalaureate degree as the minimal preparation for professional practice for almost the last two decades. Some of the reasons they cite are:
#1 A nurse’s need to be prepared for the expanding professional roles as a result of an evolving health care environment which is increasing in complexity.
#2 Health care’s shift to primary and preventative care with less focus on the inpatient setting.
#3 BSN are prepared to practice in a variety of settings from homecare to case management.
More Reasons to Pursue a BSN
There are many reasons for pursuing a BSN, but common ones include:4.
#4 A BSN might land a new nurse their first nursing job. New nurse graduates that are having a difficult time being hired may have an easier time finding a job with a BSN. A change in hiring practices at many hospitals has resulted in hiring BSNs first, or only BSNs.
#5 A promotion into a leadership position. While upper leadership positions are increasingly expected to have at least a Masters of Science in Nursing (MSN) degree, a BSN, depending on a hospital’s culture and expectations, could act as a stepping stone in a nurse’s career.
#6 Advanced Nursing. If a nurse plans on becoming an Advanced Practice Nurse (APRN), nurse executive, or a nurse educator, a BSN degree is usually the first step before going to graduate school.
The Reasons Supported by Research for BSN Preparation
There other reasons to obtain a BSN besides the initiative of a nursing organization, or for career mobility purposes. For example, research supports the quality of patient care by BSN nurses. According to the Robert Wood Johnson Foundation (2013), studies have been conducted using large data sets that support an “association” between BSN hospital staffing and lower incidence of:
#7 Pressure Ulcers
#8 Post-Operative Deep Vein Thrombosis
#9 Hospital Acquired Infections
#10 Post-Surgical Mortality
Resistance to a BSN Education
Due to many reasons, such as listed above, hospitals are encouraging their ADN nurses to go back to school and obtain their BSN. However, some nurses do not wish to pursue an advanced degree, or do not feel like it is a beneficial endeavor. Nurses may cite reasons against pursing their BSN such as time and cost.
One solution is to educate nurses about the research that continues to grow in support of the BSN degree as it pertains to its benefits for nurses as well as their patients. Furthermore, hospitals should offer incentive programs to encourage nurses to advance their education.
Do you agree with the research? Do you think that a BSN should be the minimal preparation for professional practice? Feel free to leave your opinion below.
Rn to Bsn
...Associate Degree Vs. Baccalaureate Degree Associate degree is someone who completes a nursing course, associated with a hospital or medical facility. On the other hand, a BSN is a higher college education, it entitles people to work in any health care or home care facility. A nurse is a bed side care giver at the hospital who takes care of patients and assist doctors. Nurses have to work in different areas and have different responsibilities. Some responsibilities or things nurses do is health promotion, disease prevention, case management and managed care settings. Nurses with a baccalaureate degree have the knowledge to practice complex aspects. Nurses with a BSN also have prepared to practice in health care settings such as critical care, outpatient care, public health and mental health. Having a BSN these days can give nurses a higher chance of a job, better opportunities, and will put nurses above the curve. “In October 2010, the Institute of Medicine released its landmark report on The Future of Nursing, initiated by the Robert Wood Johnson Foundation, which called for increasing the number of baccalaureate-prepared nurses in the workforce to 80% and doubling the population of nurses with doctorates. The expert committee charged with preparing the evidence-based recommendations contained in this report state that to respond “to the demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of......
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Rn to Bsn
... ADN VS BSN PATRINA HAYES GCU ADN VS BSN The nursing field is a rapidly growing profession that requires many different levels of degrees. Registered nurses can have levels of education ranging from a Associates to Doctorate degree. This paper will give a better understanding to the difference between the Associates degree in nursing (ADN) and Baccalaureate degree in nursing (BSN). The ADN program was established in 1951 due to a nursing shortage in the post war years (Haase, 1990) Since then, the curriculum has changed from teacher or subject oriented to bedside and basic critical thinking skill. The ADN program is a two year program not including the required general education classes. The BSN program is a four year program including prerequisites. The BSN program emphasizes in critical thinking, leadership skills and a professional role away from the bedside. Both programs include their core curriculum of Adult Health, Maternal and Newborn nursing and Pediatrics. BSN Program includes nursing research and nursing informatics. The American Association of Colleges of Nursing(AACN) believes nurse with their BSN degree are more prepared for today’s workforce due to their well-developed critical thinking skills, leadership and ability to practice in different settings The ADN student focuses on providing bedside care to patients with acute and chronic health needs with policy and procedures reflecting current standard of care. The obvious differences between the programs......
