Quote form Chris:
"Also, I do agree that rapid NP programs are almost like PA programs in a sence...but we have to think about this, what is the harm?
So we may not have a huge grasp of nursing theory, but personally, I dislike nursing theory. People will gasp at that and I don't really care. Nursing theory is out-dated and seldom remembered...let alone used."
I totaly disagree with these quotes. The essence of Nurse Practitioner education is that you are a NURSE first, practitioner second...Your lack of experience in this profession shows here, as this 20 yr veteran, MSN/FNP student sees it.
The essence of medical school and PA training is the medical model: diagnosis, treatment and cure.
Nursing is about CARING: helping persons understand their health,illnesses, or disabilities; wellness + preventive care; and helping ease dying persons final momemts and provide comfort to their loved ones---allowing people to make informed choices and help them to deal with and maximize their daily lives.
After 1 month into my Nursing Theory Course, I see more clearly the differences between each model.
Doctor: Review BP readings taken by nurse/assistant over 1 or more visits, perform physical exam, diagnose problem, prescribe medication, diet, exercise, begin teaching re HTN mgmt. Schedule re visit.
RE visit: check BP readings, BP still high, more med.;instruct re complications, schedule fu appointment.
Nurse: Review BP readings, recheck BP lying, sitting, standing (if possible), perform physical exam, inquire re life events/ situation at work/home, review diet intake past week( can they cook or is it prepared /retaurant meals, ability to afford food), check insurance or ability to afford medication and prescibe most cost efficient drug, give handout on diet, exercise, council re wt loss if needed,set goals with patient for treatment plan, begin teaching re HTN mgmt, nonpharmocologic mgmt of illness;make referrals to other resources: Nutrition counciling, social work for help with med payment possibly, visiting nurse for BP followup if significanly elevated and RX/instruction in self BP monitoring, set followup appointment.
At revisit, Was medication RX filled/compliance,attempts to follow plan, changes since last visit, praise for coming back and trying follow plan, more teaching, complications illness, need for life long periodic tune ups.
The above scenerio shows how the NP by using nursing theory takes a much broader viewpoint of the client and stressors affecting life, educates,mutually sets goals, treastment plan and followup to evaluate that plan...the essence of Caring in nursing.
Otherwise your are not practicing in your independent role but only functioning as an extension of the doctor role i.e. Physician assistant.
My $1.05 opinion!
[This message has been edited by NRSKarenRN (edited March 16, 2001).]