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Differentiated Practice

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Differentiated Practice for AD- and BSN-Prepared Nurses
AD-Prepared Nurses
BSN-Prepared Nurses
Provide direct care to individual
clients with common, well-defined
nursing diagnoses while considering
clients' familial relationships.
Provide direct care to clients with many
different nursing diagnoses using nursing
process to define individualized and complex
interactive nursing diagnoses while
considering the client relationships within a
family and community.
Practice within a structured setting that is a
geographic or situated environment where
policies, procedures, and protocols provide
provisions for health care.
Practice within structured or non-structured
settings for families, groups, aggregates, and
communities. The lack of formalized policies
and protocols necessitates the use of
independent nursing decisions.
Use basic therapeutic communication skills
with a focal client group and coordinate
efforts with other health team members to
meet client-focused needs.
Use complex communication skills with
clients, collaborate with other health team
members, and assume an accountable
charge role for client care in a variety of
settings.
Recognize the focal client's need for
information and modify standardized
teaching plans.
Assess client information needs and design
individualized client teaching plans.
Acknowledge that nursing research
influences
nursing practice and assist in standardized
data collection procedures.
Collaborate with nursing researchers to
incorporate
nursing research findings into nursing
practice.
Develop research-based nursing protocols.
Organize client care aspects for which the
nurse is responsible.
Manage-comprehensive client care for
clients for whom the charge nurse is
responsible.
Maintain accountability for own practice and
aspects of care delegated to peers, licensed
practical (vocational) nurses, and
unlicensed assistive personnel.
Maintain accountability for own practice and
aspects of care delegated to other nursing
personnel consistent with their levels of
education, licensure, and expertise.
Plan and implement nursing care consistent
with the overall admission to post-discharge
plan within a specified work period.
Plan nursing care on identified needs of
clients from admission until after discharge.
Practice within the legal and ethical
parameters of nursing.
Practice within the legal and ethical
parameters of nursing.

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Cont. Differentiated Practice for AD- and BSN-Prepared Nurses
Professional
Characteristic
How Nursing Meets the Criteria or Characteristic
Authority to control its
own work
Nurses work for physicians or health care agencies unless
engaged in private advanced nursing practice.
Exclusive body of
specialized
knowledge
Nursing pulls from a variety of fields to provide holistic nursing
care. Nursing research generates new scientific knowledge for
practice.
Extensive period of
formal education and
training
Currently, there are three levels of education entry into
professional nursing practice: associate degree, diploma, and
baccalaureate nursing -programs.
Specialized competence
Nurses demonstrate assessment skills; possess an understanding
of pharmacology, various branches of physical sciences, patho-
physiology, diagnostic tests, surgical procedures; and have skills
to manage the technical equipment used in client care. Many
nurses hold certification in specialized areas of nursing practice.
Control over work
performance
Nurses make independent judgments based on client situations
and area of practice. Some nurses work in organizations that use
shared governance-and quality magement frameworks.
Service to society
Nursing care focuses on the client system. Caring for others
serves as a major theme for most nursing theories. Nurses
receive middle-income pay for taking care of others.
Self-regulation
Nurses. abide by the Nurse Practice Act of the state in which they
practice. Individual. ~ate boards of nursing regulate nursing
practice.
Credentialing systems to
certify competence
Nurses take the National Certification Licensing Exam developed
by nurses which measures minimum competence for safe. nursing
practice. Nurses obtain certification in specialized areas of nursing
practice from nurse specialty organizations. Some states require
continuing education for continued-licensure.
Legal reinforcement of
professional standards
All nurses are held liable for their actions based on what the usual
and prudent nurse would do in a given client care situation.
Individual state boards of nursing have the power to restrict the
practice of nursing within a state.
Ethical practice
The American Nurses' Association has published The Nurses'
Code of Ethics, last updated in 1985.
Intrinsic rewards
Professional nursing organizations offer networking opportunities
Shared governance and clinical practice partnership models
enhance collegiality among staff nurses and nursing
administration.
Public acceptance
Many nurses derive a deep personal satisfaction from making a
difference in the lives of clients and families one person at a time.
Some nurses view the profession as an opportunity to practice
religious beliefs on a daily basis.
Creation of a collegial
subculture
Nursing was ranked in the top 10 most respected professions
(ANA; 2001).

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 Differentiated Practice for AD- and BSN-Prepared Nurses AD-Prepared Nurses BSN-Prepared Nurses Provide direct care to individual clients with common, well-defined nursing diagnoses while considering clients' familial relationships.   Provide direct care to clients with many different nursing diagnoses using nursing process to define individualized and complex interactive nursing diagnoses while considering the client relationships within a family and community. Practice within a structured setting that is a geographic or situated environment where policies, procedures, and protocols provide provisions for health care. Practice within structured or non-structured settings for families, groups, aggregates, and communities. The lack of formalized policies and protocols necessitates the use of independent nursing decisions. Use basic therapeutic commu ...
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