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Assignment questions
NursingEssayNursing education

Contemporary BSN and ADN nursing practice paper

A 1,000 word paper on nursing practice today: how practice has evolved and how that changed the scope and the approach to treating the individual, the differentiated competencies of associate and baccalaureate preparation, a patient care situation where their decision-making differs, the significance of evidence-based practice and how RN-BSN preparation supports it, and how nurses communicate with interdisciplinary teams.

Editorial process

Last reviewed · August 13, 2026

01

Five bullets, evenly budgeted

Five bullets in a thousand words is two hundred words each, which is the single most useful fact about this assignment. It rules out a historical survey, an extended literature review, or a leisurely introduction. Every paragraph has to arrive somewhere. The most efficient structure gives each bullet its own short section with a heading, which also makes the marking straightforward and prevents the paper from spending four hundred words on the evolution bullet and one hundred on evidence-based practice. Write the third bullet, the patient care situation, first if you find it difficult, because a concrete scenario forces the abstractions in bullets two and four to become specific and gives the whole paper something to point at. Count the words in each section before submitting: the section that overruns is almost always the first. A paper that reaches the last bullet with forty words left has lost marks it had already earned. Budget on paper before drafting.

The first bullet asks two things and they are different. How nursing practice has changed over time is a historical claim; how that evolution changed the scope of practice and the approach to treating the individual is an analytical one. Keep the history compressed and let the analysis carry the section. The changes worth naming are those with consequences: the move of nursing education out of hospital training schools and into universities, the emergence of advanced practice roles with prescriptive authority, the shift of care out of hospitals into community and home settings, the arrival of the electronic record and its effect on documentation and surveillance, and the change from a task-centred model to one where the nurse coordinates a plan around a person. That last change is what the phrase approach to treating the individual is pointing at. Each of those changes can be stated in a sentence and consequenced in a second, which is the density this word count requires.

The second bullet, differentiated competencies, is the one where papers become defensive or vague. Both pathways lead to the same licence and the same examination, and the difference is not competence at the bedside. What differs is the content of the preparation: baccalaureate programmes add community and population health, leadership and management, research appraisal and evidence-based practice, health policy, and a broader liberal education base. Say that plainly and then say what follows: scope of practice is legally identical, but employers, magnet designation and progression to advanced roles differentiate by degree, and the competency difference shows up in work beyond direct care rather than within it. A paper that argues baccalaureate nurses are better nurses will read badly to any marker who trained through an associate programme, and it is not what the evidence supports either. Describe the difference and let the reader draw conclusions about it, which is also what the evidence on education level and outcomes actually supports.

The patient care situation is where the paper earns its distinction and it needs to be specific enough to be arguable. Choose a case where the difference is about the scope of the response rather than the correctness of it: a patient readmitted for the third time in two months, where both nurses manage the admission competently but one asks what in the discharge process keeps failing; a unit-level pattern of falls; a patient whose non-adherence turns out to be a transport problem. Describe what each nurse does and why, and make the difference one of framing — individual episode against system and population — rather than one of skill. That framing is exactly what the added baccalaureate content is for, so the example then evidences bullet two as well. Both nurses in your example should look competent, and the difference should be in what question each one asks next rather than in what either of them does wrong.

Bullets four and five are related and can be written to support each other. Evidence-based practice matters because it is the mechanism by which practice changes on the basis of something other than habit, and the RN-BSN curriculum supports it by teaching research appraisal, which is what lets a nurse read a study and judge whether it should change anything. Interdisciplinary communication then carries that judgement into a plan other professions act on, through structured handover tools, huddles, rounds and shared documentation. Say why this produces safer outcomes concretely — communication failure is the most consistently identified contributor to serious clinical incidents — rather than asserting that teamwork is important. Appraisal is the skill, not familiarity with the phrase, and saying so keeps this section from becoming an endorsement of a curriculum you are enrolled in. Name a specific tool if you can. Appraisal that changes nothing is an academic exercise rather than evidence-based practice.

On execution, follow APA, use the minimum of three references and check they are scholarly, and keep the plagiarism instruction in mind, which in practice means paraphrasing from sources you have read rather than assembling quotations. Use headings that echo the bullets. Do not write an introduction longer than fifty words; at this length it is pure cost. And take care to write about differentiated competencies rather than about which qualification is superior, because the assignment's word is differentiated and it is asking for a description of difference, not a ranking. Headings, tight sections and paraphrased sources will carry this paper further than elegant prose, given the length. Write for a marker checking five bullets against a rubric. Use headings that echo the five bullets so a marker checking a rubric can find each answer without reading for it, and keep the introduction to two sentences at most.

