I'm not going to lie... - page 6

Some people genuinely annoy me on here, I'm ALL for furthering education but dreading those of us who choose to start with our ADN is complete disrespect. Had my mother been healthier (she has RA... Read More

  1. Visit  ixchel profile page
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    Quote from BostonFNP
    Ixchel, I would never question the degree of an individual nurse at the/my bedside, unless their actions made me question them. I am talking about nursing as a whole, in aggregate.

    Your nurses in the area that you look up to as great nurses: do they have considerable experience? Experience is the other half of the nursing battle! On a whole, its my opinion, that out of the gate (in aggregate) bachelor's prepared (be that a non-nursing bachelor's or a traditional BSN) is in a better position to practice to the extend of their scope.
    I can't fairly answer that, or argue with any of what you've said, either. I'm afraid I'm way too new to the world of nursing to have a good opinion worth backing up. I think I'm nervous about accelerated programs, whether ADN or BSN. I'm struggling with the idea that in just under 3 more semesters, my school is going to say that I'm adequately prepared to give nursing care. I couldn't imagine having a BSN in 3 total semesters. We have a second degree accelerated program at my school that is only 3 semesters. How can someone learn everything so fast? They do work harder and have more clinical time per semester, but have you ever tried to pour milk into a bowl too fast? It all spills out. I already feel like that's happening in my 4 semester program.
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  3. Visit  Ackeem profile page
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    Quote from ixchel
    I can't fairly answer that, or argue with any of what you've said, either. I'm afraid I'm way too new to the world of nursing to have a good opinion worth backing up. I think I'm nervous about accelerated programs, whether ADN or BSN. I'm struggling with the idea that in just under 3 more semesters, my school is going to say that I'm adequately prepared to give nursing care. I couldn't imagine having a BSN in 3 total semesters. We have a second degree accelerated program at my school that is only 3 semesters. How can someone learn everything so fast? They do work harder and have more clinical time per semester, but have you ever tried to pour milk into a bowl too fast? It all spills out. I already feel like that's happening in my 4 semester program.
    couldn't agree more with this, the idea of a 15 months accelerated BSN program is just pure absurdity, how can one retain all that knowledge in such a short period and do these programs cover all the courses in a traditional 4 year program.?
  4. Visit  my crazy world profile page
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    Thank you for posting this and using your voice. I am sure it has inspired others like it inspired me to speak up. I am to working on my ADN for similar reasons to yours, and personal. I know that nursing school at all levels is a challenge and anyway you go about it we are on on the same journey to get to the same place. I choose to do my adn at a technical college so I can focus on one part at a time as I am working on it. I get caught up in the whole picture and loose sight of today. I am still in the pre nursing phase but proud of where I am and dont look back. We are all going to make amazing nurses and offer my support and prayers as we go through our journeys. Or in the way I am known for... We got this!
  5. Visit  BostonFNP profile page
    1
    Quote from soxgirl2008
    I'm curious what makes you say that new grad BSNs are generally in a better position to practice? I've heard of studies that say starting out ADNs do better in the 1st year out of school, but after a year their BSN counterparts are at the same level.

    Yes, BSNs are as well, but ADN programs put more emphasis on it than BSN programs which are also teaching research, leadership, and public health.
    It sounds like you have excellent ADN programs in your area and have some word-of-mouth evidence of them being better than the local BSN program. If you can cite some of those studies I would love to read them over and increase my knowledge. As far as what makes me say Bachelors-prepared RNs are more prepared to practice to the full extent of their practice: they have invested in themselves in both knowledge and clinical skills.

    Again for nursing, as a whole, research, leadership, and public health are very important to "nursing", as well as being important at the bedside. We are in a rapidly changing and advancing healthcare field. If nursing doesn't adapt its approach, it will fall behind other disciplines.

