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differences in competencies
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Differences in competencies There are two main educational paths into becoming a registered nurse (RN) namely associate degree in nursing (ADN) and a bachelor's of science degree in nursing (BSN). All the graduates from the two entry-level nursing programs are assessed through the NCLEX-RN licensing examination.
These differences emerging can be clearly seen at various patient are situations for example variations in approaches to decision-making or nurse care. One patient care situation that brings out differences in nursing care among ADN and BSN nurses is cardiac care units. Baccalaureate nursing care approaches include altruism, values of autonomy, integrity, social justice, human dignity and unconditional regard for all patients. Their nursing practice include disease prevention, health promotion, early detection of human health deviation, quick and adequate treatment of chronic and acute illnesses as well as compassionate care for people nearing death. As a result of their training, BSN nurses are able to respond to more demanding patient care tasks like those witnessed in the cardiac care units. Johnson (1988) state that BSNs are associated with lower rates of failure-to-rescue and mortality rates. These can be attributed to their good nursing care approaches like quick and adequate treatment of chronic and acute illnesses. Research conducted in various cardiac care units reveal that there were 4.9 fewer deaths for every 1000 patients in those hospital intensive care units (ICUs) where a large proportion of nurses had a bachelor’s degree (Van den Heede, 2009). ...
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