This paper will outline the differences in competencies between Associate Degree in Nursing (ADN), and Bachelor in Science of Nursing (BSN) prepared nurses. Then identify a patient care situation describing how nursing care or approaches to decision making may differ based upon the educational preparation of the nurse. The Free online Dictionary (2013) depicts competency as “The quality of being competent or capable of performing an allotted function.” Here is a comparison of two different pathways to becoming a Registered Nurse: Associate Degree in Nursing (ADN), and Bachelor in Science of Nursing (BSN) programs. Born out of the nursing shortage in 1952, the Associate Degree nurse came in to fruition thanks to Mildred Montag. The Associate Degree program for Registered Nurses is two-three years length. This program does hold academic credit based on clinical and general studies preparing these students to be able to function as “technical” bedside nurses. At the end of the ADN program students are eligible to take the NCLEX-RN (Creasia & Reid, 2011). The Bachelors of Science program is four years in length and actually regarded by the American Nurse association as the original entry level requirement to becoming a Registered Nurse (Smith, 2009). This program originated in 1909. The BSN program is based on evidence based practice, Community nursing, and prepares these nurses for leadership roles whereas the ADN programs do not function to prepare nurses in leadership roles (Creasia & Reid, 2011). This is due to the program providing education, described by Creasia & Reid, 2011, also on “Information management, health care policy and finance, communication/collaboration, clinical Prevention/population health and professional values.” (p. 25). At the end of the program these Nurses are eligible to take the NCLEX-RN. With differences in the level of education among RN’s this brings up the controversial topic of: Do the difference in...
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