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Difference in competencies between nurses prepared at the associate degree level vs. the BSN Associate degree Nurse (ADN) nurses has 2 years training and diploma in nursing has 3 years of training . whereas Baccalaureate degree in Nursing has 4 years of training . The passing rate for NCLEX exam and basic clinical skills are the same example of I/V insertion, administering medicine and wound care.

BSN training means Bachelor of Science in nursing are more focused in critical thinking skills, decision making skills, dealing with legal and ethical decision in evidence based practice and research based North Dakota was the first state that told about getting BSN after 10 years of diploma in nursing . Initiatives taken by these states New York, New jersey to increase stronger work force in nursing .AACN also emphasis of higher education level of nurses because of health care is changing more rapidly and more research is taking place and need for BSN education is increasing too. BSN nurses can work as team leader and can have many management skills because they have trained to do research and their focus is to go in depth of a problem rather than what book has stated. BSN nurses can manage and delegate nursing task to other personnel in a professional manner.

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BSN nurses verses ADN nurses competencies also defer in manner of decision making skills, critical thinking skills . BSN nurses involve and work with other interdisciplinary professional to solve the problem and help make new policy for their specialty of care. Decision making will be different of Associate Degree Nurses vs. BSN. Patient admitted to critical care unit and he is not alert and awake or oriented to time place and person and patient’s son comes and he wanted to know about patient condition .But ADN nurse will not give information to his son because of HIPPA policy and tells patient’s son we are not allowed to give information because of privacy reason whereas BSN nurses will go in depth by telling patient son about HIPPA policy in evidence based practice and using more critical thinking in the manner of going in depth by looking medical power of attorney forms and advance directive that patient son has right to know or not and using many resources as nursing supervisor ,physician andnursing director in solving that issues since patient is not alert or awake. BSN nurse will also assess pt.

’s condition . why patient’s mental condition is like that because of electrolyte imbalance or he can improve after getting treatment and can talk to his son and explain son about policy and what are thing he can know about patient’s condition and if patient is recovered she can tell about making advance directive so any emergency arise someone will be there to make decision on behalf of the patient.Quality patient care can change and improve on having a well-educated nursing workforce. Research has shown it decrease mortality rates, less medication errors, and positive outcomes can be achieved as nurses prepared at the baccalaureate and graduate degree levels. The American Association of Colleges of Nursing (AACN) is committed to working together to create a more highly qualified nursing workforce since education enhances both clinical competency and care delivery of patients.Researches connecting education and getting good outcomes; and outline the capacity of four-year colleges to enhance the level of nursing education in the U.

S and improve nursing standard. In September 2012, the Joint Statement on Academic Progression for Nursing Students and many other association related to nursing came up with an outcome for improving nursing education promote academic progression in nursing.That’s why hospital also provides to get reimbursement and discount from work place to get higher education to maintain nursing standard. as stated by AACN. First BSN program started in USA in university of Minnesota in 1909.

and after that many BSN program increased in number in United States and all over the world creating higher standard towards nursing. Some of the nursing school now starts with BSN program only so they can increase more standard of nursing.American nurses association also provide information about highly qualified work force’s BSN nurses are more competent in providing care in more critical thinking and decision making then associate degree nurses. When come to direct nursing care or bedside nursing care I do not see much difference but when it comes to critical thinking, research based knowledge BSN are more competent. The RN to BSN program provide nurses to enhance their education on their previous learning experience they can share with people and uses their specialty based practice to more evidence based practice.

In my opinion if you have a BSN degree it will allows you for more opportunity for employment and increased responsibility, and advancing your career. High qualification also helps you for getting professional certification in specialty areas of nursing and leads to an advance role as a provider, teacher, manager, and coordinator of patient care as Well as provides the opportunity to enhance your career ladder to get MSN and PhD I think in future there will be less RN then BSN graduates.

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