Wednesday, January 2, 2019
A Comparison of Nurses Essay
A Comparison of Nurses enlightened at the harmonize-Degree Level versus the baccalaureate-Degree Level A c areer in breast feeding has umteen possibilities and depending on where one is locked thither may be different educational requirements. There are many nanny-goats in the workforce with unaccompanied their associates grade in nursing, but as time passes it seems that the baccalaureate degree is adequate more(prenominal) of an expectation. This brings up the question- is at that place a variety in the competency of the associate-level give from the baccalaureate-level hold in? Studies are showing that at that place is a deviation and patient role outcomes are unnatural by this difference.Differences between the touch Degree in treat and the Baccalaureate Degree in care for In order to compare the competencies between soak ups prompt at the associate-degree level versus the baccalaureate-degree level, one essential first compare the requirements to obtain these degrees. The Associates Degree in Nursing, cut ADN, is a two-year degree normally earned by a confederation college. It requires 60 credit hours to complete and upon consequence the graduate kindle apply for licensure through the state in which they go away practice. The Bachelors of recognition in Nursing, also called BSN, is a four-year degree obtained at a university.It includes the same areas of ponder and has the same license upon completion of the NCLEX as the ADN confine, but reachs further into nursing conjecture as well as pathophysiology and technical skills. Many employers require the bachelors degree for higher positions in nursing such as clinical managers and treat specialists. Differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level As explained supra the bachelors degree in nursing requires two more historic period of education and a much deeper content of nursing system and pathoph ysiology than the associates degree.The question is does this extra education and revolve about on nursing theory construct a BSN nurse more commensurate than an ADN nurse. Research suggests there is a strong effect of nurse experience and a signifi foott effect of the percentage of BSN nurses in each infirmary (Kendall-Gallagher, Aiken, Sloane &Cimiotti, 2011) in regards to better patient outcomes. To understand the difference one must look at the basic nursing procedure and how cognition of nursing theory and pathophysiology affects it. The basic process taught in nursing school in providing patient care is assessment, pattern, intervention and evaluation. judgment is one the first things a nursing student learns. The associate-level and bachelor-level nurse will twain guide learned this skill in the very first days of nursing school. twain nurses will also be competent with the last step, evaluation of the interventions. The favour a BSN nurse will establish lies in the middle two steps- excogitate and intervention. The plan and interventions a nurse provides is affected by their decision-making skills and this is based on their education. design and Intervention.To determine a patients plan of care, one looks at the deviate assessments and then uses their knowledge of pathophysiology to determine the plan of care. While the BSN nurse will not necessarily restrain more clinical hours in assessing the patient, they will have interpreted more classes in pathophysiology than the ADN nurse and therefrom may notice a complaint process more readily than the ADN nurse. This is where the interventions will occur. Interventions are determined by the nurse based on their decision-making skills. Decision-Making SkillsNursing is a field in which one is stipulation a great amount of autonomy. thence much of a patients care is affected by a nurses decision-making skills. Ones ability to make decisions is affected by many things including past exper iences, environment and education. The boil down here is education and how the admittanceal study for the BSN affects nurses decision-making skills. The BSN nurse will have analyse pathophysiology and nursing theory in great depth than the ADN nurse. This extra knowledge is then applied to the decisions a nurse makes for their patient.These decisions have a great impact on patient outcomes and recent studies have indicated that there is decreased morbidity, mortality, and failure-to-rescue rates in hospitals that employ larger percentages of baccalaureate prepared nurses (Altman, 2011). rear of baccalaureate-degree level nurses on patient outcomes In the acute situation the BSN nurse mountain use their knowledge of pathophysiology in addition to their decision-making skills to decrease morbidity and mortality. Taking into notice the greater picture, a more holistic accession based on the BSN nurses familiarity with nursing theory, will alter patient outcomes.For example le ts look at a hospital admission for a congestive warmheartedness failure exacerbation. Both the ADN and BSN nurse will assess the patient and notice definitive signs like shortness of breath and edema. Both nurses will plan on diuresis and paying(a) close attention to respiratory status. The difference will come with the holistic approach that a BSN nurse is more likely to take. The emphasis on the nursing theories that a BSN nurse has studied will quit them to look at the patient as a whole, rather than dealing with only stabilization of symptoms.The knowledge of nursing theory the BSN nurse has will allow them to delve further into why this patient admitted and what they can do to prevent a readmission. The BSN nurse waits questions as to what caused the exacerbation. It may be that the patient needs more teaching on diet and medication compliance. They will ask the patient about their stand situation. Its possible the patient is having financial burdens that have kept them from filling their prescriptions. The BSN nurse is more likely to look at the home situation. The patient may have opinion with the diagnosis and need some resources for favorable support.In regards to Kings theory, nursings central goal is to champion individuals maintain their health so that they can function in their roles (Creasia, 180). By service the patient function in their role, the nurse empowers the patient to lead a fitter life. The patient is sent home improve with the resources needed to lead a hygienic life and therefore reduces unnecessary hospital admissions. This in turn allows the space in stock(predicate) for hospital admissions that are necessary and leads to a healthier community. REFERENCES Altmann, Tanya K. (2011).Registered nurses returning to school for a bachelors degree in nursing Issues acclivitous from a meta-analysis of the research. Contemporary Nurse A Journal for the Australian Nursing Profession, 39, (2) 256-72. Creasia, J Friberg, E. ( 2011). Conceptual Foundations The Bridge to Professional Nursing Practice. (5th Edition). St. Louis, Missouri Mosby, Inc. , an affiliate of Elsevier Inc. Kendall-Gallagher, Deborah Aiken, Linda H. Sloane, Douglas M. Cimiotti, Jeannie P. (2011). Nurse intensity level Certification, Inpatient Mortality, and Failure to Rescue. Journal of Nursing Scholarship, 43, 188-94.
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