Which would be better? ADN or BSN? - page 3

by Reckless96 7,322 Views | 23 Comments

Hi, I'm currently in high school and thinking about getting into nursing after I graduate. I can't decide if I should go straight to the University and get my BSN, or if I should go to a community college and get my ADN, and then... Read More


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    Here in my area new grad ADNs are finding it almost impossible to get hospital jobs. Hospitals here are turning away from hiring ADNs even if you are actively pursuing your BSN. My daughter-in-law is an ADN with three years of Medical-Surgical experience in a small community hospital. She and her family want to move to the larger city. She has been applying in the suburban hospitals and has not gotten a job there, even with three years of Medical-Surgical. She is now pursuing her BSN. I think she realized she couldn't put it off any longer.

    I would say you would never regret going for your BSN first. Also, if there are Nurse Intern positions available, I would consider trying for a position. I think those are much more available for BSN students.

    Good Luck. Whichever way you go, the important thing is that you are aiming for your BSN. I predict that within the next 10 years, the MSN will become the preferred level of education for RNs, with BSN being the entry level for hospital. Personally, I think hospitals are making a mistake turning away the ADNs so much. They should hire them wtih the requirement they get their BSN within a certain time period from their hire date. RN to BSN programs are designed for the working nurse.
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    This is easy. Given your situation, the BSN is the better bet. ADNs seem like they are more prepared to hit the floor because all the 2 years they spend is really focused on floor nursing. BSNs however do other education that expands their knowledge base of nursing as a profession and not just a job/skillset. ADNs may hit the floor running and BSNs lag behind ... but after a year or 6 months, the BSNs have a better handle on things .. not just direct patient care but by the way they deal with things that are not patient care (eg. dealing with families, dealing with other health professionals).

    There is a reason why the ANCC and professional nursing organizations prefer and encourage the BSN over the ADN ... research itself shows it. Actually, the ANCC were at some point pushing for the professional registered RN to be at the least Masters-prepared. There really is a difference, and it's harder to see the difference when you are an ADN looking up versus a MSN looking down. The approach and perception differ with respect to patient care and contributions to the hospital organization and nursing profession as a whole.

    But, if you have financial issues, the ADN may be a more realistic choice. So it depends on you.

    Eitherway, there is a push for new grads to be at least BSNs. ADNs usually might end up in nursing homes or other non-acute/sub-acute areas. In my hospital in Los Angeles county, we don't even consider ADN applications over the last 2 years. All applications are only BSNs and MSNs. This may be even more pronounced for hospitals seeking magnet status.

    Also, historically, the ADN training was never meant to be the end of becoming a registered nurse. The reason why ADN was allowed, was due to the shortages. We just needed RNs right away. The ADNs was allow in the hope that they will pursue the BSN.
    SE_BSN_RN and Oldest&Ugliest like this.
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    Quote from tweetRN
    I agree that it seems like ADNs seen to have more clinical experience than BSNs. That's actually why I chose to do my ADN even though I was accepted to a BSN school as well. my nurse friends told me that the feel like the ADNs are more prepared clinically. And I do feel the same way now that I'm out of school and working on the floor and not only work with other ADNS but also the students. Seemslike the only time I see BSN students is when they are following mgt for their last semester while ADNs we see weekly. Doing your ADN is a LOT cheaper too even if you calculate in doing you BSN after. When you bridge over there usually are only a couple classes you are lacking as far as prerequisites go and then the only difference is the BSN program you get management classes. For me it turned it to be a whole year quicker doing ADN then bridging over to BSN. When I bridged I could do the entire program online or go to class one day a week for 2 semesters. However like someone else mentioned, many hospitals are striving to be known as "magnet" hospitals which require them to have a high percentage of RNs be BSNs so they usually hire few ADNs if at all. Some will hire you if you express that you plan on doing you BSN or if you are already in a bridge to BSN program. Before you decide you might check around your area and see if they hire ADN our if they require BSNs. You can do that by calling the hospitals and asking to soak with the nurse recruiter. Good luck!
    No, the difference between the ADN and BSN is not just management classes. It builds on the ADN skills, knowledge, and incorporates management classes. The ADN's I work with, when I ask them questions about something I had in class they say "I don't know, I didn't have to take that class." I don't know where you are, but in my BSN classes, I don't, and haven't, followed around any people in management. My clinicals were spent on the floor taking care of patients. My last class will be a NCLEX review, not following management around. (I don't go by semesters, though, either.) I have a leadership class built into my program, but my clinicals focus on med surg 1, psych, OB, peds, community health, and med surg 2.
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    As an ADN nurse, I say go for your BSN. One of the other posters made a good point--if you get into nursing and you decide it isn't for you, it will be so much easier to switch if you're going to a state school where you have a lot of other options.

    That said, ADN worked best for me. This is my second career, it was faster, the ADN program in my area didn't have a wait list (once you passed the entrance exam you could start), and it was cheaper. In my area, ADN grads are absolutely getting hired, even in hospitals. Even in Magnet hospitals. I had three job offers before I graduated and got to choose which specialty and hospital I wanted to start in. I do plan on pursuing my BSN, once I've worked for a year, and the hospital I am working at will pay for the majority of it.

    My point is, honestly, what is best for one person is not best for everyone. You have to really weigh your options and decide what is going to work for you, to get you hired in the area you live.
    Emilynn09 likes this.


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