Competencies Variation between Associate Degree and Baccalaureate Degree The difference in competencies between the associate degree and Baccalaureate degree nurse has been a topic for discussion for many years. Prior to the modern practice of nursing the sick was taken care of by non skilled persons such as sinners, saints or mothers (Fact Sheet).Modern nursing began with Florence Nightingale, but has evolved over the years to become a rich history that includes advances in education of nurses, thus forming three entry level of nursing, Diploma, Associate and Baccalaureate of nursing. This discussion will address the difference in competencies between the associate degree and Baccalaureate degree nurses. The ADN program was started to facilitate the need of nurses in the post war years. This is a two years program that teaches the nurse to provide comfort the physiologic stability and peaceful death. (Yoder 2010). This program was also seen as an ideal course for those who prefer a faster and inexpensive route of becoming a registered nurse. Even though the bedside practice of the ADN and BSN nurses are similar, the ADN nurse focuses on the practical assistance more than the theory. The difference in competencies can be seen in the extra two years required for the BSN program. These graduates are exposed to more prerequisites theory, leadership management, research and community based health courses. (Spensor 2008). They are more prepared for the ever changing heath care field because their main focus, are evidence –based practice. They are taught to think independently, use judgment, critical thinking, reasoning and decision making skills, to understand the situation at hand before providing care, and by utilizing these skill they are better able to work within interdisciplinary team and have better patient care outcome. An example of this was observed in a patient care situation on a med surgical unit, where the ADN nurse was taking care of a patient with...
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