BSN vs ADN Education?????

Nurses General Nursing

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I am preparing a debate in a BSN program. I have to argue BSN should not be required for entry into pratice as a professional RN. What do you think either way?????? :rolleyes:

Specializes in O.R., ED, M/S.

To tell you the truth, you are opening a can of worms. Very heated and debated issue which you will get a multitude of different opinions. Better left alone because there are no logical, concrete answers. If you must, do a search and you will find all the info you need, be it right or wrong. Good luck though.

To tell you the truth, you are opening a can of worms. Very heated and debated issue which you will get a multitude of different opinions. Better left alone because there are no logical, concrete answers. If you must, do a search and you will find all the info you need, be it right or wrong. Good luck though.

Thanks for the reply. I have to open the can. When I recieved the assignment I knew it would be a heated topic. I have found a couple good journal articals. Just kind of looking for a general opinion.

I will never understand why this topic (or PA vs NP, or CRNA vs assistant anesthetist for that matter), has to "open a can of worms". If one is satisfied with the route one has chosen, why does it have to be defended so bitterly? It amazes me the length people on here go to trying to prove the worth of their degree. I'd say IMO, but hey I wrote it, it obviously is :) -Diane

Specializes in Oncology/Haemetology/HIV.

Please use the Search option and review the several hundred threads on this BB with literal thousands of opinions already posted on this topic. Many of them were posted in response to the exact same query as yours. And many of them are current.

There are right now at least three other threads that have been active in the last 24 hours related to this topic.

I am not meaning to be curt (as I know that you are new) but the topic has been beaten to death on this BB. And many posters will no longer post on the topic, because they are a bit worn out on it.

You can always revive and bump an old thread if you want newer responses.

Specializes in tele, stepdown/PCU, med/surg.

Traumatized,

I say go with the articles you found and continue to look for more. Asking people on this board will yield unusable results (a tainted survery essentially).

If you are doing clinicals or work at a hospital, you could randomly ask nurses what they think and then you could use that info.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
I will never understand why this topic (or PA vs NP, or CRNA vs assistant anesthetist for that matter), has to "open a can of worms". If one is satisfied with the route one has chosen, why does it have to be defended so bitterly? It amazes me the length people on here go to trying to prove the worth of their degree. I'd say IMO, but hey I wrote it, it obviously is :) -Diane

I agree. The problem with the internet is someone can offer an opinion, as an honest opinion, and then someone will take it as demeaning or read something into it. I can say "BSN should be the entry level for RN practice" and someone will chime in and say "I'm sorry you don't think of me as good enough to be a nurse, how arrogant of you, but let me tell you something............".

Been there and done that. More than likely will do it again. :rotfl:

Specializes in PeriOp, ICU, PICU, NICU.

I was did a search about your topic and there is so much info that will be sure to help you. Remember this seems to be the off topic topic and just to avoid steamy situations you may want to do a search. Best wishes to you. :)

Specializes in Nephrology, Cardiology, ER, ICU.

Welcome. Other posters have made good suggestions. Also, in order for a debate, personal opinions are usually not the best to use - you want facts, such as patient outcomes (many articles related to this currently), nurse satisfaction ratings, and other things. Good luck.

Thank You all for your good info. The debate is on.

Specializes in Gerontological, cardiac, med-surg, peds.

At the risk of :deadhorse :deadhorse :deadhorse

Pro-ADN

Mahaffey, E.H. (2002, May). The relevance of associate degree nursing education: Past, present, future. Online Journal of Issues in Nursing. Retrieved May, 8, 2004 from http://nursingworld.org/ojin/topic18/tpc18_2.htm

National Organization for Associate Degree Nursing (N-OADN).

http://www.noadn.org/adn_facts.htm

http://www.noadn.org/noadnfoundation.htm

Advantages of ADN and/ or multiple entry levels:

Relatively low cost

Less time investment

Better able to reach rural and isolated communities, minority populations, the disadvantaged, and males

Able to quickly produce nurses for the nursing shortage

Puts local people to work by equipping them with a useful and marketable job skill

Other questions:

As of April 2003, the North Dakota legislature repealed the baccalaureate entry-to-practice requirement for registered nurses in that state. What went wrong and why?

Pro-BSN

American Association of Colleges of Nursing (1998). The essentials of baccalaureate education for professional nursing practice. Washington: AACN. Retrieved November 2, 2004, from http://www.aacn.nche.edu/education/bacessn.htm

Nelson, M.A. (2002). Education for professional nursing practice: Looking backward into the future. Online Journal of Issues in Nursing. Retrieved November 2, 2004 from http://www.nursingworld.org/ojin/topic18/tpc18_3.htm

Donley, R., & Flaherty, M.J. (2003). Entry into practice: Revisiting the American Nurses Association First Position on Education for Nurses. Online Journal of Issues in Nursing. Retrieved November 2, 2004 from http://nursingworld.org/mods/mod524/ceenful.htm

Aiken, L.H., Clarke, S.P., Cheung, R.B., Sloane, D.M., & Silber, J.H. (2003). Educational levels of hospital nurses and surgical patient mortality. Journal of the American Medical Association (JAMA), 12, 1617-1623.

Advantages of BSN as the entry level for the profession:

Increased patient safety and better overall patient care (very controversial: questionable data and flawed methodology in the Aiken report)

To increase nurses' knowledge to work in a complex health care system

To be viewed as professionals

To garner greater respect

To have greater voice in policy and on governing boards

To expand nursing roles

Possible ways to find common ground or reach a peaceable consensus:

Recent proposal by the New York Board of Nursing to require all associate degree nurses to obtain a bachelor's degree within ten years in order to continue to practice as registered nurses.

Rhéaume, A. (2003). Establishing consensus about the baccalaureate entry-to-practice policy. Journal of Nursing Education, 42(12), 546-552.

Gubrud-Howe, P., et al. (2003). A challenge to meet the future: Nursing education in Oregon, 2010. Journal of Nursing Education, 42(4), 164-167.

Bargagliotti, L.A. (2003). Reframing nursing education to renew the profession. Nursing Education Perspectives, 24(1), 12-16.

Other articles of interest:

Lawler, T.G., & Rose, M.A. (1987). Professionalization: A comparison among generic baccalaureate, ADN, and RN/BSN nurses. Nurse Educator, 12(3), 19-42.

Martin, P., Yarbrough, S., & Alfred, D. (2003). Professional values held by baccalaureate and associate-degree nursing students. Journal of Nursing Scholarship, 35(3), 291-296.

Smith, J.E. (2002). Analysis of differences in entry-level RN practice by educational preparation. Journal of Nursing Education, 41(11), 491-494.

Hope these links and article references help. Best wishes with your school project.

The Aiken article has been thoroughly vetted... it is a watershed. I think the bottom line is................. that BSN nurses are better prepared to think critically, a process which improves patient outcome. The writing is on the wall... and sooner or later states will begin requiring that new grads have a BSN. Some teaching hospitals are trying to achieve an all-BSN workforce. While some might say that that goal is unrealistic, I don't think it's a stretch to say that, all things being equal, a unit manager will hire a BSN over an ADN any day.

I personally know a lot of nurse managers, and I know what they're looking for. There might come a time, sooner than we think, when ADN nurses will be considered nothing more than "technicians", and BSN nurses will be making all the important patient-care decisions (as well as managing). This is not a fantasy; this debate is going on right now at my nursing school. The nurses who control the state boards and professional associations are, for the most part, BSN-educated and higher. The line is already in the sand.....................

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