ADN vs BSN nurses

  1. 0 What are the differences between ADN and BSN nurses in terms of their nursing practice?

    Does BSN nurses have better patient outcome? Are they more effective?
  2. Visit  sheryl1304 profile page

    About sheryl1304

    Joined Jun '08; Posts: 17; Likes: 2.

    10 Comments so far...

  3. Visit  roser13 profile page
    0
    Oh no.....here we go again. All RN's take the same state boards and carry the same license. Scope of practice is the same. Salary is often the same; sometimes there is a small (.25 to 1.00) hourly difference. "Does BSN nurses have better patient outcome? Are they more effective?"That is very much personal opinion/experience. It's also a very hotly debated topic both here and in the nursing community. You will likely receive either tons of replies/comments or next to none, because this topic has lots of threads here, most all of them very hotly debated.In other words, you will find some whose experience with BSN/ASN RN's is that the BSN nurses are better prepared. You will also be just as likely to find those whose experience has been that ASN RN's are better prepared in actual patient experience.
  4. Visit  ChristineN profile page
    0
    Quote from sheryl1304
    What are the differences between ADN and BSN nurses in terms of their nursing practice?

    Does BSN nurses have better patient outcome? Are they more effective?
    In terms of staff nursing practice, there should be absolutely no difference in their models of care. In terms of research, management, etc a BSN nurse may be more prepared, but in terms of patient care, both are equal.
  5. Visit  PMFB-RN profile page
    5
    Quote from sheryl1304
    What are the differences between ADN and BSN nurses in terms of their nursing practice?

    Does BSN nurses have better patient outcome? Are they more effective?
    *** No difference in practice. One thing to remember is that a large percentage of BSN prepared nurses started as ADNs or diploma prepared nurses. Every ADN nurse is just two years of part time, online work away from being a BSN nurse.
    In those areas where the ADN is actually a two year degree (a minority as far as I can tell) the ADN who goes the RN to BSN rout is at a large advantage over the direct BSN nurse. I will use where I live (Wisconsin) as an example. Our ADN programs are designed to be done in two years and have no college class prereqs, just CNA, HS graduation and CPR. Many, many people graduate in two years from start to finish. Two years of community college for around $5,500 total cost. Then two years of full time work while also doing an online RN to BSN. Many hospitals, like the one where I work will pay for a BSN. The ADN nurse can get their BSN at hospital expense in two years while making (over two years) around $100K, have had health insurance for two of those years and have two solid years of RN experience. Cost of a traditional BSN at a UW school is around $45K. Lets compair where they are at the end of 4 years.

    ADN to BSN nurse:
    Licensed RN
    BSN
    2 years RN experience
    Health insurance for two years
    Made around $100K
    Cost around $5,500

    Traditional BSN:
    Licensed RN
    BSN
    No experience
    Made no money
    Cost around $45K

    Currently most of Wisconsin's 16 public technical colleges have waiting lists from one semester to several years long. I think a waiting list longer than a year will negate many of the advantages of the RN to BSN rout.
  6. Visit  313RN profile page
    2
    i have a bsn and i doubt there's much difference in outcomes between adn and bsn nurses if all the other variables (pt, facility, md's etc) are basically equal. i have no evidence to base this on, just a gut feeling.

    when i've talked to adn nurses and we discuss school they're often a little self-deprecating, saying something like "i only have an adn". i always ask "does your license say rn?" when they say it does i reply "so does mine".

    whichever of us is the better nurse depends on a lot of things, not just the degrees i have. i suspect who had the most sleep the night before will have a larger impact on the quality of care than a degree does, everything else being equal.
    DarkBluePhoenix and tablefor9 like this.
  7. Visit  RNmilwife profile page
    0
    I know this is a fairly old thread but I'm curious as to why hospitals are encouraging ADNs to go back for their BSN but offer no more pay for it? Where I work now, The BSN makes no more money than a ADN. If we're going to be paid the same and do the same work, what's the point. (Not that I'm not furthering my education, just saying)
  8. Visit  citylights89 profile page
    0
    ^ I think it's because a lot of them may be shooting for Magnet status, or so I heard.
  9. Visit  Moogie profile page
    0
    Quote from RNmilwife
    I know this is a fairly old thread but I'm curious as to why hospitals are encouraging ADNs to go back for their BSN but offer no more pay for it? Where I work now, The BSN makes no more money than a ADN. If we're going to be paid the same and do the same work, what's the point. (Not that I'm not furthering my education, just saying)
    That's a really good question! The lack of a BSN differential is a significant barrier to furthering a diploma or AD nurses' education.

    Does your hospital at least offer tuition reimbursement to decrease the costs of going back to school? If it doesn't offer a differential, at least it should help nurses with the cost of higher education, especially if it's encouraging nurses to go back for the BSN.
  10. Visit  RNmilwife profile page
    0
    They do offer some tuition reimbursement to a certain amt each year. Problem is ( for me anyway) is they want a 2 year commitment, and I'm a military wife. Can't guarentee that kind of time.
  11. Visit  Moogie profile page
    0
    Since your husband is in the military, you might be eligible for some help with your education. My husband is a veteran and was deployed three times. Because of changes in the GI Bill, he was able to transfer his educational benefits to me and that enabled me to finish my master's.

    The most recent changes in the GI Bill allow one half of the monthly living stipend for distance education. You might want to look into an online program if you want to go for your BSN or a master's.

    Thank your husband for his service.
  12. Visit  goingCOASTAL profile page
    0
    I've been a nurse for 16 years, and this debate has gone on longer than that. I've been an ADN nurse for most of that time, and have recently completed my BSN. While my experience as a nurse helped making going back to school much easier than it was the first time around, I actually learned a lot. I know I'm a better nurse now because of the BSN ... despite the hype, it was a lot more than just "management" - in fact, of the eight or so nursing courses I had to take, only one of them dealt with leadership.

    But, that's just anecdotal. The facts are in the research. If you're not aware of this article, please read "Educational Levels of Hospital Nurses and Surgical Patient Mortality" published way back in 2003. When removing all other factors, the study showed that a "10% increase in the proportion of nurses holding a bachelor's degree was associated with a 5% decrease in both the likelihood of patients dying within 30 days of admission and the odds of failure to rescue" (Aiken, 2003).

    And then ... consider the facts from real life. Even down here in the South, hospitals faced with a glut of applicants are choosing BSNs over ADN students more than they ever have before. From what I've heard, it's difficult for an ADN nurse in Houston to find a job in the Medical Center. My hospital prefers them as well - and they are fully aware of the science on this matter.

    My advice to everyone - if you have an ADN, find a low-cost way to degree-up (I completed mine at UT-Arlington online). If you're taking pre-reqs to get into nursing school - take the extra time and get your BSN. Hospital doors are literally locking on ADN applicants.

    Aiken, L., Clarke, S., Cheung, R., Sloane, D., & Silber., J. Educational levels of hospital nurses and surgical patient mortality. Journal of the American Medical Association, 290 (12), 1617-1623.


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