Choosing Between an ADN and BSN: Implications for Your Nursing Career

Does It Matter if You Get an ADN or BSN in Nursing?

When considering a career in nursing, choosing the right degree can significantly impact your career opportunities, responsibilities, and potential for advancement. This article explores the differences between an Associate Degree in Nursing (ADN) and a Bachelor of Science in Nursing (BSN).

Associate Degree in Nursing (ADN)

The Associate Degree in Nursing (ADN) is a 2-year program designed to provide practical, hands-on training in clinical skills and direct patient care. Graduates are eligible to take the NCLEX-RN exam to become a registered nurse (RN).

Job Opportunities: ADN graduates can work in a variety of healthcare settings, including hospitals and clinics. However, they may face limitations in advanced roles.

Advancement: There are fewer opportunities for leadership and specialized roles when compared to BSN-prepared nurses.

Bachelor of Science in Nursing (BSN)

The Bachelor of Science in Nursing (BSN) is a 4-year program that offers comprehensive training in nursing theory, research, leadership, and public health. Graduates are also eligible to take the NCLEX-RN exam.

Job Opportunities: BSN graduates often have access to a wider range of job opportunities, including management and specialized nursing positions.

Advancement: BSN-prepared nurses have more opportunities for advancement into leadership, administrative roles, and advanced practice nursing such as nurse practitioners.

Considerations for Choosing Your Nursing Degree

Employment Trends: Many healthcare employers are increasingly preferring or requiring a BSN for nursing positions, particularly in hospitals.

Career Goals: If you aspire to take on leadership roles or specialize in certain areas of nursing, the BSN may be more beneficial.

Further Education: A BSN is often a prerequisite for pursuing advanced degrees, such as an MSN or DNP.

Cost and Time: An ADN program is typically less expensive and shorter, which might be a consideration for some students.

Personal Experience: My Journey from ADN to BSN

I got my Associate of Science in Nursing (ASN) in 1987, and at that time, there was no distinction between ASN and BSN nurses working on the floor. Managers and other higher positions required a BSN.

After 25 years of nursing experience and earning my CCRN certification, I decided to go back to school to complete the BSN. I enrolled in a 9-month program focusing on critical thinking, leadership, advanced assessment of patients, and test-taking skills. I graduated with honors and proudly showed my diploma to my boss, only to receive a 60-cent hourly raise.

My Recommendation: I advise starting with an ADN and gaining experience before pursuing a BSN. Most hospitals offer financial assistance for classes if you achieve a C or higher and agree to work for them for 3 to 5 years.