Job outlook for new grad NPs without nursing experience - page 2

by junipers | 12,214 Views | 20 Comments

I am considering attending a masters-entry program for people who have a bachelors in a non-nursing field, and am wondering how employable I will be after graduating. The program I have been accepted to does not award a second... Read More


  1. 3
    My suggestion to the writer, it is extremely important to work at a hospital in a general med unit or cardiology unit (step down) for at least 2 years. Become proficient with physical exams, medication management and assisting the dying then consider NP school. Friends of mine after graduating from nursing school never worked as a nurse. As an NP for over 15 years, I still recall my first year after post graduate school. I can only say that had I not worked as a nurse for a few years prior to attending graduate school, I would have been out of my realm of experience. Nursing trains people to observe and experience first hand disease processes that one does not learn in nursing school. To think that one can jump from a BS nursing program without working with acutely sick patients and doctors who have not slept in 24 hours is dreaming. Nurse Practitioners are in a level of responsibility only akin to a physician. Any RN new grad who thinks they can leap in to the position in to a role as a professional nurse practitioner is nuts. I am also offended by the idea. It sounds that one role is an extension of the other by mere education. NOT. The role is entirely different from nursing. Consider medical school first. I love my career as an acute np. However, I really was fortunate. I had doctors who trained me in their private practice as though I was resident. Without my nursing background I would have been an embarrassment to my school, friends and family.
    MichiganRNk8, msjones, and tokidoki7 like this.
  2. 0
    Would an OB, mid-wife group hire you without nursing, other medical degree or association? Ask the people in your clinics that have a contract with your school? There was a time that nurse mid-wives graduating from Georgetown Univ. were not allowed to have practicums at Georgetown Hospital. Kaiser Permanente fired all their mid-wives. If they stayed it was for prenatal appointments and paps. Kaiser Permante is presently handing out pink slips or something to akin to this to all their nurse practitioners in the mid-atlantic region. The malpractice insurance required to hire you will be expensive. Therefore, will you qualify for malpractice? Find this out by surfing the web. If you are going to work overseas in a ministry position, than you are going to be better than no one. A mid-wife is responsible for the well being of mother and neonate. If something goes wrong you can and probably will be liable for up to 18 yrs after the baby is born. I would first find out what area you will be woking. This is the 21 century. There is the mind thought that if you regularly attend school, clinical and pass the board you will be qualified. I haven't answered your question but I think it is going to be very difficult for you to find a job.
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    I am a NP student at UPenn. Yesterday we had a panel of recruiters from local hospitals come and speak about how they screen candidates and what they are looking for. There were 5 recruiters there and each one said that they would NOT consider hiring a NP without nursing experience. They said that the physicians have alot of input in who they hire and they are not about to consider a NP without nursing experience. The recruiter from the pediatric hospital said she is not impressed at all by where you did you clinicals because everyone does clinicals. If you do not have nursing experience, then your application is tossed. They were much more concerned with nursing experience than with NP experience. Horrifying news for the direct entry folks.

    Having said that, I think it depends on where you are in the country as to how true that is. I can understand in Philly where there are so many good schools and they have a large applicant pool. However, in rural areas and other parts of the country there may be a smaller applicant pool and/or more jobs. They may be more willing to hire someone without nursing experience.

    I only have two years of nursing experience and I am hoping that is enough. I am from rural Texas and will be returning there to work. I am very optimistic that I will find work.

    The educators really need to tell students that it may be more difficult to find a job without nursing experience. Not because you can't do the job(that is a different forum) but because recruiters may not even give you a chance without that nursing experience.
    ChristineN, tokidoki7, and MBARNBSN like this.
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    That is true. I live in IL and in the hospitals where I work (5 of them), the recruiters don't even pass along the resumes of the direct entry applicants.

    Of course, in my area, we do not have a lot of direct entry applicants so they use this as an initial "weed out" and then go on to nursing experience, certificates, specialties, etc.
  5. 1
    If I had followed this advice -- get acute care experience first, THEN go back to school to be an NP, I would very likely (still) be an unemployed RN with NO acute care experience, NO master's degree, NO NP licensure, no NP job.

    I would have loved to get acute care experience first. I went back to school only after I felt I had exhausted that avenue. Maybe people who easily landed their first acute care job really cannot imagine how difficult, draining, demeaning and brutal the process can be. Maybe they assume there must be something wrong with you if you couldn't land a job within X months of graduation. I am fortunate that I went to an excellent school for my master's that was willling to give me a second chance to have a nursing career despite not landing that all-important acute care job.

    AT this point... working in acute care is something that I chalk up to "life experiences I would like to have but probably won't" up there with flying an airplane and running for public office. I do have a great NP job doing things I love every single day and I'm grateful for that.
    Dembitz likes this.
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    Quote from SkiBumNP
    Many of us do not have years of nursing experience. The medical approach is all we know.
    And that is a problem.
    Susie2310 likes this.
  7. 0
    Some units absolutely will not hire Advance Practice Nurses who have no nursing experience. Our unit made that decision after several bad experiences with NPs who had no bedside experience. We don't even interview them now. But depending upon where you live, your milage may vary.
  8. 1
    Most new grad NPs have little difficulty finding a job without nursing experience, for right or wrong, that's the fact of the matter. If you work in a region that has a lot of competition for NP jobs or if NPs fall under the DON it may be more difficult for you without experience.

    My NP job didn't care at all about my prior bedside experience, in fact they were more interested in my non-nursing work experience.

    This doesn't mean that RN experience isn't helpful, just that most employers don't seem to care much, especially when it's the medical office that is hiring you.

    You will absolutely get push-back from RNs if you work in a Hospitalist or Intensivist position, as those are the positions in which bedside nursing experience is most beneficial, as well as the simple fact that no one likes taking orders from someone less experienced than themselves. It's likely more about the latter.
    mzaur likes this.
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    Quote from Ruby Vee
    And that is a problem.
    A problem in terms of poor outcomes?
  10. 0
    In reply to the OP,

    Physician training involves, as I understand it, generally tens of thousands of hours of training. Physicians must first obtain an undergraduate degree, usually in a science, followed by four years of medical school, then approximately 3-7 years in internships/residency, followed often by more years of specialty training. Masters level nurse practitioner training, according to one prominent university web site I checked, involves hundreds of clinical hours and requires one to first obtain an RN, a BSN, and then complete three years of schooling in an MSN NP track (usually three years); if one wishes one can then complete a DNP (a couple of years more). Physicians follow the medical model in their training; nurse practitioners follow the nursing model.

    Another poster on this thread said: "From zero clinical experience to a licensed provider in 2.5 years . . . Not touching me or my family . . ."

    I would add that my family and I receive our medical care from physicians exclusively precisely because of their extensive training in the practice of medicine.






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