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Rn to Bsn
...July 2013 Differences in Competency Between Associate Degree Prepared Nurses and Baccalaureate Degree Prepared Nurses Achieving a Baccalaureate of Science in Nursing (BSN), or an Associate’s Degree in Nursing (ADN), makes an individual eligible to sit for the National Council Licensure Examination for Registered Nurses (NCLEX-RN). Once either candidate successfully passes he or she is granted a Registered Nurse (RN) license and can gain employment in the workforce. With licensure as a RN come the core values that each nurse accepts while practicing nursing (Creasia J. & Friberg E., 2011). Both degrees hold the RN to the same level of accountability. These programs show varied curriculums, which produce differences in the outcome of the competencies that each RN exhibits. A BSN program is offered by a four-year college or university. The focus is on theory, collaboration, and evidence based practice, while encompassing and embracing the entire nursing picture. Within the BSN program, students discover perspectives about human diversity and promotion of spiritual and healthy wellbeing, as well as digging deeper into the ethical, political, historical, and social influences that have shaped and continue to shape the world of nursing (American Association of Colleges of Nursing, 2008). The number of BSN program options has steadily increased over the last several years. The ADN program is typically a two year program that centralizes its learning around the clinical......
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Rn to Bsn Admission Essay
...Ellen Dillard BSN Admission Essay After researching a variety of different programs I have found that the RN to BSN program at Michigan State University is the program in which will best help me to personally grow as a professional nurse. I have always been extremely dedicated to my goals and proved that as I earned my BS in Interdisciplinary Studies in Social Science from Michigan State University in 2007. I then went on to receive my ADN from Schoolcraft College in 2011, which has led me to my position as a licensed RN at an acute rehab center. After working as a licensed RN for the past year I have discovered that I would like to strengthen my skillset in my field by going back to school yet again, this time to receive my BSN. During this past year I have realized my ability to lead, teach, and communicate well with others. I am confident with the skillset that I have developed while earning my ADN and feel that at this point in my career I would like to develop my skillset even further. As a professional in the ever changing field of nursing, I feel it imperative to continue my education so that I can provide the best care possible for my patients. Continuing to build upon my knowledge base of disease processes, nursing research, and also strengthening my critical thinking skills is essential in order for me become the best nurse I can be. The BSN program at Michigan State University will do just that. The flexibility and convenience of the programs...
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Nursing Rn to Bsn Essay
...much as technology has become so productive in our daily lives, I learned that taking a break from our computers and cell phones can be a good thing once in a while to decrease our stress levels. One aspect of week 4’s classroom resources that surprised me was the self-assessment quiz on the Math and English content. It’s a comprehension quiz to assess one’s ability’s to answer questions in different areas involving both English and Math. Before starting the quiz, I predicted that I was going to score higher in Math as oppose to the English quiz. Growing up, I always struggled with writing essays in high school as well as my freshman year in college. I felt that I was a lot stronger with math because I got good grades with algebra all the way up to calculus. So I first started with the English quiz which involved topics on main ideas, thesis statements, topic sentences, essays, and reading comprehension. As I was working on the quiz, it brought me back to all the material I learned during my freshman year taking English Comp’s 1 and 2. I scored an average score, and right after I finished the English quiz I went straight to the math quiz without hesitation. I felt that it was going to be really easy for me because I was under the impression that it was just going to be basic algebra, ratio/proportions, and integers. However, I was in for a big surprise when the first problem I encountered involved elementary math which I totally forgot in terms of the strategy......
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Increasing Rn to Bsn Enrollment
...Increasing RN-BSN Enrollment Fall B 2011 Increasing RN-BSN Enrollments: Facilitating Articulation through Curriculum Reform Introduction Expanding opportunities, raising potentials, and providing an “edge” have been the prevailing theme in several studies in this article that investigates the motivations of RNs to receive their BSN (Spencer, 2008). Increasing RN-BSN enrollments: facilitating articulation through curriculum reform is an article published in the Journal of Continuing Education in Nursing in the July, 2008 issue, written by Janine Spencer. The writer presents an overview of the associate degree and the diploma nurse to obtain a baccalaureate in nursing. The article presents studies that support this view and the advantages of obtaining a BSN degree in nursing. SUMMARY In the profession of nursing there are currently three pathways in which a nurse can obtain licensure: the diploma, the associate degree, and the baccalaureate degree (Spencer, 2008). The article further explains professional nursing organizations views, and discusses key points, in which a baccalaureate of science in nursing (BSN) degree should be the minimum educational requirement for professional nursing practice. These organizations also support flexible admission criteria for the diploma nurse and the associate degree nurses hoping to encourage these nurses to complete a BSN degree in nursing (Spencer, 2008). The advantage of the nurse to obtain a baccalaureate......
