Schank M J, Stollenwerk R
Marquette University, College of Nursing, Milwaukee, Wisconsin.
J Nurs Educ. 1988 Jun;27(6):253-7. doi: 10.3928/0148-4834-19880601-05.
The resurgence of the ADN/BSN issue relative to educational preparation and roles and the concomitant development of positions taken by the professional associations and National Commission on Nursing pointed to the need for study of current ADN/BSN curricula and utilization of graduates. Based upon a brief historical literature review and ADN/BSN competency statements, the leadership/management role was selected for study as a possible differentiating factor between these programs. Findings from a statewide study of ADN and BSN programs and a representative sample of nurse executives indicated that an education and service dilemma exists relative to this role. The majority of ADN program directors noted that a leadership/management component should be part of ADN curricula, whereas BSN program directors did not concur. Nurse executives utilized ADN graduates in leadership/management positions and stated that length of experience was an influencing factor in selection. Numerous other findings showed a discrepancy in beliefs and practices among educators and nurse executives. This survey demonstrates the need for curriculum changes and role clarification. The leadership/management role may be a viable area for consideration.
护理学副学士学位（ADN）/护理学理学学士学位（BSN）在教育准备、角色方面的问题再次出现，以及专业协会和国家护理委员会所采取立场的相应发展，都表明有必要对当前的ADN/BSN课程以及毕业生的就业情况进行研究。基于对历史文献的简要回顾以及ADN/BSN的能力声明，领导力/管理角色被选作研究对象，作为这些课程之间可能存在的差异因素。一项对全州范围内ADN和BSN课程以及护士管理人员代表性样本的研究结果表明，在这个角色方面存在教育与服务的两难困境。大多数ADN项目主任指出，领导力/管理部分应该成为ADN课程的一部分，而BSN项目主任则不同意这一点。护士管理人员在领导力/管理职位上任用ADN毕业生，并表示工作经验时长是选拔中的一个影响因素。许多其他研究结果显示，教育工作者和护士管理人员在观念和实践上存在差异。这项调查表明需要进行课程改革和角色澄清。领导力/管理角色可能是一个值得考虑的可行领域。