    There is far more to nursing than clinical skills. With some experience, you may begin to see an embrace this. We need RNs to lead CNAs and educate patients and practitioners. We need RNs to research outcome and evidence-based practice. We need RNs in the community combating the growing metabolic syndrome epidemic in this country. We need RNs that have committed to a lifetime of continued learning to improve their practice and the practice of those around them. Nursing is much more than putting in a foley or placing an IV. Anyone can learn those skills and learn them quickly; real nursing is the nursing process before, during, and after those clinical skills.
    Ackeem likes this.
  6. Visit  Anoetos profile page
    1
    Quote from soxgirl2008

    I can't speak for all nursing programs, but my ADN program does have more clinical experience than the local BSN program.
    This is mythology, or rather, part of the larger mythology ADNs have constructed for themselves.

    The clinical hours required to sit for the NCLEX are dictated by the SBON. They are the same for both ADNs and BSNs, and they can't be otherwise.

    Another favorite piece of this mythology is the idea you also repeat that ADNs are better at "bedside nursing" than BSNs. Not only is this not true, it's not even quantifiable (but then neither is that other idea that ADNs start faster but BSNs catch up in a year).

    It's all nonsense.
    PureLifeRN likes this.
  7. Visit  Melodies of Legend profile page
    0
    Quote from StudentOfHealing
    I don't believe I actually said, and I did not mean it to come off such way. My point was geared towards the degrading of the ADN. I completely believe obtaining your BSN and MSN is good... I plan to do that ... why would I oppose it?
    I got my CNA license last summer. It's just a semester long. I took it over the summer so it was only 7 week, but still had 210 clinical hours.
  8. Visit  Skips profile page
    1
    Quote from heartsgal
    I suppose I do sound a little defensive and that was not my intention. I do however grow weary of nurses asking me what degree I am getting and when I'm tell them I"m graduating with my ADN, the first reply is are you going to get your BSN soon? Or begin telling my why I need to continue on for my BSN. It is rather frustrating to constantly be defending your choices when you actually feel quite proud of your accomplishment and all you want to hear is way to go from your fellow nurse. In one of the posts in this thread someone even went as far to say it was easier to get an ADN because it is faster, which is absolutely false. But we all know the saying about everyone having opinions among other things LOL, so point taken. I need to remember to lighten up
    I understand where you're coming from! I agree, it isn't necessarily faster doing the ADN route.
    heartsgal likes this.
  9. Visit  Glycerine82 profile page
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    Quote from bigsick_littlesick
    Meh, I get where you're coming from but don't let it get to you. I just graduated with my ADN and passed NCLEX. I plan on going for my BSN as soon as possible. I'm currently a CNA and I wouldn't be able to discern between an ADN or BSN on the floor unless I asked them personally.

    Our program (American River College) here in Sacramento, has an excellent reputation. Some of the best, most bada** nurses were ARC grads, I found out.

    I think it's a personal decision whichever way you go about becoming a nurse. If someone has a problem with that, that's on them. You're still really young, don't worry, you've got plenty of time. It's never too late, IMO. It's your life, don't let other people's attitudes get to you. You know what you need to do so go do it! Good luck!
    Just wanted to say...you're currently an RN working as a CNA . You deserve the title you earned it.

    "No day but today"
  10. Visit  Glycerine82 profile page
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    Quote from Jill2Shay
    Many hospitals are going to be requiring it soon anyway. One local hospital told all their LPNs they had to go get their RNs within X amount of time or be demoted to some kind of administrative role. The same will hold true with the BSN. If you're an ADN they'll give you X amount of years to either get into a program or complete a program, or be demoted to a CNA status.

    Licensing may or may not follow suit. Who knows.
    Mine requires it now. New hires must agree to get it in 4 years and current employees can't transfer if they don't agree to get it in 4 years.

    "No day but today"
  11. Visit  Glycerine82 profile page
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    Quote from Ackeem
    i apologize if i offended any ADN RN i didn't mean to, i was just ignorant of the fact that one could go to college for 2 years and qualify to sit the same exam that BSN students take. And then be granted the same scope of practice with similar compensation. that doesn't happen in my country, an RN equates to someone who went to a university for 4 years period, 2 years of education equates to a "nursing assistant" who went to a community college. This is simply maintaining a high standard of a profession.
    A lot of the ADNs I work with are going back for their BSNs and the pre reqs required are ridiculous. Like music and religion. The nursing classes involved are not more than one or two semesters all together.

