As of now registered nurses are prepared as generalist clinicians, meaning they have different rotations and able to practice in any setting after graduation. But when they transition into advanced practice, they must decide which specialty program they want to go into CNS, CNM, NP or CRNA. Within these routes, a nurse must also decide between primary care vs acute care, family, adult, pediatric, psychiatric, etc.
I think this may be too narrowing for some nurses and the profession. I think there should be DNP programs that prepare candidates to practice in all fields of advanced practice nursing. I think this would unite and elevate the nursing profession.
Just a thought to put out there. I'd love to hear the discussion.
Quote from matthewandrew
That's a very interesting idea! Thank you for the response. I think FNP is the closest "generalist" APRN we have. I guess I'm just not a big fan of FNPs not being eligible to practice in acute care (except maybe in fast track ED). It differs with PA and MDs being able to practice in whatever setting and practice they choose after graduating. I think the DNP can be so much more. (Think of DO programs without OMM). Just a thought.
PAs often require OJT to work in specialty areas and work under the direction of a physician.
Physicians cannot work in any area after graduation. Physicians have to apply and go through residency training before being allowed to work at most places especially speciality areas.
Last edit by wtbcrna on Dec 27, '13