Discuss in for the NCLEX-RN licensing examination.

 Discuss the differences in competenciesbetween nurses prepared at the associate-degree level versus thebaccalaureate-degree level                                                                                          By RosemaryBimeruGrand Canyon University NRS-430VDr Vernon Thacker           Discuss the differences in competenciesbetween nurses prepared at the associate-degree level versus thebaccalaureate-degree level.Evolution of Nursing over time has been on the focus forcaring for patients. Nursing had been based on the premise of people whodesired to care and help with little or no training standards as well aseducational portfolio to be regarded as a nurse. With the emergence of FlorenceNightingale (1820- 1910) whom can be referred to as the mother of modernnursing who worked tirelessly to bring about reforms in sanitary conditions inhospitals as well as advancing nursing education, analyzing diseases usingstatistical methods.

There is also a whole lot of top contributors who in theirown way have helped to re-define this profession to where we currently are withthe current dispensation. To make the nursing profession competitive there hasbeen a lot of segmentation and career progression opportunities. That is why weare able to find nurses with diplomas, associate degrees and baccalaureate and evena higher portfolio which are nurse practitioner. Our focus here today will beon associate degree nurses versus baccalaureate nurses. Associate degrees nursecan be achieved by a 3 year in community college with clinical trainings andupon graduation sitting in for the NCLEX-RN licensing examination. Whereas thebaccalaureate nurse encompasses all study materials of diploma, and associatedegree programs with an in depth on public and community health, nursingmanagement, humanities nursing research and physical as well as socialsciences. These additional courses enhance professional development, andprovides the frame work for understanding socio-economic, political andcultural issues influencing the healthcare delivery.

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   It is worth noting that ADN and BSN degree holders are bothable to perform and practice the same skills and if not many procedures.Clinical competencies are few, with their differences in decision making,leadership, critical thinking, communication as well as their abilities andmanagement techniques. BSN nurses receive an in-depth knowledge in their levelof education. This gives the BSN nurse the ability not only to understand the”how” and “what” factors of clinical procedures required of them but also the”why” factors.

BSN nurses have a variety of roles and administrativeopportunities to choose from amongst hence a leap in career progression like publichealth nurses, nurse research, nurse education, case nurse managers just toname a few. Unlike the ADN nurses who have limited chances in obtaining suchadministrative roles and responsibilities. Many nurses get job burn outs onfloor levels and hence cannot progress in career but a BSN opens doors.According to the (“AACN Fact Sheet,” 2012),research proved that for every 10% increase in BSN nurses, death toll droppedby 4%. Which we can logically say BSN nurses are competent.However,no matter the difference that exists between the ADN and BSN we will like tomake mention of the fact that there is a slight difference in the knowledge ofpatient and skill care amongst the two groups.

We will go further to elaboratethat BSN nurses have a more advanced problem-solving skill and as a result oftheir job roles thereby reducing the margin of error and they are able to makeindependent nursing decisions unlike in the ADN nurses whose focus is oncommunity care practice.Patient care scenarioA patient who has labor painswith a high blood pressure which was diagnosed before the pregnancy but chooseto avoid medications and decided to use diet and exercise as a control measureto prevent the amlodipine usage which had been prescribed to her. While checkedin at the hospital, it was ascertained pressure medications had to beadministered as needed before the patient moved to labor. The associate nursechecks the patients charts and immediately administers the pressure medicationssince the nurse is prone to action but what’s on the file. The bachelors nursechecks the same patient but realizes the patient is in distress and aftertalking with the patient further realized that the patient was suffering froman emotional stress which had raised her pressures. Alternatively, pain reliefmedications were offered with adequate rest in a quiet environment. With thissolution the bachelors nurse used critical thinking in this case anticipatedand solved the issue without giving the high blood medications.             The above patient care explains thedifference that exists between the BSN nurse and the ADN nurses.

We bothdiscover that the need for caring is a continuous process irrespective ofdegree status. Educational needs of both nurses with both qualificationscontinues to evolve with specialty educational with varying certifications andgrowth. Conclusively more exposure with extensive education on nursing as wellas critical thinking will enable BSN nurses to provide complete care as well aslong term benefits which is what all nurses should strive to achieve.         References·        Friberg, E., & Creasia, J.

(n.d.). Conceptual FoundationsThe Bridge to Professional NursingPractice(Friberg iii)Friberg, Elizabeth, John Creasia. ConceptualFoundations:  Conceptual Foundations:TheBridge to Professional Nursing Practice, sixth edition (6th ed.

). elsevierebooks. Retrieved from http://evolve.elsevier.com·        Grand Canyon University College of Nursing and Health CareProfessions Philosophy. (2016).

·        http://www.aacnnursing.org/Portals/42/News/Factsheets/Education-Impact-Fact-Sheet.pdf ( Pg 1)·        http://www.

aacn.nche.edu/media-relations/NursingWorkforce.pdf.(March 19, 2015). aacnnursing.org·        (“AACN FactSheet,” 2012)  


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