Quality patient care revolves around a highly trained workforce of nurses.  According the the done research, decreased death rates, lower medication errors and positive results are attributed to nurses who are trained at the baccalaureate and graduate degree levels. According to White (1988), the American Association of Colleges of Nursing is working tirelessly to create a large highly qualified nursing workforce because education upgrades competency in both care and clinical delivery.

  1. Discuss the differences in competencies between nurses prepared at the associate-degree level versus the baccalaureate-degree level

In a study that was published by researcher Olga Yakusheva and her colleagues, it was found that a ten percent increase in the number of baccalaureate nurses on hospital units was accompanied by a decrease in the number of patients dying by almost third of the was also found that increasing the amount of care provided by BSNs to eighty percent would result in decrease the readmission rates and decrease the length of stay in the hospitals. These results show that increasing the number of baccalaureate nurses can decrease the cost.

According to Novak (2005), a researcher Ann Kutney-Lee and her colleagues discovered that an increase of nurses with bachelor of science in nursing by about ten percent of nurses within a hospital was related with an moderate decrease of around two deaths per one thousand patients and decrease of patients with complications, an average decrease of eight deaths per one thousand patients.

In another article that was published in February 2013 on Journal of Nursing Administration issue, Mary Blegen and her colleagues discovered that hospitals with a higher percentage of registered nurses with baccalaureate degrees had a decreased heart failure deaths, decubitus ulcers, pulmonary embolism and reduced length of stay in the hospital.

The October 2012 article on the issue of Medical Care, University of Pennsylvania researchers discovered that surgical patients in who were admitted in Magnet hospitals had decreased inpatient mortality rates by fourteen within thirty days and twelve percent decrease of failure to rescue compared with patients who were admitted in non-Magnet hospitals. The researchers attribute these high quality outcomes to a great extent to investments in highly qualified and educated nurses who mostly are baccalaureate level nurses.

An article published in January 2011 in the Journal of Nursing Scholarship by Deborah Kendall-Gallagher and her colleagues, they discovered employing highly trained nurses decreases the mortality rate of the patients and rescue failure rates in hospitals. The researchers discovered that the better outcomes were due to care that was provided by nurses with baccalaureate education level. According to these nurse researchers, there was no effect of specialization in the absence of baccalaureate education.

In the August 2008 article on Health Services Research which was evaluating the impact of nursing practice environments on results of cancer patients undergoing surgery, Dr. Christopher Friese and his colleagues discovered that education level of nurses was highly related with patient results. Baccalaureate-prepared nurses were associated with decreased patients deaths and failure to rescue levels. According to Grice (2008), a staff with the nurses who have at least a baccalaureate-level education would result in decreased adverse results for patients.

Education level of nurses is a factor to consider when patient safety and quality of care is concerned. According to Camenson (1995 ), medication errors and procedural violations are highly made by nurses who only possess associate degree and diplomas as compared to nurses with baccalaureate level.  Nurses who are prepared at the associate degree and diploma levels commit most of the mistakes related to practice.

Nurse administrators identified special differences in competencies based on education. According to Camenson (1995), about seventy two percent of these directors recognized differences in practice between nurses with Bachelor of Science in Nursing and those who possess an associate degree or hospital diploma. Nurses with a bachelor’s degree have stronger critical thinking and leadership skills.

According to White (1988), nurses with baccalaureate level have stronger communication and problem solving skills and a increased proficiency in making nursing diagnoses and assessing nursing interventions.

Identify a patient care situation in which you describe how nursing care or approaches to decision-making may differ based upon the educational preparation of the nurse (BSN versus a diploma or ADN degree)

A care situation where nursing care to decision-making may rend to differ based on the education level of the nurse can be in a case where a patient with alcohol withdrawals is admitted to the detoxification unit of a general hospital and is discharged after he was stabilized. The same patient is admitted again in multiple occasions and he is discharged again after he is stabilized.

Associated degree level nurse will go ahead to prepare the documentation of discharge, elaborate prescribed medication which are possible and discharge the patient.

Conversely, a baccalaureate level nurse will try to link the causes of the patient’s many admissions to the lack of a good alcohol dependence treatment. This includes an environment which is positive for recovery. Baccalaureate level nurse will make the correlations with an enough substance abuse program and enroll the patient in a necessary support group. The differences in caring provided by baccalaureate levels and diploma level nurses depend on the wide varied knowledge in the connection between the pathophysiology of alcoholism and the surrounding. According to White (1988), the knowledge of alcoholism treatment surpasses the hospital settings and highly qualified nurses can be able to make the proper connections between alcoholism and the environment of the patient.



In conclusion, nurses with baccalaureate degrees have high proficiency in valuable communication skills, quality skills in leadership and decision making compared to their counterparts who have diploma or associate degree levels of education. For better results as far as the health of the patients is concerned, all nurses should possess at least a bachelor’s degree in nursing.


Camenson, B. (1995). Nursing. Lincolnwood, Ill.: VGM Career Horizons.

Grice, T., & Greenan, J. (2008). Nursing: 2.

Novak, K. E. (2005). Agency Nurse Assessment for Competency. Journal for Nurses in Staff Development (JNSD), 21(4), 158-159. doi:10.1097/00124645-200507000-00006

White, D. (1988). Nursing. London, England: Penguin.

Place this order or similar order and get an amazing discount. USE Discount code “GWEXDDSRGCF10” for 10% discount