Since the origin of the Associate Degree in Nursing there has been research and treatment as to whether this grade should go on. This is due to the hardship in the degree of competence between the two. Current popular idea is that the entry degree into nursing should be the Bachelor of Science in Nursing. The addition in the complexness of medical sphere should do the baseline in nursing the Baccalaureate Degree.
It has been shown that a nurse ‘s degree of instruction can go a major factor to the safety and quality of attention of their patients. There has been an addition in surveies over the old ages that straight examine patient results in similar state of affairss between Associate Degree Nursing ( AD ) and Baccalaureate Degree Nursing farther know as ( BSN ) ( Fagin, 2001 )
Surveies revealed that nurses who had an AD as their nucleus instruction were destined to be charged nine times more frequently with misdemeanors than those with a BSN grade. These consequences, significantly, mimicked about precisely those obtained by the province of Texas in a parallel survey Fagin, ( 2001, parity. 50 )
The province of New York and the State of Texas both conducted separate surveies that were done in the twelvemonth 1996. Both of these surveies agree on the point that there is a significantly higher grade in degrees of medicine mistakes and procedural errors made by nurses that are from AD Degree and Diploma Degree nurses every bit compared to that of a BSN Nurse. These consequences are tantamount with the consequences disclosed in the July/August 2002 issue of Nurse Educator magazine ( Fagin, 2002 ) .
Research has shown that when you have a deficit of registered nurses at the baccalaureate and higher grade it is jeopardizing the safety of the patient. In a survey done at the University of Pennsylvania they found that patients experienced a significantly lower decease and failure to deliverance rates where there are more baccalaureate grade nurses supplying direct patient attention. The survey stated there were a sum of at least 1,700 deceases that could hold been prevented if the installations had in their employment a lower limit of 60 per centum of baccalaureate trained nurses and a nurse patient ratio no higher than one to four ( Aiken, 2003 ) .
The surveies have shown that nurses that have gone thru the baccalaureate plan have a higher grade in articulation and job deciphering abilities ( Johnson, 1988 ) and are more adept in their ability with nursing diagnosing along with the rating of nursing intercessions ( Giger & A ; Davidhisar, 1990 ) .
Research further shows that those registered nurses that have obtained their grades at the associate grade and sheepskin degrees have an addition in their degree of accomplishments when finishing a BSN grade. When comparing RN to BSN alumnuss from the old ages 1995 to 1998 it was ( Rosseter, 2010, parity. 24 ) shown that these pupils had a higher competence in nursing procedure, articulation, direction, professional integrating and analysis/dissemination ( Phillips, C.Y. , Palmer, C.V. , Zimmerman, B.J. & A ; Mayfield, M. 2002 ) .
All the above surveies seem to hold that when a BSN is involved in patient attention there is a greater opportunity the patient result will be more positive than when the same patient in the same state of affairs is taken attention of by an ADN. The concluding appears to be that with their higher instruction the BSN has an enhanced grade of appraisal accomplishments. This so allows for better critical thought abilities. These two accomplishments entirely make the opportunities of a good patient result greater. The BSN learns these accomplishments and others such as wellness publicity, instruction, theory etc… All of which assist the patient with the opportunity of the best possible result.
The undermentioned incident is an illustration the above research consequences: Several old ages ago I was working at a local infirmary helping with endoscopic processs. I had merely taken a patient that had undergone a process done under anaesthesia to the recovery room. I gave study to the accepting nurse and after the patient ‘s safety was secure I went to acquire my following procedural patient. As I was walking through the recovery room I saw one of our BSN nurses measuring a patient that appeared pale and sudorific. The nurse that was caring for him was on the phone speaking to a friend. She was a alumnus of an Associate Degree Nursing plan. When she was asked what was traveling on with her patient by another nurse her response was ” he ‘s ok he ‘s merely asleep ” . The BSN said he does n’t look right and proceeded to take his critical marks. She noticed that the blood force per unit area consequences were at an unacceptable degree compared to his initial set when he was admitted. She checked his record and found that he was diabetic and had the tech do a finger stick trial on the patient. The consequence was in the low 30 ‘s. The patient normally averaged in the 120 ‘s with his sugars. An order for D5 IVP was obtained and so given to the patient. The patients ‘ critical marks were checked every 5 proceedingss until stable. Within a few proceedingss the patient began to stir, and his colour began to return to normal. Other than a ailment of a concern that he had when he was admitted he was back to his normal ego.
The above surveies along with the above incident show that it is imperative for nurses to go on with their grades. The BSN with advanced appraisal was able to acknowledge the patient was holding diffulculty. The Ad nurse assessed the state of affairs as that they were merely kiping. Once the BSN had assessed that here was a job their execution of a program of attention for the state of affairs and carry throughing it to a proper completion made what could hold been a bad result into a good one.
It is the end of national nursing organisations to increase the degree of instruction particularly for those with less than a BSN. This is finally for the safety and wellbeing of the patient. For as cognition additions so does your grade of competence which can increase patient safety, lower infirmary corsets and increase work satisfaction.