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Rn to Bsn
...The Future of Nursing: Leading Change, Advancing Health According to the article roles, education, and responsibilities should change as part of the changes for the future of nursing. There will be an increased demand for nurses due to the healthcare reform. The article goes on to state because of the large number of nurses that are practicing, nurses should have a voice in contributing as partners in improving the quality and safety of care. In order to meet the changes, implementation of a residency training is needed for nurses, 80 per cent of nurses should have attained a BSN degree by 2020, and the number who pursue their doctorates should be doubled. Lastly, the restrictions of nurses’ scope of practice should be lifted so they could be able to perform as they were trained. The most important thing I found interesting was that the limitations of the nurses’ scope of practice should be removed so that the nurses could perform like they were trained to perform. In codes in the emergency room, all nurses are trained under ACLS to intubate a patient that is in acute respiratory distress, but in reality only the doctors or respiratory technicians are allowed to do this. If this restriction was lifted the nurse could act immediately along with the doctor to stabilize the patient. Future of Nursing Campaign for Action is focused on nursing leaderships. The organization would like to see more nurses at the policy making tables to “bring the essence of caring”...
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Rn to Bsn
...Rn to Bsn Admission Essay Ellen Dillard BSN Admission Essay After researching a variety of different programs I have found that the RN to BSN program at Michigan State University is the program in which will best help me to personally grow as a professional nurse. I have always been extremely dedicated to my goals and proved that as I earned my BS in Interdisciplinary Studies in Social Science from Michigan State University in 2007. I then went on to receive my ADN from Schoolcraft College in 2011, which has led me to my position as a licensed RN at an acute rehab center. After working as a licensed RN for the past year I have discovered that I would like to strengthen my skillset in my field by going back to school yet again, this time to receive my BSN. During this past year I have realized my ability to lead, teach, and communicate well with others. I am confident with the skillset that I have developed while earning my ADN and feel that at this point in my career I would like to develop my skillset even further. As a professional in the ever changing field of nursing, I feel it imperative to continue my education so that I can provide the best care possible for my patients. Continuing to build upon my knowledge base of disease processes, nursing research, and also strengthening my critical thinking skills is essential in order for me become the best nurse I can be. The BSN program at Michigan State University will do just that. The flexibility and......
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Bsn to Rn
...Nursing Competencies: ADN versus BSN Suzi Roberts Grand Canyon University Professional Dynamics NRS-430V Brittney Grabill May 2, 2015 Nursing Competencies: ADN versus BSN According to the American Association of Colleges of Nursing (AACN), nursing is “the largest health care profession, with 3.1 million registered nationwide.” The AACN states on their website, in 1980, 22 percent held the bachelor’s degree and 18 percent held an associate’s degree (American Associate of Colleges of Nursing [AACN], 2015). By the 2008, the number holding bachelor’s degree increased to 36.8 percent and the number for an associate’s degree increased to 36.1 (AACN, 2015). In the paper, I will discuss what it takes to obtain both degrees, the advantages, disadvantages and the different competencies of the Associates Degree in Nurse (ADN) and the Baccalaureate Degree Nurse (BSN). In the last few years, the hospital I have worked for has really encouraged those with an ADN degree to obtain their BSN. Representatives from different colleges have made visits to the hospital to get nurses to enroll in their ADN to BSN online programs. Our hospital, like many other across the nation, suffer from a nursing shortage. There are 2 universities within an hour in driving distance with BSN programs. Where I live, we are very fortunate to have an ADN program at our local community college, which is right across the street from the only hospital in town. When thinking about becoming a nurse,......
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Rn to Bsn
...ADN versus BSNN Prabhu Cherian September 13, 2015 ADN versus BSN Introduction Nursing is one of the most exciting and challenging jobs in our time. Nurses are advocates of health and thereby promote awareness to prevent disease and help patients cope with illness. In providing direct patient care they collaborate with physicians in the performance of treatments and examinations, the administration of medications. Nurses work in an environment that is constantly changing to provide the best possible care for patients. They are constantly exposed to the latest technology and medication as well as considering the evidence that their nursing practice is based upon. Nurses must be particularly skilled at interacting with patients, putting them at ease, and assisting them in their recovery. This is the reason it is often said that physicians cure, and nurses care. There are three educational pathways one may follow to become a registered nurse. The first is a three-year diploma program; another is an associate degree, most often offered by a community college; the last is a four-year baccalaureate degree offered at four-year colleges and universities. All these nursing programs directly relate to the educational preparation of the nurses; however the BSN education includes additional coursework in nursing and a broader range of studies in other disciplines. Differences in competencies ADN program is designed to provide the skills and knowledge to become a compliant......
