Difference in Competencies; ADN vs BSN
Grand Canyon University
Difference in Competencies; ADN vs BSN
The definition of competency as described by Gurvis and Grey is “an individual’s actual performance in particular situation, described by how well the individual integrates knowledge, attitudes, skills and behavior in delivering care according to expectations”(Gurvis& Grey,1995). The purpose of this paper is to describe the difference in competencies between the associate level and bachelor level education in nursing. It will provide a rational for the need of increased educational levels of nurses in the workforce. There have been many studies to prove that an increase in the level of nursing education leads to an increase in patient outcomes. It was said to be difficult to find an efficient way to use statistical data throughout the scope of the nursing practice. For this reason these studies were based primarily on patient outcomes, mortality rates and failure-to-react during complications after surgery. These studies have shown that “In hospitals with higher proportions of nurses educated at the baccalaureate level or higher, surgical patient’s experienced lower mortality and failure-to-rescue rates.”(Aiken, 2003) In another study it was found that a “10% increase in proportion of BSN nurses to be associated with a 5% decrease in the likelihood of failure-to-rescue” (Ridley, 2008). This is among the multitudes of different studies as shown in the American Association of College of Nursing’s fact sheet “Creating a More Highly Qualified Nursing Workforce” which revealed that mortality rates decrease as the level of nurses education increases. Each segment under the “Research Linking Nursing Education to Patient Outcomes” shows again and again that the bachelor prepared nurses improve patient outcomes. (Rosseter, 2013) These studies prompt the question of “What are the differences in competencies between the associate and the baccalaureate degrees”. According to the National League for Nursing the competencies differ only minimally. They have subdivided the competency categories into four groups: Human flourishing, nursing judgment, professional identity, and spirit of inquiry (2013). With regards to human flourishing the associates level nurse (ADN), advocates for the patient and encourages them to educate themselves and continue to grow as humans. The bachelor nurse (BSN), uses the words “incorporate the knowledge and skills” (NLN, 2014) to help patients, but also includes the word “community” that the ADN omits. Both competencies are similar to each other in that they both with educate the patient and push for continued patient growth as a human. (NLN, 2014) The next category was Nursing Judgment. The ADN uses nursing science to provide care and promote health in both the family unit and in the community. The BSN will make judgments based on “nursing science and knowledge form other disciplines” (NLN, 2014) to provide care. The difference here is the use of the knowledge from other disciplines. This indicates that with higher education the nurse with incorporate either a learned or a research skill into nursing judgments, and seek out the other disciplines in the hospital to collaborate with before making a decision with regards to the patients care. Professional identity was the third category in the competencies. Both the ADN and the BSN state that they are to assume the role “as a nurse through actions that reflect integrity, commitment to evidence-based practice, caring, advocacy, and safe care” (NLN, 2014). The BSN will also assume the role as a leader to improve patient care. The last category is Spirit of Inquiry. This was the only category where the difference in degrees was apparent. The ADN will question that which does not seem appropriate, and will use critical thinking skills to create a new insight into a possible solution. The BSN will incorporate...
References: Smith, J.E. PhD, RN (November 2002) Analysis of Differences in Entry-Level RN Practice by Educational Preparation. Journal of Nursing Education, 41(11), p.491-494
National league of nursing (2013) Competencies for Graduates of Associates Programs. Retrieved from: http://www.nln.org/facultyprograms/competencies/comp_ad_dp.htm
National league of nursing (2013) Competencies for Graduates of Baccalaureate Programs. Retrieved from: http://www.nln.org/facultyprograms/competencies/comp_bacc.htm
Aiken, L. H. PhD, RN; Clarke, S. P. PhD, RN; Cheung, R. B. PhD, RN; Sloane, D. M. PhD; Silber, J. H. MD, PhD (September 24, 2003) Educational Levels of Hospital Nurses and Surgical Patient Mortality. Retrieved from: http://jama.jamanetwork.Com /article.aspx ?articleid = 197345
Ridley, R. T., RN, MSN, CFNP (April, 2008) The Relationship Between Nurse Education Level and Patient Safety: An Integrative Review. Journal of Nursing Education. 47(4) p.149-156.
Rosseter, R.J. (January, 21 2013) Fact Sheet: Creating a More Highly Qualified Nursing Workforce. Retrieved from; http://www.aacn.nche.edu/media-relations/NursingWorkforce.pdf
Starr, S. PhD, RN Edwards, L. PhD, RN (January, 1 2010) Why Should I Get a BSN? Tar Heel Nurse 72(3) p. 10-12
Gurvis, J.P. & Grey, M.T. (1995). The anatomy of a competency. Journal of Nursing Staff Development, 11 (5), 247-252
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