The lack of standardization on clinical hours and experiences really surprises me, but learning more (like for my state BON there is no minimum requirement for hours - just a recommendation), I'm realizing that it shouldn't. That's definitely something that needs to be fixed. And yeah, overall the classwork difference in BSN and ADN is basically theory and research type stuff. I'm in an RN-BSN program now, and as much as I dislike some of it (I started out viewing nursing as a more technical skill rather than something to philosophize over), I also can see the usefulness of it for the profession and health care as a whole. I'm definitely more thoughtful about my approach and dedication to my chosen profession, and I see the opportunities available to nurses to help instigate change in healthcare. (That's not to say ADNs can't have this mentality, but for me, the drive to achieve more and be a better nurse made pursuing a BSN a "no question" type decision even though I hate school. Perhaps the idea of a Technical RN (ADN) and a Professional RN (BSN) distinction has some merit, but honestly, I would anticipate large hospitals still requiring BSNs at the bedside. It's a status thing for the most part, IMO, even if there are potentially better patient outcomes in hospitals with higher percentages of BSNs.
Here's the thing though - even though not recognized internationally, ADNs and BSNs are both equal in scope and capacity to be excellent registered nurses. From my very humble (because really, I don't know a ton about the details of this issue) perspective, I can't help but wonder though why nurses, who should always be in a state of continual learning and growth, so strongly oppose the idea of BSN being the entry-level or even simply the expected eventual level of education? I get that BSN isn't initially attainable for everyone wanting to become a nurse - it certainly wasn't for me. I don't know if I would have gone to nursing school had the only option had been a BSN. Still, I don't understand the overall, emphatic passion against the BSN. We should all be looking for opportunities to standardize and grow our profession.
And just so friends up thread don't think I'm ignoring them, I don't need to provide "proof" for things I clearly state are my opinion. If I make a definitive statement, by all means. I was simply sharing my experience and perspective. That being said, it looks like the issue is that there is a huge lack of standardization in clinical experience from program to program. Not that people aren't adequately being trained for nursing - I can't claim that. But we can all agree that there are bound to be shortfalls in some of these programs (which I'll acknowledge can be BSN or ADN) due to the lack of standardization.