i will gladly name the area! where did i say you don't need an in depth understanding or comprehension of disease processes or pharmacology? the point i'm making is that this is addressed just as well at the adn level. if you're telling me that bsn level nurses have such a superior technical education, then do they understand the in depth chemical processes of the clotting cascade? after all, that would be the next level of understanding beyond the adn level of simply knowing that there were two clotting pathways, intrinsic and extrinsic, managed by heparin (antidote protamine sulfate) and coumadin (antidote vitamin k) and the relevent labs are ptt and pt/inr. this is what i learned in my adn program. what more do you truly know? (i already know you won't answer this question, because you don't know anything more) what more do you need to know? how is it that you've got this superior techinical knowedge?
as far as education in family dynamics, at the bsn level this is nothing more than pompous windbagging. it is utterly useless to an entry level nurse. like i'm going to go in there and apply a nursing diagnosis of "impaired family functioning" while i'm juggling ( great idea!) the needs of my other 5 or 6 patients. the idea that these courses convert one into a crack psychologist who, like little miss know it all do goody, steps in and solves long running family problems with a single therapuetic word because, by golly, she's had her bsn family dynamics course is laughable. that fallacy belongs only in bsn programs. the second you hit the real world, all that fluff dissolves into nothingness. it is useless. requiring it of an entry level nurse is irresponsible.
i have yet to see a bsn nurse whip out her statistics on the floor and make a difference in the lives of her patients. perhaps i'm jaded, having had engineering calculus in another discipline, so take it for granted that people can do the simple math that it takes to make it on the floor. i've seen bsn nurses who couldn't even convert ounces to milliliters. i suppose that rigorous statistics trainig must have failed (and let's get over it, it's INTRO TO STATISTICS, hardy a doctorate level course). and, yes, by the way, i've forgotton most all of my calculus, since i haven't used it in years. do bsn level nurses retain their statistics knowledge even though it is in fact never used on the floor? another totally useless course for an entry level nurse.
i'd say the nclex exam does test the ability to think, at a very basic level. would you want someone who couldn't think their way through that test nursing your family? it astounds me that people whine about that exam when 85% pass it. i took it in an hour and it stopped at the minimum number of questions. i would in fact say it is too easy. try a truly difficult professional exam like the cpa exam, where the pass rate on any of the 4 parts is only 40%, and you've got to pass all 4 parts. take that, and you'll have a little more perspective about what the term "technically rigorous" means.
are you suggesting that this isn't addressed by adn level programs? that's news to me, since i learned that in my adn program. but if you've discovered that it's not, then by all means you should alert the public! after all, you've had your bsn community course,
so why aren't you sounding the alert :). ???
don't take anything here too personally. i'm exaggerating a bit to make a few points. after all, that is what discussion is for :).
the bottom line comes down to what should be required to enter the profession. and the answer to that at rn level is the adn. that is what is required. the fact that there are bsn, msn, and phd level nursing programs is irrelevant to the fact that adn programs produce nurses who can function as entry level trainees. requiring a bsn would only impose a compleltely unnecessary barrier to entry in the profession and exacerbate staffiing shortages, to the great detriment of society. it is absolutely a selfish, self centered approach to inflict this shortage on society in order to appease the psychological needs of folks who run bsn programs, so they can have their nice and tidy little "profession" under their control.