The BSN nurse is trained to account for cultural and human diversity and to see healthcare in a more global perspective, to have greater spiritual sensitivity, and to focus on the maintenance and promotion of health. Due to a nursing shortage in 1952, Mildred Montag designed associate degree programs as a collegiate alternative for preparing technical nurses (Friberg & Creasia, 2016). Since its inception, the ADN program has become a very popular option for people wishing to enter the nursing profession. The ADN nurse can focus more on the technical aspects of nursing and is more task oriented because this is what the program is designed for. This begs the question: Does higher education equal better patient outcomes? According to the September 24, 2003 issue of the “Journal of the American Medication Association,” a research paper suggested that post-operative patients have a “substantial survival advantage” when admitted to a facility where BSN nurses are more numerous than those with ADN degrees ([AACN], American Associate of Collage or Nursing 2012). The ADN nurse may not have the understanding or concepts behind all the skills they perform, while the BSN nurse may use deeper knowledge in critical thinking and evidence-based practice in their nursing practice.