looking back, are there courses that you thought were not necessary? - page 3

At my nursing program, we have to take two semesters of Fundamental of Nursing. Now, i'm not saying this course is unnecessary, but two whole semesters of learning what "therapeutic communication" is... Read More

  1. Visit  wooh profile page
    1
    Quote from MInurse.st
    Aaaah! Someone tell me you liked/thought was useful any class besides science... give me a sociology, a psychology, an economics... Anything.

    You can lie to me.
    Loved my sociology class. And considering just about every single one of patients has social issues...

    The longer I'm a nurse, the more often little tidbits from my "useless" education come in handy. The skills you can pick up on the job. The knowledge of 50 different minute things so I'm making an educated decision instead of just following an algorithm, that takes education and experience.
    (I'm the old fuddy duddy saying, "You'll understand when you grow up!")
    TDCHIM likes this.
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  3. Visit  DogWmn profile page
    4
    Yikes I graduated from LPN school in '72 (yah yah I know the dark ages) and we had a huge list of skills we had to get checked off on BEFORE we could graduate. Each term we had one really looong day of college classes and 4 days of clinicals with 2 hours after a full day on the floor in the hospital "school room". The last term of school during our clinical days (4 days a week 7-3:30) we were expected to take a FULL patient load including meds, get and give report and to learn time management skills, then after our full day we had an additional 2 hours of class at the hospital going over skills there was even time to discuss our pt/family issues and how to deal (we had psych but no soc) A&P and an integrated science class specifically for LPN's that included some chem and micro. We did patient care plans, assessments (yah I know we aren't supposed know how to assess). We didn't learn to insert IV's at that time (law wasn't changed until after I graduated) but we learned to monitor them including gtt counting, know what drugs were going in and adverse effects, change bottles (that's right glass bottles) without meds and dc IV's. We also learned all about blood transfusions and monitoring. We had quite a bit of pharmacology but in my state at the time most places required an additional pharmacology course to pass meds (that I took after graduation). We roatated on med-surg, peds, ortho/neuro and 1-2 weeks on ED, OB, OR and psych. I went to school in a fairly rural area and the staff really helped us out a lot knowing we'd be working side by side soon and they loved us because we would take over a lot of the basic patient care stuff that cna's do today. Even some of the docs got into the act. One doc noticed I was interested in the OR, asking questions (quietly) and didn't go green, so he went to my nurse instructor and I learned to scrub in and actually got to hold a retractor and hand a few instruments when he was closing. I doubt that would happen today. A couple of the girls wanted more OB and they got it, of course they had to come in on eves and weekends to get it but to them it was worth it. We were allowed to pursue special interests like OB, OR, ED if we were willing to add additional clinical hours on weekends and the staff was there to mentor us. I did some additonal OR and ED on weekends, I never worked in those areas but I learned a lot that certainly added to my over all skills and knowledge on one shift in the ED I put in more foleys and and NG's than most do in a year of school.

    I loved my LPN school it was really tough but when I graduated I felt very confident in the skills I learned and could manage a full load of patients right out of the box with only a few weeks of orientation.
  4. Visit  morte profile page
    2
    if you want to go to nursing SCHOOL, then find a diploma institution....otherwise you need to understand that there are criteria that need to be met to get that ADN or BSN.
    VICEDRN and wooh like this.
  5. Visit  LilgirlRN profile page
    3
    Most of what I do everyday has nothing to do with just about anything they teach in nursing school. I work in the ER, we got no careplans unless you call treat and street a care plan. We don't use nursing diagnosis. A&P was helpful. Psychology helpful. Sociology? The professor standing up in front of 150 or so kids telling us about how he and his buddies used to j^*k off together kinda ruined the class for me. My clinical instructors were helpful, things that just made common sense like... if the patient complains of dizziness even if you saw them skipping down the hall a few minutes ago, they don't go anywhere unassisted. Don't get the consent for surgery signed until AFTER the doctor has talked to them. If you're wasting narcotics with another nurse actually watch them wase it. The pen in your hand is the most useful instrument you have at your disposal, chart what you did and the patient's response to it. If it's not charted that you instructed the patient not to get up without assistance and they fall and break their hip. Last but not least... TOUCH the patient!
    Faeriewand, pagandeva2000, and jjjoy like this.
  6. Visit  pagandeva2000 profile page
    1
    Most of them...just kidding...

    Sociology made no sense, neither did English Literature. The patient doesn't care about my opinion about poetry. I felt it was wasted energy.
    PatMac10,RN likes this.
  7. Visit  VICEDRN profile page
    1
    I have to go against the trend. I am a new grad and I am either learning new skills for the first time or using skills often that I rarely used or had the chance to use in nursing school. Quite frankly, skills are easy enough to pick up.

    Like most new grads, my unit is mostly staffed with nurses with a great deal more experience than me. Their skills are far superior and their assessments are quicker. They can also more readily identify what sort of disposition the patient is likely to have. (I work in an ER)

    HOWEVER, the purpose of all of the book learning is to gain compliance among nurses regarding certain procedures and activities and to increase the nurse's ability to safely care for his or her patient and reduce potential nursing and medical errors. A LOT of the nurses have no idea why they do certain things or why its important that such and such is done. Naturally, their compliance goes down and in turn, the nursing staff loses its credibility.

    Also, I note that sociology and developmental psych are important depending on where you work. Developmental psych very important in peds. Sociology very important when addressing concerns that are community specific.
    Faeriewand likes this.
  8. Visit  K+MgSO4 profile page
    3
    Quote from morte
    if you want to go to nursing SCHOOL, then find a diploma institution....otherwise you need to understand that there are criteria that need to be met to get that ADN or BSN.
    I personally am not saying that we should go back to skills only in "school",( I think there may be a cultural divide on the way that that word is used).......but like some one posted about English lit what in the world is that going to do for your pt?? A class on how to write for academic essays is essential including referencing systems that your uni uses.

