BSN vs. ADN - page 11

I am a BSN and I feel that I should be paid more for my extra education. What do you think?... Read More

  1. by   mikemw
    This is one of those never ending stories and there may not even be a right anaswer. I have worked with Diploma, ADN, BSN, and MSN nurses in the emergency room and it is not noticable what there level of education was.

    For those who believe that a BSN is only math and english need to take another look at the curriculum. Most include additional nursing theroy, epidemiology, and pharmacology beyond the ADN curriculum.

    A comment on logic of the argument that if we all work on the same unit doing the same job then we should all get the say pay. If that arguement applies to education level then it should also apply to experience. If a nurse with 1 year of expererience is doing the same job and has the same position and same level of care as a nurse with 25 years experience then both should get paid the same. Most of us realize this is not true, the more experienced nurses get more pay.

    Experience and education should both be rewarded. Why do we obtain more certifications, higher degrees? Isn't it so we can provide better care for our patients. Some of us persuing higher degrees are not looking for mangement jobs but a better understanding of what our patients need and what interventions are the most prudent based on that particular patient and there needs.

    Many nurses are not satisfified with only implementing the docs orders and letting the doc worry about why a particular treatment is being done and and what other options are available to help our patient. Nurses who make the effort to gain more knowledge or have a greater experience to provide informed and knowledgable care for their patients should be rewarded.
  2. by   Heather Plate
    I HAVE BEEN A NURSE FOR 15+ YEARS. I AM A ADN. WHEN I TOOK MY BOARDS I SAT AT A TABLE WITH 3 OTHER POTENTIAL NURSES. 2 ADN'S, 1 DIPLOMA AND 1 BSN. THERE WAS NOTHING ON THE TEST THAT SEPARATED US INTO 3 DIFFERENT CATAGORIES. WHEN ALL WAS SAID AND DONE WE ALL WORE R.N. BEHIND OUR NAMES. I FELT THAT IN THAT INSTANCE THE ADN AND DIPLOMA NURSES HAD TO LEARN THE SAME AMOUNT NURSING EDUCATION AS THE BSN IN ORDER TO PASS BOARDS BUT IN 1-2 YEARS LESS TIME. I THINK THAT FIRST WE SHOULD LOOK AT EXPERIENCE WHEN IT COMES TO PAY INCREASES. IF THE JOB REQUIRES THAT YOU HAVE A BSN TO FILL IT THEN YES YOU SHOULD BE PAID ACCORDINGLY BUT IF IT JUST SAYS R.N. THEN ALL FACTORS SHOULD BE LOOKED AT WITH EXPERIENCE BEING FIRST. I AGREE , WHEN I AM WORKING ALONG SIDE OF ANOTHER NURSE I DO NOT LOOK AT THE ADN, DIPLOMA OR BSN... ALL I KNOW IS THAT I FEEL A NURSE IS A NURSE. WE ARE ALL EQUAL AND NEED TO STAND TOGETHER AND NOT LET INITALS BEGIN TO SEPARATE US.. THAT IS JUST MY OPINION FOR WHAT ITS WORTH.
  3. by   Catsrule16
    I have seen ADN/Diplima nurses run circles around BSN Nurses based on the actual hands on training the ADN/Diploma nurses. The technical skills were superior to the BSN. Their ability to work as a team player was better.

    Pay should be based on experience and level of responsibility, not education. I speak from experience . I worked in a hospital based skilled unit for 4 1/2 years in an administrative position. I am an ADN RN with a BA in Education. I had a BSN assistant. We did Medicare/Medicaid Assessment... the dreded MDS! All the while I was in the position, the unit stayed deficiency free. Some corporate restructuring was going on and because the BSN was payed less than I was and she had a "BSN", she moved into my position and I was demoted to a staff nurse and off the unit. Well, the Medicare/Medicaid Inspectors/Surveyors came in for the annual survey, the unit got deficiencies for MDS/Care Plan problems.

    Go Figure!
  4. by   Katmease
    I have a BSN & I went that route because of the potential for better promotions (I started in an ADN program years ago & had to drop out due to ending up in a wheelchair for awhile- I'm now 39 & finally have my BSN). It is my belief that the Diploma nurse probably has the best skills at the beginning of one's career. As far as the difference between the clinical time involved between the ADN & the BSN; here it is the same, the BSN just has more theory with it (plus more general education credits). Both still have to have Microbiology, Nutrition, Ethics, Anatomy & Physiology with laboratory, (I know I had to have Statistics; however, I'm not sure if the ADN has to have it)etc. At least that's the case here in Missouri.

    Experience is a major factor. Even though I have a BSN, I'm so many years behind my wonderful Aunt in Memphis (she graduated from a Diploma program) that I will probably never achieve her level of expertise. Let's get over the cat & dog fighting & pull together.
  5. by   fergus51
    The BSNs at my university actually got more clinincal training than the diploma students because they had an extra year of clinical time.
  6. by   SharonH, RN
    Several points here:


    1)I have not ever noticed a difference in the clinical skills of a BSN vs. ADN.

    2)I do believe that BSN's should compensated for their education, that is one of the rewards for advanced education(in addition to opportunities for advancement). Higher pay should serve as one of the incentives to continue one's education.
  7. by   Barbara Rose
    This is an age old discussion, but I can't resist. I have an ADN, I will be getting my BSN/MSN degrees soon (after 20 years). Now, I don't think that I should get a load of money for my education but I do feel that some compensation should be included. I also have 20 years of experience here, and I was a CNA, then LVN prior to my RN. So, what am I saying?
    Pay scales have to be based on certain criteria, then have additional "rungs on the ladder" if that is a good term to include the other variables invovled. If I had a choice of nurses right now, I know a LVN who I would prefer hands down to care for me; she should be paid for her experience and her ability. However, I don't believe she should make more than I would caring for the same patients. I am sure this is as clear as mud but hope you will understand.
    These things aren't as simple as they seem; as I get more into health care policy (and politics) I develope a better understanding but when I am working on the floor I don't want an inexperienced nurse or bad LVN making as much as I do when I am hard working, experienced and have more education. I think that is a given in most professions and health care is no different. Certainly the pay scales should reflect all these issues, unfornuately more often that not, they don't. So, it will be up to those of us who are out there on the front lines to correct the problem.
  8. by   ShannonB25
    Like fergus51, the BSN programs in my area actually get MORE clinical hours, not less. For some reason this generalization that BSNs receive less clinical hours is something that some people cling to.
  9. by   TriciaRN
    originally posted by goldilocksrn
    i am a bsn and i feel that i should be paid more for my extra education. what do you think?
    no, since rn's all take the same boards.

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