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Legal and Ethical View of Nursing Practice

Question 1

            The nursing entry-level education requirement needs to be changed because a difference exists between registered nurses graduating with the Associate’s Degree in Nursing (ADN) and those that graduate with Bachelor of Science in Nursing (BSN) (Resseter, 2019). Registered nurses with BSN spend four years of training compared to the ADN course that takes approximately two years to complete. Hence, the BSN nurse receives more intensive training that prepares them to handle more responsibilities and offer safer and better patient care. Besides, registered nurses with BSN appear to be more professional since they are trained in nursing research, leadership, and management, while those with ADN are more technical since they are mostly trained on clinical skills.

Question 2

American Association of College of Nursing has recently updated its evidence-based research that investigates the impact of education levels among registered nurses on the outcome of patients. Based on its findings, the study concludes that BSN registered nurses offered a higher quality of care and had better patients’ outcomes (Resseter, 2019). Medical facilities with BSN nurses reported fewer medical errors, reduced patients’ mortalities in the facilities, and better relationships resulting from better problem-solving skills and strong communication.

Question 3

Finally, the following four recommendations can help in successfully making the BSN the entry-level degree for professional nursing practice. Foremost, leaders in nursing should raise the proportion of BSN nurses to above eighty percent. Secondly, they should administer a nurse residency program to assist the graduate to hone their decision-making skills using evidence. Thirdly, leaders should focus on doubling their stuff with doctorate education levels (Altman, Butler, & Shern, 2016). Finally, the leaders should encourage lifelong learning that leads to continuous competence. Implementation of the four recommendations will put pressure on the registered nurses with ADN to acquire higher-level education. As a result, an increased number of higher-level educated nurses will render BSN a compulsory requirement to become a professional registered nurse.


Altman, S. H., Butler, A. S., & Shern, L. (2016). Achieving higher levels of education. In Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health (pp. 57-108). Washington (DC): National Academies Press (US). Retrieved from

Resseter, R. (2019). The impact of education on nursing practice. American Association of College of Nurses. Retrieved from