    Statistics in itself does not seem useful to me as a purely mathematical subject................how many of your class are nurse researchers without further education? Health statistics are important however to see how we should be educating our patients and where the nurses of tomorrow should be focusing.

    However dealing with conflict is an everyday occurrence and yet most of my conflict resolution comes from the job I had as a student as a supervisor in a bar.

    I have done my share of research proposals and thesis and recognise the need for a well rounded education - lets not cut personal & professional development (e.g communication and diversity) Psych (eg Maslows' hierarchy of needs).

    Maybe I am seeing this in a different light than a lot of AN, being educated in Ireland where our education is more specialist rather than the broad education of US nurses (maybe trying to squeeze too many topics into one course?? Adult, psych, intellectual disability, midwifery, child) The first 3 are 3 DIFFERENT undergrad degrees and the last 2 require a degree in one of the 3 before you can enrol in the course. In my adult (also called general because you work in a GENERAL hospital rather than a psych hospital or maternity hospital) we touched on the other subjects and done short 4 week placements in each of the areas other than what the title of our degree was.
    Fiona59, pagandeva2000, and PatMac10,RN like this.
  9. Visit  morte profile page
    3
    Quote from Karenmaire
    I personally am not saying that we should go back to skills only in "school",( I think there may be a cultural divide on the way that that word is used).......but like some one posted about English lit what in the world is that going to do for your pt?? A class on how to write for academic essays is essential including referencing systems that your uni uses.

    Statistics in itself does not seem useful to me as a purely mathematical subject................how many of your class are nurse researchers without further education? Health statistics are important however to see how we should be educating our patients and where the nurses of tomorrow should be focusing.

    However dealing with conflict is an everyday occurrence and yet most of my conflict resolution comes from the job I had as a student as a supervisor in a bar.

    I have done my share of research proposals and thesis and recognise the need for a well rounded education - lets not cut personal & professional development (e.g communication and diversity) Psych (eg Maslows' hierarchy of needs).
    Maybe I am seeing this in a different light than a lot of AN, being educated in Ireland where our education is more specialist rather than the broad education of US nurses (maybe trying to squeeze too many topics into one course?? Adult, psych, intellectual disability, midwifery, child) The first 3 are 3 DIFFERENT undergrad degrees and the last 2 require a degree in one of the 3 before you can enrol in the course. In my adult (also called general because you work in a GENERAL hospital rather than a psych hospital or maternity hospital) we touched on the other subjects and done short 4 week placements in each of the areas other than what the title of our degree was.
    I was purposefully attempting to make the point of the difference between training and education.
    And i quite agree that the generalist education/training in the USA is hard to meet in the two/three/four year time frame....I think the spelcialist would be the way to go, to maximize the time spent learning
    pagandeva2000, jjjoy, and K+MgSO4 like this.
  10. Visit  gentlegiver profile page
    2
    We were required to take a course called 'Computers in Nursing". First day of class we learned how to turn the computer on. The average age of my classmates was 20 something. We actually knew more about computers than our instructor!
    wooh and Faeriewand like this.
  11. Visit  m_aidez profile page
    1
    I've only taken one course that I think will not help me in my career, and it was an elective called "Politics and film." It is beyond me why I took that course.
    pagandeva2000 likes this.
  12. Visit  m_aidez profile page
    0
    Quote from gentlegiver
    We were required to take a course called 'Computers in Nursing". First day of class we learned how to turn the computer on. The average age of my classmates was 20 something. We actually knew more about computers than our instructor!
    Did they at least teach you about information systems? Because I think that would be pretty helpful for some who are interested in nursing informatics. I wish my school at least introduced it to us.
  13. Visit  llg profile page
    5
    Just before logging in to allnurses ... I was sitting here at my desk ruminating on a few issues here at my hospital. Suddenly, my thoughts flashed on a concept from a political science course I took in my undergraduate days 34 years ago. It fits perfectly with our current situation and I started thinking about how I can use that concept to help resolve things here at my hospital today.

    I am sure that most of you would think that my course in British Government taken back in 1976 was "unnecessary fluff," -- but I am grateful for my well-rounded, liberal arts education. It helps me to think critically, better understand the world around me, and resolve complex problems for which I can't simply "look up the standard procedure."

    Some people view nursing as a basic job -- and want their nursing education to be just "job training" to prepare someone to be a safe practitioner who can follow established policies. I am glad that I have received more than that in my education -- and that I now have more to offer the profession (and the world) because of that deep and rich liberal arts education.

    If you care about such topics, you should do more research before choosing a nursing program and/or career path. If you don't appreciate a liberal arts foundation and don't want the opportunities that such a foundation provides, then don't choose to go to such a program. Choose a technical program and stay in a technical niche where you will be happy. If you only appreciate the physical sciences, choose a program where that is strongly emphasized. Schools publish their curricula: they are not a secret. Do your homework and then make a choice that will suit you. Don't blame the school unless they fail to provide what they advertise.
    MInurse.st, pers, morte, and 2 others like this.
  14. Visit  m_aidez profile page
    1
    I think the reason why nursing schools nowadays are more "book learning" is because nursing bodies have been pushing advance nursing practice positions that require nurses to get a Masters, PhD or DP.

    I understand what seasoned nurses are saying but at the same time I can't help but think a lot of these "useless" courses have some value to them. I do believe I need more practical time but at the same time, I do not want to let go of my "book learning." This is just a guess but maybe the reason why schools cut practicum times in nursing school is because there's been a huge influx of people wanting to get into nursing. The schools are then competing for placements and so they solve it by cutting practicum time? I don't know.
    pagandeva2000 likes this.


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