ADN BSN Paper (4 Pages | 1266 Words)

Discussion of Associate and Baccalaureate-degree Nurse Competencies
Grand Canyon University


The differences in competencies between nurses prepared with an associate-degree (ADN) versus a baccalaureate-degree (BSN) has a vast effect on health care and patient outcomes. This paper will discuss those differences and outcomes. Also, by using a clinical scenario, it will demonstrate the different approaches to patient care between the two education levels that is reflective of education, evidence based practice and the nursing meteparadigms. Nursing Definition and Theory

Many theorists have contributed to functional nursing definition, most of them recognizing it is defined within the four meteparadigms: person, health, environment and nursing, (Creasia, 2011). The American Nurses Association definition of nursing can be interpreted as holistically caring for the patient by promoting positive health effects and the prevention of negative health effects, (2014). As noted in Grand Canyon philosophy the physical, mental and spiritual aspects of the patient and his environmental effect health, (2011). Associate-Degree History

Historically, nursing has a long professional evolution. This paper will explore two aspects of that history. The first is the ADN, which is attained from a two year nursing program, generally at the community college level. The ADN was designed and implemented in the 1950’s, as an alternative to lengthy baccalaureate programs, yet not as limited in scope as the Licensed Vocational Nurse, (LVN). The LVN was implemented in response to US nursing shortages during the 1940s as the U.S. entered World War 2. Creasia (2011), notes: “a dramatic influx of RNs into the various military branches,” (p. 26). Shortages of the 1940s were compounded throughout the1950s as America entered the Korean Conflict. Dr. Mildred Montag, designed the ADN, as a means to decrease the training time, by requiring half the general and nursing courses, and using a model that was patient rather than disease centered, (Mahaffy, 2002). It was controversial, but had a significant

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