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Rn to Bsn
...physiology , etc].it gives you the bare minimum knowledge required to pass the Nclex licensure exam.ADN nurses not able to neither make technical decisions nor carry out research. BSN is knowledge theory research based and the emphasis is on the entire picture of the field of nursing exposing the nurse to human diversity and global perspective ethical, legal, political , historical and social influences using liberal art including biblical concepts for complete understanding of the field.BSN nurses are well trained to handle technical situations that require critical thinking that may elicit research and the use of technology in providing evidence based nursing solution.BSN nurses can analyze factors such as drug. In transitioning from the ADN role to the BSN role, a nurse will expand their knowledge to be able to research evidence based practice and apply it to improving patient care. The BSN nurse will spread their knowledge to communities and public health , as well as a leader in the continuation of patient care to prevent complications for patients with chronic disease management. The importance of expanding your education to a Baccalaureate degree is imperative for improving patient care and patient health. The decision for an ADN nurse to return to school to obtain her BSN depends greatly on the resources, ability,How many credits How will I obtain this degree and how will this decision impact my finances? In the 21st century,......
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Admission Essay for Rn to Bsn
... I then went on to receive my ADN from Schoolcraft College in 2011, which has led me to my position as a licensed RN at an acute rehab center. After working as a licensed RN for the past year I have discovered that I would like to strengthen my skillset in my field by going back to school yet again, this time to receive my BSN. During this past year I have realized my ability to lead, teach, and communicate well with others. I am confident with the skillset that I have developed while earning my ADN and feel that at this point in my career I would like to develop my skillset even further. As a professional in the ever changing field of nursing, I feel it imperative to continue my education so that I can provide the best care possible for my patients. Continuing to build upon my knowledge base of disease processes, nursing research, and also strengthening my critical thinking skills is essential in order for me become the best nurse I can be. The BSN program at Michigan State University will do just that. The flexibility and convenience of the programs schedule will allow me to continue working fulltime while going back to school part time. I have a very strong support system at home that is willing to alleviate me of household pressures so that I can spend extra time focusing on coursework. As a Michigan State Alumni, I am confident that the BSN program at Michigan State University will provide me with an opportunity to grow in my profession. I am also......
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Rn to Bsn
...Competencies between BSN and ADN, RN Nurses There are numerous differences in competencies between BSN and ADN. Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future. In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need. Nursing has a long history of formal education which moved out of hospitals and into colleges and universities early last century. The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was a proposed as a temporary solution to a shortage to a shortage but was not intended to replace the professional level of nursing education. The national advisory council on Nurse education and practice, policy advisors to congress and the U.S secretary for health and human services on nursing issues, has urged that at least two thirds of the nurse workforce hold baccalaureate or higher degrees in nursing in 2010. The Veteran’s Administration [VA], the nation’s largest employer of registered nurses, has established the baccalaureate degree as a minimum preparation its nurses must have for promotion beyond the entry –level beginning in 2005 and has committed $50 million over a five year period to help VA nurses......
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Rn to Bsn Paper
...stimulation, skills lab, and clinical experiences in hospitals. The Bachelor Degree education is studied in a university setting. The bachelor degree is four years in length and the first two years are usually focused on general education at the collegiate level. (Creasia,2011) The BSN nurse education provides a foundation for future critical thinking, problem solving skills, logical thinking, leader and management skills, and effective communication.( Hardy)The BSN nurse has different job expectations, different levels of patient interactions and contact. BSN nurses manage the patient experience from admission to discharge in a largely unstructured environment that requires more direct, long term interaction with the patient. (Hardy) The BSN nurse also uses theory and research based knowledge in the direct and indirect delivery of care to patients. During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This......
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Rn to Bsn
...incidence of chronic illness, use of hospital services and length of hospital stay (AIHW 2004). A period of hospitalisation is known to have an adverse effect on the health of frail older people and in particular people with dementia (Kurrle 2006). There are approximately 200,000 Australians (6% of the population aged over 65 years) with a diagnosis of moderate to severe dementia (Access Economics 2005). It is predicted that in future, there will be large gaps in the number of formal and informal carers available for people with dementia Authors: Wendy Moyle, RN, PhD, Professor, Deputy Director, RCCCPI, Grifﬁth Health Institute, Grifﬁth University, Nathan Campus; Sally Borbasi, RN, PhD, Professor of Nursing, School of Nursing and Midwifery, Grifﬁth University, Logan Campus; Marianne Wallis, RN, PhD, Professor, RCCCPI, Grifﬁth Health Institute, Grifﬁth University, Gold Coast Campus and Queensland Health; Rachel Olorenshaw, RN, BN, Research Assistant, RCCCPI, Grifﬁth Health Institute, Grifﬁth University, Nathan Campus; Natalie Gracia, BPS, Research Assistant, RCCCPI, Grifﬁth Health Institute, Grifﬁth University, Nathan Campus, Brisbane, Queensland, Australia Correspondence: Professor Wendy Moyle, Deputy Director, RCCCPI, Grifﬁth Health Institute, Grifﬁth University, 170 Kessels Road, Nathan, Brisbane, Queensland, Australia. Telephone: +61 73735 5526. E-mail: w.moyle@grifﬁth.edu.au Introduction 420 Ó 2010 Blackwell Publishing Ltd, Journal of Clinical Nursing, 20,......
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