    "No day but today"
  12. Visit  LadyFree28 profile page
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    Quote from Anoetos

    This is mythology, or rather, part of the larger mythology ADNs have constructed for themselves.

    The clinical hours required to sit for the NCLEX are dictated by the SBON. They are the same for both ADNs and BSNs, and they can't be otherwise.

    Another favorite piece of this mythology is the idea you also repeat that ADNs are better at "bedside nursing" than BSNs. Not only is this not true, it's not even quantifiable (but then neither is that other idea that ADNs start faster but BSNs catch up in a year).

    It's all nonsense.
    ^ Thank you for clarifying this myth...the clinical hours are set forth by the BON...there is no difference in clinical hours by which degree path you choose. This is used too many times, and it may be a comfort to some to believe in that "truth" but in fact, it's simply not true.

    I went through something that was defined as an accelerated program (I was an LPN). It was 1 year less of time to do coursework...instead of 3 years of nursing education, it was 2 because we went through the summer. We had lab immersion, and were at area hospitals for Med-Surg, OB, Peds; we were able to rotate to ICU, ER, PACU for critical care; I was on a Stepdown Unit with Tele for my senior year. We helped with admissions, discharges, learned how to do a transfer report and a admission report.

    Boston is correct; the way healthcare is rapidly changing, the ability to present the process if nursing care, compare trends, make up new processes and proceed with learning and helping contribute to the epidemics that our pt population is facing is done at the bedside. It is important to understand in depth how research is driven by Benner's theory or Watson's theory and how to apply it in terms if pt teaching and how effective your practice can be in those terms, and if your trend works, how important that can be implemented in all nurses in their practice...that's the beauty of nursing, and what I have learned in my BSN coursework.

    I do not speak about ADN nursing, however, I feel that this information can be presented though nursing education courses at facilities; I'm not necessarily dismissing the investment hospitals may have to pump in with the additional information; although as a new grad I am fortunate to be at a facility that goes through a good orientation in seminars and classroom time about safety, ethics, advocating for yourself, transparency-a lot of humanities-based discussions and interactions in ADDITION to matching preceptorship and mentoring, and all new grads enter the residency program as well. We learn how to do reports documentation, etc...we went over the basics of what I learned in clinicals, and that is a requirement of preceptorship to learn all these aspects; regardless of degree. Even though they prefer to hire BSNs, regardless of the degree, we are privy to the same orientation program.

    Again, I have to agree with Boston about sooner rather than later, the BSN will be relied on an entry level to practice. I am in an area where nursing research is happening all the time, and being used constantly, so it is coming to the bedside, as well as the ability for a lot of procedures that physicians are used to doing are being offered to the nurse. Our scope is expanding in our area, mainly because of the research nursing that is being done...expanding on the base of "what you know" is an investment, because our practice continues to evolve, and I at want to be prepared. I also think that regardless of what path to the RN, all nurses should have the opportunity to be prepared without breaking the bank either.

    Something has to give...because the role of the nurse is changing, without a doubt.
  13. Visit  Stephalump profile page
    0
    Quote from Anoetos

    The clinical hours required to sit for the NCLEX are dictated by the SBON. They are the same for both ADNs and BSNs, and they can't be otherwise.
    It's all nonsense.
    The MINIMUM number of clinical hours is set by the BON. It's entirely possible for one program to get more clinical hours than other.

    Before the surge of BSN students came to town, the ADN programs far exceeded the minimum number of hours - almost double the hours BSN students were getting. Fewer hours in lecture left more time for the hospital.

    Now everyone is fighting for clinical space and the scale is pretty even.
  14. Visit  Anoetos profile page
    0
    Quote from Stephalump
    The MINIMUM number of clinical hours is set by the BON. It's entirely possible for one program to get more clinical hours than other.Before the surge of BSN students came to town, the ADN programs far exceeded the minimum number of hours - almost double the hours BSN students were getting. Fewer hours in lecture left more time for the hospital. Now everyone is fighting for clinical space and the scale is pretty even.
    I'd love to see the evidence for this


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