Not Excited About Becoming FNP

Nurses General Nursing

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Like many younger nurses I have had the drive to continue my education. Less than a year after getting my RN-diploma I enrolled in a RN-BSN program. After being a nurse for only 3 years I enrolled in an FNP program. Here's the thing, I can't tell you WHY I enrolled in an FNP program. Sure, I wanted to continue my education, I thought I wanted to have more career opportunities, all those things that everyone says. But there is a problem.

I love being a bedside nurse. I love being on the front line working in the hospital and being the face that patient's see. I love learning and perfecting my skills that only a bedside nurse would use, like IV starts. I look forward to going to work.

I hear many of my co-workers that are younger saying how they can't wait to get away from the bedside and how exciting it must be for me to be almost done with my degree. I see other nurses I know graduate NP programs and get jobs, and while congratulating them all I can think is how boring their new position sounds.

I am doing great in my NP program and have an A average with a 3.75 GPA. I intend on graduating I am just not sure I actually want to use my degree as it was intended. For the part of the country I am in, I would expect a generous raise to go from RN to FNP, but money isn't what it is all about. I find myself thinking about certifcations and other things I had still hoped to obtain as an RN that I may not have time to obtain before I become an FNP.

Has anyone else felt this way or is it just me?

Curious: Can a NP work as a bedside nurse too?

Specializes in Pediatric/Adolescent, Med-Surg.
Curious: Can a NP work as a bedside nurse too?

Of course. I will still be an RN. I have worked with NP's that either can't find jobs or prefer floor nursing that are staff nurses

Specializes in Critical Care.

You may not always feel the same about bedside nursing. Finish your NP and consider trying to get a job for a hospital. Acute NP is the best for this role which would be working in ICU and even putting in central lines for instance, but perhaps the hospital would train you in these procedures. Hospitals are utilizing more NP's as they are cheaper than MD's. I've heard my hospital is planning to expand and use NP's soon, probably after the contract with the present hospitalists (MD's) expires.

Specializes in LTC, Acute care.

OP, your post is such a breath of fresh air. I was beginning to think something was wrong with me since every nurse I know/work with is in school or planning to start school for FNP. I do want to go for nursing education and still be a bedside nurse but when I mention it, everyone looks at me like I have two heads or as if I'm misspeaking. It's almost funny if it wasn't annoying. I hope you can definitely figure what your niche is and enjoy it. All the best in your academic journey.

I would definitely put the rubber stamp on the NP degree and get your license, even if you stay a bedside nurse for now. Remember, things don't always stay the same and at some point you may want a change. Take the test now, while it's fresh in your mind. Who knows what Obama care will do to the healthcare system and how things are going to change. Consider your NP license an economic weapon of defense.

My first clinical instructor was a NP who was teaching in nursing school. I think it is still a flexible degree and gives you more options. Also, I have to think it will improve your bedside nursing to have all the additional training.

Plus, having the license will open doors for you to pursue other clinical certifications. Getting through the door and access in certain areas to fulfill the required hours is a challenge. Having the NP license should help you gain that access, I would think.

I see nothing but upside to having additional education and license. Congratulations to you!!

Specializes in Primary Care and ICU.

I just got accepted into a DNP program for my adult gerontological primary care np , and I too am a little skeptical. The pay increase didn't seem too different from what I'm doing now working overtime in ICU. I love bedside nursing, and have my off days, as we all do. But I really hope there is a future for this doctorate degree, and that it will come to fruitation.

Specializes in Acute Care Cardiac, Education, Prof Practice.

My friend has her NP and CNS as the hours for clinical were the same. Any chance of becoming a CNS for your hospital and being a bedside resource?

Specializes in Pediatric/Adolescent, Med-Surg.
You may not always feel the same about bedside nursing. Finish your NP and consider trying to get a job for a hospital. Acute NP is the best for this role which would be working in ICU and even putting in central lines for instance but perhaps the hospital would train you in these procedures. Hospitals are utilizing more NP's as they are cheaper than MD's. I've heard my hospital is planning to expand and use NP's soon, probably after the contract with the present hospitalists (MD's) expires.[/quote']

I do not feel qualified to work in the acute care setting as an NP. To go from being trained in primary care to working in an ICU with no ICU RN experience sounds like a bad idea. I have toyed with the idea of doing a post-master's ACNP, still not sure if it is what I want though

Specializes in Pediatric/Adolescent, Med-Surg.
My friend has her NP and CNS as the hours for clinical were the same. Any chance of becoming a CNS for your hospital and being a bedside resource?

I don't really feel like I know much about the CNS purpose. I know I see very few of them working where I am.

Wow, you sound like me 13 years ago! I went to FNP school and by the third semester, was wondering what in the world I was doing. I really liked the book learning, but the clinicals didn't excite me. I thought, "Really, I have to rush from room to room trying to figure out a person's complaint and make him happy?" But, I finished at the top of my class. I hated to leave my RN job, but felt I must give my advanced education a try. So, I tried, and tried, and tried, but 13 years and 4 clinical settings later, went back to work full-time as an RN. It's been a year, and I guiltily admit that I don't miss the NP work at all. Truth be told, NP is a completely different role than the RN role. They are nothing alike. Just because you enjoy nursing, does not mean you will enjoy working as an NP. I felt like a mini-doctor, and that is never what I really wanted to be.

Currently, in my RN job, my paychecks are bigger than when I worked as an NP. I don't consider returning to RN as a step down at all, in any way. I'd like to get a post-master's certificate in some other concentration sometime down the line.

So, I suppose my point is, no, your feelings are not unusual and no, they may not go away when you start full-time practice. I was just tired of being miserable in a role that just did not fit me.

I wish you the best of luck in the future.

Specializes in Acute Care Cardiac, Education, Prof Practice.

Here is a role journal article that explains the CNS and CNL positions pretty well. CNS seems like more of a "super resource" nurse in the hospital. It can include things similar to RRT, to direct patient care, to educating and EBP. This is what they look like at my old hospital where a specialty department is assigned a nurse who has completed her CNS training and then goes on to hold a more am-pm position as a resource. I have seen them at many meetings for Magnet, EBP, and policy.

I think the position sounds pretty fascinating, especially if you still love the aspects of bedside care, this might give you an opportunity to get the best of APN and RN. Might be worth talking to your CNSs and seeing if you could shadow a day or two. Might lend some clarity to your situation.

Tait

Sorry I didn't realize I forgot the link to the article! http://journals.lww.com/nursingmanagement/Fulltext/2011/01000/Differentiating_the_CNS_and_CNL_roles.15.aspx

Specializes in Med-Surg/urology.
Here is a role journal article that explains the CNS and CNL positions pretty well. CNS seems like more of a "super resource" nurse in the hospital. It can include things similar to RRT, to direct patient care, to educating and EBP. This is what they look like at my old hospital where a specialty department is assigned a nurse who has completed her CNS training and then goes on to hold a more am-pm position as a resource. I have seen them at many meetings for Magnet, EBP, and policy.

I think the position sounds pretty fascinating, especially if you still love the aspects of bedside care, this might give you an opportunity to get the best of APN and RN. Might be worth talking to your CNSs and seeing if you could shadow a day or two. Might lend some clarity to your situation.

Tait

Was the link to the article removed? I am interested in reading more about the CNS role..

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