AND vs. BSN Nursing


ANDvs. BSN Nursing

ANDvs. BSN Nursing

Asa dynamic field, nursing requires advanced knowledge and skills thatdefine the professionalism of the practice. To achieve this knowledgeand professionalism, the nursing practice has two levels ofqualifications Associate`sDegree Nursing,theADN and Bachelorof Science in Nursing, theBSN (AACN, 2013). The BSN is the nursing qualification that has adegree of four years of study. On the other hand, the ADNqualification has two years of study that focuses on the tasks andskills. Despite the difference, nurses are required to have thecapability of making decisions based on their education as well astheir exposure to the experience of practice.

Thefirst main difference between the two levels of nursing is theireducational preparation. The BSN requires educational study thatallows for an extensive understanding of the economic, political, andsocial issues that affect health care. The educational levels of theBSN are advanced and provide more studies to the nursing students.While the two level study nursing with all its contents in entirely,the BSNs posses advanced educational knowledge than the ADNs (AACN,2013). This makes the BSN courses to be longer than the ADN courses.Whether in degree or diploma programs, the BSN holders have morequalification in academic terms.

Anotherdifference between these two levels of nursing is the skills thateach is supposed to posses for proper Practice. The ADN holders havegeneral education and skills to help them serve the general role ofnursing (AACN, 2013). However, BSN holders have proper communicationskills and human skills to handle patients. They are required to haveexcellent critical skills in thinking as well as logical thinking,which will enable them to make critical decisions in their practice(AACN, 2013). In addition, the BSN nurses have excellent skills inpatho-physiology, health care quality control and general communityhealth. This makes the BSN holders good in taking care of thepatients due to their application of these skills in patient care.

Therole played by the holders of each of the two levels of nursing isanother field of difference. Because of their advanced skills andeducational competence, the BSNs hold advanced roles in the nursingpractice (AACN, 2013). The BSN carries the advanced tasks of qualitypatient care that is intended to make the patient feel satisfied andable. They hold specific roles of taking care of patients withspecific issues and require specialized attention. On the other hand,the AND have nursing skills for general care of patients. They holdthe general roles of providing general nursing care to patients.

TheADN take nursing tasks without considering the extent andsignificance of resources applied to the tasks. This is because thenurses at this level have limited ability to incorporate research andadvanced knowledge into their practice of patient care (AACN, 2013).Therefore, they are obliged to seek assistance to the BSNs or higherlevel health workers. This means that the ADN holders have lowworking independence that is limited to their level of competence andskills (AACN, 2013). This means that they have to seek help oraccompaniment when carrying out nursing activities. For instance,during post-operative surgery, the ADN holder may not be able toapply patient’s history when transfusing blood. This calls forassistance from a BSN who can apply advanced nursing skills to applythe past details of the patient.

Thedifferences between the competencies of these two levels in a typicalpatience, care case are based on the level of their skills andknowledge. A BSN holder is able to understand the patient in all thecircumstances and facts around the case (AACN, 2013). This means thatthe BSN will make decisions that are critical of the situations ofthe patient and the knowledge applicable. Therefore, a BSN iscompetent in both the community setting and in a clinical setting.This diversity gives the BSN an upper hand in handling certain casesof patients despite both having licensure to practice nursing. Toexplore the differences in relation to patient cases, the followingcase will illustrate their competencies.


Max,is a 21 year old patient who brought by his mother, Jane to thehospital, complaining of throat pains when swallowing food. He wasbooked for a 24 hour after Tonsillectomy observation. The ADN nursewho observed him and saw nothing wrong, as it seemed then. Therefore,the ADN gave him painkillers and left the room. As it was the rulesof the hospital, she reported to the nurse in the evening shift, aBSN. On reading the report, the BSN quickly checked the patient andfond a critical condition. The BSN, knew that throat pains indicate apossibility of bleeding after Tonsillectomy. Due to the criticalnature of the situation, the BSN initiated a rapid response thatsaved the patient’s life.

Asa rewarding career, nursing for ADN and BSN teachers learn the samenursing education, but BSN has advanced knowledge and skills. Theillustration shows the differences in competence between the ADN andthe BSN. The BSN was able to use his advanced skills and knowledge tomake critical decisions. The BSN was timely in critical thinking andreasoning that proved the supremacy incompetence and skills.


AmericaAssociation of Colleges of Nursing, AACN. (2013).Fact sheet: The impact of education on nursing practice. Retrievedfrom,&lt 8, 2014