Quote from dubiousraves
I don't think bedside nursing experience is necessary if the direct entry program is rigorous and maximizes the number of clinical hours required for students.
In your first year or so as an NP, when your ability to do a good differential diagnosis and develop a treatment plan is still limited by experience, being able to do a nursing or functional assessment of the patient can help guide your practice. After that, nursing experience doesn't really help that much.
I like your points but would ask where in the hundreds of NP schools that are admitting and graduating anyone who can pay tuition are the rigorous programs and really how could a mere 500 clinical hours be maximized?
The first year or so is, as you noted, where our patient care backgrounds are in my word, crucial
, to pull from as we find our sea legs. There definitely are outliers in everything but in my experience and specialty those with no RN experience vs those with RN experience in the specialty are in most cases far more ready to practice competently and to the full scope upon graduation.
It will be interesting to see how this unfolds and how our profession adapts. My guess is we will continue to see more of the SOS posts that have been cropping up here more frequently. Those who have no clue what they were signing up for, no idea how to manage their practice upon graduation, had no clue how to negotiate a contract, those who thought Doctors had cushy jobs that involved coffee breaks and golf.