they want bsns because they look better in publications, not because they are better. since the only thing having your bsn does for the facility is allow them to boast "we have "x" percentage bsns", exactly what you said is true: you are paid as an adn and you get treated like an adn. why..............you are an adn.
i'm going for my bsn. i though long and hard about whether i wanted to or not. i joined in on a lot of adn vs. bsn threads, dove in head first, looking for something concrete that separates the two. i wanted something to hang my hat on, something to keep in the back of my head while i went back to school. never found it. i know why too.
see, as i did earlier this thread, my question has always been "what does having your bsn do to help you with bedside nursing?" i would often, as i did here, expand it to "what do you do or understand, given the same patient and resources, that an adn does not? what happens differently for your patient, since you have a bsn?"
as with this thread, i got no answers. most changed the subject very quickly, others tried very hard to talk with big words and complicate the issue........but it always came back to there being no real answer for the question. one nurse did tell me something i believe (to a degree), which is that it is somewhat "zen-ish" and can't really be put into words or explained, that it is like being told to describe what vanilla tastes like.
i found my own answer, and am confident in it's truth. that answer being: at the bedside there is no difference. same outcomes, same pg scores, same understanding, same everything. the difference between a bsn and adn nurse presents itself away from the bedside. hence, my question is a trick question, since it only concerns bedside nursing (i knew that this time around, not before).
adn nurses are taught more of the language about research, they are judged rigorously on their writing styles (apa must be learned), they are forced to take more of a community look during clinicals (i had to write a very large paper describing my nursing experiences otherwise i would have had to do clinicals.......ones that didn't involve hospital bedside nursing) and the mechanics of political nursing are introduced on a larger scale (contacting politicians about certain bills etc).
in short, the adn is more prepared to do things off the clock and away from the bedside to help advance nursing as a profession.
and, this is what brings us to why so many people believe there is no real difference. bsns are more prepared to "enter the conversation" regarding nursing being a profession. they are better prepared to take nursing leadership positions in which they can make a difference and be the voice of nursing. but................this is a huge but.............most don't. they perform the roles of an adn nurse, go to work, clock out and go back to their everyday life, all the while telling themselves they are better at it for some (very imagined) reason or another (often things the school told them, the same schools who tell people there are thousands of jobs in nursing). since their higher degree only grants them powers away from the bedside, and they don't use them..........the line between the two degrees is very thin and blurred. i have news for the bsn grads who think they offer anything at the bedside that adns don't. your kidding yourself. it's probably a form of denial, denial brought on by the fact that you know your education has gone to waste because you aren't doing anything extra away from the bedside..........just clock in and clock out and be done.
as i said, i am going back to school for my bsn. why? because i think i am ready to take that extra step in my career, the part that has nothing to do with bedside care. i feel, while being a part of committees with my hospital, i need to make myself better heard. no one wants to hear what an adn thinks, but some people (admin. and higher ups) will take a bsn trained nurse into account. heck, right here on this very site i was called "a layman" in an article i wrote about how "customer service" kills healthcare. i imagine the point the person was making was that i am adn trained and hence "don't see the whole picture". i'm also planning on being more politically involved. too many things changing and being done these days to sit idle and hope for the best. but this stuff is all off the clock and away from the bedside. thats where my bsn can help me.