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Budget a short paper evenly across required bullets.
  • 02
    Separate historical change from its consequences for scope and approach.
  • 03
    Describe differentiated competencies without ranking the pathways.
  • 04
    Choose a case where the difference is framing rather than skill.
  • 05
    Connect research appraisal to practice change and to team communication.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

The field of nursing has changed over time. In a 1000 word paper, discuss nursing practice today by addressing the following: Explain how nursing practice has changed over time and how this evolution has changed the scope of practice and the approach to treating the individual. Compare and contrast the differentiated practice competencies between an associate and baccalaureate education in nursing. Explain how scope of practice changes between an associate and baccalaureate nurse. Identify a patient care situation and describe how nursing care, or approaches to decision-making, differ between the BSN-prepared nurse and the ADN nurse. Discuss the significance of applying evidence-based practice to nursing care and explain how the academic preparation of the RN-BSN nurse supports its application. Discuss how nurses today communicate and collaborate with interdisciplinary teams and how this supports safer and more effective patient outcomes. Prepare this assignment according to the guidelines found in the APA Style Guide, USE MINIMUM OF THREE REFERENCES. NO PLAGIARISM
02

Turn the brief into deliverables

  1. 01
    A 1,000 word paper addressing all five required bullets.
  2. 02
    An explanation of how nursing practice has changed and how that changed scope and approach.
  3. 03
    A comparison and contrast of differentiated practice competencies between associate and baccalaureate education.
  4. 04
    A patient care situation showing how nursing care or decision-making differs between BSN and ADN nurses.
  5. 05
    A discussion of the significance of evidence-based practice and how RN-BSN preparation supports it.
  6. 06
    A discussion of communication and collaboration with interdisciplinary teams.
  7. 07
    APA formatting and a minimum of three references, with no plagiarism.
03

Evolution, competencies, a case, evidence, teams

01

Evolution of practice

Compressed history and the changes with real consequences.

02

Scope and the individual

How the evolution changed scope and the approach to treating a person.

03

Differentiated competencies

Curriculum differences in community health, leadership, research and policy.

04

Where the difference shows

Identical licence, differing employer expectations and progression routes.

05

The patient care situation

A case where the difference is framing: episode against system.

06

Evidence-based practice

What it replaces, and how research appraisal in RN-BSN preparation supports it.

07

Interdisciplinary communication

Structured handover, huddles and shared documentation, and why they reduce harm.

04

Scholarly sources for a short paper

Recommended databases

  • CINAHL
  • PubMed
  • NCBI Bookshelf
  • Professional nursing organisation publications

Search sequence

  1. 1.
    Search for studies on nurse education level and patient outcomes, and note their designs and limits.
  2. 2.
    Read a current description of baccalaureate curriculum content to describe competencies accurately.
  3. 3.
    Check the licensure and scope position in your jurisdiction so the legal claim is correct.
  4. 4.
    Search for evidence linking communication failure to clinical incidents.
  5. 5.
    Find one source on evidence-based practice implementation in nursing.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    Nursing Shortage

    StatPearls, NCBI Bookshelf · 2023

    Workforce and education-pipeline context for the evolution and competency sections.

  2. 02

    Nursing Process

    StatPearls, NCBI Bookshelf · 2023

    The reasoning framework shared by both pathways, which anchors the claim that the difference is content rather than competence.

  3. 03

    Medical Error Prevention and Root Cause Analysis

    StatPearls, NCBI Bookshelf · 2023

    Evidence that communication failure contributes to serious incidents, for the interdisciplinary section.

  4. 04

    2025 Code of Ethics for Nurses

    American Nurses Association · 2025

    The professional obligations shared across preparation routes, useful for keeping the comparison descriptive rather than evaluative.

06

Review before submission

Common mistakes

  • Spending a third of the paper on nursing history.
  • Arguing that baccalaureate nurses are better rather than differently prepared.
  • Ignoring that licence and legal scope of practice are identical.
  • Choosing a case where one nurse simply performs better.
  • Asserting that evidence-based practice matters without saying what it replaces.
  • Claiming teamwork improves outcomes with no mechanism named.
  • Writing a long introduction in a thousand-word paper.

Submission checklist

  • Each bullet has its own section and roughly equal space.
  • History is compressed; consequences for scope and approach carry the section.
  • The move from task-centred to person-centred care is addressed explicitly.
  • Competency differences are described as curriculum content, not ability.
  • Identical licensure and legal scope are acknowledged.
  • The patient care situation turns on framing rather than skill.
  • Evidence-based practice is explained as what replaces habit.
  • Research appraisal is named as the RN-BSN contribution.
  • Communication failure is connected to incidents with a mechanism.
  • Three or more scholarly references, APA formatting, paraphrased throughout.

Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by

Aaron Bishop

MA, Education

assignment interpretation and research-methods coaching across disciplines

Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by

Dr. Nathan Cole

PhD, Rhetoric & Composition

Argumentation and thesis development

Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.

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